TY - JOUR TI - The impact of the peer review of literature search strategies in support of rapid review reports AU - Spry, C. AU - Mierzwinski‐Urban, M. T2 - Research Synthesis Methods AB - Objective The objective of this study was to investigate the impact of the peer review of literature search strategies prepared in support of rapid reviews. Methods A sample of 200 CADTH rapid reviews was selected. For each rapid review meeting the inclusion criteria, the pre-peer reviewed and corresponding post-peer reviewed search strategies were run and the search results were compared. Bibliographic records retrieved solely by the post-peer reviewed search strategy and included in the rapid review report were identified as representing “included studies”. The publication type of each included study was determined and the attributes of the corresponding record were analyzed to determine the reason for its retrieval by the post-peer reviewed search. Results The peer review of search strategies resulted in the retrieval of one or more additional records for 75% of the searches investigated, but only a small proportion of these records (4%) represented included studies. The main publication types of the included studies were non-randomized studies (60%) and narrative reviews (20%). The principal changes to search strategies that resulted in the retrieval of additional included studies were the inclusion of more keywords or subject headings or a change in the way concepts were combined. Conclusions The peer review of literature search strategies aids in the retrieval of relevant records particularly those representing non-randomized studies. The scrutiny of keywords, subject headings and the relation between search concepts are key components of the peer review process. DO - 10.1002/jrsm.1330 DP - Wiley Online Library VL - 0 IS - ja LA - en SN - 1759-2887 UR - https://onlinelibrary.wiley.com/doi/abs/10.1002/jrsm.1330 Y2 - 2018/11/12/09:37:33 L1 - https://onlinelibrary.wiley.com/doi/pdf/10.1002/jrsm.1330 L2 - https://onlinelibrary.wiley.com/doi/abs/10.1002/jrsm.1330?af=R& KW - Electronic search strategy KW - information retrieval KW - literature search KW - peer review KW - rapid review ER - TY - JOUR TI - Suicide prevention strategies revisited: 10-year systematic review AU - Zalsman, Gil AU - Hawton, Keith AU - Wasserman, Danuta AU - van Heeringen, Kees AU - Arensman, Ella AU - Sarchiapone, Marco AU - Carli, Vladimir AU - Höschl, Cyril AU - Barzilay, Ran AU - Balazs, Judit AU - Purebl, György AU - Kahn, Jean Pierre AU - Sáiz, Pilar Alejandra AU - Lipsicas, Cendrine Bursztein AU - Bobes, Julio AU - Cozman, Doina AU - Hegerl, Ulrich AU - Zohar, Joseph T2 - The Lancet Psychiatry AB - Summary Background Many countries are developing suicide prevention strategies for which up-to-date, high-quality evidence is required. We present updated evidence for the effectiveness of suicide prevention interventions since 2005. Methods We searched PubMed and the Cochrane Library using multiple terms related to suicide prevention for studies published between Jan 1, 2005, and Dec 31, 2014. We assessed seven interventions: public and physician education, media strategies, screening, restricting access to suicide means, treatments, and internet or hotline support. Data were extracted on primary outcomes of interest, namely suicidal behaviour (suicide, attempt, or ideation), and intermediate or secondary outcomes (treatment-seeking, identification of at-risk individuals, antidepressant prescription or use rates, or referrals). 18 suicide prevention experts from 13 European countries reviewed all articles and rated the strength of evidence using the Oxford criteria. Because the heterogeneity of populations and methodology did not permit formal meta-analysis, we present a narrative analysis. Findings We identified 1797 studies, including 23 systematic reviews, 12 meta-analyses, 40 randomised controlled trials (RCTs), 67 cohort trials, and 22 ecological or population-based investigations. Evidence for restricting access to lethal means in prevention of suicide has strengthened since 2005, especially with regard to control of analgesics (overall decrease of 43% since 2005) and hot-spots for suicide by jumping (reduction of 86% since 2005, 79% to 91%). School-based awareness programmes have been shown to reduce suicide attempts (odds ratio [OR] 0·45, 95% CI 0·24–0·85; p=0·014) and suicidal ideation (0·5, 0·27–0·92; p=0·025). The anti-suicidal effects of clozapine and lithium have been substantiated, but might be less specific than previously thought. Effective pharmacological and psychological treatments of depression are important in prevention. Insufficient evidence exists to assess the possible benefits for suicide prevention of screening in primary care, in general public education and media guidelines. Other approaches that need further investigation include gatekeeper training, education of physicians, and internet and helpline support. The paucity of RCTs is a major limitation in the evaluation of preventive interventions. Interpretation In the quest for effective suicide prevention initiatives, no single strategy clearly stands above the others. Combinations of evidence-based strategies at the individual level and the population level should be assessed with robust research designs. Funding The Expert Platform on Mental Health, Focus on Depression, and the European College of Neuropsychopharmacology. DA - 2016/07/01/ PY - 2016 DO - 10.1016/S2215-0366(16)30030-X DP - ScienceDirect VL - 3 IS - 7 SP - 646 EP - 659 J2 - The Lancet Psychiatry SN - 2215-0366 ST - Suicide prevention strategies revisited UR - http://www.sciencedirect.com/science/article/pii/S221503661630030X Y2 - 2018/11/13/15:00:03 L2 - https://www.sciencedirect.com/science/article/pii/S221503661630030X?via%3Dihub ER - TY - JOUR TI - Bubble effect: including internet search engines in systematic reviews introduces selection bias and impedes scientific reproducibility AU - Ćurković, Marko AU - Košec, Andro T2 - BMC Medical Research Methodology AB - Using internet search engines (such as Google search) in systematic literature reviews is increasingly becoming a ubiquitous part of search methodology. In order to integrate the vast quantity of available knowledge, literature mostly focuses on systematic reviews, considered to be principal sources of scientific evidence at all practical levels. Any possible individual methodological flaws present in these systematic reviews have the potential to become systemic. DA - 2018/11/13/ PY - 2018 DO - 10.1186/s12874-018-0599-2 DP - BioMed Central VL - 18 IS - 1 SP - 130 J2 - BMC Medical Research Methodology SN - 1471-2288 ST - Bubble effect UR - https://doi.org/10.1186/s12874-018-0599-2 Y2 - 2018/11/14/15:30:10 L1 - https://bmcmedresmethodol.biomedcentral.com/track/pdf/10.1186/s12874-018-0599-2 L2 - https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/s12874-018-0599-2 ER - TY - JOUR TI - Stratification by quality induced selection bias in a meta-analysis of clinical trials AU - Stone, Jennifer AU - Gurunathan, Usha AU - Glass, Kathryn AU - Munn, Zachary AU - Tugwell, Peter AU - Doi, Suhail A. R. T2 - Journal of Clinical Epidemiology AB -

Abstract

Objective

The inconsistency demonstrated across strata when using different scales has been attributed to quality scores and stratification continues to be done using risk of bias domain judgments. This study examines if restricting primary meta-analyses to studies at low risk of bias or presenting meta-analyses stratified according to risk of bias is indeed the right approach to explore potential methodological bias.

Study Design and Setting

Re-analysis of quality subgroups in an existing meta-analysis based on 25 different scales

Results

We demonstrate that quality stratification itself is the problem because it induces a spurious association between effect size and precision within stratum. Studies with larger effects or lesser precision tend to be of lower quality - a form of collider stratification bias (stratum being the common effect of the reasons for these two outcomes) that leads to inconsistent results across scales. We also show that the extent of this association determines the variability in effect size and statistical significance across strata when conditioning on quality.

Conclusions

We conclude that stratification by quality leads to a form of selection bias (collider stratification bias) and should be avoided. We demonstrate consistent results with an alternative method that includes all studies.

DA - 2018/11/17/ PY - 2018 DO - 10.1016/j.jclinepi.2018.11.015 DP - www.jclinepi.com VL - 0 IS - 0 J2 - Journal of Clinical Epidemiology LA - English SN - 0895-4356, 1878-5921 UR - https://www.jclinepi.com/article/S0895-4356(18)30744-3/abstract Y2 - 2018/11/21/12:46:23 L2 - https://www.jclinepi.com/article/S0895-4356(18)30744-3/pdf KW - Meta-Analysis KW - Quality ER - TY - ELEC TI - Google Search as an Additional Source in Systematic Reviews UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5876410/ Y2 - 2018/11/30/13:56:11 L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5876410/ ER - TY - JOUR TI - Role of expert searching in health sciences libraries T2 - Journal of the Medical Library Association DA - 2005/01// PY - 2005 DP - PubMed Central VL - 93 IS - 1 SP - 42 EP - 44 J2 - J Med Libr Assoc SN - 1536-5050 UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC545120/ Y2 - 2018/12/11/15:03:31 L1 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC545120/pdf/i0025-7338-093-01-0042.pdf L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC545120/ ER - TY - JOUR TI - An introduction to overviews of reviews: planning a relevant research question and objective for an overview AU - Hunt, Harriet AU - Pollock, Alex AU - Campbell, Pauline AU - Estcourt, Lise AU - Brunton, Ginny T2 - Systematic Reviews AB - Overviews of systematic reviews are a relatively new approach to synthesising evidence, and research methods and associated guidance are developing. Within this paper we aim to help readers understand key issues which are essential to consider when taking the first steps in planning an overview. These issues relate to the development of clear, relevant research questions and objectives prior to the development of an overview protocol. DA - 2018/03/01/ PY - 2018 DO - 10.1186/s13643-018-0695-8 DP - BioMed Central VL - 7 IS - 1 SP - 39 J2 - Systematic Reviews SN - 2046-4053 ST - An introduction to overviews of reviews UR - https://doi.org/10.1186/s13643-018-0695-8 Y2 - 2018/12/11/15:32:34 L1 - https://systematicreviewsjournal.biomedcentral.com/track/pdf/10.1186/s13643-018-0695-8 L2 - https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-018-0695-8 ER - TY - ELEC TI - The EU and Irish women AU - GALVIN, Grainne T2 - Ireland - European Commission AB - The EU and Irish women DA - 2016/07/13/T15:19:59+01:00 PY - 2016 LA - en M3 - Text UR - https://ec.europa.eu/ireland/node/684_en Y2 - 2018/12/19/10:25:59 L2 - https://ec.europa.eu/ireland/node/684_en ER - TY - JOUR TI - The Policy on Gender Equality in Ireland Update 2015 AU - Barry, Ursula AB - Upon request by the FEMM Committee, this paper explores changes in gender equality legislation, policies and practices in Ireland with particular emphasis on the period from 2012-2015. Gender equality infrastructure, gender gaps in employment, unemployment, poverty and pay rates are analysed and women’s level of participation in political, economic and administrative decision-making in Ireland is detailed. Provision of childcare services, as well as the extent to which gender dimensions are taken into account in health and welfare policies, are also examined. DP - Zotero SP - 36 LA - en L1 - http://www.europarl.europa.eu/RegData/etudes/IDAN/2015/536450/IPOL_IDA(2015)536450_EN.pdf ER - TY - ENCYC TI - Timeline of women's legal rights (other than voting) T2 - Wikipedia AB - Timeline of women's legal rights (other than voting) represents formal changes and reforms regarding women's rights. That includes actual law reforms as well as other formal changes, such as reforms through new interpretations of laws by precedents. The right to vote is exempted from the timeline: for that right, see Timeline of women's suffrage. The timeline excludes ideological changes and events within feminism and antifeminism: for that, see Timeline of feminism. DA - 2018/12/16/T20:15:43Z PY - 2018 DP - Wikipedia LA - en UR - https://en.wikipedia.org/w/index.php?title=Timeline_of_women%27s_legal_rights_(other_than_voting)&oldid=874047010 Y2 - 2018/12/19/10:26:32 L2 - https://en.wikipedia.org/w/index.php?title=Timeline_of_women%27s_legal_rights_(other_than_voting)&oldid=874047010 ER - TY - JOUR TI - Conceptual recommendations for selecting the most appropriate knowledge synthesis method to answer research questions related to complex evidence AU - Kastner, Monika AU - Antony, Jesmin AU - Soobiah, Charlene AU - Straus, Sharon E. AU - Tricco, Andrea C. T2 - Journal of Clinical Epidemiology AB - Objective To compare and contrast different knowledge synthesis methods and map their specific steps through a scoping review to gain a better understanding of how to select the most appropriate knowledge synthesis method to answer research questions of complex evidence. Study design and setting Electronic databases were searched to identify studies reporting emerging knowledge synthesis methods (e.g., Realist review) across multidisciplinary fields. Two reviewers independently selected studies and abstracted data for each article. Results We synthesized diverse, often conflicting evidence to identify 12 unique knowledge synthesis methods and 13 analysis methods. We organized the 12 full knowledge synthesis methods according to their purpose, outputs and applicability for practice and policy, as well as general guidance on formulating the research question. To make sense of the overlap across these knowledge synthesis methods, we derived a conceptual algorithm to elucidate the process for selecting the optimal knowledge synthesis methods for particular research questions. Conclusion These findings represent a preliminary understanding on which we will base further advancement of knowledge in this field. As part of next steps, we will convene a meeting of international leaders in the field aimed at clarifying emerging knowledge synthesis approaches. DA - 2016/05/01/ PY - 2016 DO - 10.1016/j.jclinepi.2015.11.022 DP - ScienceDirect VL - 73 SP - 43 EP - 49 J2 - Journal of Clinical Epidemiology SN - 0895-4356 UR - http://www.sciencedirect.com/science/article/pii/S0895435616001050 Y2 - 2019/01/10/15:29:42 L2 - https://www.sciencedirect.com/science/article/pii/S0895435616001050 KW - Systematic review KW - Concept synthesis KW - critical interpretive synthesis KW - Integrative review KW - Knowledge synthesis KW - Meta ethnography KW - Meta-interpretation narrative synthesis KW - Meta-synthesis KW - Metastudy KW - Realist review ER - TY - JOUR TI - Topic search filters: a systematic scoping review AU - Damarell, Raechel A. AU - May, Nikki AU - Hammond, Sue AU - Sladek, Ruth M. AU - Tieman, Jennifer J. T2 - Health Information & Libraries Journal AB - Background Searching for topics within large biomedical databases can be challenging, especially when topics are complex, diffuse, emerging or lack definitional clarity. Experimentally derived topic search filters offer a reliable solution to effective retrieval; however, their number and range of subject foci remain unknown. Objectives This systematic scoping review aims to identify and describe available experimentally developed topic search filters. Methods Reports on topic search filter development (1990-) were sought using grey literature sources and 15 databases. Reports describing the conception and prospective development of a database-specific topic search and including an objectively measured estimate of its performance (‘sensitivity’) were included. Results Fifty-four reports met inclusion criteria. Data were extracted and thematically synthesised to describe the characteristics of 58 topic search filters. Discussion Topic search filters are proliferating and cover a wide range of subjects. Filter reports, however, often lack clear definitions of concepts and topic scope to guide users. Without standardised terminology, filters are challenging to find. Information specialists may benefit from a centralised topic filter repository and appraisal checklists to facilitate quality assessment. Conclusion Findings will help information specialists identify existing topic search filters and assist filter developers to build on current knowledge in the field. DO - 10.1111/hir.12244 DP - Wiley Online Library VL - 0 IS - 0 LA - en SN - 1471-1842 ST - Topic search filters UR - https://onlinelibrary.wiley.com/doi/abs/10.1111/hir.12244 Y2 - 2019/01/11/08:28:19 L2 - https://onlinelibrary.wiley.com/doi/full/10.1111/hir.12244 KW - bibliographic databases KW - information storage and retrieval KW - literature searching KW - precision KW - recall KW - review scoping ER - TY - ELEC TI - Regulation (EU) 2017/852 of the European Parliament and of the Council of 17 May 2017 on mercury, and repealing Regulation (EC) No 1102/2008 (Text with EEA relevance. ) AU - Publications Office of the European Union AB - Details of the publication DA - 2017/05/17/ PY - 2017 LA - en M3 - Website UR - https://publications.europa.eu/en/publication-detail/-/publication/687ef0ed-4045-11e7-a9b0-01aa75ed71a1/language-en Y2 - 2019/01/14/10:43:36 L2 - https://publications.europa.eu/en/publication-detail/-/publication/687ef0ed-4045-11e7-a9b0-01aa75ed71a1/language-en KW - Regulation KW - Europe ER - TY - RPRT TI - Restricting the Use of Dental Amalgam in Specific Patient Groups. Implementation Advice AU - Scottish Dental Clinical Effectiveness Programme (SDCEP) DA - 2018/06// PY - 2018 UR - http://www.sdcep.org.uk/wp-content/uploads/2018/06/SDCEP-Dental-Amalgam-Implementation-Advice.pdf Y2 - 2019/01/14/10:43:54 L1 - http://www.sdcep.org.uk/wp-content/uploads/2018/06/SDCEP-Dental-Amalgam-Implementation-Advice.pdf KW - Scotland KW - Specific Patient Groups KW - Children KW - Pregnant women KW - Breastfeeding women KW - Implementation ER - TY - RPRT TI - A National Clinical Guideline for the Use of Dental Filling Materials. Information for Dental Health Care Personnel AU - Directorate for Health and Social Affairs DA - 2003/// PY - 2003 PB - Directorate for Health and Social Affairs, Norway UR - http://www.keytoxins.com/hgbiblio-files/Norwegian%20dental%20guidelines%20July%201%202003.pdf Y2 - 2019/01/14/10:49:58 L1 - http://www.keytoxins.com/hgbiblio-files/Norwegian%20dental%20guidelines%20July%201%202003.pdf ER - TY - RPRT TI - Lessons from Countries Phasing Down Dental Amalgam Use AU - United Nations Environment Progrmme DA - 2016/// PY - 2016 PB - United Nations Environment Programme UR - https://wedocs.unep.org/bitstream/handle/20.500.11822/11624/Dental.Amalgam.10mar2016.pages.WEB.pdf?sequence=1&isAllowed=y Y2 - 2019/01/14/11:17:43 L1 - https://wedocs.unep.org/bitstream/handle/20.500.11822/11624/Dental.Amalgam.10mar2016.pages.WEB.pdf?sequence=1&isAllowed=y ER - TY - JOUR TI - The safety of dental amalgam and alternative dental restoration materials for patients and users AU - Rodríguez-Farre, Eduardo AU - Testai, Emanuela AU - Bruzell, Ellen AU - De Jong, Wim AU - Schmalz, Gottfried AU - Thomsen, Mogens AU - Hensten, Arne T2 - Regulatory Toxicology and Pharmacology AB - In the light of new developments and studies on dental amalgam a request was submitted by the Commission to update the SCENIHR opinion produced in 2008 on the safety and performance of both dental amalgam and possible alternatives, such as resin-based composites, glass ionomer cements, ceramics and gold alloys. DA - 2016/08// PY - 2016 DO - 10.1016/j.yrtph.2015.12.015 DP - Crossref VL - 79 SP - 108 EP - 109 LA - en SN - 02732300 UR - https://linkinghub.elsevier.com/retrieve/pii/S0273230015301501 Y2 - 2019/01/14/11:26:25 L1 - https://ec.europa.eu/health/scientific_committees/emerging/docs/scenihr_o_046.pdf ER - TY - RPRT TI - Future Use of Materials for Dental Restoration. Report of the meeting convened at WHO HQ, Geneva, Switzerland 16th to 17th November 2009 AU - World Health Organization DA - 2009/// PY - 2009 PB - World Health Organization UR - https://www.who.int/oral_health/publications/dental_material_2011.pdf Y2 - 2019/01/14/11:28:54 L1 - https://www.who.int/oral_health/publications/dental_material_2011.pdf ER - TY - RPRT TI - Scientific opinion on the Safety of Dental Amalgam and Alternative Dental Restoration Materials for Patients and Users (update) AU - SCENIHR (Scientific Committee on Emerging and Newly-Identified Health Risks) DA - 2015/04/29/ PY - 2015 PB - European Union UR - http://ec.europa.eu/health/scientific_committees/emerging/docs/scenihr_o_046.pdf ER - TY - RPRT TI - Prevention and Management of Dental Caries in Children AU - Scottish Dental Clinical Effectiveness Programme DA - 2018/05// PY - 2018 M3 - 2nd ed PB - Scottish Dental Clinical Effectiveness Programme UR - http://www.sdcep.org.uk/wp-content/uploads/2018/05/SDCEP-Prevention-and-Management-of-Dental-Caries-in-Children-2nd-Edition.pdf Y2 - 2019/01/14/11:47:35 L1 - http://www.sdcep.org.uk/wp-content/uploads/2018/05/SDCEP-Prevention-and-Management-of-Dental-Caries-in-Children-2nd-Edition.pdf KW - Scotland KW - Guidance ER - TY - ELEC TI - Guidance on the use of dental filling materials AU - The Ministry of Health and the Elderly Ministry (Denmark) DA - 2018/07/07/ PY - 2018 UR - https://www.retsinformation.dk/Forms/R0710.aspx?id=202415 Y2 - 2019/01/14/12:11:30 KW - Denmark KW - Guidance ER - TY - ELEC TI - Alternatives to Mercury Amalgam Fillings AU - Brennan, Farrah T2 - IAOMT AB - There are many alternatives to dental amalgam fillings, but biocompatibility should be considered when selecting a material. LA - en-US UR - https://iaomt.org/for-patients/alternatives-mercury-amalgam-fillings/ Y2 - 2019/01/14/12:23:51 L2 - https://iaomt.org/for-patients/alternatives-mercury-amalgam-fillings/ ER - TY - JOUR TI - About One in Five Novice Vapers Buying Their First E-Cigarette in a Vape Shop Are Smoking Abstinent after Six Months AU - Adriaens, Karolien AU - Van Gucht, Dinska AU - Baeyens, Frank T2 - International Journal of Environmental Research and Public Health AB - Background: E-cigarette use is rising with the majority of vapers purchasing their e-cigarettes in vape shops. We investigated the smoking/vaping trajectories and quit-smoking success rates of smokers deciding to start vaping for the first time and buying their e-cigarette in brick-and-mortar vape shops in Flanders. Methods: Participants filled out questionnaires assessing smoking/vaping behaviour at three moments (intake, after three and six months) and smoking status was biochemically verified using eCO measurements. Results: Participants (n = 71) were regular smokers (MeCO-intake = 22 ppm), half of whom reported a motivation to quit smoking in the near future. Participants bought 3rd/4th generation e-cigarettes and e-liquid with a nicotine concentration averaging 7 mg/mL. A smoking reduction of 53% (17 cigarettes per day (CPD) at intake to 8 CPD after six months) was observed, whereas eCO decreased to 15 ppm. Eighteen percent of participants had quit smoking completely (eCO = 2 ppm), another 25% had at least halved CPD, whereas 57% had failed to reduce CPD by at least 50% (including 13% lost to follow-up). Quitters consumed more e-liquid than reducers and those who continued to smoke. Conclusions: Around one in five smoking customers buying their first e-cigarette in a brick-and-mortar vape shop had quit smoking completely after six months. DA - 2018//08/31 PY - 2018 DO - 10.3390/ijerph15091886 DP - PubMed VL - 15 IS - 9 J2 - Int J Environ Res Public Health LA - eng SN - 1660-4601 L1 - https://www.mdpi.com/1660-4601/15/9/1886/pdf L2 - http://www.ncbi.nlm.nih.gov/pubmed/30200290 KW - electronic cigarette KW - tobacco harm reduction KW - vape shop ER - TY - JOUR TI - Ethical considerations of e-cigarette use for tobacco harm reduction AU - Franck, Caroline AU - Filion, Kristian B. AU - Kimmelman, Jonathan AU - Grad, Roland AU - Eisenberg, Mark J. T2 - Respiratory Research AB - Due to their similarity to tobacco cigarettes, electronic cigarettes (e-cigarettes) could play an important role in tobacco harm reduction. However, the public health community remains divided concerning the appropriateness of endorsing a device whose safety and efficacy for smoking cessation remain unclear. We identified the major ethical considerations surrounding the use of e-cigarettes for tobacco harm reduction, including product safety, efficacy for smoking cessation and reduction, use among non-smokers, use among youth, marketing and advertisement, use in public places, renormalization of a smoking culture, and market ownership. Overall, the safety profile of e-cigarettes is unlikely to warrant serious public health concerns, particularly given the known adverse health effects associated with tobacco cigarettes. As a result, it is unlikely that the population-level harms resulting from e-cigarette uptake among non-smokers would overshadow the public health gains obtained from tobacco harm reduction among current smokers. While the existence of a gateway effect for youth remains uncertain, e-cigarette use in this population should be discouraged. Similarly, marketing and advertisement should remain aligned with the degree of known product risk and should be targeted to current smokers. Overall, the available evidence supports the cautionary implementation of harm reduction interventions aimed at promoting e-cigarettes as attractive and competitive alternatives to cigarette smoking, while taking measures to protect vulnerable groups and individuals. DA - 2016//05/17 PY - 2016 DO - 10.1186/s12931-016-0370-3 DP - PubMed VL - 17 IS - 1 SP - 53 J2 - Respir. Res. LA - eng SN - 1465-993X L1 - https://respiratory-research.biomedcentral.com/track/pdf/10.1186/s12931-016-0370-3 L2 - http://www.ncbi.nlm.nih.gov/pubmed/27184265 KW - Humans KW - Risk Factors KW - Risk Reduction Behavior KW - Vaping KW - Cigarette Smoking KW - Commerce KW - Consumer Product Safety KW - Direct-to-Consumer Advertising KW - E-cigarettes KW - Electronic Nicotine Delivery Systems KW - Ethics KW - Harm reduction KW - Harm Reduction KW - Lung Diseases KW - Protective Factors KW - Risk Assessment KW - Smoke KW - Smoking Cessation ER - TY - JOUR TI - The Role of Nicotine Dependence in E-Cigarettes' Potential for Smoking Reduction AU - Selya, Arielle S. AU - Dierker, Lisa AU - Rose, Jennifer S. AU - Hedeker, Donald AU - Mermelstein, Robin J. T2 - Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco AB - Introduction: E-cigarettes (Electronic Nicotine Delivery Systems, or ENDS) are an increasingly popular tobacco product among youth. Some evidence suggests that e-cigarettes may be effective for harm reduction and smoking cessation, although these claims remain controversial. Little is known about how nicotine dependence may contribute to e-cigarettes' effectiveness in reducing or quitting conventional smoking. Methods: A cohort of young adults were surveyed over 4 years (approximately ages 19-23). Varying-coefficient models (VCMs) were used to examine the relationship between e-cigarette use and conventional smoking frequency, and how this relationship varies across users with different nicotine dependence levels. Results: Lifetime, but not recent, e-cigarette use was associated with less frequent concurrent smoking of conventional cigarettes among those with high levels of nicotine dependence. However, nondependent e-cigarette users smoked conventional cigarettes slightly more frequently than those who had never used e-cigarettes. Nearly half of ever e-cigarette users reported using them to quit smoking at the last measurement wave. For those who used e-cigarettes in a cessation attempt, the frequency of e-cigarette use was not associated with reductions in future conventional smoking frequency. Conclusions: These findings offer possible support that e-cigarettes may act as a smoking reduction method among highly nicotine-dependent young adult cigarette smokers. However, the opposite was found in non-dependent smokers, suggesting that e-cigarette use should be discouraged among novice tobacco users. Additionally, although a substantial proportion of young adults used e-cigarettes to help them quit smoking, these self-initiated quit attempts with e-cigarettes were not associated with future smoking reduction or cessation. Implications: This study offers potential support for e-cigarettes as a smoking reduction tool among highly nicotine-dependent young adult conventional smokers, although the extent and nature of this remains unclear. The use of e-cigarettes as a quit aid was not associated with reductions in conventional smoking, consistent with most other quit aids in this sample except for nicotine replacement therapy, which was only effective for the most dependent smokers. Notably, these findings highlight the necessity of accounting for smokers' nicotine dependence levels when examining tobacco use patterns. DA - 2018/09/04/ PY - 2018 DO - 10.1093/ntr/ntx160 DP - PubMed VL - 20 IS - 10 SP - 1272 EP - 1277 J2 - Nicotine Tob. Res. LA - eng SN - 1469-994X L1 - https://academic.oup.com/ntr/article-pdf/20/10/1272/25681990/ntx160.pdf L2 - http://www.ncbi.nlm.nih.gov/pubmed/29065204 ER - TY - ELEC TI - E-cigarettes in smoking cessation: a harm reduction perspective AU - professor, Clinical Pharmacist8 APR 2016By Chris Bullen Chris BullenCorresponding AuthorChris Bullen is AU - Auckl, director The National Institute for Health InnovationSchool of Population Health The University of AU - Bag 92019, Private AU - Auckl AU - 1142 AU - Zeal, New AU - . AU - researcher, Carla López-Núñez Carla López-NúñezCorresponding AuthorCarla López-Núñez is a AU - University, psychologist Oviedo AU - Spain. AU - UK, Oliver Knight-West Oliver Knight-WestCorresponding AuthorOliver Knight-West is a psychologist based in the T2 - Pharmaceutical Journal AB - Electronic cigarettes (e-cigarettes) are novel devices that simulate aspects of cigarette smoking and deliver nicotine to users. Evidence for their efficacy in smoking cessation, based on several randomised controlled trials of older devices, suggests a modest effect. They appear to be far less harmful than tobacco smoking, but the health effects of long-term use are unknown. Possible adverse population effects of widespread e-cigarette use, such as renormalising smoking ... LA - en ST - E-cigarettes in smoking cessation UR - https://www.pharmaceutical-journal.com/research/perspective-article/e-cigarettes-in-smoking-cessation-a-harm-reduction-perspective/20200851.article Y2 - 2019/01/21/12:04:41 L2 - https://www.pharmaceutical-journal.com/research/perspective-article/e-cigarettes-in-smoking-cessation-a-harm-reduction-perspective/20200851.article?firstPass=false ER - TY - JOUR TI - Harm reduction at the crossroads: the case of e-cigarettes AU - Maziak, Wasim T2 - American Journal of Preventive Medicine AB - The recent popularity of electronic (e)-cigarettes and their rapid uptake by youth has ignited the debate about their role as a harm-reduction strategy. Harm reduction in the context of tobacco control contends that in societies that have achieved considerable success in curbing smoking, leaving the remaining hard-to-quit smokers with an abstinence-only option is unfair, especially when less-harmful choices are available. On one side of the debate are those who call for caution in endorsing such products until critical pieces of evidence about their safety and potential become available, whereas the other side argues that waiting until all questions about e-cigarettes are answered is dogma driven. In this piece, I try to discuss the unresolvable contention between harm-reduction goals of offering safer options to smokers, and those of e-cigarette makers of being commercially viable and profitable. DA - 2014/10// PY - 2014 DO - 10.1016/j.amepre.2014.06.022 DP - PubMed VL - 47 IS - 4 SP - 505 EP - 507 J2 - Am J Prev Med LA - eng SN - 1873-2607 ST - Harm reduction at the crossroads L1 - https://europepmc.org/articles/pmc4171135?pdf=render L2 - http://www.ncbi.nlm.nih.gov/pubmed/25092121 KW - Adolescent KW - Humans KW - Commerce KW - Electronic Nicotine Delivery Systems KW - Harm Reduction KW - Smoking Cessation KW - Smoking Prevention ER - TY - ELEC TI - E-cigarettes fall short as a harm-reduction tool T2 - American Medical Association AB - While there has been a reduction in combustible tobacco use, it still remains the leading cause of preventable death in the U.S. While a growing number of noncombustible tobacco products, such as electronic cigarettes, are often thought to be less hazardous options, limited evidence exists on their actual long-term health risks. At the 2018 AMA Annual Meeting, several policies were adopted to improve the regulation of tobacco products, specifically the safety of electronic cigarettes. An AMA Council on Science and Public Health report focused specifically on the evidence examining electronic cigarettes as a harm-reduction approach to reduce tobacco-related mortality. The AMA House of Delegates amended existing policy to: Recognize that currently available evidence from short-term studies points to electronic cigarettes as containing fewer toxicants than combustible cigarettes, but the use of electronic cigarettes is not harmless and is associated with the use of combustible tobacco cigarettes in youth. Encourage long-term studies of vaping and recognize that complete cessation of the use of tobacco and nicotine-related products is the goal. Recognize that the use of products containing nicotine in any form among youth, including e-cigarettes, is unsafe and can cause addiction. E-cig ingredients should be listed Many believe that e-cigarettes are a successful way to quit smoking. However, e-cigarette cartridge makers are not currently required to list the ingredients of these products on the label. “We are concerned that consumers have an inaccurate reflection of the amount of nicotine and type of substances they’re inhaling when using e-cigarettes," said AMA President Barbara L. McAneny, MD. "We urge the federal government to move quickly to regulate e-cigarettes and require manufacturers to list the ingredients and nicotine content on product labels—further delaying regulation will only serve to put youth at further risk. “The AMA will continue to advocate for more stringent policies to help keep all harmful tobacco products, including e-cigarettes, out of the hands of our nation’s youth,” Dr. McAneny said. To address ingredients and the amount of nicotine contained in the product, delegates adopted policy that asks the AMA to urge federal officials, including but not limited to the Food and Drug Administration, to: Prohibit the sale of any e-cigarette cartridge that does not include a complete list of ingredients on its packaging, in the order of prevalence (similar to food labeling). Require that an accurate nicotine content of e-cigarettes be prominently displayed on the product alongside a warning of the addictive quality of nicotine. Delegates at the meeting also directed the AMA to develop a report on the individual health and public health implications of a low nicotine standard for cigarettes. This report should: Consider and make recommendations on scientific criteria for selection of a nicotine standard that is nonaddictive. Regulatory strategies to ensure compliance with an established standard. How a low-nicotine standard should work with other nicotine products in a well-regulated nicotine market. Read more news coverage of the 2018 AMA Annual Meeting in Chicago. LA - en UR - https://www.ama-assn.org/delivering-care/public-health/e-cigarettes-fall-short-harm-reduction-tool Y2 - 2019/01/21/12:06:04 L2 - https://www.ama-assn.org/delivering-care/public-health/e-cigarettes-fall-short-harm-reduction-tool ER - TY - ELEC TI - E-Cigarettes and the Harm-Reduction Continuum | NEJM UR - https://www.nejm.org/doi/10.1056/NEJMp1711991 Y2 - 2019/01/21/12:08:21 L2 - https://www.nejm.org/doi/10.1056/NEJMp1711991 ER - TY - JOUR TI - A critique of the US Surgeon General’s conclusions regarding e-cigarette use among youth and young adults in the United States of America AU - Polosa, Riccardo AU - Russell, Christopher AU - Nitzkin, Joel AU - Farsalinos, Konstantinos E. T2 - Harm Reduction Journal AB - In December 2016, the Surgeon General published a report that concluded e-cigarette use among youth and young adults is becoming a major public health concern in the United States of America. DA - 2017/09/06/ PY - 2017 DO - 10.1186/s12954-017-0187-5 DP - BioMed Central VL - 14 IS - 1 SP - 61 J2 - Harm Reduction Journal SN - 1477-7517 UR - https://doi.org/10.1186/s12954-017-0187-5 Y2 - 2019/01/21/14:09:16 L1 - https://harmreductionjournal.biomedcentral.com/track/pdf/10.1186/s12954-017-0187-5 L2 - https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-017-0187-5 ER - TY - ELEC TI - A fresh look at tobacco harm reduction: the case for the electronic cigarette | Harm Reduction Journal | Full Text UR - https://harmreductionjournal.biomedcentral.com/articles/10.1186/1477-7517-10-19 Y2 - 2019/01/21/14:09:58 L2 - https://harmreductionjournal.biomedcentral.com/articles/10.1186/1477-7517-10-19 ER - TY - ELEC TI - Global and local perspectives on tobacco harm reduction: what are the issues and where do we go from here? | Harm Reduction Journal | Full Text UR - https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-018-0239-5 Y2 - 2019/01/21/14:10:38 L2 - https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-018-0239-5 ER - TY - BOOK TI - Information Infrastructures within European Health Care: Working with an Installed Base A3 - Aanestad, Margunn A3 - Grisot, Miria A3 - Hanseth, Ole A3 - Vassilakopoulou, Polyxeni AB - A resource for those interested in planning and implementing large-scale information infrastructures for novel electronic services in health care Provides insights on the role of existing elements as resources for new development Clear, concise sections with case studies on two models of infrastructure: e-prescription and public patient-oriented web platforms DA - 2017/// PY - 2017 PB - Springer International Publishing SN - 1431-1917 UR - https://dx.doi.org/10.1007/978-3-319-51020-0_2 ER - TY - JOUR TI - Essential levels of health information in Europe: an action plan for a coherent and sustainable infrastructure AU - Carinci, Fabrizio T2 - Health Policy (Amsterdam, Netherlands) AB - The European Union needs a common health information infrastructure to support policy and governance on a routine basis. A stream of initiatives conducted in Europe during the last decade resulted into several success stories, but did not specify a unified framework that could be broadly implemented on a continental level. The recent debate raised a potential controversy on the different roles and responsibilities of policy makers vs the public health community in the construction of such a pan-European health information system. While institutional bodies shall clarify the statutory conditions under which such an endeavour is to be carried out, researchers should define a common framework for optimal cross-border information exchange. This paper conceptualizes a general solution emerging from past experiences, introducing a governance structure and overarching framework that can be realized through four main action lines, underpinned by the key principle of "Essential Levels of Health Information" for Europe. The proposed information model is amenable to be applied in a consistent manner at both national and EU level. If realized, the four action lines outlined here will allow developing a EU health information infrastructure that would effectively integrate best practices emerging from EU public health initiatives, including projects and joint actions carried out during the last ten years. The proposed approach adds new content to the ongoing debate on the future activity of the European Commission in the area of health information. DA - 2015/04// PY - 2015 DO - 10.1016/j.healthpol.2014.11.016 DP - PubMed VL - 119 IS - 4 SP - 530 EP - 538 J2 - Health Policy LA - eng SN - 1872-6054 ST - Essential levels of health information in Europe L2 - http://www.ncbi.nlm.nih.gov/pubmed/25481025 KW - Humans KW - Cross-border data exchange KW - Efficiency, Organizational KW - European Union KW - Health information KW - Health Information Exchange KW - Health Policy KW - National Health Programs KW - Privacy KW - Privacy and Data Protection KW - Public Health ER - TY - JOUR TI - A comparative study of the proposed models for the components of the national health information system AU - Ahmadi, Maryam AU - Damanabi, Shahla AU - Sadoughi, Farahnaz T2 - Acta informatica medica: AIM: journal of the Society for Medical Informatics of Bosnia & Herzegovina: casopis Drustva za medicinsku informatiku BiH AB - INTRODUCTION: National Health Information System plays an important role in ensuring timely and reliable access to Health information, which is essential for strategic and operational decisions that improve health, quality and effectiveness of health care. In other words, using the National Health information system you can improve the quality of health data, information and knowledge used to support decision making at all levels and areas of the health sector. Since full identification of the components of this system - for better planning and management influential factors of performanceseems necessary, therefore, in this study different attitudes towards components of this system are explored comparatively. METHODS: This is a descriptive and comparative kind of study. The society includes printed and electronic documents containing components of the national health information system in three parts: input, process and output. In this context, search for information using library resources and internet search were conducted, and data analysis was expressed using comparative tables and qualitative data. RESULTS: The findings showed that there are three different perspectives presenting the components of national health information system Lippeveld and Sauerborn and Bodart model in 2000, Health Metrics Network (HMN) model from World Health Organization in 2008, and Gattini's 2009 model. All three models outlined above in the input (resources and structure) require components of management and leadership, planning and design programs, supply of staff, software and hardware facilities and equipment. Plus, in the "process" section from three models, we pointed up the actions ensuring the quality of health information system, and in output section, except for Lippeveld Model, two other models consider information products and use and distribution of information as components of the national health information system. CONCLUSION: the results showed that all the three models have had a brief discussion about the components of health information in input section. But Lippeveld model has overlooked the components of national health information in process and output sections. Therefore, it seems that the health measurement model of network has a comprehensive presentation for the components of health system in all three sections-input, process and output. DA - 2014/04// PY - 2014 DO - 10.5455/aim.2014.22.115-119 DP - PubMed VL - 22 IS - 2 SP - 115 EP - 119 J2 - Acta Inform Med LA - eng SN - 0353-8109 L1 - https://europepmc.org/articles/pmc4008042?pdf=render L2 - http://www.ncbi.nlm.nih.gov/pubmed/24825937 KW - components of the National Health Information System KW - model KW - National Health Information System ER - TY - JOUR TI - The population health record: concepts, definition, design, and implementation AU - Friedman, Daniel J. AU - Parrish, R. Gibson T2 - Journal of the American Medical Informatics Association: JAMIA AB - In 1997, the American Medical Informatics Association proposed a US information strategy that included a population health record (PopHR). Despite subsequent progress on the conceptualization, development, and implementation of electronic health records and personal health records, minimal progress has occurred on the PopHR. Adapting International Organization for Standarization electronic health records standards, we define the PopHR as a repository of statistics, measures, and indicators regarding the state of and influences on the health of a defined population, in computer processable form, stored and transmitted securely, and accessible by multiple authorized users. The PopHR is based upon an explicit population health framework and a standardized logical information model. PopHR purpose and uses, content and content sources, functionalities, business objectives, information architecture, and system architecture are described. Barriers to implementation and enabling factors and a three-stage implementation strategy are delineated. DA - 2010/08//Jul- undefined PY - 2010 DO - 10.1136/jamia.2009.001578 DP - PubMed VL - 17 IS - 4 SP - 359 EP - 366 J2 - J Am Med Inform Assoc LA - eng SN - 1527-974X ST - The population health record L1 - https://academic.oup.com/jamia/article-pdf/17/4/359/17373496/17-4-359.pdf L2 - http://www.ncbi.nlm.nih.gov/pubmed/20595299 KW - Humans KW - United States KW - Health Plan Implementation KW - Information Storage and Retrieval KW - Medical Records Systems, Computerized KW - Population Surveillance KW - Public Health Informatics KW - Terminology as Topic ER - TY - RPRT TI - 2015-2020 Alberta Health Services Information Management and Information Technology Strategic Plan AU - Alberta Health Services UR - https://www.albertahealthservices.ca/assets/about/msd/ahs-msd-ahs-imit-strategy.pdf Y2 - 2019/01/25/17:18:59 L1 - https://www.albertahealthservices.ca/assets/about/msd/ahs-msd-ahs-imit-strategy.pdf ER - TY - JOUR TI - A review on systematic reviews of health information system studies AU - Lau, Francis AU - Kuziemsky, Craig AU - Price, Morgan AU - Gardner, Jesse T2 - Journal of the American Medical Informatics Association : JAMIA AB - The purpose of this review is to consolidate existing evidence from published systematic reviews on health information system (HIS) evaluation studies to inform HIS practice and research. Fifty reviews published during 1994–2008 were selected for meta-level synthesis. These reviews covered five areas: medication management, preventive care, health conditions, data quality, and care process/outcome. After reconciliation for duplicates, 1276 HIS studies were arrived at as the non-overlapping corpus. On the basis of a subset of 287 controlled HIS studies, there is some evidence for improved quality of care, but in varying degrees across topic areas. For instance, 31/43 (72%) controlled HIS studies had positive results using preventive care reminders, mostly through guideline adherence such as immunization and health screening. Key factors that influence HIS success included having in-house systems, developers as users, integrated decision support and benchmark practices, and addressing such contextual issues as provider knowledge and perception, incentives, and legislation/policy. DA - 2010/// PY - 2010 DO - 10.1136/jamia.2010.004838 DP - PubMed Central VL - 17 IS - 6 SP - 637 EP - 645 J2 - J Am Med Inform Assoc SN - 1067-5027 UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3000756/ Y2 - 2019/01/28/08:15:24 L1 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3000756/pdf/amiajnl4838.pdf L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3000756/ ER - TY - JOUR TI - Health information systems evaluation frameworks: A systematic review AU - Eslami Andargoli, Amirhossein AU - Scheepers, Helana AU - Rajendran, Diana AU - Sohal, Amrik T2 - International Journal of Medical Informatics AB - BACKGROUND: Evaluation of health information systems (HISs) is complicated because of the complex nature of the health care domain. Various studies have proposed different frameworks to reduce the complexity in the assessment of these systems. The aim of these frameworks is to provide a set of guidelines for the evaluation of the adequacy of health care information systems. OBJECTIVE: This paper aims to analyse studies on the evaluation of HISs by applying a content, context and process (CCP) framework to address the 'who', 'what', 'how', 'when', and 'why' of the evaluation processes used. This will allow for a better understanding of the relative strengths and weaknesses of various HISs evaluation frameworks, and will pave the way for developing a more complete framework for HISs. METHOD: A systematic literature review on HIS evaluation studies was undertaken to identify the currently available HIS evaluation frameworks. Five academic databases were selected to conduct this systematic literature review. RESULTS: Most of the studies only address some, but not all, of the five main questions, i.e. the who, what, how, when, why, and that there was a lack of consensus in the way these questions were addressed. The critical role of context was also largely neglected in these studies. CONCLUSIONS: Evaluation of HISs is complex. The health care domain is highly context sensitive and in order to have a complete assessment of HISs, consideration of contextual factors is necessary. Specifically, to have the right set of criteria to measure the 'what', the answer to the 'who' of the evaluation is necessary. DA - 2017//01/ PY - 2017 DO - 10.1016/j.ijmedinf.2016.10.008 DP - PubMed VL - 97 SP - 195 EP - 209 J2 - Int J Med Inform LA - eng SN - 1872-8243 ST - Health information systems evaluation frameworks L2 - http://www.ncbi.nlm.nih.gov/pubmed/27919378 KW - CCP framework KW - Evaluation KW - Evaluation Studies as Topic KW - Health information systems KW - Health Information Systems KW - Health information technology ER - TY - JOUR TI - A literature review for large-scale health information system project planning, implementation and evaluation AU - Sligo, Judith AU - Gauld, Robin AU - Roberts, Vaughan AU - Villa, Luis T2 - International Journal of Medical Informatics AB - Information technology is perceived as a potential panacea for healthcare organisations to manage pressure to improve services in the face of increased demand. However, the implementation and evaluation of health information systems (HIS) is plagued with problems and implementation shortcomings and failures are rife. HIS implementation is complex and relies on organisational, structural, technological, and human factors to be successful. It also requires reflective, nuanced, multidimensional evaluation to provide ongoing feedback to ensure success. This article provides a comprehensive review of the literature about evaluating and implementing HIS, detailing the challenges and recommendations for both evaluators and healthcare organisations. The factors that inhibit or promote successful HIS implementation are identified and effective evaluation strategies are described with the goal of informing teams evaluating complex HIS. DA - 2017/01/01/ PY - 2017 DO - 10.1016/j.ijmedinf.2016.09.007 DP - ScienceDirect VL - 97 SP - 86 EP - 97 J2 - International Journal of Medical Informatics SN - 1386-5056 UR - http://www.sciencedirect.com/science/article/pii/S1386505616302003 Y2 - 2019/01/28/08:16:06 L2 - https://www.sciencedirect.com/science/article/pii/S1386505616302003 KW - Implementation KW - Evaluation KW - Health information systems ER - TY - THES TI - Implementation of Healthcare IT Solutions: What are some common difficulties and some possible solutions? AU - Corcoran, Gary DA - 2017/// PY - 2017 DP - Zotero LA - en M3 - MSc Health Informatics PB - Trinity College Dublin UR - https://scss.tcd.ie/publications/theses/diss/2017/TCD-SCSS-DISSERTATION-2017-002.pdf L1 - https://scss.tcd.ie/publications/theses/diss/2017/TCD-SCSS-DISSERTATION-2017-002.pdf ER - TY - ELEC TI - review on systematic reviews of health information system studies | Journal of the American Medical Informatics Association | Oxford Academic UR - https://academic.oup.com/jamia/article/17/6/637/843013 Y2 - 2019/01/28/08:19:25 L2 - https://academic.oup.com/jamia/article/17/6/637/843013 ER - TY - JOUR TI - Methods to Evaluate Health information Systems in Healthcare Settings: A Literature Review AU - Rahimi, Bahol T2 - Journal of Medical Systems AB - Although information technology (IT)-based applications in healthcare have existed for more than three decades, methods to evaluate outputs and outcomes of the use of IT-based systems in medical informatics is still a challenge for decision makers, as well as to those who want to measure the effects of ICT in healthcare settings. The aim of this paper is to review published articles in the area evaluations of IT-based systems in order to gain knowledge about methodologies used and findings obtained from the evaluation of IT-based systems applied in healthcare settings. The literature review includes studies of IT-based systems between 2003 and 2005. The findings show that economic and organizational aspects dominate evaluation studies in this area. However, the results focus mostly on positive outputs such as user satisfaction, financial benefits and improved organizational work. This review shows that there is no standard framework for evaluation effects and outputs of implementation and use of IT in the healthcare setting and that until today no studies explore the impact of IT on the healthcare system' productivity and effectiveness. DA - 2007/// PY - 2007 DO - 10.1007/s10916-007-9082-z VL - 31 IS - 5 SP - 397 EP - 432 LA - en ST - Methods to Evaluate Health information Systems in Healthcare Settings UR - https://www.researchgate.net/publication/5925785_Methods_to_Evaluate_Health_information_Systems_in_Healthcare_Settings_A_Literature_Review Y2 - 2019/01/28/08:23:24 L2 - https://www.researchgate.net/publication/5925785_Methods_to_Evaluate_Health_information_Systems_in_Healthcare_Settings_A_Literature_Review ER - TY - BLOG TI - Alberta aims to create integrated EHR across province | Canadian Healthcare Technology AB - EDMONTON – Alberta is working on an integrated clinical information system that will connect the province's 97 hospitals with primary care networks of family physicians, along with the provincial Netcare system. That will enable a greater level of communication between hospital clinicians, including ER physicians, and LA - en-US UR - https://www.canhealth.com/2016/02/17/alberta-aims-to-create-integrated-ehr-across-province/ Y2 - 2019/01/28/09:10:16 L2 - https://www.canhealth.com/2016/02/17/alberta-aims-to-create-integrated-ehr-across-province/ ER - TY - ELEC TI - (2) (PDF) Availability of Dutch General Practitioners for After-Hours Palliative Care T2 - ResearchGate AB - ResearchGate is a network dedicated to science and research. Connect, collaborate and discover scientific publications, jobs and conferences. All for free. LA - en UR - https://www.researchgate.net/publication/324163291_Availability_of_Dutch_General_Practitioners_for_After-Hours_Palliative_Care/related Y2 - 2019/01/29/16:05:06 L2 - https://www.researchgate.net/publication/324163291_Availability_of_Dutch_General_Practitioners_for_After-Hours_Palliative_Care/related ER - TY - ELEC TI - (2) Ambulance dispatch versus general practitioner home visit for highly urgent out-of-hours primary care | Request PDF T2 - ResearchGate AB - ResearchGate is a network dedicated to science and research. Connect, collaborate and discover scientific publications, jobs and conferences. All for free. LA - en UR - https://www.researchgate.net/publication/322024897_Ambulance_dispatch_versus_general_practitioner_home_visit_for_highly_urgent_out-of-hours_primary_care Y2 - 2019/01/29/16:05:17 L2 - https://www.researchgate.net/publication/322024897_Ambulance_dispatch_versus_general_practitioner_home_visit_for_highly_urgent_out-of-hours_primary_care ER - TY - ELEC TI - (2) The Role of Primary Care Physicians in Providing End-of-Life Care T2 - ResearchGate AB - ResearchGate is a network dedicated to science and research. Connect, collaborate and discover scientific publications, jobs and conferences. All for free. LA - en UR - https://www.researchgate.net/publication/328499412_The_Role_of_Primary_Care_Physicians_in_Providing_End-of-Life_Care Y2 - 2019/01/29/16:05:23 L2 - https://www.researchgate.net/publication/328499412_The_Role_of_Primary_Care_Physicians_in_Providing_End-of-Life_Care ER - TY - ELEC TI - (2) (PDF) Challenges in supporting lay carers of patients at the end of life: Results from focus group discussions with primary healthcare providers T2 - ResearchGate AB - ResearchGate is a network dedicated to science and research. Connect, collaborate and discover scientific publications, jobs and conferences. All for free. LA - en ST - (2) (PDF) Challenges in supporting lay carers of patients at the end of life UR - https://www.researchgate.net/publication/326379372_Challenges_in_supporting_lay_carers_of_patients_at_the_end_of_life_Results_from_focus_group_discussions_with_primary_healthcare_providers Y2 - 2019/01/29/16:05:41 L2 - https://www.researchgate.net/publication/326379372_Challenges_in_supporting_lay_carers_of_patients_at_the_end_of_life_Results_from_focus_group_discussions_with_primary_healthcare_providers ER - TY - JOUR TI - Health Information Systems AU - Sirintrapun, S. Joseph AU - Artz, David R. T2 - Clinics in Laboratory Medicine T3 - Pathology Informatics DA - 2016/03/01/ PY - 2016 DO - 10.1016/j.cll.2015.09.012 DP - ScienceDirect VL - 36 IS - 1 SP - 133 EP - 152 J2 - Clinics in Laboratory Medicine SN - 0272-2712 UR - http://www.sciencedirect.com/science/article/pii/S0272271215001158 Y2 - 2019/01/30/10:48:57 L2 - https://www.sciencedirect.com/science/article/pii/S0272271215001158 KW - Health information systems KW - Computerized provider order entry KW - Decision support KW - Electronic health record KW - Electronic medical record KW - Laboratory information system ER - TY - JOUR TI - Approach to record linkage of primary care data from Clinical Practice Research Datalink to other health-related patient data: overview and implications AU - Padmanabhan, Shivani AU - Carty, Lucy AU - Cameron, Ellen AU - Ghosh, Rebecca E. AU - Williams, Rachael AU - Strongman, Helen T2 - European Journal of Epidemiology AB - Record linkage is increasingly used to expand the information available for public health research. An understanding of record linkage methods and the relevant strengths and limitations is important for robust analysis and interpretation of linked data. Here, we describe the approach used by Clinical Practice Research Datalink (CPRD) to link primary care data to other patient level datasets, and the potential implications of this approach for CPRD data analysis. General practice electronic health record software providers separately submit de-identified data to CPRD and patient identifiers to NHS Digital, excluding patients who have opted-out from contributing data. Data custodians for external datasets also send patient identifiers to NHS Digital. NHS Digital uses identifiers to link the datasets using an 8-stage deterministic methodology. CPRD subsequently receives a de-identified linked cohort file and provides researchers with anonymised linked data and metadata detailing the linkage process. This methodology has been used to generate routine primary care linked datasets, including data from Hospital Episode Statistics, Office for National Statistics and National Cancer Registration and Analysis Service. 10.6 million (M) patients from 411 English general practices were included in record linkage in June 2018. 9.1M (86%) patients were of research quality, of which 8.0M (88%) had a valid NHS number and were eligible for linkage in the CPRD standard linked dataset release. Linking CPRD data to other sources improves the range and validity of research studies. This manuscript, together with metadata generated on match strength and linkage eligibility, can be used to inform study design and explore potential linkage-related selection and misclassification biases. DA - 2019/01// PY - 2019 DO - 10.1007/s10654-018-0442-4 DP - PubMed VL - 34 IS - 1 SP - 91 EP - 99 J2 - Eur. J. Epidemiol. LA - eng SN - 1573-7284 ST - Approach to record linkage of primary care data from Clinical Practice Research Datalink to other health-related patient data L1 - https://researchonline.lshtm.ac.uk/4649589/1/Padmanabhan_etal_2018_Approach%20to%20record%20linkage.pdf L2 - http://www.ncbi.nlm.nih.gov/pubmed/30219957 KW - Clinical Practice Research Datalink KW - Deterministic linkage KW - Electronic health records KW - Primary care data KW - Record linkage ER - TY - JOUR TI - Performing studies using the UK Clinical Practice Research Datalink: to link or not to link? AU - McDonald, Laura AU - Schultze, Anna AU - Carroll, Robert AU - Ramagopalan, Sreeram V. T2 - European Journal of Epidemiology AB - The Clinical Practice Research Datalink (CPRD) is a repository of electronic medical records collected during routine primary care clinical practice in the UK, and is one of the most widely used sources of real-world data for healthcare research. Although CPRD provides access to comprehensive longitudinal patient records, the data does not fully capture diagnoses or outcomes occurring in secondary care and/or mortality. We provide here an overview of CPRD and the potential bias when using unlinked data in certain situations. Linkage of CPRD to other datasets can help to overcome these limitations. We discuss when to consider linkage to secondary care, disease-specific data sources or the official mortality data when conducting research using CPRD data. DA - 2018/06/01/ PY - 2018 DO - 10.1007/s10654-018-0389-5 DP - Springer Link VL - 33 IS - 6 SP - 601 EP - 605 J2 - Eur J Epidemiol LA - en SN - 1573-7284 ST - Performing studies using the UK Clinical Practice Research Datalink UR - https://doi.org/10.1007/s10654-018-0389-5 Y2 - 2019/01/30/12:08:59 KW - CPRD KW - Data linkage KW - Epidemiology KW - HES KW - Primary care KW - Secondary care ER - TY - JOUR TI - Data Resource Profile: Clinical Practice Research Datalink (CPRD) AU - Herrett, Emily AU - Gallagher, Arlene M AU - Bhaskaran, Krishnan AU - Forbes, Harriet AU - Mathur, Rohini AU - van Staa, Tjeerd AU - Smeeth, Liam T2 - International Journal of Epidemiology AB - The Clinical Practice Research Datalink (CPRD) is an ongoing primary care database of anonymised medical records from general practitioners, with coverage of over 11.3 million patients from 674 practices in the UK. With 4.4 million active (alive, currently registered) patients meeting quality criteria, approximately 6.9% of the UK population are included and patients are broadly representative of the UK general population in terms of age, sex and ethnicity. General practitioners are the gatekeepers of primary care and specialist referrals in the UK. The CPRD primary care database is therefore a rich source of health data for research, including data on demographics, symptoms, tests, diagnoses, therapies, health-related behaviours and referrals to secondary care. For over half of patients, linkage with datasets from secondary care, disease-specific cohorts and mortality records enhance the range of data available for research. The CPRD is very widely used internationally for epidemiological research and has been used to produce over 1000 research studies, published in peer-reviewed journals across a broad range of health outcomes. However, researchers must be aware of the complexity of routinely collected electronic health records, including ways to manage variable completeness, misclassification and development of disease definitions for research. DA - 2015/06// PY - 2015 DO - 10.1093/ije/dyv098 DP - PubMed Central VL - 44 IS - 3 SP - 827 EP - 836 J2 - Int J Epidemiol SN - 0300-5771 ST - Data Resource Profile UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4521131/ Y2 - 2019/01/30/12:09:47 L1 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4521131/pdf/dyv098.pdf L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4521131/ ER - TY - ELEC TI - Systems and services T2 - NHS Digital AB - NHS Digital deliver systems and services to the NHS and the wider health and social care sector which help providers deliver better care. Our information, data, and IT systems help health professionals, commissioners, analysts and managers give the best outcomes for patients. LA - en UR - https://digital.nhs.uk/services Y2 - 2019/01/30/12:26:59 L2 - https://digital.nhs.uk/services ER - TY - ELEC TI - Our role and remit in the health service T2 - NHS Digital AB - NHS Digital supplies information and data to the health service, provides vital technological infrastructure, and helps different parts of health and care work together. LA - en UR - https://digital.nhs.uk/about-nhs-digital/our-work/our-role-and-remit-in-the-health-service Y2 - 2019/01/30/12:28:36 L2 - https://digital.nhs.uk/about-nhs-digital/our-work/our-role-and-remit-in-the-health-service ER - TY - JOUR TI - The CPRD and the RCGP: building on research success by enhancing benefits for patients and practices AU - Kousoulis, Antonis A AU - Rafi, Imran AU - de Lusignan, Simon T2 - The British Journal of General Practice DA - 2015/02// PY - 2015 DO - 10.3399/bjgp15X683353 DP - PubMed Central VL - 65 IS - 631 SP - 54 EP - 55 J2 - Br J Gen Pract SN - 0960-1643 ST - The CPRD and the RCGP UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325440/ Y2 - 2019/01/30/12:34:06 L1 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325440/pdf/bjgpfeb-2015-65-631-54.pdf L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325440/ ER - TY - ELEC TI - Office of the Auditor General, Alberta T2 - Office of the Auditor General, Alberta AB - The auditor general is the auditor of every ministry, department, regulated fund and most provincial agencies—150 entities for 2017. We audit the financial statements and selected management control systems and processes. LA - en UR - //www.oag.ab.ca/reports/bhc-report-may-2017 Y2 - 2019/01/30/13:12:41 L2 - https://www.oag.ab.ca/reports/bhc-report-may-2017 ER - TY - CHAP TI - Transforming care through information systems T2 - Better Healthcare for Albertans: A Report by The Office of the Auditor General of Alberta DA - 2017/// PY - 2017 PB - Office of the Auditor General of Alberta UR - https://www.oag.ab.ca/reports/bhc-report-may-2017 ER - TY - NEWS TI - Alberta’s plan for a new $1.6-billion health-data system may contain serious flaw, auditor says | Edmonton Sun AU - Gerein, Keith T2 - Edmonton Sun AB - Benefits expected from the rollout of a $1.6-billion health-data system over the next decade could be undermined by the exclusion of family physician offices from the project, the province’s auditor general says. DA - 2017/05/27/T01:49:18+00:00 PY - 2017 LA - en-CA UR - https://edmontonsun.com/2017/05/26/albertas-plan-for-a-new-16-billion-health-data-system-may-contain-serious-flaw-auditor-says/wcm/2a3f55fa-5f2e-4b00-99b3-75e52984ebcc Y2 - 2019/01/30/15:02:44 ER - TY - NEWS TI - Massive health information overhaul coming to Alberta | Edmonton Sun AU - Gerein, Keith T2 - Edmonton Sun AB - Patients tired of retelling medical histories, physicians frustrated with a cumbersome record system too reliant on paper, and administrators struggling to cut costs hope to benefit from a massive health information overhaul in Alberta. DA - 2016/04/19/T02:13:58+00:00 PY - 2016 LA - en-CA UR - https://edmontonsun.com/2016/04/18/massive-health-information-overhaul-coming-to-alberta/wcm/a00b0104-bd08-4c3a-bfda-4a93cbdbb726 Y2 - 2019/01/30/17:23:35 L2 - https://edmontonsun.com/2016/04/18/massive-health-information-overhaul-coming-to-alberta/wcm/a00b0104-bd08-4c3a-bfda-4a93cbdbb726 ER - TY - BLOG TI - AHS Provincial Clinical Information System T2 - Conversations with Yiu DA - 2018/07/05/ PY - 2018 UR - https://www.albertahealthservices.ca/Blogs/ceo/245.aspx#.XFHen65l_IU Y2 - 2019/01/30/17:29:27 L2 - https://www.albertahealthservices.ca/Blogs/ceo/245.aspx#.XFHen65l_IU ER - TY - ELEC TI - Health Professionals | Alberta Health Services UR - https://www.albertahealthservices.ca/info/Page15449.aspx Y2 - 2019/01/30/17:36:34 L2 - https://www.albertahealthservices.ca/info/Page15449.aspx ER - TY - ELEC TI - Connect Care: Implementation Timeline UR - https://www.albertahealthservices.ca/assets/info/cis/if-cis-cc-infographic-site-implementation-timeline.pdf Y2 - 2019/01/31/15:50:42 L1 - https://www.albertahealthservices.ca/assets/info/cis/if-cis-cc-infographic-site-implementation-timeline.pdf ER - TY - BLOG TI - Connect Care Bytes Blog AB - Clinical informatics news and ideas, with focus on the Connect Care clinical information system initiative in Alberta, Canada. LA - en UR - http://www.bytesblog.ca/ Y2 - 2019/01/31/15:55:19 L2 - http://www.bytesblog.ca/ ER - TY - ELEC TI - Chief Medical Information Office AU - Services, Alberta Health T2 - Alberta Health Services AB - The Chief Medical Information Office works to improve connections between information and action so that patients, providers and policy-makers find meaning, purpose and attainment in an informatics-enabled healthcare workplace. LA - en UR - https://www.albertahealthservices.ca/medstaff/cmio.aspx Y2 - 2019/01/31/15:55:59 L2 - https://www.albertahealthservices.ca/medstaff/cmio.aspx ER - TY - ELEC TI - Rapid reviews may produce different results to systematic reviews: a meta-epidemiological study - ScienceDirect UR - https://www.sciencedirect.com/science/article/pii/S089543561830893X?via%3Dihub Y2 - 2019/02/01/14:59:44 L2 - https://www.sciencedirect.com/science/article/pii/S089543561830893X?via%3Dihub ER - TY - BOOK TI - Support tool to assess health information systems and develop and strengthen health information strategies AU - WHO AB - Good health information supports public health policy-making. During its meeting in December 2013, the Standing Committee of the Regional Committee asked the WHO Regional Office for Europe to develop a practical tool to support Member States in developing and improving their national health information systems by developing national health information strategies. This would support countries in implementing the European policy framework, Health 2020. Good health information from strong national health information systems can help Member States identify areas for action to address Health 2020 priorities and evaluate the effects of Health-2020-related policies and interventions. The support tool is based on existing tools developed by WHO's Health Metrics Network. This tool covers all the phases related to health information strategy development – from assessment of the current state of health information systems, through strategy development and implementation to evaluation. Moreover, it addresses all the different elements of health information systems, such as governance, databases and resources. This allows flexible use of the tool: Member States can either apply it as a whole or pick out specific phases or elements that require particular attention or have priority in their national contexts. The support tool has been set up to accommodate the diverse situations of health information systems and strategies within the WHO European Region. CY - Copenhagan DA - 2015/// PY - 2015 LA - en PB - WHO Regional Office for Europe UR - http://www.euro.who.int/__data/assets/pdf_file/0011/278741/Support-tool-assess-HIS-en.pdf?ua=1 Y2 - 2019/02/01/15:11:59 L2 - http://www.euro.who.int/en/publications/abstracts/support-tool-to-assess-health-information-systems-and-develop-and-strengthen-health-information-strategies ER - TY - GEN TI - Health Connect AU - Health, Australian Government Department of AB - HealthConnect was a change management strategy funded through the Commonwealth Government and facilitated through a partnership with State and Territory Governments. DP - www.health.gov.au LA - en PB - Australian Government Department of Health UR - http://www.health.gov.au/internet/main/publishing.nsf/Content/EHeath Healthconnect Y2 - 2019/02/01/15:37:18 L2 - http://www.health.gov.au/healthconnect ER - TY - ELEC TI - Home - Australian Digital Health Agency UR - https://www.digitalhealth.gov.au/ Y2 - 2019/02/01/15:45:58 L2 - https://www.digitalhealth.gov.au/ ER - TY - BLOG TI - Digital Health and Social Care Strategy 2017-22 – Development | eHealth LA - en-US UR - https://www.ehealth.scot/strategies/the-person-centred-ehealth-strategy-and-delivery-plan-stage-one/ Y2 - 2019/02/01/16:05:41 L2 - https://www.ehealth.scot/strategies/the-person-centred-ehealth-strategy-and-delivery-plan-stage-one/ ER - TY - ELEC TI - Digital Health Evidence Review - Australian Digital Health Agency UR - https://www.digitalhealth.gov.au/get-started-with-digital-health/digital-health-evidence-review Y2 - 2019/02/01/16:37:07 L2 - https://www.digitalhealth.gov.au/get-started-with-digital-health/digital-health-evidence-review ER - TY - ELEC TI - Welcome to Information Architecture T2 - eHealth Ireland LA - en UR - http:/www.ehealthireland.ie/Our-Team/Enterprise-Architecture/Information-Architecture-/Welcome-to-Information-Architecture-.html Y2 - 2019/02/01/16:41:57 L2 - http://www.ehealthireland.ie/Our-Team/Enterprise-Architecture/Information-Architecture-/ ER - TY - RPRT TI - eHealth Strategy for Ireland DA - 2013/// PY - 2013 UR - http://www.ehealthireland.ie/Knowledge-Information-Plan/eHealth-Strategy-for-Ireland.pdf Y2 - 2019/02/01/16:45:41 L1 - http://www.ehealthireland.ie/Knowledge-Information-Plan/eHealth-Strategy-for-Ireland.pdf ER - TY - ELEC TI - Strategic Programmes Overview T2 - eHealth Ireland AB - The strategic programmes have been agreed by the HSE Leadership and have been the building blocks for the eHealth Ireland delivery and the Knowledge and Information plan. LA - en UR - http:/www.ehealthireland.ie/Strategic-Programmes/Strategic-Programmes-Overview.html Y2 - 2019/02/01/16:58:28 L2 - http://www.ehealthireland.ie/Strategic-Programmes/ ER - TY - RPRT TI - E-health and e-welfare of Finland - Check point 2015 AU - Hyppönen, Hannele AU - Hämäläinen, Päivi AU - Reponen, Jarmo DA - 2015/// PY - 2015 PB - THL UR - http://www.julkari.fi/bitstream/handle/10024/129709/URN_ISBN_978-952-302-563-9.pdf?sequence=1&isAllowed=y Y2 - 2019/02/04/14:34:21 ER - TY - JOUR TI - E-health and e-welfare of Finland AU - Hyppönen, Hannele AU - Hämäläinen, Päivi AU - Reponen, Jarmo DA - 2015/// PY - 2015 DP - Zotero SP - 156 LA - en L1 - http://www.julkari.fi/bitstream/handle/10024/129709/URN_ISBN_978-952-302-563-9.pdf?sequence=1&isAllowed=y ER - TY - SLIDE TI - Integrating Health and Social Care (ICT) in Finland A2 - Hämäläinen, Päivi DA - 2016/10/05/ PY - 2016 UR - https://www.medcom.dk/media/7202/07_dr-paeivi-haemaelaeinen.pdf Y2 - 2019/02/04/14:37:08 ER - TY - JOUR TI - Integrating Health and Social Care (ICT) in Finland AU - Hämäläinen, Dr Päivi DP - Zotero SP - 19 LA - en L1 - https://www.medcom.dk/media/7202/07_dr-paeivi-haemaelaeinen.pdf ER - TY - SLIDE TI - National Patient Summary in Finland. T2 - IHE World Summit A2 - Virkkunen, Heikki CY - Amsterdam DA - 2016/06/08/ PY - 2016 UR - https://www.eiseverywhere.com/file_uploads/75a400f8decc31928240b4ce66e9d793_Day2.Panel4.Speaker2.HeikkiVirkkunen.pdf Y2 - 2019/02/04/14:40:19 L1 - https://www.eiseverywhere.com/file_uploads/75a400f8decc31928240b4ce66e9d793_Day2.Panel4.Speaker2.HeikkiVirkkunen.pdf ER - TY - ELEC TI - Overview of the national laws on electronic health records in the EU Member States and their interaction with the provision of cross-border Health services. Final report and recommendations AU - Anonymous T2 - Public Health - European Commission AB - Overview of the national laws on electronic health records in the EU Member States DA - 2016/11/25/T14:14:40+01:00 PY - 2016 LA - en M3 - Text UR - https://ec.europa.eu/health/ehealth/projects/nationallaws_electronichealthrecords_en Y2 - 2019/02/04/15:09:47 L2 - https://ec.europa.eu/health/ehealth/projects/nationallaws_electronichealthrecords_en ER - TY - RPRT TI - Overview of the national laws on electronic health records in the EU Member States National Report for United Kingdom (England) DA - 2014/03// PY - 2014 UR - https://ec.europa.eu/health/sites/health/files/ehealth/docs/laws_united_kingdom_en.pdf Y2 - 2019/02/04/15:13:06 L1 - https://ec.europa.eu/health/sites/health/files/ehealth/docs/laws_united_kingdom_en.pdf ER - TY - RPRT TI - Overview of the national laws on electronic health records in the EU Member States. National Report for Finland DA - 2014/03// PY - 2014 UR - https://ec.europa.eu/health/sites/health/files/ehealth/docs/laws_finland_en.pdf Y2 - 2019/02/04/15:15:13 L1 - https://ec.europa.eu/health/sites/health/files/ehealth/docs/laws_finland_en.pdf ER - TY - RPRT TI - Overview of the national laws on electronic health records in the EU Member States. National Report for Ireland DA - 2014/03// PY - 2014 UR - https://ec.europa.eu/health/sites/health/files/ehealth/docs/laws_ireland_en.pdf Y2 - 2019/02/04/15:16:43 L1 - https://ec.europa.eu/health/sites/health/files/ehealth/docs/laws_ireland_en.pdf ER - TY - RPRT TI - Overview of the national laws on electronic health records in the EU Member States. National Report for the Republic of Estonia DA - 2014/03// PY - 2014 UR - https://ec.europa.eu/health/sites/health/files/ehealth/docs/laws_estonia_en.pdf Y2 - 2019/02/04/15:17:37 L1 - https://ec.europa.eu/health/sites/health/files/ehealth/docs/laws_estonia_en.pdf ER - TY - RPRT TI - eHealth Network. Recommendation Report to Go Live for Finland DA - 2018/// PY - 2018 UR - https://ec.europa.eu/health/sites/health/files/ehealth/docs/ev_201811135_co035_en.pdf Y2 - 2019/02/04/15:19:02 L1 - https://ec.europa.eu/health/sites/health/files/ehealth/docs/ev_201811135_co035_en.pdf ER - TY - ELEC TI - European Commission - PRESS RELEASES - Press release - First EU citizens using ePrescriptions in other EU country UR - http://europa.eu/rapid/press-release_IP-18-6808_en.htm Y2 - 2019/02/04/15:23:03 L2 - http://europa.eu/rapid/press-release_IP-18-6808_en.htm ER - TY - RPRT TI - COMMUNICATION FROM THE COMMISSION TO THE EUROPEAN PARLIAMENT, THE COUNCIL, THE EUROPEAN ECONOMIC AND SOCIAL COMMITTEE AND THE COMMITTEE OF THE REGIONS on enabling the digital transformation of health and care in the Digital Single Market; empowering citizens and building a healthier society {SWD(2018) 126 final} DA - 2018/// PY - 2018 PB - European Commission UR - https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:52018DC0233&from=EN Y2 - 2019/02/04/15:32:57 L1 - https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:52018DC0233&from=EN ER - TY - RPRT TI - International review of approaches countries have taken to integrate National Health and Social Care Data Collections DA - 2014/// PY - 2014 PB - HIQA UR - https://www.hiqa.ie/sites/default/files/2017-01/International-review-National-Health-Social-Care-Data-Collections.pdf Y2 - 2019/02/04/16:06:08 L1 - https://www.hiqa.ie/sites/default/files/2017-01/International-review-National-Health-Social-Care-Data-Collections.pdf ER - TY - RPRT TI - Recommendations regarding the adoption of SNOMED clinical terms as the Clinical Terminology for Ireland AU - HIQA AB - The purpose of this report is to provide advice to the Minister for Health on adopting SNOMED CT as a national standard for Ireland, including the implications of such a decision. SNOMED CT is a terminology system that can be implemented in computer systems to represent clinically relevant information reliably and reproducibly. Clinical coding is ‘the translation of medical terminology as written by the clinician to describe a patient’s complaint, problem, diagnosis, treatment or reason for seeking medical attention, into a coded format’ which is nationally and internationally recognised. DA - 2014/// PY - 2014 PB - HIQA UR - https://www.hiqa.ie/sites/default/files/2017-01/HIQA-recommendations-SNOMED-CT.pdf Y2 - 2019/02/04/16:13:21 L1 - https://www.hiqa.ie/sites/default/files/2017-01/HIQA-recommendations-SNOMED-CT.pdf ER - TY - RPRT TI - Guidance on a data quality framework for health and social care AU - HIQA DA - 2018/// PY - 2018 PB - HIQA UR - https://www.hiqa.ie/sites/default/files/2018-10/Guidance-for-a-data-quality-framework.pdf Y2 - 2019/02/04/16:15:22 L1 - https://www.hiqa.ie/sites/default/files/2018-10/Guidance-for-a-data-quality-framework.pdf ER - TY - RPRT TI - National Standard on information requirements for a national electronic patient summary AU - HIQA DA - 2018/// PY - 2018 DP - Zotero SP - 44 LA - en PB - HIQA UR - https://www.hiqa.ie/sites/default/files/2019-01/PatientSummary_InfoReqs.pdf L1 - https://www.hiqa.ie/sites/default/files/2019-01/PatientSummary_InfoReqs.pdf ER - TY - RPRT TI - Safe, seamless and secure: evolving health and care to meet the needs of modern Australia. Australia’s National Digital Health Strategy DA - 2017/// PY - 2017 UR - https://conversation.digitalhealth.gov.au/sites/default/files/adha-strategy-doc-2ndaug_0_1.pdf Y2 - 2019/02/04/16:19:16 L1 - https://conversation.digitalhealth.gov.au/sites/default/files/adha-strategy-doc-2ndaug_0_1.pdf ER - TY - RPRT TI - Recommendations for the national, community-based ePrescribing programme in Ireland AU - HIQA DA - 2018/// PY - 2018 PB - HIQA UR - https://www.hiqa.ie/sites/default/files/2018-10/EPrescribing_Recommendations.pdf Y2 - 2019/02/04/16:39:48 L1 - https://www.hiqa.ie/sites/default/files/2018-10/EPrescribing_Recommendations.pdf ER - TY - RPRT TI - Review of information management practices in the Hospital In-Patient Enquiry (HIPE) scheme AU - HIQA DA - 2018/// PY - 2018 PB - HIQA UR - https://www.hiqa.ie/sites/default/files/2018-10/HIPE-report.pdf Y2 - 2019/02/04/16:42:18 L1 - https://www.hiqa.ie/sites/default/files/2018-10/HIPE-report.pdf ER - TY - RPRT TI - Background paper to support guidance for a data quality framework AU - HIQA DA - 2018/// PY - 2018 DP - Zotero SP - 86 LA - en PB - HIQA UR - https://www.hiqa.ie/sites/default/files/2018-10/Background-to-support-guidance-on-data-quality-framework.pdf L1 - https://www.hiqa.ie/sites/default/files/2018-10/Background-to-support-guidance-on-data-quality-framework.pdf ER - TY - ELEC TI - Guides: Resources for Evidence-Based Practice: The 6S Pyramid AU - Banfield, Laura AB - Learn about the core concepts of evidence-based practice and discover resources for developing your skills in EBP. LA - en ST - Guides UR - https://hslmcmaster.libguides.com/c.php?g=306765&p=2044794 Y2 - 2019/02/06/16:33:16 L2 - https://hslmcmaster.libguides.com/ebm ER - TY - JOUR TI - Ten simple rules for conducting umbrella reviews AU - Fusar-Poli, Paolo AU - Radua, Joaquim T2 - Evidence-Based Mental Health AB - Objective Evidence syntheses such as systematic reviews and meta-analyses provide a rigorous and transparent knowledge base for translating clinical research into decisions, and thus they represent the basic unit of knowledge in medicine. Umbrella reviews are reviews of previously published systematic reviews or meta-analyses. Therefore, they represent one of the highest levels of evidence synthesis currently available, and are becoming increasingly influential in biomedical literature. However, practical guidance on how to conduct umbrella reviews is relatively limited. Methods We present a critical educational review of published umbrella reviews, focusing on the essential practical steps required to produce robust umbrella reviews in the medical field. Results The current manuscript discusses 10 key points to consider for conducting robust umbrella reviews. The points are: ensure that the umbrella review is really needed, prespecify the protocol, clearly define the variables of interest, estimate a common effect size, report the heterogeneity and potential biases, perform a stratification of the evidence, conduct sensitivity analyses, report transparent results, use appropriate software and acknowledge the limitations. We illustrate these points through recent examples from umbrella reviews and suggest specific practical recommendations. Conclusions The current manuscript provides a practical guidance for conducting umbrella reviews in medical areas. Researchers, clinicians and policy makers might use the key points illustrated here to inform the planning, conduction and reporting of umbrella reviews in medicine. DA - 2018/08/01/ PY - 2018 DO - 10.1136/ebmental-2018-300014 DP - ebmh.bmj.com VL - 21 IS - 3 SP - 95 EP - 100 LA - en SN - 1362-0347, 1468-960X UR - https://ebmh.bmj.com/content/21/3/95 Y2 - 2019/02/06/16:33:23 L1 - https://ebmh.bmj.com/content/ebmental/21/3/95.full.pdf L2 - http://www.ncbi.nlm.nih.gov/pubmed/30006442 L2 - https://ebmh.bmj.com/content/21/3/95 ER - TY - BOOK TI - Umbrella Reviews: Evidence Synthesis with Overviews of Reviews and Meta-Epidemiologic Studies AU - Biondi-Zoccai, Giuseppe DA - 2016/// PY - 2016 SN - 978-3-319-25653-5 ST - Umbrella Reviews UR - http://www.librarything.com/work/book/150803567 L2 - http://www.librarything.com/work/book/150803567 ER - TY - JOUR TI - Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach AU - Aromataris, Edoardo AU - Fernandez, Ritin AU - Godfrey, Christina M. AU - Holly, Cheryl AU - Khalil, Hanan AU - Tungpunkom, Patraporn T2 - International Journal of Evidence-Based Healthcare AB - AIMS: With the increase in the number of systematic reviews available, a logical next step to provide decision makers in healthcare with the evidence they require has been the conduct of reviews of existing systematic reviews. Syntheses of existing systematic reviews are referred to by many different names, one of which is an umbrella review. An umbrella review allows the findings of reviews relevant to a review question to be compared and contrasted. An umbrella review's most characteristic feature is that this type of evidence synthesis only considers for inclusion the highest level of evidence, namely other systematic reviews and meta-analyses. A methodology working group was formed by the Joanna Briggs Institute to develop methodological guidance for the conduct of an umbrella review, including diverse types of evidence, both quantitative and qualitative. The aim of this study is to describe the development and guidance for the conduct of an umbrella review. METHODS: Discussion and testing of the elements of methods for the conduct of an umbrella review were held over a 6-month period by members of a methodology working group. The working group comprised six participants who corresponded via teleconference, e-mail and face-to-face meeting during this development period. In October 2013, the methodology was presented in a workshop at the Joanna Briggs Institute Convention. Workshop participants, review authors and methodologists provided further testing, critique and feedback on the proposed methodology. RESULTS: This study describes the methodology and methods developed for the conduct of an umbrella review that includes published systematic reviews and meta-analyses as the analytical unit of the review. Details are provided regarding the essential elements of an umbrella review, including presentation of the review question in a Population, Intervention, Comparator, Outcome format, nuances of the inclusion criteria and search strategy. A critical appraisal tool with 10 questions to help assess risk of bias in systematic reviews and meta-analyses was also developed and tested. Relevant details to extract from included reviews and how to best present the findings of both quantitative and qualitative systematic reviews in a reader friendly format are provided. CONCLUSIONS: Umbrella reviews provide a ready means for decision makers in healthcare to gain a clear understanding of a broad topic area. The umbrella review methodology described here is the first to consider reviews that report other than quantitative evidence derived from randomized controlled trials. The methodology includes an easy to use and informative summary of evidence table to readily provide decision makers with the available, highest level of evidence relevant to the question posed. DA - 2015/09// PY - 2015 DO - 10.1097/XEB.0000000000000055 DP - PubMed VL - 13 IS - 3 SP - 132 EP - 140 J2 - Int J Evid Based Healthc LA - eng SN - 1744-1609 ST - Summarizing systematic reviews L2 - http://www.ncbi.nlm.nih.gov/pubmed/26360830 KW - Humans KW - Evidence-Based Medicine KW - Bias KW - Empirical Research KW - Guidelines as Topic KW - Meta-Analysis as Topic KW - Research Design KW - Review Literature as Topic KW - Systematic Reviews as Topic ER - TY - JOUR TI - Toward a comprehensive evidence map of overview of systematic review methods: paper 2-risk of bias assessment; synthesis, presentation and summary of the findings; and assessment of the certainty of the evidence AU - Lunny, Carole AU - Brennan, Sue E. AU - McDonald, Steve AU - McKenzie, Joanne E. T2 - Systematic Reviews AB - BACKGROUND: Overviews of systematic reviews (SRs) attempt to systematically retrieve and summarise the results of multiple systematic reviews. This is the second of two papers from a study aiming to develop a comprehensive evidence map of the methods used in overviews. Our objectives were to (a) develop a framework of methods for conducting, interpreting and reporting overviews (stage I)-the Methods for Overviews of Reviews (MOoR) framework-and (b) to create an evidence map by mapping studies that have evaluated overview methods to the framework (stage II). In the first paper, we reported findings for the four initial steps of an overview (specification of purpose, objectives and scope; eligibility criteria; search methods; data extraction). In this paper, we report the remaining steps: assessing risk of bias; synthesis, presentation and summary of the findings; and assessing certainty of the evidence arising from the overview. METHODS: In stage I, we identified cross-sectional studies, guidance documents and commentaries that described methods proposed for, or used in, overviews. Based on these studies, we developed a framework of possible methods for overviews, categorised by the steps in conducting an overview. Multiple iterations of the framework were discussed and refined by all authors. In stage II, we identified studies evaluating methods and mapped these evaluations to the framework. RESULTS: Forty-two stage I studies described methods relevant to one or more of the latter steps of an overview. Six studies evaluating methods were included in stage II. These mapped to steps involving (i) the assessment of risk of bias (RoB) in SRs (two SRs and three primary studies, all reporting evaluation of RoB tools) and (ii) the synthesis, presentation and summary of the findings (one primary study evaluating methods for measuring overlap). CONCLUSION: Many methods have been described for use in the latter steps in conducting an overview; however, evaluation and guidance for applying these methods is sparse. The exception is RoB assessment, for which a multitude of tools exist-several with sufficient evaluation and guidance to recommend their use. Evaluation of other methods is required to provide a comprehensive evidence map. DA - 2018/10/12/ PY - 2018 DO - 10.1186/s13643-018-0784-8 DP - PubMed VL - 7 IS - 1 SP - 159 J2 - Syst Rev LA - eng SN - 2046-4053 ST - Toward a comprehensive evidence map of overview of systematic review methods L1 - https://systematicreviewsjournal.biomedcentral.com/track/pdf/10.1186/s13643-018-0784-8 L2 - http://www.ncbi.nlm.nih.gov/pubmed/30314530 KW - Assessment of risk of bias in systematic reviews KW - Evaluation of methods KW - Evidence map KW - Meta-review KW - Methodology KW - Overview KW - Overview of systematic reviews KW - Review of reviews KW - Systematic review methods KW - Umbrella review ER - TY - JOUR TI - Toward a comprehensive evidence map of overview of systematic review methods: paper 1-purpose, eligibility, search and data extraction AU - Lunny, Carole AU - Brennan, Sue E. AU - McDonald, Steve AU - McKenzie, Joanne E. T2 - Systematic Reviews AB - BACKGROUND: Overviews of systematic reviews attempt to systematically retrieve and summarise the results of multiple systematic reviews. Methods for conducting, interpreting and reporting overviews are in their infancy. To date, there has been no evidence map of the methods used in overviews, thus making it difficult to determine the gaps and priorities for methods research. Our objectives were to develop and populate a comprehensive framework of methods for conducting, interpreting and reporting overviews (stage I) and to create an evidence map by mapping studies that have evaluated overview methods to the framework (stage II). METHODS: We searched methods collections (e.g. Cochrane Methodology Register, Meth4ReSyn library, AHRQ Effective Health Care Program) to identify eligible studies for both stages of this research. In stage I, cross-sectional studies, guidance documents and commentaries that described methods proposed for, or used in, overviews were used to develop and populate the framework of methods. Drafts and multiple iterations of the framework were discussed and refined by all authors. In stage II, we identified and described studies evaluating overview methods and mapped these evaluations to the framework. RESULTS: In this paper, we present results for the four initial steps of conducting an overview: (a) specification of the purpose, objectives and scope, (b) specification of the eligibility criteria, (c) search methods and (d) data extraction. Twenty-nine studies mentioned or described methods relevant to one or more of these steps. In the developed framework, identified methods and approaches were grouped according to the steps an overview author would need to undertake. Fifteen studies evaluated identified methods, all of which mapped to the search methods step. These studies either reported the development and evaluation of a new search filter to retrieve systematic reviews or compared the performance of multiple filters. CONCLUSION: Gaps in the evaluation of methods were found for the majority of steps in the framework. More empirical studies are needed to evaluate the methods outlined and provide a comprehensive evidence map. The framework is useful for planning these evaluations and for planning methods required to deal with challenges that arise when conducting an overview. DA - 2017//11/21 PY - 2017 DO - 10.1186/s13643-017-0617-1 DP - PubMed VL - 6 IS - 1 SP - 231 J2 - Syst Rev LA - eng SN - 2046-4053 ST - Toward a comprehensive evidence map of overview of systematic review methods L1 - https://systematicreviewsjournal.biomedcentral.com/track/pdf/10.1186/s13643-017-0617-1 L2 - http://www.ncbi.nlm.nih.gov/pubmed/29162130 KW - Humans KW - Evidence-Based Medicine KW - Research Design KW - Review Literature as Topic KW - Evaluation of methods KW - Meta-review KW - Overview KW - Review of reviews KW - Systematic review methods KW - Umbrella review KW - Evidence mapping KW - Evidence synthesis KW - Overview methods KW - Overviews of systematic reviews ER - TY - JOUR TI - What guidance is available for researchers conducting overviews of reviews of healthcare interventions? A scoping review and qualitative metasummary AU - Pollock, Michelle AU - Fernandes, Ricardo M. AU - Becker, Lorne A. AU - Featherstone, Robin AU - Hartling, Lisa T2 - Systematic Reviews AB - BACKGROUND: Overviews of reviews (overviews) compile data from multiple systematic reviews to provide a single synthesis of relevant evidence for decision-making. Despite their increasing popularity, there is limited methodological guidance available for researchers wishing to conduct overviews. The objective of this scoping review is to identify and collate all published and unpublished documents containing guidance for conducting overviews examining the efficacy, effectiveness, and/or safety of healthcare interventions. Our aims were to provide a map of existing guidance documents; identify similarities, differences, and gaps in the guidance contained within these documents; and identify common challenges involved in conducting overviews. METHODS: We conducted an iterative and extensive search to ensure breadth and comprehensiveness of coverage. The search involved reference tracking, database and web searches (MEDLINE, EMBASE, DARE, Scopus, Cochrane Methods Studies Database, Google Scholar), handsearching of websites and conference proceedings, and contacting overview producers. Relevant guidance statements and challenges encountered were extracted, edited, grouped, abstracted, and presented using a qualitative metasummary approach. RESULTS: We identified 52 guidance documents produced by 19 research groups. Relatively consistent guidance was available for the first stages of the overview process (deciding when and why to conduct an overview, specifying the scope, and searching for and including systematic reviews). In contrast, there was limited or conflicting guidance for the latter stages of the overview process (quality assessment of systematic reviews and their primary studies, collecting and analyzing data, and assessing quality of evidence), and many of the challenges identified were also related to these stages. An additional, overarching challenge identified was that overviews are limited by the methods, reporting, and coverage of their included systematic reviews. CONCLUSIONS: This compilation of methodological guidance for conducting overviews of healthcare interventions will facilitate the production of future overviews and can help authors address key challenges they are likely to encounter. The results of this project have been used to identify areas where future methodological research is required to generate empirical evidence for overview methods. Additionally, these results have been used to update the chapter on overviews in the next edition of the Cochrane Handbook for Systematic Reviews of Interventions. DA - 2016//11/14 PY - 2016 DO - 10.1186/s13643-016-0367-5 DP - PubMed VL - 5 IS - 1 SP - 190 J2 - Syst Rev LA - eng SN - 2046-4053 ST - What guidance is available for researchers conducting overviews of reviews of healthcare interventions? L1 - https://systematicreviewsjournal.biomedcentral.com/track/pdf/10.1186/s13643-016-0367-5 L2 - http://www.ncbi.nlm.nih.gov/pubmed/27842604 KW - Humans KW - Evidence-Based Medicine KW - Knowledge synthesis KW - Research Design KW - Review Literature as Topic KW - Umbrella review KW - Evidence synthesis KW - Evidence-based medicine KW - Evidence-based practice KW - Metasummary KW - Overview of reviews KW - Publications KW - Research Personnel KW - Review methods KW - Scoping review KW - Systematic reviews ER - TY - JOUR TI - Methodological developments in searching for studies for systematic reviews: past, present and future? AU - Lefebvre, Carol AU - Glanville, Julie AU - Wieland, L. Susan AU - Coles, Bernadette AU - Weightman, Alison L. T2 - Systematic Reviews AB - The Cochrane Collaboration was established in 1993, following the opening of the UK Cochrane Centre in 1992, at a time when searching for studies for inclusion in systematic reviews was not well-developed. Review authors largely conducted their own searches or depended on medical librarians, who often possessed limited awareness and experience of systematic reviews. Guidance on the conduct and reporting of searches was limited. When work began to identify reports of randomized controlled trials (RCTs) for inclusion in Cochrane Reviews in 1992, there were only approximately 20,000 reports indexed as RCTs in MEDLINE and none indexed as RCTs in Embase. No search filters had been developed with the aim of identifying all RCTs in MEDLINE or other major databases. This presented The Cochrane Collaboration with a considerable challenge in identifying relevant studies.Over time, the number of studies indexed as RCTs in the major databases has grown considerably and the Cochrane Central Register of Controlled Trials (CENTRAL) has become the best single source of published controlled trials, with approximately 700,000 records, including records identified by the Collaboration from Embase and MEDLINE. Search filters for various study types, including systematic reviews and the Cochrane Highly Sensitive Search Strategies for RCTs, have been developed. There have been considerable advances in the evidence base for methodological aspects of information retrieval. The Cochrane Handbook for Systematic Reviews of Interventions now provides detailed guidance on the conduct and reporting of searches. Initiatives across The Cochrane Collaboration to improve the quality inter alia of information retrieval include: the recently introduced Methodological Expectations for Cochrane Intervention Reviews (MECIR) programme, which stipulates 'mandatory' and 'highly desirable' standards for various aspects of review conduct and reporting including searching, the development of Standard Training Materials for Cochrane Reviews and work on peer review of electronic search strategies. Almost all Cochrane Review Groups and some Cochrane Centres and Fields now have a Trials Search Co-ordinator responsible for study identification and medical librarians and other information specialists are increasingly experienced in searching for studies for systematic reviews.Prospective registration of clinical trials is increasing and searching trials registers is now mandatory for Cochrane Reviews, where relevant. Portals such as the WHO International Clinical Trials Registry Platform (ICTRP) are likely to become increasingly attractive, given concerns about the number of trials which may not be registered and/or published. The importance of access to information from regulatory and reimbursement agencies is likely to increase. Cross-database searching, gateways or portals and improved access to full-text databases will impact on how searches are conducted and reported, as will services such as Google Scholar, Scopus and Web of Science. Technologies such as textual analysis, semantic analysis, text mining and data linkage will have a major impact on the search process but efficient and effective updating of reviews may remain a challenge.In twenty years' time, we envisage that the impact of universal social networking, as well as national and international legislation, will mean that all trials involving humans will be registered at inception and detailed trial results will be routinely available to all. Challenges will remain, however, to ensure the discoverability of relevant information in diverse and often complex sources and the availability of metadata to provide the most efficient access to information. We envisage an ongoing role for information professionals as experts in identifying new resources, researching efficient ways to link or mine them for relevant data and managing their content for the efficient production of systematic reviews. DA - 2013/09/25/ PY - 2013 DO - 10.1186/2046-4053-2-78 DP - PubMed VL - 2 SP - 78 J2 - Syst Rev LA - eng SN - 2046-4053 ST - Methodological developments in searching for studies for systematic reviews L1 - https://systematicreviewsjournal.biomedcentral.com/track/pdf/10.1186/2046-4053-2-78 L2 - http://www.ncbi.nlm.nih.gov/pubmed/24066664 KW - Humans KW - Evidence-Based Medicine KW - Randomized Controlled Trials as Topic KW - Information Storage and Retrieval KW - Review Literature as Topic KW - Abstracting and Indexing as Topic KW - Databases, Bibliographic KW - Registries ER - TY - JOUR TI - Selecting and implementing overview methods: implications from five exemplar overviews AU - Pollock, Alex AU - Campbell, Pauline AU - Brunton, Ginny AU - Hunt, Harriet AU - Estcourt, Lise T2 - Systematic Reviews AB - BACKGROUND: Overviews of systematic reviews are an increasingly popular method of evidence synthesis; there is a lack of clear guidance for completing overviews and a number of methodological challenges. At the UK Cochrane Symposium 2016, methodological challenges of five overviews were explored. Using data from these five overviews, practical implications to support methodological decision making of authors writing protocols for future overviews are proposed. METHODS: Methods, and their justification, from the five exemplar overviews were tabulated and compared with areas of debate identified within current literature. Key methodological challenges and implications for development of overview protocols were generated and synthesised into a list, discussed and refined until there was consensus. RESULTS: Methodological features of three Cochrane overviews, one overview of diagnostic test accuracy and one mixed methods overview have been summarised. Methods of selection of reviews and data extraction were similar. Either the AMSTAR or ROBIS tool was used to assess quality of included reviews. The GRADE approach was most commonly used to assess quality of evidence within the reviews. Eight key methodological challenges were identified from the exemplar overviews. There was good agreement between our findings and emerging areas of debate within a recent published synthesis. Implications for development of protocols for future overviews were identified. CONCLUSIONS: Overviews are a relatively new methodological innovation, and there are currently substantial variations in the methodological approaches used within different overviews. There are considerable methodological challenges for which optimal solutions are not necessarily yet known. Lessons learnt from five exemplar overviews highlight a number of methodological decisions which may be beneficial to consider during the development of an overview protocol. DA - 2017//07/18 PY - 2017 DO - 10.1186/s13643-017-0534-3 DP - PubMed VL - 6 IS - 1 SP - 145 J2 - Syst Rev LA - eng SN - 2046-4053 ST - Selecting and implementing overview methods L1 - https://systematicreviewsjournal.biomedcentral.com/track/pdf/10.1186/s13643-017-0534-3 L2 - http://www.ncbi.nlm.nih.gov/pubmed/28720141 KW - Humans KW - Evidence-Based Medicine KW - Decision Making KW - Research Design KW - Review Literature as Topic KW - Publications KW - Challenges KW - Data Accuracy KW - Methods KW - Overviews KW - Quality assessment KW - Synthesis ER - TY - JOUR TI - Evaluation of AMSTAR to assess the methodological quality of systematic reviews in overviews of reviews of healthcare interventions AU - Pollock, Michelle AU - Fernandes, Ricardo M. AU - Hartling, Lisa T2 - BMC medical research methodology AB - BACKGROUND: Overviews of reviews (overviews) compile information from multiple systematic reviews (SRs) to provide a single synthesis of relevant evidence for decision-making. It is recommended that authors assess and report the methodological quality of SRs in overviews-for example, using A MeaSurement Tool to Assess systematic Reviews (AMSTAR). Currently, there is variation in whether and how overview authors assess and report SR quality, and limited guidance is available. Our objectives were to: examine methodological considerations involved in using AMSTAR to assess the quality of Cochrane and non-Cochrane SRs in overviews of healthcare interventions; identify challenges (and develop potential decision rules) when using AMSTAR in overviews; and examine the potential impact of considering methodological quality when making inclusion decisions in overviews. METHODS: We selected seven overviews of healthcare interventions and included all SRs meeting each overview's inclusion criteria. For each SR, two reviewers independently conducted AMSTAR assessments with consensus and discussed challenges encountered. We also examined the correlation between AMSTAR assessments and SR results/conclusions. RESULTS: Ninety-five SRs were included (30 Cochrane, 65 non-Cochrane). Mean AMSTAR assessments (9.6/11 vs. 5.5/11; p < 0.001) and inter-rater reliability (AC1 statistic: 0.84 vs. 0.69; "almost perfect" vs. "substantial" using the Landis & Koch criteria) were higher for Cochrane compared to non-Cochrane SRs. Four challenges were identified when applying AMSTAR in overviews: the scope of the SRs and overviews often differed; SRs examining similar topics sometimes made different methodological decisions; reporting of non-Cochrane SRs was sometimes poor; and some non-Cochrane SRs included other SRs as well as primary studies. Decision rules were developed to address each challenge. We found no evidence that AMSTAR assessments were correlated with SR results/conclusions. CONCLUSIONS: Results indicate that the AMSTAR tool can be used successfully in overviews that include Cochrane and non-Cochrane SRs, though decision rules may be useful to circumvent common challenges. Findings support existing recommendations that quality assessments of SRs in overviews be conducted independently, in duplicate, with a process for consensus. Results also suggest that using methodological quality to guide inclusion decisions (e.g., to exclude poorly conducted and reported SRs) may not introduce bias into the overview process. DA - 2017//03/23 PY - 2017 DO - 10.1186/s12874-017-0325-5 DP - PubMed VL - 17 IS - 1 SP - 48 J2 - BMC Med Res Methodol LA - eng SN - 1471-2288 L1 - https://bmcmedresmethodol.biomedcentral.com/track/pdf/10.1186/s12874-017-0325-5 L2 - http://www.ncbi.nlm.nih.gov/pubmed/28335734 KW - Humans KW - Evidence-Based Medicine KW - Treatment Outcome KW - Systematic review KW - Knowledge synthesis KW - Decision Making KW - Bias KW - Overview of reviews KW - Methodological quality KW - Observer agreement KW - Quality of Health Care KW - Reproducibility of Results ER - TY - ELEC TI - Constructive eHealth evaluation: lessons from evaluation of EHR development in 4 Danish hospitals. - PubMed - NCBI UR - https://www.ncbi.nlm.nih.gov/pubmed/28427407 Y2 - 2019/02/12/10:21:26 ER - TY - JOUR TI - Electronic health records implementation: an evaluation of information system impact and contingency factors AU - Nguyen, Lemai AU - Bellucci, Emilia AU - Nguyen, Linh Thuy T2 - International Journal of Medical Informatics AB - OBJECTIVE: This paper provides a review of EHR (electronic health record) implementations around the world and reports on findings including benefits and issues associated with EHR implementation. MATERIALS AND METHODS: A systematic literature review was conducted from peer-reviewed scholarly journal publications from the last 10 years (2001-2011). The search was conducted using various publication collections including: Scopus, Embase, Informit, Medline, Proquest Health and Medical Complete. This paper reports on our analysis of previous empirical studies of EHR implementations. We analysed data based on an extension of DeLone and McLean's information system (IS) evaluation framework. The extended framework integrates DeLone and McLean's dimensions, including information quality, system quality, service quality, intention of use and usage, user satisfaction and net benefits, together with contingent dimensions, including systems development, implementation attributes and organisational aspects, as identified by Van der Meijden and colleagues. RESULTS: A mix of evidence-based positive and negative impacts of EHR was found across different evaluation dimensions. In addition, a number of contingent factors were found to contribute to successful implementation of EHR. LIMITATIONS: This review does not include white papers or industry surveys, non-English papers, or those published outside the review time period. CONCLUSION: This review confirms the potential of this technology to aid patient care and clinical documentation; for example, in improved documentation quality, increased administration efficiency, as well as better quality, safety and coordination of care. Common negative impacts include changes to workflow and work disruption. Mixed observations were found on EHR quality, adoption and satisfaction. The review warns future implementers of EHR to carefully undertake the technology implementation exercise. The review also informs healthcare providers of contingent factors that potentially affect EHR development and implementation in an organisational setting. Our findings suggest a lack of socio-technical connectives between the clinician, the patient and the technology in developing and implementing EHR and future developments in patient-accessible EHR. In addition, a synthesis of DeLone and McLean's framework and Van der Meijden and colleagues' contingent factors has been found useful in comprehensively understanding and evaluating EHR implementations. DA - 2014/11// PY - 2014 DO - 10.1016/j.ijmedinf.2014.06.011 DP - PubMed VL - 83 IS - 11 SP - 779 EP - 796 J2 - Int J Med Inform LA - eng SN - 1872-8243 ST - Electronic health records implementation L2 - http://www.ncbi.nlm.nih.gov/pubmed/25085286 KW - Attitude of Health Personnel KW - Efficiency, Organizational KW - Health Information Systems KW - Attitude to Computers KW - EHR implementation KW - Electronic Health Records KW - Electronic health records (EHRs) KW - Models, Organizational KW - Organizational Objectives ER - TY - JOUR TI - The use of Electronic Health Records to Support Population Health: A Systematic Review of the Literature AU - Kruse, Clemens Scott AU - Stein, Anna AU - Thomas, Heather AU - Kaur, Harmander T2 - Journal of Medical Systems AB - Electronic health records (EHRs) have emerged among health information technology as "meaningful use" to improve the quality and efficiency of healthcare, and health disparities in population health. In other instances, they have also shown lack of interoperability, functionality and many medical errors. With proper implementation and training, are electronic health records a viable source in managing population health? The primary objective of this systematic review is to assess the relationship of electronic health records' use on population health through the identification and analysis of facilitators and barriers to its adoption for this purpose. Authors searched Cumulative Index of Nursing and Allied Health Literature (CINAHL) and MEDLINE (PubMed), 10/02/2012-10/02/2017, core clinical/academic journals, MEDLINE full text, English only, human species and evaluated the articles that were germane to our research objective. Each article was analyzed by multiple reviewers. Group members recognized common facilitators and barriers associated with EHRs effect on population health. A final list of articles was selected by the group after three consensus meetings (n = 55). Among a total of 26 factors identified, 63% (147/232) of those were facilitators and 37% (85/232) barriers. About 70% of the facilitators consisted of productivity/efficiency in EHRs occurring 33 times, increased quality and data management each occurring 19 times, surveillance occurring 17 times, and preventative care occurring 15 times. About 70% of the barriers consisted of missing data occurring 24 times, no standards (interoperability) occurring 13 times, productivity loss occurring 12 times, and technology too complex occurring 10 times. The analysis identified more facilitators than barriers to the use of the EHR to support public health. Wider adoption of the EHR and more comprehensive standards for interoperability will only enhance the ability for the EHR to support this important area of surveillance and disease prevention. This review identifies more facilitators than barriers to using the EHR to support public health, which implies a certain level of usability and acceptance to use the EHR in this manner. The public-health industry should combine their efforts with the interoperability projects to make the EHR both fully adopted and fully interoperable. This will greatly increase the availability, accuracy, and comprehensiveness of data across the country, which will enhance benchmarking and disease surveillance/prevention capabilities. DA - 2018/09/29/ PY - 2018 DO - 10.1007/s10916-018-1075-6 DP - PubMed VL - 42 IS - 11 SP - 214 J2 - J Med Syst LA - eng SN - 1573-689X ST - The use of Electronic Health Records to Support Population Health L2 - http://www.ncbi.nlm.nih.gov/pubmed/30269237 KW - Humans KW - Electronic Health Records KW - Electronic health records (EHR) KW - Meaningful Use KW - Outcomes KW - Population health KW - Population Health KW - Public health ER - TY - ELEC TI - Barriers to Electronic Health Record Adoption: a Systematic Literature Review. - PubMed - NCBI UR - https://www.ncbi.nlm.nih.gov/pubmed/27714560 Y2 - 2019/02/12/10:23:50 L2 - https://www.ncbi.nlm.nih.gov/pubmed/27714560 ER - TY - JOUR TI - Constructive eHealth evaluation: lessons from evaluation of EHR development in 4 Danish hospitals AU - Høstgaard, Anna Marie Balling AU - Bertelsen, Pernille AU - Nøhr, Christian T2 - BMC medical informatics and decision making AB - BACKGROUND: Information and communication sources in the healthcare sector are replaced with new eHealth technologies. This has led to problems arising from the lack of awareness of the importance of end-user involvement in eHealth development and of the difficulties caused by using traditional summative evaluation methods. The Constructive eHealth evaluation method (CeHEM) provides a solution to these problems by offering an evaluation framework for supporting and facilitating end-user involvement during all phases of eHealth development. The aim of this paper is to support this process by sharing experiences of the eHealth evaluation method used in the introduction of electronic health records (EHR) in the North Denmark Region of Denmark. It is the first time the fully developed method and the experiences on using the CeHEM in all five phases of a full lifecycle framework is presented. METHODS: A case study evaluation of the EHR development process in the North Denmark Region was conducted from 2004 to 2010. The population consisted of clinicians, IT professionals, administrators, and vendors. The study involved 4 hospitals in the region. Data were collected using questionnaires, observations, interviews, and insight gathered from relevant documents. RESULTS: The evaluation showed a need for a) Early involvement of clinicians, b) The best possible representation of clinicians, and c) Workload reduction for those involved. The consequences of not providing this were a lack of ownership of decisions and negative attitudes towards the clinical benefits related to these decisions. Further, the result disclosed that by following the above recommendations, and by providing feedback to the 4 actor groups, the physicians' involvement was improved. As a result they took ownership of decisions and gained a positive attitude to the clinical benefits. CONCLUSIONS: The CeHEM has proven successful in formative evaluation of EHR development and can point at important issues that need to be taken care of by management. The method provides a framework that takes care of feedback and learning during eHealth development. It can thus support successful eHealth development in a broader context while building on a well-known success factor: end-user involvement in eHealth development. DA - 2017/04/20/ PY - 2017 DO - 10.1186/s12911-017-0444-2 DP - PubMed VL - 17 IS - 1 SP - 45 J2 - BMC Med Inform Decis Mak LA - eng SN - 1472-6947 ST - Constructive eHealth evaluation L1 - https://bmcmedinformdecismak.biomedcentral.com/track/pdf/10.1186/s12911-017-0444-2 L2 - http://www.ncbi.nlm.nih.gov/pubmed/28427407 KW - Humans KW - Program Evaluation KW - Denmark KW - Attitude of Health Personnel KW - Health information technology KW - Attitude to Computers KW - Electronic Health Records KW - Communication KW - Constructive eHealth evaluation KW - Diffusion of Innovation KW - eHealth development KW - End-user KW - End-user participation KW - Evaluation method KW - Formative evaluation KW - Hospitals KW - Organizational factors KW - Participation KW - Telemedicine KW - User involvement KW - User-Computer Interface ER - TY - BOOK TI - Framework and standards for country health information systems. 2nd ed. AU - Health Metrics Network AU - World Health Organization CY - Geneva, Switzerland DA - 2012/// PY - 2012 DP - Open WorldCat LA - en PB - WHO SN - 978-92-4-159594-0 UR - https://www.who.int/healthinfo/country_monitoring_evaluation/who-hmn-framework-standards-chi.pdf?ua=1 ER - TY - RPRT TI - Recommendations for a more integrated approach to National Health and Social Care Data Collections in Ireland AU - HIQA DA - 2014/// PY - 2014 PB - HIQA UR - https://www.hiqa.ie/sites/default/files/2017-01/Recommendations-National-Health-Social-Care-Data-Collectionsin-for-Ireland.PDF Y2 - 2019/02/12/11:25:55 L1 - https://www.hiqa.ie/sites/default/files/2017-01/Recommendations-National-Health-Social-Care-Data-Collectionsin-for-Ireland.PDF ER - TY - BLOG TI - #SmartHealthSystems: Denmark and the national health portal AU - Kostera, Thomas T2 - The Digital Patient AB - Learning from the Danish example: Trustworthiness, standards and a national health portal strategy DA - 2018/06/12/T11:34:01+01:00 PY - 2018 LA - en-US ST - #SmartHealthSystems UR - https://blog.der-digitale-patient.de/en/smarthealthsystems-denmark-national-health-portal/ Y2 - 2019/02/12/11:38:10 L2 - https://blog.der-digitale-patient.de/en/smarthealthsystems-denmark-national-health-portal/ ER - TY - BLOG TI - Comparative international study on digitization in healthcare T2 - The Digital Patient AB - How can the digitization of the healthcare system succeed? The Bertelsmann Stiftung launched an international comparative study on this topic. DA - 2018/03/14/T11:21:59+01:00 PY - 2018 LA - en-US UR - https://blog.der-digitale-patient.de/en/smarthealthsystems-launched-digitization-strategy/ Y2 - 2019/02/12/11:38:59 L2 - https://blog.der-digitale-patient.de/en/smarthealthsystems-launched-digitization-strategy/ ER - TY - ELEC TI - Information Management standards for national health and social care data collections AU - HIQA DA - 2017/// PY - 2017 UR - https://www.hiqa.ie/sites/default/files/2017-02/Information-management-standards-for-national-health-and-social-care-data-collections.pdf Y2 - 2019/02/12/12:10:00 L1 - https://www.hiqa.ie/sites/default/files/2017-02/Information-management-standards-for-national-health-and-social-care-data-collections.pdf ER - TY - RPRT TI - Review of information management practices in the Hospital In-Patient Enquiry (HIPE) scheme AU - HIQA UR - https://www.hiqa.ie/sites/default/files/2018-10/HIPE-report.pdf Y2 - 2019/02/12/12:11:17 L1 - https://www.hiqa.ie/sites/default/files/2018-10/HIPE-report.pdf ER - TY - SLIDE TI - PROMs and PREMs at CIHI Measuring Patient-Centered Care DA - 2014/// PY - 2014 UR - https://obrieniph.ucalgary.ca/files/iph/1-chow_wc21_cihi_final.pdf Y2 - 2019/02/12/14:23:34 L1 - https://obrieniph.ucalgary.ca/files/iph/1-chow_wc21_cihi_final.pdf ER - TY - RPRT TI - International review of approaches countries have taken to integrate National Health and Social Care Data Collections AU - HIQA DA - 2014/// PY - 2014 PB - HIQA UR - https://www.hiqa.ie/system/files/International-review-National-Health-Social-Care-Data-Collections.pdf Y2 - 2019/02/12/14:34:32 L1 - https://www.hiqa.ie/system/files/International-review-National-Health-Social-Care-Data-Collections.pdf ER - TY - RPRT TI - Danish health care system LA - en UR - http://www.danishhealthdata.com/articles/danish health care system Y2 - 2019/02/12/15:55:12 L2 - http://www.danishhealthdata.com/~/link.aspx?_id=53FB4AF39B954E1CA623636A61EFB1D5&_z=z ER - TY - RPRT TI - Healthcare in Denmark - an overview AU - Ministry of Health DA - 2017/// PY - 2017 DP - ISBn 978-87-7601-365-3 LA - en PB - Ministry of Health UR - https://www.sum.dk/~/media/Filer%20-%20Publikationer_i_pdf/2016/Healthcare-in-dk-16-dec/Healthcare-english-V16-dec.ashx L1 - https://www.sum.dk/~/media/Filer%20-%20Publikationer_i_pdf/2016/Healthcare-in-dk-16-dec/Healthcare-english-V16-dec.ashx ER - TY - SLIDE TI - eHealth in Denmark A2 - Henriksen,, Hans Erik DA - 2017/// PY - 2017 LA - en UR - https://www.inera.se/globalassets/aktuellt/moten-och-evenemang/konferens-sammanhallen-journal/6a-e-health-in-denmark.pdf L1 - https://www.inera.se/globalassets/aktuellt/moten-och-evenemang/konferens-sammanhallen-journal/6a-e-health-in-denmark.pdf ER - TY - RPRT TI - ehealth inDenmark: eHealth as a part of a coherent Danish health care system AU - Ministry of Health DA - 2012/// PY - 2012 PB - Ministry of Health UR - https://www.medcom.dk/media/1211/ehealth-in-denmark-ehealth-as-a-part-of-a-coherent-danish-health-care-system.pdf Y2 - 2019/02/12/16:44:47 L1 - https://www.medcom.dk/media/1211/ehealth-in-denmark-ehealth-as-a-part-of-a-coherent-danish-health-care-system.pdf ER - TY - CHAP TI - Building National Healthcare Infrastructure: The Case of the Danish e-Health Portal AU - Jensen, Tina Blegind AU - Thorseng, Anne Asmyr T2 - Information Infrastructures within European Health Care: Working with the Installed Base A2 - Aanestad, Margunn A2 - Grisot, Miria A2 - Hanseth, Ole A2 - Vassilakopoulou, Polyxeni T3 - Health Informatics AB - This case chapter is about the evolution of the Danish national e-health portal, sundhed.dk, which provides patient-oriented digital services. We present how the organization behind sundhed.dk succeeded in establishing a national healthcare infrastructure by (1) collating and assembling existing data resources, (2) repurposing and enhancing current data sources in the health sector, and (3) engaging a multiplicity of stakeholders. We argue that these activities represent three ways of capitalizing on the installed base that has led to the evolution and current situation of the e-health portal. At the same time, we show how these three modes come with a number of challenges for sundhed.dk in its pursuit of further innovation. CY - Cham DA - 2017/// PY - 2017 DP - Springer Link SP - 209 EP - 224 LA - en PB - Springer International Publishing SN - 978-3-319-51020-0 ST - Building National Healthcare Infrastructure UR - https://doi.org/10.1007/978-3-319-51020-0_13 Y2 - 2019/02/12/16:52:43 L1 - https://link.springer.com/content/pdf/10.1007%2F978-3-319-51020-0_13.pdf KW - County Council KW - Health Personnel KW - Healthcare Provider KW - Healthcare Service KW - Multiple Stakeholder ER - TY - CHAP TI - Building National Healthcare Infrastructure: The Case of the Danish e-Health Portal AU - Jensen, Tina Blegind AU - Thorseng, Anne Asmyr T2 - Information Infrastructures within European Health Care A2 - Aanestad, Margunn A2 - Grisot, Miria A2 - Hanseth, Ole A2 - Vassilakopoulou, Polyxeni CY - Cham DA - 2017/// PY - 2017 DP - Crossref SP - 209 EP - 224 LA - en PB - Springer International Publishing SN - 978-3-319-51018-7 978-3-319-51020-0 ST - Building National Healthcare Infrastructure UR - http://link.springer.com/10.1007/978-3-319-51020-0_13 Y2 - 2019/02/12/16:53:57 L1 - https://link.springer.com/content/pdf/10.1007%2F978-3-319-51020-0_13.pdf ER - TY - JOUR TI - Readiness of electronic health record systems to contribute to national health information and research AU - Oderkirk, Jillian AB - All countries are investing in the development of electronic health (clinical) records, but only some countries are moving forward the possibility of data extraction for research, statistics and other uses that serve the public interest. This study reports on the development and use of data from electronic health records in twenty-eight countries. It reports on the prevalence of technical and operational factors that support countries in the development of health information and research programmes from data held within electronic health record systems, such as data coverage, interoperability and standardisation. It examines data quality challenges and how some countries are addressing them and it explores the governance of electronic health record systems and data, including examples of national statistical and research uses of data. The report provides an overall assessment of the readiness of countries to further develop health information from data within electronic health record systems and describes the outlook for the future. Ten countries are identified as having high readiness that enables them to develop world-class health information systems supporting health system quality, efficiency and performance and creates a firm foundation for scientific research and discovery. DA - 2017/12/04/ PY - 2017 DO - https://doi.org/10.1787/9e296bf3-en DP - www.oecd-ilibrary.org LA - en UR - https://www.oecd-ilibrary.org/social-issues-migration-health/readiness-of-electronic-health-record-systems-to-contribute-to-national-health-information-and-research_9e296bf3-en Y2 - 2019/02/13/10:32:24 L2 - https://www.oecd-ilibrary.org/social-issues-migration-health/readiness-of-electronic-health-record-systems-to-contribute-to-national-health-information-and-research_9e296bf3-en ER - TY - ELEC TI - About the Agency - Australian Digital Health Agency UR - https://www.digitalhealth.gov.au/about-the-agency Y2 - 2019/02/13/12:43:14 L2 - https://www.digitalhealth.gov.au/about-the-agency ER - TY - JOUR TI - Demystifying Literature Reviews: What I Have Learned From an Expert? AU - Wang, Jia T2 - Human Resource Development Review DA - 2019/03/01/ PY - 2019 DO - 10.1177/1534484319828857 DP - SAGE Journals VL - 18 IS - 1 SP - 3 EP - 15 J2 - Human Resource Development Review LA - en SN - 1534-4843 ST - Demystifying Literature Reviews UR - https://doi.org/10.1177/1534484319828857 Y2 - 2019/02/13/14:55:58 L1 - https://journals.sagepub.com/doi/pdf/10.1177/1534484319828857 ER - TY - ELEC TI - An overview of eHealth studies AU - nijenca T2 - Digital Single Market - European Commission AB - An overview of eHealth studies DA - 2015/02/25/T17:14:38+01:00 PY - 2015 LA - en M3 - Text UR - https://ec.europa.eu/digital-single-market/en/ehealth-studies-overview Y2 - 2019/02/13/15:38:37 L2 - https://ec.europa.eu/digital-single-market/en/ehealth-studies-overview ER - TY - BOOK TI - EHealth in Action: Good practice in European Countries AU - European Commission AU - Directorate-General for the Information Society and Media CY - Luxembourg DA - 2009/// PY - 2009 DP - Open WorldCat LA - en PB - EUR-OP SN - 978-92-79-11138-9 ST - EHealth in Action L1 - http://good-ehealth.org/fileadmin/good_ehealth/documents/good_ehealth_report.pdf ER - TY - ELEC TI - Guides: Text mining for searching and screening the literature: Tools for study selection AU - Gore, Genevieve AB - This guide is intended to provide an overview of the definition and application of text mining in search strategy development and study selection; it includes a list of tools and resources that librarians or other motivated searchers may wish to try LA - en ST - Guides UR - //libraryguides.mcgill.ca/text-mining/screening Y2 - 2019/02/15/14:54:11 L2 - https://libraryguides.mcgill.ca/text-mining/screening ER - TY - ELEC TI - The CQC's new fit and proper persons test explained AU - Dirmikis, Joanna AU - November 2014, Neil Grant27 T2 - Health Service Journal AB - Fit and proper persons enforced today DA - 2014/11/27/ PY - 2014 LA - en UR - https://www.hsj.co.uk/insight-and-influence/the-cqcs-new-fit-and-proper-persons-test-explained/5077078.article Y2 - 2019/03/04/12:17:29 L2 - https://www.hsj.co.uk/leadership/insight-and-influence/the-cqcs-new-fit-and-proper-persons-test-explained/5077078.article#.VQM71_ysVyU ER - TY - JOUR TI - The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: A Litany of Fundamental Flaws? AU - Stirton, Ruth T2 - The Modern Law Review AB - This article argues that the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 are fatally flawed notwithstanding the apparent rigour of the process which produced them. These Regulations were the product of considerable deliberation following a sensitively executed public inquiry yet, it is argued, they rely too heavily on the rhetoric of criminal law while failing to take into account the competing norms for compliance and the impact of NHS budget constraints. Further, they push the CQC towards a heavy-handed deterrence approach to enforcement, which will increase hostility between regulatees and the inspectorate, and ultimately reduce the scope for developing the transparency about failures which is sorely needed in the NHS. This article challenges the contemporary wisdom that it is primarily knee-jerk regulatory responses that suffer from fatal flaws of this nature. DA - 2017/// PY - 2017 DO - 10.1111/1468-2230.12255 DP - Wiley Online Library VL - 80 IS - 2 SP - 299 EP - 324 LA - en SN - 1468-2230 ST - The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 UR - https://onlinelibrary.wiley.com/doi/abs/10.1111/1468-2230.12255 Y2 - 2019/03/04/12:20:27 L1 - https://sro.sussex.ac.uk/66423/3/A%20Litany%20of%20fundamental%20flaws%20UPDATED%20VERSION.pdf L2 - https://onlinelibrary.wiley.com/doi/abs/10.1111/1468-2230.12255 KW - criminal law KW - duty of candour KW - healthcare regulation KW - healthcare scandals KW - hospital food KW - Mid Staffordshire KW - regulatory enforcement ER - TY - ELEC TI - Regulation 5: Fit and proper persons: directors and Regulation 20: Duty of candour Guidance for NHS bodies. November 2014 AU - Care Quality Commission DA - 2014/11// PY - 2014 UR - https://www.cqc.org.uk/sites/default/files/20141120_doc_fppf_final_nhs_provider_guidance_v1-0.pdf Y2 - 2019/03/04/13:59:27 L1 - https://www.cqc.org.uk/sites/default/files/20141120_doc_fppf_final_nhs_provider_guidance_v1-0.pdf ER - TY - ELEC TI - Care watchdog will not shirk from action against trusts with 'unfit' directors, says chief inspector of hospitals AU - Lintern, Shaun T2 - Local Government Chronicle AB - A shortage in the supply of senior NHS managers will not prevent the Care Quality Commission from taking action against trusts who employ ‘unfit’ directors, Sir Mike Richards has told LGC’s sister title Health Service Journal. LA - en UR - https://www.lgcplus.com/services/health-and-care/care-watchdog-will-not-shirk-from-action-against-trusts-with-unfit-directors-says-chief-inspector-of-hospitals/5083230.article Y2 - 2019/03/04/14:14:50 L2 - https://www.lgcplus.com/news/health/social-care/care-watchdog-will-not-shirk-from-action-against-trusts-with-unfit-directors-says-chief-inspector-of-hospitals/5083230.article ER - TY - RPRT TI - Regulation 5: Fit and proper persons: directors - Guidance for providers and inspectors AU - Care Quality Commission DA - 2018/01// PY - 2018 DP - Zotero SP - 16 LA - en L1 - https://www.cqc.org.uk/sites/default/files/20180119_FPPR_guidance.pdf ER - TY - JOUR TI - The need to regulate non-clinical hospital managers AU - Chan, Charlie T2 - BMJ AB - Non-clinical hospital managers are the only group of NHS professionals without a regulatory body. Although clinical hospital managers are professionally accountable to their regulatory bodies (such as the General Medical Council, the Nursing and Midwifery Council), non-clinical managers … DA - 2015/05/26/ PY - 2015 DO - 10.1136/bmj.h2769 DP - www.bmj.com VL - 350 SP - h2769 J2 - BMJ LA - en SN - 1756-1833 UR - https://www.bmj.com/content/350/bmj.h2769 Y2 - 2019/03/04/14:49:17 L1 - https://www.bmj.com/content/bmj/350/bmj.h2769.full.pdf L2 - http://www.ncbi.nlm.nih.gov/pubmed/26012505 L2 - https://www.bmj.com/content/350/bmj.h2769 ER - TY - ELEC TI - Richards: Fit and proper persons test may end up in court AU - December 2014, Sarah Calkin15 T2 - Health Service Journal AB - The final parameters of the new fit and proper test for NHS board members could be set in the courts, the chief inspector of hospitals has predicted LA - en ST - Richards UR - https://www.hsj.co.uk/workforce/richards-fit-and-proper-persons-test-may-end-up-in-court/5077666.article Y2 - 2019/03/04/14:55:18 L2 - https://www.hsj.co.uk/workforce/richards-fit-and-proper-persons-test-may-end-up-in-court/5077666.article ER - TY - RPRT TI - A review of the Fit and Proper Person Test Commissioned by the Minister of State for Health by Tom Kark QC and Jane Russell (Barrister) AU - Kark, Tom AU - Russell, Jane DA - 2018/// PY - 2018 UR - https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/777336/kark-review-on-the-fit-and-proper-persons-test.pdf Y2 - 2019/03/04/15:02:57 L1 - https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/777336/kark-review-on-the-fit-and-proper-persons-test.pdf ER - TY - RPRT TI - Responses to Francis: changes in board leadership and governance in acute hospitals in England since 2013 DA - 2018/// PY - 2018 UR - https://www.research.manchester.ac.uk/portal/files/66318094/responses_to_francis_report.pdf Y2 - 2019/03/04/15:06:10 L1 - https://www.research.manchester.ac.uk/portal/files/66318094/responses_to_francis_report.pdf ER - TY - ELEC TI - Terms of reference for the review of the Fit and Proper Persons Requirement:Written statement - HCWS713 T2 - UK Parliament AB - On 8 February 2018, the Government accepted the recommendations made by Dr Bill Kirkup in his report into Liverpool Community Health NHS Trust. This... LA - English ST - Terms of reference for the review of the Fit and Proper Persons Requirement UR - https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-05-23/HCWS713/ Y2 - 2019/03/04/15:10:35 L2 - https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-05-23/HCWS713/ ER - TY - JOUR TI - Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research AU - Millar, Ross AU - Mannion, Russell AU - Freeman, Tim AU - Davies, Huw T. O. T2 - The Milbank Quarterly AB - CONTEXT: Recurring problems with patient safety have led to a growing interest in helping hospitals' governing bodies provide more effective oversight of the quality and safety of their services. National directives and initiatives emphasize the importance of action by boards, but the empirical basis for informing effective hospital board oversight has yet to receive full and careful review. METHODS: This article presents a narrative review of empirical research to inform the debate about hospital boards' oversight of quality and patient safety. A systematic and comprehensive search identified 122 papers for detailed review. Much of the empirical work appeared in the last ten years, is from the United States, and employs cross-sectional survey methods. FINDINGS: Recent empirical studies linking board composition and processes with patient outcomes have found clear differences between high- and low-performing hospitals, highlighting the importance of strong and committed leadership that prioritizes quality and safety and sets clear and measurable goals for improvement. Effective oversight is also associated with well-informed and skilled board members. External factors (such as regulatory regimes and the publication of performance data) might also have a role in influencing boards, but detailed empirical work on these is scant. CONCLUSIONS: Health policy debates recognize the important role of hospital boards in overseeing patient quality and safety, and a growing body of empirical research has sought to elucidate that role. This review finds a number of areas of guidance that have some empirical support, but it also exposes the relatively inchoate nature of the field. Greater theoretical and methodological development is required if we are to secure more evidence-informed governance systems and practices that can contribute to safer care. DA - 2013/12// PY - 2013 DO - 10.1111/1468-0009.12032 DP - PubMed VL - 91 IS - 4 SP - 738 EP - 770 J2 - Milbank Q LA - eng SN - 1468-0009 ST - Hospital board oversight of quality and patient safety L1 - https://europepmc.org/articles/pmc3876189?pdf=render L2 - http://www.ncbi.nlm.nih.gov/pubmed/24320168 KW - Humans KW - Empirical Research KW - Quality of Health Care KW - Hospitals KW - Governing Board KW - governing boards KW - Hospital Administration KW - patient safety KW - Patient Safety KW - quality improvement KW - trustees ER - TY - JOUR TI - Do Hospital Boards matter for better, safer, patient care? AU - Mannion, R. AU - Davies, H. T. O. AU - Jacobs, R. AU - Kasteridis, P. AU - Millar, R. AU - Freeman, T. T2 - Social Science & Medicine (1982) AB - Manifest failings in healthcare quality and safety in many countries have focused attention on the role of hospital Boards. While a growing literature has drawn attention to the potential impacts of Board composition and Board processes, little work has yet been carried out to examine the influence of Board competencies. In this work, we first validate the structure of an established 'Board competencies' self-assessment instrument in the English NHS (the Board Self-Assessment Questionnaire, or BSAQ). This tool is then used to explore in English acute hospitals the relationships between (a) Board competencies and staff perceptions about how well their organisation deals with quality and safety issues; and (b) Board competencies and a raft of patient safety and quality measures at organisation level. National survey data from 95 hospitals (334 Board members) confirmed the factor structure of the BSAQ, validating it for use in the English NHS. Moreover, better Board competencies were correlated in consistent ways with beneficial staff attitudes to the reporting and handling of quality and safety issues (using routinely collected data from the NHS National Staff Survey). However, relationships between Board competencies and aggregate outcomes for a variety of quality and safety measures showed largely inconsistent and non-significant relationships. Overall, these data suggest that Boards may be able to impact on important staff perceptions. Further work is required to unpack the impact of Board attributes on organisational aggregate outcomes. DA - 2017//03/ PY - 2017 DO - 10.1016/j.socscimed.2017.01.045 DP - PubMed VL - 177 SP - 278 EP - 287 J2 - Soc Sci Med LA - eng SN - 1873-5347 L1 - https://eprints.mdx.ac.uk/21157/8/1-s2.0-S0277953617300527-main.pdf L2 - http://www.ncbi.nlm.nih.gov/pubmed/28185699 KW - Humans KW - Attitude of Health Personnel KW - United Kingdom KW - Quality of Health Care KW - Hospitals KW - Governing Board KW - Hospital Administration KW - Patient Safety KW - Board competencies KW - Board governance KW - Delivery of Health Care KW - Healthcare quality KW - Hospital Boards KW - Patient safety KW - Professional Competence KW - State Medicine KW - Surveys and Questionnaires KW - Workforce ER - TY - RPRT TI - e95981.pdf UR - http://www.euro.who.int/__data/assets/pdf_file/0017/154160/e95981.pdf?ua=1 Y2 - 2019/03/04/15:40:40 ER - TY - BOOK TI - Governing public hospitals: reform strategies and the movement towards institutional autonomy T2 - Observatory studies series A3 - Saltman, Richard B. CY - Copenhagen DA - 2011/// PY - 2011 DP - Gemeinsamer Bibliotheksverbund ISBN SP - 260 LA - en M1 - 25 PB - WHO, Regional Off. for Europe SN - 978-92-890-0254-7 ST - Governing public hospitals UR - http://www.euro.who.int/__data/assets/pdf_file/0017/154160/e95981.pdf?ua=1 L1 - http://www.euro.who.int/__data/assets/pdf_file/0017/154160/e95981.pdf?ua=1 ER - TY - ELEC TI - Hancock delays decision on new NHS management regulator AU - Lintern, Shaun T2 - Health Service Journal AB - The government has delayed making a decision on whether to introduce a regulator for NHS managers, after a review recommended those guilty of misconduct should be barred from sitting on NHS boards. DA - 2019/02/06/ PY - 2019 LA - en UR - https://www.hsj.co.uk/policy-and-regulation/hancock-delays-decision-on-new-nhs-management-regulator/7024365.article Y2 - 2019/03/04/15:54:50 L2 - https://www.hsj.co.uk/policy-and-regulation/hancock-delays-decision-on-new-nhs-management-regulator/7024365.article#commentsJump ER - TY - ELEC TI - Fit and proper person test used as ‘sword against managers’ AU - Collins, Annabelle T2 - Health Service Journal AB - Fit and proper person regulations are increasingly being used "merely as a sword against managers", according to the head of the Managers in Partnership trade union. DA - 2018/11/07/ PY - 2018 LA - en UR - https://www.hsj.co.uk/workforce/fit-and-proper-person-test-used-as-sword-against-managers/7023751.article Y2 - 2019/03/04/15:57:02 L2 - https://www.hsj.co.uk/workforce/fit-and-proper-person-test-used-as-sword-against-managers/7023751.article ER - TY - RPRT TI - Fit and proper person test AU - NHS Confederation DA - 2014/// PY - 2014 UR - https://www.nhsconfed.org/-/media/Confederation/Files/public-access/Fit_proper_person_test_guidance_providers.pdf Y2 - 2019/03/04/16:51:57 L1 - https://www.nhsconfed.org/-/media/Confederation/Files/public-access/Fit_proper_person_test_guidance_providers.pdf ER - TY - BOOK TI - Effective board governance of safe care: a (theoretically underpinned) cross-sectioned examination of the breadth and depth of relationships through national quantitative surveys and in-depth qualitative case studies AU - Mannion, Russell AU - Freeman, Tim AU - Millar, Ross AU - Davies, Huw T2 - Health Services and Delivery Research AB - Recent high-profile reports into serious failings in the quality of hospital care in the NHS raise concerns over the ability of trust boards to discharge their duties effectively., Our study aimed to generate theoretically grounded empirical evidence on the associations between board governance, patient safety processes and patient-centred outcomes. The specific aims were as follows: (1) to identify the types of governance activities undertaken by hospital trust boards in the English NHS with regard to ensuring safe care in their organisation; (2) in foundation trusts, to explore the role of boards and boards of governors with regards to the oversight of patient safety in their organisation; (3) to assess the association between particular hospital trust board oversight activities and patient safety processes and clinical outcomes; (4) to identify the facilitators and barriers to developing effective hospital trust board governance of safe care; and (5) to assess the impact of external commissioning arrangements and incentives on hospital trust board oversight of patient safety., The study comprised three distinct but interlocking strands: (1) a narrative systematic review in order to describe, interpret and synthesise key findings and debates concerning board oversight of patient safety; (2) in-depth mixed-methods case studies in four organisations to assess the impact of hospital board governance and external incentives on patient safety processes and outcomes; and (3) two national surveys exploring board management in NHS acute and specialist hospital trusts in England, and relating board characteristics to whole-organisation outcomes., A very high proportion of trust boards reported the kinds of desirable characteristics and board-related processes that research says may be associated with higher performance. Our analysis of the symbolic aspects of board activities highlights the role and differences in local processes of organising the governance of patient safety. Most boards do allocate a considerable amount of time to discussing patient safety and quality-related issues and were using a wide range of hard performance metrics and soft intelligence to monitor its organisation with regard to patient safety. Although the board of governors is generally perceived to be well-meaning, they were also considered to be being largely ineffective in helping to promote and deliver safer care for their organisations. We did not find any statistically significant relationship between board attributes (self-reported) and processes and any patient safety outcome measures. However, we did find a significant relationship between two dimensions of the Board Self-Assessment Questionnaire and two specific-and-related national staff survey organisational ‘process’ measures: (1) staff feeling safe to raise concerns about errors, near-misses and incidents and (2) staff feeling confident that their organisation would address their concerns, if raised. We also found that contracting and external financial incentives appeared to play only a relatively minor role in incentivising quality and safety improvement., Our research is the first large-scale mixed-methods study of hospital board activity and behaviour related to the oversight of patient safety in the English NHS and the key findings should be used to influence the design of future governance arrangements as well as the training and support of board. Our finding that board governance/competencies appear to be linked to staff feeling safe to raise concerns about patient safety issues, and also their confidence that their organisation would address their concern, is worthy of further and more sustained exploration, particularly in the context of the current focus on improving whistleblowing policies in the NHS., The National Institute for Health Research Health Services and Delivery Research programme. CN - NBK338883 CY - Southampton (UK) DA - 2016/// PY - 2016 DP - PubMed LA - eng PB - NIHR Journals Library ST - Effective board governance of safe care UR - http://www.ncbi.nlm.nih.gov/books/NBK338883/ Y2 - 2019/03/04/17:10:53 L2 - http://www.ncbi.nlm.nih.gov/pubmed/26844311 ER - TY - JOUR TI - Common competencies for all healthcare managers: the Healthcare Leadership Alliance model AU - Stefl, Mary E. T2 - Journal of Healthcare Management / American College of Healthcare Executives AB - Today's healthcare executives and leaders must have management talent sophisticated enough to match the increased complexity of the healthcare environment. Executives are expected to demonstrate measurable outcomes and effectiveness and to practice evidence-based management. At the same time, academic and professional programs are emphasizing the attainment of competencies related to workplace effectiveness. The shift to evidence-based management has led to numerous efforts to define the competencies most appropriate for healthcare. The Healthcare Leadership Alliance (HLA), a consortium of six major professional membership organizations, used the research from and experience with their individual credentialing processes to posit five competency domains common among all practicing healthcare managers: (1) communication and relationship management, (2) professionalism, (3) leadership, (4) knowledge of the healthcare system, and (5) business skills and knowledge. The HLA engaged in a formal process to delineate the knowledge, skills, and abilities within each domain and to determine which of these competencies were core or common among the membership of all HLA associations and which were specialty or specific to the members of one or more HLA organizations. This process produced 300 competency statements, which were then organized into the Competency Directory, a unique and interactive database that can be used for assessing individual and organizational competencies. Overall, this work helps to unify the field of healthcare management and provides a lexicon and a basis for collaboration among different types of healthcare executives. This article discusses the steps that the HLA followed. It also presents the HLA Competency Directory; its application and relevance to the practitioner and academic communities; and its strengths, limitations, and potential. DA - 2008/12//Nov- undefined PY - 2008 DP - PubMed VL - 53 IS - 6 SP - 360 EP - 373; discussion 374 J2 - J Healthc Manag LA - eng SN - 1096-9012 ST - Common competencies for all healthcare managers L2 - http://www.ncbi.nlm.nih.gov/pubmed/19070332 KW - Humans KW - Leadership KW - Professional Competence KW - Health Facility Administrators KW - Models, Theoretical ER - TY - JOUR TI - Validation of a management competency assessment tool for health service managers AU - Howard, Peter F. AU - Liang, Zhanming AU - Leggat, Sandra AU - Karimi, Leila T2 - Journal of Health Organization and Management AB - Purpose The purpose of this paper is to report on the validation of a management competency assessment tool for health services managers (HSM), which resulted from the development and validation of the framework, addressed by a previous paper. Design/methodology/approach The management competency assessment tool (MCAP Tool) was validated using assessment data from a sample of 117 senior and middle managers working in two public hospitals and five community services in Victoria, Australia. The assessments were conducted between January 2013 and September 2014. Findings Both validity and reliability of the MCAP Tool were demonstrated. Practical implications The MCAP Tool has the potential to assist in the measurement of the competencies of HSM. Further research is required to determine if the framework and tool are applicable to HSM in other settings. Originality/value This is the first published study outlining the validity and reliability of an assessment tool to measure the management competencies of Australian health service managers. DA - 2018/03/19/ PY - 2018 DO - 10.1108/JHOM-08-2017-0223 DP - PubMed VL - 32 IS - 1 SP - 113 EP - 134 J2 - J Health Organ Manag LA - eng SN - 1758-7247 L2 - http://www.ncbi.nlm.nih.gov/pubmed/29508674 KW - Humans KW - Reproducibility of Results KW - Professional Competence KW - Health Facility Administrators KW - Community Health Services KW - Health managers KW - Hospital Administrators KW - Management competency KW - Management competency assessment ER - TY - JOUR TI - An evidence-based approach to understanding the competency development needs of the health service management workforce in Australia AU - Liang, Zhanming AU - Blackstock, Felicity C. AU - Howard, Peter F. AU - Briggs, David S. AU - Leggat, Sandra G. AU - Wollersheim, Dennis AU - Edvardsson, David AU - Rahman, Aziz T2 - BMC health services research AB - BACKGROUND: Competent managers are essential to the productivity of organisations and the sustainability of health systems. Effective workforce development strategies sensitive to the current competency development needs of health service managers (HSMs) are required. PURPOSE: To conduct a 360° assessment of the competence of Australian HSMs to identify managerial competence levels, and training and development needs. METHODS: Assessment of 93 middle-level HSMs from two public hospitals (n = 25) and five community health services (CHS) (n = 68), using the Managerial Competency Assessment Partnership (MCAP) framework and tool, conducted between 2012 and 2014 in Victoria, Australia. RESULTS: Mean competency scores from both self- and combined colleagues' assessments indicated competence (scores greater than five but less than six) without guidance, but many HSMs have not had extensive experience. Around 12% of HSMs were unable to demonstrate the competency of 'evidence-informed decision-making' and 4% of HSMs were unable to demonstrate the competency of 'enabling and managing change'. CONCLUSION: The assessments confirmed managerial competence for the majority of middle-level HSMs from hospitals and CHS in Victoria, but found competency gaps. In addition, the assessment confirmed managerial strengths and weaknesses varied across management groups from different organisations. These findings suggest that the development of strategies to strengthen the health service management workforce should be multifaceted. PRACTICE IMPLICATIONS: A focus on competency in performance evaluation and development using the MCAP framework and tool not only provides insights into performance of HSMs, but also has the potential to provide an organisation strategic advantage through succession planning and advancing managers' competence via learning needs analysis and targeted professional development. Linking competencies of HSMs to organisational objectives and strategies provides optimal use of the human resource capacity, improving the organisation's productivity and sustainability. DA - 2018/12/18/ PY - 2018 DO - 10.1186/s12913-018-3760-z DP - PubMed VL - 18 IS - 1 SP - 976 J2 - BMC Health Serv Res LA - eng SN - 1472-6963 L1 - https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-018-3760-z L2 - http://www.ncbi.nlm.nih.gov/pubmed/30563505 KW - Management competency KW - Competency development KW - Health service management workforce KW - Workforce strategies ER - TY - JOUR TI - Competency requirements for middle and senior managers in community health services AU - Liang, Zhanming AU - Howard, Peter F. AU - Koh, Lee C. AU - Leggat, Sandra T2 - Australian Journal of Primary Health AB - The Australian health system has been subjected to rapid changes in the last 20 years to meet increasingly unmet health needs. Improvement of the efficiency and comprehensiveness of community-based services is one of the solutions to reducing the increasing demand for hospital care. Competent managers are one of the key contributors to effective and efficient health service delivery. However, the understanding of what makes a competent manager, especially in the community health services (CHS), is limited. Using an exploratory and mixed-methods approach, including focus group discussions and an online survey, this study identified five key competencies required by senior and mid-level CHS managers in metropolitan, regional and rural areas of Victoria: Interpersonal, communication qualities and relationship management; Operations, administration and resource management; Knowledge of the health care environment; Leading and managing change; and Evidence-informed decision-making. This study confirms that core competencies do exist across different management levels and improves our understanding of managerial competency requirements for middle to senior CHS managers, with implications for current and future health service management workforce development. DA - 2013/// PY - 2013 DO - 10.1071/PY12041 DP - PubMed VL - 19 IS - 3 SP - 256 EP - 263 J2 - Aust J Prim Health LA - eng SN - 1448-7527 L2 - http://www.ncbi.nlm.nih.gov/pubmed/23007275 KW - Humans KW - Health Knowledge, Attitudes, Practice KW - Leadership KW - Decision Making KW - Professional Competence KW - Workforce KW - Community Health Services KW - Administrative Personnel KW - Evidence-Based Practice KW - Focus Groups KW - Health Care Surveys KW - Interdisciplinary Communication KW - Interpersonal Relations KW - Organizational Innovation KW - Victoria ER - TY - RPRT TI - HSE Code of Governance AU - HSE DA - 2015/// PY - 2015 UR - https://www.hse.ie/eng/about/who/directoratemembers/codeofgovernance/hsecodeofgovernance2015.pdf Y2 - 2019/03/05/11:14:08 L1 - https://www.hse.ie/eng/about/who/directoratemembers/codeofgovernance/hsecodeofgovernance2015.pdf ER - TY - RPRT TI - ACHE Healthcare Executive 2019 Competencies Assesment Tool AU - American College of Healthcare Executives UR - https://www.ache.org/-/media/ache/career-resource-center/competencies_booklet.pdf Y2 - 2019/03/05/11:15:43 L1 - https://www.ache.org/-/media/ache/career-resource-center/competencies_booklet.pdf ER - TY - RPRT TI - HSE Performance and Accountability Framework 2018 AU - HSE DA - 2018/// PY - 2018 PB - HSE UR - https://www.hse.ie/eng/services/publications/serviceplans/service-plan-2018/operational-plans-2018/performance-and-accountability-framework-2018.pdf Y2 - 2019/03/05/11:26:58 L1 - https://www.hse.ie/eng/services/publications/serviceplans/service-plan-2018/operational-plans-2018/performance-and-accountability-framework-2018.pdf ER - TY - JOUR TI - In search for a public health leadership competency framework to support leadership curriculum-a consensus study AU - Czabanowska, Katarzyna AU - Smith, Tony AU - Könings, Karen D. AU - Sumskas, Linas AU - Otok, Robert AU - Bjegovic-Mikanovic, Vesna AU - Brand, Helmut AU - Leaders for European Public Health T2 - European Journal of Public Health AB - BACKGROUND: Competency-based education is increasingly popular, especially in the area of continuing professional development. Many competency frameworks have been developed; however, few address leadership competencies for European public health professionals. The aim of this study was to develop a public health leadership competency framework to inform a leadership curriculum for public health professionals. The framework was developed as part of the Leaders for European Public Health project-supported by the EU Lifelong Learning Programme. METHODS: The study was carried out in three phases: a literature review, consensus development panel and Delphi survey. The public health leadership competency framework was initially developed from a literature review. A preliminary list of competencies was submitted to a panel of experts. Two consensus development panels were held to evaluate and make changes to the initial draft competency framework. Then two rounds of a Delphi survey were carried out in an effort to reach consensus. Both surveys were presented through Survey Monkey to members of the Association of the Schools of Public Health in the European Region Working Group on Innovation in Public Health Teaching and Education. RESULTS: The framework was developed consisting of 52 competencies organized into eight domains: Systems Thinking; Political Leadership; Collaborative Leadership: Building and Leading Interdisciplinary Teams; Leadership and Communication; Leading Change; Emotional Intelligence and Leadership in Team-based Organizations; Leadership, Organizational Learning and Development and Ethics and Professionalism. CONCLUSION: The framework can serve as a useful tool in identifying gaps in knowledge and skills, and shaping competency-based continuing professional development leadership curricula for public health professionals in Europe. DA - 2014/10// PY - 2014 DO - 10.1093/eurpub/ckt158 DP - PubMed VL - 24 IS - 5 SP - 850 EP - 856 J2 - Eur J Public Health LA - eng SN - 1464-360X UR - https://academic.oup.com/eurpub/article/24/5/850/474698 L1 - https://academic.oup.com/eurpub/article-pdf/24/5/850/1283408/ckt158.pdf L2 - http://www.ncbi.nlm.nih.gov/pubmed/24121098 KW - Humans KW - Curriculum KW - Europe KW - Leadership KW - Public Health KW - Communication KW - Professional Competence KW - Delphi Technique ER - TY - JOUR TI - What qualities are required for globally-relevant health service managers? An exploratory analysis of health systems internationally AU - Harrison, Reema AU - Meyer, Lois AU - Chauhan, Ashfaq AU - Agaliotis, Maria T2 - Globalization and Health AB - Globally, health service leaders and managers have a critical role in strengthening health systems. Competency frameworks for health service managers are usually designed to describe expectations of good performance of a health manager within a country-specific health sector context. However, a growing number of health service management roles operate beyond a country-specific level, with managers requiring a global perspective and the skills and knowledge to work effectively across a range of countries and contexts. This study provides an exploratory analysis of the most relevant qualities perceived to facilitate health service managers to be effective when working in such roles. DA - 2019/02/06/ PY - 2019 DO - 10.1186/s12992-019-0452-3 DP - BioMed Central VL - 15 IS - 1 SP - 11 J2 - Globalization and Health SN - 1744-8603 ST - What qualities are required for globally-relevant health service managers? UR - https://doi.org/10.1186/s12992-019-0452-3 Y2 - 2019/03/05/13:56:25 L1 - https://globalizationandhealth.biomedcentral.com/track/pdf/10.1186/s12992-019-0452-3 L2 - https://globalizationandhealth.biomedcentral.com/articles/10.1186/s12992-019-0452-3 ER - TY - JOUR TI - Development and validation of health service management competencies AU - Liang, Zhanming AU - Howard, Peter F. AU - Leggat, Sandra AU - Bartram, Timothy T2 - Journal of Health Organization and Management AB - Purpose The importance of managerial competencies in monitoring and improving the performance of organisational leaders and managers is well accepted. Different processes have been used to identify and develop competency frameworks or models for healthcare managers around the world to meet different contextual needs. The purpose of the paper is to introduce a validated process in management competency identification and development applied in Australia - a process leading to a management competency framework with associated behavioural items that can be used to measure core management competencies of health service managers. Design/methodology/approach The management competency framework development study incorporated both qualitative and quantitative methods, implemented in four stages, including job description analysis, focus group discussions and online surveys. Findings The study confirmed that the four-stage process could identify management competencies and the framework developed is considered reliable and valid for developing a management competency assessment tool that can measure management competence amongst managers in health organisations. In addition, supervisors of health service managers could use the framework to distinguish perceived superior and average performers among managers in health organisations. Practical implications Developing the core competencies of health service managers is important for management performance improvement and talent management. The six core management competencies identified can be used to guide the design professional development activities for health service managers. Originality/value The validated management competency identification and development process can be applied in other countries and different industrial contexts to identify core management competency requirements. DA - 2018/04/09/ PY - 2018 DO - 10.1108/JHOM-06-2017-0120 DP - PubMed VL - 32 IS - 2 SP - 157 EP - 175 J2 - J Health Organ Manag LA - eng SN - 1758-7247 L2 - http://www.ncbi.nlm.nih.gov/pubmed/29624143 KW - Australia KW - Professional Competence KW - Surveys and Questionnaires KW - Health managers KW - Focus Groups KW - Competencies KW - Competency frameworks KW - Competency models KW - Health Facility Administration KW - Management ER - TY - JOUR TI - Closing the management competence gap AU - Filerman, G. L. T2 - Human Resources for Health AB - The success of any organized health program depends upon effective management, but health systems worldwide face a lack of competent management at all levels. Management development for health systems, particularly at the first line of supervision, must be given much higher priority by senior leaders and for investment. Human resource development leaders must be the advocates for making the investment in managerial competence. DA - 2003/10/08/ PY - 2003 DO - 10.1186/1478-4491-1-7 DP - PubMed VL - 1 IS - 1 SP - 7 J2 - Hum Resour Health LA - eng SN - 1478-4491 L1 - https://human-resources-health.biomedcentral.com/track/pdf/10.1186/1478-4491-1-7 L2 - http://www.ncbi.nlm.nih.gov/pubmed/14613525 ER - TY - JOUR TI - A Qualitative Study to Identify Skills and Competency Required for Hospital Managers AU - Barati, Omid AU - Sadeghi, Ahmad AU - Khammarnia, Mohammad AU - Siavashi, Elham AU - Oskrochi, Gholamreza T2 - Electronic Physician AB - INTRODUCTION: Hospital managers aim to improve the efficiency and effectiveness of their institutions through leadership and guidance of medical personnel. Fulfilling these objectives requires a holistic approach to both the management of people and institutional prioritization. The aim of this study was to identify the skills and competencies that hospital managers must demonstrate in order to achieve their objectives. METHODS: In 2015, a regional, multi-center qualitative study was undertaken in Shiraz, Iran. Interviews and focus group discussions were conducted with university hospital managers, senior managers, faculty members, and post-graduate students, and the results were analyzed using the content analysis method by MAXQDA software. RESULTS: Eight key skill themes (communication, experience, appreciation of institution logistics/infrastructure, management skills, motivation, systematic problem solving, ethics, and financial/legal awareness) were identified among the hospital managers. The common challenges that face hospital institutions include problems with hierarchical and organizational structure, excessive rules and regulations, lack of resources, poor post-graduate education, and overall management. Recurring themes with respect to how these could be addressed included changing the culture and belief structure of the hospital, restructuring the organizational hierarchy, and empowering the people. CONCLUSION: In our cohort, practical skills, such as communication and experience, were considered more important than theoretical skills for the effective management and administration of hospitals. Therefore, we suggest that practical, skill-based training should be emphasized for students of these disciplines so they will be better suited to deal with real world challenges. Further organizational improvements also can be attained by the active and constructive involvement of senior university managers. DA - 2016/06// PY - 2016 DO - 10.19082/2458 DP - PubMed VL - 8 IS - 6 SP - 2458 EP - 2465 J2 - Electron Physician LA - eng SN - 2008-5842 L1 - https://europepmc.org/articles/pmc4965194?pdf=render L2 - http://www.ncbi.nlm.nih.gov/pubmed/27504159 KW - Challenges KW - Capabilities KW - Hospital KW - Hospital manager KW - Skill ER - TY - JOUR TI - A Leadership and Managerial Competency Framework for Public Hospital Managers in Vietnam AU - Van Tuong, Phan AU - Duc Thanh, Nguyen T2 - AIMS public health AB - Objective: The aim of this paper was to develop a leadership and managerial competency framework for public hospital managers in Vietnam. Methods: This mixed-method study used a four-step approach. The first step was a position description content analysis to identify the tasks hospital managers are required to carry out. The resulting data were used to identify the leadership and managerial competency factors and items in the second step. In the third step, a workshop was organized to reach consensus about the validity of these competency factors and items. Finally, a quantitative survey was conducted across a sample of 891 hospital managers who are working in the selected hospitals in seven geographical regions in Vietnam to validate the competency scales using exploratory factor analysis (EFA) and Cronbach's alpha. Results: The study identified a number of tasks required for public hospital managers and confirmed the competencies for implementing these tasks effectively. Four dimensions with 14 components and 81 items of leadership and managerial competencies were identified. These components exhibited 83.8% of variance and Cronbach's alpha were at good level of 0.9. Conclusions: These competencies are required for public hospital managers which provide guidance to the further development of the competency-based training for the current management taskforce and preparing future hospital managers. DA - 2017/// PY - 2017 DO - 10.3934/publichealth.2017.4.418 DP - PubMed VL - 4 IS - 4 SP - 418 EP - 429 J2 - AIMS Public Health LA - eng SN - 2327-8994 L1 - https://europepmc.org/articles/pmc5690464?pdf=render L2 - http://www.ncbi.nlm.nih.gov/pubmed/29546227 KW - competency framework KW - hospital managers KW - Leadership and managerial competency ER - TY - JOUR TI - Outcomes and Impact of Training and Development in Health Management and Leadership in Relation to Competence in Role: A Mixed-Methods Systematic Review Protocol AU - Ayeleke, Reuben Olugbenga AU - North, Nicola AU - Wallis, Katharine Ann AU - Liang, Zhanming AU - Dunham, Annette T2 - International Journal of Health Policy and Management AB - BACKGROUND: The need for competence training and development in health management and leadership workforces has been emphasised. However, evidence of the outcomes and impact of such training and development has not been systematically assessed. The aim of this review is to synthesise the available evidence of the outcomes and impact of training and development in relation to the competence of health management and leadership workforces. This is with a view to enhancing the development of evidence-informed programmes to improve competence. METHODS AND ANALYSIS: A systematic review will be undertaken using a mixed-methods research synthesis to identify, assess and synthesise relevant empirical studies. We will search relevant electronic databases and other sources for eligible studies. The eligibility of studies for inclusion will be assessed independently by two review authors. Similarly, the methodological quality of the included studies will be assessed independently by two review authors using appropriate validated instruments. Data from qualitative studies will be synthesised using thematic analysis. For quantitative studies, appropriate effect size estimate will be calculated for each of the interventions. Where studies are sufficiently similar, their findings will be combined in meta-analyses or meta-syntheses. Findings from quantitative syntheses will be converted into textual descriptions (qualitative themes) using Bayesian method. Textual descriptions and results of the initial qualitative syntheses that are mutually compatible will be combined in mixed-methods syntheses. DISCUSSION: The outcome of data collection and analysis will lead, first, to a descriptive account of training and development programmes used to improve the competence of health management and leadership workforces and the acceptability of such programmes to participants. Secondly, the outcomes and impact of such programmes in relation to participants' competence as well as individual and organisational performance will be identified. If possible, the relationship between health contexts and the interventions required to improve management and leadership competence will be examined. DA - 2016/10/17/ PY - 2016 DO - 10.15171/ijhpm.2016.138 DP - PubMed VL - 5 IS - 12 SP - 715 EP - 720 J2 - Int J Health Policy Manag LA - eng SN - 2322-5939 ST - Outcomes and Impact of Training and Development in Health Management and Leadership in Relation to Competence in Role UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5144878/pdf/ijhpm-5-715.pdf L1 - https://www.ijhpm.com/article_3286_fbfdf726c7ae4c80f643faff27a62beb.pdf L2 - http://www.ncbi.nlm.nih.gov/pubmed/28005551 KW - Humans KW - Program Evaluation KW - Leadership KW - Research Design KW - Systematic Reviews as Topic KW - Professional Competence KW - Clinical Leadership KW - Competence KW - Education, Professional KW - Health Management KW - Patient Care Management KW - Professional Development Programmes KW - Training ER - TY - JOUR TI - 360° management competency assessment: Is our understanding adequate? AU - Liang, Zhanming AU - Howard, Peter F. AU - Leggat, Sandra T2 - Asia Pacific Journal of Human Resources AB - Management competence links positively to organisational success and efficient and safe healthcare service delivery. A newly developed 360° management competency assessment tool was used to assess 68 middle level managers working in the community health services in Victoria, Australia. Based on the assessment results, this study confirmed the benefits of using a 360° subjective tool incorporating self and multiple colleague assessments in conducting management competency assessment and generating valuable evidence in guiding management competency development and the development of human resource management strategies at the organisational level. The 360° competency assessment (feedback) process not only confirmed the competency level of the assessment participants, but also identified managerial strengths and weaknesses of health service managers at individual, team and organisational levels. The paper suggests the investment of organisations in assisting their managers to improve their managerial competence by including the 360° competency assessment/ feedback process as one of the key steps. DA - 2016/// PY - 2016 DO - DOI: 10.1111/1744-7941.12108 LA - en ST - 360° management competency assessment UR - https://www.researchgate.net/publication/294288701_360_management_competency_assessment_Is_our_understanding_adequate Y2 - 2019/03/05/14:50:59 L2 - https://www.researchgate.net/publication/294288701_360_management_competency_assessment_Is_our_understanding_adequate ER - TY - JOUR TI - What makes a hospital manager competent at the middle and senior levels? AU - Liang, Zhanming AU - Leggat, Sandra G. AU - Howard, Peter F. AU - Koh, Lee T2 - Australian Health Review: A Publication of the Australian Hospital Association AB - OBJECTIVE: The purpose of this paper is to confirm the core competencies required for middle to senior level managers in Victorian public hospitals in both metropolitan and regional/rural areas. METHODS: This exploratory mixed-methods study used a three-step approach which included position description content analysis, focus group discussions and online competency verification and identification survey. RESULTS: The study validated a number of key tasks required for senior and middle level hospital managers (levels II, III and IV) and identified and confirmed the essential competencies for completing these key tasks effectively. As a result, six core competencies have been confirmed as common to the II, III and IV management levels in both the Melbourne metropolitan and regional/rural areas. CONCLUSIONS: Six core competencies are required for middle to senior level managers in public hospitals which provide guidance to the further development of the competency-based educational approach for training the current management workforce and preparing future health service managers. With the detailed descriptions of the six core competencies, healthcare organisations and training institutions will be able to assess the competency gaps and managerial training needs of current health service managers and develop training programs accordingly. DA - 2013/11// PY - 2013 DO - 10.1071/AH12004 DP - PubMed VL - 37 IS - 5 SP - 566 EP - 573 J2 - Aust Health Rev LA - eng SN - 0156-5788 L2 - http://www.ncbi.nlm.nih.gov/pubmed/23601561 KW - Humans KW - Attitude of Health Personnel KW - Professional Competence KW - Hospital Administrators KW - Focus Groups KW - Task Performance and Analysis ER - TY - JOUR TI - Competency assessment and development among health-care leaders: results of a cross-sectional survey AU - Yarbrough Landry, Amy AU - Stowe, Michael AU - Haefner, James T2 - Health Services Management Research AB - In light of the challenges involved in leading a health care organization, it is important that the executives and managers charged with doing so are competent in a variety of areas. However, leading at all organizational levels does not necessarily require the same levels and types of competencies. The purpose of this research is to determine how well competency training works in health care organizations, and to obtain a better understanding of the competencies needed for leaders at different points of their careers and at various organizational levels. Ten health care management competency domains thought to positively influence job performance for health care executives are presented. The study seeks to answer four hypotheses related to self-perceptions of competencies and training opportunities at various hierarchical levels. A survey method was used to sample a subset of the healthcare executive population in the USA, based on three variables of interest, competency training opportunities, self-reported level of competency and hierarchical level. A series of Kruskal-Wallis and Mann-Whitney U tests were conducted to identify perceived differences in both competency level and training opportunities among respondents of various hierarchical levels. The most significant result of our research is that competency training is effective in health care organizations. The implications and need for additional research are discussed. DA - 2012/05/01/ PY - 2012 DO - 10.1258/hsmr.2012.012012 DP - SAGE Journals VL - 25 IS - 2 SP - 78 EP - 86 J2 - Health Serv Manage Res LA - en SN - 0951-4848 ST - Competency assessment and development among health-care leaders UR - https://doi.org/10.1258/hsmr.2012.012012 Y2 - 2019/03/05/15:29:00 ER - TY - JOUR TI - Management and leadership competence in hospitals: a systematic literature review AU - Pihlainen, Vuokko AU - Kivinen, Tuula AU - Lammintakanen, Johanna T2 - Leadership in Health Services (Bradford, England) AB - Purpose - The purpose of this study is to describe the characteristics of management and leadership competence of health-care leaders and managers, especially in the hospital environment. Health-care leaders and managers in this study were both nursing and physician managers. Competence was assessed by evaluating the knowledge, skills, attitudes and abilities that enable management and leadership tasks. Design/methodology/approach - A systematic literature review was performed to find articles that identify and describe the characteristics of management and leadership competence. Searches of electronic databases were conducted using set criteria for article selection. Altogether, 13 papers underwent an inductive content analysis. Findings - The characteristics of management and leadership competence were categorized into the following groups: health-care-context-related, operational and general. Research limitations/implications - One limitation of the study is that only 13 articles were found in the literature regarding the characteristics of management and leadership competence. However, the search terms were relevant, and the search process was endorsed by an information specialist. The study findings imply the need to shift away from the individual approach to leadership and management competence. Management and leadership need to be assessed more frequently from a holistic perspective, and not merely on the basis of position in the organizational hierarchy or of profession in health care. Originality/value - The authors' evaluation of the characteristics of management and leadership competence without a concentrated profession-based approach is original. DA - 2016/// PY - 2016 DO - 10.1108/LHS-11-2014-0072 DP - PubMed VL - 29 IS - 1 SP - 95 EP - 110 J2 - Leadersh Health Serv (Bradf Engl) LA - eng SN - 1751-1887 ST - Management and leadership competence in hospitals L2 - http://www.ncbi.nlm.nih.gov/pubmed/26764963 KW - Leadership KW - Hospitals KW - Professional Competence KW - Hospital Administrators KW - Management KW - Health care KW - Health leadership competencies KW - Literature review KW - Nurse Administrators KW - Physician Executives ER - TY - JOUR TI - Leadership in interprofessional health and social care teams: a literature review AU - Smith, Tony AU - Fowler-Davis, Sally AU - Nancarrow, Susan AU - Ariss, Steven Mark Brian AU - Enderby, Pam T2 - Leadership in Health Services DA - 2018/03/15/ PY - 2018 DO - 10.1108/LHS-06-2016-0026 DP - emeraldinsight.com (Atypon) VL - 31 IS - 4 SP - 452 EP - 467 J2 - Leadership in Health Services SN - 1751-1879 ST - Leadership in interprofessional health and social care teams UR - https://pdfs.semanticscholar.org/ab87/dfda63388763ecd6645c8008a73e4a942563.pdf Y2 - 2019/03/05/15:52:12 L1 - https://www.emeraldinsight.com/doi/pdfplus/10.1108/LHS-06-2016-0026 KW - Leadership KW - Health care KW - Collaboration KW - Interprofessional KW - Multiprofessional KW - Teamwork ER - TY - JOUR TI - Governance, Government, and the Search for New Provider Models AU - Saltman, Richard B. AU - Duran, Antonio T2 - International Journal of Health Policy and Management AB - A central problem in designing effective models of provider governance in health systems has been to ensure an appropriate balance between the concerns of public sector and/or government decision-makers, on the one hand, and of non-governmental health services actors in civil society and private life, on the other. In tax-funded European health systems up to the 1980s, the state and other public sector decision-makers played a dominant role over health service provision, typically operating hospitals through national or regional governments on a command-and-control basis. In a number of countries, however, this state role has started to change, with governments first stepping out of direct service provision and now de facto pushed to focus more on steering provider organizations rather than on direct public management. In this new approach to provider governance, the state has pulled back into a regulatory role that introduces market-like incentives and management structures, which then apply to both public and private sector providers alike. This article examines some of the main operational complexities in implementing this new governance reality/strategy, specifically from a service provision (as opposed to mostly a financing or even regulatory) perspective. After briefly reviewing some of the key theoretical dilemmas, the paper presents two case studies where this new approach was put into practice: primary care in Sweden and hospitals in Spain. The article concludes that good governance today needs to reflect practical operational realities if it is to have the desired effect on health sector reform outcome. DA - 2016/01/01/ PY - 2016 DO - 10.15171/ijhpm.2015.198 DP - www.ijhpm.com VL - 5 IS - 1 SP - 33 EP - 42 SN - 2322-5939 UR - http://www.ijhpm.com/article_3125.html Y2 - 2019/03/13/16:11:27 L1 - http://www.ijhpm.com/article_3125_ec6da15f2fb9f65443c4a31e652c7137.pdf L2 - http://www.ijhpm.com/article_3125.html ER - TY - ELEC TI - Forty years (1978-2018) of vaccination policies in Italy | Acta Bio Medica Atenei Parmensis UR - http://www.mattioli1885journals.com/index.php/actabiomedica/article/view/7900 Y2 - 2019/08/02/07:35:26 L2 - http://www.mattioli1885journals.com/index.php/actabiomedica/article/view/7900 ER - TY - ELEC TI - Contemporary vaccination policy in the European Union: tensions and dilemmas | SpringerLink UR - https://link.springer.com/article/10.1057/s41271-019-00163-8 Y2 - 2019/08/02/07:37:43 ER - TY - ELEC TI - Voluntary or Mandatory? The Valence Framing Effect of Attitudes Regarding HPV Vaccination. - PubMed - NCBI UR - https://www.ncbi.nlm.nih.gov/pubmed/26132725 Y2 - 2019/08/02/08:01:58 L2 - https://www.ncbi.nlm.nih.gov/pubmed/26132725 ER - TY - JOUR TI - Team interventions in acute hospital contexts: a systematic search of the literature using realist synthesis AU - Cunningham, U. AU - Ward, M. E. AU - De Brún, A. AU - McAuliffe, E. T2 - BMC Health Services Research AB - Research on team effectiveness in healthcare has focussed on whether effective teams yield positive outcomes for patients and on the effectiveness of team interventions to improve performance. Limited understanding exists of what works for whom within an effective team, or how and why the context in which the team operates enables team members both as individuals and as a collective to enact behaviours that promote positive outcomes. DA - 2018/07/11/ PY - 2018 DO - 10.1186/s12913-018-3331-3 DP - BioMed Central VL - 18 IS - 1 SP - 536 J2 - BMC Health Services Research SN - 1472-6963 ST - Team interventions in acute hospital contexts UR - https://doi.org/10.1186/s12913-018-3331-3 Y2 - 2019/08/16/10:42:49 L1 - https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-018-3331-3 L2 - https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-3331-3#auth-1 ER - TY - JOUR TI - Understanding the impact of a collective leadership intervention on team working and safety culture in healthcare teams: a realist evaluation protocol AU - De Brun, Aoife AU - Rogers, Lisa AU - O'Shea, Marie AU - McAuliffe, Eilish T2 - HRB Open Research DA - 2019/02/06/ PY - 2019 DO - 10.12688/hrbopenres.12860.1 DP - Crossref VL - 2 SP - 5 LA - en SN - 2515-4826 ST - Understanding the impact of a collective leadership intervention on team working and safety culture in healthcare teams UR - https://hrbopenresearch.org/articles/2-5/v1 Y2 - 2019/08/16/10:45:12 L2 - https://hrbopenresearch.org/articles/2-5 ER - TY - ELEC TI - Adapting health interventions for local fit when scaling-up: a realist review protocol | BMJ Open UR - https://bmjopen.bmj.com/content/9/1/e022084 Y2 - 2019/08/16/10:46:13 ER - TY - BLOG TI - Nine routes towards Plan S compliance AU - Innovations, 101 T2 - Innovations in Scholarly Communication AB - by Jeroen Bosman & Bianca Kramer Changes in Plan S compliant options as of November 27, 2018 On October 22 we posted Eight routes towards Plan S compliance. Meanwhile, cOAlition-S, the group of… DA - 2018/11/30/T22:37:34+00:00 PY - 2018 LA - en UR - https://101innovations.wordpress.com/2018/11/30/nine-routes-towards-plan-s-compliance/ Y2 - 2019/09/10/09:30:56 L2 - https://101innovations.wordpress.com/2018/11/30/nine-routes-towards-plan-s-compliance/ ER - TY - BLOG TI - National Open Research Forum | Guiding Irish Open Research Policy LA - en-US UR - http://norf-ireland.net/ Y2 - 2019/09/10/09:31:11 L2 - http://norf-ireland.net/ ER - TY - ELEC TI - 'Plan S' and 'cOAlition S' – Accelerating the transition to full and immediate Open Access to scientific publications UR - https://www.coalition-s.org/ Y2 - 2019/09/01/09:31:22 L2 - https://www.coalition-s.org/ ER - TY - ELEC TI - HRB Open Research | Open Access Publishing Platform | Beyond a Research Journal UR - https://hrbopenresearch.org/ Y2 - 2019/09/01/09:31:34 L2 - https://hrbopenresearch.org/ ER - TY - JOUR TI - Rapid reviews of medical tests used many similar methods to systematic reviews but key items were rarely reported: a scoping review AU - Arevalo-Rodriguez, Ingrid AU - Moreno-Nunez, Paloma AU - Nusbaummer-Streit, Barbara AU - Steingart, Karen AU - Peña, Laura del Mar González AU - Buitrago-Garcia, Diana AU - Kaunelis, David AU - Emparanza, José Ignacio AU - Alonso-Coello, Pablo AU - Tricco, Andrea C. AU - Zamora, Javier T2 - Journal of Clinical Epidemiology AB -

Abstract

Background

Rapid reviews provide an efficient alternative to standard systematic reviews in response to a high priority or urgent need. Although rapid reviews of interventions have been extensively evaluated, little is known about the characteristics of rapid reviews of diagnostic evidence.

Study design and setting

We performed a scoping review for rapid reviews of medical tests published from 2013 to 2018. We extracted information on review characteristics and methods used to assess the evidence.

Results

We identified 191 rapid reviews. All reviews were developed within a short time (less than 12 months) and were relatively concise (less than 10 pages). The reviews involved multiple index tests (44%), multiple outcomes (88%), and several test applications (29%). Well-known methodological tailoring strategies were infrequently used. Although reporting of several key features was limited, we found that, in general, rapid reviews have similar characteristics to broader knowledge syntheses.

Conclusion

Our scoping review is the first to describe the characteristics and methods of rapid reviews of diagnostic evidence. Future research should identify the most appropriate methods for performing rapid reviews of medical tests. Standards for reporting of rapid reviews are needed.

DA - 2019/09/12/ PY - 2019 DO - 10.1016/j.jclinepi.2019.09.004 DP - www.jclinepi.com VL - 0 IS - 0 J2 - Journal of Clinical Epidemiology LA - English SN - 0895-4356, 1878-5921 ST - Rapid reviews of medical tests used many similar methods to systematic reviews but key items were rarely reported UR - https://www.jclinepi.com/article/S0895-4356(19)30292-6/abstract Y2 - 2019/09/13/09:16:12 ER - TY - JOUR TI - Authors’ letter provides further evidence that language for trial phase would appear necessary when searching for RCT AU - Cooper, Chris AU - Kaunelis, David AU - Campbell, Jo Varley AU - Carter, Patrice T2 - Journal of Clinical Epidemiology DA - 2019/09/12/ PY - 2019 DO - 10.1016/j.jclinepi.2019.09.008 DP - www.jclinepi.com VL - 0 IS - 0 J2 - Journal of Clinical Epidemiology LA - English SN - 0895-4356, 1878-5921 UR - https://www.jclinepi.com/article/S0895-4356(19)30851-0/abstract Y2 - 2019/09/13/09:16:24 ER - TY - JOUR TI - The Use of Web-scraping Software in Searching for Grey Literature AU - Haddaway, Neal T2 - Grey Journal AB - Searches for grey literature can require substantial resources to undertake but their inclusion is vital for research activities such as systematic reviews. Web scraping, the extraction of patterned data from web pages on the internet, has been developed in the private sector for business purposes, but it offers substantial benefits to those searching for grey literature. By building and sharing protocols that extract search results and other data from web pages, those looking for grey literature can drastically increase their transparency and resource efficiency. Various options exist in terms of web-scraping software and they are introduced herein. DA - 2015/10/09/ PY - 2015 DP - ResearchGate VL - 11 SP - 186 EP - 190 J2 - Grey Journal L1 - https://www.researchgate.net/profile/Neal_Haddaway/publication/282658358_The_Use_of_Web-scraping_Software_in_Searching_for_Grey_Literature/links/5c3af240458515a4c721fea1/The-Use-of-Web-scraping-Software-in-Searching-for-Grey-Literature.pdf L4 - https://www.researchgate.net/publication/282658358_The_Use_of_Web-scraping_Software_in_Searching_for_Grey_Literature ER - TY - BLOG TI - Web Scraping 101: A short introduction T2 - The Data School AB - What is web-scraping? Web-scraping is the automated collection of information from webpages.   The authors of “Automated Collection with R. A Practical Guide to Webscraping and Text Mining” explain the process very clearly: “The Web consists predominantly of unstructured text. One of the central tasks in web scraping is to collect the relevant information for … DA - 2019/01/01/T21:48:02+00:00 PY - 2019 LA - en-GB ST - Web Scraping 101 UR - https://www.thedataschool.co.uk/manuela-marolla/web-scraping-101-a-short-introduction/ Y2 - 2019/09/13/09:59:22 ER - TY - ELEC TI - Neuroqueer: An Introduction UR - https://neurocosmopolitanism.com/neuroqueer-an-introduction/ Y2 - 2019/09/13/10:22:33 L2 - https://neurocosmopolitanism.com/neuroqueer-an-introduction/ ER - TY - JOUR TI - Development and validation of search filters to find articles on palliative care in bibliographic databases AU - Rietjens, Judith AC AU - Bramer, Wichor M AU - Geijteman, Eric CT AU - van der Heide, Agnes AU - Oldenmenger, Wendy H T2 - Palliative Medicine AB - Background: Healthcare professionals and researchers in the field of palliative care often have difficulties finding relevant articles in online databases. Standardized search filters may help improve the efficiency and quality of such searches, but prior developed filters showed only moderate performance. Aim: To develop and validate a specific search filter and a sensitive search filter for the field of palliative care. Design: We used a novel, objective method for search filter development. First, we created a gold standard set. This set was split into three groups: term identification, filter development, and filter validation set. After creating the filters in PubMed, we translated the filters into search filters for Ovid MEDLINE, Embase, CINAHL, PsychINFO, and Cochrane Library. We calculated specificity, sensitivity and precision of both filters. Results: The specific filter had a specificity of 97.4%, a sensitivity of 93.7%, and a precision of 45%. The sensitive filter had a sensitivity of 99.6%, a specificity of 92.5%, and a precision of 5%. Conclusion: Our search filters can support literature searches in the field of palliative care. Our specific filter retrieves 93.7% of relevant articles, while 45% of the retrieved articles are relevant. This filter can be used to find answers to questions when time is limited. Our sensitive filter finds 99.6% of all relevant articles and may, for instance, help conducting systematic reviews. Both filters perform better than prior developed search filters in the field of palliative care. DA - 2019/04// PY - 2019 DO - 10.1177/0269216318824275 DP - PubMed Central VL - 33 IS - 4 SP - 470 EP - 474 J2 - Palliat Med SN - 0269-2163 UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439930/ Y2 - 2019/10/02/11:06:52 L1 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439930/pdf/10.1177_0269216318824275.pdf L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439930/ ER - TY - JOUR TI - An interpretative phenomenological analysis (IPA) of coercion towards community dwelling older adults with dementia: findings from Mysore studies of natal effects on ageing and health (MYNAH). AU - Danivas, Vijay AU - Bharmal, Mufaddal AU - Keenan, Paul AU - Jones, Steven AU - Karat, Samuel Christaprasad AU - Kalyanaraman, Kumaran AU - Prince, Martin AU - Fall, Caroline H D AU - Krishna, Murali T2 - Social psychiatry and psychiatric epidemiology T3 - [Erratum in: Soc Psychiatry Psychiatr Epidemiol. 2016 Dec;51(12 ):1665; PMID: 27837234 [https://www.ncbi.nlm.nih.gov/pubmed/27837234]] AB - PURPOSE: Limited availability of specialist services places a considerable burden on caregivers of Persons with Dementia (PwD) in Low- and Middle-Income Countries (LMICs). There are limited qualitative data on coercive behavior towards PwD in an LMIC setting., AIM: The aim of this study was to find relevant themes of the lived experience of relatives as caregivers for PwD in view of their use of coercive measures in community setting in South India., METHOD: Primary caregivers (n = 13) of PwDs from the Mysore study of Natal effects on Ageing and Health (MYNAH) in South India were interviewed to explore the nature and impact of coercion towards community dwelling older adults with dementia. The narrative data were coded using an Interpretative Phenomenological Analysis (IPA) approach for thematic analysis and theory formation., RESULTS: Caregivers reported feeling physical and emotional burn-out, a lack of respite care, an absence of shared caregiving arrangements, limited knowledge of dementia, and a complete lack of community support services. They reported restrictions on their lives through not being able take employment, a poor social life, reduced income and job opportunities, and restricted movement that impacted on their physical and emotional well-being. Inappropriate use of sedatives, seclusion and environmental restraint, and restricted dietary intake, access to finances and participation in social events, was commonly reported methods of coercion used by caregivers towards PwD. Reasons given by caregivers for employing these coercive measures included safeguarding of the PwD and for the management of behavioral problems and physical health., CONCLUSION: There is an urgent need for training health and social care professionals to better understand the use of coercive measures and their impact on persons with dementia in India. It is feasible to conduct qualitative research using IPA in South India. DA - 2016/// PY - 2016 VL - 51 IS - 12 SP - 1659 EP - 1664 J2 - Soc Psychiatry Psychiatr Epidemiol SN - 1433-9285 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27689233 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Caregivers/px [Psychology] KW - *Independent Living/px [Psychology] KW - Animals KW - *Dementia/nu [Nursing] KW - *Coercion KW - India/eh [Ethnology] ER - TY - JOUR TI - Under one roof: The effect of co-residing with adult children on depression in later life. AU - Courtin, Emilie AU - Avendano, Mauricio T2 - Social science & medicine (1982) AB - RATIONALE: The number of older parents living without adult children has increased dramatically over the last decades. However, recent trends exacerbated by the Great Recession have led to an increase in intergenerational co-residing., METHODS: We used three waves of data (2004-2010) from the Survey of Health, Ageing and Retirement in Europe (SHARE) collected around the Great Recession to assess the effects of intergenerational co-residence on mental health in later life (n = 50,043). We used an instrumental variable (IV) approach that exploits changes in employment opportunities of adult children during the Great Recession to examine the impact of co-residing with adult children on depression scores measured using the Euro-D scale of depression., RESULTS: Northern European countries exhibited low levels of both co-residence and depression in older age, while most countries in Eastern and Southern Europe had high levels of both co-residence and depression. In OLS models that controlled for measured characteristics, co-residing with an adult child was not associated with depressive symptoms in older parents (beta = -0.0387; 95% CI -0.0892 to 0.0118). By contrast, results from IV models suggest that co-residing with an adult child significantly reduces depressive symptoms by 0.731 points (95% CI -1.261 to -0.200) on the 12-item scale. Results were robust to a series of robustness checks including controls for child characteristics, country-specific time trends, and analyses restricted to homeowners., CONCLUSIONS: Our findings suggest that, in the context of high unemployment rates during the Great Recession in Europe, increased intergenerational exchange between adult children and older parents in the form of co-residence had positive mental health effects on older parents. Copyright © 2016 Elsevier Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.socscimed.2016.09.020 VL - 168 IS - ut9, 8303205 SP - 140 EP - 149 J2 - Soc Sci Med SN - 1873-5347 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27654932 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Prevalence KW - *Housing/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - *Depression/ep [Epidemiology] KW - Depression/px [Psychology] KW - *Adult Children/px [Psychology] KW - Europe/ep [Epidemiology] KW - Aging/px [Psychology] KW - Adult Children/sn [Statistics & Numerical Data] KW - Unemployment/sn [Statistics & Numerical Data] KW - Economic Recession/td [Trends] KW - Unemployment/px [Psychology] ER - TY - JOUR TI - Predictors of Depression Among Community-Dwelling Older Women Living Alone in Korea. AU - Lee, SiEun AU - Hong, Gwi-Ryung Son T2 - Archives of psychiatric nursing AB - This study examined the prevalence and predicting factors of depression among community-dwelling older women living alone in Korea. Of the 2054 older women living alone in this study, 42.9% (881) were experiencing depression. Factors associated with a higher prevalence of depression were overall difficulty with living alone, taking more than six medications, limitations of instrumental activities of daily living, limitations of muscle strength, limitations of exercise performance in upper extremities, trouble with hearing, and perceptions of poor health status. These results provide a basis for designing preventive interventional programs to decrease depression among older women living alone in Korea. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.apnu.2016.05.002 VL - 30 IS - 5 SP - 513 EP - 20 J2 - Arch Psychiatr Nurs SN - 1532-8228 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27654230 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Health Status KW - Prevalence KW - *Independent Living KW - Cross-Sectional Studies KW - Muscle Strength KW - *Depression/ep [Epidemiology] KW - Activities of Daily Living/px [Psychology] KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - Republic of Korea/ep [Epidemiology] KW - Brief Psychiatric Rating Scale/sn [Statistics & Numerical Data] ER - TY - JOUR TI - 'Growing Old' in Shelters and 'On the Street': Experiences of Older Homeless People. AU - Grenier, Amanda AU - Sussman, Tamara AU - Barken, Rachel AU - Bourgeois-Guerin, Valerie AU - Rothwell, David T2 - Journal of gerontological social work AB - Homelessness among older people in Canada is both a growing concern, and an emerging field of study. This article reports thematic results of qualitative interviews with 40 people aged 46 to 75, carried out as part of a mixed-methods study of older people who are homeless in Montreal, Quebec, Canada. Our participants included people with histories of homelessness (n = 14) and persons new to homelessness in later life (n = 26). Interviews focused on experiences at the intersections of aging and homelessness including social relationships, the challenges of living on the streets and in shelters in later life, and the future. This article outlines the 5 main themes that capture the experience of homelessness for our participants: age exacerbates worries; exclusion and isolation; managing significant challenges; shifting needs and realities; and resilience, strength, and hope. Together, these findings underscore the need for specific programs geared to the unique needs of older people who are homeless. DA - 2016/// PY - 2016 VL - 59 IS - 6 SP - 458 EP - 477 J2 - J Gerontol Soc Work SN - 1540-4048 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27653853 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Qualitative Research KW - Social Support KW - *Poverty/px [Psychology] KW - *Aging/px [Psychology] KW - Quebec KW - Adaptation, Psychological KW - *Homeless Persons/px [Psychology] KW - Homeless Persons/sn [Statistics & Numerical Data] KW - *Homes for the Aged/sd [Supply & Distribution] KW - Social Isolation KW - Poverty/sn [Statistics & Numerical Data] KW - Social Stigma ER - TY - JOUR TI - Exercise prescription to reverse frailty. AU - Bray, Nick W AU - Smart, Rowan R AU - Jakobi, Jennifer M AU - Jones, Gareth R T2 - Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme AB - Frailty is a clinical geriatric syndrome caused by physiological deficits across multiple systems. These deficits make it challenging to sustain homeostasis required for the demands of everyday life. Exercise is likely the best therapy to reverse frailty status. Literature to date suggests that pre-frail older adults, those with 1-2 deficits on the Cardiovascular Health Study-Frailty Phenotype (CHS-frailty phenotype), should exercise 2-3 times a week, for 45-60 min. Aerobic, resistance, flexibility, and balance training components should be incorporated but resistance and balance activities should be emphasized. On the other hand, frail (CHS-frailty phenotype >= 3 physical deficits) older adults should exercise 3 times per week, for 30-45 min for each session with an emphasis on aerobic training. During aerobic, balance, and flexibility training, both frail and pre-frail older adults should work at an intensity equivalent to a rating of perceived exertion of 3-4 ("somewhat hard") on the Borg CR10 scale. Resistance-training intensity should be based on a percentage of 1-repetition estimated maximum (1RM). Program onset should occur at 55% of 1RM (endurance) and progress to higher intensities of 80% of 1RM (strength) to maximize functional gains. Exercise is the medicine to reverse or mitigate frailty, preserve quality of life, and restore independent functioning in older adults at risk of frailty. DA - 2016/// PY - 2016 VL - 41 IS - 10 SP - 1112 EP - 1116 J2 - Appl Physiol Nutr Metab SN - 1715-5320 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27649859 KW - Humans KW - Aged KW - Aged, 80 and over KW - Practice Guidelines as Topic KW - Terminology as Topic KW - *Independent Living KW - Time Factors KW - *Quality of Life KW - *Aging KW - *Exercise KW - Postural Balance KW - Geriatric Assessment KW - *Frail Elderly KW - *Evidence-Based Medicine KW - *Healthy Lifestyle KW - Range of Motion, Articular KW - Physical Fitness KW - Physical Exertion KW - Resistance Training KW - Sensation Disorders/pc [Prevention & Control] KW - Sensation Disorders/th [Therapy] ER - TY - JOUR TI - An Age-Friendly Living Environment as Seen by Chinese Older Adults: A "Photovoice" Study. AU - Chan, Aileen W K AU - Chan, Helen Y L AU - Chan, Ivy K Y AU - Cheung, Bonnie Y L AU - Lee, Diana T F T2 - International journal of environmental research and public health AB - "Ageing in place" is a policy initiative strongly advocated by the World Health Organization to face the challenge of an ageing population. This pilot study used a "photovoice" approach, aiming to explore aspects of the housing environment considered by older people as important in facilitating ageing in place. It enabled participants to express their ideas through photographs. Each participant was asked to take photos that illustrated age-friendly features they considered crucial for supporting their lives in the community. A total of 44 older people participated in the pilot study, and 300 photos were collected. Participants were invited to describe the reasons for taking these photos by filling in a journal sheet. A semi-structured interview was then conducted with individual participants, who were asked to elaborate on the meaning of their photos. The analysis revealed three themes: (1) age-friendly housing design; (2) supportive neighborhood; and (3) connection to family and the community. These three themes are pillars of an age-friendly city, which are important to seniors to facilitate ageing in place. DA - 2016/// PY - 2016 DO - 10.3390/ijerph13090913 VL - 13 IS - 9 J2 - Int J Environ Res Public Health SN - 1660-4601 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27649217 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Qualitative Research KW - *Social Support KW - *Independent Living/px [Psychology] KW - *Housing KW - Interviews as Topic KW - Cities KW - World Health Organization KW - *Residence Characteristics KW - Pilot Projects KW - *Photography ER - TY - JOUR TI - Relation of depression with health behaviors and social conditions of dependent community-dwelling older persons in the Republic of Chile. AU - Sandoval Garrido, Felipe Alfonso AU - Tamiya, Nanako AU - Lloyd-Sherlock, Peter AU - Noguchi, Haruko T2 - International psychogeriatrics AB - BACKGROUND: Depressive symptoms are a leading cause of disability and emotional suffering, particularly in old age. However, evidence on depression and old age in developing countries remains largely ignored. The aim of this study was to examine the relation between health behavior and social conditions with depression among dependent community-dwelling older persons in the Republic of Chile., METHODS: This is a cross-sectional and inferential study, using nationally representative secondary data. Two models used logistic regression on 640 dependent community-dwelling older persons from all over Chile, who personally answered a depression assessment, excluding those taking antidepressants. The geriatric depression scale (GDS-15) was used as outcome. The first model aims at any kind of depression (GDS 5>). The second aims at severe depression (GDS 10>). As exposure, we used the health behavior and social conditions of the older persons. Socio-demographic and physical conditions were used as adjustment., RESULTS: 44.5% of the older persons presented depressive symptoms. Among them, 11% had severe depression. Logistic regression showed that significant detrimental factors for being depressed in both models were visiting the doctor five times or over because of acute diseases, feeling uncomfortable with their living arrangement, and feeling discriminated. On the other hand, every additional day of physical exercise and living alone had a beneficial and detrimental effect only in model one., CONCLUSION: Analyses on ways to support older persons living alone and the promotion of physical exercise to avoid depression are needed, along with a deeper understanding of the comfort with their living arrangement. Finally, ways to address the discrimination among older persons should be further explored. DA - 2016/// PY - 2016 VL - 28 IS - 12 SP - 2029 EP - 2043 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27645325 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Health Status KW - Needs Assessment KW - *Independent Living KW - Cross-Sectional Studies KW - *Frail Elderly/px [Psychology] KW - Geriatric Assessment/mt [Methods] KW - Independent Living/sn [Statistics & Numerical Data] KW - Residence Characteristics/sn [Statistics & Numerical Data] KW - *Depression KW - Depression/di [Diagnosis] KW - Depression/ep [Epidemiology] KW - Independent Living/px [Psychology] KW - Psychiatric Status Rating Scales KW - Depression/px [Psychology] KW - *Health Behavior KW - *Activities of Daily Living/px [Psychology] KW - Depression/pp [Physiopathology] KW - *Social Conditions/sn [Statistics & Numerical Data] KW - Chile/ep [Epidemiology] ER - TY - JOUR TI - Homeownership among Older Adults in Urban China: the Importance of Institutional Factors. AU - Gu, Danan AU - Yin, Yin AU - Zhou, Junshan AU - Sautter, Jessica AU - Qiu, Li T2 - Journal of cross-cultural gerontology AB - Homeownership is a key element to maintain social welfare and stability in an aging society. Yet, the existing literature on homeownership does not adequately address non-Western cultures and institutional factors. We used two nationwide surveys in 2006 and 2010 to investigate how institutional factors are associated with homeownership among older adults in China. Institutional factors were measured by proxy measures of job seniority, political status, type of work units, and hierarchy of cities. After controlling for demographics, resources, health needs, neighborhood characteristics, and cultural factors, we found that homeownership was strongly associated with these institutional factors among the current cohorts of older adults in China. Older adults who were more senior or who were from public sectors tended to have a higher odds of homeownership. Older adults in the top or bottom of the city hierarchy tended to have a lower odds of homeownership than those in other types of cities. Implications of these findings are discussed. DA - 2016/// PY - 2016 VL - 31 IS - 4 SP - 337 EP - 355 J2 - J Cross Cult Gerontol SN - 1573-0719 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27637514 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Health Status KW - Residence Characteristics KW - Cohort Studies KW - *Housing KW - Socioeconomic Factors KW - *Ownership KW - China KW - *Urban Population KW - Personal Satisfaction KW - Aging ER - TY - JOUR TI - A Novel and Intelligent Home Monitoring System for Care Support of Elders with Cognitive Impairment. AU - Lazarou, Ioulietta AU - Karakostas, Anastasios AU - Stavropoulos, Thanos G AU - Tsompanidis, Theodoros AU - Meditskos, Georgios AU - Kompatsiaris, Ioannis AU - Tsolaki, Magda T2 - Journal of Alzheimer's disease : JAD AB - BACKGROUND: Assistive technology, in the form of a smart home environment, is employed to support people with dementia., OBJECTIVES: To propose a system for continuous and objective remote monitoring of problematic daily living activity areas and design personalized interventions based on system feedback and clinical observations for improving cognitive function and health-related quality of life., METHODS: The assistive technology of the proposed system, including wearable, sleep, object motion, presence, and utility usage sensors, was methodically deployed at four different home installations of people with cognitive impairment. Detection of sleep patterns, physical activity, and activities of daily living, based on the collected sensor data and analytics, was available at all times through comprehensive data visualization solutions. Combined with clinical observation, targeted psychosocial interventions were introduced to enhance the participants' quality of life and improve their cognitive functions and daily functionality. Meanwhile, participants and their caregivers were able to visualize a reduced set of information tailored to their needs., RESULTS: Overall, paired-sample t-test analysis of monitored qualities revealed improvement for all participants in neuropsychological assessment. Moreover, improvement was detected from the beginning to the end of the trial, in physical condition and in the domains of sleep. Detecting abnormalities via the system, for example in sleep quality, such as REM sleep, has proved to be critical to assess current status, drive interventions, and evaluate improvements in a reliable manner., CONCLUSION: It has been proved that the proposed system is suitable to support clinicians to reliably drive and evaluate clinical interventions toward quality of life improvement of people with cognitive impairment. DA - 2016/// PY - 2016 VL - 54 IS - 4 SP - 1561 EP - 1591 J2 - J Alzheimers Dis SN - 1875-8908 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27636843 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living/td [Trends] KW - *Independent Living/px [Psychology] KW - Cognitive Dysfunction/di [Diagnosis] KW - *Cognitive Dysfunction/px [Psychology] KW - Caregivers/px [Psychology] KW - Home Care Services/td [Trends] KW - Cognitive Dysfunction/th [Therapy] KW - Caregivers/td [Trends] KW - *Self-Help Devices/td [Trends] KW - *Artificial Intelligence/td [Trends] KW - *Monitoring, Physiologic/td [Trends] KW - Monitoring, Physiologic/mt [Methods] ER - TY - JOUR TI - The androgen receptor gene CAG repeat in relation to 4-year changes in androgen-sensitive endpoints in community-dwelling older European men. AU - Eendebak, Robert J A H AU - Huhtaniemi, Ilpo T AU - Pye, Stephen R AU - Ahern, Tomas AU - O'Neill, Terence W AU - Bartfai, Gyorgy AU - Casanueva, Felipe F AU - Maggi, Mario AU - Forti, Gianni AU - Alston, Robert D AU - Giwercman, Aleksander AU - Han, Thang S AU - Kula, Krzysztof AU - Lean, Michael E J AU - Punab, Margus AU - Pendleton, Neil AU - Keevil, Brian G AU - Vanderschueren, Dirk AU - Rutter, Martin K AU - Tampubolon, Gindo AU - Goodacre, Royston AU - Wu, Frederick C W AU - EMAS Group T2 - European journal of endocrinology AB - CONTEXT: The androgen receptor (AR) gene exon 1 CAG repeat length has been proposed to be a determinant of between-individual variations in androgen action in target tissues, which might regulate phenotypic differences of human ageing. However, findings on its phenotypic effects are inconclusive., OBJECTIVE: To assess whether the AR CAG repeat length is associated with longitudinal changes in endpoints that are influenced by testosterone (T) levels in middle-aged and elderly European men., DESIGN: Multinational European observational prospective cohort study., PARTICIPANTS: A total of 1887 men (mean +/- s.d. age: 63 +/- 11 years; median follow up: 4.3 years) from centres of eight European countries comprised the analysis sample after exclusion of those with diagnosed diseases of the hypothalamic-pituitary-testicular (HPT) axis., MAIN OUTCOME MEASURES: Longitudinal associations between the AR CAG repeat and changes in androgen-sensitive endpoints (ASEs) and medical conditions were assessed using regression analysis adjusting for age and centre. The AR CAG repeat length was treated as both a continuous and a categorical (6-20; 21-23; 24-39 repeats) predictor. Additional analysis investigated whether results were independent of baseline T or oestradiol (E2) levels., RESULTS: The AR CAG repeat, when used as a continuous or a categorical predictor, was not associated with longitudinal changes in ASEs or medical conditions after adjustments. These results were independent of T and E2 levels., CONCLUSION: Within a 4-year time frame, variations in the AR CAG repeat do not contribute to the rate of phenotypic ageing, over and above, which might be associated with the age-related decline in T levels. Copyright © 2016 European Society of Endocrinology. DA - 2016/// PY - 2016 VL - 175 IS - 6 SP - 583 EP - 593 J2 - EUR. J. ENDOCRINOL. SN - 1479-683X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27634944 KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Time Factors KW - Cohort Studies KW - Follow-Up Studies KW - *Independent Living/td [Trends] KW - Longitudinal Studies KW - Prospective Studies KW - Biomarkers/bl [Blood] KW - Europe/ep [Epidemiology] KW - *Androgens/bl [Blood] KW - *Androgens/ge [Genetics] KW - *Receptors, Androgen/bl [Blood] KW - *Receptors, Androgen/ge [Genetics] KW - *Trinucleotide Repeats/ge [Genetics] ER - TY - JOUR TI - The Feldenkrais Method() can enhance cognitive function in independent living older adults: A case-series. AU - Ullmann, Gerhild AU - Williams, Harriet G T2 - Journal of bodywork and movement therapies AB - Poor cognitive health a major concern of aging individuals, can compromise independent living. More than 16 million people in the United States are affected by cognitive impairment. We have studied the effects of the Feldenkrais Method() on cognitive function. In this case series with three participants cognitive function was assessed with the Trail Making Test A and B at baseline and after the Feldenkrais intervention. All participants improved performance on Trail Making Test A and B after completing the Feldenkrais intervention indicating that Feldenkrais lessons may offset age-related decline in cognitive function. The results of this case series warrant larger scale studies on cognitive outcomes of Feldenkrais interventions in clinical and non-clinical populations. Copyright © 2015 Elsevier Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jbmt.2015.11.017 VL - 20 IS - 3 SP - 512 EP - 7 J2 - J Bodywork Mov Ther SN - 1532-9283 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27634072 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - *Cognition KW - *Mind-Body Therapies/mt [Methods] ER - TY - JOUR TI - [Acceptance of preventive home visits among frail elderly persons : Participants an non-participants in a Follow-up after 2 and 4 years within the LUCAS longitudinal study]. AU - Profener, F AU - Anders, J AU - Dapp, U AU - Minder, C E AU - Golgert, S AU - von Renteln-Kruse, W T2 - Akzeptanz des praventiven Hausbesuchs bei alteren Personen mit Frailty : Teilnehmende und Nichtteilnehmende im Zwei- und Vierjahres-Follow-up im Rahmen der LUCAS-Langzeitstudie. AB - BACKGROUND: The objective of preventive home visits (PHV) is to support independent living of elderly people. The target group is a matter of discussion and acceptance so far seems to have been low. The target group favored in studies were persons with functional impairments living independently; therefore, acceptance of this offer by frail persons and characteristics of participants and non-participants were studied., MATERIAL AND METHODS: All participants classified as frail in the longitudinal urban cohort ageing study (LUCAS; BMBF Fkz 01ET0708-13/01, ET1002A-D/01EL1407) were randomized (RCT) in 2007/2008 into an intervention group (174 persons) and a control group (379 persons). Participants in the intervention group were offered the option of a PHV. Sociodemographic and health-related characteristics were compared between the participants with a PHV, non-participants and controls at baseline and after 2 and 4 years. Non-participants who refused the offer of the PHV were asked about their reasons., RESULTS: There were 64 persons (36.8 %) in the intervention group classified as frail who accepted the offer of a PHV. Of these, significantly more lived alone, tended to be female with a higher educational level and with less need of care. After 2 years significantly more persons in the group without PHV had died and after 4 years more participants with PHV reported a depressive mood. There were no other significant differences between the groups. Half of the reasons not to accept the PHV that were reported by the non-participants were because of health-related or psychological problems and one third because of lack of interest or need for PHV., CONCLUSION: The offer of PHV to frail elderly persons with an unlimited age was associated with a relatively high acceptance. The high number of refusals by non-participants with functional impairments is remarkable and needs further investigation. DA - 2016/// PY - 2016 VL - 49 IS - 7 SP - 596 EP - 605 J2 - Z Gerontol Geriatr SN - 1435-1269 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27624567 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Prevalence KW - Follow-Up Studies KW - *Patient Acceptance of Health Care/sn [Statistics & Numerical Data] KW - Patient Acceptance of Health Care/px [Psychology] KW - Survival Rate KW - Longitudinal Studies KW - *Sarcopenia/mo [Mortality] KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - Frail Elderly/px [Psychology] KW - Home Care Services/sn [Statistics & Numerical Data] KW - Germany/ep [Epidemiology] KW - *House Calls/sn [Statistics & Numerical Data] KW - Utilization Review KW - *Preventive Medicine/sn [Statistics & Numerical Data] KW - *Sarcopenia/pc [Prevention & Control] KW - Sarcopenia/px [Psychology] ER - TY - JOUR TI - Exploring the functional mealtime associations of older adults through consumer segmentation and a means-end chain approach. AU - den Uijl, Louise C AU - Jager, Gerry AU - de Graaf, Cees AU - Kremer, Stefanie T2 - Appetite AB - Senior consumers are a rapidly growing and highly heterogeneous part of the world's population. This group does not always meet its recommended protein intake, which can negatively impact on their physical functioning and quality of life. To date, little is known about their motivations to consume protein-rich meals. In the current study, we therefore aim to identify consumer segments within the group of vital community-dwelling older adults on the basis of mealtime functionality (for example 'I eat because I'm hungry', or 'I eat because it is cosy'). To this end, we first conducted an online survey to identify these functional mealtime expectations of older consumers (study I, n = 398, 158 males, mean age 65.8 (y) +/- 5.9 (SD)). To obtain further insights regarding mealtime functionality and proteins/protein enrichment, laddering interviews were conducted with a subgroup of the segmentation study participants (study II, n = 40, 20 males, mean age 66.9 (y) +/- 4.8 (SD)). The results of the online survey showed three consumer clusters: cosy socialisers, physical nutritioners, and thoughtless rewarders. Thoughtless rewarders tend to eat without having explicit thoughts about it, they eat for the reward, and score highest on environmental awareness. Both the segmentation and the in-depth interviews showed that, for the cosy socialisers, the cosiness and social function of a meal are important motivators, whereas for the physical nutritioners the focus is more on the health and nutrient aspects of a meal. For cosy socialisers, protein enrichment can best be achieved through addition of protein-rich ingredients, whereas, for physical nutritioners, addition of protein powder is preferred. These results provide practical guidelines for the development of protein-rich meals and communication strategies tailored to the needs of specific vital community-dwelling older subgroups. Copyright © 2016 Elsevier Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.appet.2016.09.007 VL - 107 IS - 6jw, 8006808 SP - 613 EP - 622 J2 - Appetite SN - 1095-8304 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27620646 KW - Female KW - Humans KW - Male KW - Aged KW - Quality of Life KW - Cluster Analysis KW - *Independent Living/px [Psychology] KW - Social Behavior KW - *Feeding Behavior/px [Psychology] KW - *Meals/px [Psychology] KW - Motivation KW - *Diet/px [Psychology] KW - *Dietary Proteins ER - TY - JOUR TI - Comprehensive geriatric assessment: recognition of identified geriatric conditions by community-dwelling older persons. AU - van Rijn, Marjon AU - Suijker, Jacqueline J AU - Bol, Wietske AU - Hoff, Eva AU - Ter Riet, Gerben AU - de Rooij, Sophia E AU - Moll van Charante, Eric P AU - Buurman, Bianca M T2 - Age and ageing AB - OBJECTIVES: to study (i) the prevalence of geriatric conditions in community-dwelling older persons at increased risk of functional decline and (ii) the extent to which older persons recognise comprehensive geriatric assessment (CGA)-identified conditions as relevant problems., METHODS: trained registered nurses conducted a CGA in 934 out of 1209 older persons at increased risk of functional decline participating in the intervention arm of a randomised trial in the Netherlands. After screening for 32 geriatric conditions, participants were asked which of the identified geriatric conditions they recognised as relevant problems., RESULTS: at baseline, the median age of participants was 82.9 years (interquartile range (IQR) 77.3-87.3 years). The median number of identified geriatric conditions per participant was 8 (IQR 6-11). The median number of geriatric conditions that were recognised was 1 (IQR 0-2). Functional dependency and (increased risk of) alcohol and drug dependency were the most commonly identified conditions. Pain was the most widely recognised problem., CONCLUSION: CGA identified many geriatric conditions, of which few were recognised as a problem by the person involved. Further study is needed to better understand how older persons interact with identified geriatric conditions, in terms of perceived relevance. This may yield a more efficient CGA and further improve a patient-centred approach. Copyright © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2016/// PY - 2016 VL - 45 IS - 6 SP - 894 EP - 899 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27614077 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Geriatric Assessment/mt [Methods] KW - Age Factors KW - *Independent Living/px [Psychology] KW - *Aging/px [Psychology] KW - *Health Knowledge, Attitudes, Practice KW - Substance-Related Disorders/ep [Epidemiology] KW - Netherlands/ep [Epidemiology] KW - Predictive Value of Tests KW - Pain/px [Psychology] KW - Pain/di [Diagnosis] KW - Alcoholism/di [Diagnosis] KW - Alcoholism/ep [Epidemiology] KW - Health Literacy KW - Pain/ep [Epidemiology] KW - Substance-Related Disorders/px [Psychology] KW - *Recognition (Psychology) KW - Alcoholism/px [Psychology] KW - Dependency (Psychology) KW - Substance-Related Disorders/di [Diagnosis] ER - TY - JOUR TI - Tooth Loss and Decline in Functional Capacity: A Prospective Cohort Study from the Japan Gerontological Evaluation Study. AU - Sato, Yukihiro AU - Aida, Jun AU - Kondo, Katsunori AU - Tsuboya, Toru AU - Watt, Richard G AU - Yamamoto, Tatsuo AU - Koyama, Shihoko AU - Matsuyama, Yusuke AU - Osaka, Ken T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To describe associations between tooth loss and changes in higher-level functional capacity., DESIGN: Prospective cohort study., SETTING: Twenty-four Japanese municipalities between 2010 and 2013., PARTICIPANTS: Functionally independent community-dwelling persons aged 65 and older (N = 62,333)., MEASUREMENTS: Self-reported number of teeth was used as an exposure variable. The outcome was changes in higher-level functional capacity measured using the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC), which consists of three domains: instrumental activities of daily living, intellectual activity, and social roles. The TMIG-IC score ranges from 0 (lowest function) to 13 (highest function). All covariates were chosen from baseline demographic, socioeconomic, health behavior, and health variables based upon evidence from previous studies. Inverse-probability weighting (IPW) with propensity score and multiple linear regression, estimating nonstandardized coefficients (beta) and 95% confidence intervals (CIs), were used., RESULTS: The baseline response rate was 65.2%, and the follow-up rate was 70.1%. During the follow-up period, participants' TMIG-IC score declined by an average of 0.247 points (standard deviation: 1.446). The results showed a significant dose-response association between tooth loss and decline in higher-level functional capacity in multiple linear regression models. IPW models estimated the increment in TMIG-IC score (beta = 0.170, 95% CI = 0.114 to 0.227) if edentulous participants gained 20 or more natural teeth., CONCLUSION: Tooth loss is associated with future decline in higher-level functional capacity. IPW models suggest that treatment for tooth loss attenuates decline in higher-level functional capacity. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/jgs.14324 VL - 64 IS - 11 SP - 2336 EP - 2342 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27613339 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Japan/ep [Epidemiology] KW - Cognition KW - Prospective Studies KW - Social Behavior KW - *Health Behavior KW - Self Report KW - *Tooth Loss/ep [Epidemiology] KW - *Geriatric Assessment ER - TY - JOUR TI - Impact of the nursing home scale on residents' social engagement in South Korea. AU - Yoon, Ju Young AU - Kim, Hongsoo AU - Jung, Young-Il AU - Ha, Jung-Hwa T2 - International psychogeriatrics AB - BACKGROUND: This study aimed to describe the levels of social engagement and to examine the relationship between the nursing home scale groups and social engagement in nursing homes in South Korea., METHODS: A total of 314 residents were randomly selected from rosters provided by 10 nursing homes located in three metropolitan areas in South Korea. The outcome variable was social engagement measured by the Revised Index of Social Engagement (RISE), and the key independent variable was the nursing home scale (small, medium, and large). Individual factors (age, gender, activities of daily living and cognitive function, and depressive symptoms) and organizational factors (location, ownership, and staffing levels) were controlled in the model as covariates. Multilevel logistic regression was used in this study., RESULTS: About half of the residents (46%) in this study were not socially engaged in the nursing home (RISE=0) where they resided. Controlling for individual- and organizational-level factors, the nursing home facility size was a significant factor to predict the likelihood of residents' social engagement, with that the residents in large-scale nursing homes being less likely to be socially engaged than those in medium-scale nursing homes (odds ratio = 0.457; p-value = 0.005)., CONCLUSION: This study supports evidence from previous studies that smaller-scale nursing homes are likely to provide more person-centered care compared to larger-scale nursing homes. Subsequent quality studies are needed to examine how the mechanisms for how smaller-scale nursing homes can enhance residents' social engagement in terms of care delivery processes. DA - 2016/// PY - 2016 VL - 28 IS - 12 SP - 1965 EP - 1973 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27609148 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - *Quality of Life KW - Cross-Sectional Studies KW - Cognition KW - Social Conditions KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - Nursing Homes/og [Organization & Administration] KW - Homes for the Aged/og [Organization & Administration] KW - Patient Participation/sn [Statistics & Numerical Data] KW - *Patient Participation KW - Patient Participation/mt [Methods] KW - Statistics as Topic KW - *Social Facilitation KW - Homes for the Aged/cl [Classification] KW - Nursing Homes/cl [Classification] ER - TY - JOUR TI - Home-Based Care Program Reduces Disability And Promotes Aging In Place. AU - Szanton, Sarah L AU - Leff, Bruce AU - Wolff, Jennifer L AU - Roberts, Laken AU - Gitlin, Laura N T2 - Health affairs (Project Hope) AB - The Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program, funded by the Center for Medicare and Medicaid Innovation, aims to reduce the impact of disability among low-income older adults by addressing individual capacities and the home environment. The program, described in this innovation profile, uses an interprofessional team (an occupational therapist, a registered nurse, and a handyman) to help participants achieve goals they set. For example, it provides assistive devices and makes home repairs and modifications that enable participants to navigate their homes more easily and safely. In the period 2012-15, a demonstration project enrolled 281 adults ages sixty-five and older who were dually eligible for Medicare and Medicaid and who had difficulty performing activities of daily living (ADLs). After completing the five-month program, 75 percent of participants had improved their performance of ADLs. Participants had difficulty with an average of 3.9 out of 8.0 ADLs at baseline, compared to 2.0 after five months. Symptoms of depression and the ability to perform instrumental ADLs such as shopping and managing medications also improved. Health systems are testing CAPABLE on a larger scale. The program has the potential to improve older adults' ability to age in place. Copyright Project HOPE-The People-to-People Health Foundation, Inc. DA - 2016/// PY - 2016 DO - 10.1377/hlthaff.2016.0140 VL - 35 IS - 9 SP - 1558 EP - 63 J2 - Health Aff (Millwood) SN - 1544-5208 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27605633 KW - Female KW - Humans KW - Male KW - United States KW - Program Evaluation KW - Health Promotion KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - *Quality of Life KW - *Activities of Daily Living KW - Cross-Sectional Studies KW - Geriatric Assessment/mt [Methods] KW - *Home Care Services/og [Organization & Administration] KW - Databases, Factual KW - Aging/ph [Physiology] KW - Disability Evaluation KW - Poverty KW - Aging/px [Psychology] KW - Medicare/ec [Economics] KW - *Disabled Persons/rh [Rehabilitation] KW - Patient Care Team/og [Organization & Administration] ER - TY - JOUR TI - Coexisting with dependence and well-being: the results of a pilot study intervention on 75-99-year-old individuals. AU - Rodriguez-Diaz, M Teresa AU - Perez-Marfil, M Nieves AU - Cruz-Quintana, Francisco T2 - International psychogeriatrics AB - BACKGROUND: The objective of this study is to design and implement an intervention program centered on preventing functional dependence., METHODS: A pre/post quasi-experimental (typical case) design study with a control group was conducted on a group of 75-90-year-old individuals with functional dependence (n = 59) at three nursing homes in Madrid (Spain). The intervention program consists of two types of activities developed simultaneously. Some focused on emotional well-being (nine 90-minute sessions, once per week), whereas others focused on improving participants' physical condition (two 30-minute sessions, twice per week). The simple randomized participants included 59 elderly individuals (Intervention Group = 30, Control Group = 29) (mean age 86.80) [SD, 5. 19]., RESULTS: Fifty-nine participants were analyzed. The results indicate that the program is effective in improving mood, lowering anxiety levels (d = 0.81), and increasing both self-esteem (d = 0.65) and the perception of self-efficacy (d = 1.04). There are improvements in systolic pressure and functional dependence levels are maintained. Linear simple regression (independent variable pre-Barthel) shows that the pre-intervention dependence level can predict self-esteem after the intervention., CONCLUSION: We have demonstrated that the program is innovative with regard to bio-psychosocial care in elderly individuals, is based on actual practice, and is effective in increasing both self-esteem and self-efficacy. These variables positively affect functional capabilities and delay functional dependence. DA - 2016/// PY - 2016 VL - 28 IS - 12 SP - 2067 EP - 2078 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27605494 KW - Female KW - Humans KW - Male KW - Program Evaluation KW - Aged KW - Aged, 80 and over KW - *Exercise Therapy/mt [Methods] KW - Recovery of Function KW - *Homes for the Aged KW - *Nursing Homes KW - *Frail Elderly/px [Psychology] KW - *Depression KW - Depression/di [Diagnosis] KW - Self Efficacy KW - Depression/px [Psychology] KW - *Activities of Daily Living/px [Psychology] KW - Pilot Projects KW - Depression/th [Therapy] KW - Emotional Adjustment KW - Self Concept KW - Depression/pp [Physiopathology] KW - *Psychological Techniques ER - TY - JOUR TI - Influence of cognitive impairment on fall risk among elderly nursing home residents. AU - Seijo-Martinez, M AU - Cancela, J M AU - Ayan, C AU - Varela, S AU - Vila, H T2 - International psychogeriatrics AB - BACKGROUND: Information relating the severity of cognitive decline to the fall risk in institutionalized older adults is still scarce. This study aims to identify potential fall risk factors (medications, behavior, motor function, and neuropsychological disturbances) depending on the severity of cognitive impairment in nursing home residents., METHODS: A total of 1,167 nursing home residents (mean age 81.44 +/- 8.26 years; 66.4% women) participated in the study. According to the MEC, (the Spanish version of the Mini-Mental State Examination) three levels of cognitive impairment were established: mild (20-24) "MCI", moderate (14-19) "MOCI", and severe (<=14) "SCI". Scores above 24 points indicated the absence cognitive impairment (NCI). Information regarding fall history and fall risk during the previous year was collected using standardized questionnaires and tests., RESULTS: Sixty falls (34%) were registered among NCI participants and 417 (43%) among people with cognitive impairment (MCI: 35%; MOCI: 40%; SCI: 50%). A different fall risk model was observed for MCI, MOCI, SCI, and NCI patients. The results imply that the higher the level of cognitive impairment, the greater the number of falls (F1,481 = 113.852; Sig = 0.015), although the level of significance was not maintained when MOCI and SCI participants were compared. Depression, neuropsychiatric disturbances, autonomy constraints in daily life activity performance, and low functional mobility were factors closely associated with fall risk., CONCLUSION: This study provides evidence indicating that fall risk factors do not hold a direct correlation with the level of cognitive impairment among elderly nursing home care residents. DA - 2016/// PY - 2016 VL - 28 IS - 12 SP - 1975 EP - 1987 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27605458 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - *Geriatric Assessment/mt [Methods] KW - Cognitive Dysfunction/ep [Epidemiology] KW - Cognitive Dysfunction/px [Psychology] KW - Cognition KW - Accidental Falls/pc [Prevention & Control] KW - Accidental Falls/sn [Statistics & Numerical Data] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Cognitive Dysfunction KW - Cognitive Dysfunction/di [Diagnosis] KW - *Accidental Falls KW - Spain/ep [Epidemiology] KW - Mental Status and Dementia Tests KW - *Risk Assessment/mt [Methods] KW - Statistics as Topic KW - Cognitive Dysfunction/cl [Classification] ER - TY - JOUR TI - A Multidimensional Risk Score to Predict All-Cause Hospitalization in Community-Dwelling Older Individuals With Obstructive Lung Disease. AU - Naharci, Mehmet Ilkin AU - Doruk, Huseyin T2 - Journal of the American Medical Directors Association T3 - [Comment on: J Am Med Dir Assoc. 2016 Jun 1;17(6):508-13; PMID: 26926337 [https://www.ncbi.nlm.nih.gov/pubmed/26926337]] DA - 2016/// PY - 2016 DO - 10.1016/j.jamda.2016.08.001 VL - 17 IS - 12 SP - 1157 EP - 1158 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27594521 KW - Humans KW - Risk Factors KW - *Independent Living KW - *Hospitalization KW - Risk KW - Lung Diseases, Obstructive ER - TY - JOUR TI - The inter-rater reliability of the Risk Instrument for Screening in the Community. AU - Weathers, Elizabeth AU - O'Caoimh, Ronan AU - O'Sullivan, Ronan AU - Paul, Constanca AU - Orfilia, Frances AU - Clarnette, Roger AU - Fitzgerald, Carol AU - Svendrovski, Anton AU - Cornally, Nicola AU - Leahy-Warren, Patricia AU - Molloy, D William T2 - British journal of community nursing AB - Predicting risk of adverse healthcare outcomes is important to enable targeted delivery of interventions. The Risk Instrument for Screening in the Community (RISC), designed for use by public health nurses (PHNs), measures the 1-year risk of hospitalisation, institutionalisation and death in community-dwelling older adults according to a five-point global risk score: from low (score 1,2) to medium (3) to high (4,5). We examined the inter-rater reliability (IRR) of the RISC between student PHNs (n=32) and expert raters using six cases (two low, medium and high-risk), scored before and after RISC training. Correlations increased for each adverse outcome, statistically significantly for institutionalisation (r=0.72 to 0.80, p=0.04) and hospitalisation (r=0.51 to 0.71, p<0.01) but not death. Training improved accuracy for low-risk but not all high-risk cases. Overall, the RISC showed good IRR, which increased after RISC training. That reliability fell for some high-risk cases suggests that the training programme requires adjustment to improve IRR further. DA - 2016/// PY - 2016 DO - 10.12968/bjcn.2016.21.9.469 VL - 21 IS - 9 SP - 469 EP - 75 J2 - Br J Community Nurs SN - 1462-4753 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27594063 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - United Kingdom KW - Reproducibility of Results KW - *Geriatric Assessment/mt [Methods] KW - *Independent Living/sn [Statistics & Numerical Data] KW - Risk Assessment/mt [Methods] KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - *Health Status KW - *Health Knowledge, Attitudes, Practice KW - *Community Health Nursing/mt [Methods] KW - *Nurses, Community Health/px [Psychology] KW - Community Health Nursing/ed [Education] ER - TY - JOUR TI - [The prevalence of chronic diseases and geriatric problems - a comparison of nursing home residents in the skilled and nonskilled long-term care facilities in Poland]. AU - Kijowska, Violetta AU - Wilga, Michal AU - Szczerbinska, Katarzyna T2 - Wystepowanie chorob przewleklych i problemow geriatrycznych - porownanie pacjentow zakladow opiekunczo-leczniczych z mieszkancami domow pomocy spolecznej. AB - UNLABELLED: In Poland long-term care services are provided by skilled care and treatment facilities (ZOL) and nursing and care facilities (ZPO) both functioning within the health sector as well as by non-skilled nursing homes (DPS) situated in social care sector. Determinants of medical and nursing care provided by both sectors vary considerably in terms of organization (availability) and economic issues (costs of care)., AIM: The aim of the study is to compare characteristics of residents in two types of long term care facilities (LTCFs) in Poland with a special focus on geriatric issues., MATERIALS AND METHODS: The study sample comprised of 387 ZOL residents and 352 DPS residents living in 7 settings. Data was collected for 6 years period (2007-2013) using InterRAI-LTCF questionnaire. The data analysis was done with application of a Mann-Whitney U test, chisquare test and Fisher's exact test and using IBM SPSS Statistics 22., RESULTS: The DPS residents were significantly older than ZOL residents. Predominance of women (68,8%) in both LTCF types was observed. DPS residents significantly more often suffered from internal diseases: COPD (13,6% vs. 4,1%), overweight and obesity (56,1% vs. 34,9%), inflammatory polyarthropathies (4,0% vs. 0,8%), dorsopathies (8,9% vs. 1,3%), osteoporosis (7,1% vs. 1,6%), diseases of the digestive system (11,7% vs. 5,7%) and hyperplasia of prostate (4,3% vs. 0,5%). Among the residents living in ZOL more frequently were observed: significant cognitive impairment and impaired ability to perform activities of daily living (ADL), as well as significantly higher prevalence of neurological diseases (stroke 31,0% vs. 9,1%) and neurodegenerative diseases (Alzheimer's disease or dementia in 53,0% vs. 28,4%), hip fracture (8,5% vs. 2,0%) and geriatric problems (i.e. pressure ulcers 12,2% vs. 4,2%, bladder incontinence 89,9% vs. 39,6%, bowel incontinence 83,9% vs. 26,1%, and underweight BMI<18,5 kg/m2 in 17,2% vs. 2,8%)., CONCLUSIONS: Significant differences between the ZOL and DPS residents in functional status and prevalence of diseases were observed. The results indicate considerable differences among the residents of different types of LTCFs, which should suggest physicians to adjust diagnostic and therapeutic approach in respect to those differences. Copyright © 2016 MEDPRESS. DA - 2016/// PY - 2016 VL - 41 IS - 242 SP - 84 EP - 9 J2 - Pol Merkuriusz Lek SN - 1426-9686 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27591445 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Prevalence KW - *Homes for the Aged KW - *Nursing Homes KW - Long-Term Care KW - *Geriatric Assessment KW - Poland KW - *Chronic Disease/ep [Epidemiology] ER - TY - JOUR TI - Only 10% of the psychotropic drug use for neuropsychiatric symptoms in patients with dementia is fully appropriate. The PROPER I-study. AU - van der Spek, Klaas AU - Gerritsen, Debby L AU - Smalbrugge, Martin AU - Nelissen-Vrancken, Marjorie H J M G AU - Wetzels, Roland B AU - Smeets, Claudia H W AU - Zuidema, Sytse U AU - Koopmans, Raymond T C M T2 - International psychogeriatrics T3 - [Comment in: Int Psychogeriatr. 2016 Oct;28(10 ):1587-8; PMID: 27658611 [https://www.ncbi.nlm.nih.gov/pubmed/27658611]] AB - BACKGROUND: This study explores the appropriateness of psychotropic drug (PD) use for neuropsychiatric symptoms (NPS) in nursing home patients with dementia., METHODS: A cross-sectional study on 559 patients with dementia residing on dementia special care units in Dutch nursing homes was conducted. Appropriateness of PD use was assessed using the Appropriate Psychotropic drug use In Dementia (APID) index. The APID index score is calculated using information about individual PDs from patients' medical records. The index encompasses seven (different) domains of appropriateness, i.e. indication, evaluation, dosage, drug-drug interactions, drug-disease interactions, duplications, and therapy duration., RESULTS: A total of 578 PDs were used for NPS by 60% of the nursing home patients. Indication, evaluation, and therapy duration contributed the most to inappropriate use. Ten per cent of the PDs scored fully appropriate according to the APID index sum score, 36% scored fully appropriate for indication, 46% scored fully appropriate for evaluation, and 58% scored fully appropriate for therapy duration. Antidepressants were used the most appropriately, and antiepileptics the most inappropriately., CONCLUSIONS: The minority of the PD use was fully appropriate. The results imply that PD use for NPS in dementia can be improved; the appropriateness should be optimized with a clinical focus on the appropriate indications, evaluations, and therapy duration. DA - 2016/// PY - 2016 DO - 10.1017/S104161021600082X VL - 28 IS - 10 SP - 1589 EP - 95 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27587349 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Needs Assessment KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - *Psychotropic Drugs KW - Psychotropic Drugs/tu [Therapeutic Use] KW - Dementia/ep [Epidemiology] KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Homes for the Aged/st [Standards] KW - Nursing Homes/st [Standards] KW - Dementia/px [Psychology] KW - Neuropsychological Tests KW - *Dementia/dt [Drug Therapy] KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Netherlands/ep [Epidemiology] KW - Dementia/di [Diagnosis] KW - Inappropriate Prescribing/pc [Prevention & Control] KW - Potentially Inappropriate Medication List KW - *Inappropriate Prescribing KW - Inappropriate Prescribing/sn [Statistics & Numerical Data] KW - Psychotropic Drugs/cl [Classification] ER - TY - JOUR TI - Association between maximum occlusal force and 3-year all-cause mortality in community-dwelling elderly people. AU - Iinuma, Toshimitsu AU - Arai, Yasumichi AU - Takayama, Michiyo AU - Abe, Yukiko AU - Ito, Tomoka AU - Kondo, Yugaku AU - Hirose, Nobuyoshi AU - Gionhaku, Nobuhito T2 - BMC oral health AB - BACKGROUND: Among the very elderly, poor oral health reduces life expectancy. In this study, differences in the magnitude of the maximum occlusal force (MOF) in the very elderly were examined in terms of effects on all-cause mortality in a 3-year follow-up., METHODS: We evaluated 489 community-living elderly individuals aged 85 years or older. MOF was measured using an occlusal force measuring device, and participants were classified into three groups according to gender- and dental status-sensitive tertiles. Demographic variables, cognitive, physical function, psychological status, oral health, comorbidity, and blood chemistry factors were assessed. One-way analyses of variance, chi (2) tests, and the Kruskal-Wallis test were used for statistical analyses. The relationship between MOF tertiles and 3-year all-cause mortality was examined using a multivariate Cox model analysis after adjusting for confounding factors., RESULTS: MOF tertiles were significantly associated with cognitive impairment, number of teeth, limitations on chewable foods, handgrip strength, timed up-and-go test, and diabetes mellitus. During the follow-up period, 74 subjects died. Subjects with the highest MOF had a significantly lower mortality rate than other groups (log rank P = 0.031). In the univariate Cox model, MOF tertiles were independently associated with a lower risk of death (HR = 0.69, 95 % CI = 0.51-0.91). Even after adjusting for various confounders in the multivariate Cox model (Model 1), MOF was independently associated with a lower risk of death (HR = 0.67, 95 % CI = 0.50-0.91). In model 2, we added handgrip strength as a confounder and found that the HR for MOF was attenuated (HR = 0.73, 95 % CI = 0.54-0.99), but still statistically significant., CONCLUSIONS: In a cohort of the very elderly, MOF was independently associated with all-cause mortality after adjusting for various health issues. Moreover, this independent association remained after a further adjustment for handgrip strength; however, the HR was attenuated. This suggests that MOF and handgrip strength may share a common mechanism of a general decrease in muscle strength, possibly sarcopenia, which is a significant cause of mortality in the very old. DA - 2016/// PY - 2016 DO - 10.1186/s12903-016-0283-z VL - 16 IS - 1 SP - 82 J2 - BMC Oral Health SN - 1472-6831 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27586200 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - *Independent Living KW - Prospective Studies KW - Comorbidity KW - *Mortality KW - *Bite Force KW - *Hand Strength ER - TY - JOUR TI - Psychological Distress and Help-Seeking by Residents of a Neighborhood Naturally Occurring Retirement Community (NNORC). AU - McClive-Reed, Kimberly P AU - Gellis, Zvi D T2 - Journal of gerontological social work AB - This article presents findings from an annual program survey of residents of a horizontal neighborhood naturally occurring retirement community (NNORC). The study explored the relationship between several factors (age, co-residents, number of chronic illnesses, self-reported health, loneliness, sense of mastery, locus of control, pain, and psychological distress) and their ability to predict general health, level of psychological distress, and the quantity and type of help-seeking behaviors. Although residents generally reported moderate to high levels of chronic disease, pain, loneliness, and concerns about life issues, 25% of them sought no help from any of the listed resources, and 65% sought help from only one of seven resources. The most common source of help for most (70%) was a primary care physician (PCP), and comparatively few respondents sought help from other sources. Older adults, especially those with chronic illness, generally consider their PCP to be the first, and perhaps only, source to consult. However, research indicates that the most effective health promotional programs for older adults are social and educational group activities, rather than individual health-focused interventions. Possible means of redirecting residents toward NNORC services include more vigorous outreach and creating collaborative partnerships between local PCPs serving older populations and the NNORC. DA - 2016/// PY - 2016 DO - 10.1080/01634372.2016.1222474 VL - 59 IS - 7-8 SP - 572 EP - 586 J2 - J Gerontol Soc Work SN - 1540-4048 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27585987 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Residence Characteristics/sn [Statistics & Numerical Data] KW - Stress, Psychological/co [Complications] KW - *Stress, Psychological/px [Psychology] KW - Linear Models KW - Loneliness/px [Psychology] KW - Psychometrics/is [Instrumentation] KW - Psychometrics/mt [Methods] KW - Assisted Living Facilities/st [Standards] KW - *Community Health Services/sn [Statistics & Numerical Data] KW - Pain/px [Psychology] KW - Assisted Living Facilities/sn [Statistics & Numerical Data] KW - Psychometrics/sn [Statistics & Numerical Data] KW - Pain/co [Complications] KW - *Help-Seeking Behavior ER - TY - JOUR TI - Vitamin D Supplementation in Tasmanian Nursing Home Residents. AU - Curtain, Colin M AU - Williams, Mackenzie AU - Cousins, Justin M AU - Peterson, Gregory M AU - Winzenberg, Tania T2 - Drugs & aging AB - BACKGROUND: It is currently recommended in Australia that nursing home residents are supplemented daily with 1000 IU vitamin D as they are at an increased risk of fractures. Historically, supplementation has been low, and current supplementation prevalence is not known., OBJECTIVE: The aim of this study was to determine the prevalence of vitamin D supplementation amongst nursing home residents in Tasmania, Australia., METHODS: Resident data, including demographics, medical conditions and medications (including vitamin D and calcium supplement use), exercise and sun exposure, were obtained from residents' files and staff in consenting nursing homes. Dietary calcium intake was estimated from the weekly menu of one nursing home and total calcium intake estimated from this and calcium supplement use. The prevalence of vitamin D supplementation was compared by resident characteristics and fracture risk factors., RESULTS: Of 811 residents, 409 (50 %) received daily vitamin D supplementation of at least 1000 IU. Residents receiving vitamin D supplementation were slightly younger (mean 83 vs. 85 years for supplemented and unsupplemented groups, respectively, p = 0.003) and more likely to have osteoporosis (29 vs. 22 % for supplemented and unsupplemented groups, respectively, p = 0.019). Only 43 % of residents with osteoporosis received vitamin D supplements. Most residents (86 %) did not have regular sunlight exposure. The median estimated total calcium intake of 800 +/- 275 mg daily was below guideline recommendations of 1000-1300 mg daily., CONCLUSIONS: The prevalence of vitamin D supplementation in nursing home residents was relatively low, suggesting poor adherence to the relevant clinical guidelines. Additionally, most residents do not access sunlight. Interventions addressing this evidence-practice gap are needed. DA - 2016/// PY - 2016 VL - 33 IS - 10 SP - 747 EP - 754 J2 - Drugs Aging SN - 1179-1969 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27585581 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Practice Guidelines as Topic KW - Australia KW - *Homes for the Aged KW - *Nursing Homes KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Fractures, Bone/pc [Prevention & Control] KW - Dietary Supplements KW - Vitamin D/ad [Administration & Dosage] KW - *Vitamin D Deficiency/dt [Drug Therapy] KW - *Vitamin D/tu [Therapeutic Use] KW - Vitamin D/bl [Blood] KW - Medication Adherence KW - Drug Administration Schedule KW - *Fractures, Bone/ep [Epidemiology] KW - *Osteoporosis/ep [Epidemiology] KW - Calcium, Dietary/ad [Administration & Dosage] KW - Osteoporosis/dt [Drug Therapy] KW - Vitamin D Deficiency/bl [Blood] KW - Vitamins/ad [Administration & Dosage] KW - Vitamins/tu [Therapeutic Use] ER - TY - JOUR TI - Creating a Regional Healthcare Network: People First. AU - Michel-Verkerke, Margreet B T2 - Studies in health technology and informatics AB - Care organizations in the Dutch region Apeldoorn want to collaborate more in order to improve the care provision to elderly and psychiatric patients living independently. In order to support the collaboration they intend to create a regional digital healthcare network. The research was focused on the relevance of a regional healthcare network for care providers. Eleven semi-structured interviews based on the USE IT-model, were conducted with care providers and staff members. Results show that care providers need to tune their activities for this target group and create an agreement on integrated care. The relevance of a digital communication and collaboration platform is high. The regional healthcare network should support the collaboration between care providers by: 1. Offering a communication platform to replace the time consuming communication by telephone; 2. Making patient information available for patient and care provider at patients' homes; 3. Giving insight in who is giving what care to whom; and 4. Giving access to knowledge about the target group: elderly and psychiatric patients living independently. DA - 2016/// PY - 2016 VL - 228 IS - ck1, 9214582 SP - 127 EP - 31 J2 - Stud Health Technol Inform SN - 0926-9630 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27577356 KW - Humans KW - Efficiency, Organizational KW - Health Information Exchange KW - Communication KW - *Independent Living KW - *Aging KW - *Home Care Services/og [Organization & Administration] KW - Interviews as Topic KW - Netherlands KW - *Mental Disorders/th [Therapy] KW - *Patient Care Planning/og [Organization & Administration] KW - *Cooperative Behavior KW - Social Work/og [Organization & Administration] KW - Patient Satisfaction KW - Patient Care Team/og [Organization & Administration] KW - Health Personnel/og [Organization & Administration] ER - TY - JOUR TI - Social Dancing and Incidence of Falls in Older Adults: A Cluster Randomised Controlled Trial. AU - Merom, Dafna AU - Mathieu, Erin AU - Cerin, Ester AU - Morton, Rachael L AU - Simpson, Judy M AU - Rissel, Chris AU - Anstey, Kaarin J AU - Sherrington, Catherine AU - Lord, Stephen R AU - Cumming, Robert G T2 - PLoS medicine AB - BACKGROUND: The prevention of falls among older people is a major public health challenge. Exercises that challenge balance are recognized as an efficacious fall prevention strategy. Given that small-scale trials have indicated that diverse dance styles can improve balance and gait of older adults, two of the strongest risk factors for falls in older people, this study aimed to determine whether social dance is effective in i) reducing the number of falls and ii) improving physical and cognitive fall-related risk factors., METHODS AND FINDINGS: A parallel two-arm cluster randomized controlled trial was undertaken in 23 self-care retirement villages (clusters) around Sydney, Australia. Eligible villages had to have an appropriate hall for dancing, house at least 60 residents, and not be currently offering dance as a village activity. Retirement villages were randomised using a computer generated randomisation method, constrained using minimisation. Eligible participants had to be a resident of the village, be able to walk at least 50 m, and agree to undergo physical and cognitive testing without cognitive impairment. Residents of intervention villages (12 clusters) were offered twice weekly one-hour social dancing classes (folk or ballroom dancing) over 12 mo (80 h in total). Programs were standardized across villages and were delivered by eight dance teachers. Participants in the control villages (11 clusters) were advised to continue with their regular activities., MAIN OUTCOMES: falls during the 12 mo trial and Trail Making Tests., SECONDARY OUTCOMES: The Physiological Performance Assessment (i.e., postural sway, proprioception, reaction time, leg strength) and the Short Physical Performance Battery; health-related physical and mental quality of life from the Short-Form 12 (SF-12) Survey. Data on falls were obtained from 522 of 530 (98%) randomised participants (mean age 78 y, 85% women) and 424 (80%) attended the 12-mo reassessment, which was lower among folk dance participants (71%) than ballroom dancing (82%) or control participants (82%, p = 0.04). Mean attendance at dance classes was 51%. During the period, 444 falls were recorded; there was no significant difference in fall rates between the control group (0.80 per person-year) and the dance group (1.03 per person-year). Using negative binomial regression with robust standard errors the adjusted Incidence Rate Ratio (IRR) was 1.19 (95% CI: 95% CI = 0.83, 1.71). In exploratory post hoc subgroup analysis, the rate of falls was higher among dance participants with a history of multiple falls (IRR = 2.02, 95% CI: 1.15, 3.54, p = 0.23 for interaction) and with the folk dance intervention (IRR = 1.68, 95% CI: 1.03, 2.73). There were no significant between-group differences in executive function test (TMT-B = 2.8 s, 95% CI: -6.2, 11.8). Intention to treat (ITT) analysis revealed no between-group differences at 12-mo follow-up in the secondary outcome measures, with the exception of postural sway, favouring the control group. Exploratory post hoc analysis by study completers and style indicated that ballroom dancing participants apparently improved their gait speed by 0.07 m/s relative to control participants (95% CI: 0.00, 0.14, p = 0.05). Study limitations included allocation to style based on logistical considerations rather than at random; insufficient power to detect differential impacts of different dance styles and smaller overall effects; variation of measurement conditions across villages; and no assessment of more complex balance tasks, which may be more sensitive to changes brought about by dancing., CONCLUSIONS: Social dancing did not prevent falls or their associated risk factors among these retirement villages' residents. Modified dance programmes that contain "training elements" to better approximate structured exercise programs, targeted at low and high-risk participants, warrant investigation., TRIAL REGISTRATION: The Australian New Zealand Clinical Trials Registry ACTRN12612000889853. DA - 2016/// PY - 2016 DO - 10.1371/journal.pmed.1002112 VL - 13 IS - 8 SP - e1002112 J2 - PLoS Med SN - 1549-1676 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27575534 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - *Accidental Falls/pc [Prevention & Control] KW - Accidental Falls/sn [Statistics & Numerical Data] KW - Postural Balance KW - Gait KW - Incidence KW - Dance Therapy KW - *Dancing ER - TY - JOUR TI - Older people, assistive technologies, and the barriers to adoption: A systematic review. AU - Yusif, Salifu AU - Soar, Jeffrey AU - Hafeez-Baig, Abdul T2 - International journal of medical informatics AB - BACKGROUND: Older people generally prefer to continue living in their own homes rather than move into residential age care institutions. Assistive technologies and sensors in the home environment and/or bodily worn systems that monitor people's movement might contribute to an increased sense of safety and security at home. However, their use can raise ethical anxieties as little is known about how older persons perceive assistive and monitoring technologies., OBJECTIVES: To review the main barriers to the adoption of assistive technologies (ATs) by older adults in order to uncover issues of concern from empirical studies and to arrange these issues from the most critical to the least critical., METHOD: A 4-step systematic review was conducted using empirical studies: locating and identifying relevant articles; screening of located articles; examination of full text articles for inclusion/exclusion; and detail examination of the 44 articles included., RESULTS: Privacy is a top critical concern to older adults, registering a 34% of the total articles examined. Two other equally potent barriers to the adoption of ATs were trust and functionality/added value representing 27 and 25 per cent each respectively of the total studies examined. Also of serious concerns are cost of ATs and ease of use and suitability for daily use (23%) each respectively, perception of "no need" (20%), stigma (18%), and fear of dependence and lack of training (16%) each respectively. These underlying factors are generation/cohort effects and physical decline relating to aging, and negative attitudes toward technologies such as the so-called "gerontechnologies" specifically targeting older adults. However, more and more older adults adopt different kinds of ATs in order to fit in with the society., CONCLUSIONS: The identified underlying factors are generation/cohort effects and physical decline relating to aging, and negative attitudes toward technologies. The negative attitudes that are most frequently associated with technologies such as the so-called "gerontechnologies" specifically targeting older adults contain stigmatizing symbolism that might prevent them from adopting them. Copyright © 2016. Published by Elsevier Ireland Ltd. DA - 2016/// PY - 2016 DO - 10.1016/j.ijmedinf.2016.07.004 VL - 94 IS - ct4, 9711057 SP - 112 EP - 6 J2 - Int J Med Inf SN - 1872-8243 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27573318 KW - Adult KW - Humans KW - Aged KW - Privacy KW - *Self-Help Devices KW - Aging KW - Monitoring, Physiologic KW - *Diffusion of Innovation KW - Trust ER - TY - JOUR TI - Gender differences in clusters of NPS in Dutch nursing homes - a factor analysis. AU - Ho, Janny AU - Wetzels, Roland B AU - Bor, Hans AU - Zuidema, Sytse U T2 - International psychogeriatrics AB - BACKGROUND: Neuropsychiatric symptoms (NPS) have a high prevalence among patients with dementia, up to 80%. NPS can be grouped by type and stage of dementia. However, NPS have not previously been grouped by gender. Our objective was to investigate whether NPS cluster differently in men or women in the nursing home patients., METHODS: Factor analysis to assess the clustering of items in the Cohen-Mansfield Agitation Inventory (CMAI) and Neuropsychiatric Inventory-Nursing home version (NPI-NH) into components, for both scales and for gender. Differences in symptom clustering between male and female patients were assessed using a three-step procedure: (1) identifying a gender specific distinctive item, (2) describe the correlation between the distinctive item with any other item in this cluster, (3) testing whether the correlation between a distinctive item and any other item in the cluster (which is present in both sexes) is different for males and females using a general linear model., RESULTS: Our database consisted of 1,609 patients. There were five male and three female clusters for NPI-NH and eight male and seven female clusters for CMAI. There were three distinctive items in the NPI-NH and ten in the CMAI., CONCLUSIONS: There are other clusters of NPS in males and females. Our analysis revealed more significant relations in female than male patients. This might have an implication on the clinical course. DA - 2016/// PY - 2016 VL - 28 IS - 12 SP - 1989 EP - 1999 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27572478 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Prevalence KW - Cluster Analysis KW - Geriatric Assessment/mt [Methods] KW - Sex Factors KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Dementia/ep [Epidemiology] KW - *Dementia KW - Dementia/px [Psychology] KW - Neuropsychological Tests KW - Psychiatric Status Rating Scales KW - Netherlands/ep [Epidemiology] KW - Psychomotor Agitation/px [Psychology] KW - Dementia/di [Diagnosis] KW - Dementia/cl [Classification] KW - *Psychomotor Agitation KW - Psychomotor Agitation/ep [Epidemiology] KW - Psychomotor Agitation/pp [Physiopathology] ER - TY - JOUR TI - A Brief Computerized Paired Associate Test for the Detection of Mild Cognitive Impairment in Community-Dwelling Older Adults. AU - Curiel, Rosie E AU - Crocco, Elizabeth AU - Rosado, Marian AU - Duara, Ranjan AU - Greig, Maria T AU - Raffo, Arlene AU - Loewenstein, David A T2 - Journal of Alzheimer's disease : JAD AB - BACKGROUND: Semantic memory interference has been found to be a predictive cognitive marker of incipient AD. This is relevant given that developing assessment paradigms to identify subtle cognitive and functional deficits is a priority in preclinical Alzheimer's disease research., OBJECTIVE: To examine the utility of a novel computerized paired associate test in distinguishing between mild cognitive impairment (MCI) and cognitively normal (CN) groups of older adults residing in the community., METHODS: Participants that were CN (n = 64) or MCI (n = 34) were administered the Miami Test of Semantic Interference and Learning (MITSI-L). This novel instrument is a brief, computerized paired associate test that measured the strength of memory binding of semantically related word pairs and introduced a proactive semantic interference condition which required participants to make different associations between semantically similar targets. A series of ANOVAs explored differences on MITSI-L performance. Logistic regression and receiver operator curves (ROC) analyses were employed to further determine discriminative validity., RESULTS: MCI participants had lower scores on all indices relative to CN elders. A composite of two subscores correctly classified 85.3% of MCI and 84.4% of CN participants. Area under the ROC was higher relative to the MMSE, immediate memory for passages, and several subtests of a sensitive memory measure, the LASSI-L., CONCLUSIONS: The MITSI-L is a computerized test that can successfully differentiate MCI from CN participants. Area under the ROC curve exceeded that of global mental status and other memory measures. The effectiveness of the MITSI-L in detecting MCI, and its brief administration and portability render it worthy of further research. DA - 2016/// PY - 2016 DO - 10.3233/JAD-160370 VL - 54 IS - 2 SP - 793 EP - 9 J2 - J Alzheimers Dis SN - 1875-8908 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27567839 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living/px [Psychology] KW - *Cognitive Dysfunction/px [Psychology] KW - *Cognitive Dysfunction/di [Diagnosis] KW - *Mental Status and Dementia Tests KW - *Diagnosis, Computer-Assisted/mt [Methods] KW - *Paired-Associate Learning KW - Diagnosis, Computer-Assisted/st [Standards] KW - Mental Status and Dementia Tests/st [Standards] KW - Paired-Associate Learning/ph [Physiology] ER - TY - JOUR TI - Negotiated risk and resident autonomy: Frontline care staff perspectives on culture change in long term care in Nova Scotia, Canada. AU - Roberts, Emily T2 - Work (Reading, Mass.) AB - BACKGROUND: Regulating risk, freedom of action, and autonomy in decision making are problems shared by both caregivers and residents in long term care settings, and may become the subject of tension and constant negotiation., OBJECTIVE: This study focuses on long term care staff and management perceptions of day to day life in a care community which has gone through a culture change transition, where small residentially scaled households replace large instutional models of care. In each household, the setting is considered to be home for the 8-12 residents, creating a major shift of roles for the caregivers; they are, in essence, coming into a home rather than institutional environment as a place of work. This potentially changes the dynamics of both patterns of work for caregivers and patterns of daily living for residents., METHODS: Participant observations and care staff interviews., RESULTS: Several key themes emrged which include: teamwork; the culture of care; regulating risk; the physical environment and care staff empowerment., CONCLUSIONS: An unexpected outcome was the consensus among care staff that it is they who feel at home while working in the care households, leading to empowerment in their work roles and a deeper understanding of the importance of their role in the lives of the residents. DA - 2016/// PY - 2016 DO - 10.3233/WOR-162373 VL - 54 IS - 4 SP - 837 EP - 51 J2 - WORK SN - 1875-9270 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27567795 KW - Humans KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - *Caregivers/px [Psychology] KW - *Homes for the Aged/og [Organization & Administration] KW - *Decision Making KW - Professional-Patient Relations KW - Organizational Culture KW - Personal Autonomy KW - *Interior Design and Furnishings KW - *Long-Term Care/og [Organization & Administration] KW - Negotiating KW - Power (Psychology) KW - *Professional Role KW - Caregivers/og [Organization & Administration] KW - Nova Scotia ER - TY - JOUR TI - Effectiveness of a Proprioceptive Exercise Program in Nursing Home Residents. AU - Sanchez-Padilla, Maider AU - Montserrat-Perez, Olga AU - Bayo-Tallon, Elena AU - Pujol-Puig, Jordi AU - Llobregat-Delgado, Carlos AU - Esquirol-Caussa, Jordi AU - Serrano-Dominguez, Noelia T2 - Journal of the American Geriatrics Society DA - 2016/// PY - 2016 DO - 10.1111/jgs.14408 VL - 64 IS - 10 SP - e97 EP - e99 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27564512 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Accidental Falls/pc [Prevention & Control] KW - *Exercise Therapy/mt [Methods] KW - *Homes for the Aged KW - *Nursing Homes KW - Exercise/px [Psychology] KW - Pilot Projects KW - *Proprioception ER - TY - JOUR TI - Convergent validity of the interRAI-HC for societal costs estimates in comparison with the RUD Lite instrument in community dwelling older adults. AU - van Lier, Lisanne I AU - van der Roest, Henriette G AU - van Hout, Hein P J AU - van Eenoo, Liza AU - Declercq, Anja AU - Garms-Homolova, Vjenka AU - Onder, Graziano AU - Finne-Soveri, Harriet AU - Jonsson, Palmi V AU - Hertogh, Cees M P M AU - Bosmans, Judith E T2 - BMC health services research AB - BACKGROUND: The interRAI-Home Care (interRAI-HC) instrument is commonly used in routine care to assess care and service needs, resource utilisation and health outcomes of community dwelling home care clients. Potentially, the interRAI-HC can also be used to calculate societal costs in economic evaluations. The purpose of this study was to assess the convergent validity of the interRAI-HC instrument in comparison with the RUD Lite instrument for the calculation of societal costs among care-dependent community dwelling older adults., METHODS: A within-subject design was used. Participants were 65 years and older and received professional community care in five countries. The RUD Lite was administered by trained (research) nurses or self-reports within 4 weeks after the interRAI-HC assessment. Agreement between the interRAI-HC and RUD Lite estimates was assessed using Spearman's correlation coefficients. We hypothesised that there was strong correlation (Spearman's rho > 0.5) between resource utilisation estimates, costs of care estimates and total societal cost estimates derived from both instruments., RESULTS: Strong correlation was found between RUD Lite and interRAI-HC resource utilisation assessments for eight out of ten resource utilisation items. Total societal costs according to the RUD Lite were statistically significantly lower than according to the interRAI-HC (mean difference -804, 95 % CI -1340; -269). The correlation between the instruments for total societal costs and all six cost categories was strong., CONCLUSIONS: The interRAI-HC has good convergent validity as compared with the RUD-Lite instrument to estimate societal cost of resource utilisation in community dwelling older adults. Since interRAI-HC assessments are part of routine care in many community care organisations and countries already, this finding may increase the feasibility of performing economic evaluations among community dwelling older adults. DA - 2016/// PY - 2016 DO - 10.1186/s12913-016-1702-1 VL - 16 IS - 101088677 SP - 440 J2 - BMC Health Serv Res SN - 1472-6963 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27561315 KW - Female KW - Humans KW - Male KW - Europe KW - Aged KW - Aged, 80 and over KW - *Independent Living/ec [Economics] KW - Geriatric Assessment KW - *Health Care Costs/sn [Statistics & Numerical Data] KW - Self Report KW - Health Resources KW - *Home Care Services/ec [Economics] KW - Delivery of Health Care/ec [Economics] KW - Models, Economic KW - Delivery of Health Care/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Incidence of Bisphosphonate Use in Relation to Diagnosis of Alzheimer's Disease in Community-Dwelling Persons. AU - Tiihonen, Miia AU - Taipale, Heidi AU - Tolppanen, Anna-Maija AU - Hartikainen, Sirpa T2 - Journal of the American Geriatrics Society DA - 2016/// PY - 2016 DO - 10.1111/jgs.14356 VL - 64 IS - 9 SP - e48 EP - 9 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27561211 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Incidence KW - Finland/ep [Epidemiology] KW - *Alzheimer Disease/co [Complications] KW - Alzheimer Disease/di [Diagnosis] KW - Alzheimer Disease/ep [Epidemiology] KW - Osteoporosis/ep [Epidemiology] KW - *Osteoporosis/dt [Drug Therapy] KW - *Diphosphonates/pd [Pharmacology] KW - Bone Density Conservation Agents/pd [Pharmacology] KW - Osteoporosis/co [Complications] ER - TY - JOUR TI - [Aging at home with telecare in Spain. A dicourse analysis]. AU - Aceros, Juan C AU - Cavalcante, Maria Tereza Leal AU - Domenech, Miquel T2 - Envejecer en casa con teleasistencia en Espana. Un analisis del discurso. AB - Caring for the elderly is turning to forms of community care and home care. Telecare is one of those emergent modalities of caring. This article will explore the meanings that older people give to the experience of staying at home in later life by using telecare. Discourse analysis is used to examine a set of focus groups and interviews with telecare users from different cities of Catalonia (Spain). The outcomes include three interpretative repertoires that we called: "Aging at home", "normal aging" and "unsafe aging". For each repertoire we examine how the permanence of older people in their homes is accounted, and which role telecare plays in such experience. DA - 2016/// PY - 2016 DO - 10.1590/1413-81232015218.13472015 VL - 21 IS - 8 SP - 2413 EP - 22 J2 - Cienc. saude colet. SN - 1678-4561 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27557015 KW - Female KW - Humans KW - Male KW - Aged KW - *Independent Living KW - Spain KW - *Telemedicine KW - *Home Care Services ER - TY - JOUR TI - How does gatekeeper training improve suicide prevention for elderly people in nursing homes? A controlled study in 24 centres. AU - Chauliac, N AU - Brochard, N AU - Payet, C AU - EGEE (Etude Gatekeepers en EHPAD) study group AU - Duclos, A AU - Terra, J-L T2 - European psychiatry : the journal of the Association of European Psychiatrists A2 - Margue Y, Bordin P, Depraz P, Dumont A, Kroupa E, Pacaut-Troncin M, Polo P, Straub S, Boissin J, Burtin C, Montoya G, Riviere A, Didier C, Fournel C, Durand C, Barrellon M, Amigues O, Brosson A, Mahe E, Haxaire O, Bonnot C, Defaux M, Rougier D, Gaultier A, Gutierrez A, Pozo M, Lefevre V, Nier A, Bolzan S, Liautaud M, Barbosa S, Garcia S, Anfreville A, Mazille S, Durantet C, Morlon M, Gaboriau C, Halbert C, Cholvy M, Milinkovich P, Martin L, Maury-Abello L, Toulier B, Kerleguer V, Gabriel S AB - BACKGROUND: The death rate due to suicide in elderly people is particularly high. As part of suicide selective prevention measures for at-risk populations, the WHO recommends training "gatekeepers"., METHODS: In order to assess the impact of gatekeeper training for members of staff, we carried out a controlled quasi-experimental study over the course of one year, comparing 12 nursing homes where at least 30% of the staff had undergone gatekeeper training with 12 nursing homes without trained staff. We collected data about the residents considered to be suicidal, their management further to being identified, as well as measures taken at nursing home level to prevent suicide., RESULTS: The two nursing home groups did not present significantly different characteristics. In the nursing homes with trained staff, the staff were deemed to be better prepared to approach suicidal individuals. The detection of suicidal residents relied more on the whole staff and less on the psychologist alone when compared to nursing homes without trained staff. A significantly larger number of measures were taken to manage suicidal residents in the trained nursing homes. Suicidal residents were more frequently referred to the psychologist. Trained nursing homes put in place significantly more suicide prevention measures at an institutional level., CONCLUSIONS: Having trained gatekeepers has an impact not only for the trained individuals but also for the whole institution where they work, both in terms of managing suicidal residents and routine suicide prevention measures. Copyright © 2016 Elsevier Masson SAS. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.eurpsy.2016.05.011 VL - 37 IS - djf, 9111820 SP - 56 EP - 62 J2 - Eur Psychiatry SN - 1778-3585 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27552322 KW - Female KW - Humans KW - Male KW - Aged KW - Research Design KW - *Homes for the Aged KW - *Nursing Homes KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Homes for the Aged/st [Standards] KW - Nursing Homes/st [Standards] KW - Quality Improvement KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - France KW - Inservice Training/og [Organization & Administration] KW - Suicide/sn [Statistics & Numerical Data] KW - *Suicide KW - Referral and Consultation/st [Standards] KW - Suicidal Ideation KW - Suicide/pc [Prevention & Control] KW - Suicide/px [Psychology] KW - Teaching ER - TY - JOUR TI - Professional Caregivers' Oral Care Practices and Beliefs for Elderly Clients Aging In Place. AU - Delgado, Ashley M AU - Prihoda, Thomas AU - Nguyen, Carol AU - Hicks, Beatriz AU - Smiley, Lynn AU - Taverna, Melanie T2 - Journal of dental hygiene : JDH AB - PURPOSE: As recently as the 1990s long-term care facilities (LTCFs) were the main housing option for semi- or fully-dependent elders. Today, 90% of those 65 and older want to "age in place." The growth of the elderly population that want to "age in place" will require increasing numbers of professional caregivers to assist in oral care practices. The purpose of this study was to address the gap in the knowledge about the oral care practices and beliefs of professional caregivers who work for non-medical in-home care companies charged in the care of "aging in place" elders., METHODS: The Nursing Dental Coping Belief Scale was used in a descriptive cross-sectional study. Professional caregivers (n=67) employed by 3 non-medical in-home care companies in South Texas completed the survey. The survey gathered demographic information, oral care practice questions and oral health belief questions. Statistics used for data analysis included chi-square contingency table analysis. The level of significance was set at p<0.05 for all analyses., RESULTS: Non-medical in-home care companies are not mandated by law to provide training, yet professional caregivers wanted more training in brushing and flossing (85%). A majority (60%) reported being trained. Most (85%) looked inside their client's mouth yet nearly 18% did not floss their client's teeth and only 31% knew if their clients wore dentures., CONCLUSION: While this was a small study, it provides preliminary information that professional caregivers, who serve clients aging in place, want more oral care training. Professional caregivers would be better served if there were more thorough and frequent training provided with managerial oversight. Copyright © 2016 The American Dental Hygienists' Association. DA - 2016/// PY - 2016 VL - 90 IS - 4 SP - 244 EP - 8 J2 - J Dent Hyg SN - 1553-0205 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27551145 KW - Adult KW - Female KW - Humans KW - Male KW - Health Knowledge, Attitudes, Practice KW - Aged KW - Middle Aged KW - *Independent Living KW - Cross-Sectional Studies KW - *Oral Health KW - Long-Term Care KW - *Caregivers KW - Attitude to Health KW - Texas KW - *Oral Hygiene/mo [Mortality] KW - *Professional Practice ER - TY - JOUR TI - Variation in the Presence of Simple Home Modifications of Older Americans: Findings from the National Health and Aging Trends Study. AU - Meucci, Marissa R AU - Gozalo, Pedro AU - Dosa, David AU - Allen, Susan M T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To investigate the association between sociodemographic and economic factors and the presence of simple home modifications (HMs) among older adults in the United States., DESIGN: Cross-sectional., SETTING: National Health and Aging Trends Study (2011, Round 1)., PARTICIPANTS: Community-dwelling Medicare enrollees aged 65 and older (N = 6,628)., MEASUREMENTS: The primary dependent variable was the reported presence or absence of simple HMs (grab bars in the shower or near the toilet, shower seats, raised toilet seats)., RESULTS: Of the individuals sampled, 60.7% reported having at least one HM of interest. Black (odds ratio (OR) = 0.79, 95% confidence interval (CI) = 0.68-0.91) and Hispanic (OR = 0.60, 95% CI = 0.45-0.78) respondents were less likely than white, non-Hispanic respondents to have HMs. Those with more education (high school graduate: OR = 1.20, 95% CI = 1.01-1.42; >high school: OR = 1.36, 95% CI = 1.14-1.62) and larger social networks (>=4 people; OR = 1.46, 95% CI = 1.12-1.89) were more likely to have at least one HM, whereas being divorced (OR = 0.57, 95% CI = 0.43-0.74) was associated with lower likelihood. Income (OR = 1.01, 95% CI = 0.97-1.05), Medicaid enrollment (OR = 0.98, 95% CI = 0.77-1.25), and living alone (OR = 1.02, 95% CI = 0.85-1.23) were not significantly associated with the presence of HMs., CONCLUSION: Minorities, individuals with less education, and those with less social support are less likely to have HMs. Awareness of these disparities and the shortcomings of the HM delivery system is important to clinicians and policy-makers who seek to prevent falls and facilitate aging in place for all older Americans. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/jgs.14252 VL - 64 IS - 10 SP - 2081 EP - 2087 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27550315 KW - Female KW - Humans KW - Male KW - Aged KW - *Accidental Falls/pc [Prevention & Control] KW - Demography KW - Social Support KW - United States/ep [Epidemiology] KW - Cross-Sectional Studies KW - Independent Living/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - *Environment KW - *Independent Living/st [Standards] KW - Ethnic Groups KW - *Accidents, Home/pc [Prevention & Control] KW - Medicaid KW - Architectural Accessibility ER - TY - JOUR TI - Dyspnea in Community-Dwelling Older Persons: A Multifactorial Geriatric Health Condition. AU - Miner, Brienne AU - Tinetti, Mary E AU - Van Ness, Peter H AU - Han, Ling AU - Leo-Summers, Linda AU - Newman, Anne B AU - Lee, Patty J AU - Vaz Fragoso, Carlos A T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To evaluate the associations between a broad array of cardiorespiratory and noncardiorespiratory impairments and dyspnea in older persons., DESIGN: Cross-sectional., SETTING: Cardiovascular Health Study., PARTICIPANTS: Community-dwelling persons (N = 4,413; mean age 72.6, 57.1% female, 4.5% African American, 27.2% =2) and several impairments, including those established using spirometry (forced expiratory volume in 1 second (FEV1 )), maximal inspiratory pressure (respiratory muscle strength), echocardiography, ankle-brachial index, blood pressure, whole-body muscle mass (bioelectrical impedance), single chair stand (lower extremity function), grip strength, serum hemoglobin and creatinine, Center for Epidemiologic Studies Depression Scale (CES-D), Mini-Mental State Examination, medication use, and body mass index (BMI)., RESULTS: In a multivariable logistic regression model, impairments that had strong associations with moderate to severe dyspnea were FEV1 less than the lower limit of normal (adjusted odds ratio (aOR) = 2.88, 95% confidence interval (CI) = 2.37-3.49), left ventricular ejection fraction less than 45% (aOR = 2.12, 95% CI = 1.43, 3.16), unable to perform a single chair stand (aOR = 2.10, 95% CI = 1.61-2.73), depressive symptoms (CES-D score >=16; aOR = 2.02, 95% CI = 1.26-3.23), and obesity (BMI >=30; aOR = 2.07, 95% CI = 1.67-2.55). Impairments with modest but still statistically significant associations with moderate to severe dyspnea included respiratory muscle weakness, diastolic cardiac dysfunction, grip weakness, anxiety symptoms, and use of cardiovascular and psychoactive medications (aORs = 1.31-1.71)., CONCLUSION: In community-dwelling older persons, several cardiorespiratory and noncardiorespiratory impairments were significantly associated with moderate to severe dyspnea, akin to a multifactorial geriatric health condition. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/jgs.14290 VL - 64 IS - 10 SP - 2042 EP - 2050 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27549914 KW - Female KW - Humans KW - Male KW - Risk Factors KW - United States KW - Aged KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - Comorbidity KW - Severity of Illness Index KW - Body Mass Index KW - Electric Impedance KW - Dyspnea/ep [Epidemiology] KW - Dyspnea/px [Psychology] KW - Echocardiography KW - Ankle Brachial Index KW - Mental Competency KW - Statistics as Topic KW - Causality KW - Dyspnea/di [Diagnosis] KW - *Dyspnea KW - Dyspnea/et [Etiology] KW - Respiratory Function Tests/mt [Methods] KW - Respiratory Function Tests/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Exercise and Nutritional Supplementation on Community-Dwelling Elderly Japanese Women With Sarcopenic Obesity: A Randomized Controlled Trial. AU - Kim, Hunkyung AU - Kim, Miji AU - Kojima, Narumi AU - Fujino, Ken AU - Hosoi, Erika AU - Kobayashi, Hisamine AU - Somekawa, Shinji AU - Niki, Yoshifumi AU - Yamashiro, Yukari AU - Yoshida, Hideyo T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: To investigate the effects of exercise and/or nutritional supplementation on body composition, blood components, and physical function in community-dwelling elderly Japanese women with sarcopenic obesity., DESIGN: Randomized controlled trial., SETTING: Urban community in Tokyo, Japan., PARTICIPANTS: Among 1213 community-dwelling elderly women over 70 years of age, 307 were defined with sarcopenic obesity, and 139 women participated in the study., INTERVENTION: Participants were randomly assigned to one of four intervention groups. The exercise and nutrition (Ex + N) and exercise only (Ex) groups attended 60-minute exercise classes twice a week for 3 months. The Ex + N and nutrition only (N) groups were provided with essential amino acid supplementation and tea fortified with catechins to be taken daily for 3 months. Health education classes were provided to the control (HE) group every 2 weeks., MEASUREMENTS: Bioelectric impedance analysis was used to measure body composition. Skeletal muscle mass index was calculated using measures of muscle mass and height. Physical function measures included grip strength, knee extension strength, usual walking speed, and walking parameters (stride, step length, width, walking angles). Blood samples were obtained to analyze levels of albumin, triglycerides, cholesterol, hemoglobin A1c, leptin, cystatin C, vitamin D, interleukin-6, and high-sensitivity C-reactive protein., RESULTS: Significant between-group x time interactions were observed in usual walking speed (P = .012), stride (P = .004), right step length (P = .003), average number of steps (P = .029), and vitamin D (P < .001). Compared to the HE group, the Ex + N intervention significantly decreased total body fat mass (P = .036) and increased stride (P = .038) and vitamin D (P < .001). Significant reductions in trunk fat were observed in the Ex group compared with HE (P = .014). The Ex + N and Ex interventions were over four times as likely (odds ratio [95% confidence interval]) to reduce body fat mass than the HE group (4.42 [1.21-16.19]; 4.50 [1.13-17.9], respectively). Significant odds ratios of the Ex + N intervention improving walking speed (3.05 [1.01-9.19]), vitamin D (14.22 [1.64-123.02]), and leptin (3.86 [1.19-12.47]) were also observed., CONCLUSION: Although exercise and nutrition have beneficial effects on individual variables of body composition, blood components, and physical function, improvements in muscle mass and variable combinations such as percent fat + skeletal muscle mass index or percent fat + physical functions were not observed in this population. Further large-scale and long-term investigation is necessary. Copyright © 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jamda.2016.06.016 VL - 17 IS - 11 SP - 1011 EP - 1019 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27544583 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Sarcopenia KW - *Exercise/ph [Physiology] KW - Body Composition/ph [Physiology] KW - *Dietary Supplements KW - Tokyo KW - *Obesity/dh [Diet Therapy] ER - TY - JOUR TI - The use of non-pharmacological interventions for dementia behaviours in care homes: findings from four in-depth, ethnographic case studies. AU - Backhouse, Tamara AU - Killett, Anne AU - Penhale, Bridget AU - Gray, Richard T2 - Age and ageing AB - BACKGROUND: antipsychotic medications have been used to manage behavioural and psychological symptoms of dementia (BPSD). Due to the potential risks associated with these medications for people with dementia, non-pharmacological interventions (NPIs) have been recommended as safer alternatives. However, it is unknown if, or how, these interventions are used in care homes to help people experiencing BPSD., AIM: to explore the use of NPIs in care homes to manage BPSD., METHODS: In-depth, ethnographic case studies were conducted in four care homes; in total, they included interviews with 40 care-home staff and 384 hours of participant observations., FINDINGS: NPIs, some of which are the focus of efficacy research, were used in care homes but predominantly as activities to improve the quality of life of all residents and not identified by staff as meeting individual needs in order to prevent or manage specific behaviours. Socially relevant activities such as offering a cup of tea were used to address behaviours in the moment. Residents with high levels of need experienced barriers to inclusion in the activities., CONCLUSIONS: there is a gap between rhetoric and practice with most NPIs in care homes used as social activities rather than as targeted interventions. If NPIs are to become viable alternatives to antipsychotic medications in care homes, further work is needed to embed them into usual care practices and routines. Training for care-home staff could also enable residents with high needs to gain better access to suitable activities. Copyright © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2016/// PY - 2016 VL - 45 IS - 6 SP - 856 EP - 863 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27543054 KW - Humans KW - Health Knowledge, Attitudes, Practice KW - Treatment Outcome KW - Attitude of Health Personnel KW - Workforce KW - Activities of Daily Living KW - Qualitative Research KW - Quality of Life KW - *Homes for the Aged KW - *Nursing Homes KW - Interviews as Topic KW - Dementia/px [Psychology] KW - Social Behavior KW - *Dementia/th [Therapy] KW - Inservice Training KW - Dementia/di [Diagnosis] KW - Dementia/eh [Ethnology] KW - Anthropology, Cultural KW - Health Personnel/ed [Education] KW - *Behavior Control/mt [Methods] ER - TY - JOUR TI - Strategies for diversity: medical clowns in dementia care - an ethnographic study. AU - Ramgard, Margareta AU - Carlson, Elisabeth AU - Mangrio, Elisabeth T2 - BMC geriatrics AB - BACKGROUND: As nursing homes become increasingly diverse, dementia care needs a wider range of culturally responsive strategies for individual and collective social interactions. While previous studies conclude that medical clowns have positive effects on verbal and non verbal social interactions, research is lacking from the perspective of residents' cultural background. The aim of this study was to identify interaction strategies employed by medical clowns in culturally diverse dementia care settings., METHOD: An ethnographic approach was used and data were collected through observation of interactions between medical clowns and residents with dementia in two nursing homes during a ten week period., RESULTS: The observations showed that the medical clowns interacted with residents by being tuned in and attentive to the residents as individuals with a unique life-history, confirming each person's sense of self. The clowns used sensory triggers, encouragement and confirmation in culturally responsive ways to bond socially with the residents in their personal spaces. The clowns involved objects in the daily environment that were meaningful for the residents, and paid attention to significant places and habits in the past. The clowns further contributed to joint interaction in the common spaces in the nursing homes, using music and drama., CONCLUSION: The strategies employed by medical clowns in activities with older people with dementia appear to support social interaction. The medical clowns used the social and material environment in culturally responsive ways to strengthen individuals' sense of self, while contributing to a sense of togetherness and interaction among residents in the common spaces. Findings suggest that both verbal and non-verbal cultural content affected social interaction. The non-demanding encouraging way the clowns tuned in to the residents as individuals could help nurses and staff members improve ways of communication in social activities inside the nursing home. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0325-z VL - 16 IS - 1 SP - 152 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27539081 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Interpersonal Relations KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Dementia KW - Dementia/th [Therapy] KW - Dementia/px [Psychology] KW - *Culturally Competent Care/mt [Methods] KW - *Ethnopsychology/mt [Methods] KW - Anthropology, Cultural/mt [Methods] KW - Psychological Techniques ER - TY - JOUR TI - Spatial distribution of intestinal parasitic infections in a Kaingang indigenous village from Southern Brazil. AU - Da Silva, Joseane Balan AU - Bossolani, Gleison Daion Piovezana AU - Piva, Camila AU - Dias, Greicy Brisa Malaquias AU - Gomes Ferreira, Jancarlo AU - Rossoni, Diogo Francisco AU - Mota, Lucio Tadeu AU - Toledo, Max Jean Ornelas T2 - International journal of environmental health research AB - The spatial distribution of enteroparasitosis in an indigenous village from Parana was evaluated to identify areas of risk for these infections. A cross-sectional study (from November 2010 to June 2011) was performed using Three Faecal Test() and Kato & Katz method and a questionnaire on housing and hygiene conditions was administered. Local geostatistical analyses were performed to determine the spatial distribution of intestinal parasitic infections. The overall prevalence of enteroparasites was 67.2 % (457/680), and the most prevalent taxa were Ascaris lumbricoides (48.8 %) and Trichuris trichiura (44.7 %). The prevalence of heavy infection by soil-transmitted helminths was 3.6 % and the families lived in houses with an average of 5.1 residents and < 2 bedrooms per household. The average number of species per individual present spatial heterogeneity with the highest values (>=0.8) in areas with high clustering of residences. The visualization of the spatial distribution of intestinal parasites in this indigenous village is an important contribution to determining health risk areas and planning decisions and services. DA - 2016/// PY - 2016 DO - 10.1080/09603123.2016.1217312 VL - 26 IS - 5-6 SP - 578 EP - 88 J2 - Int J Environ Health Res SN - 1369-1619 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27538355 KW - Adolescent KW - Adult KW - Humans KW - Young Adult KW - Child KW - Aged KW - Aged, 80 and over KW - Child, Preschool KW - Middle Aged KW - Prevalence KW - Cross-Sectional Studies KW - Brazil/ep [Epidemiology] KW - Infant KW - Infant, Newborn KW - *Housing/st [Standards] KW - Spatial Analysis KW - Rural Population/sn [Statistics & Numerical Data] KW - *Helminthiasis/ep [Epidemiology] KW - *Hygiene/st [Standards] KW - *Intestinal Diseases, Parasitic/ep [Epidemiology] KW - Helminthiasis/ps [Parasitology] KW - Indians, South American/sn [Statistics & Numerical Data] KW - Intestinal Diseases, Parasitic/ps [Parasitology] ER - TY - JOUR TI - Clearing the Air: Smoke-Free Housing Policies, Smoking, and Secondhand Smoke Exposure Among Affordable Housing Residents in Minnesota, 2014-2015. AU - Kingsbury, John H AU - Reckinger, Dawn T2 - Preventing chronic disease AB - INTRODUCTION: During the past 30 years, local and state tobacco use control laws in the United States have helped reduce smoking prevalence and exposure to secondhand smoke, but progress among low socioeconomic populations has been slow. Implementing smoke-free housing policies in affordable housing may help address this issue. The purpose of our study was to assess how such policies affect smoking rates and exposure to secondhand smoke among residents of affordable housing., METHODS: We conducted a pretest-posttest longitudinal study of 180 residents from 8 affordable housing properties in Minnesota. Participating properties agreed to adopt a smoke-free housing policy covering indoor grounds, and 3 of these properties also prohibited smoking on all outdoor grounds. Policies were implemented with assistance from local public health departments and the Statewide Health Improvement Program. Participants completed surveys one month before policy implementation and 6 months postimplementation. Surveys assessed smoking, quit attempts, and indoor and outdoor secondhand smoke exposure., RESULTS: Results indicated a significant reduction in nonsmokers' indoor exposure to secondhand smoke (F1,144 = 22.69, P < .001) and no change in outdoor exposure to secondhand smoke from Time 1 (pretest) to Time 2 (posttest) (F1,140 = 2.17, P = .14). However, when examining sites that only prohibited smoking indoors, we observed an increase in outdoor secondhand smoke exposure that approached significance (F1,118 = 3.76, P = .055). Results showed no change in quit attempts over time, but 77% of residents who smoked at pretest reported reducing the amount that they smoked at posttest, and an additional 5% reported that they had quit., CONCLUSIONS: Smoke-free housing policies may be an effective strategy to reduce exposure to indoor secondhand exposure and promote decreased cigarette smoking among residents of affordable housing. DA - 2016/// PY - 2016 DO - 10.5888/pcd13.160195 VL - 13 IS - 101205018 SP - E111 J2 - Prev Chronic Dis SN - 1545-1151 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27536903 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Longitudinal Studies KW - Minnesota KW - Socioeconomic Factors KW - *Public Housing KW - *Smoke-Free Policy/lj [Legislation & Jurisprudence] KW - *Tobacco Smoke Pollution/lj [Legislation & Jurisprudence] KW - *Smoking/ep [Epidemiology] KW - Tobacco Smoke Pollution/pc [Prevention & Control] ER - TY - JOUR TI - Active aging is associated with low prevalence of depressive symptoms among Brazilian older adults. AU - Galli, Rosangela AU - Moriguchi, Emilio Hideyuki AU - Bruscato, Neide Maria AU - Horta, Rogerio Lessa AU - Pattussi, Marcos Pascoal T2 - Revista brasileira de epidemiologia = Brazilian journal of epidemiology AB - INTRODUCTION: Active aging is the process of optimizing opportunities for health, participation and security, aiming to improve quality of life as people age. A series of studies had demonstrated that a lower prevalence of depression is found among more active elderly., OBJECTIVE: To evaluate the association between indicators of active aging and depressive symptoms among the elderly (aged 60 years or more)., METHOD: A population-based cross-sectional study was conducted with 1,006 elderly people (aged 60 years or over) from a small-sized Brazilian municipality. Depressive symptoms were assessed using the Geriatric Depression Scale - 15, with cutoff point >= 6 symptoms. Active aging was evaluated using indicators such as: active occupational situation, manual work, reading and physical activities. Data analyses used modified Poisson regression to obtain crude and adjusted prevalence ratios (PR)., RESULTS: Most of the elderly people were: white, women and aged between 60 and 74 years. All the indicators of active aging were associated with the outcome. After controlling for socioeconomic, demographic and health variables, elderly people who worked, participated in groups, did manual work and maintained interests such as reading and talking to friends had lower prevalence of depressive symptoms compared to those not doing these activities., CONCLUSIONS: Active aging approaches may serve as a valuable mental health promotion strategy aimed at the elderly. DA - 2016/// PY - 2016 DO - 10.1590/1980-5497201600020008 VL - 19 IS - 2 SP - 307 EP - 16 J2 - Rev. bras. epidemiol. SN - 1980-5497 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27532754 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Activities of Daily Living KW - Prevalence KW - *Independent Living KW - Cross-Sectional Studies KW - Brazil/ep [Epidemiology] KW - *Depression/ep [Epidemiology] ER - TY - JOUR TI - Effectiveness of technology use for engaging community dwelling adults with chronic disease in self-care behavior management in health care: a systematic review protocol. AU - Swartwout, Ellen AU - Deyo, Patsy AU - El-Zein, Ashley T2 - JBI database of systematic reviews and implementation reports AB - REVIEW QUESTION/OBJECTIVE: The quantitative objective is to identify the effectiveness of technology use for self-care behavior management and the patient engagement levels in health care.More specifically, the objectives are to identify: 1) the effectiveness of technology use (includes mobile health applications, text messages, telemedicine/video conferences between providers and people with chronic disease, remote monitoring and websites) in health care for engaging community-dwelling adults with chronic disease in self-care management, and 2) the patient engagement levels in health care. DA - 2016/// PY - 2016 DO - 10.11124/JBISRIR-2016-002535 VL - 14 IS - 5 SP - 87 EP - 95 J2 - JBI Database System Rev Implement Rep SN - 2202-4433 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27532466 KW - Adult KW - Humans KW - Systematic Reviews as Topic KW - Delivery of Health Care KW - *Independent Living KW - *Telemedicine KW - *Chronic Disease KW - *Self Care ER - TY - JOUR TI - The impact of transitional care programs on health services utilization among community-dwelling older adults and their caregivers: a systematic review protocol of quantitative evidence. AU - Weeks, Lori E AU - Macdonald, Marilyn AU - Helwig, Melissa AU - Bishop, Andrea AU - Martin-Misener, Ruth AU - Iduye, Damilola T2 - JBI database of systematic reviews and implementation reports AB - REVIEW QUESTION/OBJECTIVE: What is the impact of transitional care programs on health services utilization among community-dwelling older adults and their caregivers? DA - 2016/// PY - 2016 DO - 10.11124/JBISRIR-2016-2568 VL - 14 IS - 3 SP - 26 EP - 34 J2 - JBI Database System Rev Implement Rep SN - 2202-4433 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27532136 KW - Humans KW - Aged KW - Systematic Reviews as Topic KW - *Independent Living KW - *Caregivers KW - *Transitional Care ER - TY - JOUR TI - Perceived resident-facility fit and sense of control in assisted living. AU - Pirhonen, Jari AU - Pietila, Ilkka T2 - Journal of aging studies AB - The concept of resident-facility fit has largely been used to illustrate whether a residential care facility and a resident are together able to meet requirements set by only the hampering functional abilities of the latter. The purpose of this paper is to study how assisted living residents perceive resident-facility fit. The data were gathered ethnographically from both observations and resident interviews in a sheltered home in Finland during 2013-2014. Perceived resident-facility fit is based on several relational factors that connect to both the residents as individuals and their surroundings. This fit seems also to be partly conditional and indeed depends on residents' trust in having their own potential to act. Good resident-facility fit results in feeling at home in a facility, whereas poor fit can even result in residents' feeling imprisoned. Care providers can thus utilize our results to affirm residents' quality of life in residential facilities. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jaging.2016.04.006 VL - 38 IS - 8916517 SP - 47 EP - 56 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27531452 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Assisted Living Facilities KW - Institutionalization KW - *Personal Autonomy KW - Long-Term Care/px [Psychology] ER - TY - JOUR TI - Stakeholder involvement in the design of a patient-centered comparative effectiveness trial of the "On the Move" group exercise program in community-dwelling older adults. AU - Brach, Jennifer S AU - Perera, Subashan AU - Gilmore, Sandra AU - VanSwearingen, Jessie M AU - Brodine, Deborah AU - Wert, David AU - Nadkarni, Neelesh K AU - Ricci, Edmund T2 - Contemporary clinical trials AB - BACKGROUND: Group exercise programs for older adults often exclude the timing and coordination of movement. Stakeholder involvement in the research process is strongly encouraged and improves the relevance and adoption of findings. We describe stakeholder involvement in the design of a clinical trial of a group-based exercise program that incorporates timing and coordination of movement into the exercises., METHODS: The study was a cluster randomized, single-blind intervention trial to compare the effects on function, disability and mobility of a standard group exercise program and the "On the Move" group exercise program in older adults residing in independent living facilities and senior apartment buildings, and attending community centers. Exercise classes were twice weekly for 12weeks delivered by study exercise leaders and facility activity staff personnel., OUTCOMES: The primary outcomes function, disability and mobility were assessed at baseline and post-intervention. Function and disability were assessed using the Late Life Function and Disability Instrument, and mobility using the Six-Minute Walk Test and gait speed., STAKEHOLDERS: Patient and provider stakeholders had significant input into the study aims, design, sample, intervention, outcomes and operational considerations., SUMMARY: A community-based exercise program to improve walking can be developed to address both investigator identified missing components in current exercise to improve walking and stakeholder defined needs and interest for the activity program. Involvement of stakeholders substantially improves the relevance of research questions, increases the transparency of research activities and may accelerate the adoption of research into practice. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.cct.2016.08.003 VL - 50 IS - 101242342 SP - 135 EP - 42 J2 - Contemp Clin Trials SN - 1559-2030 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27521806 KW - Female KW - Humans KW - Male KW - Aged KW - Mobility Limitation KW - Community-Based Participatory Research KW - Single-Blind Method KW - *Exercise KW - Continental Population Groups KW - Walking KW - *Health Promotion/og [Organization & Administration] KW - Disability Evaluation KW - Walking Speed KW - Community Participation KW - *Group Processes ER - TY - JOUR TI - Visual Impairment in Old and Very Old Community-dwelling Asian Adults. AU - Sabanayagam, Charumathi AU - Fenwick, Eva AU - Ong, Peng Guan AU - Tey, Min Li AU - Tapp, Robyn AU - Cheng, Ching-Yu AU - Cheung, Gemmy Chui Ming AU - Aung, Tin AU - Wong, Tien Y AU - Lamoureux, Ecosse T2 - Ophthalmology DA - 2016/// PY - 2016 DO - 10.1016/j.ophtha.2016.06.036 VL - 123 IS - 11 SP - 2436 EP - 2438 J2 - Ophthalmology SN - 1549-4713 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27521169 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - *Independent Living/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - Age Distribution KW - Sex Distribution KW - *Visually Impaired Persons/sn [Statistics & Numerical Data] KW - Ethnic Groups/sn [Statistics & Numerical Data] KW - Singapore/ep [Epidemiology] KW - Eye Diseases/ep [Epidemiology] KW - *Asian Continental Ancestry Group/sn [Statistics & Numerical Data] KW - *Blindness/ep [Epidemiology] KW - *Vision, Low/ep [Epidemiology] ER - TY - JOUR TI - Long-Term Quality of Life after Cardiac and Thoracic Aortic Surgery for Very Elderly Patients 85 Years or Older. AU - Yokose, Shogo AU - Miura, Takashi AU - Hashizume, Koji AU - Hisata, Youichi AU - Hisatomi, Kazuki AU - Tanigawa, Kazuyoshi AU - Eishi, Kiyoyuki T2 - Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia AB - PURPOSE: We evaluated the outcomes of open heart surgery and long-term quality of life for patients 85 years and older., METHODS: We enrolled 46 patients 85 years and older who underwent cardiac and thoracic aortic surgery between May 1999 and November 2012. Long-term assessment was performed for 43 patients; three patients who died in the hospital were excluded. Patient conditions were assessed before surgery, 6 months and 12 months after surgery, and during the late period regarding the need for nursing care, degree of independent living, and living willingness., RESULTS: Three patients (6.5%) died during hospitalization and 22 (51%) died during the follow-up period. The 1-, 3-, 5-year survival rates were 74%, 49%, and 36%. During the late period, of 21 surviving patients, 18 patients (85%) were living at home. The need for nursing care was comparable before and after surgery. The degree of independent living decreased after surgery. Living willingness was similar before and after surgery., CONCLUSION: Among patients 85 years or older who underwent open heart surgery, 85% were living at home. All patients could perform activities of daily living without any assistance while maintaining living willingness. DA - 2016/// PY - 2016 VL - 22 IS - 5 SP - 298 EP - 303 J2 - Ann Thorac Cardiovasc Surg SN - 2186-1005 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27507106 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Independent Living KW - Activities of Daily Living KW - Retrospective Studies KW - Time Factors KW - *Quality of Life KW - Age Factors KW - Geriatric Assessment KW - Vascular Surgical Procedures/ae [Adverse Effects] KW - Vascular Surgical Procedures/mo [Mortality] KW - Kaplan-Meier Estimate KW - *Aorta, Thoracic/su [Surgery] KW - *Cardiac Surgical Procedures KW - *Vascular Surgical Procedures KW - Cardiac Surgical Procedures/ae [Adverse Effects] KW - Cardiac Surgical Procedures/mo [Mortality] ER - TY - JOUR TI - Fall Prevention in a Primary Care Setting. AU - Siegrist, Monika AU - Freiberger, Ellen AU - Geilhof, Barbara AU - Salb, Johannes AU - Hentschke, Christian AU - Landendoerfer, Peter AU - Linde, Klause AU - Halle, Martin AU - Blank, Wolfgang A T2 - Deutsches Arzteblatt international AB - BACKGROUND: Falls and fall-related injuries are common in community-dwelling elderly people. Effective multifactorial fall prevention programs in the primary care setting may be a promising approach to reduce the incidence rate of falls., METHODS: In a cluster randomized trial in 33 general practices 378 people living independently and at high risk of falling (65 to 94 years old; 285 women) were allocated to either a 16 week exercise-based fall prevention program including muscle strengthening and challenging balance training exercises, combined with a 12 week home-based exercise program (222 participants), or to usual care (156 participants). The main outcome was number of falls over a period of 12 months. Secondary outcomes were the number of fall-related injuries, physical function (Timed-Up-and-Go-Test, TUG, Chair-Stand-Test, CST, modified Romberg Test), and fear of falling., RESULTS: In the intervention group (n=222 patients in 17 general practices) 291 falls occurred, compared to 367 falls in the usual care group (n=156 patients in 16 general practices). We observed a lower incidence rate for falls in the intervention group (incidence rate ratio/IRR: 0.54; 95% confidence interval (CI): [0.35; 0.84], p=0.007) and for fall-related injuries (IRR: 0.66; [0.42; 0.94], p=0.033). Additionally, patients in the intervention group showed significant improvements in secondary endpoints (TUG: -2.39 s, [-3.91; -0.87], p=0.014; mRomberg: 1.70 s, [0.35; 3.04], p=0.037; fear of falling: -2.28 points, [-3.87; -0.69], p=0.022) compared to usual care., CONCLUSION: A complex falls prevention program in a primary care setting was effective in reducing falls and fall-related injuries in community dwelling older adults at risk. DA - 2016/// PY - 2016 DO - 10.3238/arztebl.2016.0365 VL - 113 IS - 21 SP - 365 EP - 72 J2 - Dtsch. Arztebl. int. SN - 1866-0452 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27504699 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged, 80 and over KW - *Accidental Falls/pc [Prevention & Control] KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Incidence KW - *Exercise Therapy/sn [Statistics & Numerical Data] KW - *Primary Health Care/sn [Statistics & Numerical Data] KW - Exercise Therapy/mt [Methods] KW - Germany/ep [Epidemiology] KW - *Physical Conditioning, Human/sn [Statistics & Numerical Data] KW - Physical Conditioning, Human/mt [Methods] ER - TY - JOUR TI - Potentially inappropriate prescribing in nursing home residents detected with the community pharmacist specific GheOP(3)S-tool. AU - Tommelein, Eline AU - Mehuys, Els AU - Petrovic, Mirko AU - Somers, Annemie AU - Van Damme, Charlotte AU - Pattyn, Eva AU - Mattelin, Kristof AU - Boussery, Koen T2 - International journal of clinical pharmacy AB - Background The Ghent Older People's Prescriptions community Pharmacy Screening (GheOP3S-)tool was recently developed to screen for potentially inappropriate prescribing (PIP). Objective We aimed (1) to determine PIP prevalence in older nursing home (NH) residents with polypharmacy using the GheOP3S-tool and (2) to identify those PIPs that are most frequently detected. Method A cross-sectional study was carried out between February and June 2014 in 10 NHs in Belgium, supplied by a community pharmacy chain. For each NH, 40 residents (>=70 years, using >=5 chronic drugs) were included. PIP prevalence was determined using the GheOP3S-tool. Results 400 NH residents were included [mean age (+/-SD) 86.2 (+/-6.3) years; median number of drugs (+/-IQR) 10 (7-12)]. A total of 1728 PIPs were detected in 387 (97 %) participants (Median 4; IQR 2-6). The most prevalent items can be assigned to three categories: long-term use of central nervous system drugs (i.e. benzodiazepines, antidepressants and antipsychotics), use of anticholinergic drugs (mutual combinations and with underlying constipation/dementia) and underuse of osteoporosis prophylaxis. Conclusion Screening for PIP by means of the GheOP3S-tool revealed a high prevalence of PIP among older NH residents with polypharmacy. This finding urges for initiatives on the patient-level, but also on a broader, institutional level. DA - 2016/// PY - 2016 DO - 10.1007/s11096-016-0366-6 VL - 38 IS - 5 SP - 1063 EP - 8 J2 - Int J Clin Pharm SN - 2210-7711 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27503282 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - Belgium/ep [Epidemiology] KW - Random Allocation KW - *Inappropriate Prescribing/pc [Prevention & Control] KW - *Pharmacies/st [Standards] KW - *Pharmacists/st [Standards] KW - Drug Prescriptions/st [Standards] ER - TY - JOUR TI - Accelerometer Assessment of Physical Activity and Its Association with Physical Function in Older Adults Residing at Assisted Care Facilities. AU - Corcoran, M P AU - Chui, K K H AU - White, D K AU - Reid, K F AU - Kirn, D AU - Nelson, M E AU - Sacheck, J M AU - Folta, S C AU - Fielding, R A T2 - The journal of nutrition, health & aging AB - OBJECTIVES: To describe levels of physical activity among older adults residing at assisted care facilities and their association with physical function., DESIGN: Cross-sectional analysis., SETTING: Assisted care facilities within the greater Boston, MA area., PARTICIPANTS: Older adults aged 65 years and older (N = 65)., MEASUREMENTS: Physical Activity Level (PAL) as defined by quartiles from accelerometry (counts and steps), Short Physical Performance Battery (SPPB) Score, gait speed, and handgrip strength., RESULTS: Participants in the most active accelerometry quartile engaged in 25 minutes/week of moderate to vigorous physical activity (MVPA) and walked 2,150 steps/day. These individuals had an SPPB score, 400 meter walk speed, and handgrip strength that was 3.7-3.9 points, 0.3-0.4 meters/second, and 4.5-5.1 kg greater respectively, than individuals in the lowest activity quartile, who engaged in less than 5 min/wk of MVPA or took fewer than 460 steps/day., CONCLUSION: Despite engaging in physical activity levels far below current recommendations (150 min/week of MVPA or > 7000 steps/day), the most active older adults in this study exhibited clinically significant differences in physical function relative to their less active peers. While the direction of causality cannot be determined from this cross-sectional study, these findings suggest a strong association between PAL and physical function among older adults residing in an assisted care facility. DA - 2016/// PY - 2016 DO - 10.1007/s12603-015-0640-7 VL - 20 IS - 7 SP - 752 EP - 8 J2 - J Nutr Health Aging SN - 1760-4788 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27499309 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cross-Sectional Studies KW - Assisted Living Facilities KW - Hand Strength/ph [Physiology] KW - *Exercise/ph [Physiology] KW - Walking/ph [Physiology] KW - *Physical Fitness/ph [Physiology] KW - *Accelerometry KW - Boston ER - TY - JOUR TI - Blood pressure and all-cause mortality: a prospective study of nursing home residents. AU - Radholm, Karin AU - Festin, Karin AU - Falk, Magnus AU - Midlov, Patrik AU - Molstad, Sigvard AU - Ostgren, Carl Johan T2 - Age and ageing AB - AIM: to explore the natural course of blood pressure development and its relation to mortality in a nursing home cohort., METHODS: a cohort of 406 nursing home residents in south east Sweden was followed prospectively for 30 months. Participants were divided into four groups based on systolic blood pressure (SBP) at baseline. Data were analysed using a Cox regression model with all-cause mortality as the outcome measurement; paired Student t-tests were used to evaluate blood pressure development over time., RESULTS: during follow-up, 174 (43%) people died. Participants with SBP < 120 mmHg had a hazard ratio for mortality of 1.56 (95% confidence interval, 1.08-2.27) compared with those with SBP 120-139 mmHg, adjusted for age and sex. Risk of malnutrition or present malnutrition was most common in participants with SBP < 120 mmHg; risk of malnutrition or present malnutrition estimated using the Mini Nutritional Assessment was found in 78 (71%). The levels of SBP decreased over time independent of changes in anti-hypertensive medication., CONCLUSIONS: in this cohort of nursing home residents, low SBP was associated with increased all-cause mortality. SBP decreased over time; this was not associated with altered anti-hypertensive treatment. The clinical implication from this study is that there is a need for systematic drug reviews in elderly persons in nursing homes, paying special attention to those with low SBP. Copyright © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2016/// PY - 2016 VL - 45 IS - 6 SP - 826 EP - 832 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27496923 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Time Factors KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment/mt [Methods] KW - Age Factors KW - Prospective Studies KW - Comorbidity KW - Nutrition Assessment KW - Nutritional Status KW - Cause of Death KW - Proportional Hazards Models KW - Sweden/ep [Epidemiology] KW - Linear Models KW - Malnutrition/pp [Physiopathology] KW - Hypertension/di [Diagnosis] KW - Hypertension/pp [Physiopathology] KW - *Hypertension/mo [Mortality] KW - Chi-Square Distribution KW - Weight Loss KW - Antihypertensive Agents/tu [Therapeutic Use] KW - Blood Pressure/de [Drug Effects] KW - *Blood Pressure KW - Hypertension/dt [Drug Therapy] KW - Hypotension/di [Diagnosis] KW - Hypotension/pp [Physiopathology] KW - *Hypotension/mo [Mortality] KW - Hypotension/dt [Drug Therapy] KW - Malnutrition/mo [Mortality] ER - TY - JOUR TI - Association of depression and psychotropic medication on cardiac-related outcomes in a nationwide community-dwelling elderly population in Taiwan. AU - Hsu, Wen-Yu AU - Tsai, Hui-Ju AU - Yu, Shu-Han AU - Hsu, Chih-Cheng AU - Tsai, Yu-Ting AU - Tzeng, Han-Yun AU - Lin, I-Ching AU - Liu, Kiang AU - Lee, Marion M AU - Chiu, Nan-Ying AU - Hsiung, Chao A T2 - Medicine AB - The objective of this study was to examine the association of depression, psychotropic medications, and mental illness with cardiovascular disease in a nationwide community-dwelling elderly population in Taiwan. A total of 5664 participants who enrolled in the Healthy Aging Longitudinal Study in Taiwan (HALST) were included in the study. Multiple logistic regression was applied to investigate the association of depression, psychotropic medication use, and mental illness, separately, with cardiovascular disease. The results suggested that cardiovascular disease was significantly associated with various definitions of depression, including: the Center for Epidemiologic Studies-Depression scale (CES-D) >= 16, self-reported, and physician-diagnosed for depression (adjusted odds ratio [AOR] = 1.51; 95% confidence interval (CI): 1.14-2.00 for CES-D; AOR = 3.29; 95% CI: 1.99-5.42 for self-reported; and AOR = 2.45; 95% CI: 1.51-3.97 for physician-diagnosed). Additionally, significant associations of cardiovascular disease with the use of antipsychotics (AOR = 2.04; 95% CI: 1.25-3.34), benzodiazepines (BZDs) (AOR = 1.84; 95% CI: 1.52-2.21), and Z-drugs (AOR = 1.41; 95% CI: 1.03-1.93), respectively, were also observed, but not the use of antidepressants. In addition, a significant association of cardiovascular disease with mental illness was found in this study (AOR = 2.33; 95% CI: 1.68-3.24). In line with previous reports, these findings provided supportive evidence that depression and/or mental illness were significantly associated with cardiovascular disease in a community-dwelling elderly population in Taiwan. Moreover, significant associations of cardiovascular disease with the use of antipsychotics, BZDs, and Z-drugs, individually, were found. Further investigation would be of importance to clarify the causal relationship of depression and/or psychotropic medications with cardiovascular disease, especially among elderly populations. DA - 2016/// PY - 2016 DO - 10.1097/MD.0000000000004419 VL - 95 IS - 31 SP - e4419 J2 - Medicine (Baltimore) SN - 1536-5964 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27495061 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Risk Assessment KW - Logistic Models KW - Taiwan/ep [Epidemiology] KW - *Cardiovascular Diseases/ep [Epidemiology] KW - Longitudinal Studies KW - Comorbidity KW - *Independent Living/px [Psychology] KW - Geriatric Assessment KW - *Psychotropic Drugs/tu [Therapeutic Use] KW - Incidence KW - Age Distribution KW - Sex Distribution KW - Prognosis KW - Multivariate Analysis KW - *Depressive Disorder/ep [Epidemiology] KW - Cardiovascular Diseases/di [Diagnosis] KW - Psychotropic Drugs/ae [Adverse Effects] KW - Depressive Disorder/di [Diagnosis] KW - *Depressive Disorder/dt [Drug Therapy] ER - TY - JOUR TI - Prevalence and impact of Clostridium difficile infection in elderly residents of long-term care facilities, 2011: A nationwide study. AU - Ziakas, Panayiotis D AU - Joyce, Nina AU - Zacharioudakis, Ioannis M AU - Zervou, Fainareti N AU - Besdine, Richard W AU - Mor, Vincent AU - Mylonakis, Eleftherios T2 - Medicine AB - The elderly population is particularly vulnerable to Clostridium difficile infection (CDI), but the epidemiology of CDI in long-term care facilities (LTCFs) is unknown.We performed a retrospective cohort study and used US 2011 LTCF resident data from the Minimum Data Set 3.0 linked to Medicare claims. We extracted CDI cases based on International Classification of Diseases-9 coding, and compared residents with the diagnosis of CDI to those who did not have a CDI diagnosis during their LTCF stay. We estimated CDI prevalence rates and calculated 3-month mortality rates.The study population consisted of 2,190,613 admissions (median age 82 years; interquartile range 76-88; female to male ratio 2:1; >80% whites), 45,500 of whom had a CDI diagnosis. The nationwide CDI prevalence rate was 1.85 per 100 LTCF admissions (95% confidence interval [CI] 1.83-1.87). The CDI rate was lower in the South (1.54%; 95% CI 1.51-1.57) and higher in the Northeast (2.29%; 95% CI 2.25-2.33). Older age, white race, presence of a feeding tube, unhealed pressure ulcers, end-stage renal disease, cirrhosis, bowel incontinence, prior tracheostomy, chemotherapy, and chronic obstructive pulmonary disease were independently related to "high risk" for CDI. Residents with a CDI diagnosis were more likely to be admitted to an acute care hospital (40% vs 31%, P < 0.001) and less likely to be discharged to the community (46% vs 54%, P < 0.001) than those not reported with CDI during stay. Importantly, CDI was associated with higher mortality (24.7% vs 18.1%, P = 0.001).CDI is common among the elderly residents of LTCFs and is associated with significant increase in 3-month mortality. The prevalence is higher in the Northeast and risk stratification can be used in CDI prevention policies. DA - 2016/// PY - 2016 DO - 10.1097/MD.0000000000004187 VL - 95 IS - 31 SP - e4187 J2 - Medicine (Baltimore) SN - 1536-5964 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27495022 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Prevalence KW - Retrospective Studies KW - Cohort Studies KW - United States/ep [Epidemiology] KW - *Homes for the Aged KW - *Nursing Homes KW - Survival Rate KW - Geriatric Assessment KW - Prognosis KW - Hospitalization/sn [Statistics & Numerical Data] KW - Vulnerable Populations KW - Medicare KW - *Clostridium difficile/ip [Isolation & Purification] KW - Clostridium Infections/di [Diagnosis] KW - *Clostridium Infections/ep [Epidemiology] ER - TY - JOUR TI - Place-making with older persons: Establishing sense-of-place through participatory community mapping workshops. AU - Fang, Mei Lan AU - Woolrych, Ryan AU - Sixsmith, Judith AU - Canham, Sarah AU - Battersby, Lupin AU - Sixsmith, Andrew T2 - Social science & medicine (1982) AB - Principles of aging-in-place emphasize the importance of creating sustainable environments that enable older people to maintain a sense of belonging, autonomy, independence, safety and security. Simply altering the built environment is insufficient for creating more inclusive environments for older persons, as creating 'meaningful' places for aging involves consideration of psychosocial and cultural issues that go beyond issues of physical space. This paper illustrates how applications of community-based participatory research methods, in particular, participatory community mapping workshops (PCMWs), can be used to access experiences of place, identify facilitators and barriers to accessing the built environment and co-create place-based solutions among older people and service providers in a new affordable housing development in Western Canada. Founded on tenets of empowerment and relationship building, four PCMWs were undertaken with 54 participants (N = 38 older people; N = 16 local service providers). PCMWs comprised (i) experiential group walks around the community to access understandings of place and community and (ii) mapping exercises, whereby participants articulated their place-based needs within the context of the new affordable housing development and surrounding neighbourhood. Dialogues were digitally recorded, transcribed and thematically analysed. Visual data, including photographs taken during experiential group walks were categorized and integrated into the narrative to illustrate place meanings. PCMWs enabled senior housing and social care professionals and decision-makers to co-construct knowledge with older tenants that facilitated place action and change. Key themes identified by participants included: identifying services and needs for health and wellbeing, having opportunities for social participation and overcoming cross-cultural challenges. PCMWs were found to be a nuanced method of identifying needs and resources and generating knowledge. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.socscimed.2016.07.007 VL - 168 IS - ut9, 8303205 SP - 223 EP - 229 J2 - Soc Sci Med SN - 1873-5347 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27492575 KW - Humans KW - Aged KW - Aged, 80 and over KW - Residence Characteristics KW - Qualitative Research KW - Community-Based Participatory Research KW - *Independent Living/px [Psychology] KW - Environment KW - *Community Participation/px [Psychology] KW - Leisure Activities/px [Psychology] KW - *Education/mt [Methods] KW - *Geographic Mapping ER - TY - JOUR TI - New Initiation of Long-Acting Opioids in Long-Stay Nursing Home Residents. AU - Pimentel, Camilla B AU - Gurwitz, Jerry H AU - Tjia, Jennifer AU - Hume, Anne L AU - Lapane, Kate L T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To estimate the prevalence of new initiation of long-acting opioids since introduction of national efforts to increase prescriber and public awareness on safe use of transdermal fentanyl patches., DESIGN: Cross-sectional., SETTING: U.S. nursing homes (NHs)., PARTICIPANTS: Medicare-enrolled long-stay NH residents (N = 22,253)., MEASUREMENTS: Minimum Data Set 3.0 was linked with Medicare enrollment, hospital claims, and prescription drug transaction data (January-December 2011) and used to determine the prevalence of new initiation of a long-acting opioid prescribed to residents in NHs., RESULTS: Of NH residents prescribed a long-acting opioid within 30 days of NH admission (n = 12,278), 9.4% (95% confidence interval = 8.9-9.9%) lacked a prescription drug claim for a short-acting opioid in the previous 60 days. The most common initial prescriptions of long-acting opioids were fentanyl patch (51.9% of opioid-naive NH residents), morphine sulfate (28.1%), and oxycodone (17.2%)., CONCLUSION: New initiation of long-acting opioids-especially fentanyl patches, which have been the subject of safety communications-persists in NHs. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/jgs.14306 VL - 64 IS - 9 SP - 1772 EP - 8 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27487158 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - Dose-Response Relationship, Drug KW - Long-Term Care KW - Rhode Island KW - Drug Utilization/sn [Statistics & Numerical Data] KW - Delayed-Action Preparations KW - Analgesics, Opioid/ae [Adverse Effects] KW - Practice Patterns, Physicians'/td [Trends] KW - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] KW - *Analgesics, Opioid/ad [Administration & Dosage] KW - *Chronic Pain/dt [Drug Therapy] KW - *Fentanyl/ad [Administration & Dosage] KW - *Fentanyl/ae [Adverse Effects] KW - *Morphine/ad [Administration & Dosage] KW - *Oxycodone/ad [Administration & Dosage] KW - Administration, Cutaneous KW - Buprenorphine/ad [Administration & Dosage] KW - Buprenorphine/ae [Adverse Effects] KW - Morphine/ae [Adverse Effects] KW - Oxycodone/ae [Adverse Effects] KW - Oxymorphone/ad [Administration & Dosage] KW - Oxymorphone/ae [Adverse Effects] KW - Tramadol/ad [Administration & Dosage] KW - Tramadol/ae [Adverse Effects] ER - TY - JOUR TI - Social Isolation and Physical Barriers in the Houses of Stroke Survivors in Rural China. AU - Zhang, Lifang AU - Yan, Tiebin AU - You, Liming AU - Li, Kun AU - Gao, Yan T2 - Archives of physical medicine and rehabilitation AB - OBJECTIVE: To describe the home barriers and social isolation of stroke survivors in the rural areas of China and to explore which home barriers are associated with social isolation., DESIGN: Cross-sectional survey., SETTING: Structured interviews and observation in the participants' homes., PARTICIPANTS: Community-dwelling stroke survivors in the rural areas of China (N=818)., INTERVENTIONS: Not applicable., MAIN OUTCOME MEASURES: Physical barriers in rural homes were surveyed using a home fall hazards assessment. Social isolation was identified if >=2 of the following indicators were observed: low frequency of getting out of the home, lacking leisure activities, and living alone in the previous 3 months., RESULTS: The prevalence rates of 18 among 30 home barriers were >20%, and the highest was 93% (lack of handrails in the bathroom). The prevalence of social isolation was 30%. Three home barriers were independently related to social isolation. These were a distant toilet (odds ratio [OR], 2.363; 95% confidence interval [CI], 1.527-3.658; P<.001), unsuitable seating (OR, 1.571; 95% CI, 1.026-2.404; P=.038), and inaccessible light switches (OR, 1.572; 95% CI, 1.064-2.324; P=.023)., CONCLUSIONS: Many barriers exist in the houses of stroke survivors in rural China. Some of them are related to social isolation. Eliminating or decreasing home barriers could be a feasible and effective approach to reducing social isolation. Copyright A© 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.apmr.2016.07.007 VL - 97 IS - 12 SP - 2054 EP - 2060 J2 - Arch Phys Med Rehabil SN - 1532-821X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27485365 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Activities of Daily Living KW - Mobility Limitation KW - Quality of Life KW - Cross-Sectional Studies KW - *Rural Population/sn [Statistics & Numerical Data] KW - Residence Characteristics/sn [Statistics & Numerical Data] KW - *Housing/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Interviews as Topic KW - China KW - *Stroke/px [Psychology] KW - Survivors/px [Psychology] KW - Self Care KW - *Stroke/ep [Epidemiology] KW - *Social Isolation/px [Psychology] KW - Architectural Accessibility/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Intention to Use Long-Term Care Facilities: Differences beween Korean Pre-elderly and Korean Baby-boomers. AU - Hong, Michin AU - Hong, Seunghye AU - Kim, Mee Hye AU - Yi, Eun Hye T2 - Journal of cross-cultural gerontology AB - With the rapidly increasing number of older adults, dealing with long-term care (LTC) needs becomes an emerging issue in South Korea. This study aims to examine factors affecting the intention to use longtermcare facilities with two groups of young-old adults: (1) Korean pre-elderly (KPE) and (2) Korean babyboomers (KBB). Guided by Andersen's behavioral model of health service use and prior research, predisposing characters, enabling resources, need factors, availabilities of informal care and self-care activities were used as predictors. In the final analyses, 803 KPE and 966 KBB were included. The results of logistic regression analyses showed different findings in two groups. Age, education, spouse's physicalhealth, and self-care activities for relationship with family and friends are significantly associated with intention to use LTC facilities among KPE. However, income, physical health of respondents, and relationship satisfaction with children are significantly related to intention of use LTC facilities in the group of KBB. This study suggests different LTC needs between KPE and KBB. Health care professionals and policy makers need to consider such differences to provide quality LTC care for them. DA - 2016/// PY - 2016 VL - 31 IS - 4 SP - 357 EP - 368 J2 - J Cross Cult Gerontol SN - 1573-0719 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27484325 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Logistic Models KW - Cross-Sectional Studies KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Long-Term Care/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Interviews as Topic KW - Republic of Korea KW - Multivariate Analysis KW - Attitude to Health KW - *Asian Continental Ancestry Group/px [Psychology] KW - *Intention KW - Aged/px [Psychology] ER - TY - JOUR TI - Feasibility of nurses measuring gait speed in older community-dwelling Emergency Department patients. AU - Tucker, Paula W AU - Evans, Dian Dowling AU - Clevenger, Carolyn K AU - Ardisson, Michelle AU - Hwang, Ula T2 - Geriatric nursing (New York, N.Y.) AB - Gait speed assessment is a rapid, simple and objective measure for predicting risk of unfavorable outcomes which may provide better prognostic and reliable information than existing geriatric ED (Emergency Department) screening tools. This descriptive pilot project was designed to determine feasibility of implementing gait speed screening into routine nursing practice by objectively identifying patients with sub-optimal gait speeds. Participants included community-dwelling adults 65 years and older with plans for discharge following ED treatment. Patients with a gait speed <1.0 m/s were identified as "high-risk" for an adverse event, and referred to the ED social worker for individualized resources prior to discharge. Thirty-five patients were screened and nurse initiated gait speed screens were completed 60% of the time. This project demonstrates ED gait speed screening may be feasible. Implications for practice should consider incorporating gait speed screening into routine nursing assessment to improve provider ED decision-making and disposition planning. Copyright Published by Elsevier Inc. DA - 2016/// PY - 2016 DO - 10.1016/j.gerinurse.2016.06.015 VL - 37 IS - 6 SP - 453 EP - 457 J2 - Geriatr Nurs SN - 1528-3984 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27477084 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Aging/ph [Physiology] KW - Feasibility Studies KW - Patient Discharge KW - Pilot Projects KW - *Mobility Limitation KW - *Emergency Service, Hospital KW - *Gait/ph [Physiology] KW - *Nursing Assessment/mt [Methods] KW - Geriatrics ER - TY - JOUR TI - Prevalence of halitosis in elderly living in nursing homes. AU - Zellmer, M AU - Gahnberg, L AU - Ramberg, P T2 - International journal of dental hygiene AB - OBJECTIVES: Halitosis is a concern for many people, but has sparsely been studied in elderly living in nursing homes. The aim of this investigation was to study the prevalence of halitosis in this particular group and factors that could be associated with this condition., METHOD AND MATERIALS: One hundred and twenty-four residents at three different nursing homes were included in the study. The level of halitosis was assessed using an organoleptic method based on a 6-graded scale. Oral status, including registrations of plaque, gingivitis and assessment of hyposalivation, was performed by two investigators who both examined all patients. Medical history, that is medication, neurological conditions, diabetes, cardiovascular disease, chronic obstructive pulmonary disease (COPD)/asthma, dementia and mental illness, was obtained from the patient files. Registrations of the use of oral hygiene aids, ADL (Activity of Daily Life) and the frequency of contact with dental services were included in the clinical examination., RESULTS: Halitosis occurred in over 50% of residents living in nursing homes and was found to be associated with the presence of hyposalivation, periodontal disease, calculus, fixed prosthodontics and dementia., CONCLUSION: Halitosis was a common finding in the elderly living in Swedish nursing homes. Copyright © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/idh.12236 VL - 14 IS - 4 SP - 295 EP - 300 J2 - Int. j. dent. hyg. SN - 1601-5037 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27476817 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Halitosis/ep [Epidemiology] KW - Halitosis/di [Diagnosis] KW - Halitosis/et [Etiology] KW - Mouth Diseases/ep [Epidemiology] KW - Tooth Diseases/ep [Epidemiology] ER - TY - JOUR TI - Quality of life assessments in nursing homes revealed a tendency of proxies to moderate patients' self-reports. AU - Leontjevas, Ruslan AU - Teerenstra, Steven AU - Smalbrugge, Martin AU - Koopmans, Raymond T C M AU - Gerritsen, Debby L T2 - Journal of clinical epidemiology AB - OBJECTIVE: Research into different patient populations suggests that, on average, proxies report poorer health-related quality of life (HRQoL) compared to self-reports. We aimed to investigate whether the difference between proxy reports and self-reports (interrater gap) varies across the whole range of self-reports from low to high HRQoL scores., STUDY DESIGN AND SETTING: A cross-sectional study in 16 Dutch nursing home (NH) dementia special care (DSC) units (n = 256) and 17 somatic units (n = 326). Professional carers, blinded to self-reports, provided EuroQol-5D scores from two perspectives: their own perspective (proxy-proxy) of the patients' HRQoL and the estimation of the patient's view (proxy-patient)., RESULTS: The interrater gap varied linearly in both DSC and somatic patients from proxy scores overestimating low self-reports to proxy scores underestimating high self-reports. This attenuation tendency existed for both proxy-proxy and proxy-patient perspectives. The interrater gap tended to be smaller for the proxy-patient perspective., CONCLUSIONS: Proxies (professional carers) tend to attenuate self-reports in NH patients with and without dementia toward moderate scores rather than report systematically poorer HRQoL. A proxy-patient perspective may be preferable to a proxy-proxy perspective for the purpose of estimating self-reports. Further research into other populations is needed to understand whether the attenuation tendency is a general phenomenon. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jclinepi.2016.07.009 VL - 80 IS - jce, 8801383 SP - 123 EP - 133 J2 - J Clin Epidemiol SN - 1878-5921 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27475879 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - *Caregivers/px [Psychology] KW - Cross-Sectional Studies KW - *Quality of Life/px [Psychology] KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment/mt [Methods] KW - *Self Report KW - *Geriatric Assessment/sn [Statistics & Numerical Data] KW - Netherlands KW - Caregivers/sn [Statistics & Numerical Data] KW - Proxy/px [Psychology] KW - Proxy/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Proposal for a New Predictive Scale for Recurrent Risk of Fall in a Cohort of Community-Dwelling Patients with Stroke. AU - Pinto, Elen Beatriz AU - Nascimento, Carla AU - Monteiro, Maiana AU - Castro, Mayra AU - Maso, Iara AU - Campos, Adriana AU - Marinho, Camila AU - Barreto-Neto, Nestor J AU - Lopes, Antonio A AU - Jesus, Pedro A P AU - Oliveira-Filho, Jamary T2 - Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association AB - OBJECTIVES: This study aimed to determine risk factors related to the occurrence of falls in stroke patients and to propose a new predictive scale for falls., METHODS: Demographic and clinical data were collected and the following scales were applied: Barthel Index, Timed Up and Go Test (TUG), and National Institutes of Health Stroke Scale (NIHSS). Subjects were followed prospectively for 2 years for the occurrence of recurrent (>=2) falls. Kaplan-Meier curves were constructed and univariable associations were tested using log-rank test. Two separate multivariable models were then used: the first used Cox proportional hazards regression and the second used Poisson regression. In each model, significant associations were considered present with a P value less than .05., RESULTS: We evaluated 150 individuals and the final analysis included 131 patients; the average age of the patients was 55.8 +/- 13 years, 52% were women, and the median NIHSS score was 2 (interquartile range = 1-5). Falls occurred in 17% of patients, with a median of 23 months of follow-up (interquartile range = 16-26 months). In the multivariable Cox regression model, only TUG quartile, female gender, and posterior circulation territory involvement remained significant predictors of recurrent falls. We used the predictors from the Cox regression model to propose a new recurrent fall risk scale. The area under the receiver operating characteristic curve was 73%, 95% confidence interval = 62%-83%, P = .001, with 81.3% sensitivity and 41.8% specificity., CONCLUSIONS: The new predictive scale for recurrent risk (including TUG, posterior circulation territory involvement, and female gender) is presented as an instrument for monitoring the risk of recurrent falls. Copyright © 2016 National Stroke Association. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jstrokecerebrovasdis.2016.06.045 VL - 25 IS - 11 SP - 2619 EP - 2626 J2 - J STROKE CEREBROVASC DIS SN - 1532-8511 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27475520 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Middle Aged KW - Risk Assessment KW - Health Status KW - *Independent Living KW - Time Factors KW - Stroke/pp [Physiopathology] KW - Sex Factors KW - Prospective Studies KW - Area Under Curve KW - ROC Curve KW - Severity of Illness Index KW - *Accidental Falls KW - *Health Status Indicators KW - Disability Evaluation KW - Proportional Hazards Models KW - Prognosis KW - Multivariate Analysis KW - Predictive Value of Tests KW - *Stroke/di [Diagnosis] KW - Recurrence KW - Stroke/co [Complications] KW - Kaplan-Meier Estimate ER - TY - JOUR TI - The association between indicators of health and housing in people with Parkinson's disease. AU - Nilsson, Maria H AU - Ullen, Susann AU - Ekstrom, Henrik AU - Iwarsson, Susanne T2 - BMC geriatrics AB - BACKGROUND: There are knowledge gaps about the life situation for people ageing with Parkinson's disease (PD), with virtually no understanding of home and health dynamics. Therefore, the aim of the present study was to explore the association between aspects of health and objective as well as perceived housing in people with PD., METHODS: Participants were recruited from three hospitals in the region of Skane in southern Sweden. The sample for the present study included 231 (62 % men) participants with PD, with a mean age of 75 (min-max, 45-93) years. The data collection procedure included a self-administered postal survey and a subsequent home visit where structured interviews, observations and clinical assessments were administered. To study the association between aspects of health and housing canonical correlation was applied. Twelve variables (6 in the health and 6 in the housing set) were included. This corresponds to about 20 individuals per variable and is considered sufficient to accurately interpret the largest (i.e., first) canonical correlation., RESULTS: The analysis between the health variables and housing variables set yielded two significant pairs of variates with the canonical correlations 0.68 (p < 0.0001) and 0.33 (p = 0.0112), respectively. For the first pair of variates the canonical R(2) was 0.46. The results showed that external control beliefs and behavioral aspects of meaning of home contributed the most to the housing variate, whereas difficulties/dependence in activities of daily living (ADL) and functional limitations contributed the most to the health variate. Although a significant relationship was found for the second canonical correlation, the shared variance between the two variates was considerably lower; R(2) = 0.11., CONCLUSIONS: This study suggests that people with PD who have more functional limitations, difficulties in ADL and are more dependent perceive their homes as less meaningful from a behavioral perspective. Moreover, they tend to rely on external influences managing their housing situation. With this kind of knowledge at hand, health care and social services professionals are in a better position to observe and efficiently address problems related to health and housing among people with PD. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0319-x VL - 16 IS - 100968548 SP - 146 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27465680 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - *Quality of Life KW - *Aging KW - Independent Living/sn [Statistics & Numerical Data] KW - *Parkinson Disease KW - Parkinson Disease/ep [Epidemiology] KW - *Housing/sn [Statistics & Numerical Data] KW - Aging/ph [Physiology] KW - Independent Living/px [Psychology] KW - *Health Status Indicators KW - Sweden/ep [Epidemiology] KW - Health Status Disparities KW - Aging/px [Psychology] KW - Activities of Daily Living/px [Psychology] KW - House Calls KW - Statistics as Topic KW - Parkinson Disease/di [Diagnosis] KW - Parkinson Disease/pp [Physiopathology] KW - Parkinson Disease/px [Psychology] ER - TY - JOUR TI - Arthritis and associated limitations in community-dwelling Canadians living with stroke. AU - Patterson, Kara K AU - Sibley, Kathryn M T2 - BMC neurology AB - BACKGROUND: Residual impairments and gait deviations post-stroke may lead to secondary musculoskeletal complications such as arthritis. This study explored the prevalence of arthritis and associated functional limitations in community-dwelling Canadians with and without stroke., METHODS: Secondary analysis of the Canadian Community Health Survey; a population-based, cross-sectional survey conducted by Statistics Canada in 2011 and 2012. Respondents >50 years old who reported a stroke diagnosis (n = 1892) were age- and gender-matched with controls randomly selected from survey respondents who did not report a stroke (n = 1892). Stroke and control groups were compared on presence of arthritis (yes/no) and secondary variables including pain, perceived health and assistance required (5 point scales) using the Rao-Scott X(2) test. Within the stroke group, logistic regression was used to investigate the effect of arthritis on life satisfaction, pain limiting activities and perceived health with age, gender, BMI, comorbidities and socioeconomic status used as covariates in the model., RESULTS: A greater proportion of the stroke group (53%) reported arthritis compared to controls (43%). These groups also differed in reports of perceived health and pain. Within the stroke group, those with arthritis were significantly more likely to report pain limiting activities (OR 3.89) and less likely to report satisfaction with life (OR 0.59)., CONCLUSIONS: This preliminary work suggests that arthritis is more prevalent in individuals with stroke compared to individuals without stroke and that this co-morbidity is associated with worse reports of pain and perceived health. A limitation is that it is not possible to determine if the arthritis pre-dated or followed the stroke. This work provides support for a longitudinal investigation of the development of secondary musculoskeletal issues post-stroke. DA - 2016/// PY - 2016 DO - 10.1186/s12883-016-0636-x VL - 16 IS - 100968555 SP - 114 J2 - BMC Neurol SN - 1471-2377 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27456977 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Population Surveillance KW - Activities of Daily Living KW - Prevalence KW - Quality of Life KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Sex Factors KW - Age Factors KW - Comorbidity KW - Body Mass Index KW - Case-Control Studies KW - Personal Satisfaction KW - Canada/ep [Epidemiology] KW - Social Class KW - Attitude to Health KW - Pain/ep [Epidemiology] KW - *Stroke/ep [Epidemiology] KW - *Arthritis/ep [Epidemiology] ER - TY - JOUR TI - Assessing the inhalation cancer risk of particulate matter bound polycyclic aromatic hydrocarbons (PAHs) for the elderly in a retirement community of a mega city in North China. AU - Han, Bin AU - Liu, Yating AU - You, Yan AU - Xu, Jia AU - Zhou, Jian AU - Zhang, Jiefeng AU - Niu, Can AU - Zhang, Nan AU - He, Fei AU - Ding, Xiao AU - Bai, Zhipeng T2 - Environmental science and pollution research international AB - Assessment of the health risks resulting from exposure to ambient polycyclic aromatic hydrocarbons (PAHs) is limited by the lack of environmental exposure data among different subpopulations. To assess the exposure cancer risk of particulate carcinogenic polycyclic aromatic hydrocarbon pollution for the elderly, this study conducted a personal exposure measurement campaign for particulate PAHs in a community of Tianjin, a city in northern China. Personal exposure samples were collected from the elderly in non-heating (August-September, 2009) and heating periods (November-December, 2009), and 12 PAHs individuals were analyzed for risk estimation. Questionnaire and time-activity log were also recorded for each person. The probabilistic risk assessment model was integrated with Toxic Equivalent Factors (TEFs). Considering that the estimation of the applied dose for a given air pollutant is dependent on the inhalation rate, the inhalation rate from both EPA exposure factor book was applied to calculate the carcinogenic risk in this study. Monte Carlo simulation was used as a probabilistic risk assessment model, and risk simulation results indicated that the inhalation-ILCR values for both male and female subjects followed a lognormal distribution with a mean of 4.81 x 10-6 and 4.57 x 10-6, respectively. Furthermore, the 95 % probability lung cancer risks were greater than the USEPA acceptable level of 10-6 for both men and women through the inhalation route, revealing that exposure to PAHs posed an unacceptable potential cancer risk for the elderly in this study. As a result, some measures should be taken to reduce PAHs pollution and the exposure level to decrease the cancer risk for the general population, especially for the elderly. DA - 2016/// PY - 2016 VL - 23 IS - 20 SP - 20194 EP - 20204 J2 - Environ Sci Pollut Res Int SN - 1614-7499 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27443855 KW - Female KW - Humans KW - Male KW - Aged KW - Risk Assessment KW - Surveys and Questionnaires KW - Cities KW - China KW - *Housing for the Elderly KW - Monte Carlo Method KW - Healthy Volunteers KW - *Air Pollutants/an [Analysis] KW - *Inhalation Exposure/an [Analysis] KW - *Lung Neoplasms/ep [Epidemiology] KW - *Particulate Matter/an [Analysis] KW - *Polycyclic Aromatic Hydrocarbons/an [Analysis] KW - Air Pollutants/to [Toxicity] KW - Particulate Matter/to [Toxicity] KW - Polycyclic Aromatic Hydrocarbons/to [Toxicity] KW - Probability ER - TY - JOUR TI - Does left ventricular diastolic dysfunction progress through stages? Insights from a community heart failure study. AU - Banerjee, Prithwish AU - Motiwala, Aamir AU - Mustafa, Hanif Muhammad AU - Gani, Mohammed Akil AU - Fourali, Samih AU - Ali, Danish T2 - International journal of cardiology AB - UNLABELLED: We performed a retrospective pilot study on a group of symptomatic patients attending our community heart failure clinic with left ventricular diastolic dysfunction (LVDD), rising or elevated LV end diastolic pressure, elevated brain natriuretic peptide (BNP), but with no clinical or radiographic evidence of heart failure; a group we hypothesised may be in the pre-HFPEF stage., METHODS: Those with LVEF >45% and LV diastolic dysfunction were included and divided into two groups: E/e' <15 and E/e' >=15 corresponding with rising and raised LVEDP, respectively. Clinical events (deaths and hospital admissions) were compared at 1year and were grouped into all-cause events or cardiovascular events. The total numbers of all-cause and cardiovascular events of the individual groups and the entire cohort were assessed at 1year., RESULTS: Out of 584 screened, 80 patients were included. Thirty five patients had E/e' <15 and 45 had E/e' >=15. At 1year follow-up the 1year all-cause events in the E/e' >=15 group was higher compared to the E/e' <15 group (p=0.03). At 12months, in the entire cohort there were a total of 45 clinical events (39 hospital admissions and 6 deaths) out of which 20 events were cardiovascular., CONCLUSION: Patients in the pre-HFPEF stage had many events and those with elevated E/e' >=15 had a poor 1year outcome. As this was strongly influenced by comorbidities we suggest close monitoring of these patients in dedicated HFPEF clinics along with vigorous management of comorbidities. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.ijcard.2016.07.091 VL - 221 IS - gqw, 8200291 SP - 850 EP - 4 J2 - Int J Cardiol SN - 1874-1754 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27434359 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Retrospective Studies KW - Follow-Up Studies KW - Pilot Projects KW - Independent Living/td [Trends] KW - *Disease Progression KW - Hospitalization/td [Trends] KW - *Heart Failure/di [Diagnosis] KW - *Heart Failure/ep [Epidemiology] KW - *Ventricular Dysfunction, Left/ep [Epidemiology] KW - *Ventricular Dysfunction, Left/di [Diagnosis] KW - Heart Failure/th [Therapy] KW - Ventricular Dysfunction, Left/th [Therapy] ER - TY - JOUR TI - Potentially severe drug-drug interactions among older people and associations in assisted living facilities in Finland: a cross-sectional study. AU - Teramura-Gronblad, Mariko AU - Raivio, Minna AU - Savikko, Niina AU - Muurinen, Seija AU - Soini, Helena AU - Suominen, Merja AU - Pitkala, Kaisu T2 - Scandinavian journal of primary health care AB - OBJECTIVE: This study aims to assess potentially severe class D drug-drug interactions (DDDIs) in residents 65 years or older in assisted living facilities with the use of a Swedish and Finnish drug-drug interaction database (SFINX)., DESIGN: A cross-sectional study of residents in assisted living facilities in Helsinki, Finland., SETTING: A total of 1327 residents were assessed in this study. Drugs were classified according to the Anatomical Therapeutic Chemical (ATC) classification system and DDDIs were coded according to the SFINX., MAIN OUTCOME MEASURES: Prevalence of DDDIs, associated factors and 3-year mortality among residents., RESULTS: Of the participants (mean age was 82.7 years, 78.3% were females), 5.9% (N = 78) are at risk for DDDIs, with a total of 86 interactions. Participants with DDDIs had been prescribed a higher number of drugs (10.8 (SD 3.8) vs. 7.9 (SD 3.7), p < 0.001). A larger proportion of residents with DDDIs suffered from rheumatoid arthritis or osteoarthritis than those not exposed to DDDIs (24.7% vs. 15.4%, p = 0.030). The most frequent DDDIs were related to the concomitant use of potassium with amiloride (N = 12) or spironolactone (N = 12). Carbamazepine (N = 13) and methotrexate (N = 9) treatments were also frequently linked to DDDIs. During the follow-up, no differences in mortality emerged between the participants exposed to DDDIs and the participants not exposed to DDDIs., CONCLUSIONS: Of the residents in assisted living, 5.9% were exposed to DDDIs associated with the use of a higher number of drugs. Physicians should be trained to find safer alternatives to drugs associated with DDDIs. KEY POINTS Potentially severe, class D drug-drug interactions (DDDIs) have been defined in the SFINX database as clinically relevant drug interactions that should be avoided. * Of the residents in assisted living, 5.9% were exposed to DDDIs that were associated with the use of a higher number of drugs. * The most frequent DDDIs were related to the concomitant use of potassium with amiloride or spironolactone. Carbamazepine and methotrexate were also linked to DDDIs. * No difference in mortality was observed between residents exposed to DDDIs and residents not exposed to DDDIs. DA - 2016/// PY - 2016 DO - 10.1080/02813432.2016.1207142 VL - 34 IS - 3 SP - 250 EP - 7 J2 - Scand J Prim Health Care SN - 1502-7724 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27428445 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Health Status KW - Prevalence KW - Cross-Sectional Studies KW - Assisted Living Facilities KW - Comorbidity KW - Databases, Factual KW - Finland/ep [Epidemiology] KW - Mortality KW - Sweden KW - *Drug Interactions KW - *Medication Errors/sn [Statistics & Numerical Data] KW - Chronic Disease/dt [Drug Therapy] ER - TY - JOUR TI - Indoor Staying During Winter Season Makes People More Susceptible to Flu. AU - Acharya, B AU - Thapa, K T2 - Journal of Nepal Health Research Council AB - An infectious diseases caused by RNA virus, the influenza is also commonly known as Flu. It mainly transmitted through air by coughs or sneezes of infected. The symptoms of flu like fever and headache are the result of the huge amounts of proinflammatory cytokines and chemokines (such as interferon or tumor necrosis factor) produced from influenza-infected cells. The activated vitamin has extreme effects on human immunity. Vitamin D prevents too much release of cytokines and chemokines. Staying much time indoor, away from contact of sunlight during winter season lowers the vitamin D level in human body. Thus, the chance of getting flu increases in winter season. Formulation of policy regarding vitamin D supplementation in diet for people such as elderly and with low sunlight exposure is hereby recommended. It will be beneficial to reduce influenza related morbidity and mortality during winter season. DA - 2016/// PY - 2016 VL - 14 IS - 32 SP - 69 EP - 70 J2 - J. Nepal Health Res. Counc. SN - 1999-6217 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27426715 KW - Humans KW - *Housing KW - *Influenza, Human/ep [Epidemiology] KW - Incidence KW - *Seasons KW - Vitamin D/ad [Administration & Dosage] KW - Respiratory Tract Infections/ep [Epidemiology] KW - *Cold Temperature KW - Influenza A virus KW - Nepal/ep [Epidemiology] ER - TY - JOUR TI - Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old. AU - Wauters, Maarten AU - Elseviers, Monique AU - Vaes, Bert AU - Degryse, Jan AU - Dalleur, Olivia AU - Vander Stichele, Robert AU - Christiaens, Thierry AU - Azermai, Majda T2 - British journal of clinical pharmacology AB - AIMS: Little is known about the impact of inappropriate prescribing (IP) in community-dwelling adults, aged 80 years and older. The prevalence at baseline (November 2008September 2009) and impact of IP (misuse and underuse) after 18 months on mortality and hospitalization in a cohort of community-dwelling adults, aged 80 years and older (n = 503) was studied., METHODS: Screening Tool of Older People's Prescriptions (STOPP-2, misuse) and Screening Tool to Alert to Right Treatment (START-2, underuse) criteria were cross-referenced and linked to the medication use (in Anatomical Therapeutic Chemical coding) and clinical problems. Survival analysis until death or first hospitalization was performed at 18 months after inclusion using Kaplan-Meier, with Cox regression to control for covariates., RESULTS: Mean age was 84.4 (range 80-102) years. Mean number of medications prescribed was 5 (range 0-16). Polypharmacy (>=5 medications, 58%), underuse (67%) and misuse (56%) were high. Underuse and misuse coexisted in 40% and were absent in 17% of the population. A higher number of prescribed medications was correlated with more misused medications (rs = .51, P < 0.001) and underused medications (rs = .26, P < 0.001). Mortality and hospitalization rate were 8.9%, and 31.0%, respectively. After adjustment for number of medications and misused medications, there was an increased risk of mortality (HR 1.39, 95% CI 1.10, 1.76) and hospitalization (HR 1.26, 95% CI 1.10, 1.45) for every additional underused medication. Associations with misuse were less clear., CONCLUSION: IP (polypharmacy, underuse and misuse) was highly prevalent in adults, aged 80 years and older. Surprisingly, underuse and not misuse had strong associations with mortality and hospitalization. Copyright © 2016 The British Pharmacological Society. DA - 2016/// PY - 2016 DO - 10.1111/bcp.13055 VL - 82 IS - 5 SP - 1382 EP - 1392 J2 - Br J Clin Pharmacol SN - 1365-2125 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27426227 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - *Independent Living KW - *Hospitalization/sn [Statistics & Numerical Data] KW - Polypharmacy KW - *Inappropriate Prescribing/ae [Adverse Effects] KW - *Survival Analysis KW - Prescription Drug Misuse ER - TY - JOUR TI - Effective health care for older people living and dying in care homes: a realist review. AU - Goodman, Claire AU - Dening, Tom AU - Gordon, Adam L AU - Davies, Susan L AU - Meyer, Julienne AU - Martin, Finbarr C AU - Gladman, John R F AU - Bowman, Clive AU - Victor, Christina AU - Handley, Melanie AU - Gage, Heather AU - Iliffe, Steve AU - Zubair, Maria T2 - BMC health services research AB - BACKGROUND: Care home residents in England have variable access to health care services. There is currently no coherent policy or consensus about the best arrangements to meet these needs. The purpose of this review was to explore the evidence for how different service delivery models for care home residents support and/or improve wellbeing and health-related outcomes in older people living and dying in care homes., METHODS: We conceptualised models of health care provision to care homes as complex interventions. We used a realist review approach to develop a preliminary understanding of what supported good health care provision to care homes. We completed a scoping of the literature and interviewed National Health Service and Local Authority commissioners, providers of services to care homes, representatives from the Regulator, care home managers, residents and their families. We used these data to develop theoretical propositions to be tested in the literature to explain why an intervention may be effective in some situations and not others. We searched electronic databases and related grey literature. Finally the findings were reviewed with an external advisory group., RESULTS: Strategies that support and sustain relational working between care home staff and visiting health care professionals explained the observed differences in how health care interventions were accepted and embedded into care home practice. Actions that encouraged visiting health care professionals and care home staff jointly to identify, plan and implement care home appropriate protocols for care, when supported by ongoing facilitation from visiting clinicians, were important. Contextual factors such as financial incentives or sanctions, agreed protocols, clinical expertise and structured approaches to assessment and care planning could support relational working to occur, but of themselves appeared insufficient to achieve change., CONCLUSION: How relational working is structured between health and care home staff is key to whether health service interventions achieve health related outcomes for residents and their respective organisations. The belief that either paying clinicians to do more in care homes and/or investing in training of care home staff is sufficient for better outcomes was not supported. DA - 2016/// PY - 2016 DO - 10.1186/s12913-016-1493-4 VL - 16 IS - 101088677 SP - 269 J2 - BMC Health Serv Res SN - 1472-6963 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27422733 KW - Humans KW - Aged KW - National Health Programs KW - *Homes for the Aged KW - *Terminal Care KW - *Quality of Health Care KW - England KW - Health Services Accessibility KW - Geriatric Nursing KW - Patient Care Planning ER - TY - JOUR TI - Assessing the Risk of Institutional Entry: A Semi-nonparametric Framework Using a Population-based Sample of Older Women. AU - Sharma, Andy T2 - Women's health issues : official publication of the Jacobs Institute of Women's Health AB - OBJECTIVE: Institutional entry or long-term care (LTC) is an important area to investigate owing to global aging. This study examines which types of disabilities lead to institutionalization for older White and Black women in the United States., METHODS: Using the 3-year (2009-2011) American Community Survey cross-sectional data, this study applies semi-nonparametric maximum likelihood estimation methods to examine the association between disability and institutional entry on a sample of 222,562 older White women and 19,229 older Black women. This approach provides consistent estimators because no assumptions are made about the distribution of the error terms., RESULTS: For older White women, the risk of entering LTC is high in the presence of self-care and independent living difficulties (1.10 [p < .01] and 0.54 [p < .01], respectively). For older Black women, the risk of entering LTC is elevated in the presence of self-care difficulty and cognitive impairment (1.56 [p < .01] and 0.48 [p < .01], respectively) but widowed/divorced/separated marital states do not show this association., CONCLUSIONS: Disability, marital status, and race are important considerations for assessing the risk of institutional entry. Impairments that limit personal hygiene and self-care are associated with increased risk for older women. Additionally, limitations that affect reasoning and memory are associated with increased risk for older Black women. Copyright © 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.whi.2016.05.006 VL - 26 IS - 5 SP - 564 EP - 73 J2 - Womens Health Issues SN - 1878-4321 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27421970 KW - Female KW - Humans KW - United States KW - Aged KW - Health Status KW - Cross-Sectional Studies KW - *Aging KW - Sex Factors KW - *Long-Term Care/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Age Factors KW - Socioeconomic Factors KW - *Residence Characteristics KW - *African Americans/sn [Statistics & Numerical Data] KW - *European Continental Ancestry Group/sn [Statistics & Numerical Data] KW - *Institutionalization/sn [Statistics & Numerical Data] KW - Marital Status ER - TY - JOUR TI - Perceived Neighborhood and Home Environmental Factors Associated with Television Viewing among Taiwanese Older Adults. AU - Hsueh, Ming-Chun AU - Liao, Yung AU - Chang, Shao-Hsi T2 - International journal of environmental research and public health AB - This study examined the associations between perceived neighborhood and home environmental factors and excessive television (TV) viewing time among Taiwanese older adults. The sample data was collected by administering computer-assisted telephone interviewers to 980 Taiwanese older adults (aged >= 65 years) living in two regions. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to examine the associations between self-reported perceived neighborhood and home environmental attributions and TV viewing time by using logistic regression analyses. The results showed that perceived neighborhood and home environmental factors were associated with excessive TV viewing time (>=2 h/day) after adjusting for potential confounders. Compared with a reference group, older adults who perceived their neighborhoods to have unsafe traffic were more likely to report excessive TV viewing time (OR = 1.36, 95%CI = 1.02-1.82). Older adults who reported having two or more TV sets in the home (OR = 1.77, CI = 1.28-2.44) and having a TV in the bedroom (OR = 1.55, CI = 1.18-2.03) were also more likely to report excessive TV viewing time. Further longitudinal research can confirm these findings, and tailored interventions focusing on the perceptions of neighborhood traffic safety and TV access at home for older adults might be effective means of preventing excessive TV viewing time. DA - 2016/// PY - 2016 DO - 10.3390/ijerph13070708 VL - 13 IS - 7 J2 - Int J Environ Res Public Health SN - 1660-4601 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27420086 KW - Female KW - Humans KW - Male KW - Aged KW - Time Factors KW - Cross-Sectional Studies KW - *Sedentary Behavior KW - Odds Ratio KW - Perception KW - *Environment KW - Self Report KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - Recreation KW - *Television ER - TY - JOUR TI - Medication Use, Falls, and Fall-Related Worry in Older Adults in the United States. AU - Watanabe, Jonathan H T2 - The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists AB - OBJECTIVE: To compare the prevalence of falls and fall-related concerns of medication users versus nonusers in U.S. seniors., DESIGN: Cross-sectional study., SETTING: The National Health and Aging Trends Study., PARTICIPANTS: U.S. nationally representative sample of Medicare beneficiaries in 2011., OUTCOMES: Comparing subjects who used medications with subjects who did not in the past month, the outcomes were percentages of subjects who experienced 1) a fall in the past month, 2) worry about falling in the past month, 3) being limited by this worry in the past month, 4) a fall in the past year., RESULTS: A greater percentage of medication users experienced falls and fall-related outcomes, compared with non-medication users. Among medication users, 10.29% had a past month fall, compared with 5.42% of non-medication users; 27.69% of medication users worried in the past month about falling, compared with 9.15% of non-medication users; 40.96% of medication users were limited by this worry, compared with 21.21%; 22.82% of medication users had a fall in the past year, compared with 13.15% of non-medication users., CONCLUSION: Seniors who use medications are more likely to fall and to be concerned about falling. Pharmacist involvement in fall prevention continues to be essential. DA - 2016/// PY - 2016 DO - 10.4140/TCP.n.2016.385 VL - 31 IS - 7 SP - 385 EP - 93 J2 - Consult Pharm SN - 0888-5109 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27412315 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Surveys and Questionnaires KW - Housing KW - Prevalence KW - Quality of Life KW - United States/ep [Epidemiology] KW - Cross-Sectional Studies KW - Accidental Falls/pc [Prevention & Control] KW - Accidental Falls/sn [Statistics & Numerical Data] KW - Assisted Living Facilities KW - Age Factors KW - *Accidental Falls KW - Anxiety/di [Diagnosis] KW - Anxiety/px [Psychology] KW - Drug-Related Side Effects and Adverse Reactions/pc [Prevention & Control] KW - Housing for the Elderly KW - Fear KW - Homes for the Aged KW - *Drug-Related Side Effects and Adverse Reactions/ep [Epidemiology] KW - *Anxiety/ep [Epidemiology] KW - Drug-Related Side Effects and Adverse Reactions/px [Psychology] ER - TY - JOUR TI - Sleep/awake status throughout the night and circadian motor activity patterns in older nursing-home residents with or without dementia, and older community-dwelling people without dementia. AU - Kume, Yu AU - Kodama, Ayuto AU - Sato, Kotaro AU - Kurosawa, Satoko AU - Ishikawa, Takashi AU - Ishikawa, Sachiko T2 - International psychogeriatrics AB - BACKGROUND: Sleep disturbances are commonly observed in older nursing home residents, mainly in combination with dementia. However, sleep-associated circadian motor activity patterns have not been thoroughly investigated in Japanese nursing homes. The present study aimed to respectively clarify the effect of community living and the presence of dementia on sleep disturbances and interrupted activity rhythm of older nursing-home residents with or without dementia and older community-dwelling people without dementia., METHODS: Actigraph devices worn on the participants' non-dominant wrists for seven days were used to collect objective measurements of the sleep/awake status throughout the night and the circadian motor activity patterns. The presence of dementia was assessed by a trained medical doctor using the residents' records and the Clinical Dementia Rating (CDR). The functional capacity of the participants was determined using the Barthel Index (BI)., RESULTS: Fifty-one older people in Akita prefecture were included in the current study, consisting of 17 residents with dementia (mean age: 82.2 years), 17 residents without dementia (84.5 years), and 17 community-dwelling people (83.6 years). The results showed that older nursing-home residents with dementia had significantly a lower rate of sleep efficiency and a longer awake time throughout the night than the other groups. Older nursing-home residents with and without dementia had more fragmented rhythm than community-dwelling people without dementia., CONCLUSION: These results provide evidence of poor sleep/awake status throughout the night and interrupted circadian activity rhythms in nursing-home residents with and without dementia. However, further studies performed according to dementia classifications are needed. DA - 2016/// PY - 2016 VL - 28 IS - 12 SP - 2001 EP - 2008 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27411666 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Japan/ep [Epidemiology] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Dementia/ep [Epidemiology] KW - Independent Living/sn [Statistics & Numerical Data] KW - *Dementia KW - Dementia/px [Psychology] KW - *Motor Activity KW - Mental Status and Dementia Tests KW - Dementia/pp [Physiopathology] KW - Sleep Wake Disorders/pp [Physiopathology] KW - Sleep Wake Disorders/di [Diagnosis] KW - Sleep Wake Disorders/px [Psychology] KW - *Circadian Rhythm/ph [Physiology] KW - Dementia/di [Diagnosis] KW - Wakefulness/ph [Physiology] KW - Sleep Wake Disorders/ep [Epidemiology] KW - Sleep/ph [Physiology] KW - *Sleep Wake Disorders ER - TY - JOUR TI - Association of Loss of Independence With Readmission and Death After Discharge in Older Patients After Surgical Procedures. AU - Berian, Julia R AU - Mohanty, Sanjay AU - Ko, Clifford Y AU - Rosenthal, Ronnie A AU - Robinson, Thomas N T2 - JAMA surgery T3 - [Comment in: JAMA Surg. 2016 Sep 21;151(9):e161701; PMID: 27409232 [https://www.ncbi.nlm.nih.gov/pubmed/27409232]] AB - IMPORTANCE: Older adults are at increased risk for adverse events after surgical procedures. Loss of independence (LOI), defined as a decline in function or mobility, increased care needs at home, or discharge to a nonhome destination, is an important patient-centered outcome measure., OBJECTIVE: To evaluate LOI among older adult patients after surgical procedures and examine the association of LOI with readmission and death after discharge in this population., DESIGN, SETTING, AND PARTICIPANTS: This retrospective cohort study examined 9972 patients 65 years and older with known baseline function, mobility, and living situation undergoing inpatient operations from January 2014 to December 2014 at 26 hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program Geriatric Surgery Pilot Project. A total of 4895 patients were excluded because they were totally dependent, classified as class 5 by the American Society of Anesthesiologists, undergoing orthopedic or spinal procedures, or died prior to discharge., EXPOSURES: Loss of independence at time of discharge., MAIN OUTCOMES AND MEASURES: Readmission and death after discharge., RESULTS: Of the 5077 patients included in this study, 2736 (53.9%) were female and 3876 (76.3%) were white, with a mean (SD) age of 75 (7) years. For this cohort, LOI increased with age; LOI occurred in 1386 of 2780 patients (49.9%) aged 65 to 74 years, 1162 of 1726 (67.3%) aged 75 to 84 years, and 479 of 571 (83.9%) 85 years and older (P < .001). Readmission occurred in 517 patients (10.2%). In a risk-adjusted model, LOI was strongly associated with readmission (odds ratio, 1.7; 95% CI, 1.4-2.2) and postoperative complication (odds ratio, 6.7; 95% CI, 4.9-9.0). Death after discharge occurred in 69 patients (1.4%). After risk adjustment, LOI was the strongest factor associated with death after discharge (odds ratio, 6.7; 95% CI, 2.4-19.3). Postoperative complication was not significantly associated with death after discharge., CONCLUSIONS AND RELEVANCE: Loss of independence, a patient-centered outcome, was associated with postoperative readmissions and death after discharge. Loss of independence can feasibly be collected across multiple hospitals in a national registry. Clinical initiatives to minimize LOI will be important for improving surgical care for older adults. DA - 2016/// PY - 2016 DO - 10.1001/jamasurg.2016.1689 VL - 151 IS - 9 SP - e161689 J2 - JAMA Surg SN - 2168-6262 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27409710 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Mobility Limitation KW - *Independent Living KW - Retrospective Studies KW - *Death KW - Age Factors KW - Patient Discharge/sn [Statistics & Numerical Data] KW - Patient Outcome Assessment KW - *Patient Readmission/sn [Statistics & Numerical Data] KW - *Postoperative Complications/ep [Epidemiology] KW - Postoperative Complications/et [Etiology] KW - Surgical Procedures, Operative/ae [Adverse Effects] ER - TY - JOUR TI - Do not hear, see, or speak: views of older residents and their adult children about the nursing unit in the continuing care retirement community. AU - Ayalon, Liat T2 - International psychogeriatrics AB - BACKGROUND: The present study evaluated views of continuing care retirement community (CCRC) residents and their adult children concerning the nursing unit (NU) within the CCRC., METHODS: Qualitative interviews with older adults and their adult children were conducted. Analysis consisted of 187 interviews with older adults and their adult children over a period of up to six years. Analysis relied on constant comparisons within the same interview, over interviews of the same person over time, and between CCRC residents and their adult children. Major themes were identified to construct a coherent storyline., RESULTS: The NU was viewed as a different universe that should be avoided at all costs. This was attributed to: (1) the association of the NU with one's impending decline and dependence and (2) beliefs about substandard care in the NU., CONCLUSIONS: The findings point to the ambivalence expressed by CCRC residents and their adult children concerning the NU, even though to some degree, the NU represents the main reason for the transition to a CCRC. DA - 2016/// PY - 2016 VL - 28 IS - 11 SP - 1867 EP - 1877 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27405736 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Qualitative Research KW - Follow-Up Studies KW - *Long-Term Care/px [Psychology] KW - *Housing for the Elderly KW - *Geriatric Nursing KW - Personal Autonomy KW - Israel KW - Geriatric Nursing/mt [Methods] KW - Geriatric Nursing/st [Standards] KW - Social Perception KW - Social Stigma KW - Dependency (Psychology) KW - *Ageism KW - Ageism/pc [Prevention & Control] KW - Ageism/px [Psychology] KW - Housing for the Elderly/og [Organization & Administration] ER - TY - JOUR TI - [Heart failure in nursing home residents]. AU - Daamen, M A M J AU - Hamers, J P H AU - Brunner-la Rocca, H P AU - Schols, J M G A T2 - Hartfalen bij verpleeghuisbewoners. AB - OBJECTIVE: To determine the prevalence of heart failure (HF) in nursing home residents and to gain insight into the clinical characteristics of residents with heart failure., DESIGN: Multi-centre, observational, cross-sectional study., METHOD: 501 nursing home residents aged 65 years and over, in a department for chronic somatic diseases or a psychogeriatric department, participated in this study. The diagnosis of HF and the related characteristics were based on data collected from clinical examinations for heart failure (including history, physical examination, ECG, cardiac markers and echocardiography), patient records and questionnaires. A panel of two cardiologists and an internist-geriatrician made the final diagnosis of HF., RESULTS: The prevalence of HF in nursing home residents was 33%. Dyspnoea, oedema and a history of cardiac disease were more common in residents with heart failure. Diabetes mellitus and chronic obstructive pulmonary disease also appeared to be more prevalent in this group. In 54% of the residents with HF, the diagnosis had not previously been made. Diagnosis of HF was not confirmed by the expert panel in 31% of residents with a history of HF., CONCLUSION: Heart failure does indeed appear to be very prevalent in nursing home residents. Heart failure had not been previously diagnosed in many cases but also a previous diagnosis of heart failure could be disproved in many participants. It is therefore important that the diagnostic process for heart failure in nursing home residents be improved. DA - 2016/// PY - 2016 VL - 160 IS - nuk, 0400770 SP - D390 J2 - Ned Tijdschr Geneeskd SN - 1876-8784 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27405572 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Prevalence KW - Cross-Sectional Studies KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Comorbidity KW - Dyspnea/ep [Epidemiology] KW - Chronic Disease/ep [Epidemiology] KW - Pulmonary Disease, Chronic Obstructive/ep [Epidemiology] KW - *Heart Failure/ep [Epidemiology] KW - Medical Records KW - Diabetes Mellitus, Type 2/ep [Epidemiology] KW - Heart Failure/di [Diagnosis] ER - TY - JOUR TI - Associations between poor living conditions and multi-morbidity among Syrian migrant agricultural workers in Lebanon. AU - Habib, Rima R AU - Mikati, Diana AU - Hojeij, Safa AU - El Asmar, Khalil AU - Chaaya, Monique AU - Zurayk, Rami T2 - European journal of public health AB - BACKGROUND: Syrian migrant farmworkers are among the most marginalized populations in Lebanon, living in poverty, lacking basic legal protections and frequent targets of discrimination. These realities produce living conditions that undermine their basic health and wellbeing. This study explores associations between household living conditions and acute and chronic health problems among Syrian migrant agricultural workers in the Bekaa region of Lebanon., METHODS: A survey was carried out in summer of 2011 with a sample of 290 migrant agriculture workers and members of their household living in a migrant farmworker camp. The survey assessed participants living conditions, assets and health conditions. Regression analyses were carried out to examine associations between multi-morbidity and quality of household and neighborhood living conditions., RESULTS: The mean age for the population was 20 years. Forty-seven percent of participants reported health problems. Almost 20% reported either one acute or chronic illness, 15% reported two health problems and 13% reported three or more. The analysis showed a significant positive association between multi-morbidity and poor housing and infrastructure conditions among study participants., CONCLUSION: The situation for migrant communities in Lebanon has likely further deteriorated since the study was conducted, as hundreds of thousands of new migrants have entered Lebanon since the outbreak of the Syrian armed conflict in 2011. These findings should inspire multi-faceted community development initiatives that provide basic minimums of neighborhood infrastructure and housing quality for Syrian migrant informal settlements across Lebanon, safeguarding the health and wellbeing of community residents. Copyright © The Author 2016. Published by Oxford University Press on behalf of the European Public Health Association. DA - 2016/// PY - 2016 DO - 10.1093/eurpub/ckw096 VL - 26 IS - 6 SP - 1039 EP - 1044 J2 - Eur J Public Health SN - 1464-360X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27402635 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Child KW - Aged KW - Aged, 80 and over KW - Child, Preschool KW - Middle Aged KW - Residence Characteristics KW - Cross-Sectional Studies KW - *Housing/sn [Statistics & Numerical Data] KW - *Health Status Disparities KW - Poverty KW - Infant KW - *Agriculture KW - *Transients and Migrants/sn [Statistics & Numerical Data] KW - Lebanon/ep [Epidemiology] KW - Syria/eh [Ethnology] ER - TY - JOUR TI - Differences in quality of life in home-dwelling persons and nursing home residents with dementia - a cross-sectional study. AU - Olsen, Christine AU - Pedersen, Ingeborg AU - Bergland, Astrid AU - Enders-Slegers, Marie-Jose AU - Joranson, Nina AU - Calogiuri, Giovanna AU - Ihlebaek, Camilla T2 - BMC geriatrics AB - BACKGROUND: Dementia often eventually leads to dependency on others and finally to residential care. However, in Norway about half of the dementia population lives at home, due to individual and political wishes. There is scarce and inconclusive knowledge of how living in a nursing home differs from living at home for persons with dementia (PWDs) with regard to their quality of life (QoL). The first aim of the study was therefore to compare QoL, cognitive and physical functions, social contacts, sleep patterns, physical activity levels, exposure to light, and medication of PWDs in nursing homes and home-dwelling PWDs, and whether living in nursing homes was associated with a lower QoL than living at home for PWDs. A second aim was to examine if possible differences between residencies in QoL were consistent over time., METHODS: The cross-sectional study was based on baseline data from two RCT studies of PWDs. A total of 15 nursing homes with adapted units for PWDs and 23 adapted day care centres for home-dwelling PWDs recruited 78 and 115 participants respectively. Trained nurses scored sociodemographic data, level of dementia (on the Clinical Dementia Rating scale), amount of medication, and QoL (QUALID). Sleep patterns, physical activity levels, and light exposure were measured by actigraphy. A multiple regression analysis was used to test the association between residency and QoL. The association between residency and change in QoL over time was investigated by linear regression analysis of a subsample with follow-up data., RESULTS: Home-dwelling PWDs showed significantly higher QoL than PWDs in nursing homes. This difference was maintained even after stratifying on the severity of dementia. Home-dwelling PWDs with moderate dementia showed significantly less use of walking aids, more social contact, higher levels of activity and exposure to daylight, and less use of psychotropic medications. The regression model explained 28 % of the variance in QoL in persons with moderate dementia. However, only residency contributed significantly in the model. Residency also significantly predicted negative change over time in QoL., CONCLUSION: The study indicated that living at home as long as possible is not only desirable for economic or health political reasons but also is associated with higher QoL for persons with moderate dementia. More studies are needed to investigate how QoL could be increased for PWDs in nursing homes. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0312-4 VL - 16 IS - 100968548 SP - 137 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27400744 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Interpersonal Relations KW - *Independent Living KW - *Quality of Life KW - Cross-Sectional Studies KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Dementia/ep [Epidemiology] KW - Independent Living/sn [Statistics & Numerical Data] KW - Nursing Homes/sn [Statistics & Numerical Data] KW - *Dementia KW - Independent Living/px [Psychology] KW - Dementia/px [Psychology] KW - Psychiatric Status Rating Scales KW - *Psychotropic Drugs/tu [Therapeutic Use] KW - *Activities of Daily Living/px [Psychology] KW - Dementia/di [Diagnosis] KW - Norway/ep [Epidemiology] ER - TY - JOUR TI - Association of Traumatic Brain Injury With Late-Life Neurodegenerative Conditions and Neuropathologic Findings. AU - Crane, Paul K AU - Gibbons, Laura E AU - Dams-O'Connor, Kristen AU - Trittschuh, Emily AU - Leverenz, James B AU - Keene, C Dirk AU - Sonnen, Joshua AU - Montine, Thomas J AU - Bennett, David A AU - Leurgans, Sue AU - Schneider, Julie A AU - Larson, Eric B T2 - JAMA neurology AB - IMPORTANCE: The late effects of traumatic brain injury (TBI) are of great interest, but studies characterizing these effects are limited., OBJECTIVE: To determine whether TBI with loss of consciousness (LOC) is associated with an increased risk for clinical and neuropathologic findings of Alzheimer disease (AD), Parkinson disease (PD), and other dementias., DESIGN, SETTING, AND PARTICIPANTS: This study analyzed data from the Religious Orders Study (ROS), Memory and Aging Project (MAP), and Adult Changes in Thought study (ACT). All ROS and MAP participants and a subset of ACT participants consent to autopsy. Studies performed annual (ROS and MAP) or biennial (ACT) cognitive and clinical testing to identify incident cases of dementia and AD. The 7130 participants included members of a Seattle-area health care delivery system (ACT), priests and nuns living in orders across the United States (ROS), and Chicago-area adults in retirement communities (MAP). Of these, 1589 underwent autopsy. Primary hypothesis was that TBI with LOC would be associated with increased risk for AD and neurofibrillary tangles. Data were accrued from 1994 to April 1, 2014., EXPOSURES: Self-reported TBI when the participant was free of dementia, categorized as no more than 1 vs more than 1 hour of LOC., MAIN OUTCOMES AND MEASURES: Clinical outcomes included incident all-cause dementia, AD, and PD in all studies and incident mild cognitive impairment and progression of parkinsonian signs in ROS and MAP. Neuropathologic outcomes included neurofibrillary tangles, neuritic plaques, microinfarcts, cystic infarcts, Lewy bodies, and hippocampal sclerosis in all studies., RESULTS: Of 7130 participants (2879 [40.4%] men; overall mean [SD] age, 79.9 [6.9] years), 865 reported a history of TBI with LOC. In 45190 person-years of follow-up, 1537 incident cases of dementia and 117 of PD were identified. No association was found between TBI with LOC and incident dementia (ACT: HR for TBI with LOC <=1 hour, 1.03; 95% CI, 0.83-1.27; HR for TBI with LOC >1 hour, 1.18; 95% CI, 0.77-1.78; ROS and MAP: HR for TBI with LOC <=1 hour, 0.87; 95% CI, 0.58-1.29; HR for TBI with LOC >1 hour, 0.84; 95% CI, 0.44-1.57) or AD (findings similar to those for dementia). Associations were found for TBI with LOC and incident PD in ACT (HR for TBI with LOC >1 hour, 3.56; 95% CI, 1.52-8.28) and progression of parkinsonian signs in ROS and MAP (odds ratio [OR] for TBI with LOC <=1 hour, 1.65; 95% CI, 1.23-2.21; OR for TBI with LOC >1 hour, 2.23; 95% CI, 1.16-4.29). Traumatic brain injury with LOC was associated with Lewy bodies (any Lewy body in ACT: RR for TBI with LOC >1 hour, 2.64; 95% CI, 1.40-4.99; Lewy bodies in substantia nigra and/or locus ceruleus in ACT: RR for TBI with LOC >1 hour, 3.30; 95% CI, 1.71-6.38; Lewy bodies in frontal or temporal cortex in ACT: RR for TBI with LOC >1 hour, 5.73; 95% CI, 2.18-15.0; ROS and MAP: RR for TBI with LOC <=1 hour, 1.64; 95% CI, 1.00-2.70; pooled RR for TBI with LOC <=1 hour, 1.59; 95% CI, 1.06-2.39) and microinfarcts (any cortical microinfarct in ROS and MAP: RR for TBI with LOC >1 hour, 2.12; 95% CI, 1.12-4.01; pooled RR for TBI with LOC >1 hour, 1.58; 95% CI, 1.06-2.35)., CONCLUSIONS AND RELEVANCE: Pooled clinical and neuropathologic data from 3 prospective cohort studies indicate that TBI with LOC is associated with risk for Lewy body accumulation, progression of parkinsonism, and PD, but not dementia, AD, neuritic plaques, or neurofibrillary tangles. DA - 2016/// PY - 2016 DO - 10.1001/jamaneurol.2016.1948 VL - 73 IS - 9 SP - 1062 EP - 9 J2 - JAMA Neurol SN - 2168-6157 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27400367 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Longitudinal Studies KW - Incidence KW - Regression Analysis KW - Disease Progression KW - Cognition Disorders/di [Diagnosis] KW - Cognition Disorders/et [Etiology] KW - *Brain Injuries, Traumatic/ep [Epidemiology] KW - *Brain Injuries, Traumatic/pa [Pathology] KW - *Neurodegenerative Diseases/ep [Epidemiology] KW - *Neurodegenerative Diseases/pa [Pathology] KW - Autopsy KW - Brain Injuries, Traumatic/co [Complications] KW - Consciousness Disorders/et [Etiology] ER - TY - JOUR TI - Sleep Duration and Excessive Daytime Sleepiness Are Associated With Incidence of Disability in Community-Dwelling Older Adults. AU - Nakakubo, Sho AU - Doi, Takehiko AU - Makizako, Hyuma AU - Tsutsumimoto, Kota AU - Hotta, Ryo AU - Ono, Rei AU - Suzuki, Takao AU - Shimada, Hiroyuki T2 - Journal of the American Medical Directors Association AB - OBJECTIVE: Although sleep disturbances are associated with disability among older adults, no longitudinal study has examined the impact of sleep assessed based on both sleep quality and quantity on incident disability. This study examined whether sleep duration and excessive daytime sleepiness were associated with incidence of disability in community-dwelling older adults., METHODS: A total of 4756 older adults (53.3% women, mean age 71.9 years) met the entry criteria for this study. We measured monthly incident disability, defined as the onset of being certified for personal support or care as required by Japanese public long-term care insurance during the preceding 24 months. Sleep duration, excessive daytime sleepiness (EDS), and demographic factors were assessed at baseline. Cox's proportional hazard regression analysis estimated hazard ratios (HRs) and 95% confidence intervals (CIs) of incidence of disability according to the 3 categories of sleep duration (short: <=6.0 hours, mid: 6.1 to 8.9 hours, long: >=9.0 hours), and we used mid duration sleepers as the reference group., RESULTS: Long sleep duration (HR 1.43, 95% CI 1.04-1.97) and presence of EDS (HR 1.41, 95% CI 1.01-1.98) were associated with higher rates of incident disability. Furthermore, a combination of sleep duration and EDS was associated with a higher rate of incident disability than the mid and no EDS group (HR 2.25, 95% CI 1.36-3.70)., CONCLUSION: Long sleep duration and EDS affected the incident of disability; thus, older adults with both sleep patterns may require an intervention to alter their sleep habit. Copyright © 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jamda.2016.05.020 VL - 17 IS - 8 SP - 768.e1 EP - 5 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27397602 KW - Female KW - Humans KW - Male KW - Aged KW - Japan/ep [Epidemiology] KW - *Homes for the Aged KW - *Disabled Persons KW - Incidence KW - *Sleep KW - *Disorders of Excessive Somnolence KW - *Sleep Stages KW - Disorders of Excessive Somnolence/ep [Epidemiology] ER - TY - JOUR TI - Comparison between passive vision-based system and a wearable inertial-based system for estimating temporal gait parameters related to the GAITRite electronic walkway. AU - Gonzalez, Ivan AU - Lopez-Nava, Irvin H AU - Fontecha, Jesus AU - Munoz-Melendez, Angelica AU - Perez-SanPablo, Alberto I AU - Quinones-Uriostegui, Ivett T2 - Journal of biomedical informatics AB - Quantitative gait analysis allows clinicians to assess the inherent gait variability over time which is a functional marker to aid in the diagnosis of disabilities or diseases such as frailty, the onset of cognitive decline and neurodegenerative diseases, among others. However, despite the accuracy achieved by the current specialized systems there are constraints that limit quantitative gait analysis, for instance, the cost of the equipment, the limited access for many people and the lack of solutions to consistently monitor gait on a continuous basis. In this paper, two low-cost systems for quantitative gait analysis are presented, a wearable inertial system that relies on two wireless acceleration sensors mounted on the ankles; and a passive vision-based system that externally estimates the measurements through a structured light sensor and 3D point-cloud processing. Both systems are compared with a reference clinical instrument using an experimental protocol focused on the feasibility of estimating temporal gait parameters over two groups of healthy adults (five elders and five young subjects) under controlled conditions. The error of each system regarding the ground truth is computed. Inter-group and intra-group analyses are also conducted to transversely compare the performance between both technologies, and of these technologies with respect to the reference system. The comparison under controlled conditions is required as a previous stage towards the adaptation of both solutions to be incorporated into Ambient Assisted Living environments and to provide continuous in-home gait monitoring as part of the future work. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jbi.2016.07.009 VL - 62 IS - 100970413, d2m SP - 210 EP - 23 J2 - J Biomed Inform SN - 1532-0480 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27395370 KW - Humans KW - Actigraphy KW - Assisted Living Facilities KW - *Gait KW - *Electronics KW - *Monitoring, Ambulatory KW - Acceleration ER - TY - JOUR TI - Preoperative Frailty Is Associated With Discharge to Skilled or Assisted Living Facilities After Urologic Procedures of Varying Complexity. AU - Suskind, Anne M AU - Jin, Chengshi AU - Cooperberg, Matthew R AU - Finlayson, Emily AU - Boscardin, W John AU - Sen, Saunak AU - Walter, Louise C T2 - Urology T3 - [Comment in: Urology. 2016 Nov;97:31-32; PMID: 27492668 [https://www.ncbi.nlm.nih.gov/pubmed/27492668]] AB - OBJECTIVE: To evaluate the association between frailty and postoperative discharge destination after different types of commonly performed urologic procedures in older patients., MATERIALS AND METHODS: Using data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) from 2011 to 2013, we identified commonly performed inpatient urologic procedures among patients aged 65 and older. We then assessed the effect of frailty, measured by the NSQIP Frailty Index (NSQIP-FI), on discharge to a skilled or assisted living facility using logistic regression and assessed the heterogeneity of this effect across procedures using 2-level random effects modeling., RESULTS: Overall, 1144 out of 20,794 (5.5%) urologic cases, representing 19 different procedures, resulted in discharge to a skilled or assisted living facility. Cystectomy and large transurethral resection of bladder tumor had the highest percentage (16.3%). Twenty-five percent of patients undergoing urology procedures were frail (NSQIP-FI 0.18+), including 9.8% of patients discharged to a facility. Even after adjustment for year, age, race, type of anesthesia, smoking status, recent weight loss, and whether or not the procedure was elective, frailty was strongly associated with discharge to a facility (adjusted odds ratio 3.1 [96% confidence interval 2.5, 3.8] for NSQIP-FI 0.18+ compared to NSQIP FI 0). This finding was consistent across most procedures of varying complexity with an overall effect of odds ratio 1.6 (95% confidence interval 1.5, 2.0)., CONCLUSION: Increasing frailty is associated with discharge to a skilled or assisted living facility across most inpatient urologic procedures evaluated, regardless of complexity. This information is important for preoperative counseling with patients undergoing urologic surgery. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.urology.2016.03.073 VL - 97 IS - wsy, 0366151 SP - 25 EP - 32 J2 - Urology SN - 1527-9995 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27392651 KW - Humans KW - United States KW - Aged KW - Aged, 80 and over KW - *Patient Discharge/sn [Statistics & Numerical Data] KW - *Frailty/co [Complications] KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - *Skilled Nursing Facilities/sn [Statistics & Numerical Data] KW - *Urologic Surgical Procedures ER - TY - JOUR TI - Assessing the user experience of older adults using a neural network trained to recognize emotions from brain signals. AU - Meza-Kubo, Victoria AU - Moran, Alberto L AU - Carrillo, Ivan AU - Galindo, Gilberto AU - Garcia-Canseco, Eloisa T2 - Journal of biomedical informatics AB - The use of Ambient Assisted Living (AAL) technologies as a means to cope with problems that arise due to an increasing and aging population is becoming usual. AAL technologies are used to prevent, cure and improve the wellness and health conditions of the elderly. However, their adoption and use by older adults is still a major challenge. User Experience (UX) evaluations aim at aiding on this task, by identifying the experience that a user has while interacting with an AAL technology under particular conditions. This may help designing better products and improve user engagement and adoption of AAL solutions. However, evaluating the UX of AAL technologies is a difficult task, due to the inherent limitations of their subjects and of the evaluation methods. In this study, we validated the feasibility of assessing the UX of older adults while they use a cognitive stimulation application using a neural network trained to recognize pleasant and unpleasant emotions from electroencephalography (EEG) signals by contrasting our results with those of additional self-report and qualitative analysis UX evaluations. Our study results provide evidence about the feasibility of assessing the UX of older adults using a neural network that take as input the EEG signals; the classification accuracy of our neural network ranges from 60.87% to 82.61%. As future work we will conduct additional UX evaluation studies using the three different methods, in order to appropriately validate these results. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jbi.2016.07.004 VL - 62 IS - 100970413, d2m SP - 202 EP - 9 J2 - J Biomed Inform SN - 1532-0480 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27392644 KW - Humans KW - Aged KW - Aged, 80 and over KW - Assisted Living Facilities KW - Aging KW - *Emotions KW - *Electroencephalography KW - *Neural Networks (Computer) KW - Brain ER - TY - JOUR TI - The prevalence and health consequences of frailty in a population-based older home care cohort: a comparison of different measures. AU - Campitelli, Michael A AU - Bronskill, Susan E AU - Hogan, David B AU - Diong, Christina AU - Amuah, Joseph E AU - Gill, Sudeep AU - Seitz, Dallas AU - Thavorn, Kednapa AU - Wodchis, Walter P AU - Maxwell, Colleen J T2 - BMC geriatrics AB - BACKGROUND: Evaluating different approaches to identifying frail home care clients at heightened risk for adverse health outcomes is an important but understudied area. Our objectives were to determine the prevalence and correlates of frailty (as operationally defined by three measures) in a home care cohort, the agreement between these measures, and their predictive validity for several outcomes assessed over one year., METHODS: We conducted a retrospective cohort study with linked population-based administrative and clinical (Resident Assessment Instrument [RAI]) data for all long-stay home care clients (aged 66+) assessed between April 2010-2013 in Ontario, Canada (n = 234,552). We examined two versions of a frailty index (FI), a full and modified FI, and the CHESS scale, compared their baseline characteristics and their predictive accuracy (by calculating the area under the ROC curve [AUC]) for death, long-term care (LTC) admission, and hospitalization endpoints in models adjusted for age, sex and comorbidity., RESULTS: Frailty prevalence varied by measure (19.5, 24.4 and 44.1 %, for full FI, modified FI and CHESS, respectively) and was similar among female and male clients. All three measures were associated with a significantly increased risk of death, LTC admission and hospitalization endpoints in adjusted analyses but their addition to base models resulted in modest improvement for most AUC estimates. There were significant differences between measures in predictive accuracy, with the full FI demonstrating a higher AUC for LTC admission and CHESS a higher AUC for hospitalization - although none of the measures performed well for the hospitalization endpoints., CONCLUSIONS: The different approaches to detecting vulnerability resulted in different estimates of frailty prevalence among home care clients in Ontario. Although all three measures were significant predictors of the health outcomes examined, the gains in predictive accuracy were often modest with the exception of the full FI in predicting LTC admission. Our findings provide some support for the clinical utility of a comprehensive FI measure and also illustrate that it is feasible to derive such a measure at the population level using routinely collected data. This may facilitate further research on frailty in this setting, including the development and evaluation of interventions for frailty. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0309-z VL - 16 IS - 100968548 SP - 133 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27388294 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Prevalence KW - Retrospective Studies KW - Geriatric Assessment/mt [Methods] KW - *Long-Term Care/sn [Statistics & Numerical Data] KW - Ontario/ep [Epidemiology] KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - Health Status Disparities KW - Survival Analysis KW - *Home Care Services/sn [Statistics & Numerical Data] KW - Predictive Value of Tests KW - Hospitalization/sn [Statistics & Numerical Data] KW - Outcome Assessment (Health Care)/mt [Methods] ER - TY - JOUR TI - Patterns of perspectives on fall-prevention beliefs by community-dwelling older adults: a Q method investigation. AU - Chen, Shueh-Fen AU - Huang, Su-Fei AU - Lu, Li-Ting AU - Wang, Mei-Chuen AU - Liao, Jung-Yu AU - Guo, Jong-Long T2 - BMC geriatrics AB - BACKGROUND: Falling has high incidence and reoccurrence rates and is an essential factor contributing to accidental injury or death for older adults. Enhancing the participation of community-dwelling older adults in fall-prevention programs is crucial. Understanding fall-prevention beliefs will be beneficial for developing a community-based fall-prevention program. The aim of the present study was to identify the distinct types of subjective views on the fall-prevention beliefs of community-dwelling older adults aged 80 years and older by applying the Q method., METHODS: The Q method was adopted to investigate the pattern of perception on fall-prevention beliefs. Forty-two older adults aged 80 - 92 years from a community care center in Northern Taiwan were recruited and requested to complete a Q-sorting. A series of Q-sorts was performed by the participants to rank 30 statements into a normal distribution Q-sort grid. The Q-sorts were subjected to principal component analysis by using PQMethod software Version 2.35., RESULTS: Four statistically independent perspectives were derived from the analysis and reflected distinct viewpoints on beliefs related to fall prevention. Participants in the Considerate perspective believed that health problems caused by falling were serious and fall prevention could decrease the burden they place on their family. Participants in the Promising perspective believed that existing health problems could cause a fall and that fall prevention contributed to their well-being. Participants in the Adaptable perspective perceived low barriers to execute fall prevention and displayed self-confidence and independence in preventing falls. Participants in the Ignorance perspective believed that they could not prevent falls and perceived barriers to fall prevention., CONCLUSIONS: By combining theoretical constructs and the Q methodology approach, this study identified four distinct perspectives on fall prevention among community-dwelling older adults. Critical reflection on older adult personal perspectives and interpretations of the required responsive approach is a key element for appropriating fall-prevention support. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0307-1 VL - 16 IS - 100968548 SP - 132 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27388194 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Research Design KW - Accidental Falls/pc [Prevention & Control] KW - Accidental Falls/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - Taiwan/ep [Epidemiology] KW - *Independent Living/px [Psychology] KW - *Accidental Falls KW - Incidence KW - Program Development KW - Recurrence KW - Self Concept KW - Social Perception KW - Culture KW - *Secondary Prevention/mt [Methods] ER - TY - JOUR TI - Prevalence of infections among residents of Residential Care Homes for the Elderly in Hong Kong. AU - Choy, C Sm AU - Chen, H AU - Yau, C Sw AU - Hsu, E K AU - Chik, N Y AU - Wong, A Ty T2 - Hong Kong medical journal = Xianggang yi xue za zhi AB - INTRODUCTION: A point prevalence study was conducted to study the epidemiology of common infections among residents in Residential Care Homes for the Elderly in Hong Kong and their associated factors., METHODS: Residential Care Homes for the Elderly in Hong Kong were selected by stratified single-stage cluster random sampling. All residents aged 65 years or above from the recruited homes were surveyed. Infections were identified using standardised definitions. Demographic and health information-including medical history, immunisation record, antibiotic use, and activities of daily living (as measured by Barthel Index)-was collected by a survey team to determine any associated factors., RESULTS: Data were collected from 3857 residents in 46 Residential Care Homes for the Elderly from February to May 2014. A total of 105 residents had at least one type of infection based on the survey definition. The overall prevalence of all infections was 2.7% (95% confidence interval, 2.2%-3.4%). The three most common infections were of the respiratory tract (1.3%; 95% confidence interval, 0.9%-1.9%), skin and soft tissue (0.7%; 95% confidence interval, 0.5%-1.0%), and urinary tract (0.5%; 95% confidence interval, 0.3%-0.9%). Total dependence in activities of daily living, as indicated by low Barthel Index score of 0 to 20 (odds ratio=3.0; 95% confidence interval, 1.4-6.2), and presence of a wound or stoma (odds ratio=2.7; 95% confidence interval, 1.4-4.9) were significantly associated with presence of infection., CONCLUSIONS: This survey provides information about infections among residents in Residential Care Homes for the Elderly in the territory. Local data enable us to understand the burden of infections and formulate targeted measures for prevention. DA - 2016/// PY - 2016 DO - 10.12809/hkmj164865 VL - 22 IS - 4 SP - 347 EP - 55 J2 - HONG KONG MED. J. SN - 1024-2708 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27380752 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Prevalence KW - *Homes for the Aged KW - Comorbidity KW - Cost of Illness KW - Hong Kong/ep [Epidemiology] KW - *Infection/ep [Epidemiology] ER - TY - JOUR TI - Can a short internet training program improve social isolation and self-esteem in older adults with psychiatric conditions?. AU - Loi, Samantha M AU - Hodson, Samuel AU - Huppert, David AU - Swan, Jodie AU - Mazur, Angela AU - Lautenschlager, Nicola T T2 - International psychogeriatrics AB - The purpose of this study was to investigate whether an educational training course on using the internet and touchscreen technology (TT) would decrease social isolation and improve self-esteem in residents living in a low-level residential facility. Twelve sessions over six weeks with two facilitators were provided to five participants with a variety of psychiatric disorders. Measures were completed before and after the 12 sessions. There were no statistically significant improvements or worsening in social isolation (mean score 6.2, SD 3.35) or self-esteem (mean score 18.2, SD 3.56) post the training sessions for the residents. Qualitative feedback suggested that the residents enjoyed this experience and learnt new skills. Further study is recommended using larger samples and alternative outcomes measures. DA - 2016/// PY - 2016 DO - 10.1017/S1041610216001022 VL - 28 IS - 10 SP - 1737 EP - 40 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27373436 KW - Female KW - Humans KW - Male KW - Program Evaluation KW - Aged KW - Assisted Living Facilities KW - *Self Concept KW - Internet KW - *Mental Disorders KW - Mental Disorders/ep [Epidemiology] KW - Mental Disorders/px [Psychology] KW - *Social Isolation/px [Psychology] KW - *Education/mt [Methods] KW - Computer User Training/mt [Methods] KW - Teaching Materials ER - TY - JOUR TI - A bi-level intervention to improve oral hygiene of older and disabled adults in low-income housing: results of a pilot study. AU - Reisine, S AU - Schensul, J J AU - Goldblatt, R AU - Radda, K AU - Foster-Bey, C AU - Acosta-Glynn, C AU - Miron-Carcamo, L AU - Ioannidou, E T2 - Community dental health AB - OBJECTIVE: This paper describes the results of a bi-level intervention, using a cognitive-behavioral theoretical approach, to improve the oral hygiene of older adults and the disabled in community-based low income senior housing., METHODS: The bi-level pilot intervention consisted of an on-site tailored adapted motivational interviewing (AMI) session and two oral health fairs, supported by a resident campaign committee, to change community norms. All materials were available in English and Spanish. Participants completed a survey consisting of 12 domains that provided the basis for tailoring the AMI and shaping the campaigns. The domains were activities of daily living (ADLs), access to oral health information, oral hygiene status, dental knowledge, hygiene behaviors, importance of oral hygiene, self-efficacy/locus of control, diet, intentions, self-management worries/fears, perceived risk and dry mouth., MAIN OUTCOME MEASURES: Each participant received clinical assessments consisting of full-mouth plaque score (PS) and gingival index (GI) before the intervention and at three months., RESULTS: Twenty-seven residents with at least one tooth completed all phases of the study. The mean number of domains requiring attention was 4.5 (SD 1.6) with a range of one to seven. Mean baseline PS was 83% (SD 16%) which improved significantly to 58% (SD 31%); mean baseline GI was 1.15 (SD 0.61) and improved significantly to 0.49 (SD 0.46)., CONCLUSIONS: This pilot study supports the feasibility and acceptability of a tailored oral hygiene intervention among older and disabled adults living in low income senior housing. Although a small sample, the study demonstrated significant improvements in both plaque and gingival scores three months after the bi-level intervention. DA - 2016/// PY - 2016 VL - 33 IS - 2 SP - 127 EP - 32 J2 - Community Dent Health SN - 0265-539X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27352467 KW - Female KW - Humans KW - Male KW - Health Knowledge, Attitudes, Practice KW - Aged KW - Middle Aged KW - Activities of Daily Living KW - Follow-Up Studies KW - *Disabled Persons KW - Self Efficacy KW - Feasibility Studies KW - Anxiety/px [Psychology] KW - Pilot Projects KW - *Public Housing KW - Feeding Behavior KW - Health Behavior KW - Access to Information KW - Intention KW - Internal-External Control KW - Consumer Health Information KW - *Oral Hygiene/ed [Education] KW - Dental Plaque Index KW - Health Education, Dental/mt [Methods] KW - Health Fairs/mt [Methods] KW - Motivational Interviewing/mt [Methods] KW - Periodontal Index KW - Xerostomia/cl [Classification] ER - TY - JOUR TI - Treatment of Osteoporosis in Australian Residential Aged Care Facilities: Update on Consensus Recommendations for Fracture Prevention. AU - Duque, Gustavo AU - Lord, Stephen R AU - Mak, Jenson AU - Ganda, Kirtan AU - Close, Jacqueline J T AU - Ebeling, Peter AU - Papaioannou, Alexandra AU - Inderjeeth, Charles A T2 - Journal of the American Medical Directors Association AB - BACKGROUND: Older people living in residential aged care facilities (RACFs) are at a higher risk of suffering fractures than the community-dwelling older population. The first Consensus Conference on Treatment of Osteoporosis in RACFs in Australia, held in Sydney in July 2009, aimed to address some of the issues relating to the treatment of older residents with osteoporosis in RACFs. Considering that the field of osteoporosis diagnosis and management has significantly advanced in the last 5 years and that new evidence has been generated from studies performed within RACFs, a Second Consensus Conference was held in Sydney in November 2014., METHODS: An expert panel met in November 2014 in Penrith, NSW, Australia in an attempt to reach a consensus on diverse issues related to the treatment of osteoporosis at RACFs. Participants were selected by the scientific committee on the basis of their practice in an RACF and/or major published articles. The co-chairs distributed topics randomly to all participants, who then had to propose a statement on each topic for approval by the conference after a short, evidence-based presentation, when possible., RESULTS: This article provides an update on the most relevant evidence on osteoporosis in older people living in RACFs graded according to its level, quality, and relevance., CONCLUSION: As with the first consensus, it is hoped that this statement will constitute an important guide to aid physicians in their decision making while practicing at RACFs. Copyright © 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jamda.2016.05.011 VL - 17 IS - 9 SP - 852 EP - 9 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27349626 KW - Female KW - Humans KW - Male KW - Evidence-Based Medicine KW - Risk Assessment KW - Assisted Living Facilities KW - New South Wales KW - *Residential Facilities KW - Accidental Falls KW - *Osteoporosis/dt [Drug Therapy] KW - *Consensus KW - *Fractures, Bone/pc [Prevention & Control] ER - TY - JOUR TI - Does Organizational Justice Modify the Association Between Job Involvement and Retirement Intentions of Nurses in Finland?. AU - Sulander, Juhani AU - Sinervo, Timo AU - Elovainio, Marko AU - Heponiemi, Tarja AU - Helkama, Klaus AU - Aalto, Anna-Mari T2 - Research in nursing & health AB - Given the growing aging population in Finland, retaining health staff to care for them is important. In an exploration of predictors of quitting before the typical retirement age, which ranges from 63 to 68 years in Finland, we examined whether organizational justice moderated the association between job involvement and retirement intentions among nurses 50 years and over. The sample was 446 nurses (70% practical nurses) working in 134 assisted living facilities providing 24-hour care for older residents in Finland. Job involvement was measured with the Job Involvement Questionnaire, and organizational justice with a scale that tapped its three dimensions: distributive justice, procedural justice, and interactional justice. In covariance analyses, low organizational justice and low job involvement were associated with a higher likelihood of retirement intention. Both interactional justice and procedural justice moderated the association of job involvement with retirement intentions. Among nurses with low job involvement, those who experienced unjust treatment, that is, low interactional justice, and evaluated organizational procedures as unjust had significantly stronger retirement intentions than nurses with high levels of interactional and procedural justice. Distributive justice was associated with retirement intentions in both high and low job-involved respondents. Organizational justice may act as a buffer against retirement intention as one consequence of nurses' low job involvement. © 2016 Wiley Periodicals, Inc. Copyright © 2016 Wiley Periodicals, Inc. DA - 2016/// PY - 2016 DO - 10.1002/nur.21740 VL - 39 IS - 5 SP - 364 EP - 74 J2 - Res Nurs Health SN - 1098-240X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27348502 KW - Female KW - Humans KW - Middle Aged KW - Surveys and Questionnaires KW - Assisted Living Facilities KW - Finland KW - Job Satisfaction KW - *Retirement/sn [Statistics & Numerical Data] KW - *Intention KW - *Nurses/sn [Statistics & Numerical Data] KW - *Social Justice/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Strength in Numbers: A Community Education Program to Prevent Falls in Older Adults. AU - Yount, John T2 - Home healthcare now AB - The incidence and consequences of falls for older adults are well documented and well known to home care clinicians. In the absence of a falls-prevention program targeting older adults living in the community, home healthcare professionals at Cooley Dickinson VNA & Hospice in Northampton, MA, observed a high rate of falls and hip fractures. The clinicians designed a falls reduction program titled Strength in Numbers, an evidence-informed, multifaceted approach offered in community settings such as local senior centers and retirement communities. Physical and occupational therapists presented sessions that addressed risk factors for falls: fear of falling, strength, balance, medications, vision, and home safety. This article describes the program, its evolution and expansion, and outcomes. Between 2008 and 2015, 1,974 people received falls-prevention education through one of several variations of Strength in Numbers. Nearly 20% of those returning for a follow-up session who had fallen before did not fall again after completing it. Presenters recorded statistically significant improvement for participants in Single-Leg Standing, Timed Up and Go, and Functional Reach tests. DA - 2016/// PY - 2016 DO - 10.1097/NHH.0000000000000421 VL - 34 IS - 7 SP - 369 EP - 75 J2 - Home healthc. now SN - 2374-4537 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27348030 KW - Humans KW - Risk Factors KW - Program Evaluation KW - Aged KW - *Accidental Falls/pc [Prevention & Control] KW - Massachusetts KW - Senior Centers KW - *Patient Education as Topic/mt [Methods] ER - TY - JOUR TI - Prevalence and Medication Management of Dementia by a Medical Practice Providing Onsite Care in Assisted Living. AU - Kronhaus, Alan AU - Fuller, Steven AU - Zimmerman, Sheryl AU - Reed, David T2 - Journal of the American Medical Directors Association AB - BACKGROUND/OBJECTIVES: Assisted living (AL) is an important provider of long-term residential care to people with dementia, but little research has used clinician's records-arguably the most reliable and valid source of medically related information. This article uses clinician records to examine the prevalence of dementia, treatment with dementia-specific medications and antipsychotic medications, and how prescribing varies by assisted living residence (ALR) and resident characteristics., DESIGN: Analysis of medical records from a long-term care medical practice., SETTING: Ninety ALRs that had onsite care provided to some or all of their residents by one group practice that specializes in home-based primary care., PARTICIPANTS: Records for 3175 AL residents., MEASUREMENTS: Thirty-six variables related to the ALR, resident demographics, and medical conditions and pharmaceutical treatment., RESULTS: Seventy-six percent of patients had a documented diagnosis of dementia, 41% who were treated with a medication for dementia other than an antipsychotic, and 37% who received an antipsychotic. Dementia medications were more likely to be prescribed to patients with dementia living in ALRs that had a memory care unit, and also to patients who were not Medicaid beneficiaries. Antipsychotic prescribing was similarly more common for residents with dementia living in ALRs that had memory care units., CONCLUSION: The 76% prevalence rate of dementia in ALRs larger than 25 beds may be a more accurate reflection of the prevalence of dementia reported elsewhere, because it is based on diagnoses documented by patients' primary care clinicians. The reporting of treatment rates for dementia medications and antipsychotics, and how they vary in relation to ALR and resident characteristics, is meant to generate discussion about "best practices" and standards of care in the medication management of dementia and its behavioral comorbidities-topics that have received scant attention to date other than widespread attention to the need to reduce antipsychotic prescribing. Copyright © 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jamda.2016.04.028 VL - 17 IS - 7 SP - 673.e9 EP - 673.e15 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27346654 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Assisted Living Facilities KW - Long-Term Care KW - *Dementia/ep [Epidemiology] KW - *Dementia/dt [Drug Therapy] KW - Antipsychotic Agents/tu [Therapeutic Use] KW - *Drug Prescriptions KW - *Practice Patterns, Physicians' KW - Medical Audit KW - North Carolina/ep [Epidemiology] ER - TY - JOUR TI - Potentially inappropriate medications in a sample of Portuguese nursing home residents: Does the choice of screening tools matter?. AU - da Costa, Filipa Alves AU - Periquito, Catarina AU - Carneiro, Maria Clara AU - Oliveira, Pedro AU - Fernandes, Ana Isabel AU - Cavaco-Silva, Patricia T2 - International journal of clinical pharmacy AB - UNLABELLED: Background Potentially inappropriate medications (PIMs) are often found in high proportion among the elderly population. The STOPP criteria have been suggested to detect more PIMs in European elderly than the Beers criteria. Objective This study aimed to determine the prevalence of PIMs and potential prescribing omissions (PPOs) in a sample of Portuguese nursing homes residents. Setting Four elderly facilities in mainland Portugal Method A descriptive cross-sectional study was used. Elderly polypharmacy patients were included in the study and their medication (registered in patient clinical records) analysed using the Beers (2012 original version and 2008 version adapted to Portugal), STOPP (Screening Tool of Older Person's Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment) criteria. Data were analysed using univariate and bivariate descriptive statistics, considering a confidence interval of 95 %., MAIN OUTCOME MEASURES: Prevalence of PIMs and PPOs. Results The sample included 161 individuals, with a mean age of 84.7 years (SD = 6.35), 68.9 % being female. A total of 807 PIMs and 90 PPOs were identified through the application of the three set of criteria. The prevalence of PIMs using the most recent version of the Beers criteria was 85.1 and 42.1 % for independent and dependent of diagnosis, respectively. The Portuguese adaptation of this same tool indicated a lower prevalence of PIMs, 60.3 and 16.7 %, respectively. The prevalence of PIMs using the STOPP criteria was 75.4 %, whilst the prevalence of PPOs, using START, was 42.9 %. There were significant differences in the mean number of PIMs detected depending on the tool used. (p < 0.001). Conclusions The application of the studied criteria in an elderly sample enabled the identification of a notable amount of PIMs and PPOs, indicating there is room for improving the quality of care. The variation in prevalence indicates careful choice of the tool is a prerequisite for engaging in medication review. Using START/STOPP criteria enabled a more holistic approach to the quality of prescribing in the elderly, highlighting low levels of cardiovascular risk prevention and abuse of psychotropic drugs, aside with system failures largely preventable by electronic prescribing and alert generation. DA - 2016/// PY - 2016 DO - 10.1007/s11096-016-0337-y VL - 38 IS - 5 SP - 1103 EP - 11 J2 - Int J Clin Pharm SN - 2210-7711 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27343120 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - *Choice Behavior KW - Portugal/ep [Epidemiology] KW - *Inappropriate Prescribing/pc [Prevention & Control] KW - *Inappropriate Prescribing/ae [Adverse Effects] KW - *Drug Utilization Review/st [Standards] KW - Drug Utilization Review/mt [Methods] ER - TY - JOUR TI - Experimental pain phenotyping in community-dwelling individuals with knee osteoarthritis. AU - Cardoso, Josue S AU - Riley, Joseph L 3rd AU - Glover, Toni AU - Sibille, Kimberly T AU - Bartley, Emily J AU - Goodin, Burel R AU - Bulls, Hailey W AU - Herbert, Matthew AU - Addison, Adriana S AU - Staud, Roland AU - Redden, David T AU - Bradley, Laurence A AU - Fillingim, Roger B AU - Cruz-Almeida, Yenisel T2 - Pain AB - Pain among individuals with knee osteoarthritis (OA) is associated with significant disability in older adults, and recent evidence demonstrates enhanced experimental pain sensitivity. Although previous research showed considerable heterogeneity in the OA clinical pain presentation, less is known regarding the variability in responses to experimental pain. The present study included individuals with knee OA (n = 292) who participated in the Understanding Pain and Limitations in Osteoarthritic Disease study and completed demographic and psychological questionnaires followed by a multimodal quantitative sensory testing (QST) session. Quantitative sensory testing measures were subjected to variable reduction procedures to derive pain sensitivity index scores, which in turn were entered into a cluster analysis. Five clusters were significantly different across all pain sensitivity index variables (P < 0.001) and were characterized by: (1) low pain sensitivity to pressure pain (N = 39); (2) average pain sensitivity across most modalities (N = 88); (3) high temporal summation of punctate pain (N = 38); (4) high cold pain sensitivity (N = 80); and (5) high sensitivity to heat pain and temporal summation of heat pain (N = 41). Clusters differed significantly by race, gender, somatic reactivity, and catastrophizing (P < 0.05). Our findings support the notion that there are distinct subgroups or phenotypes based on experimental pain sensitivity in community-dwelling older adults with knee OA, expanding previous findings of similar cluster characterizations in healthy adults. Future research is needed to further understand the pathophysiological mechanisms underlying pain within these subgroups, which may be of added value in tailoring effective treatments for people with OA. DA - 2016/// PY - 2016 DO - 10.1097/j.pain.0000000000000625 VL - 157 IS - 9 SP - 2104 EP - 14 J2 - Pain SN - 1872-6623 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27340911 KW - Female KW - Humans KW - Male KW - Middle Aged KW - Surveys and Questionnaires KW - *Independent Living KW - Principal Component Analysis KW - Phenotype KW - Statistics, Nonparametric KW - Pain Measurement KW - *Pain/co [Complications] KW - *Osteoarthritis, Knee/co [Complications] KW - *Pain Threshold/ph [Physiology] KW - Catastrophization ER - TY - JOUR TI - Mobile and Wearable Technology Needs for Aging in Place: Perspectives from Older Adults and Their Caregivers and Providers. AU - Wang, Jing AU - Carroll, Deidra AU - Peck, Michelle AU - Myneni, Sahiti AU - Gong, Yang T2 - Studies in health technology and informatics AB - There is an increasing number of wearable trackers and mobile devices in the burgeoning world of digital health, the purpose of the study is to explore the role of these mobile and wearable tools among older adults aging in place. We conducted a cross sectional study using individual interviews with older adults and surveys with their caregivers or providers. We interviewed 29 residents living in a retirement community, and surveyed 6 caregivers or providers. The older adults had an average age of 88 years, most did not express interests on technology and heavily relied on providers for health tracking, while their professional caregivers or providers saw a great need to access older adults' health information collected from these mobile and wearable tools. Educating the older old on the benefits of mobile and wearable tools may address such discrepancy on needs of adopting mobile and wearable tools for aging in place. DA - 2016/// PY - 2016 VL - 225 IS - ck1, 9214582 SP - 486 EP - 90 J2 - Stud Health Technol Inform SN - 0926-9630 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27332248 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Patient Acceptance of Health Care/sn [Statistics & Numerical Data] KW - *Health Services Needs and Demand KW - *Caregivers/sn [Statistics & Numerical Data] KW - *Telemedicine/sn [Statistics & Numerical Data] KW - *Technology Assessment, Biomedical KW - Texas KW - *Monitoring, Ambulatory/sn [Statistics & Numerical Data] KW - Clothing ER - TY - JOUR TI - Body Composition Outcomes of a Qigong Intervention Among Community-Dwelling Aging Adults. AU - Chang, Mei-Ying AU - Chen, Hsiao-Yu T2 - Western journal of nursing research AB - Aging causes various changes in body composition, which are critical implications for health and physical functioning in aging adults. The aim of this study was to explore the body composition outcomes of a qigong intervention among community-dwelling aging adults. This was a quasi-experimental study in which 90 participants were recruited. Forty-eight participants (experimental group) attended a 30-min qigong program 3 times per week for 12 weeks, whereas 42 participants (control group) continued performing their usual daily activities. The experimental group achieved a greater reduction in the fat mass percentage at the posttest, and exhibited increased fat-free mass, lean body mass percentage, and lean body mass to fat mass ratio compared with the controls. No difference between the two groups in body mass index, fat mass, and lean body mass was observed. These results indicated that the qigong intervention showed beneficial outcomes of body composition among community-dwelling aging adults. Copyright © The Author(s) 2016. DA - 2016/// PY - 2016 VL - 38 IS - 12 SP - 1574 EP - 1594 J2 - West J Nurs Res SN - 1552-8456 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27330046 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Middle Aged KW - *Independent Living KW - *Aging KW - Body Mass Index KW - *Body Composition/ph [Physiology] KW - *Qigong/mt [Methods] ER - TY - JOUR TI - Frailty as a Predictor of Alzheimer Disease, Vascular Dementia, and All Dementia Among Community-Dwelling Older People: A Systematic Review and Meta-Analysis. AU - Kojima, Gotaro AU - Taniguchi, Yu AU - Iliffe, Steve AU - Walters, Kate T2 - Journal of the American Medical Directors Association AB - OBJECTIVE: To perform a systematic search of the literature for currently available evidence on frailty as a predictor of dementia and to conduct a meta-analysis to synthesize the pooled risk estimates among community-dwelling older people., DESIGN: A systematic review and meta-analysis., DATA SOURCES: Embase, MEDLINE, CINAHL Plus, PsycINFO, and the Cochrane Library from 2000 to January 2016, and reference lists of relevant articles., ELIGIBILITY CRITERIA: Any studies that prospectively examined the incident risks of dementia with frailty among community-dwelling older people without language restriction., RESULTS: Of 2565 studies identified through the systematic review, 7 studies were included in this review. Of these, 4 studies reported hazard ratios (HR) of incident dementia for physical frailty defined by Cardiovascular Health Study criteria and were included in a meta-analysis. Frailty was a significant predictor of incident Alzheimer disease (4 studies: pooled HR = 1.28, 95% confidence interval (95% CI) = 1.00-1.63, P = .05), vascular dementia (2 studies: pooled HR 2.70, 95% CI 1.40-5.23, P = .003), and all dementia (3 studies: pooled HR 1.33, 95% CI 1.07-1.67, P = .01). Heterogeneity across the studies was low to modest (I(2) = 0%-51%). A random-effects meta-regression analysis showed that the female proportion of the cohort primarily mediated the association of frailty with Alzheimer disease (female proportion coefficient = 0.04, 95%CI = 0.01-0.08, P = .01)., CONCLUSION: This systematic review and meta-analysis suggests that frailty was a significant predictor of Alzheimer disease, vascular dementia, and all dementia among community-dwelling older people. Frail women may have a higher risk of incident Alzheimer disease than frail men. Copyright © 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jamda.2016.05.013 VL - 17 IS - 10 SP - 881 EP - 8 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27324809 KW - Humans KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Frail Elderly/px [Psychology] KW - *Alzheimer Disease KW - *Predictive Value of Tests KW - *Dementia, Vascular ER - TY - JOUR TI - Frailty as a predictor of fractures among community-dwelling older people: A systematic review and meta-analysis. AU - Kojima, Gotaro T2 - Bone AB - PURPOSE: To identify prospective studies examining associations between frailty and fractures and to combine the risk measures to synthesize pooled evidence on frailty as a predictor of fractures among community-dwelling older people., METHODS: A systematic literature search was conducted using five databases: Embase, MEDLINE, CINAHL Plus, PsycINFO, and the Cochrane Library for prospective studies on associations between frailty and fracture risk published from 2000 to August 2015 without language restriction. Odds ratios (OR) and hazard ratios (HR) extracted from the studies or calculated from available data were combined to synthesize pooled effect measures using random-effects or fixed-effects models. Heterogeneity, methodological quality, and publication bias were assessed. Meta-regression analyses were performed to explore the cause of high heterogeneity., RESULTS: Of 1305 studies identified, six studies involving 96,564 older people in the community were included in this review. Frailty and prefrailty were significantly associated with future fractures among five studies with OR (pooled OR=1.70, 95% confidence interval (95% CI)=1.34-2.15, p<0.0001; pooled OR=1.31, 95% CI=1.18-1.46, p<0.00001, respectively) and four studies with HR (pooled HR=1.57, 95% CI=1.31-1.89, p<0.00001; pooled HR=1.30, 95% CI=1.12-1.51, p=0.0006, respectively). High heterogeneity was observed among five studies with OR of frailty (I(2)=66%). The studies from the United States were found to have a higher fracture risk than from those from other countries in a meta-regression model (regression coefficient=0.39, p=0.04). No evidence of publication bias was identified., CONCLUSIONS: This systematic review and meta-analysis showed evidence that frailty and prefrailty are significant predictors of fractures among community-dwelling older people. Treating frailty may potentially lead to lowering fracture risks. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.bone.2016.06.009 VL - 90 IS - asr, 8504048 SP - 116 EP - 22 J2 - Bone SN - 1873-2763 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27321894 KW - Humans KW - Risk Factors KW - Aged KW - Frail Elderly KW - *Independent Living KW - Odds Ratio KW - Proportional Hazards Models KW - *Frailty/co [Complications] KW - *Fractures, Bone/et [Etiology] KW - Publication Bias ER - TY - JOUR TI - Improving Prospective Memory in Healthy Older Adults and Individuals with Very Mild Alzheimer's Disease. AU - Shelton, Jill Talley AU - Lee, Ji Hae AU - Scullin, Michael K AU - Rose, Nathan S AU - Rendell, Peter G AU - McDaniel, Mark A T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To test the utility of a memory-encoding strategy for improving prospective memory (PM), the ability to remember to execute future goals (e.g., remembering to take medications), which plays an important role in independent living in healthy older adults and those with very mild Alzheimer's disease (AD)., DESIGN: Participants were randomly assigned to an encoding strategy condition or a standard encoding condition., SETTING: A longitudinal study conducted at an Alzheimer's disease research center. Testing took place at the center and in a university testing room., PARTICIPANTS: Healthy older adults (Clinical Dementia Rating (CDR) = 0.0, n = 38) and those classified as being in the very mild stage of AD (CDR = 0.5, n = 34)., INTERVENTION: A simple strategy ("If I see Cue X, then I will perform Intention Y") was used to strengthen PM encoding and reduce the probability of forgetting to execute one's future plans., MEASUREMENTS: PM was assessed using Virtual Week, a laboratory task that requires the simulation of common PM tasks (the types of tasks performed in everyday life), such as taking one's medication at breakfast., RESULTS: The encoding strategy significantly reduced PM failures in healthy older adults and those with very mild AD and was effective regardless of the individual's episodic memory ability., CONCLUSION: This encoding strategy was successful in reducing PM errors in healthy older adults and those with mild AD with a range of memory abilities. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/jgs.14134 VL - 64 IS - 6 SP - 1307 EP - 12 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27321610 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Longitudinal Studies KW - Neuropsychological Tests KW - Mental Recall KW - Intention KW - *Alzheimer Disease/rh [Rehabilitation] KW - *Memory Disorders/rh [Rehabilitation] ER - TY - JOUR TI - Prevalence and Incidence of Frailty in Community-Dwelling Older People: Beijing Longitudinal Study of Aging II. AU - Zheng, Zheng AU - Guan, Shaochen AU - Ding, Hui AU - Wang, Zhihui AU - Zhang, Jin AU - Zhao, Jing AU - Ma, Jinghong AU - Chan, Piu T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To estimate the prevalence and incidence of frailty and evaluate the effect of frailty on adverse outcomes in Chinese elderly adults., DESIGN: Secondary analysis of prospective cohort study., SETTING: Community in Beijing, China., PARTICIPANTS: Individuals aged 55 and older (N = 10,039)., MEASUREMENTS: A Frailty Index (FI) was derived from 34 items using Rockwood's cumulative deficits method. A FI of 0.25 or greater indicated frailty. The clinical outcome was evaluated using a composite variable of any of the following adverse events: falls, hospitalization, activity of daily living disability, and death., RESULTS: The overall crude prevalence of frailty was 12.3% (95% confidence interval (CI) = 11.7-13.0%), and the standardized prevalence was 9.1% (95% CI = 8.6-9.7%). The crude incidence was 13.0% (95% CI = 12.2-13.9%), and the standardized incidence 10.8% (95% CI = 10.0-11.6%). Prevalence and incidence were significantly greater with age (P for trend < .001) and greater in women (P < .001) and urban residents (P < .001). Participants with lower education and having three or more diseases and taking four or more medications daily were more likely to develop frailty over follow-up (all P < .05). After adjusting for age, number of diseases, and smoking at baseline, the risk of any adverse event in 1 year in the frail group was 58% higher than in the nonfrail group (adjusted odds ratio = 1.58, 95% CI = 1.30-1.93, P < .001)., CONCLUSION: A feasible FI that can be used in routine medical evaluation in a primary care setting was developed, and a 12.3% prevalence and a 13% incidence of frailty was demonstrated in community-dwelling Chinese older adults. Frailty is more common for urban and female residents in the oldest old group. Being frail significantly predicts geriatric adverse outcomes, indicating the importance of early screening and intervention in frail individuals in primary care. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/jgs.14135 VL - 64 IS - 6 SP - 1281 EP - 6 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27321607 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Activities of Daily Living KW - Prevalence KW - *Independent Living KW - *Geriatric Assessment/mt [Methods] KW - Accidental Falls/sn [Statistics & Numerical Data] KW - Longitudinal Studies KW - Prospective Studies KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - Incidence KW - Beijing/ep [Epidemiology] KW - Hospitalization/sn [Statistics & Numerical Data] ER - TY - JOUR TI - What Constitutes Normal Hemoglobin Concentrations in Community-Dwelling Older Adults?. AU - Wu, Chen-Yi AU - Hu, Hsiao-Yun AU - Chou, Yiing-Jenq AU - Huang, Nicole AU - Chou, Yi-Chang AU - Li, Chung-Pin T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To assess the relationship between hemoglobin concentration and cause-specific mortality., DESIGN: Cohort study., SETTING: Data from the government-sponsored Annual Geriatric Health Examination Program., PARTICIPANTS: Community-dwelling Taipei citizens aged 65 and older followed up between 2006 and 2010 (N = 77,532)., MEASUREMENTS: Mortality was determined by matching participants' medical records with national death files. Cox proportional hazards regression models were used to evaluate the relationship between hemoglobin concentration (World Health Organization (WHO)-defined anemia and 7 hemoglobin concentrations) and cause-specific mortality., RESULTS: The mortality risk of WHO-defined anemia increased substantially in both sexes for all-cause and cancer mortalities (men, hazard ratio (HR) = 1.86, 95% confidence interval (CI) = 1.71-2.02 for all-cause mortality; HR = 1.94, 95% CI = 1.69-2.22 for cancer mortality; for women, HR = 1.63, 95% CI = 1.43-1.86 for all-cause mortality; HR = 1.74, 95% CI = 1.38-2.19 for cancer mortality). Men with hemoglobin concentrations of 15.0 to 15.9 g/dL and women with hemoglobin concentrations of 13.0 to 13.9 g/dL had the lowest risks of all-cause, cardiovascular, and cancer mortality. Risks of all-cause and cancer mortality increased significantly when hemoglobin concentrations were less than 14 g/dL in men and less than 12 g/dL in women. Even mild anemia (11.0-11.9 g/dL) was associated with greater mortality risk. Stratification according to age, body mass index, estimated glomerular filtration rate, and presence of comorbidities did not lead to any substantial changes., CONCLUSION: Hemoglobin concentrations associated with optimal survival in older adults were identified and additional data provided regarding the relationship between hemoglobin concentrations and cause-specific mortality risks in older adults. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/jgs.14170 VL - 64 IS - 6 SP - 1233 EP - 41 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27321601 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Taiwan/ep [Epidemiology] KW - Geriatric Assessment KW - *Cause of Death KW - Reference Values KW - Anemia/mo [Mortality] KW - *Anemia/ep [Epidemiology] KW - *Hemoglobins/an [Analysis] ER - TY - JOUR TI - Interventions to Address Potentially Inappropriate Prescribing in Community-Dwelling Older Adults: A Systematic Review of Randomized Controlled Trials. AU - Clyne, Barbara AU - Fitzgerald, Ciaran AU - Quinlan, Aisling AU - Hardy, Colin AU - Galvin, Rose AU - Fahey, Tom AU - Smith, Susan M T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To perform a systematic review to determine the effectiveness of interventions designed to reduce potentially inappropriate prescribing (PIP) in community-dwelling older adults., DESIGN: Systematic review and narrative synthesis., SETTING: Primary and community care., PARTICIPANTS: Community-dwelling older adults., MEASUREMENTS: The primary outcome was change in PIP measured using implicit or explicit tools. Studies were grouped into organizational, professional, financial, regulatory, and multifaceted interventions., RESULTS: Twelve randomized controlled trials were identified with baseline PIP prevalence of 18% to 100%. Four of six organizational interventions reported a reduction in PIP, particularly through pharmacists conducting medication reviews. Evidence of the effectiveness of multidisciplinary teams was weak. Both of the two professional (targeting prescriber's directly) interventions were computerized clinical decision support interventions and were effective in decreasing new PIP but not existing PIP. Three of four multifaceted approaches were effective in reducing PIP. The risk of bias was often high, particularly in reporting selection bias., CONCLUSION: Interventions including organizational (pharmacist interventions), professional (computerized clinical decision support systems), and multifaceted approaches appear beneficial in terms of reducing PIP, but the range of effect sizes reported was modest, and it is unclear whether such interventions can result in clinically significant improvements in patient outcomes. Ongoing assessment of interventions to reduce PIP is needed in community-dwelling older adults, particularly in relation to preventing initiation of PIP. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/jgs.14133 VL - 64 IS - 6 SP - 1210 EP - 22 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27321600 KW - Humans KW - Randomized Controlled Trials as Topic KW - Aged KW - *Independent Living KW - *Inappropriate Prescribing/pc [Prevention & Control] ER - TY - JOUR TI - Pain treatment for nursing home residents differs according to cognitive state - a cross-sectional study. AU - Bauer, Ulrike AU - Pitzer, Stefan AU - Schreier, Maria Magdalena AU - Osterbrink, Jurgen AU - Alzner, Reinhard AU - Iglseder, Bernhard T2 - BMC geriatrics AB - BACKGROUND: Communication skills are known to decrease with advancing cognitive impairment. Analgesic treatment in long-term care may be deficient due to the residents' impaired ability to communicate their pain and needs. Undertreated pain frequently leads to rising BPSD in residents with cognitive impairment, resulting in a treatment with antipsychotics. Aim of this study was the analysis of differences in assessment and pharmacological treatment of pain in nursing home residents relative to their cognitive state and ability to articulate pain., METHODS: Data stems from the baseline of a non-experimental pre-post-study in 12 Austrian nursing homes. Residents' pain prevalence in relation to pain assessment and cognitive decline was assessed, data on medical diagnoses and prescriptions were retrieved from the nursing homes' documentation (n = 425). Residents were first divided into two groups: Residents with MMSE >= 18 were selected into group CUS (cognitively unimpaired/slightly impaired), residents with MMSE <= 17 were selected into group CI (cognitively moderately to severely impaired). CI residents were then sub-grouped according to their ability to communicate pain via the Verbal Rating Scale (VRS) (i.e. group CI-V, group CI-NV). Pain behavior of CI residents was assessed with a modified German version of PAINAD. Group differences were tested with ANOVA and H-test, 95 % confidence intervals were calculated and associations were tested with log-binomial regression., RESULTS: Pain prevalence in CI residents irrespective of their ability to communicate pain was 80 % and exceeded the CUS group prevalence significantly by 14 %. CI residents had significantly less analgesic prescriptions. Furthermore, CI residents have a significantly higher risk of getting no analgesics when in pain than CUS residents (CI-V: RR =2.6, CI-NV: RR =3.4). Use of antipsychotics was high in all groups (49 - 65 %) with more prescriptions in the cognitively impaired group., CONCLUSION: Results point toward an underuse of pain medication in cognitively impaired residents, especially those unable to communicate pain verbally. The implementation of standardized pain assessments adapted to the cognitive abilities of residents may foster the recognition of pain, warrant optimized pain management, reduce inadequate medication and consequently raise the chance of equally effective pain treatment regardless of cognitive state. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0295-1 VL - 16 IS - 100968548 SP - 124 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27317390 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Needs Assessment KW - *Antipsychotic Agents/tu [Therapeutic Use] KW - Cross-Sectional Studies KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Cognition KW - Cognition Disorders/di [Diagnosis] KW - Analgesics/tu [Therapeutic Use] KW - Long-Term Care/mt [Methods] KW - *Cognition Disorders KW - Pain Measurement/mt [Methods] KW - Pain/px [Psychology] KW - *Communication Barriers KW - Pain/di [Diagnosis] KW - Cognition Disorders/px [Psychology] KW - *Pain Management/mt [Methods] KW - Cognition Disorders/pp [Physiopathology] KW - Austria KW - *Pain ER - TY - JOUR TI - [Dermatological quality of life in community-dwelling frail elderly people]. AU - Perez-Ros, Pilar AU - Martinez-Arnau, Francisco M AU - Sabater-Ramirez, Julia AU - Tarazona-Santabalbina, Francisco J T2 - Calidad de vida dermatologica en ancianos fragiles comunitarios. DA - 2016/// PY - 2016 DO - 10.1016/j.aprim.2016.02.005 VL - 48 IS - 10 SP - 683 EP - 684 J2 - Aten Primaria SN - 1578-1275 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27316655 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Independent Living KW - *Quality of Life KW - *Frail Elderly KW - Spain/ep [Epidemiology] KW - *Skin Diseases/ep [Epidemiology] ER - TY - JOUR TI - Associations between hospital-based rehabilitation for hip fracture and two-year outcomes for mortality and independent living: An Australian database study of 1,724 elderly community-dwelling patients. AU - Ireland, Anthony W AU - Kelly, Patrick J AU - Cumming, Robert G T2 - Journal of rehabilitation medicine AB - OBJECTIVE: To compare rates of mortality, hospital readmissions and independent living status for 2 years following hip fracture in community-dwelling patients with and without hospital-based rehabilitation., DESIGN: Retrospective cohort study., METHODS: Administrative data-sets were linked for hospital treatment, residential aged care admissions, selected community services and date of death for community-dwelling hip fracture patients. Mortality, readmissions, residency within aged care facilities and independent living status at intervals up to 2 years were compared in multivariate logistic regression for patients with and without hospital-based rehabilitation., RESULTS: Age, sex and comorbidity distributions were similar for 1,050 patients who received rehabilitation and 674 patients who did not. Rehabilitation added 11 days to total hospital stay and $AUD 12,000 to hospital costs. Mortality at 90 days after hip fracture was 4.7% for rehabilitation patients vs 10.7% for others (p < 0.001), and 26.2% vs 37.2% (p < 0.001) at 2 years. Beyond 90 days there was no significant association between receipt of rehabilitation and the proportion of patients meeting criteria for independent living. Hospital readmissions in the year following the index fracture were not significantly different., CONCLUSION: In-hospital rehabilitation substantially increases total hospital costs. It is associated with improved early and late survival, but not with the likelihood of living independently for up to 2 years after hip fracture. DA - 2016/// PY - 2016 DO - 10.2340/16501977-2108 VL - 48 IS - 7 SP - 625 EP - 31 J2 - J Rehabil Med SN - 1651-2081 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27314472 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Australia KW - Logistic Models KW - Length of Stay KW - Retrospective Studies KW - Time Factors KW - *Independent Living/sn [Statistics & Numerical Data] KW - Comorbidity KW - Patient Readmission/sn [Statistics & Numerical Data] KW - *Hip Fractures/mo [Mortality] KW - *Physical Therapy Department, Hospital/sn [Statistics & Numerical Data] KW - Hip Fractures/ec [Economics] KW - Hip Fractures/rh [Rehabilitation] KW - Hospital Costs ER - TY - JOUR TI - Frailty, pain and psychological variables among older adults living in Hong Kong nursing homes: can we do better to address multimorbidities?. AU - Tse, M M Y AU - Lai, C AU - Lui, J Y W AU - Kwong, E AU - Yeung, S Y T2 - Journal of psychiatric and mental health nursing AB - UNLABELLED: WHAT IS KNOWN ON THE SUBJECT?: Frailty and multimorbidity are common in later life. A higher level of frailty is associated with a higher risk of adverse physical and psychological health situations. Older adults with pain have been reported to be lonelier and more depressed, as well as less happy and less satisfied with their life as compared to those without pain. In view of the high prevalence of pain among older adults and the reversibility of frailty, it is important to explore the relationship between pain, frailty and psychological parameters in order to devise patient-centred interventions. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Frailty index is positively correlated with the presence of pain, and associated with gender, functional mobility and loneliness. Among these significant variables, loneliness was the factor that contributed the most to the frailty index. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: It is essential to put the focus of healthcare on both the physical and psychological aspects of well-being. All nurses are advised to improve the management of pain in older people in order to lower the levels of pain, frailty and psychological distress among this population. Nursing care should address the loneliness level especially the problem of social loneliness among older adults particularly those living in nursing homes., ABSTRACT: Introduction In view of the high prevalence of pain among older adults and the reversibility of frailty, it is important to explore the relationship between pain, frailty and psychological parameters in order to devise patient-centred interventions. Aim To examine the levels of frailty, pain and psychological parameters among older adults living in Hong Kong nursing homes, and the cross-sectional relationships among these items. Methods A cross-sectional study was conducted among 178 residents from six nursing homes. Frailty, pain, mobility, happiness, loneliness and life satisfaction of participants were assessed using validated questionnaires. Results A multiple linear regression (R(2) = 0.338, P < 0.05) showed that the frailty index was associated with loneliness, functional mobility and gender. Among these significant variables, loneliness was the factor that contributed the most to the frailty index. Discussion It is essential to put the focus of healthcare on both the physical and psychological aspects of well-being. Findings suggest that apart from improving mobility and reducing pain, loneliness could be a target of psychosocial interventions to reduce frailty and improve quality of life. Implications for practice It is advised that nursing care should address loneliness, especially the problem of social loneliness among older adults particularly those living in nursing homes. Copyright © 2016 John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/jpm.12303 VL - 23 IS - 5 SP - 303 EP - 11 J2 - J Psychiatr Ment Health Nurs SN - 1365-2850 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27307261 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - *Frail Elderly/px [Psychology] KW - *Loneliness/px [Psychology] KW - Hong Kong KW - *Comorbidity KW - *Pain/px [Psychology] ER - TY - JOUR TI - Intraindividual Changes in Ambulation Associated With Falls in a Population of Vulnerable Older Adults in Long-Term Care. AU - Bowen, Mary Elizabeth AU - Rowe, Meredeth T2 - Archives of physical medicine and rehabilitation AB - OBJECTIVE: To examine how intraindividual changes in ambulation characteristics may be used to predict falls., DESIGN: Longitudinal study design., SETTING: Assisted living facility., PARTICIPANTS: Ambulatory older adults (N=26; mean age, 79y)., INTERVENTIONS: Not applicable., MAIN OUTCOME MEASURES: Continuous measure of average weekly ambulation characteristics (time and distance walked, speed, path measures [eg, path time and distance, number of paths (where a path is at least 60s of uninterrupted walking separated by at least a 30-s stop)]), accounting for weekly changes in these ambulation characteristics on an individual level over time along with falls (yes/no) and cognitive impairment (CI) (measured by the Montreal Cognitive Assessment)., RESULTS: In hierarchical linear models accounting for intraindividual changes in ambulation characteristics over the 8-month course of the study and level of CI, path distance (odds ratio, 1.02; P<=.001) was associated with an increased risk of a fall. In the short-term, intraindividual changes in path distance were associated with a fall within the 4-week interval the change was noted. Path distance had fair sensitivity (.74) and specificity (.66) to a fall (area under the curve, .70)., CONCLUSIONS: Study findings suggest that falls may have specific predictors, specifically that older adults with CI are more likely to fall when walking continuously with little/no breaks. Interventions focused on reducing path-associated fatigue may effectively reduce fall incidence in this population. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.apmr.2016.05.013 VL - 97 IS - 11 SP - 1963 EP - 1968 J2 - Arch Phys Med Rehabil SN - 1532-821X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27296900 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Time Factors KW - Assisted Living Facilities KW - Longitudinal Studies KW - Gait KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Environment Design KW - *Cognition Disorders/ep [Epidemiology] KW - *Walking ER - TY - JOUR TI - Burden of socio-legal concerns among vulnerable patients seeking cancer care services at an urban safety-net hospital: a cross-sectional survey. AU - Ko, Naomi Yu AU - Battaglia, Tracy A AU - Gupta-Lawrence, Rebecca AU - Schiller, Jessica AU - Gunn, Christine AU - Festa, Kate AU - Nelson, Kerrie AU - Flacks, JoHanna AU - Morton, Samantha J AU - Rosen, Jennifer E T2 - BMC health services research AB - BACKGROUND: Social and economic conditions that affect one's ability to satisfy life's most basic needs such as lack of affordable housing, restricted access to education and employment, or inadequate income are increasingly well-documented barriers to optimal health. The burden of these challenges among vulnerable patients accessing cancer care services is unknown., METHODS: We conducted a cross-sectional survey of patients presenting for ambulatory cancer care services (screening and treatment) at an urban safety-net hospital to assess socio-legal concerns (social problems related to meeting life's basic needs supported by public policy or programming and potentially remedied through legal advocacy/action)., RESULTS: Among 104 respondents, 80 (77 %) reported concerns with one or more socio-legal needs in the past month, with a mean of 5.75 concerns per participant. The most common socio-legal concerns related to income supports, housing, and employment/education., CONCLUSION: Our findings support the need for innovations in cancer care delivery to address socio-legal concerns of a vulnerable patient population. DA - 2016/// PY - 2016 DO - 10.1186/s12913-016-1443-1 VL - 16 IS - 101088677 SP - 196 J2 - BMC Health Serv Res SN - 1472-6963 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27296566 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - Socioeconomic Factors KW - Poverty KW - Healthcare Disparities KW - *Health Services Accessibility KW - Health Services Accessibility/ec [Economics] KW - Health Services Accessibility/lj [Legislation & Jurisprudence] KW - Vulnerable Populations/sn [Statistics & Numerical Data] KW - *Neoplasms/th [Therapy] KW - Boston KW - *Safety-net Providers KW - *Social Determinants of Health KW - *Sociological Factors KW - *Vulnerable Populations/lj [Legislation & Jurisprudence] KW - Hospitals, Urban KW - Outpatient Clinics, Hospital ER - TY - JOUR TI - Hispanic Older Adult's Perceptions of Personal, Contextual and Technology-Related Barriers for Using Assistive Technology Devices. AU - Orellano-Colon, Elsa M AU - Mann, William C AU - Rivero, Marta AU - Torres, Mayra AU - Jutai, Jeff AU - Santiago, Angelica AU - Varas, Nelson T2 - Journal of racial and ethnic health disparities AB - Assistive technologies (AT) are tools that enhance the independence, safety, and quality of life of older people with functional limitations. While AT may extend independence in ageing, there are racial and ethnic disparities in late-life AT use, with lower rates reported among Hispanic older populations. The aim of this study was to identify barriers experienced by Hispanic community-living older adults for using AT. Sixty Hispanic older adults (70 years and older) with functional limitations participated in this study. A descriptive qualitative research design was used guided by the principles of the Human Activity Assistive Technology Model to gain in-depth understanding of participants' perspectives regarding barriers to using AT devices. Individual in-depth semi-structure interviews were conducted, using the Assistive Technology Devices Cards (ATDC) assessment as a prompt to facilitate participants' qualitative responses. Data analysis included descriptive statistics and rigorous thematic content analysis. Lack of AT awareness and information, cost of AT, limited coverage of AT by heath care plans, and perceived complexity of AT were the predominant barriers experienced by the participants. A multi-level approach is required for a better understanding of the barriers for using AT devices. The personal, contextual, and activity-based barriers found in this study can be used to develop culturally sensitive AT interventions to reduce existent disparities in independent living disabilities among older Hispanics. DA - 2016/// PY - 2016 VL - 3 IS - 4 SP - 676 EP - 686 J2 - J Racial Ethn Health Disparities SN - 2196-8837 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27294762 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Disabled Persons KW - *Quality of Life KW - *Self-Help Devices KW - Communication Barriers KW - Ethnic Groups KW - *Hispanic Americans KW - Cultural Competency ER - TY - JOUR TI - Impact of Emergency Department Visits and Hospitalization on Mobility Among Community-Dwelling Older Adults. AU - Brown, Cynthia J AU - Kennedy, Richard E AU - Lo, Alexander X AU - Williams, Courtney P AU - Sawyer, Patricia T2 - The American journal of medicine AB - PURPOSE: The study purpose was to assess the effects of emergency department visits on mobility as measured by Life-Space Assessment (LSA) scores and to compare life-space trajectories associated with emergency department visit only, hospitalization, and no event., METHODS: A total of 410 community-dwelling adults aged >=75 years who were living in the community, were able to communicate by telephone, could schedule an in-home interview, and could answer questions independently were followed from June 2010 to August 2014. In-home baseline and monthly telephone follow-up interviews collected data on LSA scores, emergency department use, and hospitalizations. Life-space is measured using a validated patient-reported tool reflecting community mobility and quality of life. Trajectories of LSA before and after an emergency department visit or hospitalization were compared with no event occurrence., RESULTS: Mean age of participants was 81.7 years (standard deviation, 4.8); 57% were female, and 35% were African American. During 3 years of follow-up, 83 persons (20%) had an emergency department visit without subsequent hospitalization and 164 persons (40%) were hospitalized. Although baseline LSA scores were similar, in the month after an emergency department visit, adjusted LSA scores decreased by 6.1 points (P = .01) in comparison with hospitalized participants who experienced an average decrease of 18.0 points (P < .0001). Neither those with an emergency department visit only nor those with hospitalization recovered to their prior level of community mobility. Moreover, those with an emergency department visit showed no significant improvement in LSA scores up to 1 year later., CONCLUSIONS: Older adults who experienced an emergency department visit or hospitalization had an associated decrease in community mobility without significant recovery. Copyright Published by Elsevier Inc. DA - 2016/// PY - 2016 DO - 10.1016/j.amjmed.2016.05.016 VL - 129 IS - 10 SP - 1124.e9 EP - 1124.e15 J2 - Am J Med SN - 1555-7162 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27288857 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - *Activities of Daily Living KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - *Hospitalization/sn [Statistics & Numerical Data] KW - *Mobility Limitation ER - TY - JOUR TI - Assessing Social Isolation: Pilot Testing Different Methods. AU - Taylor, Harry Owen AU - Herbers, Stephanie AU - Talisman, Samuel AU - Morrow-Howell, Nancy T2 - Journal of gerontological social work AB - Social isolation is a significant public health problem among many older adults; however, most of the empirical knowledge about isolation derives from community-based samples. There has been less attention given to isolation in senior housing communities. The objectives of this pilot study were to test two methods to identify socially isolated residents in low-income senior housing and compare findings about the extent of isolation from these two methods. The first method, self-report by residents, included 47 out of 135 residents who completed in-person interviews. To determine self-report isolation, residents completed the Lubben Social Network Scale 6 (LSNS-6). The second method involved a staff member who reported the extent of isolation on all 135 residents via an online survey. Results indicated that 26% of residents who were interviewed were deemed socially isolated by the LSNS-6. Staff members rated 12% of residents as having some or a lot of isolation. In comparing the two methods, staff members rated 2% of interviewed residents as having a lot of isolation. The combination of self-report and staff report could be more informative than just self-report alone, particularly when participation rates are low. However, researchers should be aware of the potential discrepancy between these two methods. DA - 2016/// PY - 2016 DO - 10.1080/01634372.2016.1197354 VL - 59 IS - 3 SP - 228 EP - 33 J2 - J Gerontol Soc Work SN - 1540-4048 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27276687 KW - Female KW - Humans KW - Male KW - United States KW - Self Report KW - *Psychometrics/sn [Statistics & Numerical Data] KW - Pilot Projects KW - Loneliness/px [Psychology] KW - Psychometrics/is [Instrumentation] KW - Psychometrics/mt [Methods] KW - *Social Isolation/px [Psychology] ER - TY - JOUR TI - The rote administrative approach to death in senior housing: Using the other door. AU - Ewen, Heidi H AU - Nikzad-Terhune, Katherina AU - Chahal, Jasleen K T2 - Geriatric nursing (New York, N.Y.) AB - Understanding death in long-term care (LTC) facilities and the preexisting standards and policies pertaining to the death experience in LTC is essential. Qualitative interviews were conducted with 10 administrators of CCRCs and data analyzed through content analysis. Results of the current study reveal that administrators spoke of approaching death in their facility similar to any other procedural task, removal of the residents' bodies varied by community, and coordination responsibilities ranged from maintenance crews to management. Notification practices for residents and staff were also inconsistent. Differences existed in internal cultures on providing forms of respect. These practices were standard for some facilities while others were flexible to accommodate family requests. The majority of the sites did not offer additional training on death and dying for staff members. Findings suggest the need for consistency regarding how senior housing administrators approach the death of a resident and provide support for staff members. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.gerinurse.2016.05.003 VL - 37 IS - 5 SP - 360 EP - 364 J2 - Geriatr Nurs SN - 1528-3984 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27268971 KW - Humans KW - Qualitative Research KW - *Nursing Staff/px [Psychology] KW - *Housing for the Elderly/st [Standards] KW - Skilled Nursing Facilities/og [Organization & Administration] KW - *Administrative Personnel/st [Standards] KW - Long-Term Care/og [Organization & Administration] KW - Administrative Personnel/px [Psychology] KW - Assisted Living Facilities/og [Organization & Administration] KW - Long-Term Care/px [Psychology] KW - *Long-Term Care/st [Standards] KW - Nursing Staff/ed [Education] KW - *Attitude to Death KW - Housing for the Elderly/og [Organization & Administration] ER - TY - JOUR TI - Regular cognitive self-monitoring in community-dwelling older adults using an internet-based tool. AU - Valdes, Elise G AU - Sadeq, Nasreen A AU - Harrison Bush, Aryn L AU - Morgan, David AU - Andel, Ross T2 - Journal of clinical and experimental neuropsychology AB - INTRODUCTION: Monitoring for various health conditions (e.g., breast cancer, hypertension) has become common practice. However, there is still no established tool for regular monitoring of cognition. In this pilot longitudinal study, we examined the utility and feasibility of internet-based cognitive self-monitoring using data from the first 12 months of this ongoing study., METHOD: Cognitively healthy community-dwelling older adults (Montreal Cognitive Assessment >= 26) were enrolled on a rolling basis and were trained in self-administration of the internet-based version of the CogState Brief Battery. The battery uses playing cards and includes Detection, Identification, One Back, and One Card Learning subtasks., RESULTS: Of the 118 participants enrolled, 26 dropped out, mostly around first in-home session. Common reasons for participant attrition were internet browser problems, health problems, and computer problems. Common reasons for delayed session completion were being busy, being out of town, and health problems. Participants needed about one reminder phone call per four completed sessions or one reminder email per five completed sessions. Performance across the monthly sessions showed slight (but significant) improvement on three of the four tasks. Change in performance was unaffected by individual characteristics with the exception of previous computer use, with less frequent users showing greater improvement on One Card Learning. We also found low intraindividual variability in monthly test scores beyond the first self-administered testing session., CONCLUSIONS: Internet-based self-monitoring offers a potentially feasible and effective method of continuous cognitive monitoring among older adults. DA - 2016/// PY - 2016 DO - 10.1080/13803395.2016.1186155 VL - 38 IS - 9 SP - 1026 EP - 37 J2 - J Clin Exp Neuropsychol SN - 1744-411X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27266359 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - Longitudinal Studies KW - *Aging/px [Psychology] KW - Pilot Projects KW - *Cognition KW - Diagnostic Self Evaluation KW - Cognition Disorders/px [Psychology] KW - *Cognition Disorders/di [Diagnosis] KW - *Internet ER - TY - JOUR TI - Prevalence of Inadequate Nutrient Intake in Japanese Community-Dwelling Older Adults Who Live Alone. AU - Nozue, Miho AU - Ishikawa, Midori AU - Takemi, Yukari AU - Kusama, Kaoru AU - Fukuda, Yoshiharu AU - Yokoyama, Tetsuji AU - Nakaya, Tomoki AU - Nishi, Nobuo AU - Yoshiba, Kaori AU - Murayama, Nobuko T2 - Journal of nutritional science and vitaminology AB - Dietary assessment of community-dwelling Japanese older adults who live alone using Dietary Reference Intakes (DRIs) is limited. The present study aimed to estimate the prevalence of inadequate nutrient intake among Japanese community-dwelling older adults by sex and young-old and old-old population groups to identify the most vulnerable groups that need support. A cross-sectional survey was conducted from October 2012 to October 2013 with community-dwelling adults aged 65 y or older who lived alone. Participants were drawn from six cities in four Japanese prefectures. We used two days of dietary survey data to estimate participants' usual intake. The proportion of inadequate intake was assessed using the Estimated Average Requirement (EAR) cut-point method, Tolerable Upper Intake Level, and the tentative dietary goal for preventing life-style related diseases (DG) based on DRIs for Japanese, 2015. Data for 494 participants (162 male, 332 female) over 988 d were examined to assess nutrient intake. We calculated the proportion of inadequate intake between males and females and between young-old and old-old population groups (65-74 y and >=75 y) using chi-square or Fisher's exact tests. For six nutrients, the estimated proportion of participants with a usual intake below EAR was higher in males than females. In addition, a higher estimated proportion of female participants was within the DG range for the percentage of energy from protein, fat, and carbohydrates, and had a usual intake of two nutrients above DG than males. Our findings showed that among Japanese older adults, males were more vulnerable in terms of inadequate nutrient intake compared with females. DA - 2016/// PY - 2016 DO - 10.3177/jnsv.62.116 VL - 62 IS - 2 SP - 116 EP - 22 J2 - J Nutr Sci Vitaminol (Tokyo) SN - 1881-7742 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27264096 KW - Female KW - Humans KW - Male KW - Aged KW - Prevalence KW - *Independent Living KW - Body Weight KW - Japan/ep [Epidemiology] KW - Cross-Sectional Studies KW - Sex Factors KW - Nutrition Assessment KW - Body Mass Index KW - *Asian Continental Ancestry Group KW - Nutrition Surveys KW - *Malnutrition/ep [Epidemiology] KW - Energy Intake KW - Dietary Carbohydrates/ad [Administration & Dosage] KW - Life Style KW - Recommended Dietary Allowances KW - Dietary Proteins/ad [Administration & Dosage] KW - Dietary Fats/ad [Administration & Dosage] KW - Micronutrients/ad [Administration & Dosage] ER - TY - JOUR TI - Preoperative Frailty Increases Risk of Nonhome Discharge after Elective Vascular Surgery in Home-Dwelling Patients. AU - Arya, Shipra AU - Long, Chandler A AU - Brahmbhatt, Reshma AU - Shafii, Susan AU - Brewster, Luke P AU - Veeraswamy, Ravi AU - Johnson, Theodore M 2nd AU - Johanning, Jason M T2 - Annals of vascular surgery AB - BACKGROUND: Patient-centered quality outcomes such as disposition after surgery are increasingly being scrutinized. Preoperative factors predictive of nonhome discharge (DC) may identify at-risk patients for targeted interventions. This study examines the association among preoperative risk factors, frailty, and nonhome DC after elective vascular surgery procedures in patients living at home., METHODS: The 2011-2012 National Surgical Quality Improvement Project database was queried to identify all home-dwelling patients who underwent elective vascular procedures (endovascular and open aortic aneurysm repair, suprainguinal and infrainguinal bypasses, peripheral endovascular interventions, carotid endarterectomy, and stent). Preoperative frailty was measured using the modified frailty index (mFI; derived from Canadian Study of Health and Aging). Univariate and multivariate logistic regression analysis was performed to examine the association of frailty and nonhome DC., RESULTS: Of 15,843 home-dwelling patients, 1,177 patients (7.4%) did not return home postoperatively. Frailty (mFI > 0.25) conferred a significantly increased 2-fold risk of nonhome DC disposition for each procedure type. Frailty, female gender, open procedures, increasing age, end-stage renal disease, and occurrence of any postoperative complication were associated with increased risk of nonhome DC. On multivariate logistic regression analysis, frailty increased the odds of nonhome DC by 60% (odds ratio 1.6, 95% confidence interval 1.4-1.8) after adjusting for other covariates. In the presence of complications, the risk of nonhome DC was 27.5% in frail versus 16.5% in nonfrail patients (P < 0.001). In the absence of complications, although absolute risk was lower, frail patients were nearly twice as likely to not return home (frail 5.5% vs. nonfrail 2.75%, P < 0.001)., CONCLUSIONS: Frail home-dwelling patients undergoing elective vascular procedures are at high risk of not returning home after surgery. Preoperative frailty assessment appears to hold potential for counseling regarding postsurgery disposition and DC planning. Copyright Published by Elsevier Inc. DA - 2016/// PY - 2016 DO - 10.1016/j.avsg.2016.01.052 VL - 35 IS - avs, 8703941 SP - 19 EP - 29 J2 - Ann Vasc Surg SN - 1615-5947 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27263810 KW - Female KW - Humans KW - Male KW - Risk Factors KW - United States KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - *Independent Living KW - Retrospective Studies KW - *Aging KW - Age Factors KW - Geriatric Assessment KW - *Frail Elderly KW - Databases, Factual KW - Canada KW - Odds Ratio KW - Multivariate Analysis KW - *Patient Discharge KW - Skilled Nursing Facilities KW - *Vascular Diseases/su [Surgery] KW - *Vascular Surgical Procedures/ae [Adverse Effects] KW - Vascular Diseases/di [Diagnosis] KW - Chi-Square Distribution KW - Rehabilitation Centers KW - Patient Transfer KW - Postoperative Complications/et [Etiology] KW - *Postoperative Complications/th [Therapy] KW - Elective Surgical Procedures KW - Postoperative Complications/di [Diagnosis] ER - TY - JOUR TI - A Client-Centered Community Engagement Project: Improving the Health and Wellness of Older Adults in an Assisted Living Facility. AU - Ballantyne-Rice, Madeleine AU - Chopp, Kayla AU - Evans, Lisa AU - Ho, Vanessa AU - Hsiung, Wan Ping AU - Simon, Marian Alexandra AU - Wu, Kaiyu AU - Donnelly, Tam Truong T2 - Journal of gerontological nursing AB - Central to nursing practice is the promotion of health and wellness practices. Drawing on the Community as Partner Model, nursing process, Nursing Interventions Classification, and Logic Model, second-year nursing students collaborated with staff and residents of an assisted living facility to promote health and wellness in the older adult population. Windshield surveys, resident surveys, key informant interviews, and focus group interviews were conducted to gain insight into the perceptions and experiences of staff and residents. The majority of residents indicated they were satisfied with life at the facility and their needs have been adequately met. Strengths and areas for improvement were identified in several aspects, including the facility atmosphere and location, quality of staff and health care services, recreational and dietary services, and social support networks. By partnering with community key stakeholders, valuing all different perspectives, and connecting theory to practice, a successful client-centered community clinical project was demonstrated. [Journal of Gerontological Nursing, 42(8), 44-51.]. Copyright 2016, SLACK Incorporated. DA - 2016/// PY - 2016 DO - 10.3928/00989134-20160531-03 VL - 42 IS - 8 SP - 44 EP - 51 J2 - J Gerontol Nurs SN - 0098-9134 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27263539 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Focus Groups KW - Interviews as Topic KW - *Health Promotion/og [Organization & Administration] KW - *Housing for the Elderly KW - Patient Satisfaction KW - *Patient-Centered Care ER - TY - JOUR TI - Rural-urban differences in the prevalence of cognitive impairment in independent community-dwelling elderly residents of Ojiya city, Niigata Prefecture, Japan. AU - Nakamura, Kazutoshi AU - Kitamura, Kaori AU - Watanabe, Yumi AU - Shinoda, Hiroko AU - Sato, Hisami AU - Someya, Toshiyuki T2 - Environmental health and preventive medicine AB - BACKGROUND: This study aimed to examine rural-urban differences in the prevalence of cognitive impairment in Japan., METHODS: We targeted 592 residents aged 65 years and older who did not use long-term care insurance services in one rural and two urban areas in Ojiya City, Japan. Of these, 537 (90.7 %) participated in the study. The revised Hasegawa's dementia scale (HDS-R) was used to assess cognitive function, and cognitive impairment was defined as a HDS-R score <=20. Lifestyle information was obtained through interviews. The prevalence of cognitive impairment was compared according to the levels of predictor variables by odds ratios (ORs) calculated by a logistic regression analysis., RESULTS: Mean age of participants was 75.7 years (SD 7.0). The prevalence of cognitive impairment was 20/239 (8.4 %) in the rural area and 6/298 (2.0 %) in the urban areas, for a total of 26/537 (4.8 %) overall. Men tended to have a higher prevalence of cognitive impairment (P = 0.0628), and age was associated with cognitive impairment (P for trend <0.0001). The rural area had a significantly higher prevalence of cognitive impairment (age- and sex-adjusted OR = 4.04, 95 % CI: 1.54-10.62) than urban areas. This difference was significant after adjusting for other lifestyle factors., CONCLUSIONS: The prevalence of cognitive impairment was higher in the rural area relative to urban areas in Ojiya city. This regional difference suggests the existence of potentially modifiable factors other than lifestyle in relation to cognitive impairment. DA - 2016/// PY - 2016 VL - 21 IS - 6 SP - 422 EP - 429 J2 - Environ. health prev. med. SN - 1347-4715 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27262968 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Independent Living KW - Japan/ep [Epidemiology] KW - *Cognitive Dysfunction/ep [Epidemiology] KW - Rural Population KW - Urban Population KW - Cognitive Dysfunction/et [Etiology] ER - TY - JOUR TI - Quality of death among hospice decedents: Proxy observations from a survey of community-dwelling adults in the contiguous United States. AU - Hong, Seokho AU - Cagle, John G AU - Plant, Amy J AU - Culler, Krystal L AU - Carrion, Iraida V AU - Van Dussen, Daniel J T2 - Death studies AB - This study examines hospice service experience and quality of death. A survey of 123 community-dwelling adults in the United States found that physical comfort, pain-free, and spiritual peace were more important to respondents reporting a personal experience with hospice. A "good death" was associated with older patients who died at home, and respondent satisfaction with hospice service. A "good death" was mapped as 29 nodes and 79 links using semantic network analysis. Three subjects (patient, family, hospice), three timeframes (end-of-life, moment of dying, death), and four central causes (home, peaceful, pain-free, and expected) were identified. DA - 2016/// PY - 2016 VL - 40 IS - 9 SP - 529 EP - 537 J2 - Death Stud SN - 1091-7683 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27260970 KW - Adult KW - Female KW - Humans KW - Male KW - United States KW - Middle Aged KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - *Death KW - *Independent Living/sn [Statistics & Numerical Data] KW - Interviews as Topic KW - Terminal Care/st [Standards] KW - *Hospices/sn [Statistics & Numerical Data] KW - Hospice Care/st [Standards] KW - Hospices/st [Standards] ER - TY - JOUR TI - Correlates of self-report chronic insomnia disorders with 1-6 month and 6-month durations in home-dwelling urban older adults - the Shih-Pai Sleep Study in Taiwan: a cross-sectional community study. AU - Chiou, Jing-Hui AU - Chen, Hsi-Chung AU - Chen, Kuang-Hung AU - Chou, Pesus T2 - BMC geriatrics AB - BACKGROUND: To examine the correlates of insomnia disorder with different durations in home-dwelling older adults., METHODS: A cross-sectional survey in the Shih-Pai area of Taipei City, Taiwan (The Shih-Pai Sleep Study). A total 4047 subjects over the age of 65 years completed the study (2259 men and 1788 women). The Pittsburgh Sleep Quality Index and the duration of insomnia symptoms were used to identify DSM-IV 1-6 month and 6-month insomnia disorders., RESULTS: The prevalence of DSM-IV defined insomnia disorder was 5.8 %; two-thirds of these case lasted for >=6 months. The shared correlates for both 1-6 and 6-month insomnia disorders were gender (women), depression and moderate pain. Pulmonary diseases were exclusively associated with 1-6 month insomnia disorder (OR: 2.57, 95 % CI: 1.46-4.52). In contrast, heart disease (OR: 1.73, 95 % CI: 1.21-2.49) and severe pain (OR: 2.34, 95 % CI: 1.14-4.40) were associated with 6-month insomnia disorder., CONCLUSION: The prevalence of persistent insomnia disorder is higher than short-term insomnia disorder. Correlates for less persistent and more persistent insomnia disorder appears to be partially different. Duration quantifiers may be important in the identification of the etiology of insomnia and further studies with follow-ups are needed to examine the order of developing insomnia disorder and associated conditions. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0290-6 VL - 16 IS - 100968548 SP - 119 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27260122 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - Residence Characteristics KW - *Independent Living KW - Time Factors KW - Cross-Sectional Studies KW - Taiwan/ep [Epidemiology] KW - *Self Report KW - Depression/di [Diagnosis] KW - Depression/ep [Epidemiology] KW - Independent Living/px [Psychology] KW - Depression/px [Psychology] KW - *Urban Population KW - *Sleep Initiation and Maintenance Disorders/ep [Epidemiology] KW - Sleep Initiation and Maintenance Disorders/px [Psychology] KW - *Sleep Initiation and Maintenance Disorders/di [Diagnosis] ER - TY - JOUR TI - Functional Status of Elderly Nursing Home Residents With Parkinson's Disease. AU - Chekani, Farid AU - Bali, Vishal AU - Aparasu, Rajender R T2 - Journal of Parkinson's disease AB - BACKGROUND: Parkinson's disease (PD) is a debilitating neurological disorder that has a significant impact on activities of daily living (ADL). Limited data exists regarding the functional status of nursing home residents with PD., OBJECTIVE: The study examined the nature, extent, and predictors of limitation of ADL in patients with PD residing in nursing homes., METHODS: This study used cross-sectional design involving data from the National Nursing Home Survey (NNHS). The dependent variable was the total number of ADL for which the patient needed assistance. Assistance for ADL comprised of five items of transferring, dressing, eating, toileting and bathing. Multivariable linear regression was used to examine the individual, biological and environmental factors associated with assistance needed for ADL., RESULTS: The nationally representative study sample was of 98,093 nursing home residents with PD for an overall prevalence of 6.57%. The mean age of the study sample was 81.03+/-0.34 years. Mood symptoms (45%), behavioral symptoms (24%)and dementia (8%) were common among PD patients. Assistance needed for each ADL ranged from 68.24% for eating to 99.25% for bathing. Older age, being married, living in metropolitan statistical area (MSA), living in other place prior to admission, and presence of mood symptoms were positively related to assistance for ADL. Presence of behavioral symptoms and use of levodopa combination therapy were negatively related to assistance for ADL., CONCLUSIONS: Majority of the nursing home residents with PD had disability in all the five items of ADL. Various individual, environmental and biological factors were associated with ADL in nursing home residents with PD. DA - 2016/// PY - 2016 DO - 10.3233/JPD-160822 VL - 6 IS - 3 SP - 617 EP - 24 J2 - J Parkinsons Dis SN - 1877-718X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27258696 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - *Activities of Daily Living KW - Cross-Sectional Studies KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Parkinson Disease/ep [Epidemiology] KW - *Disabled Persons/sn [Statistics & Numerical Data] KW - *Severity of Illness Index KW - *Parkinson Disease/pp [Physiopathology] ER - TY - JOUR TI - Analgesic use and pain in residents with and without dementia in aged care facilities: A cross-sectional study. AU - Tan, Edwin Ck AU - Visvanathan, Renuka AU - Hilmer, Sarah N AU - Vitry, Agnes AU - Emery, Tina AU - Robson, Leonie AU - Pitkala, Kaisu AU - Ilomaki, Jenni AU - Bell, J Simon T2 - Australasian journal on ageing AB - AIM: To investigate analgesic use and pain in people with and without dementia in Australian residential aged are facilities., METHODS: A cross-sectional study of 383 residents of six residential aged are facilities was conducted. Nurses assessed self-reported and clinician-observed pain. Analgesic use data were extracted from medication charts. Logistic regression was used to investigate factors associated with analgesic use., RESULTS: Analgesics were administered to 291 (76.0%) residents in the previous 24 hours. The prevalence of analgesic use was similar among residents with and without dementia (79.3% vs 73.4%, P = 0.20). Residents with dementia had a higher prevalence of self-reported pain than those without dementia but similar prevalence of clinician-observed pain. In residents with dementia, high care residence and dementia severity were associated with analgesic use., CONCLUSION: The prevalence of analgesic use was similar among residents with and without dementia. Both self-reported and clinician-observed measures are needed in regular pain assessments. Copyright © 2016 AJA Inc. DA - 2016/// PY - 2016 DO - 10.1111/ajag.12295 VL - 35 IS - 3 SP - 180 EP - 7 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27256958 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - Prevalence KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Age Factors KW - Dementia/ep [Epidemiology] KW - Severity of Illness Index KW - *Analgesics/tu [Therapeutic Use] KW - Odds Ratio KW - Dementia/px [Psychology] KW - *Dementia/th [Therapy] KW - Multivariate Analysis KW - South Australia/ep [Epidemiology] KW - Aging/px [Psychology] KW - Pain Measurement KW - Dementia/di [Diagnosis] KW - *Inpatients/px [Psychology] KW - Pain/px [Psychology] KW - Pain/di [Diagnosis] KW - Pain/ep [Epidemiology] KW - Chi-Square Distribution KW - *Pain/pc [Prevention & Control] KW - Analgesics/ae [Adverse Effects] ER - TY - JOUR TI - How Genetics Might Affect Real Property Rights: Currents in Contemporary Bioethics. AU - Rothstein, Mark A AU - Rothstein, Laura T2 - The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics AB - New developments in genetics could affect a variety of real property rights. Mortgage lenders, mortgage insurers, real estate sellers, senior living centers, retirement communities, or other parties in residential real estate transactions begin requiring predictive genetic information as part of the application process. One likely use would be by retirement communities to learn an individual's genetic risk for Alzheimer's disease. The federal Fair Housing Act prohibits discrimination based on disability, but it is not clear that it would apply to genetic risk assessments. Only California law explicitly applies to this situation and there have been no reported cases. Copyright © 2016 American Society of Law, Medicine & Ethics. DA - 2016/// PY - 2016 DO - 10.1177/1073110516644212 VL - 44 IS - 1 SP - 216 EP - 21 J2 - J Law Med Ethics SN - 1748-720X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27256137 KW - Humans KW - *Disabled Persons KW - Bioethics KW - Human Rights KW - Ownership ER - TY - JOUR TI - The incidence rate and characteristics of clinically diagnosed defecatory disorders in the community. AU - Noelting, J AU - Eaton, J E AU - Choung, R S AU - Zinsmeister, A R AU - Locke, G R 3rd AU - Bharucha, A E T2 - Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society AB - BACKGROUND: Defecatory disorders (DD) are defined by clinical and objective features of impaired rectal evacuation. The epidemiology of DD in the population is unknown, partly because many constipated patients do not undergo anorectal tests. Our objectives were to estimate the incidence rate and clinical features of DD in the community., METHODS: We reviewed the medical records of all patients older than 16 years in Olmsted County, MN, who had constipation and underwent anorectal manometry from 1999 through 2008. Criteria for diagnosing DD were constipation for 6 months or longer and one of the following: (i) abnormal rectal balloon expulsion test; (ii) reduced or increased perineal descent; or (iii) two or more abnormal features with defecography or surface electromyography., KEY RESULTS: Of 11 112 constipated patients, 516 had undergone anorectal tests; 245 of these (209 women, 36 men) had a DD. The mean (+/-SD) age at diagnosis was 44 years (+/-18) among women and 49 years (+/-19) among men. The overall age- and sex-adjusted incidence rate per 100 000 person-years was 19.3 (95% CI: 16.8-21.8). The age-adjusted incidence per 100 000 person-years was greater (p < 0.0001) in women (31.8, 95% CI: 27.4-36.1) than in men (6.6, 95% CI: 4.4-8.9). Prior to the diagnosis of DD, nearly 30% of patients had irritable bowel syndrome (IBS), 48% had a psychiatric diagnosis, 18% had a history of abuse, and 21% reported urinary and/or fecal incontinence., CONCLUSIONS & INFERENCES: Among constipated patients, DD are fourfold more common in women than men and often associated with IBS and psychiatric diagnoses. Copyright © 2016 John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/nmo.12868 VL - 28 IS - 11 SP - 1690 EP - 1697 J2 - Neurogastroenterol Motil SN - 1365-2982 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27254309 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living/td [Trends] KW - Constipation/ep [Epidemiology] KW - Incidence KW - Minnesota/ep [Epidemiology] KW - Constipation/di [Diagnosis] KW - *Fecal Incontinence/ep [Epidemiology] KW - *Electronic Health Records/td [Trends] KW - Constipation/pp [Physiopathology] KW - *Fecal Incontinence/di [Diagnosis] KW - *Irritable Bowel Syndrome/di [Diagnosis] KW - *Irritable Bowel Syndrome/ep [Epidemiology] KW - Defecation/ph [Physiology] KW - Defecography/td [Trends] KW - Fecal Incontinence/pp [Physiopathology] KW - Irritable Bowel Syndrome/pp [Physiopathology] KW - Manometry/td [Trends] ER - TY - JOUR TI - Polypharmacy and medication regimen complexity as factors associated with staff informant rated quality of life in residents of aged care facilities: a cross-sectional study. AU - Lalic, Samanta AU - Jamsen, Kris M AU - Wimmer, Barbara C AU - Tan, Edwin C K AU - Hilmer, Sarah N AU - Robson, Leonie AU - Emery, Tina AU - Bell, J Simon T2 - European journal of clinical pharmacology AB - PURPOSE: The purpose of this study is to investigate the association between polypharmacy with health-related quality of life (HRQoL) and medication regimen complexity with HRQoL in residential aged care facilities (RACFs)., METHODS: A cross-sectional study of 383 residents from six Australian RACFs was conducted. The primary exposures were polypharmacy (>=9 regular medications) and the validated Medication Regimen Complexity Index (MRCI). The outcome measure was staff informant rated quality of life assessed using the Quality of Life Alzheimer's disease (QoL-AD) scale. Covariates included age, sex, Charlson's comorbidity index, activities of daily living, and dementia severity. Logistic quantile regression was used to characterize the association between polypharmacy and QoL-AD (model 1) and MRCI and QoL-AD (model 2)., RESULTS: The median age of the 383 residents was 88 years and 297 (78 %) residents were female. In total, 63 % of residents were exposed to polypharmacy and the median MRCI score (range) was 43.5 (4-113). After adjusting for the covariates, polypharmacy was not associated with either higher or lower QoL-AD scores (estimate -0.02; 95 % confidence interval (CI) -0.165, 0.124; p = 0.78). Similarly, after adjusting for the covariates, MRCI was not associated with either higher or lower QoL-AD scores (estimate -0.0009, 95 % CI -0.005, 0.003; p = 0.63)., CONCLUSIONS: These findings suggest that polypharmacy and medication regimen complexity are not associated with staff informant rated HRQoL. Further research is needed to investigate how specific medication classes may impact change in quality of life over time. DA - 2016/// PY - 2016 DO - 10.1007/s00228-016-2075-4 VL - 72 IS - 9 SP - 1117 EP - 24 J2 - Eur J Clin Pharmacol SN - 1432-1041 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27251360 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Australia KW - *Quality of Life KW - Cross-Sectional Studies KW - *Polypharmacy KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Drug Utilization ER - TY - JOUR TI - Case Report: Outcomes of Feldenkrais Movements on Self-reported Cognitive Decline in Older Adults. AU - Ullmann, Gerhild T2 - Advances in mind-body medicine AB - UNLABELLED: Context * A lack of cognitive health can limit a person's well-being and may compromise independent living. The potential for cognitive decline is a major concern for aging individuals. Regular physical activity has been shown to improve cognitive processes. However, functional limitations frequently prevent older adults from participating in conventional exercise programs. Given the gentle nature of mind-body exercises, interventions such as the Feldenkrais may provide an alternative. Objective * The study intended to investigate whether Feldenkrais lessons can offset cognitive decline among older adults., DESIGN: The study was a case series with 2 participants. Setting * The study took place in the wellness center of a retirement community. Participants * Participants were 2 female residents in the community, with self-reported cognitive challenges. Intervention * The Feldenkrais method awareness through movement (ATM) was used. The lessons were based on common Feldenkrais themes, such as the relationship between eye organization and body movement, coordination of muscles, breathing, and an exploration of the participants' habits. Outcome Measures * The Trail Making Test A (TMT-A) and Trail Making Tests B (TMT-B) were used to measure cognitive function at baseline and after the Feldenkrais intervention. Results * Both participants improved their performance on the TMT-A and TMT-B after completing the Feldenkrais intervention. Neither of the 2 participants reported any adverse events related to the lessons. Conclusion * The beneficial results warrant further research into the efficacy of Feldenkrais as complementary, alternative therapy for preserving cognitive function on a larger scale and in populations with diagnosed cognitive impairments. DA - 2016/// PY - 2016 VL - 30 IS - 2 SP - 19 EP - 23 J2 - Adv Mind Body Med SN - 1532-1843 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27250213 KW - Female KW - Humans KW - Aged KW - *Exercise Therapy/mt [Methods] KW - *Outcome Assessment (Health Care) KW - *Cognitive Dysfunction/th [Therapy] KW - *Complementary Therapies/mt [Methods] ER - TY - JOUR TI - Association between polypharmacy and multiple uses of medical facilities in nursing home residents. AU - Kojima, Taro AU - Shimada, Kiyoshi AU - Terada, Atsuko AU - Nishizawa, Koji AU - Matsumoto, Kouki AU - Yoshimatsu, Yasuko AU - Akishita, Masahiro T2 - Geriatrics & gerontology international DA - 2016/// PY - 2016 DO - 10.1111/ggi.12591 VL - 16 IS - 6 SP - 770 EP - 1 J2 - Geriatr Gerontol Int SN - 1447-0594 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27246580 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Health Care Surveys KW - Logistic Models KW - Follow-Up Studies KW - Japan KW - Geriatric Assessment/mt [Methods] KW - *Polypharmacy KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Incidence KW - Survival Analysis KW - Multivariate Analysis KW - Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - Hospitalization/sn [Statistics & Numerical Data] KW - Ambulatory Care/sn [Statistics & Numerical Data] KW - *Drug-Related Side Effects and Adverse Reactions/pc [Prevention & Control] KW - Drug-Related Side Effects and Adverse Reactions/et [Etiology] ER - TY - JOUR TI - Multi-psychotropic drug prescription and the association to neuropsychiatric symptoms in three Norwegian nursing home cohorts between 2004 and 2011. AU - Gulla, Christine AU - Selbaek, Geir AU - Flo, Elisabeth AU - Kjome, Reidun AU - Kirkevold, Oyvind AU - Husebo, Bettina S T2 - BMC geriatrics AB - BACKGROUND: Neuropsychiatric symptoms, such as affective symptoms, psychosis, agitation, and apathy are common among nursing home patients with and without dementia. Treatment with one or more psychotropic drug is often without explicit clinical indication, despite low treatment efficacy, and potential side effects. We aim to investigate the multi-psychotropic drug use to identify factors and patient characteristics associated with multi-use., METHODS: We analysed three cohorts from 129 Norwegian nursing homes, collected between 2004 and 2011. Patients (N = 4739) were assessed with the Neuropsychiatric Inventory - Nursing Home version (NPI-NH), Clinical Dementia Rating scale, and Physical Self Maintenance Scale. We used ordinal logistic regression to analyse associations between psychotropics (antidepressants, antipsychotics, anxiolytics, hypnotics, and anti-dementia drugs), patient characteristics, and neuropsychiatric symptoms., RESULTS: Patients used on average 6.6 drugs; 27 % used no psychotropics, 32 % one, and 41 % multiple psychotropic drugs (24 % two, 17 % >=3). Thirty-nine percent were prescribed antidepressants, 30 % sedatives, 24 % anxiolytics, and 20 % antipsychotics. The total NPI-NH score was associated with multi-use (OR 1.02, 95 % CI 1.02-1.03), and increased from a mean of 13.5 (SD 16.3) for patients using none, to 25.5 (21.8) for patients using >=3 psychotropics. Affective symptoms (depression and anxiety) were most strongly associated with multi-psychotropic drug use (OR 1.10, 95 % CI: 1.09-1.12). Female gender, independency in daily living, younger age, dementia, and many regular drugs were also associated with multi-use., CONCLUSION: Forty-one percent were exposed to multi-psychotropic drug prescriptions. Contrary to current evidence and guidelines, there is an extensive use of multiple psychotropic drugs in patients with severe NPS and dementia. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0287-1 VL - 16 IS - 100968548 SP - 115 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27245665 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Sex Factors KW - *Psychotropic Drugs KW - Psychotropic Drugs/tu [Therapeutic Use] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Age Factors KW - Dementia/ep [Epidemiology] KW - *Dementia KW - Dementia/px [Psychology] KW - Depression/et [Etiology] KW - Depression/px [Psychology] KW - Dementia/dt [Drug Therapy] KW - Psychomotor Agitation/px [Psychology] KW - Norway/ep [Epidemiology] KW - Psychomotor Agitation/et [Etiology] KW - Dementia/co [Complications] KW - Psychotropic Drugs/cl [Classification] KW - Drug Prescriptions/st [Standards] KW - *Depression/dt [Drug Therapy] KW - *Prescription Drug Overuse KW - *Psychomotor Agitation/dt [Drug Therapy] KW - Prescription Drug Overuse/pc [Prevention & Control] KW - Prescription Drug Overuse/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Associations among pain, depression, and functional limitation in low-income, home-dwelling older adults: An analysis of baseline data from CAPABLE. AU - Smith, Patrick D AU - Becker, Kathleen AU - Roberts, Laken AU - Walker, Janiece AU - Szanton, Sarah L T2 - Geriatric nursing (New York, N.Y.) AB - A complex relationship exists between pain, depression, and functional limitation. These conditions, which substantially impact health care spending and quality of life, remain under-addressed in the current system of health care delivery, particularly among low-income and minority populations. This analysis uses baseline assessment data from CAPABLE, an ongoing randomized controlled trial (RCT), to examine associations between pain, depression, and functional limitation among a sample of low-income, community-dwelling elders with functional limitations. Linear regression revealed close associations between depression, pain, and activity of daily living (ADL) limitation. Mediation analyses indicated that depression fully mediated the relationship between pain intensity and functional limitation and partially mediated the relationship between pain interference and depression. Past research has shown that these conditions may be easily identified using validated assessment tools and effectively addressed through the introduction of interdisciplinary interventions. Several recommendations are presented for clinicians and health care organizations. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.gerinurse.2016.04.016 VL - 37 IS - 5 SP - 348 EP - 352 J2 - Geriatr Nurs SN - 1528-3984 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27245384 KW - Female KW - Humans KW - Male KW - Aged KW - *Independent Living KW - *Activities of Daily Living KW - Depression/eh [Ethnology] KW - *Depression/px [Psychology] KW - *Poverty KW - *Pain/px [Psychology] KW - African Americans/px [Psychology] KW - Pain/eh [Ethnology] ER - TY - JOUR TI - Projected Savings and Workforce Transformation from Converting Independence at Home to a Medicare Benefit. AU - Kinosian, Bruce AU - Taler, George AU - Boling, Peter AU - Gilden, Dan AU - Independence at Home Learning Collaborative Writing Group T2 - Journal of the American Geriatrics Society AB - The Independence at Home (IAH) Demonstration Year 1 results have confirmed earlier studies that showed the ability of home-based primary care (HBPC) to improve care and lower costs for Medicare's frailest beneficiaries. The first-year report showed IAH savings of 7.7% for all programs and 17% for the nine of 17 programs that surpassed the 5% mandatory savings threshold. Using these results as applied to the Medicare 5% claims file, the effect of expanding HBPC to the 2.2 million Medicare beneficiaries who are similar to IAH demonstration participants was projected. Total savings ranged from $12 billion to $53 billion depending on the speed and extent of dissemination of HBPC among this IAH-like population. Using a fixed growth rate, as hospitalists experienced in their first decade, 35% coverage would be achieved at the end of 10 years, with total 10-year savings through IAH reaching $37.5 billion and $17.3 billion accruing to the Centers for Medicare and Medicaid Services as a net reduction in overall expenditures, with $12.6 billion from Medicare Parts A and B savings. Copyright Published 2016. This article is a U.S. Government work and is in the public domain in the USA. DA - 2016/// PY - 2016 DO - 10.1111/jgs.14176 VL - 64 IS - 8 SP - 1531 EP - 6 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27241598 KW - Female KW - Humans KW - Male KW - United States KW - Aged, 80 and over KW - *Independent Living/ec [Economics] KW - *Frail Elderly KW - *Chronic Disease/ec [Economics] KW - *Home Care Services/ec [Economics] KW - *Medicare/ec [Economics] KW - Delivery of Health Care/ec [Economics] KW - Quality of Health Care/ec [Economics] KW - *Chronic Disease/th [Therapy] KW - *Cost Savings/ec [Economics] KW - *Health Workforce/ec [Economics] KW - *Primary Health Care/ec [Economics] KW - Health Services Needs and Demand/ec [Economics] KW - House Calls/ec [Economics] ER - TY - JOUR TI - Housing conditions and limitations in physical function among older adults. AU - Garcia-Esquinas, Esther AU - Perez-Hernandez, Bibiana AU - Guallar-Castillon, Pilar AU - Banegas, Jose R AU - Ayuso-Mateos, Jose Luis AU - Rodriguez-Artalejo, Fernando T2 - Journal of epidemiology and community health T3 - [Comment in: J Epidemiol Community Health. 2017 Jun;71(6):624; PMID: 28148552 [https://www.ncbi.nlm.nih.gov/pubmed/28148552]] AB - INTRODUCTION: Housing conditions are an important social determinant of health. However, to the best of our knowledge, no previous study has systematically assessed the association between housing conditions and physical function limitations in older adults; moreover, whether this association is independent of the socioeconomic status achieved earlier in life is still uncertain., METHODS: Cross-sectional analysis conducted among 2012 non-institutionalised individuals aged >=60 years, who participated in the Seniors-ENRICA cohort. Participants reported the following poor housing conditions: living in a walk-up building, lacking heating, or feeling cold frequently. We assessed lower extremity performance with the Short Physical Performance Battery (SPPB), mobility or agility limitations with standardised questions, frailty according to the Fried criteria, and disability in instrumental activities of daily living (IADL) with the Lawton and Brody questionnaire., RESULTS: In analyses adjusting for demographic, behavioural and comorbidity variables, when compared with those living in homes without poor housing conditions, those with >=2 poor conditions showed worse scores in the SPPB (beta -1.06; 95% CI -1.46 to -0.65) and a higher frequency of agility limitation (OR 1.62; 95% CI 1.00 to 2.61) and frailty (OR 8.78; 95% CI 3.00 to 25.60). These associations held after adjustment for educational and occupational levels. Living in a walk-up building was associated with a higher frequency of frailty, while lacking heating was linked to lower scores in the 3 SPPB tests, as well as with an increased frequency of frailty and 4 of its components (exhaustion, slow walking speed, low physical activity and weakness). Feeling cold was linked to increased exhaustion. No association was found between housing conditions and IADL disability., CONCLUSIONS: Poor housing conditions, particularly living in a walk-up building and lacking heating, are independently associated with limitations in physical function in older adults. This entails serious inequalities in functional status, which should be firmly addressed. Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ DA - 2016/// PY - 2016 DO - 10.1136/jech-2016-207183 VL - 70 IS - 10 SP - 954 EP - 60 J2 - J Epidemiol Community Health SN - 1470-2738 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27225681 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Middle Aged KW - Surveys and Questionnaires KW - Activities of Daily Living KW - Social Determinants of Health KW - Cross-Sectional Studies KW - Comorbidity KW - *Housing KW - *Frail Elderly KW - *Geriatric Assessment KW - *Mobility Limitation KW - Social Class ER - TY - JOUR TI - Measuring the Effect of Carers on Patients' Risk of Adverse Healthcare Outcomes Using the Caregiver Network Score. AU - O'Caoimh, R AU - Cornally, N AU - Svendrovski, A AU - Weathers, E AU - FitzGerald, C AU - Healy, E AU - O'Connell, E AU - O'Keeffe, G AU - O'Herlihy, E AU - Gao, Y AU - O'Donnell, R AU - O'Sullivan, R AU - Leahy-Warren, P AU - Orfila, F AU - Paul, C AU - Clarnette, R AU - Molloy, D W T2 - The Journal of frailty & aging AB - BACKGROUND: Although caregivers are important in the management of frail, community-dwelling older adults, the influence of different caregiver network types on the risk of adverse healthcare outcomes is unknown., OBJECTIVE: To examine the association between caregiver type and the caregiver network subtest of The Risk Instrument for Screening in the Community (RISC), a five point Likert scale scored from one ("can manage") to five ("absent/liability"). To measure the association between caregiver network scores and the one-year incidence of institutionalisation, hospitalisation and death., DESIGN: Observational cohort study., SETTING AND PARTICIPANTS: Community-dwelling adults, aged >65, attending health centres in Ireland, (n=779). PROCEDURE AND MEASUREMENTS: The caregiver network subtest of the RISC was scored by public health nurses. Caregivers were grouped dichotomously into low-risk (score of one) or high-risk (scores two-five)., RESULTS: The majority of patients had a primary caregiver (582/779; 75%), most often their child (200/582; 34%). Caregiver network scores were highest, indicating greatest risk, when patients had no recognised primary caregiver and lowest when only a spouse or child was available. Despite this, patients with a caregiver were significantly more likely to be institutionalised than those where none was required or identified (11.5% versus 6.5%, p=0.047). The highest one-year incidence of adverse outcomes occurred when state provided care was the sole support; the lowest when private care was the sole support. Significantly more patients whose caregiver networks were scored high-risk required institutionalisation than low-risk networks; this association was strongest for perceived difficulty managing medical domain issues, odds ratio (OR) 3.87:(2.22-6.76). Only perceived difficulty managing ADL was significantly associated with death, OR 1.72:(1.06-2.79). There was no association between caregiver network scores and risk of hospitalisation., CONCLUSION: This study operationalizes a simple method to evaluate caregiver networks. Networks consisting of close family (spouse/children) and those reflecting greater socioeconomic privilege (private supports) were associated with lower incidence of adverse outcomes. Caregiver network scores better predicted institutionalisation than hospitalisation or death. DA - 2016/// PY - 2016 DO - 10.14283/jfa.2016.86 VL - 5 IS - 2 SP - 104 EP - 10 J2 - J. frailty & aging SN - 2260-1341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27224501 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - *Independent Living KW - Cohort Studies KW - Social Support KW - Geriatric Assessment/mt [Methods] KW - Independent Living/sn [Statistics & Numerical Data] KW - Frail Elderly/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - *Caregivers KW - Risk Assessment/mt [Methods] KW - Independent Living/st [Standards] KW - Mortality KW - Ireland/ep [Epidemiology] KW - Hospitalization/sn [Statistics & Numerical Data] KW - Institutionalization/sn [Statistics & Numerical Data] KW - Caregivers/sn [Statistics & Numerical Data] KW - Caregivers/st [Standards] KW - Outcome Assessment (Health Care)/mt [Methods] KW - Caregivers/cl [Classification] KW - Outcome Assessment (Health Care)/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Disseminating a Clinically Effective Physical Activity Program to Preserve Mobility in a Community Setting for Older Adults. AU - Laussen, J AU - Kowaleski, C AU - Martin, K AU - Hickey, C AU - Fielding, R A AU - Reid, K F T2 - The Journal of frailty & aging AB - BACKGROUND: As the population of older adults continues to increase, the dissemination of strategies to maintain independence of older persons is of critical public health importance. Recent large-scale clinical trial evidence has definitively shown intervention of moderate-intensity physical activity (PA) reduces major mobility disability in at-risk older adults. However, it remains unknown whether structured PA interventions, with demonstrated efficacy in controlled, clinical environments, can be successfully disseminated into community settings to benefit wider populations of older adults., OBJECTIVE: To assess the dissemination of an evidence-based PA program for older adults by evaluating program participation and its impact on mobility, strength and quality of life., SETTING: An urban senior center., PARTICIPANTS: Fifty older adults (71.2 +/- 8 years aged; BMI: 30.1 +/- 7 kg/m2)., INTERVENTION: Average of 8.0 +/- 1.8 months of participation in the Fit-4-Life Program, a community-based PA and nutrition counseling intervention., MEASUREMENTS: Mobility (Short Physical Performance Battery (SPPB)), self-reported physical activity (CHAMPS questionnaire), leg strength, grip strength, and quality of life (Quality of Well-Being Self-Administered (QWB-SA) scale) were assessed at baseline and follow-up., RESULTS: Mean attendance was 55.8%. Fourteen participants were lost to follow-up. Those who dropped-out engaged in less PA at baseline (78 +/- 108 mins/wk) compared to those who completed follow-up (203 +/- 177 mins/wk, P=0.01). Participants exhibited sustained increases of PA (65 +/- 153 mins/wk, P= 0.08), and there were meaningful improvements in SPPB (0.5 +/- 0.2, P< 0.01), knee extensor strength (2.6 +/- 4.4 kg, P< 0.01) and QWB-SA (0.04 +/- 0.09, P= 0.05)., CONCLUSION: The dissemination of a clinically efficacious PA intervention into a community-based setting can improve mobility, strength and quality of life for older adults. This knowledge may be helpful for the design and implementation of larger-scale PA intervention studies designed to preserve mobility in older adults within community-based settings. DA - 2016/// PY - 2016 DO - 10.14283/jfa.2016.94 VL - 5 IS - 2 SP - 82 EP - 7 J2 - J. frailty & aging SN - 2260-1341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27224498 KW - Female KW - Humans KW - Male KW - Risk Reduction Behavior KW - Program Evaluation KW - Aged KW - *Quality of Life KW - *Motor Activity/ph [Physiology] KW - *Aging KW - Geriatric Assessment/mt [Methods] KW - *Independent Living/px [Psychology] KW - Aging/ph [Physiology] KW - *Muscle Strength/ph [Physiology] KW - Aging/px [Psychology] KW - Delivery of Health Care/mt [Methods] ER - TY - JOUR TI - Old-and With Severe Heart Failure: Telemonitoring by Using Digital Pen Technology in Specialized Homecare: System Description, Implementation, and Early Results. AU - Lind, Leili AU - Carlgren, Gunnar AU - Karlsson, Daniel T2 - Computers, informatics, nursing : CIN AB - Telehealth programs for heart failure have been studied using a variety of techniques. Because currently a majority of the elderly are nonusers of computers and Internet, we developed a home telehealth system based on digital pen technology. Fourteen patients (mean age, 84 years [median, 83 years]) with severe heart failure participated in a 13-month pilot study in specialized homecare. Participants communicated patient-reported outcome measures daily using the digital pen and health diary forms, submitting a total of 3 520 reports. The reports generated a total of 632 notifications when reports indicated worsening health. Healthcare professionals reviewed reports frequently, more than 4700 times throughout the study, and acted on the information provided. Patients answered questionnaires and were observed in their home environment when using the system. Results showed that the technology was accepted by participants: patients experienced an improved contact with clinicians; they felt more compliant with healthcare professionals' advice, and they felt more secure and more involved in their own care. Via the system, the healthcare professionals detected heart failure-related deteriorations at an earlier stage, and as a consequence, none of the patients were admitted into hospital care during the study. DA - 2016/// PY - 2016 DO - 10.1097/CIN.0000000000000252 VL - 34 IS - 8 SP - 360 EP - 8 J2 - Comput Inform Nurs SN - 1538-9774 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27223309 KW - Humans KW - Aged KW - Aged, 80 and over KW - Health Personnel KW - Surveys and Questionnaires KW - *Telemedicine/mt [Methods] KW - Self Report KW - *Home Care Services KW - Pilot Projects KW - Equipment Design KW - *Medical Records KW - Medical Informatics KW - *Internet KW - *Heart Failure/th [Therapy] KW - *Remote Consultation/mt [Methods] KW - Patient Compliance/px [Psychology] KW - Remote Consultation/is [Instrumentation] ER - TY - JOUR TI - Talking with patients about sex: results of an interprofessional simulation-based training for clinicians. AU - Strada, Irene AU - Vegni, Elena AU - Lamiani, Giulia T2 - Internal and emergency medicine AB - Sexuality is often a neglected topic in healthcare consultations. Several factors have been identified by clinicians as barriers to communication around sexuality, including lack of time, inadequate training, and personal discomfort. Within the Program to Enhance Relational and Communication Skills (PERCS), we developed a half-day interdisciplinary workshop that focuses on communication skills around sexuality and management of sexual problems with patients (PERCS-sexuality). This study reports on the efficacy of six PERCS-sexuality workshops enrolling 84 clinicians. Through a pre-post-questionnaire, participants rated their preparation, confidence, anxiety, communication and relational skills in talking with patients about sexual issues. Qualitative questions were also asked on their learning experience. The workshop increased participants' preparation (p = 0.000), confidence (p = 0.000), communication (p = 0.000), and relational skills (p = 0.000). Anxiety did not decrease. Qualitative comments focused on: Acquisition of communication and relational skills, Importance of patient's sexuality, Appreciation of group dynamics, and Personal insights. The findings suggest that PERCS-sexuality is a useful training experience to improve clinicians' attitudes and skills in addressing sexuality with patients. DA - 2016/// PY - 2016 DO - 10.1007/s11739-016-1468-9 VL - 11 IS - 6 SP - 859 EP - 66 J2 - Intern. emerg. medicine SN - 1970-9366 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27220953 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Qualitative Research KW - *Sexual Behavior/px [Psychology] KW - *Communication KW - Fear KW - *Physician-Patient Relations KW - *Patient Simulation ER - TY - JOUR TI - Social service robots to support independent living : Experiences from a field trial. AU - Pripfl, J AU - Kortner, T AU - Batko-Klein, D AU - Hebesberger, D AU - Weninger, M AU - Gisinger, C T2 - Soziale Serviceroboter zur Unterstutzung des unabhangigen Lebens : Erfahrungen aus einem Feldversuch. AB - BACKGROUND: Assistive robots could be a future means to support independent living for seniors., OBJECTIVE: This article provides insights into the latest developments in social service robots (SSR) based on the recently finished HOBBIT project. The idea of the HOBBIT project was to develop a low-cost SSR which is able to reduce the risk of falling, to detect falls and handle emergencies in private homes. The main objective of the project was to raise the technology to a level that allows the robot to be fully autonomously deployed in the private homes of older users and to evaluate technology market readiness, utility, usability and affordability under real-world conditions., METHOD: During the initial phase of the project, a first prototype (PT1) was developed. The results of laboratory tests with PT1 were used for the development of a second prototype (PT2), which was finally tested in seven households of senior adults (mean age 79 years) for 3 weeks each, i.e. in total more than 5 months., RESULTS: The results showed that PT2 is intuitive to handle and that the functions offered meet the needs of older users; however, the robot was considered more as a toy than a supportive device for independent living. Furthermore, despite an emergency function of the robot, perceived security did not increase., CONCLUSION: Reasons for this might be a lack of technological robustness and slow performance of the prototype and also the good health conditions of the users; however, users believed that a market-ready version of the robot would be vital for supporting people who are more fragile and more socially isolated. Thus, SSRs have the potential to support independent living of older people although the technology has to be considerably improved to reach market readiness. DA - 2016/// PY - 2016 DO - 10.1007/s00391-016-1067-4 VL - 49 IS - 4 SP - 282 EP - 7 J2 - Z Gerontol Geriatr SN - 1435-1269 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27220733 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - User-Computer Interface KW - *Accidental Falls/pc [Prevention & Control] KW - *Social Support KW - *Independent Living/px [Psychology] KW - Independent Living/sn [Statistics & Numerical Data] KW - Sweden KW - *Robotics/is [Instrumentation] KW - Activities of Daily Living/px [Psychology] KW - Equipment Design KW - Austria KW - Utilization Review KW - Self-Help Devices/sn [Statistics & Numerical Data] KW - *Patient Preference/px [Psychology] KW - *Self-Help Devices/px [Psychology] KW - Equipment Failure Analysis KW - Man-Machine Systems KW - Needs Assessment/og [Organization & Administration] KW - Patient Preference/sn [Statistics & Numerical Data] ER - TY - JOUR TI - The Prevalence of Visual Impairment in Retirement Home Residents. AU - Thederan, Luisa AU - Steinmetz, Susanne AU - Kampmann, Sabine AU - Koob-Matthes, Anna-Maria AU - Grehn, Franz AU - Klink, Thomas T2 - Deutsches Arzteblatt international T3 - [Comment in: Dtsch Arztebl Int. 2016 Oct 21;113(42):720; PMID: 27866567 [https://www.ncbi.nlm.nih.gov/pubmed/27866567]] AB - BACKGROUND: Elderly persons often have eye diseases causing either reversible or irreversible visual loss. The prevalence of such problems among retirement home residents is unknown., METHODS: 203 residents of retirement homes in and around Wurzburg, Germany, were examined. Clinical histories were taken, including information on prior ophthalmological care, and ophthalmological examinations were performed, including visual acuity, slit-lamp examination of the anterior segment of the eye, fundoscopy (with optical coherence tomography), and measurement of the intraocular pressure., RESULTS: 119 women and 84 men aged 55 to 101 were examined in 6 retirement homes. 44 (21.7% ) had ophthalmological findings that required acute treatment. The most common diagnoses in the anterior segment of the eye were keratoconjunctivitis sicca (160; 78.8% ), cataract (88; 43.3% ), secondary cataract (15; 7.4% ), glaucoma (33; 12.3% ), and eyelid malpositions (25; 12.3% ). In the fundus, 45 residents (22.2% ) had dry age-related macular degeneration (AMD), 7 (3.4% ) had fresh wet AMD, and 7 (3.4% ) had epiretinal gliosis. 81 (39.9% ) could give no information about earlier ophthalmologic examinations, and 42 (20.7% ) had not been to an ophthalmologist for at least 5 years. After correction of refractive errors, their mean decimal visual acuity improved from 0.25 to 0.33., CONCLUSION: The retirement home residents that we examined were not receiving adequate ophthalmological care; in particular, some of them had irreversible eye diseases that were not being treated. The ophthalmological care of retirement home residents needs to be improved through better collaboration of all types of personnel taking care of them. DA - 2016/// PY - 2016 DO - 10.3238/arztebl.2016.0323 VL - 113 IS - 18 SP - 323 EP - 7 J2 - Dtsch. Arztebl. int. SN - 1866-0452 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27215597 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Vision Disorders/ep [Epidemiology] KW - Visual Acuity KW - *Retirement/sn [Statistics & Numerical Data] KW - Germany/ep [Epidemiology] KW - *Vision Disorders/di [Diagnosis] KW - Macular Degeneration/dg [Diagnostic Imaging] KW - Macular Degeneration/ep [Epidemiology] ER - TY - JOUR TI - [Well-Being in old age - content validity of the Ryff Scale for residents of nursing homes and assisted living facilities]. AU - Bernsteiner, Mariella AU - Boggatz, Thomas T2 - Wohlbefinden im Alter. Die Inhaltsvaliditat der Ryff-Skala fur BewohnerInnen von Pflegeheimen und betreuten Wohneinrichtungen. AB - BACKGROUND: Well-being is an important but rarely assessed outcome of care. The Ryff Scale of Psychological Well-Being measures this concept, but was not designed specifically for residents of assisted living facilities and nursing homes., AIM: To create a variant of this scale for the elderly in nursing homes and assisted living facilities in German speaking regions and to determine its content validity., METHOD: A study was conducted in Salzburg using the Delphi method, which consisted of two rounds containing 56 experts working in nursing homes and assisted living facilities. Suggestions for improvements were obtained by means of open-end questions. Acceptance of the items was rated on a 4-point Likert-scale. Items were accepted if a minimum of 80 % of the experts agreed at least partially. During the qualitative analysis the statements of the experts were compared and summarised into codes and categories., RESULTS: In the first round (response rate: 34.6 %) 38 items out of 54 items were modified. The revised questionnaire received approval (>= 80 %) for all items in the second round (response rate: 64.7 %). The experts criticised the phrasing of some items and also aspects of well-being, which in their opinion, are not relevant for the elderly in need of care anymore (e. g. performance of obligations)., CONCLUSION: A modified scale was developed which was deemed appropriate by the experts for residents of nursing homes and assisted living facilities. This scale now requires psychometric testing. DA - 2016/// PY - 2016 DO - 10.1024/1012-5302/a000485 VL - 29 IS - 3 SP - 137 EP - 49 J2 - Pflege SN - 1012-5302 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27213228 KW - Female KW - Humans KW - Male KW - Aged KW - Reproducibility of Results KW - Delphi Technique KW - *Assisted Living Facilities KW - *Quality of Life/px [Psychology] KW - *Homes for the Aged KW - *Nursing Homes KW - *Surveys and Questionnaires KW - Switzerland KW - Psychometrics/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Screening for Frailty in Canada's Health Care System: A Time for Action. AU - Muscedere, John AU - Andrew, Melissa K AU - Bagshaw, Sean M AU - Estabrooks, Carole AU - Hogan, David AU - Holroyd-Leduc, Jayna AU - Howlett, Susan AU - Lahey, William AU - Maxwell, Colleen AU - McNally, Mary AU - Moorhouse, Paige AU - Rockwood, Kenneth AU - Rolfson, Darryl AU - Sinha, Samir AU - Tholl, Bill AU - Canadian Frailty Network (CFN) T2 - Canadian journal on aging = La revue canadienne du vieillissement AB - As Canada's population ages, frailty - with its increased risk of functional decline, deterioration in health status, and death - will become increasingly common. The physiology of frailty reflects its multisystem, multi-organ origins. About a quarter of Canadians over age 65 are frail, increasing to over half in those older than 85. Our health care system is organized around single-organ systems, impairing our ability to effectively treat people having multiple disorders and functional limitations. To address frailty, we must recognize when it occurs, increase awareness of its significance, develop holistic models of care, and generate better evidence for its treatment. Recognizing how frailty impacts lifespan will allow for integration of care goals into treatment options. Different settings in the Canadian health care system will require different strategies and tools to assess frailty. Given the magnitude of challenges frailty poses for the health care system as currently organized, policy changes will be essential. DA - 2016/// PY - 2016 DO - 10.1017/S0714980816000301 VL - 35 IS - 3 SP - 281 EP - 97 J2 - Can J Aging SN - 1710-1107 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27211065 KW - Humans KW - Aged KW - Aged, 80 and over KW - Health Policy KW - Delivery of Health Care KW - Health Status KW - *Assisted Living Facilities KW - *Nursing Homes KW - *Frail Elderly KW - Canada KW - Hospitalization KW - *Primary Health Care KW - Translational Medical Research KW - *Critical Care KW - *Mass Screening ER - TY - JOUR TI - [Foot disorders in community dwelling frail elderly people with heart disease and risk factors]. AU - Perez-Ros, Pilar AU - Martinez-Arnau, Francisco M AU - Cuquerella Piera, Chabela AU - Tarazona-Santabalbina, Francisco J T2 - Alteraciones en los pies en ancianos fragiles comunitarios con patologia cardiaca. Factores de riesgo. DA - 2016/// PY - 2016 DO - 10.1016/j.aprim.2016.02.002 VL - 48 IS - 9 SP - 613 EP - 614 J2 - Aten Primaria SN - 1578-1275 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27206344 KW - Humans KW - Risk Factors KW - Aged KW - *Independent Living KW - Geriatric Assessment KW - *Frail Elderly KW - *Foot Diseases KW - *Heart Diseases ER - TY - JOUR TI - Smart homes and home health monitoring technologies for older adults: A systematic review. AU - Liu, Lili AU - Stroulia, Eleni AU - Nikolaidis, Ioanis AU - Miguel-Cruz, Antonio AU - Rios Rincon, Adriana T2 - International journal of medical informatics AB - BACKGROUND: Around the world, populations are aging and there is a growing concern about ways that older adults can maintain their health and well-being while living in their homes., OBJECTIVES: The aim of this paper was to conduct a systematic literature review to determine: (1) the levels of technology readiness among older adults and, (2) evidence for smart homes and home-based health-monitoring technologies that support aging in place for older adults who have complex needs., RESULTS: We identified and analyzed 48 of 1863 relevant papers. Our analyses found that: (1) technology-readiness level for smart homes and home health monitoring technologies is low; (2) the highest level of evidence is 1b (i.e., one randomized controlled trial with a PEDro score >=6); smart homes and home health monitoring technologies are used to monitor activities of daily living, cognitive decline and mental health, and heart conditions in older adults with complex needs; (3) there is no evidence that smart homes and home health monitoring technologies help address disability prediction and health-related quality of life, or fall prevention; and (4) there is conflicting evidence that smart homes and home health monitoring technologies help address chronic obstructive pulmonary disease., CONCLUSIONS: The level of technology readiness for smart homes and home health monitoring technologies is still low. The highest level of evidence found was in a study that supported home health technologies for use in monitoring activities of daily living, cognitive decline, mental health, and heart conditions in older adults with complex needs. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.ijmedinf.2016.04.007 VL - 91 IS - ct4, 9711057 SP - 44 EP - 59 J2 - Int J Med Inf SN - 1872-8243 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27185508 KW - Humans KW - Aged KW - *Independent Living KW - *Monitoring, Physiologic/mt [Methods] KW - *Home Care Services KW - *Biomedical Technology/mt [Methods] KW - Telemedicine/mt [Methods] KW - Geriatrics/mt [Methods] KW - Geriatrics/is [Instrumentation] KW - Monitoring, Physiologic/is [Instrumentation] KW - Biomedical Technology/is [Instrumentation] KW - Telemedicine/is [Instrumentation] ER - TY - JOUR TI - [Unexpected outings of Alzheimer patients living in retirement homes: Therapeutic perspectives]. AU - Brossard, F AU - Caron, R T2 - Sorties intempestives de personnes atteintes de maladie d'Alzheimer en EHPAD : perspectives therapeutiques. AB - OBJECTIVES: Various behavior disorders can occur during Alzheimer's disease, in particular unexpected outings. This article aims at understanding the diverse mechanisms present during a "runaway" episode, which can manifest in an acute way. The authors bring to light through clinical examples what is at work from a psychological perspective in order to create new accompaniment methods., METHOD: First, the authors reviewed the literature on runaway episodes in order to point out necessary themes for reflection. Then, from a Freudian theoretical model, they brought to light four fundamental mechanisms: hallucinations, false recognition, non-recognition, and recognition. These are mainly, although not exhaustively, understood from perceptions, memory-traces, indications of quality, and memories. This theory was questioned by means of presented clinical cases. Various post-Freudian models allowed the authors to emphasize the pathological experience in the role of perceptions and the functions, which come into play in the psychic economy. By going back and forth between theory and clinical cases, the authors underline the importance of perception in the phenomenon of unexpected outings. Finally, the Lacanian psychoanalytical theories provide a framework to question clinical cases but also provide answers to the criticisms found in the diverse reserved models., RESULTS: Through this study the authors hypothesize that the runaway episodes are not senseless but result from the interaction between the effects of the brain damage and the anxiety, which they arouse in the subjectivity of the person suffering from Alzheimer's. Leaning on false-recognitions, hallucinations, and non-recognitions such as were described in "Project for a scientific psychology", the authors put forward the hypothesis that these mechanisms express themselves in an imaginary relation, as in psychosis., CONCLUSION: The question of whether the runaway episodes of Alzheimer's sufferers can be classified as psychotic breakouts with a loss of touch with reality, or if the runaway episodes could be prevented by offering enough reassurance and support, is open to further debate. Copyright © 2016. Published by Elsevier Masson SAS. DA - 2016/// PY - 2016 DO - 10.1016/j.encep.2016.03.011 VL - 42 IS - 5 SP - 484 EP - 491 J2 - Encephale SN - 0013-7006 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27179364 KW - Humans KW - Aged KW - Aged, 80 and over KW - *Assisted Living Facilities KW - Behavior KW - *Alzheimer Disease/px [Psychology] ER - TY - JOUR TI - Beyond Strength: Participant Perspectives on the Benefits of an Older Adult Exercise Program. AU - Kohn, Marlana AU - Belza, Basia AU - Petrescu-Prahova, Miruna AU - Miyawaki, Christina E T2 - Health education & behavior : the official publication of the Society for Public Health Education AB - This study examines the expected and experienced benefits among participants in EnhanceFitness (EF), an evidence-based group physical activity program for older adults. We also describe the implications for program dissemination (reach, implementation, and maintenance) within the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework. Twenty semistructured interviews were conducted with EF participants enrolled from 2005 to 2012. Interviews were digitally recorded, professionally transcribed, and analyzed using a deductive approach. Participants were motivated to join EF for expected physical benefits and the social environment of a group-based class. Actualized benefits of participation included physical, social, functional, and improved self-image/sense of well-being. Participants valued the practical application of class exercises to daily activities that support independent living, such as lifting objects and completing household chores. Organizations looking to implement EF or improve existing EF classes can improve program reach, implementation, and maintenance by incorporating participants' expressed motivations and valued benefits in program marketing and by improving organizational support to meet participant needs. EF class instructors can tailor their classes to engage participants based on their motivations. Understanding participants' motivations and valued benefits can improve EF dissemination by meeting participant needs with tailored class offerings and organizational needs informed by participant insights that aid program sustainability. Copyright © 2015 Society for Public Health Education. DA - 2016/// PY - 2016 DO - 10.1177/1090198115599985 VL - 43 IS - 3 SP - 305 EP - 12 J2 - Health Educ Behav SN - 1552-6127 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27178496 KW - Female KW - Humans KW - Male KW - United States KW - Social Environment KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Accidental Falls/pc [Prevention & Control] KW - *Social Support KW - *Attitude to Health KW - Interviews as Topic KW - *Exercise/px [Psychology] KW - *Self Concept KW - Aging/px [Psychology] KW - Motivation KW - Resistance Training ER - TY - JOUR TI - Dissemination and Implementation of Function Focused Care for Assisted Living. AU - Resnick, Barbara AU - Galik, Elizabeth AU - Vigne, Erin AU - Carew, Allison Payne T2 - Health education & behavior : the official publication of the Society for Public Health Education AB - Assisted living (AL) settings are residential settings that provide housing and supportive services for older and disabled adults. Although individuals in AL are less functionally impaired than those in nursing home settings, they engage in limited amounts of physical activity and experience more rapid functional decline than their peers in nursing homes. Function Focused Care for Assisted Living (FFC-AL) was developed to prevent decline, improve function, and increase physical activity among residents living in these settings. The purpose of this study was to disseminate and implement the previously established, effective FFC-AL approach to 100 AL settings. Evidence of our ability to successfully disseminate and implement FFC-AL across these settings was established using the Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance model. Settings were eligible to participate if they had more than eight beds and identified a nurse (i.e., registered nurse, licensed practical nurse, or direct care worker) champion to facilitate the implementation process. Setting recruitment was done via mailed invitations to 300 eligible ALs and e-mails to relevant AL organizations. Evidence of reach was based on our ability to recruit 99 ALs with adoption of the intervention in 78 (78%). There was a significant improvement in policies supporting function-focused care and in establishing environments that supported function-focused care, and there was evidence of enduring changes in settings indicative of maintenance. We were able to implement all aspects of the intervention although challenges were identified. Future work should focus on using more face-to-face interactions with champions along with identified stakeholders, evaluating characteristics of champions to establish those who are most successful, and recruiting residents to obtain resident-specific outcomes. Copyright © 2015 Society for Public Health Education. DA - 2016/// PY - 2016 DO - 10.1177/1090198115599984 VL - 43 IS - 3 SP - 296 EP - 304 J2 - Health Educ Behav SN - 1552-6127 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27178495 KW - Humans KW - Program Evaluation KW - Aged KW - Health Policy KW - Activities of Daily Living KW - *Accidental Falls/pc [Prevention & Control] KW - *Assisted Living Facilities KW - Accidental Falls/sn [Statistics & Numerical Data] KW - *Health Promotion/mt [Methods] KW - *Motor Activity KW - Motor Activity/ph [Physiology] KW - Aging KW - Nurses KW - Sedentary Behavior KW - Motivation KW - Maryland ER - TY - JOUR TI - Emergency department transfers and hospital admissions from residential aged care facilities: a controlled pre-post design study. AU - Hullick, Carolyn AU - Conway, Jane AU - Higgins, Isabel AU - Hewitt, Jacqueline AU - Dilworth, Sophie AU - Holliday, Elizabeth AU - Attia, John T2 - BMC geriatrics AB - BACKGROUND: Older people living in Residential Aged Care Facilities (RACF) are a vulnerable, frail and complex population. They are more likely than people who reside in the community to become acutely unwell, present to the Emergency Department (ED) and require admission to hospital. For many, hospitalisation carries with it risks. Importantly, evidence suggests that some admissions are avoidable. A new collaborative model of care, the Aged Care Emergency Service (ACE), was developed to provide clinical support to nurses in the RACFs, allowing residents to be managed in place and avoid transfer to the ED. This paper examines the effects of the ACE service on RACF residents' transfer to hospital using a controlled pre-post design., METHODS: Four intervention RACFs were matched with eight control RACFs based on number of total beds, dementia specific beds, and ratio of high to low care beds in Newcastle, Australia, between March and November 2011. The intervention consisted of a clinical care manual to support care along with a nurse led telephone triage line, education, establishing goals of care prior to ED transfer, case management when in the ED, along with the development of collaborative relationships between stakeholders. Outcomes included ED presentations, length of stay, hospital admission and 28-day readmission pre- and post-intervention. Generalised estimating equations were used to estimate mean differences in outcomes between intervention and controls RACFs, pre- and post-intervention means, and their interaction, accounting for repeated measures and adjusting for matching factors., RESULTS: Residents had a mean age of 86 years. ED presentations ranged between 16 and 211 visits/100 RACF beds/year across all RACFs. There was no overall reduction in ED presentations (OR = 1.17, p = 0.56) with the ACE intervention. However, when compared to the controls, the intervention group reduced their ED length of stay by 45 min (p = 0.0575), and was 40 % less likely to be admitted to hospital, . The latter was highly significant (p = 0.0012)., CONCLUSIONS: Transfers to ED and admission to hospital are common for residents of RACFs. This study has demonstrated that a complex multi-strategy intervention led by nursing staff can successfully reduce hospital admissions for older people living in Residential Aged Care Facilities. By defining goals of care prior to transfer to the ED, clinicians have the opportunity to better deliver care that patients require. Integrated care requires accountability from multiple stakeholders., TRIAL REGISTRATION: The Australian New Zealand Clinical Trials Registration number is ACTRN12616000588493 It was registered on 6(th) May 2016. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0279-1 VL - 16 IS - 100968548 SP - 102 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27175921 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Australia KW - Research Design KW - Models, Organizational KW - Quality Improvement KW - Hospitalization/sn [Statistics & Numerical Data] KW - *Assisted Living Facilities/og [Organization & Administration] KW - *Emergency Service, Hospital/og [Organization & Administration] KW - *Patient Transfer KW - *Emergency Medical Services/og [Organization & Administration] KW - *Patient Care Management KW - Patient Care Management/mt [Methods] KW - Patient Care Management/st [Standards] KW - Patient Transfer/mt [Methods] KW - Patient Transfer/og [Organization & Administration] KW - Triage/mt [Methods] ER - TY - JOUR TI - Living well to the end: A phenomenological analysis of life in extra care housing. AU - Shaw, Rachel L AU - West, Karen AU - Hagger, Barbara AU - Holland, Carol A T2 - International journal of qualitative studies on health and well-being AB - OBJECTIVES: To understand older adults' experiences of moving into extra care housing which offers enrichment activities alongside social and healthcare support., DESIGN: A longitudinal study was conducted which adopted a phenomenological approach to data generation and analysis., METHODS: Semi-structured interviews were conducted in the first 18 months of living in extra care housing. Interpretative phenomenological analysis was used because its commitment to idiography enabled an in-depth analysis of the subjective lived experience of moving into extra care housing. Themes generated inductively were examined against an existential-phenomenological theory of well-being., RESULTS: Learning to live in an extra care community showed negotiating new relationships was not straightforward; maintaining friendships outside the community became more difficult as capacity declined. In springboard for opportunity/confinement, living in extra care provided new opportunities for social engagement and a restored sense of self. Over time horizons began to shrink as incapacities grew. Seeking care illustrated reticence to seek care, due to embarrassment and a sense of duty to one's partner. Becoming aged presented an ontological challenge. Nevertheless, some showed a readiness for death, a sense of homecoming., CONCLUSIONS: An authentic later life was possible but residents required emotional and social support to live through the transition and challenges of becoming aged. Enhancement activities boosted residents' quality of life but the range of activities could be extended to cater better for quieter, smaller scale events within the community; volunteer activity facilitators could be used here. Peer mentoring may help build new relationships and opportunities for interactive stimulation. Acknowledging the importance of feeling-empathic imagination-in caregiving may help staff and residents relate better to each other, thus helping individuals to become ontologically secure and live well to the end. DA - 2016/// PY - 2016 DO - 10.3402/qhw.v11.31100 VL - 11 IS - 101256506 SP - 31100 J2 - Int J Qual Stud Health Well-being SN - 1748-2631 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27172516 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Interpersonal Relations KW - Residence Characteristics KW - Qualitative Research KW - Social Support KW - *Quality of Life KW - *Homes for the Aged KW - *Nursing Homes KW - Longitudinal Studies KW - *Adaptation, Psychological KW - *Aging/px [Psychology] KW - Quality of Life/px [Psychology] KW - *Emotions KW - Friends KW - Learning KW - Self Concept KW - Existentialism ER - TY - JOUR TI - Seniors' self-preservation by maintaining established self and defying deterioration - A grounded theory. AU - Eriksson, Jeanette Kallstrand AU - Hildingh, Cathrine AU - Buer, Nina AU - Thulesius, Hans T2 - International journal of qualitative studies on health and well-being AB - The purpose of this classic grounded theory study was to understand how seniors who are living independently resolve issues influenced by visual impairment and high fall risk. We interviewed and observed 13 seniors with visual impairment in their homes. We also interviewed six visual instructors with experience from many hundreds of relevant incidents from the same group of seniors. We found that the seniors are resolving their main concern of "remaining themselves as who they used to be" by self-preservation. Within this category, the strategies maintaining the established self and defying deterioration emerged as the most prominent in our data. The theme maintaining the established self is mostly guided by change inertia and includes living the past (retaining past activities, reminiscing, and keeping the home intact) and facading (hiding impairment, leading to avoidance of becoming a burden and to risk juggling). Defying deterioration is a proactive scheme and involves moving (by exercising, adapting activities, using walking aids, driving), adapting (by finding new ways), and networking by sustaining old support networks or finding new networks. Self-preservation is generic human behavior and modifying this theory to other fields may therefore be worthwhile. In addition, health care providers may have use for the theory in fall preventive planning. DA - 2016/// PY - 2016 DO - 10.3402/qhw.v11.30265 VL - 11 IS - 101256506 SP - 30265 J2 - Int J Qual Stud Health Well-being SN - 1748-2631 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27172511 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Accidental Falls/pc [Prevention & Control] KW - *Independent Living KW - Vision Disorders/et [Etiology] KW - *Aging KW - Aging/ph [Physiology] KW - Grounded Theory KW - *Self Concept KW - *Safety KW - Aging/px [Psychology] KW - *Vision Disorders KW - Health KW - Healthy Lifestyle KW - Vision Disorders/px [Psychology] ER - TY - JOUR TI - Validity of Self-Reported Tobacco Smoke Exposure among Non-Smoking Adult Public Housing Residents. AU - Fang, Shona C AU - Chen, Shan AU - Trachtenberg, Felicia AU - Rokicki, Slawa AU - Adamkiewicz, Gary AU - Levy, Douglas E T2 - PloS one AB - INTRODUCTION: Tobacco smoke exposure (TSE) in public multi-unit housing (MUH) is of concern. However, the validity of self-reports for determining TSE among non-smoking residents in such housing is unclear., METHODS: We analyzed data from 285 non-smoking public MUH residents living in non-smoking households in the Boston area. Participants were interviewed about personal TSE in various locations in the past 7 days and completed a diary of home TSE for 7 days. Self-reported TSE was validated against measurable saliva cotinine (lower limit of detection (LOD) 0.02 ng/ml) and airborne apartment nicotine (LOD 5 ng). Correlations, estimates of inter-measure agreement, and logistic regression assessed associations between self-reported TSE items and measurable cotinine and nicotine., RESULTS: Cotinine and nicotine levels were low in this sample (median = 0.026 ng/ml and 0.022 mug/m(3), respectively). Prevalence of detectable personal TSE was 66.3% via self-report and 57.0% via measurable cotinine (median concentration among those with cotinine>LOD: 0.057 ng/ml), with poor agreement (kappa = 0.06; sensitivity = 68.9%; specificity = 37.1%). TSE in the home, car, and other peoples' homes was weakly associated with cotinine levels (Spearman correlations rs = 0.15-0.25), while TSE in public places was not associated with cotinine. Among those with airborne nicotine and daily diary data (n = 161), a smaller proportion had household TSE via self-report (41.6%) compared with measurable airborne nicotine (53.4%) (median concentration among those with nicotine>LOD: 0.04 mug/m(3)) (kappa = 0.09, sensitivity = 46.5%, specificity = 62.7%)., CONCLUSIONS: Self-report alone was not adequate to identify individuals with TSE, as 31% with measurable cotinine and 53% with measurable nicotine did not report TSE. Self-report of TSE in private indoor spaces outside the home was most associated with measurable cotinine in this low-income non-smoking population. DA - 2016/// PY - 2016 DO - 10.1371/journal.pone.0155024 VL - 11 IS - 5 SP - e0155024 J2 - PLoS ONE SN - 1932-6203 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27171392 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Reproducibility of Results KW - *Self Report KW - *Public Housing/sn [Statistics & Numerical Data] KW - Family Characteristics KW - Boston/ep [Epidemiology] KW - *Tobacco Smoke Pollution/sn [Statistics & Numerical Data] KW - *Smoking/ep [Epidemiology] KW - Air Pollution/an [Analysis] KW - Cotinine/an [Analysis] KW - Nicotine/an [Analysis] KW - Saliva/ch [Chemistry] ER - TY - JOUR TI - Greater Adherence to the Alternative Healthy Eating Index Is Associated with Lower Incidence of Physical Function Impairment in the Nurses' Health Study. AU - Hagan, Kaitlin A AU - Chiuve, Stephanie E AU - Stampfer, Meir J AU - Katz, Jeffrey N AU - Grodstein, Francine T2 - The Journal of nutrition AB - BACKGROUND: Physical function is integral to healthy aging, in particular as a core component of mobility and independent living in older adults, and is a strong predictor of mortality. Limited research has examined the role of diet, which may be an important strategy to prevent or delay a decline in physical function with aging., OBJECTIVE: We prospectively examined the association between the Alternative Healthy Eating Index-2010 (AHEI-2010), a measure of diet quality, with incident impairment in physical function among 54,762 women from the Nurses' Health Study., METHODS: Physical function was measured by the Medical Outcomes Short Form-36 (SF-36) physical function scale and was administered every 4 y from 1992 to 2008. Cumulative average diet was assessed using food frequency questionnaires, administered approximately every 4 y. We used multivariable Cox proportional hazards models to estimate the HRs of incident impairment of physical function., RESULTS: Participants in higher quintiles of the AHEI-2010, indicating a healthier diet, were less likely to have incident physical impairment than were participants in lower quintiles (P-trend < 0.001). The multivariable-adjusted HR of physical impairment for those in the top compared with those in the bottom quintile of the AHEI-2010 was 0.87 (95% CI: 0.84, 0.90). For individual AHEI-2010 components, higher intake of vegetables (P-trend = 0.003) and fruits (P-trend = 0.02); lower intake of sugar-sweetened beverages (P-trend < 0.001), trans fats (P-trend = 0.03), and sodium (P-trend < 0.001); and moderate alcohol intake (P-trend < 0.001) were each significantly associated with reduced rates of incident physical impairment. Among top contributors to the food components of the AHEI-2010, the strongest relations were found for increased intake of oranges, orange juice, apples and pears, romaine or leaf lettuce, and walnuts. However, associations with each component and with specific foods were generally weaker than the overall score, indicating that overall diet pattern is more important than individual parts., CONCLUSIONS: In this large cohort of older women, a healthier diet was associated with a lower risk of developing impairments in physical function. Copyright © 2016 American Society for Nutrition. DA - 2016/// PY - 2016 DO - 10.3945/jn.115.227900 VL - 146 IS - 7 SP - 1341 EP - 7 J2 - J Nutr SN - 1541-6100 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27170727 KW - Adult KW - Female KW - Humans KW - Middle Aged KW - Surveys and Questionnaires KW - *Disabled Persons KW - *Diet KW - *Diet Surveys ER - TY - JOUR TI - A Case Study Investigation into the Use of Multi-compartment Compliance Aids in Older People Resident in Very Sheltered Housing. AU - MacLure, Katie AU - MacLeod, Joan AU - Forbes-McKay, Katrina AU - Paudyal, Vibhu AU - Cunningham, Scott AU - Strath, Alison AU - Lynch, Rory AU - Stewart, Derek T2 - The patient AB - BACKGROUND: Multi-compartment compliance aids (MCAs) are repackaging systems for solid dosage form medicines, heralded by some as a solution to non-adherence but with little evidence of benefit., OBJECTIVE: The aim was to use a theoretical approach to describe the behavioural determinants impacting the use of MCAs in older people from the perspectives of the individual and health and social care providers., DESIGN: A case study investigation was conducted., SETTING: The study took place in three very sheltered housing sites in North East Scotland., SUBJECTS: Twenty residents (>=65 years) using an MCA for at least 6 months and 34 members of their care team [17 formal carers, eight general practitioners (GPs), eight pharmacists, one family member]., METHODS: Semi-structured, face-to-face interviews with items based on the Theoretical Domains Framework were conducted. Interviews were audio-recorded, transcribed and analysed thematically., RESULTS: Several behavioural determinants impacted the use of MCAs from the perspectives of the stakeholders involved. Goals of use related to promoting adherence and safety, with less emphasis on independence. Beliefs of consequences related to these goals and were considered of value, with additional consequences of concern around reduced awareness of medicines and complexities of changing medicines. There was a lack of clearly defined roles of professionals for all processes of MCA use, with evidence of blurring and gaps in roles. There were additional issues relating to capabilities of older people in using MCAs and capacity issues for pharmacy-supplied MCAs., CONCLUSIONS: Several behavioural determinants impacted the use of MCAs, and while MCAs were valued, there is a need to more clearly define, develop, implement and evaluate a model of care encompassing resident and medicines assessment, supply and ongoing review of MCAs. DA - 2016/// PY - 2016 VL - 9 IS - 6 SP - 583 EP - 590 J2 - Patient SN - 1178-1661 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27170056 KW - Female KW - Humans KW - Male KW - Scotland KW - Aged KW - Housing KW - *Patient Compliance KW - Caregivers KW - *Housing for the Elderly KW - General Practitioners KW - Pharmacists ER - TY - JOUR TI - Dementia Rating Scale-2 normative data for middle-and older-aged Castilian speaking Spaniards. AU - Riba-Llena, Iolanda AU - Nafria, Cristina AU - Giralt, Dolors AU - Fernandez-Cortinas, Ines AU - Jarca, Carmen Ioana AU - Mundet, Xavier AU - Tovar, Jose Luis AU - Orfila, Francesc AU - Castane, Xavier AU - Alvarez-Sabin, Jose AU - Maisterra, Olga AU - Montaner, Joan AU - Delgado, Pilar T2 - The Clinical neuropsychologist T3 - [Erratum in: Clin Neuropsychol. 2016 Jan-Dec;30(sup1):1538; PMID: 27310177 [https://www.ncbi.nlm.nih.gov/pubmed/27310177]] AB - OBJECTIVES: The Dementia Rating Scale-2 (DRS-2) is frequently used as a dementia screening tool in clinical and research settings in Spain. The present study describes DRS-2 Total and subscale scores in community-dwelling Spaniards, aged 50-71, and provides normative data for its use in Castilian Spanish-speaking individuals., METHODS: The sample consisted of 798 individuals who participated in an observational study on essential hypertension. Mean age was 62.8 years (SD = 5.4), mean education was 8.6 years (SD = 3.4) with 47.9% females. Almost all of them were receiving blood pressure-lowering drugs (93%) and most of them had fairly well-managed blood pressure control (M systolic/diastolic blood pressure = 142.3/77.0 +/- 16.0/9.2 mm Hg). We applied a previously described method of data normalization from the Mayo's Older Americans Normative Studies to obtain the Castilian Spanish DRS-2 norms., RESULTS: Worse performance on Total and subscale scores was associated with older age (p < .05) and fewer years of education (p < .001). Women obtained lower raw Total scores than men (131.68 +/- 7.2 vs. 133.10 +/- 6.90, p < .005), but had fewer years of education (7.96 +/- 3.33 vs. 9.17 +/- 3.45, p < .001). This gender difference disappeared after correcting for age and years of education. Total and subscale scores are presented adjusted by age, and normative data are shown for Total scores adjusted by age and years of education., CONCLUSIONS: These norms are useful for studying cognitive status and cognitive decline in research and clinical settings in Castilian Spanish-speaking populations. DA - 2016/// PY - 2016 VL - 30 IS - sup1 SP - 1443 EP - 1456 J2 - Clin Neuropsychol SN - 1744-4144 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27168059 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Dementia/ep [Epidemiology] KW - *Independent Living/px [Psychology] KW - *Dementia/px [Psychology] KW - Educational Status KW - Spain/ep [Epidemiology] KW - *Dementia/di [Diagnosis] KW - *Databases, Factual KW - *Neuropsychological Tests KW - Cognition Disorders ER - TY - JOUR TI - Behavioral Interventions in Six Dimensions of Wellness That Protect the Cognitive Health of Community-Dwelling Older Adults: A Systematic Review. AU - Strout, Kelley A AU - David, Daniel J AU - Dyer, Elizabeth J AU - Gray, Roberta C AU - Robnett, Regula H AU - Howard, Elizabeth P T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To systematically identify, appraise, and summarize research on the effects of behavioral interventions to prevent cognitive decline in community-dwelling older adults using a holistic wellness framework., DESIGN: Systematic review of randomized controlled trials that tested the effectiveness of behavioral interventions within each of the six dimensions of wellness: occupational, social, intellectual, physical, emotional and spiritual. Databases searched included PubMed MEDLINE, EMBASE, CENTRAL, PsycINFO, CINAHL, ALOIS, and The Grey Literature Report through July 1, 2014., SETTING: Community., PARTICIPANTS: Individuals aged 60 and older (N = 6,254)., MEASUREMENTS: Consolidated Standards of Reporting Trials Checklist., RESULTS: Eighteen studies met the inclusion criteria. Interventions in the physical dimension of wellness were most common (11 studies); interventions in the spiritual dimension were least common (0 studies). Fifty-nine different measures were used to measure multiple cognitive domains, with memory being the most commonly measured (17 studies) and language being the least commonly measured (5 studies). Fifty percent of the interventions examined in the 18 studies demonstrated statistically significant outcomes on at least one cognitive measure. Interventions in the intellectual dimension that examined cognitively stimulating activities using pen and paper or a computer represented the greatest percentage of statistically significant outcomes., CONCLUSION: Intellectual and physical interventions were most studied, with varied results. Future research is needed using more-consistent methods to measure cognition. Researchers should include the National Institutes of Health Toolbox Cognition Battery among measurement tools to facilitate effective data harmonization, pooling, and comparison. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/jgs.14129 VL - 64 IS - 5 SP - 944 EP - 58 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27160762 KW - Humans KW - Aged KW - *Independent Living KW - *Behavior Therapy KW - *Cognition Disorders/pc [Prevention & Control] KW - *Holistic Health ER - TY - JOUR TI - Prediction of Independent Walking Ability for Severely Hemiplegic Stroke Patients at Discharge from a Rehabilitation Hospital. AU - Hirano, Yoshitake AU - Hayashi, Takeshi AU - Nitta, Osamu AU - Takahashi, Hidetoshi AU - Nishio, Daisuke AU - Minakawa, Tomoya AU - Kigawa, Hiroshi T2 - Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association AB - BACKGROUND: It is important to predict walking ability for stroke patients, because rehabilitation programs are planned on such predictions. We therefore examined predictive factors that are available before discharge from a rehabilitation hospital., METHODS: Seventy-two consecutive patients with a first attack of stroke with severe hemiplegia were included in this study. We retrospectively evaluated background factors (age, gender, time from stroke onset, paresis side, and stroke type). Other neurological and physical parameters were collected by means of the modified National Institutes of Health Stroke Scale, the Mini-Mental State Examination, the Trunk Control Test (TCT), and the knee extension strength/body weight ratio on the unaffected side (KES/BW-US) at the time of admission. We divided the patients into 2 groups, the independent group (n = 49) and the dependent group (n = 23), on the basis of the Barthel Index of mobility at the time of discharge. We then compared the 2 groups with respect to the aforementioned parameters. We also performed stepwise discriminant analyses to ascertain which parameters are the best predictors of walking ability at the time of discharge., RESULTS: Age, TCT score, and the KES/BW-US ratio were significantly different between the groups. Discriminant analysis revealed that younger age and a higher KES/BW-US ratio were significantly associated with walking ability at discharge, which could be precisely predicted using the following formula: Y = .093 x (age) - 4.316 x (KES/BW-US) - 4.984., CONCLUSIONS: At the time of admission, age and the KES/BW-US ratio permit the prediction of independent walking ability at the time of discharge. Our formula predicts walking ability with an accuracy of more than 91%. Copyright © 2016 National Stroke Association. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jstrokecerebrovasdis.2015.12.020 VL - 25 IS - 8 SP - 1878 EP - 81 J2 - J STROKE CEREBROVASC DIS SN - 1532-8511 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27156902 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Activities of Daily Living KW - *Independent Living KW - Retrospective Studies KW - *Patient Discharge/sn [Statistics & Numerical Data] KW - Predictive Value of Tests KW - *Stroke Rehabilitation KW - *Walking/ph [Physiology] KW - Stroke/co [Complications] KW - Chi-Square Distribution KW - *Hemiplegia/rh [Rehabilitation] KW - Hemiplegia/et [Etiology] KW - Hemiplegia/px [Psychology] KW - Mental Status Schedule ER - TY - JOUR TI - Effect of animal-assisted activity on balance and quality of life in home-dwelling persons with dementia. AU - Olsen, Christine AU - Pedersen, Ingeborg AU - Bergland, Astrid AU - Enders-Slegers, Marie-Jose AU - Ihlebaek, Camilla T2 - Geriatric nursing (New York, N.Y.) AB - UNLABELLED: Purpose of the study was to examine if animal-assisted activity with a dog (AAA) in home-dwelling persons with dementia (PWDs) attending day-care centers would have an effect on factors related to risk of fall accidents, with balance (Berg balance scale) and quality of life (Quality of Life in Late-stage Dementia) as main outcome. The project was conducted as a prospective and cluster-randomized multicenter trial with a follow-up. 16 adapted day-care centers recruited respectively 42 (intervention group) and 38 (control group with treatment as usual) home-dwelling PWDs. The intervention consisted of 30 min sessions with AAA led by a qualified dog handler twice a week for 12 weeks in groups of 3-7 participants. The significant positive effect on balance indicates that AAA might work as a multifactorial intervention in dementia care and have useful clinical implication by affecting risk of fall., TRIAL REGISTRATIONS: ClinicalTrial.gov; NCT02008630. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.gerinurse.2016.04.002 VL - 37 IS - 4 SP - 284 EP - 91 J2 - Geriatr Nurs SN - 1528-3984 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27155968 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Quality of Life/px [Psychology] KW - *Independent Living/px [Psychology] KW - Depression/px [Psychology] KW - Animals KW - *Dementia/th [Therapy] KW - Dogs KW - Depression/pc [Prevention & Control] KW - *Animal Assisted Therapy/mt [Methods] KW - Adult Day Care Centers ER - TY - JOUR TI - Examining the role of tenure, household crowding and housing affordability on psychological distress, using longitudinal data. AU - Pierse, Nevil AU - Carter, Kristie AU - Bierre, Sarah AU - Law, David AU - Howden-Chapman, Philippa T2 - Journal of epidemiology and community health AB - BACKGROUND: The association between good mental health and housing circumstances is well established. Tenure, household crowding and housing affordability have all been linked to mental health and psychological distress. These cross-sectional relationships are collinear and confounded, and so provide little information on the possible effects of changing housing circumstance on mental health or psychological distress. To do this longitudinal data are needed., METHODS: In this paper we use the longitudinal data from the 11 500 NZ households in the Survey of Families, Income and Employment (SoFIE), conducted in New Zealand from 2002 to 2010. We examine the cross-sectional associations of housing factors on psychological distress and use fixed-effects modelling of longitudinal data to examine any effects of changes in selected housing factors on changes in psychological distress., RESULTS: We show large significant cross-sectional associations between all the housing circumstances and psychological distress. These associations were not present in the fixed-effects models. Only changes in individual deprivation had a significant effect on changes in psychological distress. While a significant effect was found for moves to and from houses with a two-bedroom deficit, the small number of moves of this type means these results are not robust., CONCLUSIONS: These results show that the effect of house ownership and housing affordability on psychological distress is likely to be confounded in the cross-sectional models. Therefore, marginal changes to these housing factors are unlikely to yield large reductions in psychological distress. Our results suggest that reductions in psychological distress are more likely to be seen through interventions that target individual socioeconomic deprivation and severe household crowding. Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ DA - 2016/// PY - 2016 DO - 10.1136/jech-2015-206716 VL - 70 IS - 10 SP - 961 EP - 6 J2 - J Epidemiol Community Health SN - 1470-2738 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27154181 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Cross-Sectional Studies KW - Health Surveys KW - Longitudinal Studies KW - *Housing KW - Socioeconomic Factors KW - New Zealand/ep [Epidemiology] KW - *Stress, Psychological/ep [Epidemiology] KW - Housing/ec [Economics] KW - *Crowding KW - Ownership KW - *Income/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Pork and Chicken Meals Similarly Impact on Cognitive Function and Strength in Community-Living Older Adults: A Pilot Study. AU - Charlton, Karen AU - Walton, Karen AU - Batterham, Marijka AU - Brock, Erin AU - Langford, Kelly AU - McMahon, Anne AU - Roodenrys, Steven AU - Koh, Freda AU - Host, Alison AU - Crowe, Ruth AU - Thornhill, Kayla T2 - Journal of nutrition in gerontology and geriatrics AB - A pilot quasi-experimental study investigated whether provision of pork, a rich source of thiamin, as the main protein source in meals four times/week for 12 weeks resulted in improved muscle mass, body strength, and cognitive function in community-living older adults compared to similar meals containing chicken. Retirement villages were randomized to receive pre-prepared frozen meals containing either pork or chicken. Dietary intake was assessed by three-day food records and cognitive domains assessed using validated tests. Hand grip strength was measured and lower extremity performance assessed by the sit-to-stand test, get-up-and-go test and six-minute walk test. Forty-eight volunteers participated (78.2 +/- 6.2 y). In linear mixed models, controlling for baseline physical activity and dietary protein and energy intake, no differences were found between pork (n = 19) and chicken (n = 12) groups. The chicken group had improved Rey Auditory Verbal Learning test scores (verbal learning and memory) at six weeks (p < 0.001). Provision of four pork meals a week did not result in improvements in cognitive function, nor measures of strength or physical function, compared to those receiving chicken meals in healthy older adults. This suggests that merely changing the type of dietary protein provided by meat does not impact physical or cognitive function. DA - 2016/// PY - 2016 DO - 10.1080/21551197.2016.1162259 VL - 35 IS - 2 SP - 124 EP - 45 J2 - J Nutr Gerontol Geriatr SN - 2155-1200 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27153252 KW - Humans KW - Aged KW - Aged, 80 and over KW - *Cognition/ph [Physiology] KW - Animals KW - *Diet KW - Energy Intake KW - *Hand Strength/ph [Physiology] KW - Dietary Proteins/ad [Administration & Dosage] KW - *Chickens KW - *Meat KW - *Swine ER - TY - JOUR TI - Factors Influencing Food Choice for Independently Living Older People-A Systematic Literature Review. AU - Host, Alison AU - McMahon, Anne-Therese AU - Walton, Karen AU - Charlton, Karen T2 - Journal of nutrition in gerontology and geriatrics AB - Unyielding, disproportionate growth in the 65 years and older age group has precipitated serious concern about the propensity of health and aged-care services to cope in the very near future. Preservation of health and independence for as long as possible into later life will be necessary to attenuate demand for such services. Maintenance of nutritional status is acknowledged as fundamental for achievement of this aim. Determinants of food choice within this age group need to be identified and better understood to facilitate the development of pertinent strategies for encouraging nutritional intakes supportive of optimal health. A systematic review of the literature consistent with PRISMA guidelines was performed to identify articles investigating influences on food choice among older people. Articles were limited to those published between 1996 and 2014 and to studies conducted within countries where the dominant cultural, political and economic situations were comparable to those in Australia. Twenty-four articles were identified and subjected to qualitative analysis. Several themes were revealed and grouped into three broad domains: (i) changes associated with ageing; (ii) psychosocial aspects; and (iii) personal resources. Food choice among older people is determined by a complex interaction between multiple factors. Findings suggest the need for further investigations involving larger, more demographically diverse samples of participants, with the inclusion of a direct observational component in the study design. DA - 2016/// PY - 2016 DO - 10.1080/21551197.2016.1168760 VL - 35 IS - 2 SP - 67 EP - 94 J2 - J Nutr Gerontol Geriatr SN - 2155-1200 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27153249 KW - Female KW - Humans KW - Male KW - Health Promotion KW - Aged KW - Middle Aged KW - *Independent Living KW - *Aging KW - Socioeconomic Factors KW - Diet KW - *Food Preferences KW - Food Preferences/ph [Physiology] KW - Food Preferences/px [Psychology] ER - TY - JOUR TI - Falls, Depression, and Other Hospitalization Risk Factors for Adults in Residential Care Facilities. AU - Gimm, Gilbert W AU - Kitsantas, Panagiota T2 - International journal of aging & human development AB - Prior research has shown a relationship between falls, hospitalizations, and depression among older adults in nursing home settings, but few studies have explored these relationships for younger and older adults in residential care facilities. This study examined risk factors for hospitalizations among assisted living residents. Using the 2010 National Survey of Residential Care Facilities, the study found that 24% of residents had a hospital stay in the past year. Residents with falls were more than twice as likely to have a hospitalization. For younger residents, depression was a key risk factor (OR = 1.74, p < .01). However, older residents with dementia had a lower risk of hospitalization (OR = 0.71, p < .01). More attention is needed to prevent falls and identify residents with depression and severe mental illness, who are at greater risk of hospitalization. Reducing avoidable hospitalizations can improve well-being for older and younger adults in residential care facilities. Copyright © The Author(s) 2016. DA - 2016/// PY - 2016 DO - 10.1177/0091415016645347 VL - 83 IS - 1 SP - 44 EP - 62 J2 - Int J Aging Hum Dev SN - 0091-4150 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27147680 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - United States/ep [Epidemiology] KW - *Hospitalization/sn [Statistics & Numerical Data] KW - *Dementia/ep [Epidemiology] KW - *Depression/ep [Epidemiology] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] ER - TY - JOUR TI - A Spatial Analysis of Body Mass Index and Neighborhood Factors in Community-Dwelling Older Men and Women. AU - Christman, Zachary AU - Pruchno, Rachel AU - Cromley, Ellen AU - Wilson-Genderson, Maureen AU - Mir, Izza T2 - International journal of aging & human development AB - The spatial distribution of obesity among the older population can yield insights into the influence of contextual factors associated with this public health problem. We tested the relationship between neighborhood-level characteristics and body mass index (BMI) using global and local spatial statistics of geographic clustering, using data derived from a random-digit-dial sample of 5,319 community-dwelling adults aged 50 to 74 residing in 1,313 census tracts in New Jersey. Geographically weighted regression modeled associations between BMI clusters and neighborhood characteristics, including metrics of structure, safety, demographics, and amenities. Across the sample panel, average BMI was 28.62 kg/m(2) for women and 28.25 kg/m(2) for men. There was significant spatial clustering of obesity by census tract, varying by gender across the state. Neighborhood characteristics were more strongly related to BMI for women than men. This research illuminates the role of neighborhood contextual factors and will assist community planners, officials, and public health practitioners as they address the rise in obesity. Copyright © The Author(s) 2016. DA - 2016/// PY - 2016 DO - 10.1177/0091415016645350 VL - 83 IS - 1 SP - 3 EP - 25 J2 - Int J Aging Hum Dev SN - 0091-4150 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27147678 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - *Independent Living/sn [Statistics & Numerical Data] KW - Sex Factors KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - *Body Mass Index KW - *Obesity/ep [Epidemiology] KW - *Spatial Analysis KW - Geographic Mapping KW - New Jersey ER - TY - JOUR TI - Characteristics of residents who thrive in nursing home environments: a cross-sectional study. AU - Patomella, Ann-Helen AU - Sandman, Per-Olof AU - Bergland, Adel AU - Edvardsson, David T2 - Journal of advanced nursing AB - AIM: To describe what characterizes residents with higher levels compared with those with lower levels of thriving in nursing homes using the Thriving of Older People Assessment Scale., BACKGROUND: Thriving is conceptualized as people's experiences of well-being in relation to the environment where they live. Thriving has the potential to emphasize health-promotion and positive experiences in nursing home residents in addition to current focus on illness and symptoms., DESIGN: Cross-sectional design., METHODS: Data from a total sample of 191 residents in a large Swedish nursing home facility were separated into two groups; rated as having high and low thriving based on a median split of thriving total score for each participating resident. The characteristics of residents with higher and lower levels of thriving were compared using bivariate analyses to investigate differences. Data were collected in 2013., RESULTS: Residents with higher levels of thriving had shorter length of stay at the facility, higher functioning in Activities of Daily Living and less cognitive impairment, lower frequency of behavioural and psychological symptoms and higher assessed quality of life. The ability to walk and possibilities to spend time outdoors were higher among those with higher levels of thriving., CONCLUSION: Nursing home residents who experience thriving have a higher level of functioning in activities of daily living, a higher quality of life and are less physically and cognitively impaired. Copyright © 2016 John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/jan.12991 VL - 72 IS - 9 SP - 2153 EP - 61 J2 - J Adv Nurs SN - 1365-2648 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27144469 KW - Female KW - Humans KW - Male KW - Aged KW - Length of Stay KW - *Quality of Life KW - *Activities of Daily Living KW - Cross-Sectional Studies KW - *Nursing Homes KW - Sweden ER - TY - JOUR TI - What it Takes to Successfully Implement Technology for Aging in Place: Focus Groups With Stakeholders. AU - Peek, Sebastiaan Theodorus Michael AU - Wouters, Eveline J M AU - Luijkx, Katrien G AU - Vrijhoef, Hubertus J M T2 - Journal of medical Internet research AB - BACKGROUND: There is a growing interest in empowering older adults to age in place by deploying various types of technology (ie, eHealth, ambient assisted living technology, smart home technology, and gerontechnology). However, initiatives aimed at implementing these technologies are complicated by the fact that multiple stakeholder groups are involved. Goals and motives of stakeholders may not always be transparent or aligned, yet research on convergent and divergent positions of stakeholders is scarce., OBJECTIVE: To provide insight into the positions of stakeholder groups involved in the implementation of technology for aging in place by answering the following questions: What kind of technology do stakeholders see as relevant? What do stakeholders aim to achieve by implementing technology? What is needed to achieve successful implementations?, METHODS: Mono-disciplinary focus groups were conducted with participants (n=29) representing five groups of stakeholders: older adults (6/29, 21%), care professionals (7/29, 24%), managers within home care or social work organizations (5/29, 17%), technology designers and suppliers (6/29, 21%), and policy makers (5/29, 17%). Transcripts were analyzed using thematic analysis., RESULTS: Stakeholders considered 26 different types of technologies to be relevant for enabling independent living. Only 6 out of 26 (23%) types of technology were mentioned by all stakeholder groups. Care professionals mentioned fewer different types of technology than other groups. All stakeholder groups felt that the implementation of technology for aging in place can be considered a success when (1) older adults' needs and wishes are prioritized during development and deployment of the technology, (2) the technology is accepted by older adults, (3) the technology provides benefits to older adults, and (4) favorable prerequisites for the use of technology by older adults exist. While stakeholders seemed to have identical aims, several underlying differences emerged, for example, with regard to who should pay for the technology. Additionally, each stakeholder group mentioned specific steps that need to be taken to achieve successful implementation. Collectively, stakeholders felt that they need to take the leap (ie, change attitudes, change policies, and collaborate with other organizations); bridge the gap (ie, match technology with individuals and stimulate interdisciplinary education); facilitate technology for the masses (ie, work on products and research that support large-scale rollouts and train target groups on how to use technology); and take time to reflect (ie, evaluate use and outcomes)., CONCLUSIONS: Stakeholders largely agree on the direction in which they should be heading; however, they have different perspectives with regard to the technologies that can be employed and the work that is needed to implement them. Central to these issues seems to be the tailoring of technology or technologies to the specific needs of each community-dwelling older adult and the work that is needed by stakeholders to support this type of service delivery on a large scale. DA - 2016/// PY - 2016 DO - 10.2196/jmir.5253 VL - 18 IS - 5 SP - e98 J2 - J Med Internet Res SN - 1438-8871 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27143097 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Administrative Personnel KW - *Independent Living/td [Trends] KW - *Aging KW - *Attitude of Health Personnel KW - Caregivers/px [Psychology] KW - Home Care Services KW - *Biomedical Technology/mt [Methods] KW - Telemedicine/td [Trends] KW - *Needs Assessment KW - *Focus Groups KW - Goals KW - Geriatrics/mt [Methods] KW - *Biomedical Technology/td [Trends] KW - *Delivery of Health Care/td [Trends] KW - Geriatrics/td [Trends] KW - Social Workers/px [Psychology] ER - TY - JOUR TI - AAL Service Performance Measurement Cube - Key Criteria for AAL New Service Development. AU - Kriegel, Johannes AU - Auinger, Klemens AU - Reckwitz, Luise AU - Schmitt-Ruth, Stephanie AU - Weissenberger, Susanne AU - Tuttle-Weidinger, Linda T2 - Studies in health technology and informatics AB - UNLABELLED: The living environments of senior citizens are gaining in complexity with regard to health, mobility, information, support and behaviour. The development of Ambient Assisted Living (AAL) services in order to reduce this complexity is becoming increasingly important. The question is: What relevant criteria support the development, measurement and evaluation of business models of hybrid AAL services which have to be considered in an appropriate Performance Measurement Set? Within the EU funded research project DALIA (Assistant for Daily Life Activities at Home) a Service Performance Measurement Criteria (SPMC) Set has been developed and described. With the help of literature review and expert interviews relevant performance criteria were identified and described in the context of Analytic Hierarchy Process (AHP). In conjunction with an AAL business models scanning, a set of performance measurement criteria could be created., DISCUSSION: The development and application of a specific AAL SPMC Set offers the possibility in a targeted and conceptual way advance the development of marketable AAL services. Here it will be important to integrate with software support the SPMC Set in the service development process of future marketable AAL applications. With the application of an adjusted AAL Service Performance Measurement Cube, the conceptual development of marketable AAL services can be maintained and relevant decisions can be supported. DA - 2016/// PY - 2016 VL - 223 IS - ck1, 9214582 SP - 132 EP - 41 J2 - Stud Health Technol Inform SN - 0926-9630 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27139396 KW - Humans KW - Program Evaluation KW - Aged KW - Models, Organizational KW - Activities of Daily Living KW - Interviews as Topic KW - Environment Design KW - Assisted Living Facilities/og [Organization & Administration] KW - Assisted Living Facilities/ec [Economics] KW - *Assisted Living Facilities/st [Standards] KW - Models, Econometric ER - TY - JOUR TI - Nutrition-dependent eicosapentaenoic acid deficiency in care house residents. AU - Todoroki, Kikue AU - Ikeya, Yoshimori AU - Fukui, Sayato AU - Tanaka, Chiharu AU - Sekine, Kaori AU - Shizuma, Toru AU - Fukuyama, Naoto AU - Mori, Hidezo T2 - Nutrition (Burbank, Los Angeles County, Calif.) AB - OBJECTIVE: We have identified that vital prognosis of adults in a group home (GH) in their mid-80s is associated with lower eicosapentaenoic acid (EPA) levels. We investigated the cause of EPA deficiency in residents in a GH and the effect of EPA treatment on cardiac function and nutritional function in 130 older adults., METHODS: We compared blood chemistry data among three age- and sex-matched groups-outpatient clinic (OPC) attendees (n = 54, 87 +/- 5 y old), GH residents (n = 40, 85 +/- 8 y old), and older adults in a geriatric welfare home for the elderly (GWHE) (n = 36, 87 +/- 6 y old)-using non-parametric test. Furthermore, we investigated the sequential changes in blood chemistry and cardiac function at 4 to 12 mo after the initiation of EPA administration (1800 mg/d)., RESULTS: Non-parametric test revealed that the EPA/arachidonic acid ratio as well as EPA levels were lower in the GH and GWHE residents than in the OPC attendees (OPC: 0.56 +/- 0.3, GH: 0.23 +/- 0.12, GWHE: 0.31 +/- 0.1). Fish consumption was lower in the GH and GWHE group than in the OPC group. Repeated measured analyses using analysis of variance revealed that EPA administration increased serum EPA levels (54.0 +/- 29.0 to 210.5 +/- 50.6 mug/mL, P < 0.001); decreased arachidonic acid, docosahexaenoic acid, triacylglycerol, and LDL cholesterol levels at 4.5 +/- 3.4 mo after administration; and reduced the severity of supraventricular arrhythmias on ambulatory electrocardiogram at 12.5 +/- 4.5 mo (P < 0.05)., CONCLUSION: EPA deficiency in GH residents could be related to the nutritional characteristics of older adults in care facilities. EPA treatment induced changes in various lipids and reduced the severity of supraventricular arrhythmias. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.nut.2016.01.025 VL - 32 IS - 7-8 SP - 806 EP - 10 J2 - Nutrition SN - 1873-1244 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27134206 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Follow-Up Studies KW - Assisted Living Facilities KW - Prospective Studies KW - Dietary Supplements KW - Homes for the Aged KW - *Eicosapentaenoic Acid/bl [Blood] KW - *Eicosapentaenoic Acid/tu [Therapeutic Use] KW - *Group Homes KW - *Malnutrition/bl [Blood] KW - *Malnutrition/dt [Drug Therapy] KW - *Nutritional Status/de [Drug Effects] KW - Heart/de [Drug Effects] KW - Heart/pp [Physiopathology] ER - TY - JOUR TI - Psychomotor Dance Therapy Intervention (DANCIN) for people with dementia in care homes: a multiple-baseline single-case study. AU - Guzman, A AU - Freeston, M AU - Rochester, L AU - Hughes, J C AU - James, I A T2 - International psychogeriatrics AB - BACKGROUND: A Psychomotor DANCe Therapy INtervention (DANCIN) using Latin Ballroom (Danzon) in care homes has previously been shown to enhance well-being for both residents with dementia and staff. The aim of this study was to understand the effect of this approach on the mood and behavior of individual people living with mild to moderate dementia., METHOD: A multiple-baseline single-case study across two care homes and one nursing home with 3-6 weeks baseline, 12-weeks DANCIN (30 minutes/twice-weekly sessions), and 12-weeks follow-up was conducted. Seventeen items from the Dementia Mood Assessment Scale (DMAS) outcome measure were adapted with input from senior staff to match participants' behavior and mood symptoms. Daily monitoring diaries were collected from trained staff on reporting individualized items for ten residents. Data were analyzed, using a non-parametric statistical method known as Percentage of All Non-Overlapping Data (PAND) which provides Phi effect size (ES). Medication use, falls, and life events were registered., RESULTS: Seven residents participated throughout DANCIN whilst three became observers owing to health deterioration. One participant showed adverse effects in three DMAS items. Nine participants, dancers and observers, showed a small to medium magnitude of change (PAND) in 21 DMAS items, indicating a decrease in the frequency of behavior and mood indices which were regarded as problematic; eight items showed no change., CONCLUSION: Despite methodological challenges, the DANCIN model has the potential to facilitate and sustain behavior change and improve mood (e.g. decrease irritability, increase self-esteem) of the residents living with dementia. The study was conducted in two care homes and one nursing home, strengthening the interventions' validity. Findings suggest DANCIN is appropriate for a larger controlled feasibility study. DA - 2016/// PY - 2016 DO - 10.1017/S104161021600051X VL - 28 IS - 10 SP - 1695 EP - 715 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27133225 KW - Female KW - Humans KW - Male KW - Outcome Assessment (Health Care) KW - Aged KW - Attitude of Health Personnel KW - *Quality of Life KW - *Homes for the Aged KW - *Nursing Homes KW - *Dementia KW - Dementia/th [Therapy] KW - Dementia/px [Psychology] KW - Psychiatric Status Rating Scales KW - Affect KW - *Self Concept KW - Mental Status and Dementia Tests KW - Behavioral Symptoms/px [Psychology] KW - *Dance Therapy/mt [Methods] KW - *Psychomotor Performance KW - Behavioral Symptoms/pc [Prevention & Control] ER - TY - JOUR TI - Free choice in residential care for older people - A philosophical reflection. AU - Nord, Catharina T2 - Journal of aging studies AB - OBJECTIVE: Free choice in elderly care services is a debated issue. Using the theoretical support of philosophers of free will, this paper explores free choice in relocation to residential care. The three dominant perspectives within this field of philosophy, libertarianism, determinism and compatibilism, are applied from the perspective of the older individual to the process of moving., METHOD: Empirical data were collected through qualitative interviews with 13 older individuals who had recently moved into residential care., RESULTS: These individuals had made the choice to move following either a health emergency or incremental health problems. In a deterministic perspective they had no alternative to moving, which was the inevitable solution to their various personal problems. A network of people important to them assisted in the move, making the choice possible. However, post-move the interviewees' perspective had changed to a libertarian or compatibilist interpretation, whereby although the circumstances had conferred little freedom regarding the move., CONCLUSIONS: The interviewees reported a high degree of self-determination in the process. It appeared that in order to restore self-respect and personal agency, the older individuals had transformed their restricted choice into a choice made of free will or freer will. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jaging.2016.02.003 VL - 37 IS - 8916517 SP - 59 EP - 68 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27131279 KW - Female KW - Humans KW - Male KW - Aged KW - *Homes for the Aged KW - Interviews as Topic KW - Frail Elderly/px [Psychology] KW - Sweden KW - *Residential Facilities KW - *Personal Autonomy KW - Choice Behavior KW - Philosophy, Medical ER - TY - JOUR TI - Liminal homes: Older people, loss of capacities, and the present future of living spaces. AU - Leibing, Annette AU - Guberman, Nancy AU - Wiles, Janine T2 - Journal of aging studies AB - There are many studies that have examined the meaning of home for older people. In this article, our aim is to add the concept of 'liminal homes' to the existing discussion: While the concept of liminal homes can be applied to a number of 'interim spaces', we focus in our study, on those older people who have to consider, or are concretely confronted with, the need to move into another living space, because of declining health. Based on interviews and photo-elicitation with 26 older lower-income seniors living in Montreal, Quebec, this article demonstrates the complexity of liminality and analyzes the dynamics of this process, composed of a web of interrelated and often dichotomous elements. These include the idealized home in contrast to (sometimes imagined) institutions; declining health as opposed to the ideals of active aging and third age; and the widely promoted concept of aging in place versus the reality of being 'stuck in place' due to limited resources. The strategies employed by these older Quebeckers to remain in this state and resist a move to another living space, are the often arduous construction of a 'patchwork of care'. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jaging.2015.12.002 VL - 37 IS - 8916517 SP - 10 EP - 9 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27131274 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Activities of Daily Living KW - *Homes for the Aged KW - Interviews as Topic KW - Facility Design and Construction KW - Quebec KW - Residential Facilities ER - TY - JOUR TI - Witnessing presence: Swedish care professionals' experiences of supporting resident's well-being processes within the frame of residential care homes (RCH). AU - Lundin, Anette AU - Berg, Lars-Erik AU - Hellstrom Muhli, Ulla T2 - Journal of aging studies AB - The purpose of this article is to analyse the phenomenon of supportive care for older persons' well-being. The phenomenon is seen from the eldercarers' meaning-making through their lifeworld perspective at a residential care home. Based on primary empirical interview material with twelve professionals in the context of Swedish eldercare, a phenomenological analysis was undertaken. The result shows that the phenomenon of supportive care for older persons' well-being creates certain ambiguities in the professionals' meaning-making. In practice, it balances between the older persons' (from hereon called residents) needs and the conditions of the eldercare organization. The ambiguities (the what) is made up by three constituents: (i) freedom of choice for the older persons vs. institutional constraints, (ii) the residents' need for activation vs. wanting not to be activated, and (iii) the residents' need for routine vs. the eldercarers' not being able to know what the residents need. The conclusions drawn are that this ambiguity has consequences for the eldercarers' choice of handling supportive care for older persons' well-being (the how). They have to navigate between the support for authenticity, dwelling and mobility, and their own presence and time. In performing supportive care for older persons' well-being, the eldercarers have to consider aspects concerning the resident's lifeworld, the social setting of the eldercare ward, and the institutional demands of the organization. The practical implications for supporting well-being in the care of older residents are manifested in the importance of 'the little things', and the eldercarer's ability to give receptive attention, which requires presence. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jaging.2016.01.001 VL - 37 IS - 8916517 SP - 1 EP - 9 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27131273 KW - Humans KW - Aged KW - Workforce KW - *Homes for the Aged KW - Interviews as Topic KW - Homes for the Aged/og [Organization & Administration] KW - Sweden KW - *Residential Facilities KW - Geriatric Nursing KW - Residential Facilities/og [Organization & Administration] ER - TY - JOUR TI - Strategies to reduce the risk of falling: Cohort study analysis with 1-year follow-up in community dwelling older adults. AU - Morris, John N AU - Howard, Elizabeth P AU - Steel, Knight AU - Berg, Katherine AU - Tchalla, Achille AU - Munankarmi, Amy AU - David, Daniel T2 - BMC geriatrics AB - BACKGROUND: According to the CDC, falls rank among the leading causes of accidental death in the United States, resulting in significant health care costs annually. In this paper we present information about everyday lifestyle decisions of the older adult that may help reduce the risk of falling. We pursued two lines of inquiry: first, we identify and then test known mutable fall risk factors and ask how the resolution of such problems correlates with changes in fall rates. Second, we identify a series of everyday lifestyle options that persons may follow and then ask, does such engagement (e.g., engagement in exercise programs) lessen the older adult's risk of falling and if it does, will the relationship hold as the count of risk factors increases?, METHODS: Using a secondary analysis of lifestyle choices and risk changes that may explain fall rates over one year, we drew on a data set of 13,623 community residing elders in independent housing sites from 24 US states. All older adults were assessed at baseline, and a subset assessed one year later (n = 4,563) using two interRAI tools: the interRAI Community Health Assessment and interRAI Wellness Assessment., RESULTS: For the vast majority of risk measures, problem resolution is followed by lower rate of falls. This is true for physical measures such as doing housework, meal preparation, unsteady gait, transferring, and dressing the lower body. Similarly, this pattern is observed for clinical measures such as depression, memory, vision, dizziness, and fatigue. Among the older adults who had a falls risk at the baseline assessment, about 20 % improve, that is, they had a decreased falls rate when the problem risk improved. This outcome suggests that improvement of physical or clinical states potentially may result in a decreased falls rate. Additionally, physical exercise and cognitive activities are associated with a lower rate of falls., CONCLUSIONS: The resolution of risk problems and physical and cognitive lifestyle choices are related to lower fall rates in elders in the community. The results presented here point to specific areas, that when targeted, may reduce the risk of falls. In addition, when there is problem resolution for specific clinical conditions, a decreased risk for falls also may occur. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0267-5 VL - 16 IS - 100968548 SP - 92 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27129303 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - *Accidental Falls/pc [Prevention & Control] KW - Time Factors KW - Cohort Studies KW - Follow-Up Studies KW - United States/ep [Epidemiology] KW - *Independent Living/px [Psychology] KW - *Exercise/px [Psychology] KW - Self Report KW - Exercise/ph [Physiology] KW - Independent Living/td [Trends] KW - *Risk Reduction Behavior ER - TY - JOUR TI - Older peoples' experiences of living in a residential aged care facility in Australia. AU - Walker, Helen AU - Paliadelis, Penelope T2 - Australasian journal on ageing AB - AIM: The objectives of the study were to investigate the lived experience of older people in residential aged care facilities (RACFs) in Australia, to explore their perceptions of their lives in RACFs and how care might be improved., METHODS: This qualitative study used a phenomenological approach to explore the lived experience of older persons in RACFs across two Australian states. In-depth interviews regarding independence, dignity, autonomy, communication and relationships were conducted with 18 participants. The interviews were audiotaped, transcribed and thematically analysed., RESULTS: Three themes emerged reflecting the reality of RACF life for these participants: (i) loss of autonomy, dignity and control; (ii) valuing important relationships; and (iii) resigned acceptance., CONCLUSION: Older people were not included in decision-making and found it difficult to maintain their autonomy and dignity, and forge meaningful relationships. They traded their independence and dignity for the safety and assistance they needed; however, they accepted this trade-off with stoicism and remained positive. Copyright © 2016 AJA Inc. DA - 2016/// PY - 2016 DO - 10.1111/ajag.12325 VL - 35 IS - 3 SP - E6 EP - E10 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27121909 KW - Female KW - Humans KW - Male KW - Aged KW - Interpersonal Relations KW - Victoria KW - Activities of Daily Living KW - Qualitative Research KW - *Quality of Life KW - *Aging/ph [Physiology] KW - *Homes for the Aged KW - *Nursing Homes KW - Age Factors KW - Interviews as Topic KW - Personhood KW - Personal Autonomy KW - Queensland KW - Philosophy ER - TY - JOUR TI - Exercise for reducing fear of falling in older people living in the community: Cochrane systematic review and meta-analysis. AU - Kumar, Arun AU - Delbaere, Kim AU - Zijlstra, G A R AU - Carpenter, Hannah AU - Iliffe, Steve AU - Masud, Tahir AU - Skelton, Dawn AU - Morris, Richard AU - Kendrick, Denise T2 - Age and ageing AB - OBJECTIVE: to determine the effect of exercise interventions on fear of falling in community-living people aged >=65., DESIGN: systematic review and meta-analysis. Bibliographic databases, trial registers and other sources were searched for randomised or quasi-randomised trials. Data were independently extracted by pairs of reviewers using a standard form., RESULTS: thirty trials (2,878 participants) reported 36 interventions (Tai Chi and yoga (n = 9); balance training (n = 19); strength and resistance training (n = 8)). The risk of bias was low in few trials. Most studies were from high-income countries (Australia = 8, USA = 7). Intervention periods (<12 weeks = 22; 13-26 weeks = 7; >26 weeks = 7) and exercise frequency (1-3 times/week = 32; >=4 times/week = 4) varied between studies. Fear of falling was measured by single-item questions (7) and scales measuring falls efficacy (14), balance confidence (9) and concern or worry about falling (2). Meta-analyses showed a small to moderate effect of exercise interventions on reducing fear of falling immediately post-intervention (standardised mean difference (SMD) 0.37, 95% CI 0.18, 0.56; 24 studies; low-quality evidence). There was a small, but not statistically significant effect in the longer term (<6 months (SMD 0.17, 95% CI -0.05, 0.38 (four studies) and >=6 months post-intervention SMD 0.20, 95% CI -0.01, 0.41 (three studies))., CONCLUSIONS: exercise interventions probably reduce fear of falling to a small to moderate degree immediately post-intervention in community-living older people. The high risk of bias in most included trials suggests findings should be interpreted with caution. High-quality trials are needed to strengthen the evidence base in this area. Copyright © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/ageing/afw036 VL - 45 IS - 3 SP - 345 EP - 52 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27121683 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Randomized Controlled Trials as Topic KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - *Accidental Falls/pc [Prevention & Control] KW - *Quality of Life KW - *Independent Living/px [Psychology] KW - Geriatric Assessment KW - *Exercise/ph [Physiology] KW - *Fear/px [Psychology] KW - *Accidents, Home/pc [Prevention & Control] KW - Postural Balance/ph [Physiology] KW - Independent Living/in [Injuries] ER - TY - JOUR TI - Influence of social deprivation, overcrowding and family structure on emergency medical admission rates. AU - Conway, R AU - Byrne, D AU - O'Riordan, D AU - Cournane, S AU - Coveney, S AU - Silke, B T2 - QJM : monthly journal of the Association of Physicians AB - BACKGROUND: Patients from deprived backgrounds have a higher in-patient mortality following emergency medical admission., AIM: To evaluate the influence of Deprivation Index, overcrowding and family structure on hospital admission rates., DESIGN: Retrospective cohort study., METHODS: All emergency medical admissions from 2002 to 2013 were evaluated. Based on address, each patient was allocated to an electoral division, whose small area population statistics were available from census data. Patients were categorized by quintile of Deprivation Index, overcrowding and family structure, and these were evaluated against hospital admission rate, calculated as rate/1000 population. Univariate and multivariable risk estimates (Odds Ratios or Incidence Rate Ratios) were calculated, using logistic or zero truncated Poisson regression as appropriate., RESULTS: There were 66 861 admissions in 36 214 patients over the 12-year study period. Deprivation Index quintile independently predicted the admission rate, with rates of Q1 12.0 (95% CI 11.8-12.2), Q2 19.5 (95% CI 19.3-19.6), Q3 33.7 (95% CI 33.3-34.0), Q4 31.4 (95% CI 31.2-31.6) and Q5 38.1 (95% CI 37.7-38.5). Similarly the proportions of families with children <15 years old, was an independent predictor of the admission rate with rates of Q1 20.8 (95% CI 20.4-21.1), Q2 23.0 (95% CI 22.7-23.3), Q3 32.2 (95% CI 31.9-32.5), Q4 32.4 (95% CI 32.2-32.7) and Q5 37.2 (95% CI 36.6-37.8). The proportion of families with children >=15-years old was also predictive but quintile of overcrowding was only predictive in the univarate model., CONCLUSION: Deprivation Index and family structure strongly predict emergency medical hospital admission rates. Copyright © The Author 2016. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2016/// PY - 2016 VL - 109 IS - 10 SP - 675 EP - 680 J2 - QJM SN - 1460-2393 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27118873 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Retrospective Studies KW - *Hospitalization/sn [Statistics & Numerical Data] KW - Hospital Mortality KW - *Housing/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Ireland/ep [Epidemiology] KW - *Poverty Areas KW - *Family Characteristics KW - Medical Audit KW - Emergencies/ep [Epidemiology] ER - TY - JOUR TI - Web-based oral health promotion program for older adults: Development and preliminary evaluation. AU - Marino, Rodrigo J AU - Marwaha, Parul AU - Barrow, Su-Yan T2 - International journal of medical informatics AB - OBJECTIVE: This study reports on the impact evaluation of a Web-based oral health promotion programme aimed at improving the oral health knowledge, attitudes, practices and self-efficacy of independent-living older adults from Melbourne, Australia., METHODS: With ethics approval from the University of Melbourne, a convenience sample of volunteers 55 years or older was invited to participate in a study to test a web-based oral health promotion program. Consenting volunteers were asked to undergo a structured interview as part of the pre-intervention data collection. The intervention was based on the ORHIS (Oral Health Information Seminars/Sheets) Model and involved computer interaction with six oral health presentations, with no direct oral health professional input. A one group pre-test-post-test quasi-experimental design was chosen to evaluate the intervention. A series of paired t-tests were used to compare pre-test with post-test results., RESULTS: Forty-seven active, independent-living older adults participated in this evaluation. After the intervention participants responded with higher levels of achievement than before participating in this Web-based oral health program. Participants showed significant improvements in oral health attitudes (4.10 vs. 4.94; p<0.01), knowledge (18.37 vs. 23.83; p<0.0001), and self-efficacy (84.37 vs.89.23; p<0.01), as well as, self-reported oral hygiene practices (i.e., frequency of use of dental floss) (p<0.05)., CONCLUSION: The e-ORHIS approach was successful in improving oral health knowledge, attitudes and self-efficacy. As such, it represents a helpful approach for the design of (oral) health interventions in older adults. Further evaluation with a larger sample is required to test the long-term impact including the economic evaluation of the e-ORHIS approach. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.ijmedinf.2016.04.002 VL - 91 IS - ct4, 9711057 SP - e9 EP - e15 J2 - Int J Med Inf SN - 1872-8243 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27117812 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Age Factors KW - *Health Promotion/mt [Methods] KW - *Internet KW - *Oral Hygiene/ed [Education] KW - *Oral Health/ed [Education] ER - TY - JOUR TI - Correlates of cognitive functioning in independent elderly patients discharged home from the emergency department after a minor injury. AU - Ouellet, Marie-Christine AU - Sirois, Marie-Josee AU - Beaulieu-Bonneau, Simon AU - Gagne, Marie-Eve AU - Morin, Jacques AU - Perry, Jeffrey AU - Daoust, Raoul AU - Wilding, Laura AU - Provencher, Veronique AU - Camden, Stephanie AU - Allain-Boule, Nadine AU - Emond, Marcel T2 - International psychogeriatrics AB - BACKGROUND: The objective of this study was to explore correlates of cognitive functioning of older adults visiting the emergency department (ED) after a minor injury., METHODS: These results are derived from a large prospective study in three Canadian EDs. Participants were aged >= 65 years and independent in basic activities of daily living, visiting the ED for minor injuries and discharged home within 48 hours (those with known dementia, confusion, and delirium were excluded). They completed the Montreal Cognitive Assessment (MoCA). Potential correlates included sociodemographic and injury variables, and measures of psychological and physical health, social support, mobility, falls, and functional status., RESULTS: Multivariate analyses revealed that male sex, age >= 85 years, higher depression scores, slower walking speed, and self-reported memory problems were significantly associated with lower baseline MoCA scores., CONCLUSIONS: These characteristics could help ED professionals identify patients who might need additional cognitive evaluations or follow-ups after their passage through the ED. Obtaining information on these characteristics is potentially feasible in the ED context and could help professionals alter favorably elderly's trajectory of care. Since a significant proportion of elderly patients consulting at an ED have cognitive impairment, the ED is an opportunity to prevent functional and cognitive decline. DA - 2016/// PY - 2016 DO - 10.1017/S104161021600065X VL - 28 IS - 8 SP - 1313 EP - 22 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27109177 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - *Activities of Daily Living KW - Cognition KW - Prospective Studies KW - Canada KW - Neuropsychological Tests KW - *Cognition Disorders/px [Psychology] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Cognition Disorders/ep [Epidemiology] KW - *Patient Discharge KW - *Emergency Service, Hospital KW - Cognition Disorders/co [Complications] KW - *Cognition Disorders/di [Diagnosis] KW - Delirium/co [Complications] ER - TY - JOUR TI - Minimum indoor temperature threshold recommendations for English homes in winter - A systematic review. AU - Jevons, R AU - Carmichael, C AU - Crossley, A AU - Bone, A T2 - Public health AB - OBJECTIVES: To identify and assess the available evidence on the impacts of cold indoor temperature thresholds on human health and make evidence-based recommendations for English homes., STUDY DESIGN: Systematic literature review., METHODS: A systematic search of peer-reviewed published literature from the UK and countries with similar climates, and grading of the evidence using the National Institute of Health (NIH) framework was followed by a discussion with experts and formulation of recommendations., RESULTS: Twenty papers were included. Studies were included if they were conducted outside England but were from countries considered to have similar climates. Studies included two small randomised controlled trials, two cohort studies and one case control study; other studies were cross-sectional, largely laboratory-based studies. Health effects in the general population start to occur at around 18 degreeC. Effects in older people are more profound than in younger adults. Older people are less able to perceive low temperatures., DISCUSSION: Although evidence was limited, a strong argument for setting thresholds remains. The effects observed on the general population and the effects on those more vulnerable makes a case for a recommended minimum temperature for all. Health messages should be clear and simple, allowing informed choices to be made. A threshold of 18 degreeC was considered the evidence based and practical minimum temperature at which a home should be kept during winter in England., CONCLUSION: There is limited evidence available on minimum temperature thresholds for homes. However a recommendation of at least 18 degreeC for the whole population with nuancing of messages for those more vulnerable to the effects of cold can be made from the results of the retrieved studies., RECOMMENDATION: Heating homes to at least 18 degreeC (65 degreeF) in winter poses minimal risk to the health of a sedentary person, wearing suitable clothing. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.puhe.2016.02.007 VL - 136 IS - qi7, 0376507 SP - 4 EP - 12 J2 - Public Health SN - 1476-5616 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27106281 KW - Humans KW - Randomized Controlled Trials as Topic KW - *Seasons KW - England KW - *Housing/st [Standards] KW - *Heating/st [Standards] ER - TY - JOUR TI - Polypharmacy in a Belgian cohort of community-dwelling oldest old (80+). AU - Wauters, Maarten AU - Elseviers, Monique AU - Vaes, Bert AU - Degryse, Jan AU - Dalleur, Olivia AU - Vander Stichele, Robert AU - Van Bortel, Luc AU - Azermai, Majda T2 - Acta clinica Belgica AB - OBJECTIVES: Polypharmacy is highly prevalent among older people (65+), but little is known on the medication use of the oldest old (80+). This study explores the medication use of the Belgian community-dwelling oldest old in relation to their demographic, clinical and functional characteristics., METHODS: Baseline data was used from the BELFRAIL study; a prospective, observational population-based cohort of Belgian community-dwelling patients (80+). General practitioners recorded clinical problems and medications. Medications were coded by the Anatomic Therapeutic Chemical classification., RESULTS: Participants' (n = 503) mean age was 84.4 years (range 80-102) and 61.2% was female. Median chronic medication use was 5 (range 0-16). Polypharmacy (>=5 medications) was high (57.7%), with excessive polypharmacy (>=10 medications) in 9.1%. Most commonly used medication group were antithrombotics, but also benzodiazepines and antidepressants were frequently consumed. Demographics related to polypharmacy (univariate analysis) were female gender, low education and moderate alcohol use. Age, care dependency and cognitive impairment showed no association with polypharmacy. In multivariate analysis, the predominant association with polypharmacy was found for multimorbidity (OR 1.78, 95% CI 1.5-2.1), followed by depression (OR 3.7, 95% CI 4.4-9.7) and physical activity (OR 0.8, 95% CI 0.7-0.9)., CONCLUSIONS: Polypharmacy was high among Belgian community-dwelling oldest old (80+). Determinants of polypharmacy were interrelated, but dominated by multimorbidity. On top of the burden of multimorbidity, polypharmacy was independently associated with less physical activity, and with depressive symptoms. DA - 2016/// PY - 2016 DO - 10.1080/17843286.2016.1148298 VL - 71 IS - 3 SP - 158 EP - 66 J2 - Acta Clin Belg SN - 2295-3337 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27105401 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Polypharmacy KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Prospective Studies KW - Comorbidity KW - Belgium/ep [Epidemiology] KW - *Drug Therapy/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Exploring the Personal and Environmental Factors Related to Length of Stay in Assisted Living. AU - Fields, Noelle L T2 - Journal of gerontological social work AB - This study explored to what extent personal and environmental factors, as defined by the ecological model of aging, help us to understand length of stay in assisted living (AL). A convenience sample (N = 218) of administrative records of AL residents admitted between the years 2006 and 2011 was collected and included AL residents' demographic and healthcare information as well as dates of admission and discharge. Cox regression was used to determine which personal and environmental factors influenced length of stay in three AL programs. Number of medical diagnoses, level of care score, and facility were found to be significant predictors of length of stay. The analyses identified a median survival time of 32 months as well as critical periods for discharge from AL. Implications for future research and social work practice are presented. DA - 2016/// PY - 2016 DO - 10.1080/01634372.2016.1181129 VL - 59 IS - 3 SP - 205 EP - 21 J2 - J Gerontol Soc Work SN - 1540-4048 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27104838 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Aging KW - Regression Analysis KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - Assisted Living Facilities/st [Standards] KW - Kaplan-Meier Estimate KW - *Length of Stay/sn [Statistics & Numerical Data] KW - Ohio ER - TY - JOUR TI - Poor self-rated health did not increase risk of permanent nursing placement or mortality in people with mild Alzheimer's disease. AU - Nielsen, Anni Brit Sternhagen AU - Siersma, Volkert AU - Waldemar, Gunhild AU - Waldorff, Frans Boch T2 - BMC geriatrics AB - BACKGROUND: Self-rated health (SRH) has in many population-based studies predicted adverse health outcomes, e.g. morbidity, permanent nursing home (NH) placement, and mortality. However, the predictive value of SRH to NH placement and mortality among elderly people is not consistent. This may be due to cognitive impairment. Since the SRH item is widely used, it is important to know whether SRH has different predictive value among people with cognitive impairments. We aimed to examine SRH and the risk of permanent NH placement and mortality among people with mild Alzheimer's disease (AD)., METHODS: Data are from The Danish Alzheimer Intervention StudY (DAISY), a large randomized controlled trial of psychosocial intervention for patients with mild dementia and their caregivers with 3-years' follow-up. Five out of 14 Danish counties participated and 321 home-living elderly (mean age: 76.2 years) with mild AD (46.4 % male) were included during 2004 and 2005. Self-rated SRH, cognitive function (MMSE), quality of life (proxy-rated QOL-AD), activities of daily living (ADCS-ADL), insight, and socio-demographics were assessed at baseline. Comorbidities and information about NH placement and mortality was obtained over 3-years' follow-up from registries. With Cox proportional hazard regression we analysed the association between SRH (dichotomised into good vs. poor) and NH placement and mortality adjusted for potential confounders., RESULTS: At baseline 66 % reported excellent or good, and 34 % fair, poor or very poor SRH. Mean MMSE was 24.0 (range: 20-30). NH placement and mortality totalled 28.1 % and 16.5 % at 3-years' follow-up, respectively. Poor SRH at baseline was not related to increased risk of NH placement or to increased mortality neither in the univariable nor in multivariable analysis: In the fully adjusted models HR was 0.63 (95 % CI 0.38-1.05) and 1.28 (95 % CI 0.67-2.45), respectively., CONCLUSIONS: When poor SRH was present we found no increased risk for NH placement or death among elderly people with mild AD. SRH is a widely used parameter in clinical and epidemiological research but may not be a valid indicator of health in patients with AD due to loss of insight. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0262-x VL - 16 IS - 100968548 SP - 87 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27094158 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Follow-Up Studies KW - *Nursing Homes KW - *Self Report KW - *Health Status KW - Caregivers/px [Psychology] KW - Denmark/ep [Epidemiology] KW - Quality of Life/px [Psychology] KW - Alzheimer Disease/px [Psychology] KW - Activities of Daily Living/px [Psychology] KW - Caregivers/td [Trends] KW - Nursing Homes/td [Trends] KW - *Alzheimer Disease/di [Diagnosis] KW - *Alzheimer Disease/mo [Mortality] ER - TY - JOUR TI - Survival in older adults with dementia and eating problems: To PEG or not to PEG?. AU - Ticinesi, Andrea AU - Nouvenne, Antonio AU - Lauretani, Fulvio AU - Prati, Beatrice AU - Cerundolo, Nicoletta AU - Maggio, Marcello AU - Meschi, Tiziana T2 - Clinical nutrition (Edinburgh, Scotland) AB - BACKGROUND & AIMS: Despite guidelines, long-term enteral nutrition (EN) through percutaneous endoscopic gastrostomy (PEG) is often prescribed to older individuals with dementia and eating problems (refusal to eat or dysphagia). The aim of this prospective observational non-randomized un-blinded study was to assess the role of this procedure on risk of mortality., METHODS: 184 demented malnourished patients (58 M, age 82.2 +/- 7.7) with eating problems, discharged from a hospital ward in Italy, were enrolled. Information on dementia type and staging (FAST and CDR scores), Charlson Comorbidity Score and setting of living (community vs nursing home) was collected. After an 18-month follow-up, a telephonic interview with caregivers was planned to assess mortality. Survival of patients discharged on EN by PEG vs oral nutrition (ON) was analyzed by Kaplan-Meier method. Multivariable Cox proportional regression models were also built to test the effects of EN over mortality., RESULTS: EN was prescribed in 54 patients (15 M). At follow-up, mortality was higher in EN than in ON group (70% vs 40%, p = 0.0002). Survival was significantly shorter in the EN group (log-rank 17.259, p < 0.0001; average length 0.66 +/- 0.09 vs 1.28 +/- 0.08 years, p < 0.0001). At multivariate Cox proportional regression model, EN was a significant predictor of death (HR 1.82, 95% CI 1.09-3.02, p = 0.02) independent of age, dementia type, FAST, CDR, Charlson score and setting of living in the whole cohort, but not in those with CDR score ranking 4-5., CONCLUSIONS: In elderly individuals with dementia and eating problems, long-term PEG feeding increases the risk of mortality and should be discouraged. Copyright © 2016 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.clnu.2016.04.001 VL - 35 IS - 6 SP - 1512 EP - 1516 J2 - Clin Nutr SN - 1532-1983 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27091773 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Follow-Up Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Prospective Studies KW - Comorbidity KW - Nutritional Status KW - Proportional Hazards Models KW - Multivariate Analysis KW - Italy KW - Non-Randomized Controlled Trials as Topic KW - Enteral Nutrition KW - *Dementia/co [Complications] KW - *Gastrostomy KW - *Intubation, Gastrointestinal KW - *Malnutrition/th [Therapy] KW - Malnutrition/co [Complications] ER - TY - JOUR TI - Cost-effectiveness of a physical exercise programme for residents of care homes: a pilot study. AU - Verhoef, Talitha I AU - Doshi, Parita AU - Lehner, Dan AU - Morris, Stephen T2 - BMC geriatrics AB - BACKGROUND: Oomph! Wellness organises interactive exercise and activity classes (Oomph! classes) for older people in care homes. We investigated the cost-effectiveness of Oomph! classes., METHODS: Health-related quality of life was measured using the EQ-5D-5 L questionnaire at three time points; 3 months and 1 week prior to the start of the classes and after 3 months of Oomph! classes. Costs included the costs of organising the classes, training instructors and health service use (General Practitioner (GP) and hospital outpatient visits). To determine the cost-effectiveness of Oomph! classes, total costs and quality-adjusted life-years (QALYs) during the 3 months after initiation of the classes were compared to the total costs and QALYs of the 3 months prior to the classes and extrapolated to a 1-year time horizon. Uncertainty was taken into account using one-way and probabilistic sensitivity analysis., RESULTS: Sixteen residents completed all three EQ-5D-5 L questionnaires. There was a decrease in mean health related quality of life per participant in the 3 months before Oomph! classes (0.56 to 0.52, p = 0.26) and an increase in the 3 months after the start of Oomph! classes (0.52 to 0.60, p = 0.06), but the changes were not statistically significant. There were more GP visits after the start of Oomph! classes and fewer hospital outpatient visits, leading to a slight decrease in NHS costs (mean 132 vs 141 per participant), but the differences were not statistically significant (p = 0.79). In the base case scenario, total costs for Oomph! classes were 113 higher per participant than without Oomph! classes (677 vs 564) and total QALYs were 0.074 higher (0.594 vs 0.520). The incremental costs per QALY gained were therefore 1531. The 95 % confidence intervals around the cost/QALY gained varied from dominant to dominated, meaning there was large uncertainty around the cost-effectiveness results. Given a willingness to pay threshold of 20,000 per QALY gained, Oomph! classes had a 62 %-86 % probability of being cost-effective depending on the scenario used., CONCLUSIONS: Preliminary evidence suggests that Oomph! classes may be cost-effective, but further evidence is needed about its impact on health-related quality of life and health service use. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0261-y VL - 16 IS - 100968548 SP - 83 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27089968 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Quality-Adjusted Life Years KW - *Exercise KW - Exercise/px [Psychology] KW - *Homes for the Aged/ec [Economics] KW - Pilot Projects KW - Exercise/ph [Physiology] KW - Quality of Life/px [Psychology] KW - *Cost-Benefit Analysis KW - Cost-Benefit Analysis/mt [Methods] KW - *Health Services/ec [Economics] ER - TY - JOUR TI - Does disorder get "into the head" and "under the skin"? Layered contexts and bi-directional associations. AU - Upenieks, Laura AU - Schafer, Markus H AU - Iveniuk, James T2 - Health & place AB - This paper utilizes a layered context approach to examine how neighborhood and household conditions are associated with the objective and subjective well-being of older adults. Using two waves of data from the National Social Life, Health, and Aging Project (n=2261), we assess subjective mental health through self-reported measures of perceived stress and distress and objective physical health through C-reactive protein (CRP). Environmental disorder was measured by independent, trained interviewers. Cross-sectional results indicate that household disorder is positively associated with perceived stress and distress, overwhelming the association between neighborhood disorder and mental health outcomes. Yet longitudinal findings point to a reverse process, whereby highly stressed women experience deterioration in their home environment across the two waves. Few significant findings surfaced for CRP. Taken together, our findings illustrate the complex interplay between health and proximal environments and underscore how feedback cycles operate between "health" and "place" across multiple outcomes. Copyright © 2016 Elsevier Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.healthplace.2016.03.009 VL - 39 IS - din, 9510067 SP - 131 EP - 41 J2 - Health Place SN - 1873-2054 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27086267 KW - Female KW - Humans KW - Male KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - Sex Factors KW - Longitudinal Studies KW - Socioeconomic Factors KW - *Health Status KW - *Mental Health KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - *Family Characteristics KW - Stress, Psychological/px [Psychology] ER - TY - JOUR TI - A frailty index based on laboratory deficits in community-dwelling men predicted their risk of adverse health outcomes. AU - Blodgett, Joanna M AU - Theou, Olga AU - Howlett, Susan E AU - Wu, Frederick C W AU - Rockwood, Kenneth T2 - Age and ageing T3 - [Comment in: Age Ageing. 2016 Jul;45(4):438-9; PMID: 27146302 [https://www.ncbi.nlm.nih.gov/pubmed/27146302]] AB - BACKGROUND: abnormal laboratory test results accumulate with age and can be common in people with few clinically detectable health deficits. A frailty index (FI) based entirely on common physiological and laboratory tests (FI-Lab) might offer pragmatic and scientific advantages compared with a clinical FI (FI-Clin)., OBJECTIVES: to compare the FI-Lab with the FI-Clin and to assess their individual and combined relationships with mortality and other adverse health outcomes., DESIGN AND SUBJECTS: secondary analysis of the eight-centre, longitudinal European Male Ageing Study (EMAS) of community-dwelling men aged 40-79 at baseline. Follow-up assessment occurred 4.4 +/- 0.3 (mean +/- SD) years later., METHODS: we constructed a 23-item FI using common laboratory tests, blood pressure and pulse (FI-Lab), compared it with a previously validated 39-item FI using self-report and performance-based measures (FI-Clin) and finally combined both FIs to create a 62-item FI-Combined. Outcomes were all-cause mortality, institutionalisation, doctor visits, medication use, self-reported health, falls and fractures., RESULTS: the mean FI-Lab score was 0.28 +/- 0.11, the FI-Clin was 0.13 +/- 0.11 and FI-Combined was 0.19 +/- 0.09. Age-adjusted models demonstrated that each FI was associated with mortality [HR (CI) FI-Lab: 1.04 (1.03-1.06); FI-Clin: 1.05 (1.04-1.06); FI-Combined: 1.07 (1.06-1.09)], institutionalisation, doctor visits, medication use, self-reported health and falls. Combined in a model with FI-Clin, the FI-Lab remained independently associated with mortality, institutionalisation, doctor visits, medication use and self-reported health., CONCLUSIONS: the FI-Lab detected an increased risk of adverse health outcomes alone and in combination with a clinical FI; further evaluation of the feasibility of the FI-Lab as a frailty screening tool within hospital care settings is needed. Copyright © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/ageing/afw054 VL - 45 IS - 4 SP - 463 EP - 8 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27076524 KW - Adult KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Middle Aged KW - Reproducibility of Results KW - *Independent Living KW - Time Factors KW - *Geriatric Assessment/mt [Methods] KW - *Aging KW - *Frailty/di [Diagnosis] KW - Sex Factors KW - Age Factors KW - Prospective Studies KW - *Frail Elderly KW - Institutionalization KW - Cause of Death KW - Self Report KW - Prognosis KW - Fractures, Bone/ep [Epidemiology] KW - Frailty/pp [Physiopathology] KW - Predictive Value of Tests KW - Europe/ep [Epidemiology] KW - Frailty/th [Therapy] KW - Frailty/ep [Epidemiology] KW - Health Resources/sn [Statistics & Numerical Data] KW - Accidental Falls KW - Blood Pressure Determination KW - Fractures, Bone/di [Diagnosis] KW - Office Visits ER - TY - JOUR TI - Mortality in Older Persons with Retinopathy and Concomitant Health Conditions: The Age, Gene/Environment Susceptibility-Reykjavik Study. AU - Fisher, Diana E AU - Jonasson, Fridbert AU - Klein, Ronald AU - Jonsson, Palmi V AU - Eiriksdottir, Gudny AU - Launer, Lenore J AU - Gudnason, Vilmundur AU - Cotch, Mary Frances T2 - Ophthalmology AB - PURPOSE: To assess the impact of retinopathy on mortality in older persons with concomitant health conditions., DESIGN: Population-based prospective cohort study., PARTICIPANTS: A total of 4966 individuals aged 67 to 96 years (43.2% were male) from the Age, Gene/Environment Susceptibility-Reykjavik Study (AGES-RS)., METHODS: Retinopathy was evaluated from digital fundus images (2002-2006) using the modified Airlie House adaptation of the Early Treatment Diabetic Retinopathy Study protocol. Mortality was assessed through September 2013 (cause of death assigned through 2009). Cox proportional hazards regression models, with age as the time scale, estimated the association between retinopathy and death while controlling for risk factors and the presence of concomitant health conditions., MAIN OUTCOME MEASURES: Mortality from all causes and cardiovascular disease (CVD)., RESULTS: Among the 4966 participants, 503 (10.1%) had diabetes and 614 (12.4%) had retinopathy at baseline. A subset of these (136 [2.7%]) had both diabetes and retinopathy. After a median follow-up of 8.6 years, 1763 persons died, 276 (45.0%) with retinopathy and 1487 (34.2%) without retinopathy, of whom 76 and 162 persons, respectively, also had diabetes. There were 366 deaths from CVD through 2009, 72 (11.7%) in persons with retinopathy and 294 (6.8%) in those without retinopathy. In multivariable analyses, retinopathy was significantly associated with all-cause mortality (hazard ratio [HR], 1.26; 95% confidence interval [CI], 1.10-1.43; P < 0.01) and CVD-related mortality (HR, 1.57; 95% CI, 1.20-2.06; P < 0.01). Findings were more striking in men: all-cause HR, 1.33 (95% CI, 1.11-1.60) and CVD HR, 1.81 (95% CI, 1.25-2.63). Risk of mortality was further increased among those with retinopathy concomitant with microalbuminuria (all-cause HR, 1.70; 95% CI, 1.03-2.23, and CVD HR, 2.04; 95% CI, 1.27-3.28) and those with retinopathy, microalbuminuria, and diabetes (all-cause HR, 2.01; 95% CI, 1.22-3.31, and CVD HR, 5.24; 95% CI, 1.91-14.42). History of clinical stroke increased the risk of CVD-related mortality among persons with retinopathy (HR, 3.30; 95% CI, 2.05-5.32), particularly those with retinopathy and diabetes (HR, 5.38; 95% CI, 1.80-16.06)., CONCLUSIONS: Even minimal retinopathy was a significant predictor of increased mortality in older persons, particularly men, irrespective of diabetes status. Persons with retinopathy may warrant closer clinical management of general health. Copyright Published by Elsevier Inc. DA - 2016/// PY - 2016 DO - 10.1016/j.ophtha.2016.02.045 VL - 123 IS - 7 SP - 1570 EP - 80 J2 - Ophthalmology SN - 1549-4713 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27067925 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Sex Factors KW - Age Factors KW - Cardiovascular Diseases/mo [Mortality] KW - Prospective Studies KW - Comorbidity KW - *Retinal Diseases/mo [Mortality] KW - Diabetes Mellitus/mo [Mortality] KW - Gene-Environment Interaction KW - Retinal Diseases/co [Complications] ER - TY - JOUR TI - The complexity of daily life walking in older adult community-dwelling fallers and non-fallers. AU - Ihlen, Espen A F AU - Weiss, Aner AU - Bourke, Alan AU - Helbostad, Jorunn L AU - Hausdorff, Jeffrey M T2 - Journal of biomechanics AB - Complexity of human physiology and physical behavior has been suggested to decrease with aging and disease and make older adults more susceptible to falls. The present study investigates complexity in daily life walking in community-dwelling older adult fallers and non-fallers measured by a 3D inertial accelerometer sensor fixed to the lower back. Complexity was expressed using new metrics of entropy: refined composite multiscale entropy (RCME) and refined multiscale permutation entropy (RMPE). The study re-analyses data of 3 days daily-life activity originally described by Weiss et al. (2013). The data set contains inertial sensor data from 39 older persons reporting less than 2 falls and 32 older persons reporting two or more falls during the previous year. The RCME and the RMPE were derived for trunk acceleration and velocity signals from walking epochs of 50s using mean and variance coarse graining of the signals. Discriminant abilities of the entropy metrics were assessed using a partial least square discriminant analysis. Both RCME and RMPE successfully distinguished between the daily-life walking of the fallers and non-fallers (AUC>0.8) and performed better than the 35 conventional gait features investigated by Weiss et al. (2013). Higher complexity was found in the vertical and mediolateral directions in the non-fallers for both entropy metrics. These findings suggest that RCME and RMPE can be used to improve the assessment of fall risk in older people. Copyright © 2016 Elsevier Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jbiomech.2016.02.055 VL - 49 IS - 9 SP - 1420 EP - 1428 J2 - J Biomech SN - 1873-2380 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27062593 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - *Activities of Daily Living KW - Aging/ph [Physiology] KW - Gait KW - *Accidental Falls KW - Walking/ph [Physiology] KW - *Walking KW - Acceleration ER - TY - JOUR TI - Interprofessional student teams augmenting service provision in residential aged care. AU - Kent, Fiona AU - Lai, Francis AU - Beovich, Bronwyn AU - Dodic, Miodrag T2 - Australasian journal on ageing AB - The aim of this study was to determine the usefulness of student-led interprofessional consultations within residential aged care in augmenting patient care and enhancing student education. Volunteer fourth and final year health-care students conducted interprofessional consultations. In a mixed methods design, residents' health-care changes and perspectives were collected prospectively, and student and educator perceptions were measured by survey and interview. Sixteen aged care residents were consulted by interprofessional teams. Students identified two new health issues and proposed 17 recommendations for referrals and five changes to medication management. At six-weeks follow-up, two recommendations had been acted upon clinically, and two medication changes had been implemented. Reasons for the low uptake of recommendations were determined. Residents, students and educators reported high levels of satisfaction. Residential care facilities offer a useful interprofessional learning environment. Student consultations are positively regarded by patients, students and educators and may augment existing health services. Copyright © 2016 AJA Inc. DA - 2016/// PY - 2016 DO - 10.1111/ajag.12288 VL - 35 IS - 3 SP - 204 EP - 9 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27061457 KW - Female KW - Humans KW - Male KW - Health Knowledge, Attitudes, Practice KW - Aged KW - Aged, 80 and over KW - Attitude of Health Personnel KW - Interdisciplinary Communication KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Perception KW - *Delivery of Health Care/og [Organization & Administration] KW - Pilot Projects KW - Volunteers KW - Patient Satisfaction KW - *Patient Care Team/og [Organization & Administration] KW - *Medication Therapy Management/og [Organization & Administration] KW - Geriatrics/ed [Education] KW - Cooperative Behavior KW - *Students, Health Occupations KW - *Geriatrics/og [Organization & Administration] KW - *Referral and Consultation/og [Organization & Administration] KW - Students, Health Occupations/px [Psychology] ER - TY - JOUR TI - A Medicare Current Beneficiary Survey-Based Investigation of Alternative Primary Care Models in Nursing Homes: Cost and Utilization Differences. AU - Lee, A James AU - Gautam, Ramraj AU - Melillo, Karen Devereaux AU - Abdallah, Lisa M AU - Remington, Ruth AU - Van Etten, Deborah AU - Gore, Rebecca T2 - Research in gerontological nursing AB - The current study used the Medicare Current Beneficiary Survey-Based (MCBS) Cost and Use files for 2006-2008 to investigate whether health care costs and service utilization of nursing home residents varied with nurse practitioner (NP) and physician assistant (PA) involvement, compared to the use of medical doctors (MDs) only. The sample included Medicare beneficiaries 65 and older residing in a nursing home for the entire study year (433 annual observations). A generalized estimating equations procedure was used to assess whether health care cost and utilization measures varied by cohort. Point estimates indicated that the annual per-person cost of non-institutional services (total medical cost less the cost of the nursing home itself) was $3,847 and $3,170 more for individuals in the MD-only and MD-dominant cohorts, respectively, compared to those in the NP/PA-dominant cohort. [Res Gerontol Nurs. 2016; 9(3):115-122.]. Copyright 2016, SLACK Incorporated. DA - 2016/// PY - 2016 DO - 10.3928/19404921-20160404-02 VL - 9 IS - 3 SP - 115 EP - 22 J2 - Res. gerentol. nurs. SN - 1938-2464 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27054369 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - *Homes for the Aged/ec [Economics] KW - *Nursing Homes/ec [Economics] KW - Models, Nursing KW - *Medicare/ec [Economics] KW - *Primary Health Care/sn [Statistics & Numerical Data] KW - Physicians/sn [Statistics & Numerical Data] KW - *Primary Health Care/ec [Economics] KW - Nurse Practitioners/ec [Economics] KW - Nurse Practitioners/sn [Statistics & Numerical Data] KW - Physician Assistants/ec [Economics] KW - Physician Assistants/sn [Statistics & Numerical Data] KW - Physicians/ec [Economics] ER - TY - JOUR TI - Comparison of the effects of virtual reality-based balance exercises and conventional exercises on balance and fall risk in older adults living in nursing homes in Turkey. AU - Yesilyaprak, Sevgi Sevi AU - Yildirim, Meric Senduran AU - Tomruk, Murat AU - Ertekin, Ozge AU - Algun, Z Candan T2 - Physiotherapy theory and practice AB - OBJECTIVES: There is limited information on effective balance training techniques including virtual reality (VR)-based balance exercises in residential settings and no studies have been designed to compare the effects of VR-based balance exercises with conventional balance exercises in older adults living in nursing homes in Turkey. The objective of our study was to investigate the effects of VR-based balance exercises on balance and fall risk in comparison to conventional balance exercises in older adults living in nursing homes., METHODS: A total sample of 18 subjects (65-82 years of age) with fall history who were randomly assigned to either the VR group (Group 1, n = 7) or the conventional exercise group (Group 2, n = 11) completed the exercise training., RESULTS: In both groups, Berg balance score (BBS), timed up & go duration, and left leg stance and tandem stance duration with eyes closed significantly improved with time (p < 0.05), but changes were similar in both groups (p > 0.05) after training, indicating that neither the exercise method was superior., CONCLUSION: Similar improvements were found in balance and fall risk with VR-based balance training and conventional balance training in older adults living in the nursing home. Both exercise trainings can be preferable by health care professionals considering fall prevention. Appropriate patient selection is essential. DA - 2016/// PY - 2016 DO - 10.3109/09593985.2015.1138009 VL - 32 IS - 3 SP - 191 EP - 201 J2 - PHYSIOTHER. THEORY PRACT. SN - 1532-5040 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27049879 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Accidental Falls/pc [Prevention & Control] KW - *Exercise Therapy/mt [Methods] KW - Recovery of Function KW - Time Factors KW - *Homes for the Aged KW - *Nursing Homes KW - *Postural Balance KW - Turkey KW - *Video Games KW - *Therapy, Computer-Assisted ER - TY - JOUR TI - Investing in organisational culture: nursing students' experience of organisational learning culture in aged care settings following a program of cultural development. AU - Grealish, Laurie AU - Henderson, Amanda T2 - Contemporary nurse AB - BACKGROUND: Concerns around organisational learning culture limit nursing student placements in aged care settings to first year experiences., AIM: Determine the impact of an extended staff capacity building program on students' experiences of the organisational learning culture in the aged care setting., DESIGN: Pre and post-test design., METHODS: A convenience sample of first, second and third year Bachelor of Nursing students attending placements at three residential aged care facilities completed the Clinical Learning Organisational Culture Survey. Responses between the group that attended placement before the program (n = 17/44; RR 38%) and the group that attended following the program (n = 33/72; RR 45%) were compared., RESULTS: Improvements were noted in the areas of recognition, accomplishment, and influence, with decreases in dissatisfaction., CONCLUSION: Organisational investment in building staff capacity can produce a positive learning culture. The aged care sector offers a rich learning experience for students when staff capacity to support learning is developed. DA - 2016/// PY - 2016 DO - 10.1080/10376178.2016.1173518 VL - 52 IS - 5 SP - 569 EP - 575 J2 - Contemp Nurse SN - 1839-3535 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27046233 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Australia KW - Surveys and Questionnaires KW - *Homes for the Aged/og [Organization & Administration] KW - *Geriatric Nursing/ed [Education] KW - *Inservice Training/mt [Methods] KW - *Organizational Culture KW - *Geriatric Nursing/og [Organization & Administration] KW - *Preceptorship/og [Organization & Administration] KW - *Students, Nursing/px [Psychology] KW - Education, Nursing, Baccalaureate/og [Organization & Administration] KW - Nursing Education Research ER - TY - JOUR TI - When Patients Customize Nursing Home Ratings, Choices And Rankings Differ From The Government's Version. AU - Mukamel, Dana B AU - Amin, Alpesh AU - Weimer, David L AU - Sharit, Joseph AU - Ladd, Heather AU - Sorkin, Dara H T2 - Health affairs (Project Hope) AB - Report cards currently published by the Centers for Medicare and Medicaid Services (CMS) offer composite (summary) quality measures based on a five-star ratings system, such as the one featured on the Nursing Home Compare website. These ratings are "one size fits all patients" measures. Nursing Home Compare Plus is an alternative that allows patients and their families to create their own composite scores based on their own preferences and medical needs. We present data from 146 patients who were discharged from the hospital to nursing homes who used Nursing Home Compare Plus. We found that the individual patient-constructed composites differed from CMS's five-star ratings composite. Patients differed from each other and from CMS in the number of performance measures they chose to include in their composite and in their weighting of each performance measure. When comparing Nursing Home Compare Plus to Medicare's five-star ratings, we found only minimal agreement on ranking of nursing homes. We conclude that patients might benefit if current report cards are modified to include an option for personalized ranking. Copyright Project HOPE-The People-to-People Health Foundation, Inc. DA - 2016/// PY - 2016 DO - 10.1377/hlthaff.2015.1340 VL - 35 IS - 4 SP - 714 EP - 9 J2 - Health Aff (Millwood) SN - 1544-5208 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27044973 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Nursing Homes/sn [Statistics & Numerical Data] KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - *Quality of Health Care KW - *Quality Indicators, Health Care/st [Standards] KW - Patient Satisfaction/sn [Statistics & Numerical Data] KW - *Patient Preference/sn [Statistics & Numerical Data] KW - Centers for Medicare and Medicaid Services (U.S.)/st [Standards] KW - Government ER - TY - JOUR TI - Use Of Nursing Home Compare Website Appears Limited By Lack Of Awareness And Initial Mistrust Of The Data. AU - Konetzka, R Tamara AU - Perraillon, Marcelo Coca T2 - Health affairs (Project Hope) AB - In December 2008 the Centers for Medicare and Medicaid Services (CMS) launched a five-star rating system of nursing homes as part of Nursing Home Compare, a web-based report card detailing quality of care at all CMS-certified nursing homes. Questions remain, however, as to how well consumers use this rating system as well as other sources of information in choosing nursing home placement. We used a qualitative assessment of how consumers select nursing homes and of the role of information about quality, using semistructured interviews of people who recently placed a family member or friend in a nursing home. We found that consumers were receptive to using Internet-based information about quality as one source of information but that choice was limited by the need for specialized services, proximity to family or health care providers, and availability of Medicaid beds. Consumers had a positive reaction when shown Nursing Home Compare; however, its use appeared to be limited by lack of awareness and, to some extent, initial lack of trust of the data. Our findings suggest that efforts to expand the use of Nursing Home Compare should focus on awareness and trust. Useful additions to Nursing Home Compare might include measures of the availability of activities, information about cost, and consumer satisfaction. Copyright Project HOPE-The People-to-People Health Foundation, Inc. DA - 2016/// PY - 2016 DO - 10.1377/hlthaff.2015.1377 VL - 35 IS - 4 SP - 706 EP - 13 J2 - Health Aff (Millwood) SN - 1544-5208 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27044972 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Health Care Surveys KW - Needs Assessment KW - Qualitative Research KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Interviews as Topic KW - Aging/ph [Physiology] KW - *Health Knowledge, Attitudes, Practice KW - Data Collection/mt [Methods] KW - Quality Indicators, Health Care KW - Awareness KW - *Centers for Medicare and Medicaid Services (U.S.)/st [Standards] KW - *Internet/sn [Statistics & Numerical Data] KW - Information Dissemination/mt [Methods] ER - TY - JOUR TI - Aged Care Complaints Commissioner assumes control. AU - Anonymous T2 - Australian nursing & midwifery journal DA - 2016/// PY - 2016 VL - 23 IS - 7 SP - 13 J2 - Aust Nurs Midwifery J SN - 2202-7114 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27035028 KW - Humans KW - Aged KW - Aged, 80 and over KW - Australia KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - *Patient Satisfaction KW - *Quality Assurance, Health Care/st [Standards] KW - *State Medicine/st [Standards] ER - TY - JOUR TI - Postoperative red blood cell transfusion strategy in frail anemic elderly with hip fracture. A randomized controlled trial. AU - Gregersen, Merete T2 - Danish medical journal AB - Hip fracture in the elderly is associated with poor recovery from physical disability and mortality. Perioperative blood loss is common, and anemia might be fatal in the frail elderly. Red blood cell transfusions might increase the risk of infection. In an observational study, a liberal transfusion strategy with hemoglobin (Hb) target of 7 mmol/l (11.3 g/dl) seemed to improve survival in nursing home residents with hip fracture compared to the recommended restrictive strategy with a Hb target of 6 mmol/l (9.7 g/dl) according to the Danish Health Authority. Our aim was to compare these two strategies in the frail elderly in a randomized controlled trial on the outcomes: recovery from physical disabilities, mortality, infection, infection biomarkers, and overall Quality of Life (OQoL). We included 284 elderly admitted to hospital for surgical hip fracture repair from nursing homes or sheltered housing facilities. The anemic patients were assigned postoperatively to the liberal or the restrictive transfusion strategy. Randomization divided each transfusion group into two equal blocks with regard to type of the residence. Hb was measured daily during the first three postoperative days, at least once during the following 4-6 days, then at least once a week during the subsequent three weeks. The transfusions were administered according to group assignments, but no later than 24 hours after the Hb determination, one unit at a time, and no more than two units per day. The intervention lasted for 30 days after surgery. Outcome measurements were performed on days 10, 30, 90, and 365. Blinded assessors evaluated physical performance and OQoL. The liberal transfusion strategy did not improve recovery from physical disabilities, mortality, infection rate, or OQoL compared to the restrictive strategy. However, in nursing home residents, 90-day mortality rate (20%) following the liberal strategy was statistically significantly lower than that (36%) after the restrictive strategy. Per protocol, the 30-day mortality rate was statistically significantly lower following the liberal strategy in all patients (7% versus 16%). No statistically significant difference was found in repeated leukocyte counts and C-reactive protein measurements, or in rate of all infections after ten days (66% versus 72%). Physical recovery from 30 days until one year after hip fracture surgery was improved by the liberal strategy. A liberal strategy did not improve 30-day OQoL. Physical performance was improved from 30 days to one year after fracture in patients treated according to the liberal strategy and was associated with better progress of OQoL in the same period. We conclude that according to our used Hb thresholds, the liberal Hb target of 7 mmol/l (11.3 g/dl) improves survival in the frailest elderly (the nursing home residents) without impairing recovery from physical disabilities and OQoL or increasing risk of infections compared to the restrictive Hb target of 6 mmol/l (9.7 g/dl). The liberal strategy seems to improve recovery of physical performance within one year after hip fracture surgery which was associated with better overall QoL. DA - 2016/// PY - 2016 VL - 63 IS - 4 J2 - Dan Med J SN - 2245-1919 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27034188 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Randomized Controlled Trials as Topic KW - Aged KW - Nursing Homes KW - *Quality of Life KW - *Frail Elderly KW - Homes for the Aged KW - Postoperative Period KW - Hip Fractures/mo [Mortality] KW - Anemia/bl [Blood] KW - *Anemia/th [Therapy] KW - *Blood Transfusion KW - *Hip Fractures/su [Surgery] KW - *Postoperative Complications/et [Etiology] KW - Blood Transfusion/sn [Statistics & Numerical Data] KW - Hemoglobins/me [Metabolism] KW - Postoperative Care/mt [Methods] KW - Transfusion Reaction ER - TY - JOUR TI - Community-Dwelling People Screened Positive for Dementia in Primary Care: A Comprehensive, Multivariate Descriptive Analysis Using Data from the DelpHi-Study. AU - Thyrian, Jochen Rene AU - Eichler, Tilly AU - Michalowsky, Bernhard AU - Wucherer, Diana AU - Reimann, Melanie AU - Hertel, Johannes AU - Richter, Steffen AU - Dreier, Adina AU - Hoffmann, Wolfgang T2 - Journal of Alzheimer's disease : JAD AB - BACKGROUND: Efficient help and care for people with dementia (PWD) is dependent on knowledge about PWD in primary care., OBJECTIVE: This analysis comprehensively describes community-dwelling PWD in primary care with respect to various dementia care specific variables., METHODS: The analyses are based on baseline data of the ongoing general practitioner-based, randomized, controlled intervention trial DelpHi-MV (Dementia: life- and person-centered help). 6,838 patients were screened for dementia in 136 GP practices; 17.1% were screened positive, 54.4% of those agreed to participate and data could be assessed in n = 516 subjects. We assessed age, sex, living situation, cognitive status, functional status, level of impairment, comorbidities, formal diagnosis of dementia, depression, neuropsychiatric symptoms, quality of life, utilization of medical support, and pharmacological therapy., RESULTS: Concerning clinical-, dementia-, and health-related variables, the sample under examination was on average mildly cognitively and functionally impaired (MMSE, m = 22.2; BADL, m = 3.7). A level of care was assigned in 38.0%. Depression was identified in 15.4% and other frequent comorbidities were high blood pressure (83.3%), coronary heart diseases (37.1%), cerebrovascular diseases (22.3%), among others. In 48.6%, neuropsychiatric symptoms were present in a clinically relevant severity. Pharmacological treatment with antidementia medication was received by 25.8% and antidepressant medication by 14.0%. Utilization of services was generally low., CONCLUSION: The comprehensive description of people screened positive for dementia in primary care reveals a complex and unique population of patients. They are considerably underdiagnosed and in their majority mildly to moderately affected. More in-depth analyses are needed to study relations, associations and interactions between different variables. DA - 2016/// PY - 2016 DO - 10.3233/JAD-151076 VL - 52 IS - 2 SP - 609 EP - 17 J2 - J Alzheimers Dis SN - 1875-8908 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27031481 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Delphi Technique KW - Activities of Daily Living KW - Cognitive Dysfunction/ep [Epidemiology] KW - Cognitive Dysfunction/px [Psychology] KW - *Independent Living/sn [Statistics & Numerical Data] KW - Depression/ep [Epidemiology] KW - *Dementia/ep [Epidemiology] KW - Dementia/px [Psychology] KW - Neuropsychological Tests KW - Mass Screening KW - Depression/px [Psychology] KW - Multivariate Analysis KW - Dementia/di [Diagnosis] KW - *Primary Health Care/sn [Statistics & Numerical Data] KW - Germany/ep [Epidemiology] ER - TY - JOUR TI - Development of a Proxy-Free Objective Assessment Tool of Instrumental Activities of Daily Living in Mild Cognitive Impairment Using Smart Home Technologies. AU - Jekel, Katrin AU - Damian, Marinella AU - Storf, Holger AU - Hausner, Lucrezia AU - Frolich, Lutz T2 - Journal of Alzheimer's disease : JAD AB - BACKGROUND: The assessment of activities of daily living (ADL) is essential for dementia diagnostics. Even in mild cognitive impairment (MCI), subtle deficits in instrumental ADL (IADL) may occur and signal a higher risk of conversion to dementia. Thus, sensitive and reliable ADL assessment tools are important. Smart homes equipped with sensor technology and video cameras may provide a proxy-free assessment tool for the detection of IADL deficits., OBJECTIVE: The aim of this paper is to investigate the potential of a smart home environment for the assessment of IADL in MCI., METHOD: The smart home consisted of a two-room flat equipped with activity sensors and video cameras. Participants with either MCI or healthy controls (HC) had to solve a standardized set of six tasks, e.g., meal preparation, telephone use, and finding objects in the flat., RESULTS: MCI participants needed more time (1384 versus 938 seconds, p < 0.001) and scored less total points (48 versus 57 points, p < 0.001) while solving the tasks than HC. Analyzing the subtasks, intergroup differences were observed for making a phone call, operating the television, and retrieving objects. MCI participants showed more searching and task-irrelevant behavior than HC. Task performance was correlated with cognitive status and IADL questionnaires but not with participants' age., CONCLUSION: This pilot study showed that smart home technologies offer the chance for an objective and ecologically valid assessment of IADL. It can be analyzed not only whether a task is successfully completed but also how it is completed. Future studies should concentrate on the development of automated detection of IADL deficits. DA - 2016/// PY - 2016 DO - 10.3233/JAD-151054 VL - 52 IS - 2 SP - 509 EP - 17 J2 - J Alzheimers Dis SN - 1875-8908 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27031479 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Time Factors KW - *Activities of Daily Living KW - Age Factors KW - *Housing KW - Interviews as Topic KW - Actigraphy/is [Instrumentation] KW - Motor Activity KW - Pilot Projects KW - *Cognitive Dysfunction/di [Diagnosis] KW - *Neuropsychological Tests KW - *Actigraphy/mt [Methods] KW - *Video Recording/mt [Methods] KW - Facility Design and Construction/mt [Methods] KW - Video Recording/is [Instrumentation] ER - TY - JOUR TI - [The prevalence and etiology of anemia in urban community dwelling elderly population in Beijing]. AU - Ning, S Y AU - Chang, N B AU - Han, X Y AU - Liu, X AU - Duan, Y W AU - Liu, Y H AU - Liu, T AU - Duan, X L AU - Li, N H AU - Guo, J AU - Wang, W AU - Fan, Y AU - Li, J T T2 - Zhonghua nei ke za zhi AB - OBJECTIVE: To estimate the prevalence of anemia in urban community dwelling elderly population., METHODS: This study was a cross-sectional survey of prevalence of anemia in randomly selected community dwelling residents aged over 65 years in Beijing. Anemia was defined as hemoglobin concentration less than 130 g/L in men and 120 g/L in women., RESULTS: The hemoglobin concentration was (135.65+/-14.48) g/L in total of 1 947 eligible participants and was much higher in men than in women [(142.56+/-15.56) g/L vs (130.95+/-11.53) g/L, P<0.001]. There were 288 (14.8%) patients with anemia, including 16.3%(129/789) in men and 13.7%(159/1 158) in women. The prevalence of anemia increased significantly with age, which was 7.6% in 65-69 years, 10.8% in 70-74 years, 18.8% in 75-79 years and 24.1% over 80 years (P<0.001). Two hundred and seventy-nine (96.9%) subjects were mild anemia, 8 (2.8%) moderate, only 1 subject (0.3%) severe. Unexplained anemia was predominant, which accounted for 63.2%. Only 16.7% people were diagnosed as nutritional anemia, renal anemia 5.2%, anemia of chronic disease (ACD) 12.2%. There were 2.4% people with overlapped renal anemia and ACD. Compared with non-anemic subjects, more subjects with unexplained anemia represented macrocytosis (7.1% vs 3.2%, P=0.007)., CONCLUSIONS: Anemia is a common health problem in urban community dwelling elderly population. Most subjects have anemia with unknown origin. Further investigation is needed to explore the mechanism and related factors of elderly anemia. DA - 2016/// PY - 2016 DO - 10.3760/cma.j.issn.0578-1426.2016.04.008 VL - 55 IS - 4 SP - 289 EP - 92 J2 - Chung Hua Nei Ko Tsa Chih SN - 0578-1426 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27030617 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Chronic Disease KW - Prevalence KW - *Independent Living KW - Cross-Sectional Studies KW - Severity of Illness Index KW - Age Distribution KW - Sex Distribution KW - *Urban Population KW - Case-Control Studies KW - Beijing/ep [Epidemiology] KW - Random Allocation KW - *Anemia/ep [Epidemiology] KW - *Anemia/et [Etiology] ER - TY - JOUR TI - Garden greenery and the health of older people in residential care facilities: a multi-level cross-sectional study. AU - Dahlkvist, Eva AU - Hartig, Terry AU - Nilsson, Annika AU - Hogberg, Hans AU - Skovdahl, Kirsti AU - Engstrom, Maria T2 - Journal of advanced nursing AB - AIMS: To test the relationship between greenery in gardens at residential facilities for older people and the self-perceived health of residents, mediated by experiences of being away and fascination when in the garden and the frequency of visitation there. To examine how these indirect effects vary with the number of physical barriers to visiting the garden., BACKGROUND: Many older people in residential facilities suffer from complex health problems. Access to a green outdoor environment may enable psychological distance, engage effortless attention, encourage more frequent visitation and promote resident health., DESIGN: A multi-level, cross-sectional, correlational design., METHODS: Questionnaires were administered June-August, 2011 to convenience samples of residents at 72 facilities for older people with complex healthcare needs. One to 10 eligible residents were sampled during self-motivated garden visits at each facility (n = 290). They reported on their garden experiences and health. Facility staff reported on objective garden characteristics and barriers to access. A serial mediation model was tested with multiple linear regression analysis., RESULTS: The total indirect effect of greenery on self-perceived health was positive and significant. Garden greenery appears to affect health by enhancing a sense of being away, affording possibilities to experience the outdoor environment as interesting and encouraging visitation. Among residents in homes with multiple barriers, only fascination mediated the relationship between greenery and self-perceived health., CONCLUSION: Ample greenery in outdoor space at residential facilities for older people appears to promote experiences of being away and fascination, more frequent visitation and better health. Copyright © 2016 The Authors. Journal of Advanced Nursing Published by John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/jan.12968 VL - 72 IS - 9 SP - 2065 EP - 76 J2 - J Adv Nurs SN - 1365-2648 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27028976 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - Assisted Living Facilities KW - *Health Status KW - *Residential Facilities KW - Environment Design KW - *Gardens KW - Mental Healing ER - TY - JOUR TI - Analysis of Factors That Influence Long-Term Independent Living for Elderly Subarachnoid Hemorrhage Patients. AU - Shimamura, Norihito AU - Naraoka, Masato AU - Katagai, Takeshi AU - Katayama, Kosuke AU - Kakuta, Kiyohide AU - Matsuda, Naoya AU - Ohkuma, Hiroki T2 - World neurosurgery AB - BACKGROUND: The number of elderly subarachnoid hemorrhage (SAH) patients has been increasing. The aim of this study was to analyze long-term outcome for elderly (>=75 years) SAH patients and to establish a treatment strategy., METHODS: From January 2005 to December 2013, 86 consecutive cases were treated. We used a modified Rankin Scale (mRS) at the outpatient clinic or a telephone interview of patients and/or families. Kaplan-Meier plots were done for mortality and independent (mRS 0 ~ 2) state. Multivariate analysis was done to distinguish factors that influence on outcome., RESULTS: Median age was 79, Hunt-Kosnik grade 1 ~ 3 was 79%, and the radical intervention (clipping or coiling) rate was 78%. Mean follow-up period was 28.7 +/- 3.4 standard error months. Half of deaths occurred during the first two months. The number of cases of independent living gradually decreased to 50% at 28 months after SAH. Half of patients lived independently for 36 months at HK grades 1 to 3, and 3 months at HK grades 4 to 5 (p < 0.05). Half of patients lived independently for 40 months in the radical intervention group, and 14 months in the conservative treatment group (p < 0.05). Multivariate analysis for independent living revealed that gender, pre-morbid condition, HK grade, and postoperative complication were significant (p < 0.05)., CONCLUSIONS: Good-grade elderly SAH cases that were independent pre-stroke should have radical intervention performed for aneurysm. Avoiding perioperative complications have a positive influence on long-term independent living. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.wneu.2016.03.057 VL - 90 IS - 101528275 SP - 504 EP - 510 J2 - World Neurosurg SN - 1878-8769 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27025452 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Prevalence KW - Japan/ep [Epidemiology] KW - Follow-Up Studies KW - *Quality of Life/px [Psychology] KW - Survival Rate KW - Longitudinal Studies KW - Independent Living/sn [Statistics & Numerical Data] KW - *Activities of Daily Living/px [Psychology] KW - *Neurosurgical Procedures/mo [Mortality] KW - *Neurosurgical Procedures/px [Psychology] KW - *Subarachnoid Hemorrhage/px [Psychology] KW - *Subarachnoid Hemorrhage/su [Surgery] KW - Neurosurgical Procedures/sn [Statistics & Numerical Data] KW - Subarachnoid Hemorrhage/mo [Mortality] ER - TY - JOUR TI - Exposure to Traffic-Related Air Pollution in Relation to Progression in Physical Disability among Older Adults. AU - Weuve, Jennifer AU - Kaufman, Joel D AU - Szpiro, Adam A AU - Curl, Cynthia AU - Puett, Robin C AU - Beck, Todd AU - Evans, Denis A AU - Mendes de Leon, Carlos F T2 - Environmental health perspectives AB - BACKGROUND: Physical disability is common though not inevitable in older age and has direct bearing on a person's ability to perform activities essential for self-care and independent living. Air pollution appears to increase the risk of several chronic diseases that contribute to the progression of disability., OBJECTIVE: We evaluated long-term exposure to traffic-related air pollution (TRAP) in relation to progression in physical disability., METHODS: We conducted our investigation within the Chicago Health and Aging Project. We measured participants' exposures to TRAP using two surrogates: residential proximity to major roads (1993 onwards) and ambient concentrations of oxides of nitrogen (NOX; 1999 onwards), predicted via a geographic information systems-based spatiotemporal smoothing model (cross-validation R2 = 0.87) that incorporated community-based monitoring and resolved intraurban exposure gradients at a spatial scale of tens of meters. Participants' lower-extremity physical ability was assessed every 3 years (1993-2012) via tandem stand, chair stand, and timed walking speed., RESULTS: In multivariable-adjusted analyses (n = 5,708), higher long-term NOX exposure was associated with significantly faster progression in disability. Compared with the 5-year decline in physical ability score among participants in the lowest quartile of NOX exposure, decline among those in the highest exposure quartile was 1.14 units greater (95% confidence interval [CI]: -1.86, -0.42), equivalent to 3 additional years of decline among those in the lowest exposure quartile. The association was linear across the continuum of NOX exposure: per 10-ppb increment in exposure, the 5-year decline in physical ability score was 0.87 unit greater (95% CI: -1.35, -0.39). Proximity to a major road was not associated with disability progression (n = 9,994)., CONCLUSIONS: These data join a growing body of evidence suggesting that TRAP exposures may accelerate aging-related declines in health., CITATION: Weuve J, Kaufman JD, Szpiro AA, Curl C, Puett RC, Beck T, Evans DA, Mendes de Leon CF. 2016. Exposure to traffic-related air pollution in relation to progression in physical disability among older adults. Environ Health Perspect 124:1000-1008; http://dx.doi.org/10.1289/ehp.1510089. DA - 2016/// PY - 2016 DO - 10.1289/ehp.1510089 VL - 124 IS - 7 SP - 1000 EP - 8 J2 - Environ Health Perspect SN - 1552-9924 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27022889 KW - Humans KW - Aged KW - *Disabled Persons/sn [Statistics & Numerical Data] KW - *Disease Progression KW - Geographic Information Systems KW - *Air Pollution/sn [Statistics & Numerical Data] KW - *Vehicle Emissions/an [Analysis] KW - Air Pollutants/an [Analysis] KW - Environmental Exposure ER - TY - JOUR TI - The 'Big Five'. Hypothesis generation: a multidisciplinary intervention package reduces disease-specific hospitalisations from long-term care: a post hoc analysis of the ARCHUS cluster-randomised controlled trial. AU - Connolly, Martin J AU - Broad, Joanna B AU - Boyd, Michal AU - Zhang, Tony Xian AU - Kerse, Ngaire AU - Foster, Susan AU - Lumley, Thomas AU - Whitehead, Noeline T2 - Age and ageing AB - INTRODUCTION: long-term care (LTC) residents have higher hospitalisation rates than non-LTC residents. Rapid decline may follow hospitalisations, hence the importance of preventing unnecessary hospitalisations. Literature describes diagnosis-specific interventions (for cardiac failure, ischaemic heart disease, chronic obstructive pulmonary disease, stroke, pneumonia-termed 'big five' diagnoses), impacting on hospitalisations of older community-dwellers, but few RCTs show reductions in acute admissions from LTC., METHODS: LTC facilities with higher than expected hospitalisations were recruited for a cluster-randomised controlled trial (RCT) of facility-based complex, non-disease-specific, 9-month intervention comprising gerontology nurse specialist (GNS)-led staff education, facility benchmarking, GNS resident review and multidisciplinary discussion of residents selected using standard criteria. In this post hoc exploratory analysis, the outcome was acute hospitalisations for 'big five' diagnoses. Re-randomisation analyses were used for end points during months 1-14. For end points during months 4-14, proportional hazards models are adjusted for within-facility clustering., RESULTS: we recruited 36 facilities with 1,998 residents (1,408 female; mean age 82.9 years); 1,924 were alive at 3 months. The intervention did not impact overall rates of acute hospitalisations or mortality (previously published), but resulted in fewer 'big five' admissions (RR = 0.73, 95% CI = 0.54-0.99; P = 0.043) with no significant difference in the rate of other acute admissions. When considering events occurring after 3 months (only), the intervention group were 34.7% (HR = 0.65; 95% CI = 0.49-0.88; P = 0.005) less likely to have a 'big five' acute admission than controls, with no differences in likelihood of acute admissions for other diagnoses (P = 0.96)., CONCLUSIONS: this generic intervention may reduce admissions for common conditions which the literature shows are impacted by disease-specific admission reduction strategies. Copyright © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/ageing/afw037 VL - 45 IS - 3 SP - 415 EP - 20 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27021357 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Cluster Analysis KW - Geriatric Assessment KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Proportional Hazards Models KW - New Zealand KW - Survival Analysis KW - Hospitalization/sn [Statistics & Numerical Data] KW - Confidence Intervals KW - *Patient Admission/sn [Statistics & Numerical Data] KW - *Long-Term Care/og [Organization & Administration] KW - Patient Care Team/og [Organization & Administration] KW - *Interdisciplinary Communication KW - Hospital Mortality/td [Trends] ER - TY - JOUR TI - Factors influencing older people's experiences of participation in autonomous decisions concerning their daily care in their own homes: a review of the literature. AU - Fjordside, Solveig AU - Morville, Annette T2 - International journal of older people nursing AB - AIM: To review the literature on how older people perceive opportunities and limitations with regard to participation in autonomous decisions concerning their daily care in their own homes., BACKGROUND: The perception of personal control plays a critical role in an older person's health and well-being. Little is known about factors that facilitate or hinder older people's autonomous decision-making in their own homes., METHODS: The study has been carried out as a literature review. The following databases were used: CINAHL, PubMed, PsykInfo, Cochrane, SweMed, Embase. Research studies range from 2009 to 2014., RESULTS: The review includes 12 publications. Four core themes are generated: older person's autonomy in their own home; autonomy and relationship; the balance between autonomy and dependency; older people's autonomy and the organisation of home care., CONCLUSION: Older people have a strong inner drive to maintain autonomy in their own home. The autonomy is challenged when the person becomes increasingly dependent on help. The relationship with carers is of vital importance with regard to the person's ability to make autonomous decisions. The organisation of home care restricts older people' scope for autonomy., IMPLICATIONS FOR PRACTICE: Older people's own perspectives on autonomous decisions can contribute to the ongoing debate about how nursing care can be developed with respect to their autonomy. Nursing care demands attention to an older person's desire for autonomy despite dependency. A framework for systematic ethical discussions among carers may improve awareness about factors that facilitate or hinder good personalised care. The organisation of nursing care needs to be shaped in line with best practice for older people. Copyright © 2016 John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/opn.12116 VL - 11 IS - 4 SP - 284 EP - 297 J2 - Int J Older People Nurs SN - 1748-3743 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27019374 KW - Humans KW - *Independent Living KW - *Decision Making KW - *Home Care Services KW - *Aged KW - *Personal Autonomy ER - TY - JOUR TI - Discussing end-of-life issues in nursing homes: a nationwide study in France. AU - Morin, Lucas AU - Johnell, Kristina AU - Van den Block, Lieve AU - Aubry, Regis T2 - Age and ageing AB - BACKGROUND: discussing end-of-life issues with nursing home residents and their relatives is needed to ensure patient-centred care near the end of life., OBJECTIVES: this study aimed to estimate the frequency of nursing home physicians discussing end-of-life issues with residents and their relatives and to investigate how discussing end-of-life issues was associated with care outcomes in the last month of life., METHODS: post-mortem cohort study in a nationwide, representative sample of 78 nursing home facilities in France. Residents who died from non-sudden causes between 1 October 2013 and 31 May 2014 in these facilities were included (n = 674)., RESULTS: end-of-life issues were discussed with at most 21.7% of the residents who died during the study period. In one-third of the situations (32.8%), no discussion about end-of-life-related topics ever occurred, either with the resident or with the relatives. Older people with severe dementia were less likely to have discussed more than three of the six end-of-life topics we investigated, compared with residents without dementia (OR = 0.17, 95% CI = 0.08-0.22). In the last month of life, discussing more than three end-of-life issues with the residents or their relatives was significantly associated with reduced odds of dying in a hospital facility (adjusted OR = 0.51, 95% CI = 0.33-0.79) and with a higher likelihood of withdrawing potentially futile life-prolonging treatments (adjusted OR = 2.37, 95% CI = 1.72-3.29)., CONCLUSION: during the last months of life, discussions about end-of-life issues occurred with only a minority of nursing home decedents, although these discussions may improve end-of-life care outcomes. Copyright © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/ageing/afw046 VL - 45 IS - 3 SP - 395 EP - 402 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27013503 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Decision Making KW - Communication KW - Cohort Studies KW - *Geriatric Assessment/mt [Methods] KW - Cross-Sectional Studies KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Terminal Care/mt [Methods] KW - *Long-Term Care/mt [Methods] KW - Family Relations KW - France KW - *Physician-Patient Relations KW - Long-Term Care/px [Psychology] KW - Terminal Care/px [Psychology] ER - TY - JOUR TI - Factors associated with appropriate knowledge of the indications for prescribed drugs among community-dwelling older patients with polypharmacy. AU - Bosch-Lenders, Donna AU - Maessen, Denny W H A AU - Stoffers, Henri E J H Jelle AU - Knottnerus, J Andre AU - Winkens, Bjorn AU - van den Akker, Marjan T2 - Age and ageing AB - BACKGROUND: polypharmacy contributes to patients' non-adherence with physicians' prescriptions. Patients' knowledge about the indications for their medicines is one of the factors influencing adherence., OBJECTIVE: to identify factors associated with appropriate knowledge about the indications for drugs prescribed to older patients with polypharmacy., METHODS: in a primary care setting, using home interviews and postal questionnaires, patients aged 60 and over who were taking five or more prescribed drugs simultaneously were asked about their medication. Multiple logistic regression analysis was used to evaluate the association (odds ratio, OR) between medication knowledge and explanatory variables like medication use, sex, age, living situation and educational level., RESULTS: seven hundred and fifty-four participants (mean age 73.2 years) reported an average daily intake of nine (SD 3.0) prescribed drugs. Only 15% of the patients were able to recall the indication for each of their prescribed drugs. Variables that were negatively associated with correct reporting of all indications were taking many prescribed drugs (e.g. >=10 versus <=5: OR 0.05), age 80 years or over (versus 60-69 years: OR 0.47) and male sex (OR 0.53). Patients living with a partner were more knowledgeable than patients living alone (OR 2.11). We did not find an association with educational level., CONCLUSION: among older patients using five or more prescribed drugs, there was little understanding of the indications for their drugs, especially among patients taking the highest number of drugs, patients aged 80 or over, and men. Patients living independently with a partner were more knowledgeable than others. Copyright © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/ageing/afw045 VL - 45 IS - 3 SP - 402 EP - 8 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27013501 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Risk Assessment KW - Logistic Models KW - *Independent Living KW - Cross-Sectional Studies KW - *Medication Adherence/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - Sex Factors KW - *Polypharmacy KW - Age Factors KW - Socioeconomic Factors KW - Interviews as Topic KW - Odds Ratio KW - Educational Status KW - Netherlands KW - *Prescription Drugs/tu [Therapeutic Use] KW - *Health Knowledge, Attitudes, Practice KW - Multivariate Analysis KW - Confidence Intervals KW - Prescription Drugs/ae [Adverse Effects] KW - Primary Health Care/og [Organization & Administration] ER - TY - JOUR TI - Daily lives of residents with dementia in nursing homes: development of the Maastricht electronic daily life observation tool. AU - de Boer, B AU - Beerens, H C AU - Zwakhalen, S M G AU - Tan, F E S AU - Hamers, J P H AU - Verbeek, H T2 - International psychogeriatrics AB - BACKGROUND: Daily life is a dynamic and multidimensional concept, for which appropriate assessment tools are lacking. This study describes the development of the Maastricht Electronic Daily Life Observation tool (MEDLO-tool), a freely accessible, easy to use, electronic observation tool to assess relevant daily life aspects for nursing home residents with dementia., METHODS: (1) Determining relevant aspects of daily life for nursing home residents with dementia based on a literature search and expert interviews; (2) pilot testing observation procedures and operationalizations of the aspects of daily life; and (3) exploring inter-rater reliability and feasibility of the tool in a nursing home facility with 16 residents (56% female, mean age: 77)., RESULTS: The following aspects of daily life are assessed with the MEDLO-tool: (1) activity (activity performed by resident, engagement in this activity, and the degree of physical effort); (2) physical environment (location of the resident and interaction with the physical environment); (3) social interaction (the level and type of social interaction, and with whom this social interaction took place); and (4) emotional well-being (mood and agitation). Each aspect of daily life is observed and scored using standardized scoring options. Agreement on the aspects is high with an average absolute agreement of 86%. Users of the MEDLO-tool indicated that it was feasible in practice and contained clear operationalization of the aspects of daily life., CONCLUSIONS: The MEDLO-tool is a promising tool to gain real time insight into the aspects of the daily lives of nursing home residents with dementia. DA - 2016/// PY - 2016 DO - 10.1017/S1041610216000478 VL - 28 IS - 8 SP - 1333 EP - 43 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27008094 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Interpersonal Relations KW - *Activities of Daily Living KW - *Geriatric Assessment/mt [Methods] KW - *Quality of Life/px [Psychology] KW - *Homes for the Aged KW - *Nursing Homes KW - Dementia/px [Psychology] ER - TY - JOUR TI - Self-Selected and Maximal Walking Speeds Provide Greater Insight Into Fall Status Than Walking Speed Reserve Among Community-Dwelling Older Adults. AU - Middleton, Addie AU - Fulk, George D AU - Herter, Troy M AU - Beets, Michael W AU - Donley, Jonathan AU - Fritz, Stacy L T2 - American journal of physical medicine & rehabilitation AB - OBJECTIVE: To determine the degree to which self-selected walking speed (SSWS), maximal walking speed (MWS), and walking speed reserve (WSR) are associated with fall status among community-dwelling older adults., DESIGN: WS and 1-year falls history data were collected on 217 community-dwelling older adults (median age = 82, range 65-93 years) at a local outpatient PT clinic and local retirement communities and senior centers. WSR was calculated as a difference (WSRdiff = MWS - SSWS) and ratio (WSRratio = MWS/SSWS)., RESULTS: SSWS (P < 0.001), MWS (P < 0.001), and WSRdiff (P < 0.01) were associated with fall status. The cutpoints identified were 0.76 m/s for SSWS (65.4% sensitivity, 70.9% specificity), 1.13 m/s for MWS (76.6% sensitivity, 60.0% specificity), and 0.24 m/s for WSRdiff (56.1% sensitivity, 70.9% specificity). SSWS and MWS better discriminated between fallers and non-fallers (SSWS: AUC = 0.69, MWS: AUC = 0.71) than WSRdiff (AUC = 0.64)., CONCLUSIONS: SSWS and MWS seem to be equally informative measures for assessing fall status in community-dwelling older adults. Older adults with SSWSs less than 0.76 m/s and those with MWSs less than 1.13 m/s may benefit from further fall risk assessment. Combining SSWS and MWS to calculate an individual's WSR does not provide additional insight into fall status in this population., TO CLAIM CME CREDITS: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME OBJECTIVES:: Upon completion of this article, the reader should be able to: (1) Describe the different methods for calculating walking speed reserve and discuss the potential of the metric as an outcome measure; (2) Explain the degree to which self-selected walking speed, maximal walking speed, and walking speed reserve are associated with fall status among community-dwelling older adults; and (3) Discuss potential limitations to using walking speed reserve to identify fall status in populations without mobility restrictions., LEVEL: Advanced, ACCREDITATION: : The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Association of Academic Physiatrists designates this activity for a maximum of 1.5 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity. DA - 2016/// PY - 2016 DO - 10.1097/PHM.0000000000000488 VL - 95 IS - 7 SP - 475 EP - 82 J2 - Am J Phys Med Rehabil SN - 1537-7385 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27003205 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - *Walking Speed KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - *Risk Assessment/mt [Methods] KW - Sensitivity and Specificity KW - Diagnostic Self Evaluation ER - TY - JOUR TI - Engaging older adults in the visualization of sensor data facilitated by an open platform for connected devices. AU - Bock, Christian AU - Demiris, George AU - Choi, Yong AU - Le, Thai AU - Thompson, Hilaire J AU - Samuel, Arjmand AU - Huang, Danny T2 - Technology and health care : official journal of the European Society for Engineering and Medicine AB - BACKGROUND: The use of smart home sensor systems is growing primarily due to the appeal of unobtrusively monitoring older adult health and wellness. However, integrating large-scale sensor systems within residential settings can be challenging when deployment takes place across multiple environments, requiring customization of applications, connection across various devices and effective visualization of complex longitudinal data., OBJECTIVE: The objective of the study was to demonstrate the implementation of a smart home system using an open, extensible platform in a real-world setting and develop an application to visualize data real time., METHODS: We deployed the open source Lab of Things platform in a house of 11 residents as a demonstration of feasibility over the course of 3 months. The system consisted of Aeon Labs Z-wave Door/Window sensors and an Aeon Labs Multi-sensor that collected data on motion, temperature, luminosity, and humidity. We applied a Rapid Iterative Testing and Evaluation approach towards designing a visualization interface engaging gerontological experts. We then conducted a survey with 19 older adult and caregiver stakeholders to inform further design revisions., RESULTS: Our initial visualization mockups consisted of a bar chart representing activity level over time. Family members felt comfortable using the application. Older adults however, indicated it would be difficult to learn to use the application, and had trouble identifying utility. A key for older adults was ensuring that the data collected could be utilized by their family members, physicians, or caregivers., CONCLUSIONS: The approach described in this work is generalizable towards future smart home deployments and can be a valuable guide for researchers to scale a study across multiple homes and connected devices, and to create personalized interfaces for end users. DA - 2016/// PY - 2016 DO - 10.3233/THC-161150 VL - 24 IS - 4 SP - 541 EP - 50 J2 - Technol Health Care SN - 1878-7401 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27002473 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - *Independent Living KW - *Home Care Services KW - *User-Computer Interface KW - Equipment Design KW - Temperature KW - Humidity KW - *Remote Sensing Technology/is [Instrumentation] KW - Motion ER - TY - JOUR TI - Care-Delivery Interventions to Manage Agitation and Aggression in Dementia Nursing Home and Assisted Living Residents: A Systematic Review and Meta-analysis. AU - Jutkowitz, Eric AU - Brasure, Michelle AU - Fuchs, Erika AU - Shippee, Tetyana AU - Kane, Rosalie A AU - Fink, Howard A AU - Butler, Mary AU - Sylvanus, Tonye AU - Kane, Robert L T2 - Journal of the American Geriatrics Society T3 - [Comment in: J Am Geriatr Soc. 2016 Mar;64(3):489-91; PMID: 27000322 [https://www.ncbi.nlm.nih.gov/pubmed/27000322]] AB - OBJECTIVES: To evaluate the efficacy of nonpharmacological care-delivery interventions (staff training, care-delivery models, changes to the environment) to reduce and manage agitation and aggression in nursing home and assisted living residents., DESIGN: Three bibliographic databases, references of systematic reviews, ClincalTrials.gov, and the International Controlled Trials Registry Platform were systematically searched for randomized controlled trials reporting behavioral outcomes for nonpharmacological care-delivery interventions in nursing homes and assisted living facilities. Five investigators independently assessed study eligibility, extracted data, rated risk of bias, and graded strength of evidence. Inclusion was limited to studies with low to moderate risk of bias., SETTING: Nursing homes and assisted living facilities., PARTICIPANTS: Facility caregiving staff., MEASUREMENTS: Agitation, aggression, antipsychotic and other psychotropic use, general behavior., RESULTS: Nineteen unique studies met entry criteria, addressing several categories of facility caregiver training interventions: dementia care mapping (DCM; n = 3), person-centered care (PCC; n = 3), clinical protocols to reduce the use of antipsychotic and other psychotropic drugs (n = 3), and emotion-oriented care (n = 2). Eleven additional studies evaluated other unique interventions. Results were pooled for the effect of each type of intervention on agitation and aggression: DCM (standardized mean difference -0.12, 95% confidence interval (CI) = -0.66 to 0.42), PCC (standardized mean difference -0.15, 95% CI = -0.67 to 0.38), and protocols to reduce antipsychotic and other psychotropic use (Cohen-Mansfield Agitation Inventory mean difference -4.5, 95% C = -38.84 to 29.93). Strength of evidence was generally insufficient to draw conclusions regarding efficacy or comparative effectiveness., CONCLUSION: Evidence was insufficient regarding the efficacy of nonpharmacological care-delivery interventions to reduce agitation or aggression in nursing home and assisted living facility residents with dementia. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/jgs.13936 VL - 64 IS - 3 SP - 477 EP - 88 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27000321 KW - Female KW - Humans KW - Male KW - Randomized Controlled Trials as Topic KW - Aged KW - Aged, 80 and over KW - *Assisted Living Facilities KW - *Homes for the Aged KW - *Nursing Homes KW - *Dementia/nu [Nursing] KW - Disease Management KW - Psychomotor Agitation/px [Psychology] KW - Delivery of Health Care/mt [Methods] KW - Nursing Staff/ed [Education] KW - Dementia/co [Complications] KW - *Aggression/px [Psychology] KW - *Psychomotor Agitation/nu [Nursing] KW - Episode of Care ER - TY - JOUR TI - Interprofessional care for patients with osteoporosis in a continuing care retirement community. AU - Masterson, Jordan AU - Woodall, Tasha AU - Wilson, Courtenay Gilmore AU - Ray, Lisa AU - Scott, Mollie Ashe T2 - Journal of the American Pharmacists Association : JAPhA AB - OBJECTIVES: To assess the quality of care provided to patients with osteoporosis in a continuing care retirement community (CCRC) after implementation of an interprofessional osteoporosis clinic (OPC). Specifically, quality measures were evaluated, including dual-emission X-ray absorptiometry (DXA) screening, calcium and vitamin D supplementation, and prescription treatment of osteoporosis and low bone mass in an ambulatory independent living community., SETTING: Large family medicine teaching practice that provides primary care for residents in one main practice, 5 rural satellite practices, and 2 CCRCs. An interprofessional OPC was developed at the main practice in 2005. Patients at all of the organization's sites could be referred to the main practice for osteoporosis management. A needs assessment conducted at one of the CCRCs in 2011 revealed that rates of screening and treatment were suboptimal for its residents despite availability of an off-site OPC., PRACTICE INNOVATION: In 2012, a new interprofessional OPC including a physician, medical assistant, and pharmacist was replicated on-site at the CCRC so that residents had access to this service within their medical home., EVALUATION: Quality measures were evaluated after implementation of the team-based OPC on-site at a CCRC and included: 1) DXA screening; 2) calcium and vitamin D supplementation; and 3) prescription treatment of osteoporosis and low bone mass., RESULTS: Twenty-nine patients were seen in the new OPC from January 2012 to August 2013. Ninety-three percent had appropriate DXA testing after OPC implementation. Patients accepted pharmacist recommendations regarding calcium and vitamin D supplementation 90% and 86% of the time, respectively. All but 4 patients received appropriate treatment for osteoporosis or low bone mass., CONCLUSION: Providing a team-based OPC on site in a CCRC improved quality measures for screening and treatment of osteoporosis and low bone mass. Copyright © 2016 American Pharmacists Association. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.japh.2016.01.004 VL - 56 IS - 2 SP - 184 EP - 8 J2 - J Am Pharm Assoc (2003) SN - 1544-3450 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27000170 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Housing for the Elderly KW - *Pharmacists KW - *Interprofessional Relations KW - *Disease Management KW - Osteoporosis/dt [Drug Therapy] KW - *Osteoporosis KW - *Physicians ER - TY - JOUR TI - Long-term stability of core language skill in children with contrasting language skills. AU - Bornstein, Marc H AU - Hahn, Chun-Shin AU - Putnick, Diane L T2 - Developmental psychology AB - This 4-wave longitudinal study evaluated stability of core language skill in 421 European American and African American children, half of whom were identified as low (n = 201) and half of whom were average-to-high (n = 220) in later language skill. Structural equation modeling supported loadings of multivariate age-appropriate multisource measures of child language on single latent variables of core language skill at 15 and 25 months and 5 and 11 years. Significant stability coefficients were obtained between language latent variables for children of low and average-to-high language skill, even accounting for child positive social interaction and nonverbal intelligence, maternal education and language, and family home environment. Prospects for children with different language skills and intervention implications are discussed. (PsycINFO Database Record Copyright (c) 2016 APA, all rights reserved). DA - 2016/// PY - 2016 DO - 10.1037/dev0000111 VL - 52 IS - 5 SP - 704 EP - 16 J2 - Dev Psychol SN - 1939-0599 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26998572 KW - Female KW - Humans KW - Male KW - Child KW - Child, Preschool KW - *Aging KW - Longitudinal Studies KW - African Americans KW - European Continental Ancestry Group KW - Infant KW - *Language KW - *Child Language KW - *Language Development KW - Language Tests ER - TY - JOUR TI - Effect of humour therapy on psychotropic medication use in nursing homes. AU - Leow, Jerome By AU - Pont, Lisa AU - Low, Lee-Fay T2 - Australasian journal on ageing AB - AIM: The aim of this study was to assess the effect of Play Up humour therapy on antipsychotic, benzodiazepine and antidepressant use in Australian nursing homes., METHODS: Play Up is a humour therapy program that has been implemented in Australian nursing homes. This study was an uncontrolled retrospective review of psychotropic medication charts of 406 residents in thirty-three nursing homes before and after 12 weeks of participation in Play Up. Prevalence and mean daily equivalent doses of psychotropic medication use were analysed., RESULTS: There were significant reductions from before to after the Play Up program in the prevalence of any psychotropic medication use, antipsychotic use and benzodiazepine use (P = 0.001, 0.02, 0.007, respectively). Mean daily dose equivalents of pro re nata (PRN) antipsychotics and PRN benzodiazepines significantly reduced over time (P = 0.007; P = 0.001)., CONCLUSIONS: Play Up was associated with an overall decline in the use of psychotropic medications. Further trials are required to confirm and better define this association. Copyright © 2016 AJA Inc. DA - 2016/// PY - 2016 DO - 10.1111/ajag.12319 VL - 35 IS - 4 SP - E7 EP - E12 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26991641 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Australia KW - Retrospective Studies KW - Time Factors KW - *Homes for the Aged KW - *Nursing Homes KW - Affect KW - *Antidepressive Agents/ad [Administration & Dosage] KW - *Antipsychotic Agents/ad [Administration & Dosage] KW - *Psychotherapy/mt [Methods] KW - Emotions KW - Drug Utilization Review KW - *Benzodiazepines/ad [Administration & Dosage] KW - *Wit and Humor as Topic ER - TY - JOUR TI - Staff perspectives of relationships in aged care: A qualitative approach. AU - Jones, Cindy AU - Moyle, Wendy T2 - Australasian journal on ageing AB - AIM: To explore aged care staff perceptions and experience of their relationships with co-workers, older people and families via pragmatic exploratory interviews., METHODS: Thirty-nine direct care staff from seven residential age care facilities and 12 community organisations were interviewed., RESULTS: Staff felt that their capacity to develop therapeutic relationships with older people and families was impeded by care tasks and concerns regarding professional boundaries. Positive relationships between staff-family and staff-staff are hindered by staff perceptions of undue care demands, high family expectations, and staff-staff conflict within a hierarchical context and between work shifts., CONCLUSION: A relationship-centred approach to care as well as staff training and education should be encouraged to assist the development of therapeutic relationships and the management of professional boundaries. Copyright © 2016 AJA Inc. DA - 2016/// PY - 2016 DO - 10.1111/ajag.12276 VL - 35 IS - 3 SP - 198 EP - 203 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26991345 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Australia KW - Qualitative Research KW - *Health Personnel/px [Psychology] KW - *Homes for the Aged KW - *Nursing Homes KW - Age Factors KW - Workplace/px [Psychology] KW - *Attitude of Health Personnel KW - *Aging/px [Psychology] KW - Professional-Patient Relations KW - *Interpersonal Relations KW - *Health Knowledge, Attitudes, Practice KW - Professional-Family Relations KW - Personnel Staffing and Scheduling KW - *Perception KW - Professional Role KW - Conflict (Psychology) KW - Workload ER - TY - JOUR TI - High rate of mortality in Spanish community-dwelling population aged 85 with atrial fibrillation after three years of follow-up: The Octabaix study. AU - Formiga, Francesc AU - Ferrer, Assumpta AU - Mestre, Delia AU - Brase, Ariadna AU - Soldevila, Laura AU - Corbella, Xavier T2 - Australasian journal on ageing AB - AIM: To assess the possible association between three-year global mortality and atrial fibrillation (AF) in 328 community-dwelling participants aged 85 at baseline., METHODS: Sociodemographic data, comorbidity and geriatric assessment tools, thromboembolic risk, and AF therapy were assessed. We compared the patients who survived with those who died., RESULTS: At baseline, 41 (12.5%) of participants had permanent AF, and 13 of them died (31.7%) after the three-year follow-up period compared with 44 (15.3%) of the rest of cohort (P = 0.01). Cox regression analysis identified two significant clinical variables as independent predictors of three-year risk of global mortality: Lawton Index (hazard ratio 0.82, 95% confidence interval 0.75-0.91) and AF (hazard ratio 1.90, 95% confidence interval 1.01-3.56). None of the other of variables evaluated showed predictive value of global mortality in the AF patients., CONCLUSION: In oldest old community-dwelling participants, AF is an independent risk factor for global mortality after a three-year follow-up period. Copyright © 2016 AJA Inc. DA - 2016/// PY - 2016 DO - 10.1111/ajag.12261 VL - 35 IS - 3 SP - 216 EP - 9 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26991145 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged, 80 and over KW - Risk Assessment KW - *Independent Living KW - Time Factors KW - Follow-Up Studies KW - Age Factors KW - Prospective Studies KW - Geriatric Assessment KW - Proportional Hazards Models KW - Prognosis KW - Spain/ep [Epidemiology] KW - Linear Models KW - Aging KW - Kaplan-Meier Estimate KW - Chi-Square Distribution KW - *Atrial Fibrillation/mo [Mortality] KW - Atrial Fibrillation/di [Diagnosis] ER - TY - JOUR TI - Identifying Care Coordination Interventions Provided to Community-Dwelling Older Adults Using Electronic Health Records. AU - Kim, Tae Youn AU - Marek, Karen D AU - Coenen, Amy T2 - Computers, informatics, nursing : CIN AB - Although care coordination is a popular intervention, there is no standard method of delivery. Also little is known about who benefits most, or characteristics that predict the amount of care coordination needed, especially with chronically ill older adults. The purpose of this study was to identify types and amount of nurse care coordination interventions provided to 231 chronically ill older adults who participated in a 12-month home care medication management program in the Midwest. For each participant, the nurse care coordinator spent an average of 134 min/mo providing in-person home care, 48 min/mo of travel, and 18 min/mo of indirect care occurring outside the home visit. This accounted for 67.2%, 23.8%, and 9.0% of nursing time, respectively, for home visits, travel, and indirect care. Four of 11 nursing interventions focused on medication management were provided to all participants. Seven of the 11 main interventions were individualized according to each person's special needs. Wide variations were observed in time provided with in-person home care and communications with multiple stakeholders. Study findings indicate the importance of individualizing interventions and the variability in the amount of nursing time needed to provide care coordination to chronically ill older adults. DA - 2016/// PY - 2016 DO - 10.1097/CIN.0000000000000232 VL - 34 IS - 7 SP - 303 EP - 11 J2 - Comput Inform Nurs SN - 1538-9774 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26985762 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Chronic Disease KW - *Independent Living KW - Nursing Assessment KW - Home Care Services/og [Organization & Administration] KW - *Case Management KW - *Electronic Health Records/sn [Statistics & Numerical Data] KW - *Continuity of Patient Care ER - TY - JOUR TI - Improving kidney care for residents in nursing facilities: a national model. AU - Neumann, Mark E T2 - Nephrology news & issues AB - The RRC Staff Assisted Home Hemodialysis Program started in September 2013 with the target of improving care for the frail elderly residents in skilled facilities by offering hemodialysis in their home setting. Residents all receive short time, frequent dialysis. The residents no longer need to be transported to a local dialysis center three times per week in all types of weather and subject to long waits by the transport company. In addition, Medicare/Medicaid save significant dollars on transportation expenses. Residents needing rehabilitation services can receive their therapy while their dialysis schedule is adjusted around the resident's therapy. Residents no longer miss meals and medications or family visits. Collaboration between RRC and the skilled facility is patient centric whereby the care of each patient is consistent and individualized. The most meaningful measure of the success of this program is the residents themselves. They have self-reported how much better they feel with more energy. The residents can increase their socialization activities within the skilled facility. The dietitians report that the residents are eating better because there are fewer restrictions on foods and fluids. DA - 2016/// PY - 2016 VL - 30 IS - 2 SP - 31 EP - 4 J2 - Nephrol News Issues SN - 0896-1263 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26983182 KW - Humans KW - Aged KW - Aged, 80 and over KW - Prevalence KW - United States/ep [Epidemiology] KW - *Homes for the Aged KW - *Nursing Homes KW - Quality Improvement KW - Renal Insufficiency, Chronic/ep [Epidemiology] KW - Incidence KW - Models, Nursing KW - Organizational Case Studies KW - *Hemodialysis, Home/mt [Methods] KW - *Renal Insufficiency, Chronic/nu [Nursing] ER - TY - JOUR TI - Incidence of Hip Fracture in U.S. Nursing Homes. AU - Berry, Sarah D AU - Lee, Yoojin AU - Zullo, Andrew R AU - Kiel, Doug P AU - Dosa, David AU - Mor, Vincent T2 - The journals of gerontology. Series A, Biological sciences and medical sciences AB - BACKGROUND: Hip fractures are associated with significant morbidity and mortality in the nursing home. Our objective was to describe the incidence rate (IR) of hip fracture according to age, sex, and race in a nationwide sample of long-stay nursing home residents., METHODS: Using 2007-2010 Medicare claims data linked with the Minimum Data Set, we identified 892,837 long-stay residents (>=100 days in the same nursing facility) between May 1, 2007 and April 30, 2008. Hip fractures were defined using Part A diagnostic codes (ICD-9). Residents were followed from the date they became a long-stay resident until the first event of death, discharge, hip fracture, or 2 years of follow-up., RESULTS: Mean age was 84 years (range 65-113 years), and 74.5% were women. 83.9% were white and 12.0% were black. The overall IR of hip fracture was 2.3/100 person years. The IR was similar in men and women across age groups. The IR of hip fracture was highest in Native Americans aged 85 years or older (3.7/100 person years), in whites (2.6/100 person years), and during the first 100 days of institutionalization (2.7/100 person years). IRs of hip fracture were lowest in blacks (1.3/100 person years)., CONCLUSIONS: In nursing home residents surviving 100 days or more in a facility, the incidence of hip fracture is high, particularly among older white, Native American, and newly admitted residents. This is the first nationwide study to provide sex- and age-specific estimates among U.S. nursing home residents, and it underscores the magnitude of the problem. Copyright © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/gerona/glw034 VL - 71 IS - 9 SP - 1230 EP - 4 J2 - J Gerontol A Biol Sci Med Sci SN - 1758-535X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26980299 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - United States/ep [Epidemiology] KW - *Homes for the Aged KW - *Nursing Homes KW - *Hospitalization/sn [Statistics & Numerical Data] KW - Incidence KW - Medicare/sn [Statistics & Numerical Data] KW - Patient Discharge/sn [Statistics & Numerical Data] KW - *Hip Fractures/ep [Epidemiology] KW - Hip Fractures/mo [Mortality] ER - TY - JOUR TI - The Effect of a Resourcefulness Training Intervention on Relocation Adjustment and Adaptive Functioning among Older Adults in Retirement Communities. AU - Bekhet, Abir K AU - Zauszniewski, Jaclene A T2 - Issues in mental health nursing AB - The population of older adults is increasing rapidly and is expected to reach 83.7 million by the year 2050. Previous research demonstrates that greater resourcefulness is associated with better quality of life and life satisfaction. The purpose of this pilot study was to evaluate the effects of a resourcefulness training intervention on positive cognitions, resourcefulness, relocation adjustment, and adaptive functioning among older adults who have relocated to retirement communities. Resourcefulness theory provided the theoretical framework for this study. Forty older adults who relocated to three retirement communities in Milwaukee, WI were randomly assigned to either a diversional activity group or to a resourcefulness training (RT) intervention group. Two older adults dropped out of the study (one from the diversional activity group and one from the RT group), leaving 38 elders. The results of the study indicated that there were slight increases (a trend) in the mean of positive cognitions, relocation adjustment, adaptive functioning, and personal resourcefulness in the expected direction for the RT intervention group as compared to the diversional group. Recommendations for future research include the use of larger and more diverse samples over a longer periods of time (6 weeks and 12 weeks post-intervention) as well as the use of cut scores on the resourcefulness scale so that the RT training intervention is taught to those who need it. DA - 2016/// PY - 2016 DO - 10.3109/01612840.2015.1087606 VL - 37 IS - 3 SP - 182 EP - 9 J2 - Issues Ment Health Nurs SN - 1096-4673 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26979665 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Adaptation, Psychological KW - *Housing for the Elderly KW - Pilot Projects KW - *Self Care KW - *Patient Education as Topic KW - *Retirement KW - *Help-Seeking Behavior ER - TY - JOUR TI - Emergency Department Visits for Homelessness or Inadequate Housing in New York City before and after Hurricane Sandy. AU - Doran, Kelly M AU - McCormack, Ryan P AU - Johns, Eileen L AU - Carr, Brendan G AU - Smith, Silas W AU - Goldfrank, Lewis R AU - Lee, David C T2 - Journal of urban health : bulletin of the New York Academy of Medicine AB - Hurricane Sandy struck New York City on October 29, 2012, causing not only a large amount of physical damage, but also straining people's health and disrupting health care services throughout the city. In prior research, we determined that emergency department (ED) visits from the most vulnerable hurricane evacuation flood zones in New York City increased after Hurricane Sandy for several medical diagnoses, but also for the diagnosis of homelessness. In the current study, we aimed to further explore this increase in ED visits for homelessness after Hurricane Sandy's landfall. We performed an observational before-and-after study using an all-payer claims database of ED visits in New York City to compare the demographic characteristics, insurance status, geographic distribution, and health conditions of ED patients with a primary or secondary ICD-9 diagnosis of homelessness or inadequate housing in the first week after Hurricane Sandy's landfall versus the baseline weekly average in 2012 prior to Hurricane Sandy. We found statistically significant increases in ED visits for diagnosis codes of homelessness or inadequate housing in the week after Hurricane Sandy's landfall. Those accessing the ED for homelessness or inadequate housing were more often elderly and insured by Medicare after versus before the hurricane. Secondary diagnoses among those with a primary ED diagnosis of homelessness or inadequate housing also differed after versus before Hurricane Sandy. These observed differences in the demographic, insurance, and co-existing diagnosis profiles of those with an ED diagnosis of homelessness or inadequate housing before and after Hurricane Sandy suggest that a new population cohort-potentially including those who had lost their homes as a result of storm damage-was accessing the ED for homelessness or other housing issues after the hurricane. Emergency departments may serve important public health and disaster response roles after a hurricane, particularly for people who are homeless or lack adequate housing. Further, tracking ED visits for homelessness may represent a novel surveillance mechanism to assess post-disaster infrastructure impact and to prepare for future disasters. DA - 2016/// PY - 2016 DO - 10.1007/s11524-016-0035-z VL - 93 IS - 2 SP - 331 EP - 44 J2 - J Urban Health SN - 1468-2869 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26979519 KW - Adolescent KW - Adult KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - *Homeless Persons/sn [Statistics & Numerical Data] KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - *Housing/sn [Statistics & Numerical Data] KW - *Cyclonic Storms KW - *Disasters KW - New York City/ep [Epidemiology] KW - Housing/sd [Supply & Distribution] ER - TY - JOUR TI - The Volunteering-in-Place (VIP) Program: Providing meaningful volunteer activity to residents in assisted living with mild cognitive impairment. AU - Klinedinst, N Jennifer AU - Resnick, Barbara T2 - Geriatric nursing (New York, N.Y.) AB - The Volunteering-in-Place (VIP) Program was developed to provide individualized meaningful volunteer activities matched to interests and capabilities for older adults with MCI in assisted living. The purposes of this single-site pre-test/post-test pilot study were to (1) establish feasibility of the VIP Program based on treatment fidelity (design, treatment, delivery, enactment); and (2) evaluate preliminary efficacy via improvement in psychological health (depressive symptoms, usefulness, purpose, resilience, and life satisfaction) and decreased sedentary activity (survey and Fitbit) at 3 and 6 months. Ten residents participated. The majority was white, female and educated, and on average 88 years old. The VIP Program was feasible and most participants continued to volunteer at 6 months. There were non-significant improvements in depressive symptoms, usefulness, purpose, resilience and recreational physical activity. The results of this study provide support for the feasibility of the VIP Program. Further study is necessary to examine efficacy. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.gerinurse.2016.02.012 VL - 37 IS - 3 SP - 221 EP - 7 J2 - Geriatr Nurs SN - 1528-3984 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26975836 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Assisted Living Facilities KW - *Exercise/px [Psychology] KW - Pilot Projects KW - *Cognitive Dysfunction/th [Therapy] KW - Resilience, Psychological KW - Depression/pc [Prevention & Control] KW - *Volunteers/px [Psychology] ER - TY - JOUR TI - Effects of Geriatric Interdisciplinary Home Rehabilitation on Walking Ability and Length of Hospital Stay After Hip Fracture: A Randomized Controlled Trial. AU - Karlsson, Asa AU - Berggren, Monica AU - Gustafson, Yngve AU - Olofsson, Birgitta AU - Lindelof, Nina AU - Stenvall, Michael T2 - Journal of the American Medical Directors Association AB - OBJECTIVE: To evaluate if Geriatric Interdisciplinary Home Rehabilitation could improve walking ability for older people with hip fracture compared with conventional geriatric care and rehabilitation. A secondary aim was to investigate the postoperative length of hospital stay (LOS)., DESIGN: Randomized controlled trial., SETTING: Geriatric ward, ordinary housing, and residential care facilities., PARTICIPANTS: People operated on for a hip fracture (n = 205), aged 70 or older, including those with cognitive impairment, and living in the north of Sweden., INTERVENTION: Home rehabilitation with the aim of early hospital discharge that was individually designed and carried out by an interdisciplinary team for a maximum of 10 weeks. Special priority was given to prevention of falls, independence in daily activities, and walking ability both indoors and outdoors., MEASUREMENTS: Walking ability and the use of walking device was assessed in an interview during the hospital stay. These assessments were repeated along with gait speed measurements at 3- and 12-month follow-up. The length of the hospital stay after the hip fracture was recorded., RESULTS: No significant differences were observed in walking ability, use of walking device, and gait speed at the 3- and 12-month follow-up between the groups. At 12 months, 56.3% of the intervention group and 57.7% of the control group had regained or improved their prefracture walking ability. The median postoperative LOS in the geriatric ward was 6 days shorter for the intervention group (P = .003)., CONCLUSION: Participants receiving Geriatric Interdisciplinary Home Rehabilitation regained walking ability in the short- and long-term similar to those receiving conventional geriatric care and rehabilitation according to a multifactorial rehabilitation program. The intervention group had a significantly shorter postoperative LOS in the hospital. Copyright © 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jamda.2016.02.001 VL - 17 IS - 5 SP - 464.e9 EP - 464.e15 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26975205 KW - Female KW - Humans KW - Male KW - Aged KW - *Homes for the Aged KW - Sweden KW - *Hip Fractures/rh [Rehabilitation] KW - *Walking/ph [Physiology] KW - *Interdisciplinary Communication KW - *Length of Stay ER - TY - JOUR TI - Multimorbidity Combinations and Disability in Older Adults. AU - Quinones, Ana R AU - Markwardt, Sheila AU - Botoseneanu, Anda T2 - The journals of gerontology. Series A, Biological sciences and medical sciences AB - BACKGROUND: Multimorbidity (multiple co-occurring chronic diseases) is associated with greater likelihood of disability and mortality, above and beyond the risk attributable to individual diseases. This study identifies prevalent multimorbidity patterns and evaluates their association with disability among U.S. older adults., METHODS: Prospective cohort study using longitudinal Health and Retirement Study data (2010-2012). We included 8,782 participants aged 65 years and older and used negative binomial models to examine prospective disability, measured by the combined activities of daily living-instrumental activities of daily living index. Multimorbidity was defined as the co-occurring combination of at least two of the following chronic diseases: hypertension, cardiovascular disease, lung disease, diabetes, cancer, arthritis, stroke, cognitive impairment, or high depressive symptoms (CES-D score >= 4)., RESULTS: We found 291 unique disease combinations with 1 to 1,167 older adults per disease combination. The three most prevalent combinations were: (a) hypertension and arthritis (n = 1,167); (b) hypertension, arthritis, and cardiovascular disease (n = 510); and (c) hypertension, arthritis, and diabetes (n = 430). Only one of the prevalent combinations included depressive symptoms (in combination with arthritis, hypertension; n = 129). This group showed the highest level of activities of daily living-instrumental activities of daily living disability compared to healthy participants or participants with a single disease (either included in the combination or different from diseases in the combination) even after adjusting for age, gender, education, race/ethnicity, and body mass index., CONCLUSIONS: Clinicians stand to gain from a better understanding of which disease combinations are more and less disabling among older adults. Understanding how multimorbidity combinations relate to functional status is an important step towards reducing disability and sustaining independent living among older adults. Copyright © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/gerona/glw035 VL - 71 IS - 6 SP - 823 EP - 30 J2 - J Gerontol A Biol Sci Med Sci SN - 1758-535X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26968451 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - *Activities of Daily Living KW - United States/ep [Epidemiology] KW - Prospective Studies KW - *Disabled Persons KW - *Geriatric Assessment KW - *Disability Evaluation KW - *Comorbidity ER - TY - JOUR TI - Context, mechanisms and outcomes in end of life care for people with advanced dementia. AU - Kupeli, Nuriye AU - Leavey, Gerard AU - Moore, Kirsten AU - Harrington, Jane AU - Lord, Kathryn AU - King, Michael AU - Nazareth, Irwin AU - Sampson, Elizabeth L AU - Jones, Louise T2 - BMC palliative care AB - BACKGROUND: The majority of people with dementia in the UK die in care homes. The quality of end of life care in these environments is often suboptimal. The aim of the present study was to explore the context, mechanisms and outcomes for providing good palliative care to people with advanced dementia residing in UK care homes from the perspective of health and social care providers., METHOD: The design of the study was qualitative which involved purposive sampling of health care professionals to undertake interactive interviews within a realist framework. Interviews were completed between September 2012 and October 2013 and were thematically analysed and then conceptualised according to context, mechanisms and outcomes. The settings were private care homes and services provided by the National Health Service including memory clinics, mental health and commissioning services in London, United Kingdom. The participants included 14 health and social care professionals including health care assistants, care home managers, commissioners for older adults' services and nursing staff., RESULTS: Good palliative care for people with advanced dementia is underpinned by the prioritisation of psychosocial and spiritual care, developing relationships with family carers, addressing physical needs including symptom management and continuous, integrated care provided by a multidisciplinary team. Contextual factors that detract from good end of life care included: an emphasis on financial efficiency over person-centred care; a complex health and social care system, societal and family attitudes towards staff; staff training and experience, governance and bureaucratisation; complexity of dementia; advance care planning and staff characteristics. Mechanisms that influence the quality of end of life care include: level of health care professionals' confidence, family uncertainty about end of life care, resources for improving end of life care and supporting families, and uncertainty about whether dementia specific palliative care is required., CONCLUSIONS: Contextual factors regarding the care home environment may be obdurate and tend to negatively impact on the quality of end of life dementia care. Local level mechanisms may be more amenable to improvement. However, systemic changes to the care home environment are necessary to promote consistent, equitable and sustainable high quality end of life dementia care across the UK care home sector. DA - 2016/// PY - 2016 DO - 10.1186/s12904-016-0103-x VL - 15 IS - 101088685 SP - 31 J2 - BMC Palliat Care SN - 1472-684X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26965309 KW - Adult KW - Female KW - Humans KW - Male KW - Middle Aged KW - Qualitative Research KW - Nursing Homes/st [Standards] KW - *Terminal Care/mt [Methods] KW - Dementia/nu [Nursing] KW - London KW - *Advance Care Planning KW - *Dementia/mo [Mortality] KW - *Patient Outcome Assessment KW - Patient Care Planning KW - *Terminal Care/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Validity of an Accelerometer-Based Activity Monitor System for Measuring Physical Activity in Frail Older Adults. AU - Hollewand, Anne M AU - Spijkerman, Anouk G AU - Bilo, Henk J G AU - Kleefstra, Nanne AU - Kamsma, Yvo AU - van Hateren, Kornelis J J T2 - Journal of aging and physical activity AB - This study aimed to investigate the validity of the accelerometer-based DynaPort system to detect physical activity in frail, older subjects. Eighteen home-dwelling subjects (Groningen Frailty Indicator [GFI] score >= 4, >= 75 years) were included. Activities in their home environment were simultaneously observed by two researchers and measured with the DynaPort system during six consecutive hours. Primary outcome measures were the sensitivity and specificity of the DynaPort for locomotion (90% considered as sufficient agreement). Other outcome measures were overall agreement, and sensitivity and specificity for other activities. Sensitivity and specificity for locomotion were 83.3% and 100.0%, respectively. Overall agreement was 74.6%. Sensitivity was sufficient for sitting (94.4%), but not for lying and standing (59.2% and 69.6%, respectively). Specificity was sufficient for lying and standing (100.0% and 93.3%, respectively), but not for sitting (80.7%). In conclusion, the DynaPort system is not a valid method for assessing physical activity in frail, older subjects. DA - 2016/// PY - 2016 VL - 24 IS - 4 SP - 555 EP - 558 J2 - J AGING PHYS ACTIVITY SN - 1543-267X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26964560 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Geriatric Assessment/mt [Methods] KW - Cross-Sectional Studies KW - *Frail Elderly KW - Netherlands KW - Sensitivity and Specificity KW - *Accelerometry ER - TY - JOUR TI - Differential Health and Social Needs of Older Adults Waitlisted for Public Housing or Housing Choice Vouchers. AU - Carder, Paula AU - Luhr, Gretchen AU - Kohon, Jacklyn T2 - Journal of aging & social policy AB - Affordable housing is an important form of income security for low-income older persons. This article describes characteristics of older persons waitlisted for either public housing or a housing choice voucher (HCV; previously Section 8) in Portland, Oregon. 358 persons (32% response rate) completed a mailed survey with questions about demographics, health and housing status, food insecurity, and preference for housing with services. Findings indicate that many waitlisted older persons experienced homelessness or housing instability, poor health, high hospital use, and food insecurity. Public housing applicants were significantly more likely to report lower incomes, homelessness, and food insecurity than HCV applicants. We conclude with policy implications for housing and health agencies that serve low-income older persons. DA - 2016/// PY - 2016 DO - 10.1080/08959420.2016.1156507 VL - 28 IS - 4 SP - 246 EP - 60 J2 - J Aging Soc Policy SN - 1545-0821 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26959488 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Surveys and Questionnaires KW - *Health Services Needs and Demand KW - *Poverty/sn [Statistics & Numerical Data] KW - Food Supply KW - *Public Housing KW - *Waiting Lists KW - *Social Problems KW - Oregon ER - TY - JOUR TI - The Effects of Cognitive Training for Elderly: Results from My Mind Project. AU - Giuli, Cinzia AU - Papa, Roberta AU - Lattanzio, Fabrizia AU - Postacchini, Demetrio T2 - Rejuvenation research AB - Cognitive decline and dementia represent very important public health problems that impact the ability to maintain social function and independent living. The aim of this study was to investigate the effects of a nonpharmacological intervention consisting of comprehensive cognitive training in elderly people having one of three different cognitive statuses. In all, 321 elderly people with a diagnoses of mild-moderate Alzheimer's disease (AD), with mild cognitive impairment (MCI) and without cognitive decline were randomly assigned to two groups: experimental group (EG, who underwent intervention) and control group (CG), according to a prospective randomized intervention study. In the three groups, immediately after the end of the intervention, we observed a significant effect on some cognitive and noncognitive outcomes in the EGs. At the end of the intervention, we found an intermediate intervention effect on the Alzheimer's Disease Assessment Scale (ADAS) score of subjects with AD, as well as on functional status, as measured by using the Instrumental Activities of Daily Living scale. A significant intervention effect was also observed on enhancement of auditory verbal short-term memory and subjective memory complaints of subjects with MCI. The group of subjects without cognitive decline obtained a significant intervention effect on subjective complaints outcomes. The obtained results demonstrated that participation in the intervention could improve performance with respect to specific cognitive functions and psychological statuses. The role of healthy lifestyle programs, such as the use of comprehensive interventions, has been shown to be efficient for enhancing memory and other abilities in aged individuals with and without cognitive decline. DA - 2016/// PY - 2016 VL - 19 IS - 6 SP - 485 EP - 494 J2 - Rejuvenation Res SN - 1557-8577 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26952713 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Activities of Daily Living KW - Prospective Studies KW - Stress, Psychological/ep [Epidemiology] KW - Affect KW - *Cognition KW - *Alzheimer Disease/th [Therapy] KW - *Cognitive Dysfunction/th [Therapy] ER - TY - JOUR TI - Advanced life events (ALEs) that impede aging-in-place among seniors. AU - Lindquist, Lee A AU - Ramirez-Zohfeld, Vanessa AU - Sunkara, Priya AU - Forcucci, Chris AU - Campbell, Dianne AU - Mitzen, Phyllis AU - Cameron, Kenzie A T2 - Archives of gerontology and geriatrics AB - Despite the wishes of many seniors to age-in-place in their own homes, critical events occur that impede their ability to do so. A gap exists as to what these advanced life events (ALEs) entail and the planning that older adults perceive is necessary. The purpose of this study was to identify seniors' perceptions and planning toward ALEs that may impact their ability to remain in their own home. We conducted focus groups with 68 seniors, age >=65 years (mean age 73.8 years), living in the community (rural, urban, and suburban), using open-ended questions about perceptions of future heath events, needs, and planning. Three investigators coded transcriptions using constant comparative analysis to identify emerging themes, with disagreements resolved via consensus. Subjects identified five ALEs that impacted their ability to remain at home: (1) Hospitalizations, (2) Falls, (3) Dementia, (4) Spousal Loss, and (5) Home Upkeep Issues. While recognizing that ALEs frequently occur, many subjects reported a lack of planning for ALEs and perceived that these ALEs would not happen to them. Themes for the rationale behind the lack of planning emerged as: uncertainty in future, being too healthy/too sick, offspring influences, denial/procrastination, pride, feeling overwhelmed, and financial concerns. Subjects expressed reliance on offspring for navigating future ALEs, although many had not communicated their needs with their offspring. Overcoming the reasons for not planning for ALEs is crucial, as being prepared for future home needs provides seniors a voice in their care while engaging key supporters (e.g., offspring). Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.archger.2016.01.004 VL - 64 IS - 8214379, 7ax SP - 90 EP - 5 J2 - Arch Gerontol Geriatr SN - 1872-6976 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26952382 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Focus Groups KW - Qualitative Research KW - *Independent Living/px [Psychology] KW - *Family KW - *Accidental Falls KW - Hospitalization KW - Dementia/pp [Physiopathology] KW - Rural Population KW - Urban Population KW - Emotions KW - *Perception KW - Suburban Population ER - TY - JOUR TI - Sociodemographic and socioeconomic characteristics of elder self-neglect in an US Chinese aging population. AU - Dong, XinQi T2 - Archives of gerontology and geriatrics AB - This study aimed to examine the socio-demographic and socioeconomic characteristics associated with prevalence and severity of elder self-neglect in an U.S. Chinese older population. The PINE study is a population-based epidemiological study in the greater Chicago area. In total, 3159 Chinese older adults were interviewed from 2011 to 2013. Elder self-neglect was assessed with systematic observations of a participant's personal and home environment across five domains: hoarding, personal hygiene, house in need of repair, unsanitary conditions, and inadequate utility. Elder self-neglect was prevalent among older adults aged 80 years or over (mild self-neglect: 34.6% 95% CI 30.9-38.4; moderate/severe: 15.6% 95% CI 12.8-18.6), men (mild: 28.6% 95% CI 26.1-31.3; moderate/severe: 13.1% 95% CI 11.2-15.1), those with 0-6 years of education (mild: 32.2% 95% CI 29.7-34.9; moderate/severe: 12.6% 95% CI 10.8-14.5), and those with an annual personal income between $5000 and $10,000 (mild: 30.8% 95% CI 28.4-33.2; moderate/severe: 11.8% 95% CI 10.2-13.5). Older age (mild self-neglect: OR 1.02, 95% CI 1.01-1.03; moderate/severe self-neglect: OR 1.02, 95% CI 1.00-1.03) and lower education levels (mild self-neglect: OR 1.06, 95% CI 1.03-1.08; moderate/severe self-neglect: OR 1.07, 95% CI 1.04-1.09) were associated with significantly increased odds of elder self-neglect. Women (moderate/severe self-neglect: OR 0.73, 95% CI 0.58-0.93) had significantly decreased odds of moderate/severe elder self-neglect. No significant association was found between levels of income and overall elder-self-neglect of all severities. Future research is needed to examine risk/protective factors associated with elder self-neglect in U.S. Chinese older populations. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.archger.2016.01.007 VL - 64 IS - 8214379, 7ax SP - 82 EP - 9 J2 - Arch Gerontol Geriatr SN - 1872-6976 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26952381 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Population Surveillance KW - Independent Living KW - Prevalence KW - *Geriatric Assessment/mt [Methods] KW - Age Factors KW - Socioeconomic Factors KW - *Aging/px [Psychology] KW - *Self Care/px [Psychology] KW - *Elder Abuse KW - Elder Abuse/sn [Statistics & Numerical Data] KW - Aging/eh [Ethnology] KW - *Asian Continental Ancestry Group/px [Psychology] KW - Hygiene KW - China/eh [Ethnology] KW - *Self Care/sn [Statistics & Numerical Data] KW - Chicago/ep [Epidemiology] KW - Hoarding ER - TY - JOUR TI - Community Relocation in Very Old Age: Changes in Housing Accessibility. AU - Granbom, Marianne AU - Slaug, Bjorn AU - Lofqvist, Charlotte AU - Oswald, Frank AU - Iwarsson, Susanne T2 - The American journal of occupational therapy : official publication of the American Occupational Therapy Association AB - OBJECTIVE: The objective of this study was to compare environmental barriers, housing accessibility, and usability before and after relocation of very old, single-living people in the community. It also examined whether accessibility improved after relocation compared with a simulated scenario in which participants would have remained in their former dwellings., METHOD: Data from the Swedish part of the longitudinal Enabling Autonomy, Participation, and Well-Being in Old Age: The Home Environment as a Determinant for Healthy Ageing database were analyzed with a before-and-after design (N = 29). Mean time from before to after data collection was 2.6 yr., RESULTS: The number of environmental barriers was significantly reduced after relocation, especially barriers at entrances and in bathrooms. In addition, usability was stable and accessibility improved compared with the simulated scenario of remaining in the former dwelling., CONCLUSION: Community-based moves to new dwellings may lead to fewer environmental barriers and stable levels of usability and accessibility. This relocation is a positive outcome, considering the expected functional decline in old age. Copyright © 2016 by the American Occupational Therapy Association, Inc. DA - 2016/// PY - 2016 DO - 10.5014/ajot.2016.016147 VL - 70 IS - 2 SP - 7002270020p1 EP - 9 J2 - Am J Occup Ther SN - 0272-9490 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26943110 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Housing KW - Residence Characteristics KW - Longitudinal Studies KW - Environment KW - *Housing for the Elderly KW - Sweden KW - Environment Design KW - *Architectural Accessibility KW - Life Change Events ER - TY - JOUR TI - Renal Insufficiency and Medication in Nursing Home Residents. A Cross-Sectional Study (IMREN). AU - Hoffmann, Falk AU - Boeschen, Daniela AU - Dorks, Michael AU - Herget-Rosenthal, Stefan AU - Petersen, Jana AU - Schmiemann, Guido T2 - Deutsches Arzteblatt international T3 - [Comment in: Dtsch Arztebl Int. 2016 Feb 12;113(6):83-4; PMID: 26931623 [https://www.ncbi.nlm.nih.gov/pubmed/26931623]] AB - BACKGROUND: Nursing home residents often suffer from a multiplicity of medical conditions and take many different drugs. Many drugs are eliminated via the kidneys and thus require dose adjustment in patients with renal insufficiency. This is the first study to address the prevalence of renal insufficiency among nursing home residents in Germany, and the extent to which such persons take drugs that are contraindicated or incorrectly dosed because of renal insufficiency., METHODS: We carried out a cross-sectional study in nursing homes in the German regions of Bremen and Lower Saxony. Data were collected by nursing staff and given to us anonymously. Whenever the nursing home data did not include a current creatinine value, the patient's general practitioner was asked to supply this value. The estimated creatinine clearance (eCCr) was calculated with the Cockcroft-Gault formula., RESULTS: 852 residents of 21 nursing homes were included in the study; eCCr values were obtainable for 685 (80.4%) of them (average age, 83.3 years; 75.2% female). 48.2% of these patients (95% confidence interval [CI] 41.8-54.5) had moderate renal insufficiency (eCCr 59-30 mL/min), and 15.5% (95% CI 12.4-18.6) had severe renal insufficiency (eCCr <30 mL/min). 19.7% were regularly taking at least one medication that was contraindicated or incorrectly dosed in the light of renal insufficiency. Predictors for such inappropriate drug use were advanced age, female sex, arterial hypertension, and polypharmacy. The drugs that were most often inappropriately used were metformin, ramipril, and potassium chloride., CONCLUSION: Nursing home residents often suffer from renal insufficiency and should therefore have their creatinine levels measured regularly. A knowledge of the creatinine level is a prerequisite for the proper adjustment of drug doses (if necessary). A practical and compact summary of dose-adjustment recommendations for patients with renal insufficiency would be desirable but is not yet available. DA - 2016/// PY - 2016 DO - 10.3238/arztebl.2016.0092 VL - 113 IS - 6 SP - 92 EP - 8 J2 - Dtsch. Arztebl. int. SN - 1866-0452 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26931625 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Comorbidity KW - Age Distribution KW - Sex Distribution KW - Prognosis KW - Polypharmacy KW - *Hypertension/ep [Epidemiology] KW - *Inappropriate Prescribing/sn [Statistics & Numerical Data] KW - Germany/ep [Epidemiology] KW - *Renal Insufficiency, Chronic/ep [Epidemiology] KW - Drug Utilization/sn [Statistics & Numerical Data] KW - *Renal Insufficiency, Chronic/dt [Drug Therapy] ER - TY - JOUR TI - Nurses' clinical decision-making for preserving nursing home residents' remaining abilities. AU - Kim, Hyun Ju AU - Choi, Jung Eun AU - Kim, Mi So AU - Kim, Su Jin AU - Chang, Sung Ok T2 - Journal of clinical nursing AB - AIMS AND OBJECTIVES: This study was conducted to clarify and conceptualise nurses' clinical decision-making for preserving the remaining abilities of nursing home residents suffering from physical-cognitive functional decline., BACKGROUND: Older adults experience physical, psychological and social changes, but their remaining abilities differ across individuals., DESIGN: This study used a qualitative research to gain a deeper understanding of nursing homes nurses' clinical decision-making., METHODS: In-depth interviews with 32 experienced nurses were undertaken. The data were analysed using conventional content analysis., RESULTS: Six categories and 58 subcategories of nursing practice related to managing the remaining abilities of residents with physical-cognitive functional decline were generated. The results of this study revealed five themes: (1) seeing residents' potential, (2) physical, emotional and psychosocial care in daily routines, (3) keeping personalised charts, (4) encouraging, promoting and physical and emotional support and (5) preparing residents for more independent living. The results were categorised into nurses' personal strategies based on their experience, practical nursing knowledge, nursing interventions and nursing evaluation criteria., CONCLUSIONS: The themes reflected positive views on the residents' functional abilities and the nursing homes nurses' perception that their goal was to help residents achieve their highest level of independence., RELEVANCE TO CLINICAL PRACTICE: Preserving nursing home residents' remaining abilities represents nurses' optimistic view of residents' functional status. Routine care tailored for preserving the remaining abilities of individual nursing home residents with physical-cognitive functional decline is needed. Preserving the remaining abilities of nursing home resident is supported by therapeutic interactions including close contact as well as physical and emotional support. Nurses' main goal in working with residents with remaining abilities is improving their independence. Copyright © 2016 John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/jocn.13206 VL - 25 IS - 9-10 SP - 1326 EP - 35 J2 - J Clin Nurs SN - 1365-2702 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26918957 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Nursing Homes KW - *Activities of Daily Living KW - Interviews as Topic KW - *Attitude of Health Personnel KW - Republic of Korea KW - Health Services for the Aged KW - *Clinical Decision-Making KW - *Nursing Process KW - *Nursing Staff, Hospital/px [Psychology] ER - TY - JOUR TI - Cognitive impairment in older people living in the community. AU - Inocian, Ergie AU - Patalagsa, Joel Gonzales T2 - Nursing older people AB - AIM: To investigate the prevalence and severity of cognitive impairment among older people living in the community in Cebu City, the Philippines., METHOD: The cognitive function of 120 older people living in the community was assessed using the mini-mental state examination translated into the Cebuano language. Details of age, gender, education level and number of health problems were noted for all participants., RESULTS: On average, participants had mild cognitive impairment. Cognitive status differed significantly when participants were grouped according to age, education level and number of concurrent health problems. The male participants were less likely (odds ratio (OR) =0.34, P=0.02; 95% confidence interval (CI) 0.134, 0.840) to have mild cognitive impairment than no cognitive impairment. Participants aged 75 and older were more likely (OR=1.42, P=0.003; 95% CI 1.131, 1.789) to have moderate or severe cognitive impairment than no cognitive impairment., CONCLUSION: Cognitive decline was more prevalent in older participants. Implementation of cost-effective, early detection and interventions in primary care is needed to prevent the potential debilitating effects of cognitive impairment. DA - 2016/// PY - 2016 DO - 10.7748/nop.28.2.25.s21 VL - 28 IS - 2 SP - 25 EP - 30 J2 - Nurs Older People SN - 1472-0795 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26917187 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Independent Living KW - Sex Factors KW - Age Factors KW - *Cognition Disorders/ep [Epidemiology] KW - Mental Status Schedule KW - Philippines/ep [Epidemiology] ER - TY - JOUR TI - Differences in the prevalence of vitamin D deficiency and hip fractures in nursing home residents and independently living elderly. AU - Shinkov, Alexander AU - Borissova, Anna-Maria AU - Dakovska, Lilia AU - Vlahov, Jordan AU - Kassabova, Lidia AU - Svinarov, Dobrin AU - Krivoshiev, Stefan T2 - Archives of endocrinology and metabolism AB - OBJECTIVE: To compare the prevalence of vitamin D deficiency and fracture history in nursing home residents and community-dwelling elderly subjects and to explore the association of vitamin D levels with various characteristics., MATERIALS AND METHODS: Sixty-six nursing home residents and 139 community-dwelling elderly subjects participated. Marital status, medical history, medication including vitamin D supplements, smoking, past fractures were assessed. Weight and height were measured and body mass index calculated. Serum 25-hydroxyvitamin D (25-OHD), PTH, Ca, phosphate, creatinine and eGFR were determined., RESULTS: In the nursing home residents 25-OHD was lower (17.8 nmol/l, [9.4-28.6] vs. 36.7 nmol/l, [26.9-50], p < 0.001), PTH was higher (5.6 pmol/l, [3.9-8.9] vs. 4.7 pmol/l [3.6-5.8], P = 0.003) and 25-OHD deficiency was more prevalent (65.2% [53.7-76.7] vs. 22.3% [15.4-29.2], p < 0.001) as was elevated PTH (23% [12.8-33] vs. 5.8% [2-10], p = 0.001). 25-OHD correlated negatively with PTH (institutionalized r = -0.28, p = 0.025 and community-dwelling r = -0.36, p < 0.001). Hip fractures were reported by 8% of the residents and 2% of the independent elderly. The only predictor for hip fracture was elevated PTH (OR = 7.6 (1.5-36.9), p = 0.013)., CONCLUSION: The prevalence of vitamin D deficiency and secondary hyperparathyroidism was high in the institutionalized subjects. Hip fracture risk was associated with elevated PTH and not directly with vitamin D levels or the residency status. DA - 2016/// PY - 2016 DO - 10.1590/2359-3997000000109 VL - 60 IS - 3 SP - 217 EP - 22 J2 - Arch. Endocrinol. Metab. SN - 2359-4292 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26910625 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Prevalence KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Seasons KW - Hip Fractures/et [Etiology] KW - Vitamin D/bl [Blood] KW - *Hip Fractures/ep [Epidemiology] KW - Vitamin D/tu [Therapeutic Use] KW - Vitamins/tu [Therapeutic Use] KW - *Vitamin D Deficiency/ep [Epidemiology] KW - *Vitamin D/aa [Analogs & Derivatives] KW - Bulgaria/ep [Epidemiology] KW - Calcium/bl [Blood] KW - Hyperparathyroidism, Secondary/ep [Epidemiology] KW - Hyperparathyroidism, Secondary/et [Etiology] KW - Parathyroid Hormone/bl [Blood] KW - Vitamin D Deficiency/co [Complications] KW - Vitamin D Deficiency/dt [Drug Therapy] ER - TY - JOUR TI - Accidental Fall Rates in Community-Dwelling Adults Compared to Cancer Survivors During and Post-Treatment: A Systematic Review With Meta-Analysis. AU - Bird, Marie-Louise AU - Cheney, Michael J AU - Williams, Andrew D T2 - Oncology nursing forum AB - PURPOSE/OBJECTIVES: To identify whether rates of accidental falls are greater for cancer survivors living in the community during or post-treatment than people with no history of cancer.., DATA SOURCES: In a systematic literature review that was conducted in December 2013, MEDLINE, EMBASE, PubMed, and Web of Science were searched for cancer or oncology and accidental falls in prospective and retrospective cohort and case-controlled studies. Studies were included if they were conducted in a community-dwelling adult population and excluded if they were conducted in acute hospitals and hospice.., DATA SYNTHESIS: Of 484 articles initially identified, 10 were included in the review. Of these, three included a control or comparator group and had comparable outcome measures to include in a meta-analysis. The risk ratio for falls for the group with cancer was 1.11.., CONCLUSIONS: Accidental fall rates in community-dwelling adults with a cancer diagnosis are greater than rates of falls in adults without cancer; this elevated rate remains after acute care is finished. Patients undergoing active treatment have greater rates of falls. Pain, fatigue, and deconditioning may affect fall rates in the longer term. ., IMPLICATIONS FOR NURSING: Nurses have the capacity to reduce risk of falls in community-dwelling cancer survivors during or post-treatment through provision of information, advocacy, and support around pain and fatigue management and promotion of physical activity. DA - 2016/// PY - 2016 DO - 10.1188/16.ONF.E64-E72 VL - 43 IS - 2 SP - E64 EP - 72 J2 - Oncol Nurs Forum SN - 1538-0688 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26906140 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Accidental Falls/pc [Prevention & Control] KW - Retrospective Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Prospective Studies KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - *Neoplasms/co [Complications] KW - *Survivors/sn [Statistics & Numerical Data] KW - *Neoplasms/nu [Nursing] KW - Oncology Nursing/mt [Methods] ER - TY - JOUR TI - Developing a system that can automatically detect health changes using transfer times of older adults. AU - Baldewijns, Greet AU - Luca, Stijn AU - Vanrumste, Bart AU - Croonenborghs, Tom T2 - BMC medical research methodology AB - BACKGROUND: As gait speed and transfer times are considered to be an important measure of functional ability in older adults, several systems are currently being researched to measure this parameter in the home environment of older adults. The data resulting from these systems, however, still needs to be reviewed by healthcare workers which is a time-consuming process., METHODS: This paper presents a system that employs statistical process control techniques (SPC) to automatically detect both positive and negative trends in transfer times. Several SPC techniques, Tabular cumulative sum (CUSUM) chart, Standardized CUSUM and Exponentially Weighted Moving Average (EWMA) chart were evaluated. The best performing method was further optimized for the desired application. After this, it was validated on both simulated data and real-life data., RESULTS: The best performing method was the Exponentially Weighted Moving Average control chart with the use of rational subgroups and a reinitialization after three alarm days. The results from the simulated data showed that positive and negative trends are detected within 14 days after the start of the trend when a trend is 28 days long. When the transition period is shorter, the number of days before an alert is triggered also diminishes. If for instance an abrupt change is present in the transfer time an alert is triggered within two days after this change. On average, only one false alarm is triggered every five weeks. The results from the real-life dataset confirm those of the simulated dataset., CONCLUSIONS: The system presented in this paper is able to detect both positive and negative trends in the transfer times of older adults, therefore automatically triggering an alarm when changes in transfer times occur. These changes can be gradual as well as abrupt. DA - 2016/// PY - 2016 DO - 10.1186/s12874-016-0124-4 VL - 16 IS - 100968545 SP - 23 J2 - BMC Med Res Methodol SN - 1471-2288 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26897003 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Health Status KW - Logistic Models KW - Time Factors KW - *Activities of Daily Living KW - *Geriatric Assessment/mt [Methods] KW - Assisted Living Facilities KW - *Disability Evaluation KW - Models, Statistical KW - *Gait/ph [Physiology] KW - *Posture/ph [Physiology] KW - Acceleration ER - TY - JOUR TI - Residential patterns in older homeless adults: Results of a cluster analysis. AU - Lee, Christopher Thomas AU - Guzman, David AU - Ponath, Claudia AU - Tieu, Lina AU - Riley, Elise AU - Kushel, Margot T2 - Social science & medicine (1982) AB - Adults aged 50 and older make up half of individuals experiencing homelessness and have high rates of morbidity and mortality. They may have different life trajectories and reside in different environments than do younger homeless adults. Although the environmental risks associated with homelessness are substantial, the environments in which older homeless individuals live have not been well characterized. We classified living environments and identified associated factors in a sample of older homeless adults. From July 2013 to June 2014, we recruited a community-based sample of 350 homeless men and women aged fifty and older in Oakland, California. We administered structured interviews including assessments of health, history of homelessness, social support, and life course. Participants used a recall procedure to describe where they stayed in the prior six months. We performed cluster analysis to classify residential venues and used multinomial logistic regression to identify individual factors prior to the onset of homelessness as well as the duration of unstable housing associated with living in them. We generated four residential groups describing those who were unsheltered (n = 162), cohabited unstably with friends and family (n = 57), resided in multiple institutional settings (shelters, jails, transitional housing) (n = 88), or lived primarily in rental housing (recently homeless) (n = 43). Compared to those who were unsheltered, having social support when last stably housed was significantly associated with cohabiting and institution use. Cohabiters and renters were significantly more likely to be women and have experienced a shorter duration of homelessness. Cohabiters were significantly more likely than unsheltered participants to have experienced abuse prior to losing stable housing. Pre-homeless social support appears to protect against street homelessness while low levels of social support may increase the risk for becoming homeless immediately after losing rental housing. Our findings may enable targeted interventions for those with different manifestations of homelessness. Copyright Published by Elsevier Ltd. DA - 2016/// PY - 2016 DO - 10.1016/j.socscimed.2016.02.004 VL - 153 IS - ut9, 8303205 SP - 131 EP - 40 J2 - Soc Sci Med SN - 1873-5347 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26896877 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - Social Support KW - Cluster Analysis KW - *Homeless Persons/sn [Statistics & Numerical Data] KW - *Housing/sn [Statistics & Numerical Data] KW - California ER - TY - JOUR TI - Functional performance, nutritional status, and body composition in ambulant community-dwelling individuals 1-3 years after suffering from a cerebral infarction or intracerebral bleeding. AU - Vahlberg, Birgit AU - Zetterberg, Lena AU - Lindmark, Birgitta AU - Hellstrom, Karin AU - Cederholm, Tommy T2 - BMC geriatrics AB - BACKGROUND: Muscle wasting and obesity may complicate the post-stroke trajectory. We investigated the relationships between nutritional status, body composition, and mobility one to 3 years after stroke., METHODS: Among 279 eligible home-dwelling individuals who had suffered a stroke (except for subarachnoid bleeding) 1-3 years earlier, 134 (74 +/- 5 years, 69% men) were examined according to the Mini Nutritional Assessment-Short Form (MNA-SF, 0-14 points), including body mass index (BMI, kg/m(2)), body composition by bio-impedance analyses (Tanita BC-545), the Short Physical Performance Battery (SPPB, 0-12 points) combining walking speed, balance, and chair stand capacity, and the self-reported Physical Activity Scale for the Elderly (PASE)., RESULTS: BMI >= 30 kg/m(2) was observed in 22% of cases, and 14% were at risk for malnutrition according to the MNA-SF. SPPB scores <= 8 in 28% of cases indicated high risk for disability. Mobility based on the SPPB was not associated with the fat-free mass index (FFMI) or fat mass index (FMI). Multivariate logistic regression indicated that low mobility, i.e., SPPB <= 8 points, was independently related to risk for malnutrition (OR 4.3, CI 1.7-10.5, P = 0.02), low physical activity (PASE) (OR 6.5, CI 2.0-21.2, P = 0.02), and high age (OR 0.36, CI 0.15-0.85, P = 0.02). Sarcopenia, defined as a reduced FFMI combined with SPPB scores <= 8 or reduced gait speed (<1 m/s), was observed in 7% of cases. None of the individuals displayed sarcopenic obesity (SO), defined as sarcopenia with BMI > 30 kg/m(2)., CONCLUSIONS: Nutritional disorders, i.e., obesity, sarcopenia, or risk for malnutrition, were observed in about one-third of individuals 1 year after stroke. Risk for malnutrition, self-reported physical activity, and age were related to mobility (SPPB), whereas fat-free mass (FFM) and fat mass (FM) were not. Nutrition and exercise treatment could be further evaluated as rehabilitation opportunities after stroke. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0226-1 VL - 16 IS - 100968548 SP - 48 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26895855 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Cohort Studies KW - Cross-Sectional Studies KW - *Independent Living/td [Trends] KW - Body Mass Index KW - Sarcopenia/di [Diagnosis] KW - Sarcopenia/pp [Physiopathology] KW - *Nutritional Status/ph [Physiology] KW - *Psychomotor Performance/ph [Physiology] KW - Obesity/ep [Epidemiology] KW - Obesity/pp [Physiopathology] KW - Sarcopenia/ep [Epidemiology] KW - *Body Composition/ph [Physiology] KW - Obesity/di [Diagnosis] KW - *Cerebral Hemorrhage/di [Diagnosis] KW - *Cerebral Infarction/di [Diagnosis] KW - Cerebral Hemorrhage/ep [Epidemiology] KW - Cerebral Hemorrhage/pp [Physiopathology] KW - Cerebral Infarction/ep [Epidemiology] KW - Cerebral Infarction/pp [Physiopathology] ER - TY - JOUR TI - Energy and Protein Intake, Anthropometrics, and Disease Burden in Elderly Home-care Receivers--A Cross-sectional Study in Germany (ErnSIPP Study). AU - Pohlhausen, S AU - Uhlig, K AU - Kiesswetter, E AU - Diekmann, R AU - Heseker, H AU - Volkert, D AU - Stehle, P AU - Lesser, S T2 - The journal of nutrition, health & aging AB - OBJECTIVE: To date, no study has examined the nutritional status and disease burden of elderly home-care receivers living in Germany. Aim of this cross-sectional study was, first, to assess disease burden and nutritional status, denoted in anthropometrics, and, second, to investigate associations between anthropometrics and disease burden., DESIGN: Cross-sectional multi-centre study., SETTING: Home-care receivers living in three urban areas of Germany in 2010., PARTICIPANTS: 353 elderly (>64 years) in home care (128 males aged 79.1 +/-7.8 years, 225 females aged 82.0 +/-7.5 years)., MEASUREMENTS: Nutritional status was assessed by body mass index (BMI), mid upper arm circumference (MUAC) and calf circumference (CC). Medical conditions were assessed in personal interviews. A 3-day prospective nutrition diary was kept. Metric data are reported as mean+/-SD or median (interquartile range), p<0.05 was considered significant., RESULTS: Most participants were substantially (59%), and 11% severest in need of care. The seniors suffered from 5 (4-7) chronic diseases; dementia, depression, stroke, and respiratory illness were most prevalent (each 20-40%). More than one-third of participants had only moderate or poor appetite, nearly half were unable to eat independently. Chewing problems were reported for 52% of study participants, and more than one quarter of elderly had swallowing problems. Daily mean energy intake was 2017+/-528 kcal in men (n=123) and 1731+/-451 kcal in women (n=216; p<0.001). Mean protein intake amounted to 1.0 g/kg body weight. Mean BMI was 28.2+/-6.2 kg/m2 (n=341), 14% of seniors had a BMI <22 kg/m2 (including 4% with BMI <20 kg/m2). Critical MUAC (<22 cm) was indicated in 6% of subjects; and CC <31 cm in 11% of men, 21% of women (p<0.05). After adjusting for sex and age, BMI, MUAC and CC were negatively associated with high care level, hospitalization in the previous year, nausea/vomiting, prevalence of dementia, poor appetite, and eating difficulties like dependency, chewing and swallowing problems., CONCLUSION: We recommend to pay special attention to the nutritional status of elderly persons in home-care exhibiting named disease burden. DA - 2016/// PY - 2016 DO - 10.1007/s12603-015-0586-9 VL - 20 IS - 3 SP - 361 EP - 8 J2 - J Nutr Health Aging SN - 1760-4788 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26892587 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Anthropometry KW - Prospective Studies KW - Dementia/ep [Epidemiology] KW - Stroke/ep [Epidemiology] KW - Nutritional Status KW - Depression/ep [Epidemiology] KW - Body Mass Index KW - Animals KW - *Home Care Services KW - *Geriatric Assessment KW - Diet Records KW - Germany/ep [Epidemiology] KW - *Chronic Disease/ep [Epidemiology] KW - Mastication KW - Deglutition Disorders/ep [Epidemiology] KW - *Energy Intake KW - *Dietary Proteins/ad [Administration & Dosage] KW - Appetite ER - TY - JOUR TI - Japanese Care Location and Medical Procedures for People with Dementia in the Last Month of Life. AU - Nakanishi, Miharu AU - Nakashima, Taeko AU - Shindo, Yumi AU - Niimura, Junko AU - Nishida, Atsushi T2 - Journal of Alzheimer's disease : JAD AB - BACKGROUND: Dementia-related societies worldwide have called for palliative end-of-life care for those suffering dementia; meanwhile, the Japanese dementia plan was revised on January 2015 to introduce into its objectives the support for end-of-life care via increased social and health care collaboration., OBJECTIVE: The study focus was the use of medical procedures in the last month of life among dementia patients in different care locations in Japan., METHODS: This study was conducted using a retrospective study design. Data from the Survey of Institutions and Establishments for Long-Term Care, which is a nationally representative cross-sectional survey of the public long-term care insurance services, were used. The 6,148 patients who received end-of-life care in their own home, nursing homes, or hospitals in September 2007, 2010, and 2013 were included for analysis. The primary disease of each patient was based on the ICD-10 code; a diagnosis of dementia included F00 (Alzheimer's), F01 (vascular), F02 (other), and F03 (unspecified)., RESULTS: Of 6,148 patients, 886 (14.4%) had dementia as a primary disease; most received care in the last month of life in nursing homes (48.0%) or hospitals (44.8%) rather than in their own home (7.2%). Patients were less likely to undergo pain management when their primary disease was dementia (adjusted odds ratio, 0.44; 95% confidence interval, 0.21-0.91)., CONCLUSION: Education and policy efforts are required to provide palliative end-of-life care to people with dementia at home. The national dementia plan should also explore possible approaches regarding pain management for dying people who have dementia. DA - 2016/// PY - 2016 DO - 10.3233/JAD-150898 VL - 51 IS - 3 SP - 747 EP - 55 J2 - J Alzheimers Dis SN - 1875-8908 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26890762 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Retrospective Studies KW - Time Factors KW - Housing/sn [Statistics & Numerical Data] KW - Japan/ep [Epidemiology] KW - Cross-Sectional Studies KW - *Nursing Homes KW - *Housing KW - Nursing Homes/sn [Statistics & Numerical Data] KW - *Dementia/ep [Epidemiology] KW - *Dementia/th [Therapy] KW - Hospitals/sn [Statistics & Numerical Data] KW - *Hospitals KW - *Terminal Care/sn [Statistics & Numerical Data] KW - Pain Management/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Managing Malnutrition in Older Persons Residing in Care Homes: Nutritional and Clinical Outcomes Following a Screening and Intervention Program. AU - Mountford, Christopher G AU - Okonkwo, Arthur C O AU - Hart, Kathryn AU - Thompson, Nick P T2 - Journal of nutrition in gerontology and geriatrics AB - This study aimed to establish prevalence of malnutrition in older adult care home residents and investigate whether a nutritional screening and intervention program could improve nutritional and clinical outcomes. A community-based cohort study was conducted in five Newcastle care homes. 205 participants entered; 175 were followed up. Residents already taking oral nutritional supplements (ONS) were excluded from interventions. Those with Malnutrition Universal Screening Tool (MUST) score of 1 received dietetic advice and >=2 received dietetic advice and were prescribed ONS (220 ml, 1.5 kcal/ml) twice daily for 12 weeks. Body mass index (BMI), MUST, mini nutritional assessment score (MNA), mid upper arm muscle circumference (MAMC), and Geriatric Depression Scale (GDS) were recorded at baseline and 12 weeks. Malnutrition prevalence was 36.6% +/- 6.6 (95% CI). A higher MUST was associated with greater mortality (p = 0.004). Type of intervention received was significantly associated with change in MUST score (p < 0.001); dietetic advice resulting in the greatest improvement. There were no significant changes in BMI (p = 0.445), MAMC (p = 0.256), or GDS (p = 0.385) following the interventions. Dietitian advice may slow the progression of nutritional decline. In this study oral nutritional supplements over a 3-month period did not significantly improve nutritional status in malnourished care home residents. DA - 2016/// PY - 2016 DO - 10.1080/21551197.2015.1131797 VL - 35 IS - 1 SP - 52 EP - 66 J2 - J Nutr Gerontol Geriatr SN - 2155-1200 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26885946 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Cohort Studies KW - *Homes for the Aged KW - Geriatric Assessment KW - Nutrition Assessment KW - Nutritional Status KW - Depression/ep [Epidemiology] KW - Body Mass Index KW - Dietary Supplements KW - Malnutrition/ep [Epidemiology] KW - Malnutrition/di [Diagnosis] KW - *Malnutrition/dh [Diet Therapy] ER - TY - JOUR TI - Small scale homelike special care units and traditional special care units: effects on cognition in dementia; a longitudinal controlled intervention study. AU - Kok, Jeroen S AU - van Heuvelen, Marieke J G AU - Berg, Ina J AU - Scherder, Erik J A T2 - BMC geriatrics AB - BACKGROUND: Evidence shows that living in small scale homelike Special Care Units (SCU) has positive effects on behavioural and psychological symptoms of patients with dementia. Effects on cognitive functioning in relation to care facilities, however, are scarcely investigated. The purpose of this study is to gain more insight into the effects of living in small scale homelike Special Care Units, compared to regular SCU's, on the course of cognitive functioning in dementia., METHODS: A group of 67 patients with dementia who moved from a regular SCU to a small scale homelike SCU and a group of 48 patients with dementia who stayed in a regular SCU participated in the study. Cognitive and behavioural functioning was assessed by means of a neuropsychological test battery and observation scales one month before (baseline), as well as 3 (post) and 6 months (follow-up) after relocation., RESULTS: Comparing the post and follow-up measurement with the baseline measurement, no significant differences on separate measures of cognitive functioning between both groups were found. Additional analyses, however, on 'domain clusters' revealed that global cognitive functioning of the small scale homelike SCU group showed significantly less cognitive decline three months after the transfer (p < 0.05). Effect sizes (95% CI) show a tendency for better aspects of cognition in favour of the homelike small scaled SCU group, i.e., visual memory, picture recognition, cognitive decline as observed by representatives and the clustered domains episodic memory and global cognitive functioning., CONCLUSIONS: While there is no significant longitudinal effect on the progression of cognitive decline comparing small scaled homelike SCU's with regular SCU's for patients with dementia, analyses on the domain clusters and effect sizes cautiously suggest differences in favour of the small scaled homelike SCU for different aspects of cognition. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0222-5 VL - 16 IS - 100968548 SP - 47 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26883324 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Longitudinal Studies KW - Dementia/px [Psychology] KW - *Dementia/th [Therapy] KW - Cognition Disorders/di [Diagnosis] KW - *Homes for the Aged/td [Trends] KW - *Nursing Homes/td [Trends] KW - Dementia/di [Diagnosis] KW - Long-Term Care/mt [Methods] KW - *Early Medical Intervention/td [Trends] KW - Early Medical Intervention/mt [Methods] KW - Cognition Disorders/px [Psychology] KW - Long-Term Care/td [Trends] KW - *Cognition Disorders/th [Therapy] KW - *Group Homes/td [Trends] KW - Group Homes/mt [Methods] ER - TY - JOUR TI - Effects of a long-term exercise programme on functional ability in people with dementia living in nursing homes: Research protocol of the LEDEN study, a cluster randomised controlled trial. AU - de Souto Barreto, Philipe AU - Denormandie, Philippe AU - Lepage, Benoit AU - Armaingaud, Didier AU - Rapp, Thomas AU - Chauvin, Pauline AU - Vellas, Bruno AU - Rolland, Yves T2 - Contemporary clinical trials AB - BACKGROUND: Exercise may lead to improvements on functional ability, physical function, and neuropsychiatric symptoms (particularly depression) in people with dementia (PWD). However, high-quality randomised controlled trial (RCT), controlling for the socialisation aspect of group-based exercise interventions, and designed to delay the declines on the functional ability of PWD in the nursing home (NH) setting is almost inexistent. This article describes the protocol of the LEDEN study, an exercise RCT for PWD living in NHs., METHODS/DESIGN: LEDEN is a cluster-randomised controlled pilot trial composed of two research arms: exercise training (experimental group) and social/recreational activity (control group). Both interventions will be provided twice a week, for 60 min, during the 6-month intervention. The total duration of the study is 12 months, being six months of intervention plus six months of observational follow-up. Eight French NHs volunteered to participate in LEDEN; they have been randomised to either exercise intervention or social/recreational intervention in a 1:1 ratio., RESULTS: The primary objective is to investigate the effects of exercise, compared to a social/recreational intervention, on the ability of PWD living in NHs to perform activities of daily living (ADL). Secondary objectives are related with the cost-effectiveness of the interventions, and the effects of the interventions on patients' physical function, neuropsychiatric symptoms, pain, nutritional status, and the incidence of falls and fractures., DISCUSSION: LEDEN will provide the preliminary evidence needed to inform the development of larger and more complex interventions using exercise or non-exercise social interventions. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.cct.2016.02.004 VL - 47 IS - 101242342 SP - 289 EP - 95 J2 - Contemp Clin Trials SN - 1559-2030 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26883281 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Research Design KW - *Exercise Therapy/mt [Methods] KW - Cost-Benefit Analysis KW - Follow-Up Studies KW - *Homes for the Aged KW - *Nursing Homes KW - *Dementia/th [Therapy] KW - Pilot Projects KW - Dementia/pp [Physiopathology] KW - Clinical Protocols KW - France KW - Exercise Therapy/ec [Economics] KW - Dementia/ec [Economics] ER - TY - JOUR TI - The effects of a pro-active integrated care intervention for frail community-dwelling older people: a quasi-experimental study with the GP-practice as single entry point. AU - Looman, Wilhelmina Mijntje AU - Fabbricotti, Isabelle Natalina AU - de Kuyper, Ruben AU - Huijsman, Robbert T2 - BMC geriatrics AB - BACKGROUND: This study explored the effectiveness of a pro-active, integrated care model for community-dwelling frail older people compared to care as usual by evaluating the effects on a comprehensive set of outcomes: health outcomes (experienced health, mental health and social functioning); functional abilities; and quality of life (general, health-related and well-being)., METHODS: The design of this study was quasi-experimental. In this study, 184 frail older patients of three GP practices that implemented the Walcheren Integrated Care Model were compared with 193 frail older patients of five GP practices that provided care as usual. In the Walcheren Integrated Care Model, community-dwelling elderly were pro-actively screened for frailty from the GP practice using the Groningen Frailty Indicator, and care needs were assessed with the EASYcare instrument. The GP practice functioned as single entry point from which case management was provided, and the GP was the coordinator of care. The entire process was supported by multidisciplinary meetings, multidisciplinary protocols and web-based patient files. The outcomes of this study were obtained at baseline, after 3 months and after 12 months and analyzed with linear mixed models of repeated measures., RESULTS: The Walcheren Integrated Care Model had a positive effect on love and friendship and a moderately positive effect on general quality of life. The ability to receive love and friendship and general quality of life decreased in the control group but was preserved in the experimental group. No significant differences were found on health outcomes such as experienced health, mental health, social functioning and functional abilities., CONCLUSIONS: The results indicated that pro-active, integrated care can be beneficial for frail older people in terms of quality of life and love and friendship but not in terms of health outcomes and functional abilities. Recommendations for future research are to gain greater insight into what specific outcomes can be achieved with proactive and integrated care, considering the specific content of this care, and to allow for the heterogeneity of frail older people in evaluation research., TRIAL REGISTRATION: Current Controlled Trials ISRCTN05748494. Registration date: 14/03/2013. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0214-5 VL - 16 IS - 100968548 SP - 43 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26879893 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Frail Elderly/px [Psychology] KW - *Independent Living/px [Psychology] KW - *Activities of Daily Living/px [Psychology] KW - *Delivery of Health Care, Integrated/mt [Methods] KW - *General Practice/mt [Methods] KW - Quality of Life/px [Psychology] KW - Case Management KW - *Early Medical Intervention/mt [Methods] ER - TY - JOUR TI - Cold homes are associated with poor biomarkers and less blood pressure check-up: English Longitudinal Study of Ageing, 2012-2013. AU - Shiue, Ivy T2 - Environmental science and pollution research international AB - It has been known that outdoor temperature influences seasonal fluctuation of blood pressure and cholesterol levels, but the role of indoor temperature has been less studied. Therefore, the aim of the present study was to examine the associations between indoor temperature and biomarkers in a countrywide and population-based setting. Data was retrieved from the English Longitudinal Study of Ageing, 2012-2013. Information on demographics, room temperature and a series of biomarkers measured in the blood and lung was obtained at household interviews. t test, chi-square test and a generalized linear model were performed cross-sectionally. Of 7997 older adults with the valid indoor temperature measurements, there were 1301 (16.3%) people who resided in cold homes (<18 degreeC). Age was inversely associated with people who resided in cold homes or who tended not to have blood pressure check-up. Those who resided in cold homes had higher blood pressure readings, worse handgrip, lower vitamin D levels, higher cholesterol levels, higher insulin-like growth factor levels, higher haemoglobin levels, lower level of white blood cell count and worse lung conditions. One in six older adults aged 50 and above in England resided in cold homes and had poor biomarker values. For the future research direction, studies with a longitudinal approach to systematically monitor indoor temperature, biomarkers and health and wellbeing would be suggested. From the practice and policy perspectives, increasing health knowledge on the adverse effect of low indoor temperature on risks of cardiac and respiratory conditions, affording to the heating and re-designing of residential buildings to keep warm by using efficient energy, should be kept as priority. DA - 2016/// PY - 2016 DO - 10.1007/s11356-016-6235-y VL - 23 IS - 7 SP - 7055 EP - 9 J2 - Environ Sci Pollut Res Int SN - 1614-7499 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26873825 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - *Aging KW - Longitudinal Studies KW - *Housing/sn [Statistics & Numerical Data] KW - Hand Strength KW - England/ep [Epidemiology] KW - Blood Pressure KW - Biomarkers/me [Metabolism] KW - *Environmental Exposure/sn [Statistics & Numerical Data] KW - *Cold Temperature KW - *Heating/sn [Statistics & Numerical Data] KW - *Hypertension KW - Respiratory Tract Diseases ER - TY - JOUR TI - A Naturalistic Randomized Placebo-Controlled Trial of Extended-Release Metformin to Prevent Weight Gain Associated With Olanzapine in a US Community-Dwelling Population. AU - Rado, Jeffrey AU - von Ammon Cavanaugh, Stephanie T2 - Journal of clinical psychopharmacology AB - OBJECTIVE: This 24-week pilot study assessed the efficacy, tolerability, and safety of adjunctive metformin versus placebo for the prevention of olanzapine-associated weight gain in community-dwelling adult patients with schizophrenia, schizoaffective disorder, bipolar disorder, or major depression with psychotic features., METHODS: In a double-blind study, 25 patients were randomly assigned to receive 24 weeks of either olanzapine plus metformin or olanzapine plus placebo. Metformin extended release was titrated to 2000 mg daily as tolerated. No other antipsychotics were allowed, whereas psychotropic medications including antidepressants and mood stabilizers were permitted. The primary outcome measures were change in body weight and homeostatic model assessment for insulin resistance from baseline to week 24., RESULTS: The intent-to-treat population comprised patients who had 1 or more post-baseline visit. Mean change in body weight for the olanzapine plus metformin (O/M) group was 5.5 lb, which was less than the 12.8 lb gain for the olanzapine plus placebo (O/P) group (P < 0.05). Compared with O/P group who gained 7% of their body weight, patients in the O/M group gained 3% (P < 0.037). Body mass index change in the O/M group was 0.85 versus 2.02 in the O/P group (P < 0.045). There was a trend for a greater increase in baseline to end point homeostatic model assessment for insulin resistance and waist circumference in the O/P group versus the O/M group., CONCLUSIONS: In this naturalistic sample of typical US community-dwelling patients, metformin was effective and well tolerated for the prevention of olanzapine-associated weight gain. Adjunctive metformin should be studied in a similar but larger population to determine its role in the prevention of olanzapine-associated weight gain. DA - 2016/// PY - 2016 DO - 10.1097/JCP.0000000000000469 VL - 36 IS - 2 SP - 163 EP - 8 J2 - J Clin Psychopharmacol SN - 1533-712X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26872112 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Middle Aged KW - Population Surveillance KW - *Independent Living KW - United States/ep [Epidemiology] KW - *Antipsychotic Agents/ad [Administration & Dosage] KW - Pilot Projects KW - Mental Disorders/ep [Epidemiology] KW - Double-Blind Method KW - *Benzodiazepines/ad [Administration & Dosage] KW - *Hypoglycemic Agents/ad [Administration & Dosage] KW - *Metformin/ad [Administration & Dosage] KW - *Weight Gain/de [Drug Effects] KW - Delayed-Action Preparations/ad [Administration & Dosage] KW - Drug Therapy, Combination KW - Mental Disorders/dt [Drug Therapy] KW - Olanzapine KW - Weight Gain/ph [Physiology] ER - TY - JOUR TI - General life satisfaction predicts dementia in community living older adults: a prospective cohort study. AU - Peitsch, Lorraine AU - Tyas, Suzanne L AU - Menec, Verena H AU - St John, Philip D T2 - International psychogeriatrics AB - BACKGROUND: Low life satisfaction predicts adverse outcomes, and may predict dementia. The objectives were: (1) to determine if life satisfaction predicts dementia over a five year period in those with normal cognition at baseline; and (2) to determine if different aspects of life satisfaction differentially predict dementia., METHODS: Secondary analysis of an existing population-based cohort study with initial assessment in 1991 and follow-up five years later. Initially, 1,751 adults age 65+ living in the community were sampled from a representative sampling frame. Of these, 1,024 were alive and had complete data at time 2, of whom 96 were diagnosed with dementia. Life satisfaction was measured using the Terrible-Delightful scale, which measures overall life satisfaction on a 7-point scale, as well as various aspects of life satisfaction (e.g. friendships, finances, etc.) Dementia was diagnosed by clinical examination using DSM-IIIR criteria. Logistic regression models were constructed for the outcome of dementia at time 2, and adjusted for age, gender, education, and comorbidities., RESULTS: Overall life satisfaction predicted dementia five years later, at time 2. The unadjusted Odds Ratio (OR; 95% confidence interval) for dementia at time 2 was 0.72 (0.55, 0.95) per point. The adjusted OR for dementia was 0.70 (0.51, 0.96). No individual item on the life satisfaction scale predicted dementia. However, the competing risk of mortality was very high for some items., CONCLUSION: A global single-item measure of life satisfaction predicts dementia over a five year period in older adults without cognitive impairment. DA - 2016/// PY - 2016 DO - 10.1017/S1041610215002422 VL - 28 IS - 7 SP - 1101 EP - 9 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26865088 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Protective Factors KW - Logistic Models KW - *Independent Living KW - Geriatric Assessment/mt [Methods] KW - Dementia/ep [Epidemiology] KW - Independent Living/sn [Statistics & Numerical Data] KW - *Dementia KW - Socioeconomic Factors KW - Independent Living/px [Psychology] KW - Dementia/px [Psychology] KW - *Personal Satisfaction KW - Prognosis KW - Diagnostic and Statistical Manual of Mental Disorders KW - *Cognition KW - Canada/ep [Epidemiology] KW - Dementia/di [Diagnosis] ER - TY - JOUR TI - Applications of Paper and Interactive Prototypes in Designing Telecare Services for Older Adults. AU - Duh, Emilija Stojmenova AU - Guna, Joze AU - Pogacnik, Matevz AU - Sodnik, Jaka T2 - Journal of medical systems AB - We present the results of the user studies of the CareMe prototype telecare service for supporting older adults with remote telecare services. The CareMe solution targets older adults who are capable of living independently and outside of a dedicated medical institution or a nursing home, but require occasional medical attention, and formal or informal care. The studies were conducted between November 2013 and March 2014 and followed the participatory design approach. The research questions focused on understanding the difference in the participatory design approach when older adults use paper prototypes vs interactive prototypes, and the difference when older adults use interactive prototypes with poor interface design vs interactive prototypes with rich interface design. In total, 45 older adults living in Slovenia participated in the field trial. They were retired, 32 of whom were nursing home residents and 13 were living independently at home. The study sample's age distribution was between 64 and 91 years. The analysis of the filed trial results indicated the importance of the factors that influence users' decision about how and when they use new technology, i.e., the perceived usefulness and the perceived ease-of-use. Main insights gained from the studies show, that it is very difficult to keep older people focused on the topics of discussion and that they have often difficulties to clearly present/express their ideas. Furthermore, abstract concepts, such as paper only prototypes proved to be challenging to cope with, whereas using real applications and services when trying out scenarios using interactive prototypes provided much better experience and feedback. DA - 2016/// PY - 2016 DO - 10.1007/s10916-016-0463-z VL - 40 IS - 4 SP - 92 J2 - J Med Syst SN - 1573-689X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26860915 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Status KW - *Independent Living KW - *Home Care Services/og [Organization & Administration] KW - Nursing Homes/og [Organization & Administration] KW - Slovenia KW - *Telemedicine/mt [Methods] KW - Homes for the Aged/og [Organization & Administration] KW - *User-Computer Interface KW - *Telemedicine/og [Organization & Administration] ER - TY - JOUR TI - Hospital in the Nursing Home program reduces emergency department presentations and hospital admissions from residential aged care facilities in Queensland, Australia: a quasi-experimental study. AU - Fan, Lijun AU - Hou, Xiang-Yu AU - Zhao, Jingzhou AU - Sun, Jiandong AU - Dingle, Kaeleen AU - Purtill, Rhonda AU - Tapp, Sam AU - Lukin, Bill T2 - BMC health services research AB - BACKGROUND: There has been considerable publicity regarding population ageing and hospital emergency department (ED) overcrowding. Our study aims to investigate impact of one intervention piloted in Queensland Australia, the Hospital in the Nursing Home (HiNH) program, on reducing ED and hospital attendances from residential aged care facilities (RACFs)., METHODS: A quasi-experimental study was conducted at an intervention hospital undertaking the program and a control hospital with normal practice. Routine Queensland health information system data were extracted for analysis., RESULTS: Significant reductions in the number of ED presentations per 1000 RACF beds (rate ratio (95 % CI): 0.78 (0.67-0.92); p = 0.002), number of hospital admissions per 1000 RACF beds (0.62 (0.50-0.76); p < 0.0001), and number of hospital admissions per 100 ED presentations (0.61 (0.43-0.85); p = 0.004) were noticed in the experimental hospital after the intervention; while there were no significant differences between intervention and control hospitals before the intervention. Pre-test and post-test comparison in the intervention hospital also presented significant decreases in ED presentation rate (0.75 (0.65-0.86); p < 0.0001) and hospital admission rate per RACF bed (0.66 (0.54-0.79); p < 0.0001), and a non-significant reduction in hospital admission rate per ED presentation (0.82 (0.61-1.11); p = 0.196)., CONCLUSIONS: Hospital in the Nursing Home program could be effective in reducing ED presentations and hospital admissions from RACF residents. Implementation of the program across a variety of settings is preferred to fully assess the ongoing benefits for patients and any possible cost-savings. DA - 2016/// PY - 2016 DO - 10.1186/s12913-016-1275-z VL - 16 IS - 101088677 SP - 46 J2 - BMC Health Serv Res SN - 1472-6963 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26857447 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Australia KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - *Nursing Homes KW - Assisted Living Facilities KW - *Program Evaluation KW - *Hospitalization/td [Trends] KW - Queensland KW - Statistics as Topic ER - TY - JOUR TI - [Effectiveness of dog-assisted therapy in the elderly. A preliminary study]. AU - Folch, Anabel AU - Torrente, Margarita AU - Heredia, Luis AU - Vicens, Paloma T2 - Estudio preliminar de la efectividad de la terapia asistida con perros en personas de la tercera edad. T3 - [Comment in: Rev Esp Geriatr Gerontol. 2018 Jan - Feb;53(1):62; PMID: 28942901 [https://www.ncbi.nlm.nih.gov/pubmed/28942901]] AB - INTRODUCTION: Animal-assisted therapy is increasingly present in several educational and health areas. The aim of this study is to assess the effectiveness of such interventions in the elderly population living in residential settings., MATERIALS AND METHODS: A 12-week dog-assisted intervention program was designed, with 16 participants from a nursing home divided into an experimental group and a control group., RESULTS: Several physical and psychological variables were assessed before and after the intervention. While there were no significant differences in the control group, the experimental group improved significantly after participating in the program., DISCUSSION: The results support the hypothesis that animal-assisted interventions may be beneficial for residents in elderly care homes. Copyright © 2015 SEGG. Publicado por Elsevier Espana, S.L.U. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.regg.2015.12.001 VL - 51 IS - 4 SP - 210 EP - 6 J2 - Rev Esp Geriatr Gerontol SN - 1578-1747 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26857084 KW - Female KW - Humans KW - Male KW - Aged KW - Nursing Homes KW - *Homes for the Aged KW - Animals KW - Dogs KW - *Animal Assisted Therapy ER - TY - JOUR TI - Initial validation of the dimensions of home measure. AU - Aplin, Tammy AU - Chien, Chi-Wen AU - Gustafsson, Louise T2 - Australian occupational therapy journal AB - BACKGROUND: Research has established a need to consider further aspects of the home environment in home modification provision and evaluation. The Dimensions of Home Measure (DOHM) was developed as a self-report outcome measurement tool for home modification practice to meet this need. Its development was informed by a literature review and qualitative exploration which identified six dimensions of the home environment: the physical, social, personal, temporal, occupational and societal dimensions which contribute to one's experience of home. This paper reports the initial evaluation of the validity of the DOHM., METHOD: The DOHM was completed by 163 community dwelling older adults and people with disabilities. The Rasch measurement model was used to evaluate three aspects of construct validity: rating scale structure, unidimensionality and targeting., RESULTS: The five-point DOHM rating scale function was evaluated using Linacre's (2002) guidelines. The middle rating category did not function well, and this resulted in collapsing the rating scale from five to four points. The unidimensionality of the DOHM's subscales was supported by Rasch-based principal component analysis and item fit analysis. However, hierarchical results of item difficulties revealed significant gaps in each of the DOHM's subscales, indicating that more items will be needed to capture the full range of participant's experiences of home., CONCLUSION: The DOHM was developed to provide a relevant evaluation tool for home modification practice which comprehensively measures the home environment. This study identified preliminary validity of this tool, with revision and further psychometric validation required. Copyright © 2016 Occupational Therapy Australia. DA - 2016/// PY - 2016 DO - 10.1111/1440-1630.12270 VL - 63 IS - 1 SP - 47 EP - 56 J2 - Aust Occup Ther J SN - 1440-1630 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26856802 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Quality of Life KW - *Personal Satisfaction KW - Family Characteristics KW - *Housing/st [Standards] KW - Occupational Therapy/mt [Methods] KW - *Disabled Persons/rh [Rehabilitation] KW - Architectural Accessibility/mt [Methods] KW - *Architectural Accessibility/st [Standards] KW - *Occupational Therapy/st [Standards] KW - Personal Construct Theory ER - TY - JOUR TI - Factors associated with participation frequency and satisfaction among people applying for a housing adaptation grant. AU - Thordardottir, Bjorg AU - Ekstam, Lisa AU - Chiatti, Carlos AU - Fange, Agneta Malmgren T2 - Scandinavian journal of occupational therapy T3 - [Erratum in: Scand J Occup Ther. 2016 Nov;23(6):485; PMID: 27387411 [https://www.ncbi.nlm.nih.gov/pubmed/27387411]] AB - BACKGROUND: People applying for a housing adaptation (HA) grant are at great risk of participation restrictions due to declining capacity and environmental barriers., AIM: To investigate the association of person-, environment-, and activity-related factors with participation frequency and satisfaction among people applying for a housing adaptation grant., MATERIAL AND METHODS: Baseline cross-sectional data were collected during home visits (n = 128). The association between person-, environment-, and activity-related factors and participation frequency and satisfaction was analysed using logistic regressions., RESULTS: The main result is that frequency of participation outside the home is strongly associated with dependence in activities of daily living (ADL) and cognitive impairments, while satisfaction with participation outside the home is strongly associated with self-reported health. Moreover, aspects of usability in the home were associated with frequency of participation outside the home and satisfaction with participation in the home and outside the home alone., CONCLUSION: Dependence in ADL, cognitive impairments, self-rated health, and aspects of usability are important factors contributing to participation frequency and satisfaction among people applying for a housing adaptation grant, particularly outside the home., SIGNIFICANCE: Our findings indicate that more attention should be directed towards activity-related factors to facilitate participation among HA applicants, inside and outside the home. DA - 2016/// PY - 2016 DO - 10.3109/11038128.2016.1139622 VL - 23 IS - 5 SP - 347 EP - 56 J2 - Scand J Occup Ther SN - 1651-2014 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26853519 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - *Quality of Life KW - Cross-Sectional Studies KW - *Housing KW - *Personal Satisfaction KW - *Architectural Accessibility KW - *Social Participation KW - Housing/ec [Economics] KW - *Financing, Organized KW - Architectural Accessibility/ec [Economics] ER - TY - JOUR TI - Are residents of aged care facilities willing to have their medications deprescribed?. AU - Kalogianis, Mona J AU - Wimmer, Barbara C AU - Turner, Justin P AU - Tan, Edwin C K AU - Emery, Tina AU - Robson, Leonie AU - Reeve, Emily AU - Hilmer, Sarah N AU - Bell, J Simon T2 - Research in social & administrative pharmacy : RSAP AB - PURPOSE: There has been recent interest in deprescribing, particularly among older people. No previous studies have assessed whether residents of aged care facilities are willing to have their medications deprescribed. Understanding residents' attitudes toward deprescribing is important for developing deprescribing interventions., OBJECTIVE: To investigate residents' willingness to have their medications deprescribed., METHODS: This was a cross-sectional survey of 232 residents aged >=65 years from six residential aged care facilities (RACFs) across metropolitan and regional South Australia. Overall, 163 of the 232 residents (70.3%) took >=9 regular medications. All participants completed the 10-item Patients' Attitudes Towards Deprescribing (PATD) questionnaire., RESULTS: Overall, 40.5% of residents reported a desire to stop taking one or more of their medications. If their doctor said it was possible, 78.9% of residents were willing to have one or more of their medications deprescribed. Residents taking >=9 medications were more likely to feel that they were taking a large number of medications compared to residents taking <9 medications (50.3% vs 14.5%, P < 0.01), and were more likely to believe one or more of their medications was causing side effects (14.7% vs 10.1%, P = 0.02). However, residents taking >=9 regular medications were not significantly more likely to want to reduce their number of medications than residents taking <9 medications., CONCLUSIONS: Deprescribing interventions are likely to be acceptable to residents' of RACFs, with a high willingness to discontinue medicines if doctors say it is possible. This highlights the importance of the proactive involvement of health care professionals in an individualized deprescribing process. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.sapharm.2015.12.004 VL - 12 IS - 5 SP - 784 EP - 8 J2 - Res Social Adm Pharm SN - 1934-8150 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26850702 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - *Attitude to Health KW - South Australia KW - *Deprescriptions KW - Drug-Related Side Effects and Adverse Reactions/ep [Epidemiology] KW - Polypharmacy KW - Physician-Patient Relations KW - Drug-Related Side Effects and Adverse Reactions/px [Psychology] ER - TY - JOUR TI - Polypharmacy, potentially inappropriate medication and cognitive status in Austrian nursing home residents: results from the OSiA study. AU - Alzner, Reinhard AU - Bauer, Ulrike AU - Pitzer, Stefan AU - Schreier, Maria Magdalena AU - Osterbrink, Jurgen AU - Iglseder, Bernhard T2 - Wiener medizinische Wochenschrift (1946) AB - There is little research investigating polypharmacy and potentially inappropriate medications (PIM) in connection with cognitive status in residents of Austrian nursing homes. Our findings result from a cross-sectional survey of 425 residents (315 women, 110 men, mean 83.6 years) from 12 Austrian nursing homes. The number of systemically administered permanent prescription drugs was 8.99 +/- 3.9 and decreased significantly with increasing cognitive impairment. Irrespective of cognitive status, polypharmacy (> 5 individual substances) was present in approximately 75% of the residents. Hyper-polypharmacy (> 10 individual substances) was present among almost 50% of the cognitively intact residents, and hence, significantly more frequent as compared with the group with the lowest cognitive performance (23.4%). At least one PIM was found in 72.4% of residents regardless of cognitive status. Predominantly, PIMs consisted of tranquilizers, antipsychotics, osmotic laxatives, non-steroidal anti-inflammatory drugs (NSAIDs) and anticholinergics, where only the number of NSAIDs decreased significantly with increasing cognitive impairment. In summary, our study shows a continued high prevalence of polypharmacy and PIM in long-term care institutions in Austria. DA - 2016/// PY - 2016 DO - 10.1007/s10354-015-0428-8 VL - 166 IS - 5-6 SP - 161 EP - 5 J2 - Wien Med Wochenschr SN - 1563-258X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26847440 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - *Polypharmacy KW - *Frail Elderly KW - *Cognitive Dysfunction/ep [Epidemiology] KW - *Inappropriate Prescribing/sn [Statistics & Numerical Data] KW - Inappropriate Prescribing/pc [Prevention & Control] KW - Austria KW - Drug Utilization/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Prevalence of Wheelchair and Scooter Use Among Community-Dwelling Canadians. AU - Smith, Emma M AU - Giesbrecht, Edward M AU - Mortenson, W Ben AU - Miller, William C T2 - Physical therapy AB - BACKGROUND: Mobility impairments are the third leading cause of disability for community-dwelling Canadians. Wheelchairs and scooters help compensate for these challenges. There are limited data within the last decade estimating the prevalence of wheelchair and scooter use in Canada., OBJECTIVE: The aims of this study were: (1) to estimate the prevalence of wheelchair and scooter use in Canada and (2) to explore relevant demographic characteristics of wheelchair and scooter users., DESIGN: This study was a secondary analysis of a cross-sectional national survey., METHODS: The Canadian Survey on Disability (2012) collected data on wheelchair and scooter use from community-dwelling individuals aged 15 years and over with a self-identified activity limitation on the National Household Survey. Prevalence estimates were calculated as weighted frequencies, with cross-tabulations to determine the number of wheelchair and scooter users in Canada, by province, and demographic characteristics (ie, age, sex) and bootstrapping to estimate the variance of all point estimates., RESULTS: There were approximately 288,800 community-dwelling wheelchair and scooter users aged 15 years and over, representing 1.0% of the Canadian population. The sample included 197,560 manual wheelchair users, 42,360 powered wheelchair users, and 108,550 scooter users. Wheelchair and scooter users were predominantly women, with a mean age of 65 years. Approximately 50,620 individuals used a combination of 2 different types of devices., LIMITATIONS: The results are representative of individuals living in the community in Canada and exclude individuals in residential or group-based settings; estimates do not represent the true population prevalence., CONCLUSION: This analysis is the first in more than 10 years to provide a prevalence estimate and description of wheelchair and scooter users in Canada. Since 2004, there has been an increase in the proportion of the population who use wheelchairs and scooters, likely related to an aging Canadian population. These new prevalence data have potential to inform policy, research, and clinical practice. Copyright © 2016 American Physical Therapy Association. DA - 2016/// PY - 2016 DO - 10.2522/ptj.20150574 VL - 96 IS - 8 SP - 1135 EP - 42 J2 - Phys Ther SN - 1538-6724 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26847009 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Cross-Sectional Studies KW - Health Surveys KW - *Independent Living/sn [Statistics & Numerical Data] KW - Sex Factors KW - Age Factors KW - Canada KW - *Mobility Limitation KW - *Wheelchairs/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Infections in Australian Aged-Care Facilities: Evaluating the Impact of Revised McGeer Criteria for Surveillance of Urinary Tract Infections. AU - Bennett, Noleen J AU - Johnson, Sandra A AU - Richards, Michael J AU - Smith, Mary A AU - Worth, Leon J T2 - Infection control and hospital epidemiology AB - Our survey of 112 Australian aged-care facilities demonstrated the prevalence of healthcare-associated infections to be 2.9%. Urinary tract infections (UTIs) defined by McGeer criteria comprised 35% of all clinically defined UTIs. To estimate the infection burden in these facilities where microbiologic testing is not routine, modified surveillance criteria for UTIs are necessary. DA - 2016/// PY - 2016 DO - 10.1017/ice.2016.7 VL - 37 IS - 5 SP - 610 EP - 2 J2 - Infect Control Hosp Epidemiol SN - 1559-6834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26842775 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Population Surveillance KW - Surveys and Questionnaires KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Australia/ep [Epidemiology] KW - *Cross Infection/ep [Epidemiology] KW - *Urinary Tract Infections/di [Diagnosis] KW - *Urinary Tract Infections/ep [Epidemiology] KW - *Cross Infection/di [Diagnosis] KW - Infection Control ER - TY - JOUR TI - Reactions to smoke-free public policies and smoke-free home policies in the Republic of Georgia: results from a 2014 national survey. AU - Berg, Carla J AU - Topuridze, Marina AU - Maglakelidze, Nino AU - Starua, Lela AU - Shishniashvili, Maia AU - Kegler, Michelle C T2 - International journal of public health AB - OBJECTIVES: We examined receptivity to public smoke-free policies and smoke-free home status among adults in the Republic of Georgia., METHODS: In Spring 2014, we conducted a national household survey of 1163 adults., RESULTS: Our sample was on average 42.4 years old, 51.1 % male, and 43.2 % urban. Current smoking prevalence was 54.2 % in men and 6.5 % in women. Notably, 42.2 % reported daily secondhand smoke exposure (SHSe). Past week SHSe was 29.9 % in indoor public places and 33.0 % in outdoor public places. The majority reported no opposition to public smoke-free policies. Correlates of greater receptivity to public policies included being older, female, and a nonsmoker. Past week SHSe in homes was 54.2 %; 38.8 % reported daily SHSe at home. Only 14.3 % reported complete smoke-free home policies; 39.0 % had partial policies. The only correlate of allowing smoking in the home was being a smoker. Among smokers, correlates of allowing smoking in the home were being male and lower confidence in quitting., CONCLUSIONS: SHSe is prevalent in various settings in Georgia, requiring efforts to promote support for public smoke-free policies and implementation of personal policies. DA - 2016/// PY - 2016 DO - 10.1007/s00038-016-0793-0 VL - 61 IS - 4 SP - 409 EP - 16 J2 - Int J Public Health SN - 1661-8564 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26841891 KW - Adult KW - Female KW - Humans KW - Male KW - Health Knowledge, Attitudes, Practice KW - Middle Aged KW - Sex Factors KW - Age Factors KW - Socioeconomic Factors KW - Smoking/ep [Epidemiology] KW - *Tobacco Smoke Pollution/lj [Legislation & Jurisprudence] KW - *Public Policy KW - *Smoke-Free Policy KW - *Housing/lj [Legislation & Jurisprudence] KW - *Public Facilities/lj [Legislation & Jurisprudence] KW - Georgia (Republic) KW - Smoking/px [Psychology] ER - TY - JOUR TI - Development and usability of the MAINtAIN, an inventory assessing nursing staff behavior to optimize and maintain functional activity among nursing home residents: a mixed-methods approach. AU - Kuk, Nienke O AU - Zijlstra, G A Rixt AU - Bours, Gerrie J J W AU - Hamers, Jan P H AU - Kempen, Gertrudis I J M T2 - BMC health services research AB - BACKGROUND: Functional decline is common in nursing home residents. Nursing staff can help prevent this decline, by encouraging residents to be more active in functional activities. Questionnaires measuring the extent to which nursing staff encourage functional activity among residents are lacking. In addition, there are no measurement instruments to gain insight into nursing staff perceived barriers and facilitators to this behavior. The aim of this study was to develop, and study the usability, of the MAastrIcht Nurses Activities INventory (MAINtAIN), an inventory assessing a) the extent to which nursing staff perceive to perform behaviors that optimize and maintain functional activity among nursing home residents and b) the perceived barriers and facilitators related to this behavior., METHODS: Using a mixed-methods approach the MAINtAIN was developed and its usability was studied. Development was based on literature, expert opinions, focus group (N = 3) and individual interviews (N = 14) with residents and staff from nine nursing homes in the Netherlands. Usability was studied in a cross-sectional study with 37 nurses and certified nurse assistants; data were analyzed using descriptive statistics., RESULTS: Development of the MAINtAIN resulted in two distinctive parts: MAINtAIN-behaviors and MAINtAIN-barriers. MAINtAIN-behaviors, targeting nursing staff behavior to optimize and maintain functional activity, includes 19 items covering activities of daily living, household activities, and miscellaneous activities. MAINtAIN-barriers addresses the perceived barriers and facilitators related to this behavior and comprises 33 items covering barriers and facilitators related to the residents, the professionals, the social context, and the organizational and economic context. The usability study showed that the inventory was not difficult to complete, that items and response options were clear, and that the number of missing values was low. Few items showed a floor or ceiling effect., CONCLUSIONS: The newly developed inventory MAINtAIN provides a usable method for researchers and nursing homes to obtain insight into nursing staff perceived behavior in optimizing functional activity among residents and their perceived barriers and facilitators related to this behavior. Outcomes of the MAINtAIN may contribute to change in nursing staff behavior and may improve nursing care. Further research with regard to the psychometric properties of the MAINtAIN is recommended. DA - 2016/// PY - 2016 DO - 10.1186/s12913-016-1288-7 VL - 16 IS - 101088677 SP - 38 J2 - BMC Health Serv Res SN - 1472-6963 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26837812 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Attitude of Health Personnel KW - Surveys and Questionnaires KW - Focus Groups KW - *Activities of Daily Living KW - Cross-Sectional Studies KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - Netherlands KW - Nurse-Patient Relations KW - *Geriatric Nursing/st [Standards] KW - *Nursing Staff/st [Standards] KW - Health Services for the Aged/st [Standards] KW - *Professional Practice/st [Standards] KW - Institutionalization/st [Standards] KW - Nurses/st [Standards] ER - TY - JOUR TI - Facility characteristics as independent prognostic factors of nursing home-acquired pneumonia. AU - Lim, Che Wan AU - Choi, Younghoon AU - An, Chang Hyeok AU - Park, Sang Joon AU - Hwang, Hee-Jin AU - Chung, Jae Ho AU - Min, Joo-Won T2 - The Korean journal of internal medicine AB - BACKGROUND/AIMS: Recently, the incidence of nursing home-acquired pneumonia (NHAP) has been increasing and is now the leading cause of death among nursing home residents. This study was performed to identify risk factors associated with NHAP mortality, focusing on facility characteristics., METHODS: Data on all patients >= 70 years of age admitted with newly diagnosed pneumonia were reviewed. To compare the quality of care in nursing facilities, the following three groups were defined: patients who acquired pneumonia in the community, care homes, and care hospitals. In these patients, 90-day mortality was compared., RESULTS: Survival analyses were performed in 282 patients with pneumonia. In the analyses, 90-day mortality was higher in patients in care homes (12.2%, 40.3%, and 19.6% in community, care homes, and care hospitals, respectively). Among the 118 NHAP patients, residence in a care home, structural lung diseases, treatment with inappropriate antimicrobial agents for accompanying infections, and a high pneumonia severity index score were risk factors associated with higher 90-day mortality. However, infection by potentially drug-resistant pathogens was not important., CONCLUSIONS: Unfavorable institutional factors in care homes are important prognostic factors for NHAP. DA - 2016/// PY - 2016 DO - 10.3904/kjim.2014.256 VL - 31 IS - 2 SP - 296 EP - 304 J2 - Korean J Intern Med SN - 2005-6648 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26837007 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - Time Factors KW - Inappropriate Prescribing KW - *Homes for the Aged KW - *Nursing Homes KW - Cause of Death KW - Proportional Hazards Models KW - *Hospitals KW - Cross Infection/mi [Microbiology] KW - Kaplan-Meier Estimate KW - Cross Infection/di [Diagnosis] KW - Pneumonia, Bacterial/di [Diagnosis] KW - Anti-Bacterial Agents/tu [Therapeutic Use] KW - *Cross Infection/mo [Mortality] KW - *Pneumonia, Bacterial/mo [Mortality] KW - Cross Infection/dt [Drug Therapy] KW - Pneumonia, Bacterial/dt [Drug Therapy] KW - Pneumonia, Bacterial/mi [Microbiology] ER - TY - JOUR TI - Association of Seafood Consumption, Brain Mercury Level, and APOE epsilon4 Status With Brain Neuropathology in Older Adults. AU - Morris, Martha Clare AU - Brockman, John AU - Schneider, Julie A AU - Wang, Yamin AU - Bennett, David A AU - Tangney, Christy C AU - van de Rest, Ondine T2 - JAMA T3 - [Comment in: JAMA. 2016 Feb 2;315(5):465-6; PMID: 26836728 [https://www.ncbi.nlm.nih.gov/pubmed/26836728]] AB - IMPORTANCE: Seafood consumption is promoted for its many health benefits even though its contamination by mercury, a known neurotoxin, is a growing concern., OBJECTIVE: To determine whether seafood consumption is correlated with increased brain mercury levels and also whether seafood consumption or brain mercury levels are correlated with brain neuropathologies., DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional analyses of deceased participants in the Memory and Aging Project clinical neuropathological cohort study, 2004-2013. Participants resided in Chicago retirement communities and subsidized housing. The study included 286 autopsied brains of 554 deceased participants (51.6%). The mean (SD) age at death was 89.9 (6.1) years, 67% (193) were women, and the mean (SD) educational attainment was 14.6 (2.7) years., EXPOSURES: Seafood intake was first measured by a food frequency questionnaire at a mean of 4.5 years before death., MAIN OUTCOMES AND MEASURES: Dementia-related pathologies assessed were Alzheimer disease, Lewy bodies, and the number of macroinfarcts and microinfarcts. Dietary consumption of seafood and n-3 fatty acids was annually assessed by a food frequency questionnaire in the years before death. Tissue concentrations of mercury and selenium were measured using instrumental neutron activation analyses., RESULTS: Among the 286 autopsied brains of 544 participants, brain mercury levels were positively correlated with the number of seafood meals consumed per week (rho = 0.16; P = .02). In models adjusted for age, sex, education, and total energy intake, seafood consumption (>= 1 meal[s]/week) was significantly correlated with less Alzheimer disease pathology including lower density of neuritic plaques (beta = -0.69 score units [95% CI, -1.34 to -0.04]), less severe and widespread neurofibrillary tangles (beta = -0.77 score units [95% CI, -1.52 to -0.02]), and lower neuropathologically defined Alzheimer disease (beta = -0.53 score units [95% CI, -0.96 to -0.10]) but only among apolipoprotein E (APOE epsilon4) carriers. Higher intake levels of alpha-linolenic acid (18:3 n-3) were correlated with lower odds of cerebral macroinfarctions (odds ratio for tertiles 3 vs 1, 0.51 [95% CI, 0.27 to 0.94]). Fish oil supplementation had no statistically significant correlation with any neuropathologic marker. Higher brain concentrations of mercury were not significantly correlated with increased levels of brain neuropathology., CONCLUSIONS AND RELEVANCE: In cross-sectional analyses, moderate seafood consumption was correlated with lesser Alzheimer disease neuropathology. Although seafood consumption was also correlated with higher brain levels of mercury, these levels were not correlated with brain neuropathology. DA - 2016/// PY - 2016 DO - 10.1001/jama.2015.19451 VL - 315 IS - 5 SP - 489 EP - 97 J2 - JAMA SN - 1538-3598 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26836731 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cross-Sectional Studies KW - Educational Status KW - Diet Records KW - Autopsy KW - *Alzheimer Disease/pa [Pathology] KW - *Brain Chemistry KW - *Fatty Acids, Omega-3/ad [Administration & Dosage] KW - *Mercury/an [Analysis] KW - *Seafood/ae [Adverse Effects] KW - Apolipoprotein E4/an [Analysis] KW - Cerebellum/ch [Chemistry] KW - Cerebellum/pa [Pathology] KW - Frontal Lobe/ch [Chemistry] KW - Frontal Lobe/pa [Pathology] KW - Selenium/an [Analysis] KW - Temporal Lobe/ch [Chemistry] KW - Temporal Lobe/pa [Pathology] ER - TY - JOUR TI - Fall Prevention for Older Adults Receiving Home Healthcare. AU - Bamgbade, Sarah AU - Dearmon, Valorie T2 - Home healthcare now AB - Falls pose a significant risk for community-dwelling older adults. Fall-related injuries increase healthcare costs related to hospitalization, diagnostic procedures, and/or surgeries. This article describes a quality improvement project to reduce falls in older adults receiving home healthcare services. The fall prevention program incorporated best practices for fall reduction, including fall risk assessment, medication review/management, home hazard and safety assessment, staff and patient fall prevention education, and an individualized home-based exercise program. The program was implemented and evaluated during a 6-month time frame. Fewer falls occurred post implementation of the falls prevention program with no major injuries. DA - 2016/// PY - 2016 DO - 10.1097/NHH.0000000000000333 VL - 34 IS - 2 SP - 68 EP - 75 J2 - Home healthc. now SN - 2374-4537 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26835805 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - *Accidental Falls/pc [Prevention & Control] KW - *Independent Living KW - *Home Care Services/og [Organization & Administration] KW - Patient Education as Topic KW - *Accidents, Home/pc [Prevention & Control] ER - TY - JOUR TI - The prevalence of skin tears in the acute care setting in Singapore. AU - Chang, Yee Y AU - Carville, Keryln AU - Tay, Ai C T2 - International wound journal AB - Skin tears appear to be a hidden and extensive problem despite an increased focus in the literature on skin tear epidemiology, prevention strategies and management modalities. Currently, there has been no report of skin tear epidemiology published in Singapore. The aim of the present study was to pilot the methodology by WoundWest at one of the tertairy hospitals in Singapore. The secondary objective was to determine the prevalence and current nursing management of skin tears within two selected acute medical wards in the hospital. A point prevalence survey was conducted within the two medical wards. Six registered nurses acted as the surveyors and underwent pre-survey education. Inter-rater reliability testing was conducted. Surveyors were paired and performed skin examinations on all available patients in the two wards. Data were collected on age, gender, skin tear anatomical locations, their Skin Tear Audit Research categories, dressings used on identified skin tears and related documentation. A total of 144 (98%) patients consented to skin inspections. Findings demonstrated a skin tear prevalence of 6.2%; all skin tears were found to be hospital-acquired and located on the extremities. Most (78%) were in the age range of 70-89 years. There was a dearth in nursing documentation of the skin tears identified and their management. The findings suggested that nurses were lacking in the knowledge of skin tears, and documentation, if available, was not consistent. There is an urgent clinical need for the implementation of a validated skin tear classification tool; standardised protocols for skin tear prevention and management; and a comprehensive skin tear educational programme for hospital care staff. Quarterly hospital-wide skin tear prevalence surveys are also needed to evaluate improvement strategies. Copyright © 2016 Medicalhelplines.com Inc and John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/iwj.12572 VL - 13 IS - 5 SP - 977 EP - 83 J2 - Int Wound J SN - 1742-481X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26833792 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Singapore/ep [Epidemiology] KW - *Critical Care/sn [Statistics & Numerical Data] KW - *Lacerations/ep [Epidemiology] KW - *Skin/in [Injuries] KW - *Tertiary Care Centers/sn [Statistics & Numerical Data] ER - TY - JOUR TI - False-positive QuantiFERON TB-Gold test due to Mycobacterium gordonae. AU - Gajurel, Kiran AU - Subramanian, Aruna K T2 - Diagnostic microbiology and infectious disease AB - We report a case of QuantiFERON TB-Gold conversion associated to Mycobacterium gordonae in an elderly male from an assisted living facility without known risk factors for tuberculosis. This knowledge of environmental mycobacteria causing positive quantiferon assays is important to avoid unnecessary treatment of false-positive latent tuberculosis, especially in the absence of well-established positive predictive value of quantiferon conversion. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.diagmicrobio.2015.10.020 VL - 84 IS - 4 SP - 315 EP - 7 J2 - Diagn Microbiol Infect Dis SN - 1879-0070 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26827092 KW - Humans KW - Male KW - Aged, 80 and over KW - Assisted Living Facilities KW - *Latent Tuberculosis/di [Diagnosis] KW - *False Positive Reactions KW - *Interferon-gamma Release Tests/mt [Methods] KW - *Nontuberculous Mycobacteria/ip [Isolation & Purification] ER - TY - JOUR TI - Using the capability approach to understand the determinants of subjective well-being among community-dwelling older people in New Zealand. AU - Yeung, Polly AU - Breheny, Mary T2 - Age and ageing AB - BACKGROUND: as the longevity of the population increases, attention has turned to quality of life of older people as a component of healthy ageing. The objective of this study was to use Welch Saleeby's model of the capability approach to explore the determinants of subjective well-being among older people., METHODS: this analysis used data from a sample of older people, aged 50-87, from 2012 wave of the New Zealand Longitudinal Study of Ageing (NZLSA) (n = 2,793). Structural equation modelling was used to examine the relationships between the commodities (number of chronic conditions reported, physical and mental health), and personal and environmental factors (economic living standard and discrimination), on the capabilities of older people to achieve well-being., RESULTS: the findings supported Welch Saleeby's model. Capabilities mediated the relationship between commodities and well-being, indicating that increasing the range of real opportunities available to older people is a key step in increasing well-being. Age and gender were also found to be significant moderators of these relationships. The relationship between economic living standards and well-being was weakest for the oldest participants, but experiences of discrimination had a stronger effect on well-being in this age group., CONCLUSION: Welch Saleeby's model of the capability approach provides a useful framework for advancing the ethics of care as it highlights the multidimensional nature of well-being in later life. Focusing on expanding capabilities for older people enables policymakers and practitioners to understand the resources and supports required to enable well-being in the context of health challenges. Copyright © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/ageing/afw002 VL - 45 IS - 2 SP - 292 EP - 8 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26826236 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Chronic Disease KW - *Quality of Life KW - Age Factors KW - Comorbidity KW - *Independent Living/px [Psychology] KW - Geriatric Assessment KW - Socioeconomic Factors KW - *Aging/px [Psychology] KW - *Health Status KW - New Zealand KW - *Mental Health KW - Models, Psychological KW - Resilience, Psychological KW - Ageism ER - TY - JOUR TI - Differences in physical aging measured by walking speed: evidence from the English Longitudinal Study of Ageing. AU - Weber, Daniela T2 - BMC geriatrics AB - BACKGROUND: Physical functioning and mobility of older populations are of increasing interest when populations are aging. Lower body functioning such as walking is a fundamental part of many actions in daily life. Limitations in mobility threaten independent living as well as quality of life in old age. In this study we examine differences in physical aging and convert those differences into the everyday measure of single years of age., METHODS: We use the English Longitudinal Study of Ageing, which was collected biennially between 2002 and 2012. Data on physical performance, health as well as information on economics and demographics of participants were collected. Lower body performance was assessed with two timed walks at normal pace each of 8 ft (2.4 m) of survey participants aged at least 60 years. We employed growth curve models to study differences in physical aging and followed the characteristic-based age approach to illustrate those differences in single years of age., RESULTS: First, we examined walking speed of about 11,700 English individuals, and identified differences in aging trajectories by sex and other characteristics (e.g. education, occupation, regional wealth). Interestingly, higher educated and non-manual workers outperformed their counterparts for both men and women. Moreover, we transformed the differences between subpopulations into single years of age to demonstrate the magnitude of those gaps, which appear particularly high at early older ages., CONCLUSIONS: This paper expands research on aging and physical performance. In conclusion, higher education provides an advantage in walking of up to 15 years for men and 10 years for women. Thus, enhancements in higher education have the potential to ensure better mobility and independent living in old age for a longer period. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0201-x VL - 16 IS - 100968548 SP - 31 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26822437 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - *Aging/ph [Physiology] KW - *Motor Activity/ph [Physiology] KW - Cross-Sectional Studies KW - Longitudinal Studies KW - Independent Living/px [Psychology] KW - Educational Status KW - England/ep [Epidemiology] KW - Aging/px [Psychology] KW - Quality of Life/px [Psychology] KW - Walking/px [Psychology] KW - *Walking/ph [Physiology] ER - TY - JOUR TI - Permanent Loss of Preoperative Independence in Elderly Patients Undergoing Hepatectomy: Key Factor in the Informed Consent Process. AU - Shutt, Travis A AU - Philips, Prejesh AU - Scoggins, Charles R AU - McMasters, Kelly M AU - Martin, Robert C G 2nd T2 - Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract AB - PURPOSE: Major (>3 segments of the liver) or minor hepatectomy has been demonstrated to provide the most definitive chance for long-term remission and disease-free survival in hepatic malignancies. However, concerns remain in regards to the ability of the elderly (>70 years old) and older (>80 years old) patients to "tolerate" this type of resection. Thus, the aim of this study was to determine the short- and long-term effects of hepatectomies in the elderly patient population., METHODS: An Institutional Review Board approved a prospectively maintained, single-institution HPB database with 663 consecutive hepatectomies from 2003 to 2013 was reviewed. Patients were separated into elderly (>70 years old) and older. Short-term effects were defined as a 30-day morbidity/mortality, and long-term effects were defined as a 90-day morbidity/mortality and the ability to regain preoperative functional independence. Comorbidities were compared using the Charleston Comorbidity Index (CCI). The log-rank and Wilcoxon tests were used to evaluate postoperative outcomes., RESULTS: A total of 663 patients were reviewed, 480 < 70y/o, 183 were 70 or older, 104 were 75 or older, and 41 were 80 or older. Patients over 70, 75, and 80 years of age showed a higher incidence of preoperative comorbidities than younger patients when compared using CCI (P < 0.05). Non-elderly patients had more liver lesions than elderly patients (median numbers only 3 vs. 1, P = 0.005). Patients over 70, 75, and 80 years old showed a higher 90-day mortality rate patients (11, 13, 17 %, respectively) to patients less than 70, 75 and 80 (3, 5, 5 %, respectively, P < 0.05) (Table). Patients over 70, 75, and 80 years old showed increased morbidity (53, 57, 66 %, respectively) than patients less than 70, 75, and 80 (39, 34, 41 %, respectively, P < 0.05). The severity of complication in elderly patients was similar to younger patients. Patients older than 70, 75, and 80 years showed an increased incidence of discharge to rehabilitation facilities (13, 15, 17 %, respectively) than patients less than 70, 75, and 80 (2, 3, 5 %, respectively, P = <0.001). Logistic regression demonstrated a significant risk of morbidity with an inability to return to preoperative function with a CCI > 5, major hepatectomy, and >75 years of age (HR 3.8, CI 2.1-5.6) CONCLUSIONS: This study demonstrates an increased rate of a 30- and 90-day postoperative mortality in >75-year old patients. Permanent loss of preoperative function (i.e., ability to live independently or alone) remains a significant risk and a subset of older patients. Communicating this loss of function as well as morbidity/mortality is key to the informed consent process for older patients as well as their families. DA - 2016/// PY - 2016 DO - 10.1007/s11605-015-3069-8 VL - 20 IS - 5 SP - 936 EP - 44 J2 - J Gastrointest Surg SN - 1873-4626 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26811246 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Communication KW - *Independent Living KW - Retrospective Studies KW - Time Factors KW - United States/ep [Epidemiology] KW - Age Factors KW - Comorbidity KW - Independent Living/sn [Statistics & Numerical Data] KW - Postoperative Period KW - Preoperative Period KW - *Hepatectomy KW - *Informed Consent KW - *Liver Neoplasms/su [Surgery] KW - Biliary Tract Diseases/ep [Epidemiology] KW - Biliary Tract Diseases/su [Surgery] KW - Hepatectomy/ae [Adverse Effects] KW - Hepatectomy/sn [Statistics & Numerical Data] KW - Liver Neoplasms/ep [Epidemiology] KW - Liver Neoplasms/sc [Secondary] ER - TY - JOUR TI - Effects on Weight, Blood Lipids, Serum Fatty Acid Profile and Coagulation by an Energy-Dense Formula to Older Care Residents: A Randomized Controlled Crossover Trial. AU - Tylner, Sara AU - Cederholm, Tommy AU - Faxen-Irving, Gerd T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: Dietary intake in frail old adults is often lower than estimated needs. The aim of this study was to evaluate the effects of an energy-dense oral supplement on nutritional status, food intake, and physical function in residents living in care residential homes., DESIGN: Randomized controlled intervention trial with a crossover design., SETTING: Five care residential homes in the southern Stockholm area., PARTICIPANTS: Older people living at care residential homes: age 65 or older, malnourished or at risk of malnutrition according to Mini Nutritional Assessment-Short Form (MNA-SF)., INTERVENTION: Energy-dense formula (oleic and linoleic acid emulsion enriched with protein and micronutrients) (Calogen Extra, Nutricia) 30 mL distributed 3 times daily for 6 weeks., MEASUREMENTS: Body weight, 3-day food and fluid record, appetite rating, and physical function (ie, Short Physical Performance Battery, grip strength, and peak expiratory flow). Biochemical indicators of nutritional status, blood lipids, and serum phospholipid fatty acid (FA) profile., RESULTS: Twenty-eight participants completed the 2 phases of the crossover study; group A (n = 14, 87 +/- 6 years, 50% women) and group B (n = 14, 82 +/- 8 years, 71% women). The intervention periods combined resulted in significantly (P < .05) increased energy intake (238 +/- 544 kcal), weight gain (1.4 +/- 3.7 kg), improved appetite, relative reduction of saturated FA and increase in polyunsaturated FA, increased apoliporotein A, and reduced serum fibrinogen (-0.9 +/- 1.5 g/L)., CONCLUSION: Distribution of an oleic and linoleic acid based fat emulsion enriched with protein and micronutrients (Calogen Extra) 3 times daily to old people in care residential homes improved nutritional status, had positive effects on fatty acid profile and blood lipids, and a potential antithrombotic effect. CLINICALTRIALS., GOV IDENTIFIER: NCT01259999. Copyright © 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jamda.2015.12.005 VL - 17 IS - 3 SP - 275.e5 EP - 11 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26810442 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - Nutritional Status KW - *Body Weight KW - Cross-Over Studies KW - *Energy Intake KW - *Blood Coagulation KW - *Fatty Acids/bl [Blood] KW - *Food, Formulated/ae [Adverse Effects] KW - *Lipids/bl [Blood] ER - TY - JOUR TI - Partner status and mental and physical health of independently living men aged 70 years and older. AU - Byles, Julie AU - Vo, Kha AU - Thomas, Louise AU - Mackenzie, Lynette AU - Kendig, Hal T2 - Australasian journal on ageing AB - AIM: To describe and compare the mental health and physical functioning of community-dwelling men aged 70 years and over who live alone, and those who live with their partner/spouse., METHOD: Data were obtained from the baseline survey of the New South Wales 45 and Up Study. Mental health was measured using the Kessler Psychological Distress Scale and physical health was measured using the Medical Outcome Short Form 36 physical functioning scale., RESULTS: 37 690 community-dwelling men aged 70 years or over were included in the analyses. Men living alone were more likely to have high psychological distress scores and lower physical functioning scores compared to men living with a spouse/partner within each age group, except those 85 and over., CONCLUSIONS: Specific health and welfare programs targeted to the increasing number of older men living alone may be needed to address their higher levels of psychological distress and lower levels of physical functioning. Copyright © 2015 AJA Inc. DA - 2016/// PY - 2016 DO - 10.1111/ajag.12234 VL - 35 IS - 2 SP - 143 EP - 6 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26810217 KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Geriatric Assessment/mt [Methods] KW - Age Factors KW - *Independent Living/px [Psychology] KW - Stress, Psychological/di [Diagnosis] KW - Psychiatric Status Rating Scales KW - *Stress, Psychological/px [Psychology] KW - *Aging/px [Psychology] KW - *Mental Health KW - Stress, Psychological/et [Etiology] KW - *Family Relations/px [Psychology] KW - *Spouses/px [Psychology] KW - *Single Person/px [Psychology] ER - TY - JOUR TI - Olfactory Dysfunction in Older Adults is Associated with Feelings of Depression and Loneliness. AU - Sivam, Anita AU - Wroblewski, Kristen E AU - Alkorta-Aranburu, Gorka AU - Barnes, Lisa L AU - Wilson, Robert S AU - Bennett, David A AU - Pinto, Jayant M T2 - Chemical senses AB - Olfactory dysfunction is a common complaint among physician visits. Olfactory loss affects quality of life and impairs function and activities of daily living. The purpose of our study was to assess the degree of odor identification associated with mental health. Olfactory function was measured using the brief smell identification test. Depressive symptoms were measured by the Center for Epidemiologic Studies Depression scale. Loneliness was assessed by the de Jong-Gierveld Loneliness Scale. Cognition was measured by a battery of 19 cognitive tests. The frequency of olfactory dysfunction in our study was ~40%. Older subjects had worse olfactory performance, as previously found. More loneliness was associated with worse odor identification. Similarly, symptoms of depression were associated with worse olfaction (among men). Although better global cognitive function was strongly associated with better odor identification, after controlling for multiple factors, the associations with depression and loneliness were unchanged. Clinicians should assess these mental health conditions when treating older patients who present with olfactory deficits. Copyright © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/chemse/bjv088 VL - 41 IS - 4 SP - 293 EP - 9 J2 - Chem Senses SN - 1464-3553 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26809485 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - Demography KW - Longitudinal Studies KW - Odds Ratio KW - Mental Health KW - *Loneliness/px [Psychology] KW - Linear Models KW - Cognition/ph [Physiology] KW - *Depression/co [Complications] KW - *Olfaction Disorders/co [Complications] KW - *Olfaction Disorders/pa [Pathology] ER - TY - JOUR TI - SmartFABER: Recognizing fine-grained abnormal behaviors for early detection of mild cognitive impairment. AU - Riboni, Daniele AU - Bettini, Claudio AU - Civitarese, Gabriele AU - Janjua, Zaffar Haider AU - Helaoui, Rim T2 - Artificial intelligence in medicine AB - OBJECTIVE: In an ageing world population more citizens are at risk of cognitive impairment, with negative consequences on their ability of independent living, quality of life and sustainability of healthcare systems. Cognitive neuroscience researchers have identified behavioral anomalies that are significant indicators of cognitive decline. A general goal is the design of innovative methods and tools for continuously monitoring the functional abilities of the seniors at risk and reporting the behavioral anomalies to the clinicians. SmartFABER is a pervasive system targeting this objective., METHODS: A non-intrusive sensor network continuously acquires data about the interaction of the senior with the home environment during daily activities. A novel hybrid statistical and knowledge-based technique is used to analyses this data and detect the behavioral anomalies, whose history is presented through a dashboard to the clinicians. Differently from related works, SmartFABER can detect abnormal behaviors at a fine-grained level., RESULTS: We have fully implemented the system and evaluated it using real datasets, partly generated by performing activities in a smart home laboratory, and partly acquired during several months of monitoring of the instrumented home of a senior diagnosed with MCI. Experimental results, including comparisons with other activity recognition techniques, show the effectiveness of SmartFABER in terms of recognition rates. Copyright © 2016 Elsevier B.V. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.artmed.2015.12.001 VL - 67 IS - bup, 8915031 SP - 57 EP - 74 J2 - Artif Intell Med SN - 1873-2860 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26809483 KW - Humans KW - Models, Theoretical KW - *Mental Disorders/di [Diagnosis] KW - *Cognition Disorders/di [Diagnosis] KW - Early Diagnosis ER - TY - JOUR TI - SmartSenior@home: Acceptance of an integrated ambient assisted living system. Results of a clinical field trial in 35 households. AU - Govercin, M AU - Meyer, S AU - Schellenbach, M AU - Steinhagen-Thiessen, E AU - Weiss, B AU - Haesner, M T2 - Informatics for health & social care AB - AIMS: The primary objective of the SmartSenior@home study was to examine the acceptance of the SmartSenior system by older adults., METHODS: Twenty-eight partners from industry and research, including the health care sector, worked collaboratively to implement services aiming to maximize independence in old age. The prospective cohort study was conducted in Potsdam, Germany, with n = 35 older adults between 55 and 88 years of age in their apartments. All participants underwent extensive pre- and post-study visits with in-home interviews, functional assessments for cognition, fine motor skills, and mobility as well as responding to questionnaires on user acceptance and quality of life., RESULTS: The results indicate moderate-to-high user acceptance for the SmartSenior system. In particular, the services for general assistance and health, such as audio/video communication, blood pressure monitoring, and communication with a health professional, were rated as very attractive. Less used and less accepted services were those promoting social interaction and reminder services., CONCLUSION: Besides reliable functioning of the SmartSenior system, the availability of a confidant seems to be the most significant acceptance factor. As one conclusion of this trial, it is possible to develop, integrate, and test an infrastructure for ambient assisted living services in real life. DA - 2016/// PY - 2016 DO - 10.3109/17538157.2015.1064425 VL - 41 IS - 4 SP - 430 EP - 47 J2 - Inform Health Soc Care SN - 1753-8165 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26809357 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - *Independent Living KW - *Quality of Life KW - Assisted Living Facilities KW - Germany KW - Prospective Studies KW - *Telemedicine KW - *Monitoring, Physiologic ER - TY - JOUR TI - Burden of Potentially Harmful Medications and the Association With Quality of Life and Mortality Among Institutionalized Older People. AU - Juola, Anna-Liisa AU - Pylkkanen, Sarita AU - Kautiainen, Hannu AU - Bell, J Simon AU - Bjorkman, Mikko P AU - Finne-Soveri, Harriet AU - Soini, Helena AU - Pitkala, Kaisu H T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: This study investigated the overlap among 3 different definitions of potentially harmful medication (PHM) use and the corresponding associations with resident quality of life and mortality., DESIGN: Cross-sectional study with 3-year follow-up for mortality., SETTING: Assisted living facilities and nursing homes in Helsinki and Kouvola, Finland., PARTICIPANTS: A total of 326 residents., MEASUREMENTS: PHM use was defined as (1) use of medications with anticholinergic properties, (2) use of Beers Criteria medications, and (3) concomitant use 3 or more psychotropic medications. Health-related quality of life (HRQoL) was assessed using the 15D and psychological well-being (PWB) scale. Residents self-rated their own health using a 4-point scale. Mortality data were obtained from central registers., RESULTS: There were 38.0%, 28.2%, and 12.6% of residents who used PHMs according to 1 (G1), 2 (G2), and 3 definitions (G3), respectively. Overall, 21.2% of residents did not use PHMs according to any of the 3 definitions (G0). There were no significant differences in comorbidity, cognition, or functioning among groups. In adjusted analyses, there was a stepwise association between use of multiple PHMs and poorer self-rated health, poorer PWB, and poorer HRQoL. There was no association in adjusted analyses between PHM use and 3-year mortality (47.8%-63.8%)., CONCLUSION: PHM use is highly prevalent in institutional settings, regardless of the definition of inappropriateness. Residents who used multiple categories of PHMs were at greatest risk of poor HRQoL, poor PWB, and poor self-rated health. However, there was no apparent association with increased mortality. Given the importance of quality of life as an outcome to older people, further efforts are needed to minimize PHM use in this setting. Copyright © 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jamda.2015.12.011 VL - 17 IS - 3 SP - 276.e9 EP - 14 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26805751 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Registries KW - Cross-Sectional Studies KW - *Assisted Living Facilities KW - *Quality of Life/px [Psychology] KW - *Nursing Homes KW - *Psychotropic Drugs KW - Finland/ep [Epidemiology] KW - *Mortality/td [Trends] KW - *Inappropriate Prescribing KW - *Cholinergic Antagonists KW - Contraindications KW - Polypharmacology ER - TY - JOUR TI - The joint association of depression and cognitive function with severe disability among community-dwelling older adults in Finland, Poland and Spain. AU - Olaya, Beatriz AU - Moneta, Maria Victoria AU - Koyanagi, Ai AU - Lara, Elvira AU - Miret, Marta AU - Ayuso-Mateos, Jose Luis AU - Chatterji, Somnath AU - Leonardi, Matilde AU - Koskinen, Seppo AU - Tobiasz-Adamczyk, Beata AU - Lobo, Antonio AU - Haro, Josep Maria T2 - Experimental gerontology AB - OBJECTIVES: To explore the joint association of depression and cognitive function with severe disability in nationally-representative samples of community-dwelling adults aged 50 years and older from Finland, Poland and Spain., DESIGN: Cross-sectional., SETTING: Community-based., PARTICIPANTS: Population-based sample of 7987 non-institutionalized adults aged 50 and older., MEASUREMENTS: The outcome was severe disability, defined as >= 90th percentile of the 12-item version of the World Health Organization Disability Assessment Schedule (WHODAS 2.0). Past 12-month DSM-IV major depressive disorder was assessed with the depression module of the WHO Composite International Diagnostic Interview (CIDI). A global cognitive function score was obtained through neuropsychological tests. Product terms between depression and cognition were introduced in multivariable logistic regression models to test for interaction., RESULTS: Lower cognitive function and depression were both significantly associated with severe disability in all countries. A significant interaction was only found in Finland where the ORs (95% CIs) of depression for severe disability at the 25th (worse), 50th, and 75th (better) percentiles of cognitive function were 7.26 (4.28-12.32), 11.1 (6.7-18.38), and 17.56 (9.29-33.2), respectively., CONCLUSION: People with depression and cognitive decline are likely to benefit from the usual evidence-based treatments to reduce the burden of disability. However, in Finland, those with better cognitive function may benefit from more aggressive depression treatment. Future research is warranted to assess whether our results may be replicated. DA - 2016/// PY - 2016 DO - 10.1016/j.exger.2016.01.010 VL - 76 IS - epq, 0047061 SP - 39 EP - 45 J2 - Exp Gerontol SN - 1873-6815 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26805608 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Europe KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - Cross-Sectional Studies KW - Age Factors KW - *Independent Living/px [Psychology] KW - Severity of Illness Index KW - Odds Ratio KW - Neuropsychological Tests KW - Psychiatric Status Rating Scales KW - *Cognition Disorders/px [Psychology] KW - Prognosis KW - Multivariate Analysis KW - *Cognition KW - Cognition Disorders/di [Diagnosis] KW - Cognition Disorders/ep [Epidemiology] KW - Depressive Disorder, Major/th [Therapy] KW - *Disability Evaluation KW - Chi-Square Distribution KW - Cognition Disorders/th [Therapy] KW - *Depressive Disorder, Major/px [Psychology] KW - Depressive Disorder, Major/di [Diagnosis] KW - Depressive Disorder, Major/ep [Epidemiology] ER - TY - JOUR TI - Why is polypharmacy increasing in aged care facilities? The views of Australian health care professionals. AU - Jokanovic, Natali AU - Tan, Edwin C K AU - Dooley, Michael J AU - Kirkpatrick, Carl M AU - Elliott, Rohan A AU - Bell, J Simon T2 - Journal of evaluation in clinical practice AB - RATIONALE, AIMS AND OBJECTIVES: The prevalence of polypharmacy in residential aged care facilities (RACFs) is high and increasing. Although not necessarily inappropriate, polypharmacy has been associated with drug interactions, adverse drug events, geriatric syndromes and hospital admissions. The aim of this study was to identify and prioritize factors contributing to the increasing prevalence of polypharmacy in RACFs., METHODS: Seventeen health care professionals from metropolitan and regional Victoria and South Australia identified and prioritized factors using a modified nominal group technique., RESULTS: The top five factors ranked from most important to fifth most important were 'changes in resident mix', 'increasing numbers of prescribers and the reluctance of one prescriber to discontinue a medicine commenced by another prescriber', 'better adherence to clinical practice guidelines', 'increasing reliance on locums' and 'greater recognition and pharmacological management of pain'., CONCLUSIONS: Reasons for the increase in polypharmacy are multifactorial. Understanding the factors contributing to polypharmacy may help to guide future research and develop interventions to manage polypharmacy in RACFs. Copyright © 2016 John Wiley & Sons, Ltd. DA - 2016/// PY - 2016 DO - 10.1111/jep.12514 VL - 22 IS - 5 SP - 677 EP - 82 J2 - J Eval Clin Pract SN - 1365-2753 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26804719 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Victoria KW - *Homes for the Aged KW - *Polypharmacy KW - *Attitude of Health Personnel ER - TY - JOUR TI - Comparative trends in incident fracture rates for all long-term care and community-dwelling seniors in Ontario, Canada, 2002-2012. AU - Papaioannou, A AU - Kennedy, C C AU - Ioannidis, G AU - Cameron, C AU - Croxford, R AU - Adachi, J D AU - Mursleen, S AU - Jaglal, S T2 - Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA AB - SUMMARY: In this population-based study, we compared incident fracture rates in long-term care (LTC) versus community seniors between 2002 and 2012. Hip fracture rates declined more rapidly in LTC than in the community. An excess burden of fractures occurred in LTC for hip, pelvis, and humerus fractures in men and hip fractures only in women., INTRODUCTION: This study compares trends in incident fracture rates between long-term care (LTC) and community-dwelling seniors >=65 years, 2002-2012., METHODS: This is a population-based cohort study using administrative data. Measurements were age/sex-adjusted incident fracture rates and rate ratios (RR) and annual percent change (APC)., RESULTS: Over 11 years, hip fracture rates had a marked decline occurring more rapidly in LTC (APC, -3.49 (95% confidence interval (CI), -3.97, -3.01)) compared with the community (APC, -2.93 (95% CI, -3.28, -2.57); p < 0.05 for difference in slopes). Humerus and wrist fracture rates decreased; however, an opposite trend occurred for pelvis and spine fractures with rates increasing over time in both cohorts (all APCs, p < 0.05). In 2012, incident hip fracture rates were higher in LTC than the community (RRs: women, 1.55 (95% CI, 1.45, 1.67); men, 2.18 (95% CI, 1.93, 2.47)). Higher rates of pelvis (RR, 1.48 (95% CI, 1.22, 1.80)) and humerus (RR, 1.40 (95% CI, 1.07, 1.84)) fractures were observed in LTC men, not women. In women, wrist (RR, 0.76 (95% CI, 0.71, 0.81)) and spine (RR, 0.52 (95% CI, 0.45, 0.61)) fracture rates were lower in LTC than the community; in men, spine (RR, 0.75 (95% CI, 0.57, 0.98) but not wrist fracture (RR, 0.91 (95% CI, 0.67, 1.23)) rates were significantly lower in LTC than the community., CONCLUSION: Previous studies in the community have shown declining hip fracture rates over time, also demonstrated in our study but at a more rapid rate in LTC. Rates of humerus and wrist fractures also declined. An excess burden of fractures in LTC occurred for hip fractures in women and for hip, pelvis, and humerus fractures in men. DA - 2016/// PY - 2016 DO - 10.1007/s00198-015-3477-3 VL - 27 IS - 3 SP - 887 EP - 897 J2 - Osteoporos Int SN - 1433-2965 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26801930 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Residence Characteristics KW - Cohort Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Long-Term Care/sn [Statistics & Numerical Data] KW - Ontario/ep [Epidemiology] KW - Forecasting KW - Incidence KW - Sex Distribution KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Hip Fractures/ep [Epidemiology] KW - *Osteoporotic Fractures/ep [Epidemiology] ER - TY - JOUR TI - Intravenous Thrombolysis in Patients Dependent on the Daily Help of Others Before Stroke. AU - Gensicke, Henrik AU - Strbian, Daniel AU - Zinkstok, Sanne M AU - Scheitz, Jan F AU - Bill, Olivier AU - Hametner, Christian AU - Moulin, Solene AU - Zini, Andrea AU - Kagi, Georg AU - Pezzini, Alessandro AU - Padjen, Visnja AU - Bejot, Yannick AU - Corbiere, Sydney AU - Zonneveld, Thomas P AU - Seiffge, David J AU - Roos, Yvo B AU - Traenka, Christopher AU - Putaala, Jukka AU - Peters, Nils AU - Bonati, Leo H AU - Curtze, Sami AU - Erdur, Hebun AU - Sibolt, Gerli AU - Koch, Peter AU - Vandelli, Laura AU - Ringleb, Peter AU - Leys, Didier AU - Cordonnier, Charlotte AU - Michel, Patrik AU - Nolte, Christian H AU - Lyrer, Philippe A AU - Tatlisumak, Turgut AU - Nederkoorn, Paul J AU - Engelter, Stefan T AU - Thrombolysis in Stroke Patients (TriSP) Collaborators T2 - Stroke AB - BACKGROUND AND PURPOSE: We compared outcome and complications in patients with stroke treated with intravenous thrombolysis (IVT) who could not live alone without help of another person before stroke (dependent patients) versus independent ones., METHODS: In a multicenter IVT-register-based cohort study, we compared previously dependent (prestroke modified Rankin Scale score, 3-5) versus independent (prestroke modified Rankin Scale score, 0-2) patients. Outcome measures were poor 3-month outcome (not reaching at least prestroke modified Rankin Scale [dependent patients]; modified Rankin Scale score of 3-6 [independent patients]), death, and symptomatic intracranial hemorrhage. Unadjusted and adjusted odds ratios (ORs) with 95% confidence intervals (OR [95% confidence interval]) were calculated., RESULTS: Among 7430 IVT-treated patients, 489 (6.6%) were dependent and 6941 (93.4%) were independent. Previous stroke, dementia, heart, and bone diseases were the most common causes of preexisting dependency. Dependent patients were more likely to die (ORunadjusted, 4.55 [3.74-5.53]; ORadjusted, 2.19 [1.70-2.84]). Symptomatic intracranial hemorrhage occurred equally frequent (4.8% versus 4.5%). Poor outcome was more frequent in dependent (60.5%) than in independent (39.6%) patients, but the adjusted ORs were similar (ORadjusted, 0.95 [0.75-1.21]). Among survivors, the proportion of patients with poor outcome did not differ (35.7% versus 31.3%). After adjustment for age and stroke severity, the odds of poor outcome were lower in dependent patients (ORadjusted, 0.64 [0.49-0.84])., CONCLUSIONS: IVT-treated stroke patients who were dependent on the daily help of others before stroke carry a higher mortality risk than previously independent patients. The risk of symptomatic intracranial hemorrhage and the likelihood of poor outcome were not independently influenced by previous dependency. Among survivors, poor outcome was avoided at least as effectively in previously dependent patients. Thus, withholding IVT in previously dependent patients might not be justified. Copyright © 2016 American Heart Association, Inc. DA - 2016/// PY - 2016 DO - 10.1161/STROKEAHA.115.011674 VL - 47 IS - 2 SP - 450 EP - 6 J2 - Stroke SN - 1524-4628 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26797662 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - *Independent Living KW - Cohort Studies KW - *Activities of Daily Living KW - *Registries KW - *Stroke/dt [Drug Therapy] KW - *Thrombolytic Therapy KW - Administration, Intravenous ER - TY - JOUR TI - A review of the implementation and research strategies of advance care planning in nursing homes. AU - Flo, E AU - Husebo, B S AU - Bruusgaard, P AU - Gjerberg, E AU - Thoresen, L AU - Lillemoen, L AU - Pedersen, R T2 - BMC geriatrics AB - BACKGROUND: Nursing home (NH) patients have complex health problems, disabilities and needs for Advance Care Planning (ACP). The implementation of ACP in NHs is a neglected research topic, yet it may optimize the intervention efficacy, or provide explanations for low efficacy. This scoping review investigates methods, design and outcomes and the implementation of ACP (i.e., themes and guiding questions, setting, facilitators, implementers, and promoters/barriers)., METHODS: A systematic search using ACP MESH terms and keywords was conducted in CINAHL, Medline, PsychINFO, Embase and Cochrane libraries. We excluded studies on home-dwelling and hospital patients, including only specific diagnoses and/or chart-based interventions without conversations., RESULTS: Sixteen papers were included. There were large variations in definitions and content of ACP, study design, implementation strategies and outcomes. Often, the ACP intervention or implementation processes were not described in detail. Few studies included patients lacking decision-making capacity, despite the fact that this group is significantly present in most NHs. The chief ACP implementation strategy was education of staff. Among others, ACP improved documentation of and adherence to preferences. Important implementation barriers were non-attending NH physicians, legal challenges and reluctance to participate among personnel and relatives., CONCLUSION: ACP intervention studies in NHs are few and heterogeneous. Variation in ACP definitions may be related to cultural and legal differences. This variation, along with sparse information about procedures, makes it difficult to collate and compare research results. Essential implementation considerations relate to the involvement and education of nurses, physicians and leaders. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0179-4 VL - 16 IS - 100968548 SP - 24 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26797091 KW - Humans KW - *Terminal Care KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Advance Care Planning/og [Organization & Administration] KW - *Aging/px [Psychology] KW - Communication Barriers KW - *Mental Competency KW - Terminal Care/mt [Methods] KW - Terminal Care/px [Psychology] KW - Decision Making/es [Ethics] ER - TY - JOUR TI - The institutionalized elderly: sociodemographic and clinical-functional profiles related to dizziness. AU - Rosa, Tabada Samantha Marques AU - Moraes, Anaelena Braganca de AU - Santos Filha, Valdete Alves Valentins dos T2 - Brazilian journal of otorhinolaryngology AB - INTRODUCTION: Dizziness is among the most common complaints in the elderly population., OBJECTIVE: To determine the sociodemographic and clinical-functional profiles of institutionalized elderly people related to dizziness., METHODS: Cross-sectional prospective study with institutionalized elderly people aged 60 or more years. A questionnaire on sociodemographic and clinical-functional characteristics was applied, and an anamnesis of occurrence of dizziness was held, as well as the Dizziness Handicap Inventory questionnaire., RESULTS: 48.9% of the elderly subjects had dizziness. The mean numbers of diseases and medications associated with dizziness were, respectively, 4.5 diseases and 7.8 medications. We found a significant association between the occurrence of dizziness and diseases of the musculoskeletal system, sub-connective tissue and genitourinary system, as well as the use of medications for the musculoskeletal system. The scores for handicap degree in functional DHI were significantly higher among elderly subjects who needed walking aids, who had suffered falls, and those manifesting anxiety., CONCLUSION: Our sample included subjects of advanced age, primarily women, who were institutionalized less than five years, with multiple diseases and polypharmacy users. They presented long-standing short-duration mixed dizziness, that occurred more than once a month and affected mainly the functional aspect. Copyright © 2015 Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.bjorl.2014.12.014 VL - 82 IS - 2 SP - 159 EP - 69 J2 - Rev Bras Otorrinolaringol (Engl Ed) SN - 1808-8686 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26796471 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Prospective Studies KW - Socioeconomic Factors KW - *Geriatric Assessment KW - *Disability Evaluation KW - *Dizziness/di [Diagnosis] KW - Dizziness/pp [Physiopathology] ER - TY - JOUR TI - Geriatric nursing home falls: A single institution cross-sectional study. AU - Botwinick, Isadora AU - Johnson, Joshua H AU - Safadjou, Saman AU - Cohen-Levy, Wayne AU - Reddy, Srinivas H AU - McNelis, John AU - Teperman, Sheldon H AU - Stone, Melvin E Jr T2 - Archives of gerontology and geriatrics AB - BACKGROUND: Falls are the leading cause of fatal injury in geriatric patients. Nursing home falls occur at twice the rate of community falls, yet few studies have compared these groups. We hypothesized that nursing home residents admitted for fall would be sicker than their community counterparts on presentation and have worse outcomes., METHODS: Records of 1708 patients, age 65 years and older with a documented nursing home status, admitted to our center between 2008 and 2012 were reviewed. Clinical data including injury severity score (ISS), admission Glasgow coma scale (GCS), in-hospital complications, length of stay (LOS), and in-hospital mortality were collected. Continuous data were analyzed using Mann-Whitney tests and categorical data using Fisher exact tests. Variables in the univariate tests were analyzed in a multivariate logistic regression., RESULTS: Nursing home patients were older than community patients, presented with lower GCS, lower hemoglobin, higher international normalized ratio (INR) and a higher percentage of patients with body mass index (BMI)<18.5. LOS for nursing home patients was longer, and they suffered higher rates of in-hospital complications. ISS, rates of traumatic brain injury, operative intervention and mortality were not significantly different. In a multivariate logistic regression, ISS, GCS and age, but not nursing home status, were significant predictors of in-hospital mortality., CONCLUSIONS: In comparison to their community counterparts, nursing home patients presenting after fall are more debilitated and have increased morbidity as evidenced by more in-house complications and increased LOS. However, nursing home residency was not a significant predictor of mortality. Copyright © 2015. Published by Elsevier Ireland Ltd. DA - 2016/// PY - 2016 DO - 10.1016/j.archger.2015.12.002 VL - 63 IS - 8214379, 7ax SP - 43 EP - 8 J2 - Arch Gerontol Geriatr SN - 1872-6976 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26791170 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Geriatric Nursing KW - *Length of Stay/sn [Statistics & Numerical Data] KW - Injury Severity Score KW - Accidental Falls/mo [Mortality] KW - *Hospital Mortality KW - Glasgow Coma Scale ER - TY - JOUR TI - Prevalence and Clinical Characteristics of Prefrailty in Elderly Adults: Differences According to Degree of Urbanization. AU - Lorenzo-Lopez, Laura AU - Lopez-Lopez, Rocio AU - Maseda, Ana AU - Diego-Diez, Clara AU - Gomez-Caamano, Sarai AU - Millan-Calenti, Jose C T2 - Journal of the American Geriatrics Society DA - 2016/// PY - 2016 DO - 10.1111/jgs.13908 VL - 64 IS - 1 SP - 221 EP - 3 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26782886 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Prevalence KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - *Rural Population/sn [Statistics & Numerical Data] KW - Risk Assessment/mt [Methods] KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - Disability Evaluation KW - *Urban Population/sn [Statistics & Numerical Data] KW - Spain/ep [Epidemiology] KW - Early Medical Intervention/mt [Methods] KW - Early Diagnosis ER - TY - JOUR TI - Improving the Quality of Care of Long-Stay Nursing Home Residents in France. AU - Rolland, Yves AU - Mathieu, Celine AU - Piau, Christine AU - Cayla, Francoise AU - Bouget, Catherine AU - Vellas, Bruno AU - de Souto Barreto, Philipe T2 - Journal of the American Geriatrics Society AB - The aim of the Impact d'une demarche QUAlite sur l'evolution des pratiques et le declin fonctionnel des Residents en Etablissement d'hebergement pour personnes agees dependantes (IQUARE) study was to examine the effects of a global intervention comprising professional support and education for nursing home (NH) staff on quality indicators (QIs) and functional decline and emergency department (ED) transfers of residents. One hundred seventy-five NHs in France (a total of 6,275 residents randomly selected from NHs) volunteered and were enrolled in a nonrandomized controlled multicenter individually customize trial with 18-month follow-up. NHs were allocated to a quality audit and feedback intervention (control group: 90 NHs, 3,258 residents) or to the quality audit and feedback intervention plus collaborative work meetings between a hospital geriatrician and NH staff (experimental group: 85 NHs, 3,017 residents). At the NH level, prevalence of assessment of kidney function, cognitive function, risk of pressure ulcers, behavioral disturbances, depression, pain, weight measurement, and transfer to the ED were recorded. Ability to perform basic activities of daily living was assessed at the resident level. At baseline, NH QIs were generally low (with large standard deviations), and annual rate of transfer to the ED was high (~20%) and similar in both groups. The intervention had a significant positive effect on the prevalence of assessment of pressure ulcer risk, depression, pain, and prevalence of ED transfers. It had no significant effect on functional decline. Large-scale efforts to improve QIs involving collaboration between hospital and NH providers and based on audit and collaborative discussion are feasible and improve some aspects of quality of care in NHs. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/jgs.13874 VL - 64 IS - 1 SP - 193 EP - 9 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26782872 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Activities of Daily Living KW - Prevalence KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Homes for the Aged/st [Standards] KW - Nursing Homes/st [Standards] KW - Quality Improvement KW - Depression/ep [Epidemiology] KW - *Geriatric Assessment KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - *Quality Indicators, Health Care KW - Patient Transfer/st [Standards] KW - Long-Term Care/mt [Methods] KW - France/ep [Epidemiology] KW - Staff Development/mt [Methods] KW - Long-Term Care/st [Standards] KW - Pressure Ulcer/ep [Epidemiology] KW - Depression/pc [Prevention & Control] KW - Patient Transfer/mt [Methods] KW - Pressure Ulcer/pc [Prevention & Control] KW - Quality Indicators, Health Care/sn [Statistics & Numerical Data] KW - Quality Indicators, Health Care/st [Standards] KW - Staff Development/st [Standards] ER - TY - JOUR TI - Longitudinal Pressure Ulcer Rates After Adoption of Culture Change in Veterans Health Administration Nursing Homes. AU - Hartmann, Christine W AU - Shwartz, Michael AU - Zhao, Shibei AU - Palmer, Jennifer A AU - Berlowitz, Dan R T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To examine facility-level pressure ulcer (PrU) development rates and variations in these rates after a system-wide adoption of culture change in Veterans Health Administration (VHA) nursing homes., DESIGN: Four-year retrospective longitudinal design., SETTING: VHA facilities (N=109) representing 132 nursing homes known as community living centers (CLCs)., PARTICIPANTS: VHA nursing home residents., MEASUREMENTS: PrUs were identified using fiscal year (FY) 2008-11 Minimum Data Set (MDS) data. PrU development was defined as a Stage 2 or larger PrU on an MDS assessment with no PrU on the previous assessment. A risk adjustment model was developed using 105,274 MDS observations to predict the likelihood of PrUs (c-statistic=0.72). A Bayesian hierarchical model that adjusted for differences in the precision of PrU rates from different-size facilities was used to calculate smoothed risk-adjusted (SRA) rates for each facility. The statistical significance of the trend over the 4 years was determined by examining the 95% interval estimate for the slope., RESULTS: Over the 4-year period, the beginning of which coincided with the VHA's system-wide adoption of culture change as a performance measure, median SRA facility PrU development rates were fairly consistent at approximately 4%. The range in SRA rates declined over the years, from a 14.8-percentage point spread to 10.1-percentage point spread. Some facilities had significantly improving SRA rates (e.g., declined steadily from 5.5% to 3.9%) and some had significantly worsening SRA rates (e.g., increased steadily from 5.1% to 7.9%). Seven sites had significantly improving rates (P<.001) that were below the median across all 4 years., CONCLUSION: A system-wide culture change implementation did not affect CLC PrU development rates, but there was significant variation in facility rates, and some facilities had sustained high performance. Copyright Published 2016. This article is a U.S. Government work and is in the public domain in the USA. DA - 2016/// PY - 2016 DO - 10.1111/jgs.13879 VL - 64 IS - 1 SP - 151 EP - 5 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26782865 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Retrospective Studies KW - United States/ep [Epidemiology] KW - *Homes for the Aged KW - *Nursing Homes KW - Longitudinal Studies KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Homes for the Aged/st [Standards] KW - Nursing Homes/st [Standards] KW - Severity of Illness Index KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Organizational Culture KW - Long-Term Care/mt [Methods] KW - Risk Adjustment KW - Veterans KW - Long-Term Care/st [Standards] KW - Pressure Ulcer/di [Diagnosis] KW - Pressure Ulcer/ep [Epidemiology] KW - Pressure Ulcer/pc [Prevention & Control] KW - *Pressure Ulcer KW - Pressure Ulcer/et [Etiology] ER - TY - JOUR TI - Difference in the impact of homebound status on functional decline between independent older men and women: A 2 year follow-up study. AU - Hamazaki, Yuko AU - Morikawa, Yuko AU - Morimoto, Shigeto AU - Nakagawa, Hideaki T2 - Japan journal of nursing science : JJNS AB - AIM: To investigate the association between homebound status and functional decline over a 2 year follow-up period and the sex difference in its association., METHODS: The study subjects were 2956 independently living older individuals (1267 men, 1679 women). Homebound persons were defined as individuals who left home less than once a week. Subjects judged to be eligible for a support program or long-term care by the committee of the long-term care insurance system were considered functionally dependent. Using a Cox proportional hazard model, the present authors evaluated the association between homebound status and onset of functional dependence., RESULTS: Of the 2946 subjects, 223 (7.6%) were homebound. During the follow-up period, 153 subjects became functionally dependent. Adjusting for age and household type, the hazard ratio (HR) for onset of functional dependence in the homebound group (compared with the non-homebound group) was 5.46 (95% confidence interval [CI], 3.00-9.94) for men and 2.62 (95% CI, 1.66-4.14) for women. After adjustment for locomotor function, cognitive function, depressive state, age, and household type, the HR for onset of functional dependence in association with homebound status remained significantly increased in men (HR, 3.12 [95% CI, 1.59-6.10]), but not in women (HR, 1.43 [95% CI, 0.87-2.35])., CONCLUSION: This study suggests that homebound status is a risk for functional dependence in both men and women. In men, being homebound despite intact functional ability was also a risk for functional dependence. Considering the respective characteristics of each sex may be important for planning support programs to prevent homebound for older persons. Copyright © 2016 Japan Academy of Nursing Science. DA - 2016/// PY - 2016 DO - 10.1111/jjns.12109 VL - 13 IS - 2 SP - 265 EP - 75 J2 - Jpn J Nurs Sci SN - 1742-7924 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26781947 KW - Female KW - Humans KW - Male KW - Aged KW - Follow-Up Studies KW - Japan KW - *Homebound Persons KW - Proportional Hazards Models ER - TY - JOUR TI - Use of the frailty index in evaluating the prognosis of older people in Beijing: A cohort study with an 8-year follow-up. AU - Ma, Lina AU - Zhang, Li AU - Tang, Zhe AU - Sun, Fei AU - Diao, Lijun AU - Wang, Jianping AU - Zhao, Xiaoling AU - Ge, Gaizhen T2 - Archives of gerontology and geriatrics AB - OBJECTIVE: Frailty is a significant healthcare challenge in China. However, the relationship between frailty and the prognosis of older people in China remains unclear. The present study aimed to evaluate the prevalence of frailty and determine if the frailty index, a comprehensive geriatric assessment, was associated with the prognosis of older people in a Chinese population., METHODS: Data were drawn from the Beijing Longitudinal Study of Aging, a representative cohort study with an 8-year follow-up. Evaluations based on the use of the frailty index were performed in a cohort of 1808 people aged 60 years and over residing in Beijing urban and rural areas. The initial survey was conducted in 2004, with follow-up surveys at 3, 5, and 8 years. Mortality data for all individuals were collected and analyzed., RESULTS: The frailty index and the age of individuals showed the same trend, with a higher frailty index expected as age increased. Respondents with the same frailty index level differed across factors such as sex and location. Male individuals, rural dwellers, and older individuals showed higher frailty rates than female individuals, urban dwellers, and younger individuals., CONCLUSIONS: Frailty is a condition associated with problems across multiple physiological systems. The frailty index increases with age, and may be a significant tool for evaluation of the prognosis of older people in China. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.archger.2015.11.002 VL - 64 IS - 8214379, 7ax SP - 172 EP - 7 J2 - Arch Gerontol Geriatr SN - 1872-6976 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26778493 KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Prevalence KW - Residence Characteristics KW - *Independent Living KW - *Geriatric Assessment/mt [Methods] KW - Follow-Up Studies KW - *Aging KW - Longitudinal Studies KW - Socioeconomic Factors KW - China/ep [Epidemiology] KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - Age Distribution KW - Sex Distribution KW - Prognosis KW - Rural Population KW - *Population Surveillance/mt [Methods] KW - Beijing ER - TY - JOUR TI - Association between eating alone and depressive symptom in elders: a cross-sectional study. AU - Wang, Xinyi AU - Shen, Wei AU - Wang, Chunmei AU - Zhang, Xiaoyi AU - Xiao, Yuanyuan AU - He, Fan AU - Zhai, Yujia AU - Li, Fudong AU - Shang, Xiaopeng AU - Lin, Junfen T2 - BMC geriatrics AB - BACKGROUND: Depression is one of the main health concerns in elders which could lead to many negative outcomes. Eating alone is an emerging issue in elders in China and would become more serious along with the fast course of industrialization and urbanization, as well as population aging. However, their relationship was seldom researched., METHODS: Using a two-stage cluster sampling strategy, an investigation was conducted in 2014 among 9,361 permanent residents aged 60 years and above in Zhejiang Province, China. Totally, 7,968 cognitively normal elders were included in our analysis. Multilevel logistic regression was used to explore the association between eating arrangement (number of companions in mealtime) and depressive symptom as well as the association between eating alone and depressive symptom in relation to living alone., RESULTS: In our sample, 17.1% of the elders ate alone and 8.7% had depressive symptom. We observed a distinct inverse association between eating arrangement (number of companions in mealtime) and geriatric depressive symptom (female: OR = 1.12, P = 0.027; aged 60-74 years: OR = 1.16, P = 0.002), after adjustment for demography, socioeconomic status, social relation, health behaviors, underlying conditions and living alone. We then introduced a combined variable of eating alone and living alone and examined its relationship with depressive symptom. We found that compared with elders who ate and lived with others, those who ate alone but lived with others had a significant increased odds of depressive symptom (female: OR = 1.62, P = 0.027; aged 60-74 years: OR = 1.59, P = 0.025)., CONCLUSIONS: Our results suggested that a lack of companionship in mealtime might be independently associated with geriatric depressive symptom for females and those aged 60-74 years. What's more, eating alone might be a stronger factor associated with depressive symptom than living alone. We recommend interventions to be performed in encouraging elders especially females and those aged 60-74 years to eat with others. Longitudinal studies in different populations which focus on this topic are required to better understand this issue. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0197-2 VL - 16 IS - 100968548 SP - 19 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26774626 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Interpersonal Relations KW - Cross-Sectional Studies KW - *Independent Living/px [Psychology] KW - China/ep [Epidemiology] KW - Depression/et [Etiology] KW - *Aging/px [Psychology] KW - Depression/px [Psychology] KW - *Feeding Behavior/px [Psychology] KW - *Loneliness KW - Social Class KW - *Health Behavior/eh [Ethnology] ER - TY - JOUR TI - The Effects of Spatial Enclosure on Social Interaction Between Older Adults With Dementia and Young Children. AU - Cerruti, Minyoung S AU - Shepley, Mardelle M T2 - HERD AB - OBJECTIVE: To examine the impact of spatial enclosures on social interaction between older adults with early stage dementia and young children., BACKGROUND: Intergenerational interaction through meaningful activities can promote positive affects and behaviors of children and older adults. The development of social interaction is closely related to the physical environment in association with personal competence of older adults with dementia and young children. However, minimal attention has been given to the role of physical environment in influencing intergenerational interaction., METHODS: A quasi-experiment examined the functional relationship between the amount of spatial enclosure and the types of social behaviors of older adults with dementia and young children. Semi-structured interviews, aided by a photographic simulation, were developed to explore the participants' perceptions of and experiences with the different degrees of spatial enclosure., RESULTS: Findings showed that the semienclosed spatial plan impacted both prosocial and antisocial behaviors of older adults with dementia in their interactions with young children. This apparent discrepancy was associated with two conflicting perceptions: a sense of openness and the lack of control due to distraction created by the loose visual boundary. There was no correlation between the elder-child neutral behaviors and the degrees of spatial enclosure., CONCLUSION: This study suggests that spaces with moderate openness without visual and acoustic distraction are the most desirable to promote prosocial behaviors of older adults with dementia and young children. Additionally, elder-child prosocial behaviors were likely facilitated by specific design features such as adequate personal space, the perception of openness, and possible spaces that provide both prospect and refuge in relation to spatial enclosure. Copyright © The Author(s) 2016. DA - 2016/// PY - 2016 DO - 10.1177/1937586715615348 VL - 9 IS - 3 SP - 63 EP - 81 J2 - HERD SN - 2167-5112 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26769251 KW - Female KW - Humans KW - Male KW - Child KW - Aged, 80 and over KW - Child, Preschool KW - *Assisted Living Facilities KW - *Dementia/px [Psychology] KW - *Social Environment KW - *Interpersonal Relations KW - *Facility Design and Construction KW - *Intergenerational Relations KW - Texas ER - TY - JOUR TI - How the perspectives of nursing assistants and frail elderly residents on their daily interaction in nursing homes affect their interaction: a qualitative study. AU - Lung, Chi-Chi AU - Liu, Justina Yat Wa T2 - BMC geriatrics AB - BACKGROUND: Good support from and positive relations with institutional staff can enhance the psychosocial wellbeing of residents admitted to a nursing home. Nursing assistants (NAs) interact most frequently with residents and play an important role in developing good rapport with them. Most studies have described the daily interactions between NAs and residents as task oriented. Only few have attempted to explore the perspectives of NAs and residents on their daily interactions. Therefore, the aim of this study was to identify the types of daily interactions perceived by NAs and residents. We also investigated those intentions/beliefs held by NAs and residents that might direct their interactive behaviors., METHODS: A descriptive, exploratory, qualitative approach was used to explore the perspectives of 18 NAs (mean age: 51) and 15 residents (mean age: 84.4) on their daily interactions. Unstructured in-depth interviews were used to collect data. All of the interviews were conducted from July to December 2013. The collected data were transcribed verbatim and analyzed by content analysis., RESULTS: Three types of interactions were found that described the NAs' and residents' perspectives on their daily interactions: (1) physiologically-oriented daily interactions; (2) cordial interactions intended to maintain a harmonious atmosphere; and (3) reciprocal social interactions intended to develop closer rapport. One or more themes reflecting the participants' intentions or beliefs were identified from each group to support each type of interaction., CONCLUSIONS: An over-emphasis on the formal caring relationship and over-concern about maintaining a harmonious atmosphere contributed to a superficial and distant relationship between the two parties. Building close rapport takes time and involves repeated reciprocal social interactions. The findings showed that with good intentions to establish closer rapport, both NAs and residents did favors for each other. All of those favors were easily integrated in the care provided to the residents without increasing the workload of the NAs. Modifying the training given to NAs and adjusting institutional policies are crucial to raising the competence of the NAs in building good relationships with residents. Positive interactions improve the psychosocial wellbeing of the residents and encourage them to cooperate during the delivery of care, thereby improving their overall health and contributing to the NAs' job satisfaction. DA - 2016/// PY - 2016 DO - 10.1186/s12877-016-0186-5 VL - 16 IS - 100968548 SP - 13 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26767789 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Attitude of Health Personnel KW - Interpersonal Relations KW - Qualitative Research KW - *Frail Elderly/px [Psychology] KW - Geriatric Assessment/mt [Methods] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Hong Kong KW - *Nurse-Patient Relations KW - Geriatric Nursing/mt [Methods] KW - Psychiatric Nursing/mt [Methods] ER - TY - JOUR TI - The facilitators of communication with people with dementia in a care setting: an interview study with healthcare workers. AU - Stanyon, Miriam Ruth AU - Griffiths, Amanda AU - Thomas, Shirley A AU - Gordon, Adam Lee T2 - Age and ageing AB - OBJECTIVES: to describe the views of healthcare workers on the facilitators of communication with people with dementia in a care setting., DESIGN: thematic analysis of semi-structured interviews., SETTING: all participants were interviewed in their place of work., PARTICIPANTS: sixteen healthcare workers whose daily work involves interacting with people with dementia., RESULTS: four overarching categories of themes were identified from the interviews that impact on communication: the attributes of a care worker, communication strategies used, organisational factors and the physical characteristics of the care environment., CONCLUSION: many strategies used by healthcare workers to facilitate communication have not yet been studied in the research literature. Participants' views on training should be incorporated into future dementia training programmes. Copyright © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1093/ageing/afv161 VL - 45 IS - 1 SP - 164 EP - 70 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26764403 KW - Humans KW - Workforce KW - *Health Personnel/px [Psychology] KW - *Homes for the Aged KW - *Nursing Homes KW - Interviews as Topic KW - *Attitude of Health Personnel KW - Clinical Competence KW - Dementia/px [Psychology] KW - *Health Knowledge, Attitudes, Practice KW - *Dementia/th [Therapy] KW - Health Services Research KW - *Communication KW - *Professional-Patient Relations KW - Dementia/di [Diagnosis] KW - *Geriatrics KW - Patient Care Team KW - Workplace ER - TY - JOUR TI - Analgesic prescribing patterns in Norwegian nursing homes from 2000 to 2011: trend analyses of four data samples. AU - Sandvik, Reidun AU - Selbaek, Geir AU - Kirkevold, Oyvind AU - Aarsland, Dag AU - Husebo, Bettina Sandgathe T2 - Age and ageing T3 - [Comment in: Age Ageing. 2016 Jan;45(1):7-8; PMID: 26764389 [https://www.ncbi.nlm.nih.gov/pubmed/26764389]][Erratum in: Age Ageing. 2016 Mar;45(2):323; PMID: 26941355 [https://www.ncbi.nlm.nih.gov/pubmed/26941355]] AB - BACKGROUND: the analgesic drug use has been reported to increase in general in nursing home patients. However, there is insufficient evidence in terms of what agents are used, variations of use over time and to whom these drugs are prescribed., OBJECTIVE: we investigated the prescribing patterns of scheduled analgesic drugs in Norwegian nursing home patients from 2000 to 2011, with the association to age, gender, cognitive function and type of nursing home unit., DESIGN: secondary analyses of four study samples (three observational studies and one randomised controlled trial)., SETTING AND SUBJECTS: nursing home patients included in study samples from 2000 (n = 1,926), 2004 (n = 1,163), 2009 (n = 850) and 2011 (n = 1,858) located in 14 Norwegian counties., METHODS: trend analyses of analgesic drug prescriptions. Percentages were described using t-test, chi(2) and Mann-Whitney U test and multivariate logistic regression., RESULTS: the odds ratio for receiving any pain medication in 2011 compared with 2000 was 2.6 (95% CI 2.23-2.91), this is corresponding to a 65% increase from 34.9 to 57.6%. The paracetamol prescription increased by 113%, from 22.7% in 2000 to 48.4% in 2011. Strong opioids (fentanyl, buprenorphine, morphine, oxycodone) increased from 1.9% in 2000 to 17.9% in 2011 (P < 0.001), whereas non-steroidal anti-inflammatory drug prescription decreased, from 6.8 to 3.2%. In 2000, 2004 and 2009, people with dementia received fewer analgesics compared with patients without dementia; no differences in analgesic drug use between the groups were found in 2011., CONCLUSIONS: the analgesic drug prescription increased significantly from 2000 to 2011, especially the use of paracetamol and strong opioids. We also highlight a possible change from under-prescription of analgesic medication in people with dementia, to an equal amount compared with patients without cognitive impairment. Copyright © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/ageing/afv184 VL - 45 IS - 1 SP - 54 EP - 60 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26764395 KW - Female KW - Humans KW - Male KW - Randomized Controlled Trials as Topic KW - Norway KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - Time Factors KW - Cognition KW - Age Factors KW - *Practice Patterns, Physicians'/td [Trends] KW - *Analgesics/tu [Therapeutic Use] KW - Acetaminophen/tu [Therapeutic Use] KW - Analgesics, Non-Narcotic/tu [Therapeutic Use] KW - Odds Ratio KW - Dementia/px [Psychology] KW - Multivariate Analysis KW - *Homes for the Aged/td [Trends] KW - *Nursing Homes/td [Trends] KW - Aging/px [Psychology] KW - Observational Studies as Topic KW - Analgesics, Opioid/tu [Therapeutic Use] KW - Drug Prescriptions KW - Drug Utilization Review KW - Chi-Square Distribution ER - TY - JOUR TI - Use of nonsteroidal anti-inflammatory drugs and renal failure in nursing home residents-results of the study "Inappropriate Medication in Patients with Renal Insufficiency in Nursing Homes". AU - Dorks, Michael AU - Herget-Rosenthal, Stefan AU - Schmiemann, Guido AU - Hoffmann, Falk T2 - Wiener klinische Wochenschrift AB - BACKGROUND: Use of potentially inappropriate medications may result in increased morbidity, mortality and resource utilisation. Due to polypharmacy and age-related decline in renal function the elderly population is at particular risk. Therefore, the Beers Criteria include use of nonsteroidal anti-inflammatory drugs in chronic renal failure stage 4 and 5 as these drugs may worsen renal function. According to the summary of product characteristics, the nonsteroidal anti-inflammatory drugs ibuprofen and diclofenac are contraindicated in these patients. Objective was to assess the extent of nonsteroidal anti-inflammatory drug use in nursing homes with a focus on residents with severe renal failure., METHODS: Multi-centre cross-sectional study in 21 German nursing homes. The study population comprised residents for whom at least one serum creatinine value and information about sex were available, so that creatinine clearance rate could be estimated., RESULTS: In all, 685 of 852 residents were included as they fulfilled the abovementioned criteria. Renal failure was severe (estimated creatinine clearance rate < 30 ml/min) in 106 residents (15.5 %). Approximately one-fifth was treated with at least one nonsteroidal anti-inflammatory drug in both the total study population (20.3 %) and that with severe renal failure (20.8 %). With one exception, all residents prescribed nonsteroidal anti-inflammatory drugs with severe renal failure were treated with at least one nonsteroidal anti-inflammatory drug that was contraindicated due to the underlying renal function., CONCLUSIONS: Notwithstanding their classification as potentially inappropriate medications and underlying contraindications, use of nonsteroidal anti-inflammatory drugs is common among nursing home residents with severe renal failure. DA - 2016/// PY - 2016 DO - 10.1007/s00508-015-0919-z VL - 128 IS - 7-8 SP - 287 EP - 90 J2 - Wien Klin Wochenschr SN - 1613-7671 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26759317 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Polypharmacy KW - *Inappropriate Prescribing/sn [Statistics & Numerical Data] KW - Inappropriate Prescribing/pc [Prevention & Control] KW - Germany/ep [Epidemiology] KW - *Drug-Related Side Effects and Adverse Reactions/ep [Epidemiology] KW - Drug Utilization Review KW - Contraindications KW - *Anti-Inflammatory Agents, Non-Steroidal/tu [Therapeutic Use] KW - *Renal Insufficiency/ep [Epidemiology] KW - Kidney Function Tests/sn [Statistics & Numerical Data] KW - Renal Insufficiency/di [Diagnosis] ER - TY - JOUR TI - Development of an oncological-multidimensional prognostic index (Onco-MPI) for mortality prediction in older cancer patients. AU - Brunello, Antonella AU - Fontana, Andrea AU - Zafferri, Valeria AU - Panza, Francesco AU - Fiduccia, Pasquale AU - Basso, Umberto AU - Copetti, Massimiliano AU - Lonardi, Sara AU - Roma, Anna AU - Falci, Cristina AU - Monfardini, Silvio AU - Cella, Alberto AU - Pilotto, Alberto AU - Zagonel, Vittorina T2 - Journal of cancer research and clinical oncology AB - PURPOSE: A multidimensional prognostic index (MPI) based on a comprehensive geriatric assessment (CGA) has been developed and validated in independent cohorts of older patients demonstrating good accuracy in predicting one-year mortality. The aim of this study was to develop a cancer-specific modified MPI (Onco-MPI) for mortality prediction in older cancer patients., METHODS: We enrolled 658 new cancer subjects >=70 years (mean age 77.1 years, 433 females, 65.8 %) attending oncological outpatient services from September 2004 to June 2011. The Onco-MPI was calculated according to a validated algorithm as a weighted linear combination of the following CGA domains: age, sex, basal and instrumental activities of daily living, Eastern Cooperative Oncology Group performance status, mini-mental state examination, body mass index, Cumulative Illness Rating Scale, number of drugs and the presence of caregiver. Cancer sites (breast 46.5 %, colorectal 21.3 %, lung 6.4 %, prostate 5.5 %, urinary tract 5.0 %, other 15.3 %) and cancer stages (I 37 %, II 22 %, III 19 %, IV 22 %) were also included in the model. All-cause mortality was recorded. Three grades of severity of the Onco-MPI score (low risk: 0.0-0.46, medium risk: 0.47-0.63, high risk: 0.64-1.0) were calculated using RECPAM method. Discriminatory power and calibration were assessed by estimating survival C-indices, along with 95 % confidence interval (CI) and the survival-based Hosmer-Lemeshow (HL) measures., RESULTS: One-year mortality incidence rate was 17.4 %. A significant difference in mortality rates was observed in Onco-MPI low risk compared to medium- and high-risk patients (2.1 vs. 17.7 vs. 80.8 %, p < 0.0001). The discriminatory power of one-year mortality prediction of the Onco-MPI was very good (survival C-index 0.87, 95 % CI 0.84-0.90) with an excellent calibration (HL p value 0.854)., CONCLUSION: Onco-MPI appears to be a highly accurate and well-calibrated predictive tool for one-year mortality in older cancer patients that can be useful for clinical decision making in this age group. DA - 2016/// PY - 2016 DO - 10.1007/s00432-015-2088-x VL - 142 IS - 5 SP - 1069 EP - 77 J2 - J Cancer Res Clin Oncol SN - 1432-1335 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26758276 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Surveys and Questionnaires KW - Activities of Daily Living KW - *Geriatric Assessment/mt [Methods] KW - Follow-Up Studies KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Hospitalization/sn [Statistics & Numerical Data] KW - Survival Rate KW - Prognosis KW - *Severity of Illness Index KW - *Neoplasms/mo [Mortality] KW - Health Status Indicators KW - Neoplasm Staging ER - TY - JOUR TI - A Prospective Study of Back Pain and Risk of Falls Among Older Community-dwelling Women. AU - Marshall, Lynn M AU - Litwack-Harrison, Stephanie AU - Cawthon, Peggy M AU - Kado, Deborah M AU - Deyo, Richard A AU - Makris, Una E AU - Carlson, Hans L AU - Nevitt, Michael C AU - Study of Osteoporotic Fractures (SOF) Research Group T2 - The journals of gerontology. Series A, Biological sciences and medical sciences AB - BACKGROUND: Back pain and falls are common health conditions among older U.S. women. The extent to which back pain is an independent risk factor for falls has not been established., METHODS: We conducted a prospective study among 6,841 community-dwelling U.S. women at least 65 years of age from the Study of Osteoporotic Fractures (SOF). Baseline questionnaires inquired about any back pain, pain severity, and frequency in the past year. During 1 year of follow-up, falls were summed from self-reports obtained every 4 months. Two outcomes were studied: recurrent falls (>=2 falls) and any fall (>=1 fall). Associations of back pain and each fall outcome were estimated with risk ratios (RRs) and 95% confidence intervals (CIs) from multivariable log-binomial regression. Adjustments were made for age, education, smoking status, fainting history, hip pain, stroke history, vertebral fracture, and Geriatric Depression Scale., RESULTS: Most (61%) women reported any back pain. During follow-up, 10% had recurrent falls and 26% fell at least once. Any back pain relative to no back pain was associated with a 50% increased risk of recurrent falls (multivariable RR = 1.5, 95% CI: 1.3, 1.8). Multivariable RRs for recurrent falls were significantly elevated for all back pain symptoms, ranging from 1.4 (95% CI: 1.1, 1.8) for mild back pain to 1.8 (95% CI: 1.4, 2.3) for activity-limiting back pain. RRs of any fall were also significantly increased albeit smaller than those for recurrent falls., CONCLUSIONS: Older community-dwelling women with a recent history of back pain are at increased risk for falls. Copyright © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/gerona/glv225 VL - 71 IS - 9 SP - 1177 EP - 83 J2 - J Gerontol A Biol Sci Med Sci SN - 1758-535X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26757988 KW - Female KW - Humans KW - Risk Factors KW - Aged KW - Surveys and Questionnaires KW - Follow-Up Studies KW - United States/ep [Epidemiology] KW - *Aging KW - *Independent Living/sn [Statistics & Numerical Data] KW - Prospective Studies KW - Geriatric Assessment KW - Severity of Illness Index KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - *Osteoporotic Fractures/ep [Epidemiology] KW - *Back Pain/ep [Epidemiology] KW - Back Pain/di [Diagnosis] KW - Back Pain/et [Etiology] KW - Osteoporotic Fractures/et [Etiology] KW - Osteoporotic Fractures/su [Surgery] ER - TY - JOUR TI - Self-determination among community-dwelling older persons: explanatory factors. AU - Ottenvall Hammar, Isabelle AU - Dahlin-Ivanoff, Synneve AU - Wilhelmson, Katarina AU - Eklund, Kajsa T2 - Scandinavian journal of occupational therapy AB - BACKGROUND: Although it is acknowledged that exercising self-determination in daily activities affects older people's health and well-being, few studies have focused on the explanatory factors for self-determination in daily life., OBJECTIVE: To investigate explanatory factors for self-determination in the context of community-dwelling older persons., METHOD: This cross-sectional study combined two sets of data that included community-dwelling persons 80 years and older (n = 456). A bivariate logistic regression was performed to analyse the association of self-determination and a set of explanatory factors., RESULTS: The final bivariate logistic regression model revealed five explanatory factors that were significantly associated with perceiving reduced self-determination: high education (OR = 2.83), frailty (OR = 2.70), poor self-rated health (OR = 2.54), dissatisfaction with physical health (OR = 6.50), and receiving help from public homecare service (OR = 2.46)., CONCLUSION: Several explanatory factors related to the ageing body and environmental aspects were associated with reduced self-determination. To help older people maintain self-determination, healthcare professionals should consider using a person-centred and capability approach to care. DA - 2016/// PY - 2016 DO - 10.3109/11038128.2015.1126348 VL - 23 IS - 3 SP - 198 EP - 206 J2 - Scand J Occup Ther SN - 1651-2014 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26757779 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Activities of Daily Living KW - Health Status KW - *Independent Living KW - Cross-Sectional Studies KW - Educational Status KW - Perception KW - Frail Elderly/px [Psychology] KW - Home Care Services KW - *Personal Autonomy ER - TY - JOUR TI - [Intelligent videosurveillance and falls detection: Perceptions of professionals and managers]. AU - Lapierre, Nolwenn AU - Carpentier, Isabelle AU - St-Arnaud, Alain AU - Ducharme, Francine AU - Meunier, Jean AU - Jobidon, Mireille AU - Rousseau, Jacqueline T2 - Videosurveillance intelligente et detection des chutes: perception des professionnels et des gestionnaires. AB - DESCRIPTION: Gerontechnologies can be used to detect accidental falls. However, existing systems do not entirely meet users' expectations. Our team developed an intelligent video-monitoring systems to fill these gaps. Authors advocate consulting potential users at the early stages of the design of gerontechnologies and integrating their suggestions., PURPOSE: This study aims to explore health care workers' opinion regarding the intelligent video monitoring to detect falls by older adults living at home., METHOD: This qualitative study explored the opinions of 31 participants using focus groups. Transcripts were analyzed using predetermined codes based on the competence model., FINDINGS: Participants reported several advantages for using the intelligent video monitoring and provided suggestions for improving its use., IMPLICATIONS: The participants' suggestions and comments will help to improve the system and match it to users' needs. Copyright © CAOT 2015. DA - 2016/// PY - 2016 DO - 10.1177/0008417415580431 VL - 83 IS - 1 SP - 33 EP - 41 J2 - Can J Occup Ther SN - 0008-4174 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26755043 KW - Female KW - Humans KW - Male KW - Aged KW - Qualitative Research KW - *Independent Living KW - *Attitude of Health Personnel KW - *Accidental Falls KW - *Geriatrics KW - Safety Management KW - *Industrial Development KW - *Video Recording ER - TY - JOUR TI - Physical activity in chronic home-living and sub-acute hospitalized stroke patients using objective and self-reported measures. AU - Vanroy, Christel AU - Vissers, Dirk AU - Vanlandewijck, Yves AU - Feys, Hilde AU - Truijen, Steven AU - Michielsen, Marc AU - Cras, Patrick T2 - Topics in stroke rehabilitation AB - BACKGROUND: Despite confirmed reduced physical activity (PA) after stroke in various stages of recovery, the type of activities stroke patients executed and the time spent at different activity levels have not been sufficiently verified with stroke-validated assessment tools., DESIGN: Observational study., OBJECTIVE: To determine PA of sub-acute stroke patients hospitalized in a rehabilitation centre (HOS) compared to chronic home-living stroke patients (HOM) using objective and self-reported measures during 2 weekdays and 1 weekend day., METHODS: Fifteen HOS and 15 HOM patients wore a Sense Wear Pro 2 accelerometer (METs*minutes/24 h) and a knee-worn pedometer Yamax Digi Walker SW 200 (steps) and filled in a coded activity diary (kcal/24 h; METs*minutes/24 h) during three consecutive days., RESULTS: In HOM significantly more steps (stepstotal HOM = 18722.6 +/- 10063.6; stepstotal HOS = 7097.8 +/- 5850.5) and higher energy expenditure (EE) levels (EEtotal HOM = 7759.34 +/- 2243.04; EEtotal HOS = 5860.15 +/- 1412.78) were measured. In this group less moderate activity (>=3-6 <= METs) was performed on a weekday (pday1 = 0.006; pday2 = 0.027) and in total (p = 0.037). Few therapy hours (physical, occupational and speech therapy, and psychological support) were provided in HOM compared to HOS (p < 0.001). Vigorous activities were only seen in HOM. In both groups few patients executed sport activities., CONCLUSIONS: In HOM significantly more steps were performed and higher EE values were measured. However, participation in moderate activities and time spent on therapy were less in HOM. Evaluating PA with quantitative measures is feasible in both chronic home-living and sub-acute hospitalized patients with stroke. DA - 2016/// PY - 2016 DO - 10.1080/10749357.2015.1116227 VL - 23 IS - 2 SP - 98 EP - 105 J2 - TOP. STROKE REHABIL. SN - 1074-9357 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26751778 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Chronic Disease KW - Time Factors KW - *Motor Activity/ph [Physiology] KW - *Hospitalization/sn [Statistics & Numerical Data] KW - Monitoring, Ambulatory KW - Self Report KW - *Stroke Rehabilitation KW - Walking/ph [Physiology] KW - Rehabilitation Centers KW - Exercise Therapy/sn [Statistics & Numerical Data] KW - *Energy Metabolism/ph [Physiology] KW - *Rehabilitation/sn [Statistics & Numerical Data] KW - Occupational Therapy/sn [Statistics & Numerical Data] KW - Psychotherapy/sn [Statistics & Numerical Data] KW - Speech Therapy/sn [Statistics & Numerical Data] ER - TY - JOUR TI - No Place Like Home? Surveillance and What Home Means in Old Age. AU - Mortenson, W Ben AU - Sixsmith, Andrew AU - Beringer, Robert T2 - Canadian journal on aging = La revue canadienne du vieillissement AB - New surveillance technologies like those included in ambient assisted living - such as body-worn and passive environmental sensors, smart interfaces, and communications networks - are being developed to improve the security and safety of "at risk" older people, but ethical questions have been raised about the extent to which they compromise the rights and privacy of the people being monitored. The qualitative study we conducted was designed to help us understand the ways these novel surveillance technologies would influence individuals' everyday experiences of home. Participants felt new forms of surveillance would influence their sense of security, autonomy, and self-confidence, and would alter perceptions of home. The findings emphasize the need to improve our understanding of how ambient assisted living will affect the lives of those being monitored. DA - 2016/// PY - 2016 DO - 10.1017/S0714980815000549 VL - 35 IS - 1 SP - 103 EP - 14 J2 - Can J Aging SN - 1710-1107 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26742899 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Qualitative Research KW - *Quality of Life KW - *Independent Living/px [Psychology] KW - *Telemedicine KW - Accidents, Home/pc [Prevention & Control] KW - Personal Autonomy KW - Safety KW - *Privacy KW - *Protective Devices/es [Ethics] KW - Privacy/px [Psychology] KW - Telemetry ER - TY - JOUR TI - Effectiveness of a home-based cognitive behavioral program to manage concerns about falls in community-dwelling, frail older people: results of a randomized controlled trial. AU - Dorresteijn, Tanja A C AU - Zijlstra, G A Rixt AU - Ambergen, Antonius W AU - Delbaere, Kim AU - Vlaeyen, Johan W S AU - Kempen, Gertrudis I J M T2 - BMC geriatrics T3 - [Erratum in: BMC Geriatr. 2016;16:108; PMID: 27220990 [https://www.ncbi.nlm.nih.gov/pubmed/27220990]] AB - BACKGROUND: Concerns about falls are common among older people. These concerns, also referred to as fear of falling, can have serious physical and psychosocial consequences, such as functional decline, increased risk of falls, activity restriction, and lower social participation. Although cognitive behavioral group programs to reduce concerns about falls are available, no home-based approaches for older people with health problems, who may not be able to attend such group programs are available yet. The aim of this study was to assess the effectiveness of a home-based cognitive behavioral program on concerns about falls, in frail, older people living in the community., METHODS: In a randomized controlled trial in the Netherlands, 389 people aged 70 years and older, in fair or poor perceived health, who reported at least some concerns about falls and related activity avoidance were allocated to a control (n = 195) or intervention group (n = 194). The intervention was a home-based, cognitive behavioral program consisting of seven sessions including three home visits and four telephone contacts. The program aims to instill adaptive and realistic views about fall risks via cognitive restructuring and to increase activity and safe behavior using goal setting and action planning and was facilitated by community nurses. Control group participants received usual care. Outcomes at 5 and 12 months follow-up were concerns about falls, activity avoidance due to concerns about falls, disability and falls., RESULTS: At 12 months, the intervention group showed significant lower levels of concerns about falls compared to the control group. Furthermore, significant reductions in activity avoidance, disability and indoor falls were identified in the intervention group compared with the control group. Effect sizes were small to medium. No significant difference in total number of falls was noted between the groups., CONCLUSIONS: The home-based, cognitive behavioral program significantly reduces concerns about falls, related activity avoidance, disability and indoor falls in community-living, frail older people. The program may prolong independent living and provides an alternative for those people who are not able or willing to attend group programs., TRIAL REGISTRATION: ClinicalTrials.gov, NCT01358032. Registered 17 May 2011. DA - 2016/// PY - 2016 DO - 10.1186/s12877-015-0177-y VL - 16 IS - 100968548 SP - 2 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26739339 KW - Female KW - Humans KW - Male KW - Program Evaluation KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - *Accidental Falls/pc [Prevention & Control] KW - Cognition KW - *Frail Elderly/px [Psychology] KW - Geriatric Assessment/mt [Methods] KW - *Independent Living/px [Psychology] KW - *Home Care Services/og [Organization & Administration] KW - Netherlands KW - *Cognitive Behavioral Therapy/mt [Methods] KW - Fear/px [Psychology] KW - Mental Competency KW - *Risk Reduction Behavior ER - TY - JOUR TI - Impaired Higher-Level Functional Capacity as a Predictor of Stroke in Community-Dwelling Older Adults: The Ohasama Study. AU - Murakami, Keiko AU - Tsubota-Utsugi, Megumi AU - Satoh, Michihiro AU - Asayama, Kei AU - Inoue, Ryusuke AU - Ishiguro, Aya AU - Matsuda, Ayako AU - Kanno, Atsuhiro AU - Yasui, Daisaku AU - Murakami, Takahisa AU - Metoki, Hirohito AU - Kikuya, Masahiro AU - Imai, Yutaka AU - Ohkubo, Takayoshi T2 - Stroke AB - BACKGROUND AND PURPOSE: Functional capacity is a predictor, as well as a consequence, of stroke. However, little research has been done to examine whether higher-level functional capacity above basic activities of daily living is a predictor of stroke., METHODS: We followed 1493 Japanese community-dwelling adults aged >=60 years (mean age, 70.1 years) who were independent in basic activities of daily living and had no history of stroke. Baseline data were collected using a self-administered questionnaire. Higher-level functional capacity was measured using the total score and 3 subscales (instrumental activities of daily living, intellectual activity, and social role) derived from the Tokyo Metropolitan Institute of Gerontology Index of Competence. Adjusted hazard ratios and 95% confidence intervals were calculated by the Cox proportional hazards model., RESULTS: During a mean follow-up of 10.4 years, 191 participants developed a first stroke. Impaired higher-level functional capacity based on total score of the Tokyo Metropolitan Institute of Gerontology Index of Competence was significantly associated with stroke (hazard ratio, 1.64; 95% confidence interval, 1.15-2.33). Among the 3 subscales, only intellectual activity was significantly associated with stroke (hazard ratio, 1.64; 95% confidence interval, 1.21-2.22). Social role was significantly associated with stroke only among those aged >=75 years (hazard ratio, 1.78; 95% confidence interval, 1.07-2.98)., CONCLUSIONS: Impaired higher-level functional capacity, especially in the domain of intellectual activity, was a predictor of stroke, even among community-dwelling older adults with independent basic activities of daily living at baseline. Monitoring of higher-level functional capacity might be useful to detect those at higher risk of developing stroke in the future. Copyright © 2016 American Heart Association, Inc. DA - 2016/// PY - 2016 DO - 10.1161/STROKEAHA.115.011131 VL - 47 IS - 2 SP - 323 EP - 8 J2 - Stroke SN - 1524-4628 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26732573 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Risk Assessment KW - *Independent Living KW - *Activities of Daily Living KW - Japan/ep [Epidemiology] KW - *Exercise KW - Longitudinal Studies KW - Prospective Studies KW - Body Mass Index KW - Proportional Hazards Models KW - *Social Behavior KW - *Cognition KW - *Stroke/ep [Epidemiology] ER - TY - JOUR TI - Impact of Malnutrition on Physical, Cognitive Function and Mortality among Older Men Living in Veteran Homes by Minimum Data Set: A Prospective Cohort Study in Taiwan. AU - Chen, L-Y AU - Liu, L-K AU - Hwang, A-C AU - Lin, M-H AU - Peng, L-N AU - Chen, L-K AU - Lan, C-F AU - Chang, P-L T2 - The journal of nutrition, health & aging AB - OBJECTIVES: To evaluate the prevalence of malnutrition and its impact on mortality, functional decline and cognitive impairment among elder residents in long-term care settings., DESIGNS: A prospective cohort study., SETTINGS: Two veteran homes in Taiwan., PARTICIPANTS: A total of 1,248 male residents aged equal or more than 65 years., MEASUREMENTS: Charlson's comorbidity index (CCI), Minimum data set (MDS), resident assessment protocols (RAP), Activity of daily living-Hierarchy scale, Cognitive Performance Scale, MDS Social engagement scale., RESULTS: The mean age of participants is 83.1 +/- 5.1 years, and the prevalence of malnutrition was 6.1%. Inadequate dietary content (57.9%) and unintentional weight loss (31.6%) account for the majority of malnutrition identified by MDS tool. Higher 18-month mortality rate (25% vs. 14.2%), higher baseline CCI (median 1 vs. 0), and higher baseline sum of RAP triggers (median 8.5 vs. 5) were noted among residents with malnutrition. Furthermore, malnutrition was shown predictive for functional decline (OR: 3.096, 95% CI: 1.715-5.587) and potential cognitive improvement (OR: 2.469, 95% CI: 1.188-5.128) among survivors after adjustment for age, body mass index and CCI., CONCLUSION: Malnutrition among elder men residing in veteran homes was associated with multimorbidities and higher care complexity, and was predictive for mortality and functional decline. DA - 2016/// PY - 2016 DO - 10.1007/s12603-015-0646-1 VL - 20 IS - 1 SP - 41 EP - 7 J2 - J Nutr Health Aging SN - 1760-4788 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26728932 KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Nursing Homes KW - Prevalence KW - *Activities of Daily Living KW - *Homes for the Aged KW - Taiwan/ep [Epidemiology] KW - Prospective Studies KW - Geriatric Assessment KW - Long-Term Care KW - Odds Ratio KW - Mortality KW - *Cognition KW - *Veterans KW - Diet KW - Malnutrition/ep [Epidemiology] KW - *Cause of Death KW - Morbidity KW - *Cognition Disorders/et [Etiology] KW - Physical Examination KW - Weight Loss KW - *Malnutrition/co [Complications] ER - TY - JOUR TI - Improving Health Related Quality of Life and Independence in Community Dwelling Frail Older Adults through a Client-Centred and Activity-Oriented Program. A Pragmatic Randomized Controlled Trial. AU - De Vriendt, P AU - Peersman, W AU - Florus, A AU - Verbeke, M AU - Van de Velde, D T2 - The journal of nutrition, health & aging AB - INTRODUCTION AND AIM: In the ageing society, a considerable part of the older adults are frail. Frailty has a major impact on the individual's quality of life, independence and also on his environment. This study aimed to investigate - as a secondary prevention of disability - the effectiveness of a client-centred and activity-oriented intervention program for frail community living older adults. It was hypothesized that this program could be effective in improving basic Activities of Daily Living (b-ADL) and increasing Health Related Quality of Life (HRQoL)., METHOD: This study was a single blind randomized controlled trial with an intervention and a control group (pre-test-post-test control group design). Analysis of covariance (ANCOVA) was used to compare the outcome across groups with post-test as outcome and baseline values as a covariate. Data were analysed using the intention-to-treat principle., RESULTS: The intervention group (n = 86) experienced more improvement on b-ADL and HRQoL compared with the control group (n = 82). These effects were statistically significant for the b-ADL index (p = 0.013) and the 'physical subscale pain' (p = 0.049)., DISCUSSION AND CONCLUSION: These positive results can be seen as promising for further development of intervention strategies, although follow-up study should be conducted to determine long term effectiveness. DA - 2016/// PY - 2016 DO - 10.1007/s12603-015-0581-1 VL - 20 IS - 1 SP - 35 EP - 40 J2 - J Nutr Health Aging SN - 1760-4788 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26728931 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Disabled Persons KW - *Independent Living KW - *Quality of Life KW - Single-Blind Method KW - *Activities of Daily Living KW - Follow-Up Studies KW - *Frail Elderly KW - Analysis of Variance KW - *Health Services for the Aged KW - Aging KW - *Program Evaluation ER - TY - JOUR TI - Walking tolerance of patients recovering from hip fracture: a phase I trial. AU - Taylor, Nicholas F AU - Peiris, Casey L AU - Kennedy, Genevieve AU - Shields, Nora T2 - Disability and rehabilitation AB - PURPOSE: To find out how much physical activity in the form of walking can be tolerated by adults admitted for inpatient rehabilitation after hip fracture., METHOD: Using a phase I dose-response design, in addition to usual scheduled rehabilitation care participants without cognitive impairment were supervised to walk for a prescribed length of time on 5 consecutive days. Doses started at 3 min and were escalated when three participants successfully completed a dose. Secondary outcomes included physical activity and the Ambulatory Self-Confidence Questionnaire (ASCQ)., RESULTS: The maximum tolerated dose of walking for the 13 participants (4 men and 9 women; mean age 81 years, SD 10) was 6 min. At 10 min only 1 of 5 participants was able to complete the dose. The main reason for not tolerating the prescribed dose was fatigue. Participants had relatively low levels of daily physical activity (mean 507 steps/day), and lacked confidence in their walking (ASCQ mean 4.6)., CONCLUSION: Physical activity guidelines for older people are not appropriate for patients in active inpatient rehabilitation recovering from hip fracture where other factors such as fatigue may limit physical activity levels. These results can be taken into account when designing rehabilitation programmes after hip fracture. Implications for Rehabilitation Hip fracture is a common and serious fracture with ongoing disability for which people require inpatient rehabilitation to prepare for return to independent living in the community. The maximum tolerated dose of walking of 6 minutes suggests physical activity guidelines for older people are not applicable for those receiving active inpatient rehabilitation after hip fracture. The maximum tolerated dose of walking of 6 minutes during inpatient rehabilitation suggests rehabilitation programmes be structured to allow adequate time for recovery. DA - 2016/// PY - 2016 DO - 10.3109/09638288.2015.1107776 VL - 38 IS - 19 SP - 1900 EP - 8 J2 - Disabil Rehabil SN - 1464-5165 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26728400 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Australia KW - Surveys and Questionnaires KW - Time Factors KW - *Exercise Tolerance/ph [Physiology] KW - Accidental Falls/pc [Prevention & Control] KW - Algorithms KW - Severity of Illness Index KW - *Hip Fractures/rh [Rehabilitation] KW - *Walking/ph [Physiology] KW - Rehabilitation Centers KW - Inpatients ER - TY - JOUR TI - Moderate Changes in the Circadian System of Alzheimer's Disease Patients Detected in Their Home Environment. AU - Weissova, Kamila AU - Bartos, Ales AU - Sladek, Martin AU - Novakova, Marta AU - Sumova, Alena T2 - PloS one AB - Alzheimer's disease (AD) is a neurodegenerative disease often accompanied with disruption of sleep-wake cycle. The sleep-wake cycle is controlled by mechanisms involving internal timekeeping (circadian) regulation. The aim of our present pilot study was to assess the circadian system in patients with mild form of AD in their home environment. In the study, 13 elderly AD patients and 13 age-matched healthy control subjects (the patient's spouses) were enrolled. Sleep was recorded for 21 days by sleep diaries in all participants and checked by actigraphy in 4 of the AD patient/control couples. The samples of saliva and buccal mucosa were collected every 4 hours during the same 24 h-interval to detect melatonin and clock gene (PER1 and BMAL1) mRNA levels, respectively. The AD patients exhibited significantly longer inactivity interval during the 24 h and significantly higher number of daytime naps than controls. Daily profiles of melatonin levels exhibited circadian rhythms in both groups. Compared with controls, decline in amplitude of the melatonin rhythm in AD patients was not significant, however, in AD patients more melatonin profiles were dampened or had atypical waveforms. The clock genes PER1 and BMAL1 were expressed rhythmically with high amplitudes in both groups and no significant differences in phases between both groups were detected. Our results suggest moderate differences in functional state of the circadian system in patients with mild form of AD compared with healthy controls which are present in conditions of their home dwelling. DA - 2016/// PY - 2016 DO - 10.1371/journal.pone.0146200 VL - 11 IS - 1 SP - e0146200 J2 - PLoS ONE SN - 1932-6203 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26727258 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Housing KW - Actigraphy KW - Environment KW - Case-Control Studies KW - *Circadian Rhythm/ph [Physiology] KW - *Alzheimer Disease/pp [Physiopathology] KW - Medical Records KW - Alzheimer Disease/co [Complications] KW - Saliva/ch [Chemistry] KW - ARNTL Transcription Factors/bi [Biosynthesis] KW - ARNTL Transcription Factors/ge [Genetics] KW - Gene Expression Regulation KW - Melatonin/an [Analysis] KW - Mouth Mucosa/ch [Chemistry] KW - Period Circadian Proteins/bi [Biosynthesis] KW - Period Circadian Proteins/ge [Genetics] KW - RNA, Messenger/an [Analysis] KW - RNA, Messenger/bi [Biosynthesis] KW - Sleep Disorders, Intrinsic/co [Complications] KW - Sleep Disorders, Intrinsic/pp [Physiopathology] ER - TY - JOUR TI - Pneumonia Identification Using Nursing Home Records. AU - Zimmerman, Sheryl AU - Cohen, Lauren W AU - Scales, Kezia AU - Reed, David AU - Horsford, Christina AU - Weber, David J AU - Sloane, Philip D T2 - Research in gerontological nursing AB - Pneumonia is a leading cause of death among nursing home residents; consequently, prevention and treatment are important for quality improvement. To be pragmatic, quality improvement depends on sensitive case identification using nursing home records; however, no studies have examined the reliability of different methods of pneumonia case finding from records. The current authors compared three established strategies for defining pneumonia using records from 1,119 residents across 16 nursing homes: recorded diagnosis of pneumonia, modified McGeer criteria (chest x-ray infiltrate plus specified signs/symptoms), and antibiotic prescription plus pneumonia-specific signs. Chart diagnosis detected 107 cases, modified McGeer criteria detected 84 cases, and antibiotic prescription detected 47 cases. Diagnosis included all cases identified by the McGeer criteria and all but one case identified by antibiotic use. Based on findings, recorded diagnosis of pneumonia is a highly sensitive and pragmatic method to ascertain pneumonia in nursing homes, and is recommended for use in quality improvement and research. [Res Gerontol Nurs. 2016; 9(3):109-114.]. Copyright 2016, SLACK Incorporated. DA - 2016/// PY - 2016 DO - 10.3928/19404921-20151218-01 VL - 9 IS - 3 SP - 109 EP - 14 J2 - Res. gerentol. nurs. SN - 1938-2464 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26716655 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Retrospective Studies KW - United States/ep [Epidemiology] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Anti-Bacterial Agents/tu [Therapeutic Use] KW - Pneumonia/ep [Epidemiology] KW - *Data Collection/mt [Methods] KW - *Pneumonia/di [Diagnosis] KW - *Pneumonia/dt [Drug Therapy] ER - TY - JOUR TI - Home environment, lifestyles behaviors, and rhinitis in childhood. AU - Wang, Xueying AU - Liu, Wei AU - Hu, Yu AU - Zou, Zhijun AU - Shen, Li AU - Huang, Chen T2 - International journal of hygiene and environmental health AB - The prevalence of children allergic rhinitis has been increasing in China and associated factors still are not clear. In the present paper, we selected 13,335 parent-reported questionnaires of 4-6 years-old children, in a cross-sectional study from April 2011 to April 2012 in Shanghai city, and investigated associations of various factors with parent-reported allergic rhinitis (doctor-diagnosed) and rhinitis symptoms in childhood. After adjusted by age, sex, family history of atopy, and respondent of questionnaire, we find that no siblings, mother in older age during pregnancy, shorter breastfeeding, using antibiotics in the first year, and home dampness-related exposures, had significant associations with increased prevalence of the studied diseases. Location, type, building area, decoration materials and construction period of the residence, also had significant associations with these diseases. Current parental smoking and pet-keeping had no significant associations with the studied diseases. Incense-burning and using mosquito coils had significant associations with reduced risk of allergic rhinitis and with increased risk of rhinitis symptoms. Using air cleaner and cleaning the residence in high frequency had associations with increased risk, but eating fast food and ice cream often had associations with the reduced risk, of the studied diseases. Families with children being diagnosed allergic rhinitis likely change their lifestyle behaviors. In conclusion, childhood rhinitis could be influenced by heredity and many "environmental exposures". Avoidance behaviors and reverse causation in parental smoking, pet-keeping, and dietary habits for childhood rhinitis should be carefully considered. Copyright © 2015 Elsevier GmbH. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.ijheh.2015.11.007 VL - 219 IS - 2 SP - 220 EP - 31 J2 - Int J Hyg Environ Health SN - 1618-131X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26712524 KW - Adult KW - Female KW - Humans KW - Male KW - Child KW - Child, Preschool KW - Housing KW - Prevalence KW - China/ep [Epidemiology] KW - Animals KW - Maternal Age KW - Pregnancy KW - Diet KW - Smoking KW - Health Behavior KW - Life Style KW - Humidity KW - Environmental Exposure KW - *Rhinitis, Allergic/ep [Epidemiology] KW - Breast Feeding KW - Cities/ep [Epidemiology] KW - Pets KW - Rhinitis ER - TY - JOUR TI - Costs of Malnutrition in Institutionalized and Community-Dwelling Older Adults: A Systematic Review. AU - Abizanda, Pedro AU - Sinclair, Alan AU - Barcons, Nuria AU - Lizan, Luis AU - Rodriguez-Manas, Leocadio T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: The aim of this study was to assess health economics evidence published to date on malnutrition costs in institutionalized or community-dwelling older adults., DESIGN: A systematic search of the literature published until December 2013 was performed using standard literature, international and national electronic databases, including MedLine/PubMed, Cochrane Library, ISI WOK, SCOPUS, MEDES, IBECS, and Google Scholar. Publications identified referred to the economic burden and use of medical resources associated with malnutrition (or risk of malnutrition) in institutionalized or community-dwelling older adults, written in either English or Spanish. Costs were updated to 2014 ()., RESULTS: A total of 9 studies of 46 initially retrieved met the preestablished criteria and were submitted to thorough scrutiny. All publications reviewed involved studies conducted in Europe, and the results regarding the contents of all the studies showed that total costs associated with malnutrition in institutionalized and community-dwelling older adults were considerably higher than those of well-nourished ones, mainly due to a higher use of health care resources (GP consultations, hospitalizations, health care monitoring, and treatments). Interventions to reduce the prevalence of malnutrition, such as the use of oral nutritional supplements, showed an important decrease in-hospital admissions and medical visits., CONCLUSION: Malnutrition is associated with higher health care costs in institutionalized or community-dwelling older adults. The adoption of nutritional interventions, such as oral nutritional supplements, may have an important impact in reducing annual health care costs per patient. Copyright © 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jamda.2015.07.005 VL - 17 IS - 1 SP - 17 EP - 23 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26712488 KW - Humans KW - Aged KW - *Independent Living KW - Health Services/sn [Statistics & Numerical Data] KW - *Health Care Costs KW - *Malnutrition/ec [Economics] KW - Residential Facilities KW - Cost of Illness KW - *Institutionalization KW - Length of Stay/ec [Economics] ER - TY - JOUR TI - Recommendations From the International Consortium on Professional Nursing Practice in Long-Term Care Homes. AU - McGilton, Katherine S AU - Bowers, Barbara J AU - Heath, Hazel AU - Shannon, Kay AU - Dellefield, Mary Ellen AU - Prentice, Dawn AU - Siegel, Elena O AU - Meyer, Julienne AU - Chu, Charlene H AU - Ploeg, Jenny AU - Boscart, Veronique M AU - Corazzini, Kirsten N AU - Anderson, Ruth A AU - Mueller, Christine A T2 - Journal of the American Medical Directors Association AB - In response to the International Association of Gerontology and Geriatrics' global agenda for clinical research and quality of care in long-term care homes (LTCHs), the International Consortium on Professional Nursing Practice in Long Term Care Homes (the Consortium) was formed to develop nursing leadership capacity and address the concerns regarding the current state of professional nursing practice in LTCHs. At its invitational, 2-day inaugural meeting, the Consortium brought together international nurse experts to explore the potential of registered nurses (RNs) who work as supervisors or charge nurses within the LTCHs and the value of their contribution in nursing homes, consider what RN competencies might be needed, discuss effective educational (curriculum and practice) experiences, health care policy, and human resources planning requirements, and to identify what sustainable nurse leadership strategies and models might enhance the effectiveness of RNs in improving resident, family, and staff outcomes. The Consortium made recommendations about the following priority issues for action: (1) define the competencies of RNs required to care for older adults in LTCHs; (2) create an LTCH environment in which the RN role is differentiated from other team members and RNs can practice to their full scope; and (3) prepare RN leaders to operate effectively in person-centered care LTCH environments. In addition to clear recommendations for practice, the Consortium identified several areas in which further research is needed. The Consortium advocated for a research agenda that emphasizes an international coordination of research efforts to explore similar issues, the pursuit of examining the impact of nursing and organizational models, and the showcasing of excellence in nursing practice in care homes, so that others might learn from what works. Several studies already under way are also described. Copyright © 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jamda.2015.11.001 VL - 17 IS - 2 SP - 99 EP - 103 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26712302 KW - Leadership KW - *Homes for the Aged KW - Long-Term Care KW - Consensus KW - *Geriatrics KW - *International Cooperation KW - *Nursing Process/st [Standards] ER - TY - JOUR TI - Elder Mistreatment in U.S. Community-Dwelling Chinese Older Women. AU - Dong, XinQi AU - Chen, Ruijia AU - Simon, Melissa A T2 - Violence against women AB - This study explored the prevalence and correlates of elder mistreatment among community-dwelling Chinese women in the U.S. Data were from the Population Study of Chinese Elderly in Chicago (PINE), a population-based study of U.S. Chinese older adults aged 60 years and above. Of the 1,833 older women, 289 (15.8%) reported suffering from elder mistreatment. Higher educational levels, lower overall health status, and worsening health over the past year were positively correlated with elder mistreatment, while a greater number of children and grandchildren were negatively correlated with elder mistreatment. Considerable efforts should be put into designing tailored interventions to reduce elder mistreatment in U.S. Chinese women. Copyright © The Author(s) 2015. DA - 2016/// PY - 2016 DO - 10.1177/1077801215618804 VL - 22 IS - 9 SP - 1097 EP - 112 J2 - Violence Against Women SN - 1552-8448 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26712238 KW - Female KW - Humans KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Elder Abuse/sn [Statistics & Numerical Data] KW - Chi-Square Distribution KW - *Asian Americans/sn [Statistics & Numerical Data] KW - *Prevalence KW - Chicago/eh [Ethnology] KW - Elder Abuse/eh [Ethnology] ER - TY - JOUR TI - The effect of high indoor temperatures on self-perceived health of elderly persons. AU - van Loenhout, J A F AU - le Grand, A AU - Duijm, F AU - Greven, F AU - Vink, N M AU - Hoek, G AU - Zuurbier, M T2 - Environmental research AB - INTRODUCTION: Exposure to high ambient temperatures leads to an increase in mortality and morbidity, especially in the elderly. This relationship is usually assessed with outdoor temperature, even though the elderly spend most of their time indoors. Our study investigated the relationship between indoor temperature and heat-related health problems of elderly individuals., MATERIAL AND METHODS: The study was conducted in the Netherlands between April and August 2012. Temperature and relative humidity were measured continuously in the living rooms and bedrooms of 113 elderly individuals. Respondents were asked to fill out an hourly diary during three weeks with high temperature and one cold reference week, and a questionnaire at the end of these weeks, on health problems that they experienced due to heat., RESULTS: During the warmest week of the study period (14-20 August), average living room and bedroom temperatures were approximately 5degreeC higher than during the reference week. More than half of the respondents perceived their indoor climate as too warm during this week. The most reported symptoms were thirst (42.7%), sleep disturbance (40.6%) and excessive sweating (39.6%). There was a significant relationship between both indoor and outdoor temperatures with the number of hours that heat-related health problems were reported per day. For an increase of 1degreeC of indoor temperature, annoyance due to heat and sleep disturbance increased with 33% and 24% respectively. Outdoor temperature was associated with smaller increases: 13% and 11% for annoyance due to heat and sleep disturbance, respectively. The relationship between outdoor temperature and heat-related health problems disappeared when indoor and outdoor temperatures were included in one model., CONCLUSIONS: The relationship with heat-related health problems in the elderly is stronger with indoor (living room and bedroom) temperature than with outdoor temperature. This should be taken into account when looking for measures to reduce heat exposure in this vulnerable group. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.envres.2015.12.012 VL - 146 IS - ei2, 0147621 SP - 27 EP - 34 J2 - Environ Res SN - 1096-0953 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26710340 KW - Humans KW - Aged KW - Aged, 80 and over KW - Prospective Studies KW - *Housing KW - *Health Status KW - Netherlands KW - Seasons KW - Self Report KW - *Hot Temperature/ae [Adverse Effects] ER - TY - JOUR TI - New Evidence on the Green House Model of Nursing Home Care: Synthesis of Findings and Implications for Policy, Practice, and Research. AU - Zimmerman, Sheryl AU - Bowers, Barbara J AU - Cohen, Lauren W AU - Grabowski, David C AU - Horn, Susan D AU - Kemper, Peter AU - THRIVE Research Collaborative T2 - Health services research A2 - Bowers B, Brown P, Cohen L, Grabowski D, Horn S, Hudak S, Nolet K, Reed D, Zimmerman S AB - OBJECTIVE: To synthesize new findings from the THRIVE Research Collaborative (The Research Initiative Valuing Eldercare) related to the Green House (GH) model of nursing home care and broadly consider their implications., DATA SOURCES: Interviews and observations conducted in GH and comparison homes, Minimum Data Set (MDS) assessments, Medicare data, and Online Survey, Certification and Reporting data., STUDY DESIGN: Critical integration and interpretation of findings based on primary data collected 2011-2014 in 28 GH homes (from 16 organizations), and 15 comparison nursing home units (from 8 organizations); and secondary data derived from 2005 to 2010 for 72 GH homes (from 15 organizations) and 223 comparison homes., PRINCIPAL FINDINGS: Implementation of the GH model is inconsistent, sometimes differing from design. Among residents of GH homes, adoption lowers hospital readmissions, three MDS measures of poor quality, and Part A/hospice Medicare expenditures. Some evidence suggests the model is associated with lower direct care staff turnover., CONCLUSIONS: Recommendations relate to assessing fidelity, monitoring quality, capitalizing opportunities to improve care, incorporating evidence-based practices, including primary care providers, supporting high-performance workforce practices, aligning Medicare financial incentives, promoting equity, informing broad culture change, and conducting future research. Copyright © Health Research and Educational Trust. DA - 2016/// PY - 2016 DO - 10.1111/1475-6773.12430 VL - 51 Suppl 1 IS - g2l, 0053006 SP - 475 EP - 96 J2 - Health Serv Res SN - 1475-6773 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26708381 KW - Humans KW - United States KW - Quality of Health Care KW - Organizational Innovation KW - *Nursing Homes/og [Organization & Administration] KW - Nursing Homes/st [Standards] KW - Medicare/ec [Economics] KW - Patient-Centered Care/mt [Methods] KW - *Biomedical Research KW - *Health Policy ER - TY - JOUR TI - Sustaining Culture Change: Experiences in the Green House Model. AU - Bowers, Barbara AU - Nolet, Kimberly AU - Jacobson, Nora AU - THRIVE Research Collaborative T2 - Health services research A2 - Bowers B, Brown P, Cohen L, Grabowski D, Horn S, Hudak S, Nolet K, Reed D, Zimmerman S AB - OBJECTIVE: To describe conditions that influence how Green House (GH) organizations are sustaining culture change principles and practices in a sample of GH skilled nursing homes., DATA SOURCES/STUDY SETTING: Primary data were collected at 11 skilled nursing GH organizations from 2012 to 2014. These organizations have adopted the comprehensive and prescriptive GH model of culture change., STUDY DESIGN: To develop an understanding of sustainability from the perspective of staff who are immersed in GH daily work, grounded theory qualitative methods were used., DATA COLLECTION METHODS: Data were collected using semi-structured interviews with 166 staff and observation of house meetings and daily operations. Data were analyzed using grounded dimensional analysis., PRINCIPAL FINDINGS: Organizations varied in their ability to sustain GH principles and practices. An organization's approach to problem solving was central to sustaining the model. Key conditions influenced reinforcement or erosion of GH principles and practices., CONCLUSIONS: Reinforcing the GH model requires a highly skilled team of staff with the ability to frequently and collaboratively solve both mundane and complex problems in ways that are consistent with the GH model. This raises questions about the type of human resources practices and policy supports that could assist organizations in sustaining culture change. Copyright © Health Research and Educational Trust. DA - 2016/// PY - 2016 DO - 10.1111/1475-6773.12428 VL - 51 Suppl 1 IS - g2l, 0053006 SP - 398 EP - 417 J2 - Health Serv Res SN - 1475-6773 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26708269 KW - Humans KW - Qualitative Research KW - *Nursing Homes/og [Organization & Administration] KW - Grounded Theory KW - Models, Nursing KW - Patient-Centered Care/mt [Methods] KW - Nursing Staff/px [Psychology] KW - *Organizational Innovation KW - *Organizational Culture KW - Problem Solving ER - TY - JOUR TI - Design and Recruitment for a Randomized Controlled Trial of Problem-Solving Therapy to Prevent Depression among Older Adults with Need for Supportive Services. AU - Albert, Steven M AU - King, Jennifer AU - Dew, Mary Amanda AU - Begley, Amy AU - Anderson, Stewart AU - Karp, Jordan AU - Gildengers, Ari AU - Butters, Meryl AU - Reynolds, Charles F 3rd T2 - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry AB - OBJECTIVE: Addressing subthreshold depression (indicated prevention) and vulnerabilities that increase the risk of major depression or anxiety disorders (selective prevention) is important for protecting mental health in old age. The Depression-Agency Based Collaborative (Dep-ABC) is a prevention trial involving older adults recruited from aging services sites (home care agencies, senior housing, senior centers) who meet criteria for subthreshold depression and disability. Therefore, the authors examine the effectiveness of partnerships with aging services sites for recruiting at-risk older adults, the quality of recruitment and acceptability of the Dep-ABC assessment and intervention, and the baseline status of participants., METHODS: Dep-ABC is a single-blind randomized controlled prevention trial set in aging services settings but with centralized screening, randomization, in-home assessments, and follow-up. Its intervention arm involves six to eight sessions of problem-solving therapy, in which older adults aged 60+ learn to break down problems that affect well-being and develop strategies to address them. We examined participation rates to assess quality of recruitment across sites and level of disability according to service use., RESULTS: Dep-ABC randomized 104 participants, 68.4% of eligible older adults. Screening using self-reported disability successfully netted a sample in which 74% received home care agency services, with remaining participants similarly impaired in structured self-reports of impairment and on observed performance tests., CONCLUSION: Direct outreach to aging services providers is an effective way to identify older adults with service needs at high risk of major depression. Problem-solving therapy is acceptable to this population and can be added to current services. Copyright © 2015 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jagp.2015.11.003 VL - 24 IS - 1 SP - 94 EP - 102 J2 - Am J Geriatr Psychiatry SN - 1545-7214 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26706911 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Research Design KW - Single-Blind Method KW - Psychiatric Status Rating Scales KW - Mental Health KW - Disability Evaluation KW - Home Care Services KW - Patient Selection KW - *Psychotherapy/mt [Methods] KW - *Depression/pc [Prevention & Control] KW - *Depressive Disorder, Major/pc [Prevention & Control] KW - *Problem Solving ER - TY - JOUR TI - Progression of White Matter Disease and Cortical Thinning Are Not Related in Older Community-Dwelling Subjects. AU - Dickie, David Alexander AU - Karama, Sherif AU - Ritchie, Stuart J AU - Cox, Simon R AU - Sakka, Eleni AU - Royle, Natalie A AU - Aribisala, Benjamin S AU - Hernandez, Maria Valdes AU - Maniega, Susana Munoz AU - Pattie, Alison AU - Corley, Janie AU - Starr, John M AU - Bastin, Mark E AU - Evans, Alan C AU - Deary, Ian J AU - Wardlaw, Joanna M T2 - Stroke AB - BACKGROUND AND PURPOSE: We assessed cross-sectional and longitudinal relationships between whole brain white matter hyperintensity (WMH) volume and regional cortical thickness., METHODS: We measured WMH volume and regional cortical thickness on magnetic resonance imaging at =73 and =76 years in 351 community-dwelling subjects from the Lothian Birth Cohort 1936. We used multiple linear regression to calculate cross-sectional and longitudinal associations between regional cortical thickness and WMH volume controlling for age, sex, Mini Mental State Examination, education, intelligence quotient at age 11, and vascular risk factors., RESULTS: We found cross-sectional associations between WMH volume and cortical thickness within and surrounding the Sylvian fissure at 73 and 76 years (rho=-0.276, Q=0.004). However, we found no significant longitudinal associations between (1) baseline WMH volume and change in cortical thickness; (2) baseline cortical thickness and change in WMH volume; or (3) change in WMH volume and change in cortical thickness., CONCLUSIONS: Our results show that WMH volume and cortical thinning both worsen with age and are associated cross-sectionally within and surrounding the Sylvian fissure. However, changes in WMH volume and cortical thinning from 73 to 76 years are not associated longitudinally in these relatively healthy older subjects. The underlying cause(s) of WMH growth and cortical thinning have yet to be fully determined. Copyright © 2015 The Authors. DA - 2016/// PY - 2016 DO - 10.1161/STROKEAHA.115.011229 VL - 47 IS - 2 SP - 410 EP - 6 J2 - Stroke SN - 1524-4628 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26696646 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - *Independent Living KW - Cross-Sectional Studies KW - Longitudinal Studies KW - Magnetic Resonance Imaging KW - Linear Models KW - Smoking/ep [Epidemiology] KW - Disease Progression KW - Diabetes Mellitus/ep [Epidemiology] KW - Cognition Disorders/ep [Epidemiology] KW - Hypertension/ep [Epidemiology] KW - Cardiovascular Diseases/ep [Epidemiology] KW - Organ Size KW - Scotland/ep [Epidemiology] KW - Leukoencephalopathies/ep [Epidemiology] KW - *Cerebral Cortex/pa [Pathology] KW - *Cognition Disorders/pa [Pathology] KW - *Leukoencephalopathies/pa [Pathology] KW - *White Matter/pa [Pathology] KW - Hypercholesterolemia/ep [Epidemiology] ER - TY - JOUR TI - How effectively are your patients taking their medicines? A critical review of the Strathclyde Compliance Risk Assessment Tool in relation to the 'MMAS' and 'MARS'. AU - Alhomoud, Faten AU - Alhomoud, Farah AU - Millar, Ian T2 - Journal of evaluation in clinical practice AB - RATIONALE, AIMS AND OBJECTIVES: A useful assessment tool that can support health care professionals in anticipating elderly patients' care needs regarding additional support in managing their own medicines is essential, but currently lacking. Thus, the aim of the study was to assess whether the 13-item Strathclyde Compliance Risk Assessment Tool (SCRAT) is an appropriate instrument for identifying community-dwelling elderly people who may be at risk of medication non-adherence., METHOD: An 8-week survey was performed from October to November 2009. Patients were >=65 years old, receiving >=3 medications and were either using multi-compartment compliance aids or receiving social care support, or both. The data were collected in 45 face-to-face structured interviews using the 13-item SCRAT, 5-item Medication Adherence Rating Scale (MARS) and 8-item Modified Morisky Adherence Scale (MMAS) in sheltered housing complexes in Glasgow, Scotland. Interviews were analysed quantitatively using SPSS version 21 software., RESULTS: The SCRAT instrument showed substantial inter-rater reliability (Cohen's kappa of 0.730 for the 13-item scale). There was a significant strong negative correlation between the 13-item SCRAT total risk score and 8-item MMAS (r = -0.654; P = 0.0036), and the 13-item SCRAT total risk score and 5-item MARS (r = -0.481; P = 0.0084). The SCRAT instrument showed satisfactory internal consistency (Cronbach's alpha of 0.853 for the 13-item scale). The area under the receiver operator characteristic curve (AUC +/- standard error; 95% confidence interval) showed that the SCRAT had good discriminatory capacity and was able to distinguish between adherent and non-adherent participants on the MARS (0.729 +/- 0.17; 0.39, 1.00). The best cut-off (sensitivity, specificity) was <3 (75%, 45%). In the sub-analyses, there was a significant difference in total risk score (3 vs. 2, P = 0.011) between users and non-users of multi-compartment compliance aids., CONCLUSION: The study shows that the 13-item SCRAT has the potential to be used in identifying elderly participants who may have problems managing their own medicines and it may help to determine the level and type of assistance that patients require to manage their medicines. Copyright © 2015 John Wiley & Sons, Ltd. DA - 2016/// PY - 2016 DO - 10.1111/jep.12501 VL - 22 IS - 3 SP - 411 EP - 20 J2 - J Eval Clin Pract SN - 1365-2753 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26696012 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Health Services Needs and Demand KW - *Surveys and Questionnaires/st [Standards] KW - Patient-Centered Care KW - *Medication Adherence ER - TY - JOUR TI - A Multicomponent Intervention to Optimize Psychotropic Drug Prescription in Elderly Nursing Home Residents: An Italian Multicenter, Prospective, Pilot Study. AU - Pasina, Luca AU - Marengoni, Alessandra AU - Ghibelli, Simona AU - Suardi, Flavio AU - Djade, Codjo D AU - Nobili, Alessandro AU - Franchi, Carlotta AU - Guerrini, Gianbattista T2 - Drugs & aging AB - BACKGROUND: Older nursing home residents often have a large number of diseases and frequently require multiple medications; the high consumption of psychotropic drugs is of particular concern. The majority of residents in nursing homes suffer from dementia, and the use of psychotropic drugs in these patients is very high. Prescription for short periods of time only are usually recommended to avoid the risk of adverse drug reactions and potentially severe drug-drug interactions (DDIs)., OBJECTIVES: The aim of this multicenter, prospective study was to optimize the prescription of psychotropic drugs, according to the Beers recommendations, in a sample of older patients living in nursing homes in Italy, through a multicomponent intervention, education of general practitioners, and the use of INTERcheck., METHODS: The study was run in ten nursing homes in Northern Italy from September 2013 to May 2014 (9 months), with the voluntary participation of 14 general practitioners. Each physician was asked to enroll at least 20 consecutive unselected patients. Three educational interventions ('ex cathedra' presentations) were organized by the researchers involved in the project, and a fourth training session was also held on the use of INTERCheck, a Computerized Prescription Support System (CPSS) developed to optimize drug prescription for older people with multimorbidity. Drug prescription information and sociodemographic characteristics of each patient were collected at three different time points-before the educational and training sessions (T0), after 5 months (T1), and after 9 months (T2)., RESULTS: Among the 272 patients included in the analysis, a significant reduction was observed in the mean number of drugs, and in the percentage receiving psychotropic drugs and potentially inappropriate psychotropic drugs (11.5 and 30.6 %, respectively; p < 0.0001). Patients exposed to at least one potentially severe DDI also decreased from 145 (53.3 %) at the first time point to 87 (32.0 %) at the last time point (p < 0.0001). Results were confirmed in the 181 patients for whom information regarding drug treatment was available at all time points., CONCLUSIONS: The combination of an educational intervention and the CPSS can achieve a significant reduction in potentially inappropriate psychotropic drug use, psychotropic duplicates, and potentially severe DDIs in nursing homes. DA - 2016/// PY - 2016 DO - 10.1007/s40266-015-0336-z VL - 33 IS - 2 SP - 143 EP - 9 J2 - Drugs Aging SN - 1179-1969 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26689398 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Efficiency, Organizational KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Prospective Studies KW - Dementia/ep [Epidemiology] KW - *Dementia KW - *Psychotropic Drugs/tu [Therapeutic Use] KW - Drug-Related Side Effects and Adverse Reactions/pc [Prevention & Control] KW - Dementia/dt [Drug Therapy] KW - Pilot Projects KW - Inappropriate Prescribing/pc [Prevention & Control] KW - Inservice Training/og [Organization & Administration] KW - Italy/ep [Epidemiology] KW - *Inservice Training KW - *Inappropriate Prescribing KW - Inappropriate Prescribing/sn [Statistics & Numerical Data] KW - Drug Interactions KW - Drug-Related Side Effects and Adverse Reactions/et [Etiology] KW - Inappropriate Prescribing/ae [Adverse Effects] KW - Inservice Training/mt [Methods] KW - Risk Management/mt [Methods] ER - TY - JOUR TI - Changes in clinical outcomes for community-dwelling older people exposed to incident chronic polypharmacy: a comparison between 2001 and 2009. AU - Franchi, Carlotta AU - Marcucci, Maura AU - Mannucci, Pier Mannuccio AU - Tettamanti, Mauro AU - Pasina, Luca AU - Fortino, Ida AU - Bortolotti, Angela AU - Merlino, Luca AU - Nobili, Alessandro T2 - Pharmacoepidemiology and drug safety AB - PURPOSE: The purpose of this study is to explore the effect of incident chronic polypharmacy on 1-year hospitalization, institutionalization, and mortality among older people and to evaluate whether or not the effect differed according to index year (2001 or 2009), sex, and age., METHODS: Data were obtained from the administrative database of the Lombardy region (Northern Italy). We compared community-dwelling elderly people with an incident exposure to chronic polypharmacy (five or more drugs during 1 month for at least 6 months in 1 year) in either index year (2001 and 2009) with not exposed elderly people in the same years. Multivariable logistic (institutionalization) and Cox (hospitalization and death) were performed including year, sex, age classes, and number of drugs as covariates and their respective interaction terms by chronic polypharmacy., RESULTS: We analyzed 1,800,257 elderly subjects in 2001 and 1,567,575 in 2009, with a prevalence of chronic polypharmacy of 1.46% and 2.86%, respectively. Overall, 1-year hospitalization, institutionalization, and mortality rates were lower in 2009 than in 2001. Chronic polypharmacy was significantly associated with the outcomes in multivariable analyses: hazard or odds ratios 1.16 (95% confidence interval 1.14-1.17) for hospitalization, 1.21 (1.12-1.30) for institutionalization, and 1.11 (1.08-1.14) for death. There was no consistent effect modification by index year or sex, whereas chronic polypharmacy was no longer a risk factor for adverse outcomes among those older than 85 years (p < 0.0001 for interaction)., CONCLUSIONS: Incident chronic polypharmacy remained an independent predictor of adverse outcomes among community-dwelling elderly people, despite a reduction over time of 1-year hospitalization, institutionalization, and mortality rates. Copyright © 2015 John Wiley & Sons, Ltd. DA - 2016/// PY - 2016 DO - 10.1002/pds.3938 VL - 25 IS - 2 SP - 204 EP - 11 J2 - Pharmacoepidemiol Drug Saf SN - 1099-1557 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26687829 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Independent Living/td [Trends] KW - *Polypharmacy KW - Incidence KW - *Accidental Falls/mo [Mortality] KW - Mortality/td [Trends] KW - Italy/ep [Epidemiology] KW - *Hospitalization/td [Trends] KW - *Databases, Factual/td [Trends] KW - *Institutionalization/td [Trends] ER - TY - JOUR TI - [Medical services for nursing home residents : Results of the study on inappropriate medication in patients with renal insufficiency in nursing homes]. AU - Schmiemann, Guido AU - Herget-Rosenthal, Stefan AU - Hoffmann, Falk T2 - Arztliche Versorgung von Pflegeheimbewohnern : Ergebnisse der Studie Inappropriate medication in patients with renal insufficiency in nursing homes". AB - BACKGROUND: In Germany approximately 800,000 people are living in nursing homes. Outpatient medical treatment is provided by general practitioners (GP) and a variety of medical specialists. While nearly all residents have regular contact with GPs, care by specialists differs between the various disciplines., AIM: In this study an assessment of medical treatment for nursing home residents by GPs and specialists was made and compared with the available diagnoses., MATERIAL AND METHODS: Between October 2014 and April 2015 a cross-sectional study was conducted in nursing homes in Bremen and the surrounding areas. Anonymized data based on residents' files were collated by nursing staff. Every contact with various specialists within the preceding 12 months was assessed and grouped into (a) no physician visit, (b) resident visited physician and (c) physician visited resident. Analyses were stratified for age, sex and level of care dependency as well as dementia and further comorbidities., RESULTS: A total of 852 residents in 21 nursing homes were included (mean age 83.5 years, 76.5 % female) in the study. Dementia was diagnosed in 57.7 %. Nearly all residents had had contact with their GP in the previous 12 months, mostly by home visits (96.9 %). The majority (54.5 %) had not seen a dentist in the preceding 12 months and 25.4 % had been visited by a dentist. Of the residents 47.4 % were visited by a neurologist or psychiatrist but only 4.5 % visited these specialists in their practice. Higher care dependency and younger age were associated with more frequent visits by neurologists and psychiatrists. Contact rates to ophthalmologists (29.3 %) and urologists (20.5 %) were less frequent. A diagnosis of diabetes mellitus had no influence on the contact rate with ophthalmologists., CONCLUSION: Medical care by specialists is characterized by huge variations. Besides a frequent contact rate with GPs there seems to be an undersupply regarding care by dentists and ophthalmologists. DA - 2016/// PY - 2016 VL - 49 IS - 8 SP - 727 EP - 733 J2 - Z Gerontol Geriatr SN - 1435-1269 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26687365 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Dementia/ep [Epidemiology] KW - Age Distribution KW - Sex Distribution KW - Dementia/dt [Drug Therapy] KW - *Inappropriate Prescribing/sn [Statistics & Numerical Data] KW - General Practitioners/sn [Statistics & Numerical Data] KW - Office Visits/sn [Statistics & Numerical Data] KW - Drug Prescriptions/sn [Statistics & Numerical Data] KW - Germany/ep [Epidemiology] KW - *Renal Agents/tu [Therapeutic Use] KW - *Renal Insufficiency/dt [Drug Therapy] KW - Nursing Care/sn [Statistics & Numerical Data] KW - Renal Insufficiency/ep [Epidemiology] ER - TY - JOUR TI - An investigation of multimorbidity measures as risk factors for pneumonia in elderly frail patients admitted to hospital. AU - Ticinesi, Andrea AU - Nouvenne, Antonio AU - Folesani, Giuseppina AU - Prati, Beatrice AU - Morelli, Ilaria AU - Guida, Loredana AU - Lauretani, Fulvio AU - Maggio, Marcello AU - Meschi, Tiziana T2 - European journal of internal medicine AB - OBJECTIVES: To investigate the association of different chronic comorbidities, considered singularly and together in Cumulative Illness Rating Scale (CIRS) indexes, with pneumonia diagnosis in a group of elderly frail hospitalized patients., DESIGN AND METHODS: With a retrospective cohort design, all clinical records of frail (Rockwood >= 5) nonterminal patients >= 65 years old acutely admitted over a 8-month span in an internal medicine ward were evaluated. Pneumonia status and its categorization (community-acquired, CAP, vs healthcare-associated, HCAP) were defined according to chest radiology findings and validated criteria. Chronic comorbidities, CIRS Comorbidity Score and CIRS Severity Index were collected for each participant through a standardized methodology. Multivariate logistic regression models were applied to assess the association of each comorbid condition or scores with pneumonia., RESULTS: 1199 patients (546 M, median age 81.9, IQR 72.8-87.9 years), of whom 239 with pneumonia (180 CAP, 59 HCAP) were evaluated. CIRS Comorbidity Score was significantly associated with pneumonia, both at an age- and sex-adjusted model and at a multivariate model (OR for each unitary increase 1.03, 95% CI 1.001-1.062, p=0.04), together with provenience from nursing home (OR 1.96, 95% CI 1.41-2.73, p<0.001). Among single comorbidities, only COPD (OR 2.7, 95% CI 1.9-3.6, p<0.001) and dementia (OR 2.3, 95% CI 1.7-3.3, p<0.001) were associated with pneumonia, while stroke, cancer, cardiovascular, chronic liver and kidney disease were not., CONCLUSIONS: In a small cohort of elderly frail hospitalized patients, measures of multimorbidity, like CIRS, are significantly associated with the risk of pneumonia. COPD and dementia are the main conditions concurring to define this risk. Copyright © 2015 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.ejim.2015.11.021 VL - 28 IS - 9003220 SP - 102 EP - 6 J2 - EUR. J. INTERN. MED. SN - 1879-0828 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26686926 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - Retrospective Studies KW - Cohort Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Sex Factors KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Comorbidity KW - Severity of Illness Index KW - *Dementia/ep [Epidemiology] KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - *Hospitalization KW - Cross Infection/ep [Epidemiology] KW - Multivariate Analysis KW - *Pneumonia/ep [Epidemiology] KW - Community-Acquired Infections/ep [Epidemiology] KW - *Pulmonary Disease, Chronic Obstructive/ep [Epidemiology] ER - TY - JOUR TI - Developing networks between residential aged care facilities as a result of engagement in a falls prevention project: an action research study. AU - Lea, Emma AU - Andrews, Sharon AU - Haines, Terry AU - Nitz, Jennifer AU - Haralambous, Betty AU - Moore, Kirsten AU - Hill, Keith AU - Robinson, Andrew T2 - Contemporary nurse AB - BACKGROUND: Residential aged care facility (RACF) staff often operate in isolation. Research is lacking on networking between facilities., AIMS: To explore outcomes associated with network formation between two RACFs as part of an action research approach to reducing falls., DESIGN: Action research approach with qualitative data collected., METHODS: Twelve RACF staff from two facilities in regional Tasmania, Australia, formed a falls prevention action research group. Thematic analysis was undertaken of 22 audio-recorded fortnightly group meetings., RESULTS: This was the first opportunity for participants to meet colleagues from another facility in a professional context. The formation of an inter-facility network enabled the sharing of ideas and systems related to evidence-based falls prevention activities and other issues and galvanised a collaborative focus for action., CONCLUSIONS: An action research process can be used to create an inter-facility network. Such networks can decrease staff isolation and facilitate best resident care. DA - 2016/// PY - 2016 DO - 10.1080/10376178.2015.1129911 VL - 52 IS - 2-3 SP - 163 EP - 75 J2 - Contemp Nurse SN - 1839-3535 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26684679 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Australia KW - *Accidental Falls/pc [Prevention & Control] KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Health Services Research KW - *Cooperative Behavior KW - *Assisted Living Facilities/og [Organization & Administration] ER - TY - JOUR TI - [Current situation of the research on living conditions and health status of elderly people in Spain]. AU - Machon-Sobrado, Monica AU - Vergara-Mitxeltorena, Itziar AU - Dorronsoro-Iraeta, Miren AU - Larranaga-Larranaga, Nerea AU - Vrotsou, Kalliopi AU - Larranaga-Padilla, Isabel T2 - Situacion actual de la investigacion sobre las condiciones de vida y el estado de salud de las personas mayores en Espana. AB - OBJECTIVE: To analyse the dimensions studied with respect to living and health conditions of the non-institutionalised elderly in the scientific literature in Spain., METHOD: A content analysis based on secondary sources was carried out by literature searches in Pubmed and Embase in Spanish and English. The search strategies combined terms related to older people, health and/or living conditions and with Spain. All studies assessing living and/or health conditions of elderly in Spain were included. Studies analyzing a specific aspect of living or health conditions and those based on institutionalized population were excluded., RESULTS: A total of 14 studies were considered in the content analysis. The studies are usually local, cross-sectional and data collection is done by direct interview. Variability was observed in the aspects analysed about living and health conditions. All studies included: sociodemographic characteristics, health status and lifestyle habits. Issues related to the status of the out-of home environment are poorly analysed., CONCLUSIONS: This work allows knowing the dimensions prioritised in the studies carried out to date about health and living conditions in Spain. It also provides key elements for the development of future research aiming to integrate both living and health conditions of elderly population, both aspects closely related. Copyright © 2015 Elsevier Espana, S.L.U. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.enfcli.2015.10.005 VL - 26 IS - 1 SP - 15 EP - 22 J2 - ENFERM CLIN SN - 1579-2013 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26681433 KW - Humans KW - Aged KW - Cross-Sectional Studies KW - *Health Status KW - Spain/ep [Epidemiology] KW - *Social Conditions ER - TY - JOUR TI - Older people's experiences of care in nursing homes: a meta-synthesis. AU - Vaismoradi, Mojtaba AU - Wang, Inger-Lise AU - Turunen, Hannele AU - Bondas, Terese T2 - International nursing review AB - AIM: To integrate the current international knowledge and enhance our understanding of the experiences of older people of being cared for in nursing homes., BACKGROUND: There is a lack of integrated knowledge to help face the challenge of providing care to older people in nursing homes. Understanding the experiences of older people regarding their own care leads to interventions for reducing older people's suffering, while living in nursing homes., METHODS: Keywords describing the experiences of being cared for in nursing homes were used to systematically search electronic databases for qualitative research articles. A meta-synthesis study employing the interpretative meta-ethnography approach devised by Noblit and Hare was carried out to analyse seven qualitative articles identified during the search process., FINDINGS: Seven studies included in this meta-synthesis were published between 2007 and 2015. The experiences of older people of being cared for in nursing homes were expressed by the metaphor 'retaining the meaning of being alive'. Older people wished for a homelike place where they would be delivered care with the consideration of all its humanistic aspects. While conflict between their expectations and organizational demands damaged this sought ideal, adjustment to life conditions and taking an active role led to a feeling of being alive., DISCUSSION: This meta-synthesis integrates our knowledge on organizational and administrative demands, and personal factors influencing the provision of individualized care in nursing homes., LIMITATIONS: The mental functionality of older people that suffer from dementia might impact on their ability to be involved in research and have a 'voice' in terms of their experience of being cared for in nursing homes., CONCLUSION AND IMPLICATIONS FOR NURSING: The institutional character of the nursing home restricts older people's decision-making. The challenge in nursing home care is to balance the tensions between the individual needs and the collective dimensions of care., IMPLICATIONS FOR NURSING POLICY: Nurse policymakers need to consider the ambience in nursing homes, develop a caring culture for the provision of a holistic care to older people and make the nursing home as close to a home as possible. Copyright © 2015 International Council of Nurses. DA - 2016/// PY - 2016 DO - 10.1111/inr.12232 VL - 63 IS - 1 SP - 111 EP - 21 J2 - Int Nurs Rev SN - 1466-7657 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26669621 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Qualitative Research KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Patient Satisfaction KW - *Nursing Care/px [Psychology] KW - *Nursing Care/og [Organization & Administration] ER - TY - JOUR TI - Thirty-Day Outcomes after Elective Percutaneous or Open Endovascular Repair of Abdominal Aortic Aneurysms. AU - Kauvar, David S AU - Martin, Eric D AU - Givens, Matthew D T2 - Annals of vascular surgery AB - BACKGROUND: Percutaneous endovascular aneurysm repair (PEVAR) has become accepted as a suitable alternative to open EVAR (OEVAR) in the treatment of abdominal aortic aneurysms (AAAs). Direct comparisons between the 2 techniques have been infrequently reported and have predominantly focused on immediate procedural outcomes. The objective of this study was to compare contemporary 30-day postoperative outcomes between successfully completed elective PEVAR and OEVAR., METHODS: The 2012 National Surgical Quality Improvement Program database was queried for all elective primary AAA repairs. Procedures on ruptured AAAs and those involving adjunctive thoracic, abdominal, or extremity procedures were excluded. Cases completed with at least one surgical exposure of the femoral artery for access (OPEN) were compared with those completed without such exposure (PERC). Preoperative, intraoperative, and 30-day postoperative variables were compared using appropriate univariate statistical tests. A P value of <=0.05 was considered significant for all comparisons., RESULTS: A total of 1,589 (51%) OPEN and 1,533 (49%) PERC cases met inclusion and exclusion criteria. Preoperative characteristics did not differ between groups. OPEN cases took significantly longer (150 +/- 69 min) than PERC cases (134 +/- 65 min, P < 0.001). No significant differences were found between the groups in any postoperative occurrence, but the rate of venous thromboembolism twice as high in OPEN (16, 1.0%) than PERC cases (7, 0.5%, P = 0.07). In addition, wound complications (36, 2.3% OPEN vs. 23, 1.3% PERC, P = 0.11) were more common in OPEN cases but were diagnosed a week sooner on average in PERC cases (19 days OPEN and 12 days PERC). Median postoperative length of stay was 2 days among OPEN cases versus 1 day in PERC cases (P = 0.11). Female gender and obesity predicted wound complications in the OPEN group but not in the PERC group., CONCLUSIONS: Successfully completed PEVAR and OEVAR have similar rates of overall complications. Female gender and obesity predict wound complications in OEVAR but not in PEVAR, which appears to be a safe alternative to OEVAR. PEVAR has the advantage of shorter operative time and the potential for a shorter postoperative stay, and may offer the advantage of fewer wound complications in females and obese patients. Copyright Published by Elsevier Inc. DA - 2016/// PY - 2016 DO - 10.1016/j.avsg.2015.10.009 VL - 31 IS - avs, 8703941 SP - 46 EP - 51 J2 - Ann Vasc Surg SN - 1615-5947 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26658092 KW - Female KW - Humans KW - Male KW - Risk Factors KW - United States KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Length of Stay KW - Time Factors KW - Sex Factors KW - Databases, Factual KW - Patient Selection KW - Obesity/co [Complications] KW - Postoperative Complications/et [Etiology] KW - Elective Surgical Procedures KW - *Aortic Aneurysm, Abdominal/su [Surgery] KW - Aortic Aneurysm, Abdominal/di [Diagnosis] KW - Aortic Aneurysm, Abdominal/mo [Mortality] KW - Blood Vessel Prosthesis Implantation/ae [Adverse Effects] KW - Blood Vessel Prosthesis Implantation/mo [Mortality] KW - Endovascular Procedures/ae [Adverse Effects] KW - Endovascular Procedures/mo [Mortality] ER - TY - JOUR TI - Antiepileptic drug use and epileptic seizures in nursing home residents in the Province of Pavia, Italy: A reappraisal 12 years after a first survey. AU - Galimberti, Carlo Andrea AU - Tartara, Elena AU - Dispenza, Sabrina AU - Marchese, Daniele AU - Bonizzoni, Erminio AU - Perucca, Emilio AU - Elderly Nursing home Epilepsy Assessment-Pavia Study Group T2 - Epilepsy research A2 - Antoniello N, Bandanera C, Bella VL, Benazzi R, Bosetti R, Campagnoli M, Capetta MC, Cavigliani D, Cerrone M, Corino M, De Paoli MG, Farina MT, Farina PM, Fossa M, Frigerio N, Galaschi D, Germani E, Ghigna D, Gulino E, Iacomucci M, Invernizzi R, Lue A, Manca C, Morelli I, Mussini AM, Nai C, Panigati R, Presepio L, Ramellini L, Sartori M, Segu F, Tamburelli CM, Tardani F, Valsecchi A, Visconti GM, Zavaglia M AB - PURPOSE: To assess the prevalence of epileptic seizures, and antiepileptic drug (AED) use among nursing home elderly residents; to evaluate demographics, seizure characteristics, and seizure-related comorbidities associated with institutionalization; and to compare findings with a previous survey conducted 12 years earlier., METHODS: Data on demographics, age at institutionalization, diagnoses, functional and cognitive status (Barthel Index and Mini Mental State Examination) and drug treatment were obtained by review of medical records of all individuals aged >= 60 years at 21 nursing homes. Data from individuals with a diagnosis of epileptic seizures and AED users were compared with non-seizure, non-AED individuals., RESULTS: Among the 2163 individuals surveyed (79% females, age at observation 84.9 +/- 7.8 years, mean +/- SD), 278 (12.8%, vs 4.3% in the previous survey) received chronic AED treatment, including 174 who did not have a diagnosis of seizures. Of the 116 residents with a diagnosis of seizures (5.4%, vs 2.9% in the previous study), 104 were on AED treatment and were younger and had lower cognitive abilities, and a higher number of comorbidities and co-medications compared with non-AED-users. The most commonly prescribed AEDs in seizure individuals were phenobarbital (43.3%, vs 70% in the previous survey) and levetiracetam (27.9%, not available at the time of previous survey). At multivariate analysis, a diagnosis of seizures was found to be associated with younger age at the time of the survey, a history of neurological (cerebrovascular events, meningiomas) and non-neurological conditions (psoriasis and chronic bronchitis), and a lower MMSE score., CONCLUSIONS: The prevalence of seizures and AED use was higher than in our previous survey and more aligned with data from other countries. Seizures, AED use and co-morbidities were associated with earlier institutionalization. There were indicators of treatment being suboptimal in many cases. Copyright © 2015 Elsevier B.V. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.eplepsyres.2015.11.009 VL - 119 IS - ema, 8703089 SP - 41 EP - 8 J2 - Epilepsy Res SN - 1872-6844 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26656178 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Comorbidity KW - Multivariate Analysis KW - *Anticonvulsants/tu [Therapeutic Use] KW - *Epilepsy/dt [Drug Therapy] KW - *Epilepsy/ep [Epidemiology] KW - Italy/ep [Epidemiology] KW - Mental Status Schedule KW - Seizures/dt [Drug Therapy] KW - Seizures/ep [Epidemiology] ER - TY - JOUR TI - Outcomes After Cochlear Implantation in the Very Elderly. AU - Wong, Daniel Jun Yi AU - Moran, Michelle AU - O'Leary, Stephen John T2 - Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology AB - OBJECTIVE: To evaluate the outcomes after cochlear implantation (CI) in the elderly population, with a particular emphasis on perioperative complications, dizziness, and speech perception outcomes., STUDY DESIGN: A retrospective cohort study of elderly cochlear implant patients., SETTING: Tertiary referral center (Cochlear Implant Clinic, Royal Victorian Eye and Ear Hospital, Melbourne)., PATIENTS: All patients aged 75 and above at the time of first cochlear implant (N = 150). Comparison was made between groups aged 85+ to 80-84, and 75-79., INTERVENTIONS: All patients received Nucleus devices (either CI512 or CI24RE(CA))., MAIN OUTCOME MEASURES: Speech recognition scores both pre- and postimplantation, symptomatic dizziness and effects upon independent living after surgery, and the incidence of perioperative medical and surgical complications. Complications were classified as major (intrinsic device failure, device migration, extracochlear insertion, meningitis, surgical site infection requiring reoperation, wound breakdown, permanent facial nerve paralysis) and minor (tinnitus, transient facial nerve palsy, facial nerve stimulation, taste disturbance, delayed wound healing)., RESULTS: All three cohorts had poor preoperative speech perception. There was significant improvement in postoperative word scores at 3 and 12 months across all groups. There was no statistically significant difference between the three cohorts in terms of speech recognition outcomes at 3 and 12 months. After surgery, more than 20% of patients at all ages experienced transient imbalance, although the incidence did not differ significantly between age groups (p = 0.71). In total, there were 13 major complications in 7 patients (4.7%), and 28 minor complications in 25 patients (16.7%)., CONCLUSION: Postoperative disequilibrium was commonly observed in this elderly population, yet patients still benefited with improved speech perception after cochlear implantation. Elderly patients can benefit from cochlear implantation, and age should not be a limitation for CI surgery. Cochlear implantation can be done safely and provides significant patient benefits. DA - 2016/// PY - 2016 DO - 10.1097/MAO.0000000000000920 VL - 37 IS - 1 SP - 46 EP - 51 J2 - Otol Neurotol SN - 1537-4505 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26649605 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged, 80 and over KW - Retrospective Studies KW - Cohort Studies KW - Follow-Up Studies KW - Postural Balance KW - Age Factors KW - *Aged KW - Sensation Disorders/et [Etiology] KW - *Cochlear Implantation/ae [Adverse Effects] KW - Dizziness/et [Etiology] KW - Postoperative Complications/ep [Epidemiology] KW - Speech Perception ER - TY - JOUR TI - Spiritual Religious Coping is Associated with Quality of Life in Institutionalized Older Adults. AU - Vitorino, Luciano Magalhaes AU - Lucchetti, Giancarlo AU - Santos, Ana Eliza Oliveira AU - Lucchetti, Alessandra L G AU - Ferreira, Eric Batista AU - Adami, Nilce Piva AU - Vianna, Lucila Amaral Carneiro T2 - Journal of religion and health AB - The purpose of this study was to investigate the relationship between spiritual/religious coping (SRCOPE) strategies and quality of life (QoL) in institutionalized older adults. This is a cross-sectional, correlational study, with a sample of 77 older adults in Brazil. The present study found long-term care patients use religious and spiritual coping strategies to deal with their chronic health conditions. Positive SRCOPE and Total SRCOPE have positive correlations with most QoL domains from the WHOQOL-OLD and WHOQOL-BREF. On the other hand, Negative SRCOPE strategies correlated negatively with the facets of "death and dying" from the WHOQOL-OLD. These results suggest the need for an integrative approach for long-term care patients, considering the positive and negative aspects of coping. DA - 2016/// PY - 2016 DO - 10.1007/s10943-015-0148-9 VL - 55 IS - 2 SP - 549 EP - 59 J2 - J Relig Health SN - 1573-6571 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26649565 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - *Quality of Life/px [Psychology] KW - *Homes for the Aged KW - *Nursing Homes KW - *Adaptation, Psychological KW - Brazil KW - Long-Term Care/px [Psychology] KW - *Religion and Psychology ER - TY - JOUR TI - Prevalence of hypoglycemia among diabetic old age home residents in South India. AU - Chandrakumar, Abin AU - Vikas, P V AU - Tharakan, Pretty G AU - Aravind, C T2 - Diabetes & metabolic syndrome AB - AIM: To assess the prevalence of diabetes among inmates at old age care homes in south India and scrutinize their therapy, glycemic levels and burden of hypoglycemic episodes., MATERIALS AND METHODS: The medication record based observational study was conducted in 9 old-age care facilities across south India from February to September 2015. The cognitive and functional status were analysed and the prevalence of hypoglycemia estimated. Descriptive analysis was performed using SPSS 18.0 for windows., RESULTS: The prevalence, predisposing variables and therapeutic modalities used in 189 inmates of 9 old-age homes in Kerala. The mean age of the sample was estimated to be 71.3+/-3.4 years. 67.2% of the total inmates were found to be diabetic and met the inclusion criteria. Of the total patients, 72.44% had co-existence of both cognitive and functional impairment.86% patients developed hypoglycemia at least at some point during the therapy and insulin was found to be the drug used in majority of patients with the condition indicating that aggressive therapies can increase fatality due to hypoglycemia., CONCLUSIONS: Most guidelines call for an individualized therapeutic approach suing less aggressive strategies for patients vulnerable to hypoglycemia and geriatric population form such a substantial group. The current study highlights the necessity for special attention when considering therapeutic regimen among such patients. Copyright © 2015 Diabetes India. Published by Elsevier Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.dsx.2015.10.012 VL - 10 IS - 1 Suppl 1 SP - S144 EP - 6 J2 - Diabetes Metab Syndr SN - 1878-0334 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26642887 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - India/ep [Epidemiology] KW - *Diabetes Mellitus, Type 2/ep [Epidemiology] KW - *Hypoglycemia/ep [Epidemiology] KW - Diabetes Mellitus, Type 2/bl [Blood] KW - Blood Glucose/an [Analysis] KW - Diabetes Mellitus, Type 2/co [Complications] ER - TY - JOUR TI - ['Autonometer'. Proposal of a scale to assess independence in the elderly]. AU - Gonzalez-Perez, Teodoro AU - Barroso-Ribal, Jose Domingo AU - Nieto-Barco, Antonieta AU - Correia-Delgado, Rut AU - Perez-Hernandez, Carmen Araceli AU - Aguirre-Jaime, Armando T2 - Autonometro. Propuesta de una escala para valorar la autonomia del mayor. AB - INTRODUCTION: The demographic forecast predicts an aging population in all developed countries, and this will lead to an increase of frailty in the elderly. Gerontology professionals need tools to detect frailty in advance. A test is presented for assessing multidimensional independence, consisting of a questionnaire and a test., MATERIAL AND METHOD: A test of cognitive functional assessment was designed for the elderly, consisting of a questionnaire of 40 questions (Autonometro-Q) and a test of 26 tasks (Autonometro-T) that can be used together or independently., RESULTS: Autonometro-T test obtained a Cronbach alpha of 0.85 with four dimensions, and a Kappa coefficient of 0.40. Autonometro-Q is a five-dimensional short questionnaire with a Cronbach alpha of 0.94, a Kappa coefficient of 0.63 and has a sensitivity of 85% and a specificity of 87%, with positive and negative predictive values of 73% and 94%, respectively, using Autonometro-T as the reference standard., CONCLUSIONS: Autonometro is a useful tool for frailty screening in the elderly, which examines the physical markers related to daily living activities, using an objective test. Copyright © 2015 SEGG. Publicado por Elsevier Espana, S.L.U. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.regg.2015.09.007 VL - 51 IS - 4 SP - 201 EP - 9 J2 - Rev Esp Geriatr Gerontol SN - 1578-1747 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26639562 KW - Humans KW - Aged KW - Surveys and Questionnaires KW - Activities of Daily Living KW - *Frail Elderly KW - *Geriatric Assessment KW - Geriatrics ER - TY - JOUR TI - Lounging with robots--social spaces of residents in care: A comparison trial. AU - Peri, Kathryn AU - Kerse, Ngaire AU - Broadbent, Elizabeth AU - Jayawardena, Chandimal AU - Kuo, Tony AU - Datta, Chandan AU - Stafford, Rebecca AU - MacDonald, Bruce T2 - Australasian journal on ageing AB - AIMS: To investigate whether robots could reduce resident sleeping and stimulate activity in the lounges of an older persons' care facility., METHODS: Non-randomised controlled trial over a 12-week period. The intervention involved situating robots in low-level and high-dependency ward lounges and a comparison with similar lounges without robots. A time sampling observation method was utilised to observe resident behaviour, including sleep and activities over periods of time, to compare interactions in robot and no robot lounges., RESULTS: The use of robots was modest; overall 13% of residents in robot lounges used the robot. Utilisation was higher in the low-level care lounges; on average, 23% used the robot, whereas in high-level care lounges, the television being on was the strongest predictor of sleep., CONCLUSION: This study found that having robots in lounges was mostly a positive experience. The amount of time residents slept during the day was significantly less in low-level care lounges that had a robot. Copyright © 2015 AJA Inc. DA - 2016/// PY - 2016 DO - 10.1111/ajag.12201 VL - 35 IS - 1 SP - E1 EP - 6 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26632432 KW - Humans KW - Attitude to Computers KW - Activities of Daily Living KW - Quality of Life KW - Time Factors KW - *Homes for the Aged KW - *Nursing Homes KW - *Exercise KW - New Zealand KW - *Social Behavior KW - *Robotics KW - *Sleep KW - Activity Cycles KW - Television ER - TY - JOUR TI - Noctural Enuresis as a Risk Factor for Falls in Older Community Dwelling Women with Urinary Incontinence. AU - Pahwa, Avita K AU - Andy, Uduak U AU - Newman, Diane K AU - Stambakio, Hanna AU - Schmitz, Kathryn H AU - Arya, Lily A T2 - The Journal of urology AB - PURPOSE: We determined the association of urinary symptoms with fall risk and physical limitations in older community dwelling women with urinary incontinence., MATERIALS AND METHODS: We performed an in-depth assessment of daytime and nighttime urinary symptoms, fall risk, physical function, physical performance tests and mental function in older community dwelling women with urinary incontinence who had not sought care for urinary symptoms. All assessments were performed in participant homes. We used univariable and multivariable linear regression to examine the relationship of urinary symptoms to fall risk, physical function and physical performance., RESULTS: Of 37 women with a mean +/- SD age of 74 +/- 8.4 years who had urinary incontinence 48% were at high risk for falls. Nocturnal enuresis was reported by 50% of the women. Increased fall risk was associated with increasing frequency of nocturnal enuresis (p = 0.04), worse lower limb function (p <0.001), worse upper limb function (p <0.0001) and worse performance on a composite physical performance test of strength, gait and balance (p = 0.02). Women with nocturnal enuresis had significantly lower physical performance test scores than women without nocturnal enuresis (median 7, range 0 to 11 vs 9, range 1 to 12, p = 0.04). In a multivariable regression model including age, nocturnal enuresis episodes and physical function only physical function was associated with an increased fall risk (p <0.0001)., CONCLUSIONS: Nocturnal enuresis is common in older community dwelling women with urinary incontinence. It may serve as a marker of fall risk even in women who do not seek care for urinary symptoms. Interventions targeting upper and lower body physical function could potentially decrease the risk of falls in older women with urinary incontinence. Copyright © 2016 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.juro.2015.11.046 VL - 195 IS - 5 SP - 1512 EP - 1516 J2 - J Urol SN - 1527-3792 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26626218 KW - Female KW - Humans KW - Risk Factors KW - Aged KW - *Independent Living KW - Time Factors KW - Follow-Up Studies KW - Cross-Sectional Studies KW - Prospective Studies KW - *Surveys and Questionnaires KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Incidence KW - Pennsylvania/ep [Epidemiology] KW - *Risk Assessment KW - *Nocturnal Enuresis/pp [Physiopathology] KW - *Urinary Incontinence/pp [Physiopathology] KW - *Urination/ph [Physiology] KW - Nocturnal Enuresis/ep [Epidemiology] KW - Nocturnal Enuresis/et [Etiology] KW - Urinary Incontinence/co [Complications] ER - TY - JOUR TI - Housing for ageing LGBTQ people in Sweden: a descriptive study of needs, preferences, and concerns. AU - Kottorp, A AU - Johansson, K AU - Aase, P AU - Rosenberg, L T2 - Scandinavian journal of occupational therapy AB - BACKGROUND/AIM: With an increasing number of ageing people who identify themselves as lesbian, gay, bisexual, transgender, or queer (LGBTQ), there is a risk that traditional housing for older people fails to meet the needs of these people. The aim of this study was to describe LGBTQ people's needs, preferences, and concerns according to ageing and housing., MATERIALS AND METHODS: Based on a survey (n = 487), and six focus-group discussions (n = 30), with LGBTQ persons, quantitative and qualitative approaches were used to analyse the findings., RESULTS: When comparing the ranking of preferences (in terms of activity options, environmental features, and staff competence) in a senior housing setting between the LGBTQ people (n = 200) and heterosexual matched controls (n = 198), only minor differences were detected. The findings from the focus groups included: (1) a dilemma between segregation and openness, (2) the importance of safety associated with ageing together with persons with similar experiences, and (3) networks of persons at different ages connected through close friendship supported participation in activities in LGBTQ-profiled senior housing., CONCLUSION AND SIGNIFICANCE: The findings provide knowledge to improve awareness of sexual orientation when it comes to needs and preferences in relation to ageing and housing in a Swedish context. DA - 2016/// PY - 2016 DO - 10.3109/11038128.2015.1115547 VL - 23 IS - 5 SP - 337 EP - 46 J2 - Scand J Occup Ther SN - 1651-2014 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26625160 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Surveys and Questionnaires KW - Focus Groups KW - Needs Assessment KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Aging KW - *Housing KW - Sweden KW - Consumer Behavior KW - Safety KW - *Sexual and Gender Minorities KW - Disclosure KW - Heterosexuality KW - Prejudice KW - Social Segregation ER - TY - JOUR TI - District nurses' experiences of preventive home visits to 75-year-olds in Stockholm: a qualitative study. AU - Lagerin, Annica AU - Tornkvist, Lena AU - Hylander, Ingrid T2 - Primary health care research & development AB - UNLABELLED: Aims This study had two aims: to describe the dialogue between district nurses (DNs) and older people in preventive home visits (PHVs) from the perspective of the DNs, and to identify barriers to and facilitators of this dialogue as perceived by the DNs., BACKGROUND: The number of older people is rapidly increasing in all western countries, and as people's age increases, the probability that they will have multiple diseases also increases. Planned actions are therefore needed to promote health and prevent diseases among older people so they can remain in good health and live in their homes for as long as possible. In Sweden, PHVs to 75-year-olds by DNs are one such action., METHODS: This qualitative study included five group interviews with 20 DNs. Data were analysed with qualitative content analysis. Findings DNs' experiences of barriers to and facilitators of a successful health dialogue were sorted into five domains. Together, these domains provided a systematic description of the interaction between the DN and the older person in the PHV. The domains included: establishing trustful contact, conducting a structured interview, making an overall assessment, proposing health-promoting activities and offering follow-up. The barriers and facilitators could be related to the older person, the DN or the home environment. The latent content of the interviews was evident in three themes that were related to the DNs' experiences of barriers and facilitators. These themes illustrated professional dilemmas that the DNs had to resolve to achieve the purpose of the PHV. The study demonstrates that the interaction between a DN and an older person in a PHV can be described as a complex social process in which the DN balances a personal and professional approach, combines a person-oriented and a task-oriented approach and employs both a salutogenic and pathogenic perspective. DA - 2016/// PY - 2016 DO - 10.1017/S1463423615000560 VL - 17 IS - 5 SP - 464 EP - 78 J2 - Prim Health Care Res Dev SN - 1477-1128 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26621195 KW - Female KW - Humans KW - Male KW - Aged KW - Qualitative Research KW - *Health Promotion/mt [Methods] KW - *Geriatric Nursing/mt [Methods] KW - *House Calls KW - Sweden KW - *Preventive Health Services/mt [Methods] ER - TY - JOUR TI - The Dutch Long-Term Care System in Transition: Implications for Municipalities. AU - Jongen, W AU - Commers, M J AU - Schols, J M G A AU - Brand, H T2 - Wandel in der niederlandischen Langzeitpflege: Folgen fur die Gemeinden. AB - INTRODUCTION: The aim of this study is to examine the preparedness of Dutch municipalities (in terms of system readiness for innovation) for the challenges resulting from their new responsibilities under the long-term care reform of January 1, 2015., METHODS: A qualitative research approach was used by conducting semi-structured interviews with representatives of nine Dutch municipalities responsible for the long-term care of older people in their respective municipalities., RESULTS: Municipalities consider themselves to be largely prepared for their new responsibilities resulting from the long-term care reform. However, this perception mainly applies to practical changes (related to municipalities' organizational preparation for their new responsibilities) occurring in the short-term transition phase, not to the more long-term transformation phase., CONCLUSION: We argue that municipalities highly underestimate the long-term challenges that lie ahead of them (such as the development of a dedicated 'participation society') and, in fact, seem to fear the uncertainty of the consequences of these challenges. Copyright © Georg Thieme Verlag KG Stuttgart . New York. DA - 2016/// PY - 2016 DO - 10.1055/s-0035-1564251 VL - 78 IS - 8-09 SP - e53 EP - 61 J2 - Gesundheitswesen SN - 1439-4421 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26619216 KW - Netherlands KW - *Homes for the Aged/td [Trends] KW - *Nursing Homes/td [Trends] KW - *Cities KW - *Health Care Reform/td [Trends] KW - *Long-Term Care/td [Trends] KW - *Urban Population/td [Trends] ER - TY - JOUR TI - Senior Smiles: preliminary results for a new model of oral health care utilizing the dental hygienist in residential aged care facilities. AU - Wallace, J P AU - Mohammadi, J AU - Wallace, L G AU - Taylor, J A T2 - International journal of dental hygiene AB - OBJECTIVES: The aim of this study was to determine whether a qualified dental hygienist could improve oral health outcomes for residents living in residential aged care facilities on the Central Coast of New South Wales, Australia., METHODS: A qualified dental hygienist undertook a 24-week oral hygiene intervention in five residential aged care facilities to test the Senior Smiles, oral health model of care. The facilities were invited to take part in the research, which was funded by a grant from NSW Medicare Local, Erina. Residents were asked to consent to having oral health risk assessments, oral healthcare plans and to receiving referrals for treatment where needed. Pre- and post-intervention plaque scores were recorded for residents and P values calculated using a paired t-test. In addition, the number of residents examined, treated and referred for more complex dental care was recorded., RESULTS: The statistical analysis program, SPSS, was used to conduct a paired t-test to compare pre- and post-intervention plaque scores on residents from the 5 RACFs. A statistically significant result of P < 0.0001 showed the intervention of the dental hygienist was effective in reducing plaque scores in residents across the 5 RACFs., CONCLUSION: The Senior Smiles model of care provided residents with preventive oral hygiene care, referral pathways for complex dental treatment needs and established a formal management programme for ongoing oral health care within the RACFs. The Senior Smiles model of care is successful and transportable. Copyright © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/idh.12187 VL - 14 IS - 4 SP - 284 EP - 288 J2 - Int. j. dent. hyg. SN - 1601-5037 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26608383 KW - Humans KW - Aged KW - Models, Organizational KW - Oral Health KW - *Homes for the Aged KW - *Dental Care for Aged/mt [Methods] KW - *Dental Hygienists KW - Dental Plaque/th [Therapy] KW - Preventive Dentistry/mt [Methods] ER - TY - JOUR TI - Malnutrition, functional ability and mortality among older people aged 60 years: a 7-year longitudinal study. AU - Naseer, M AU - Forssell, H AU - Fagerstrom, C T2 - European journal of clinical nutrition AB - BACKGROUND/OBJECTIVES: This study aimed to assess the association between risk of malnutrition and 7-year mortality, controlling for functional ability, socio-demographics, lifestyle behavior and diseases, and investigate the interaction between risk of malnutrition and functional ability on the risk of mortality., SUBJECTS/METHODS: A longitudinal study on home-living and special-housing residents aged 60 years was conducted. Of 2312 randomly invited participants, 1402 responded and 1203 provided information on both nutritional status and functional ability. The risk of malnutrition was estimated by the occurrence of at least one anthropometric measure (BMI, MAC and CC) below cut-off in addition to the presence of at least one subjective measure (decreased food intake, weight loss and eating difficulty)., RESULTS: At baseline, 8.6% of subjects were at risk of malnutrition and during the 7-year follow-up 34.6% subjects died. The risk of malnutrition was independently associated with 7-year mortality (hazard ratio (HR) 1.84, 95% confidence interval (CI) 1.28-2.65). Additional independent predictors were dementia (HR 2.76, 95% CI 1.85-4.10), activity of daily living (ADL) dependence (HR 2.08, 95% CI 1.62-2.67), heart disease (HR 1.44, 95% CI 1.16-1.78), diabetes (HR 1.41, 95% CI 1.03-1.93) and older age (HR 1.09, 95% CI 1.07-1.10). Moreover, the risk of malnutrition and ADL dependence in combination predicted the poorest survival rate (18.7%, P<0.001)., CONCLUSIONS: The risk of malnutrition significantly increases the risk of mortality in older people. Moreover, risk of malnutrition and ADL dependence together explain a significantly poorer survival rate; however, the importance of this interaction decreased in the multivariable model and risk of malnutrition and ADL dependence independently explained a significant risk of mortality. DA - 2016/// PY - 2016 DO - 10.1038/ejcn.2015.196 VL - 70 IS - 3 SP - 399 EP - 404 J2 - Eur J Clin Nutr SN - 1476-5640 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26603879 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Activities of Daily Living KW - Follow-Up Studies KW - Exercise KW - Longitudinal Studies KW - Geriatric Assessment KW - Socioeconomic Factors KW - Nutrition Assessment KW - Nutritional Status KW - Body Mass Index KW - Proportional Hazards Models KW - *Malnutrition/ep [Epidemiology] KW - Energy Intake KW - Malnutrition/pc [Prevention & Control] KW - *Mortality KW - Life Style ER - TY - JOUR TI - Antihypertensive and Statin Medication Use and Motor Function in Community-Dwelling Older Adults. AU - Perlman, Amichai AU - Shah, Raj C AU - Bennett, David A AU - Buchman, Aron S AU - Matok, Ilan T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: To investigate whether the use of antihypertensive and statin medication in very old adults is associated with the level of motor performance., DESIGN: Cross-sectional study., SETTINGS: A community-based study recruited from over 40 residential facilities across the metropolitan Chicago area., PARTICIPANTS: Community-dwelling very old adults (n = 1520; mean age 80.2; standard deviation 7.7)., MEASUREMENTS: Eleven motor performances were summarized using a composite motor score. All prescription and over the counter medications taken by participants were inspected and coded using the Medi-Span Data Base System. Demographic characteristics and medical history were obtained by means of detailed interview and medical examinations., RESULTS: In multiple linear regression models, antihypertensive medications were associated with global motor score [beta = -0.075, standard error (SE) 0.011, P < .001]. Thus, motor function in an individual with antihypertensive medication, was on average, about 7.5% lower than an age-, sex-, and education-matched individual without antihypertensive medication. The number of antihypertensive medications, which were being used had an additive effect, such that a reduction in the level of motor function was observed with each additional medication, and receiving 3 or more antihypertensive medications was associated with about a 15% reduction in the level of motor function. The association between antihypertensive medications and motor function was robust, and remained unchanged after adjusting for confounding by indication using several potentially confounding variables: smoking, hypertension, diabetes, stroke, congestive heart failure, myocardial infarction, and intermittent claudication (beta = -0.05, SE 0.015, P = .001). In contrast, the use of statin medications was not related to motor function (unadjusted: beta = 0.003, SE 0.015, P = .826; fully adjusted: beta = 0.018, SE 0.014, P = .216)., CONCLUSIONS: The use of antihypertensive medications is associated with a lower level of motor function in very old adults. The nature of this association warrants further investigation. Copyright © 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jamda.2015.10.007 VL - 17 IS - 3 SP - 220 EP - 4 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26597419 KW - Female KW - Humans KW - Male KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Hydroxymethylglutaryl-CoA Reductase Inhibitors/ae [Adverse Effects] KW - Chicago KW - *Antihypertensive Agents/ae [Adverse Effects] KW - *Hypertension/dt [Drug Therapy] KW - *Antihypertensive Agents/ad [Administration & Dosage] KW - *Hydroxymethylglutaryl-CoA Reductase Inhibitors/ad [Administration & Dosage] KW - *Psychomotor Performance/de [Drug Effects] KW - Diabetes Mellitus ER - TY - JOUR TI - Cleaning, resistant bacteria, and antibiotic prescribing in residential aged care facilities. AU - Cowan, Raquel U AU - Kishan, Divya AU - Walton, Aaron L AU - Sneath, Emmy AU - Cheah, Thomas AU - Butwilowsky, Judith AU - Friedman, N Deborah T2 - American journal of infection control AB - Residents of residential aged care facilities (RACFs) are at risk of colonization and infection with multidrug-resistant bacteria, and antibiotic prescribing is often inappropriate and not based on culture-proven infection. We describe low levels of resident colonization and environmental contamination with resistant gram-negative bacteria in RACFs, but high levels of empirical antibiotic use not guided by microbiologic culture. This research highlights the importance of antimicrobial stewardship and environmental cleaning in aged care facilities. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.ajic.2015.09.034 VL - 44 IS - 3 SP - e19 EP - 21 J2 - Am J Infect Control SN - 1527-3296 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26590000 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Inappropriate Prescribing KW - *Homes for the Aged KW - *Drug Resistance, Bacterial KW - *Anti-Bacterial Agents/tu [Therapeutic Use] KW - *Drug Utilization KW - *Anti-Bacterial Agents/pd [Pharmacology] KW - *Environmental Microbiology KW - *Gram-Negative Bacteria/de [Drug Effects] KW - Gram-Negative Bacteria/ip [Isolation & Purification] ER - TY - JOUR TI - Are Retirement Villages Promoting Active Aging?. AU - Holt, Annie AU - Lee, Andy H AU - Jancey, Jonine AU - Kerr, Deborah AU - Howat, Peter T2 - Journal of aging and physical activity AB - PURPOSE: This study investigated physical activity (PA) facilities of retirement villages (RVs) and neighborhood PA barriers identified by RV residents in Perth, Australia., METHODS: An environmental audit of PA facilities was undertaken on 50 RV with 50+ independent living units, using the Audit of Physical Activity Resources for Seniors. Telephone interviews with 200 RV residents were conducted to identify neighborhood barriers to walking, and to obtain information on utilization of facilities and attendance of PA programs., RESULTS: Larger size RV appeared to provide significantly more PA facilities and programs. Utilization of PA facilities and program attendance were low (= 50%) and not associated with the RV environment (size, age, and facilities). Neighborhood barriers to walking were unsafe streets and hills., DISCUSSION: RV offers an attractive residential option with facilities that support active aging, but it is important to understand the barriers and enablers to use such facilities and attend programs offered. DA - 2016/// PY - 2016 DO - 10.1123/japa.2015-0194 VL - 24 IS - 3 SP - 407 EP - 11 J2 - J AGING PHYS ACTIVITY SN - 1543-267X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26583518 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Interviews as Topic KW - *Residence Characteristics KW - *Environment Design KW - *Housing for the Elderly KW - *Health Promotion KW - *Motor Activity KW - Retirement KW - Western Australia ER - TY - JOUR TI - Derivation and Validation of a Novel Prognostic Scale (Modified-Stroke Subtype, Oxfordshire Community Stroke Project Classification, Age, and Prestroke Modified Rankin) to Predict Early Mortality in Acute Stroke. AU - Abdul-Rahim, Azmil H AU - Quinn, Terence J AU - Alder, Sarah AU - Clark, Allan B AU - Musgrave, Stanley D AU - Langhorne, Peter AU - Potter, John F AU - Myint, Phyo Kyaw T2 - Stroke AB - BACKGROUND AND PURPOSE: The stroke subtype, Oxfordshire Community Stroke Project classification, age, and prestroke modified Rankin (SOAR) score is a prognostic scale proposed for early mortality prediction after acute stroke. We aimed to evaluate whether including a measure of initial stroke severity (National Institutes of Health Stroke Scale and modified-SOAR [mSOAR] scores) would improve the prognostic accuracy., METHODS: Using Anglia Stroke and Heart Clinical Network data, 2008 to 2011, we assessed the performance of SOAR and mSOAR against in-hospital mortality using area under the receiver operating curve statistics. We externally validated the prognostic utility of SOAR and mSOAR using an independent cohort data set from Glasgow. We described calibration using Hosmer-Lemeshow goodness-of-fit test., RESULTS: A total of 1002 patients were included in the derivation cohort, and 105 (10.5%) died as inpatients. The area under the receiver operating curves for outcome of early mortality derived from the SOAR and mSOAR scores were 0.79 (95% confidence interval, 0.75-0.84) and 0.83 (95% confidence interval, 0.79-0.86), respectively (P=0.001). The external validation data set contained 1012 patients with stroke; of which, 121 (12.0%) patients died within 90 days. The mSOAR scores identified the risk of early mortality ranging from 3% to 42%. External validation of mSOAR score yielded an area under the receiver operating curve of 0.84 (95% confidence interval, 0.82-0.88) for outcome of early mortality. Calibration was good (P=0.70 for the Hosmer-Lemeshow test)., CONCLUSIONS: Adding National Institutes of Health Stroke Scale data to create a modified-SOAR score improved prognostic utility in both derivation and validation data sets. The mSOAR may have clinical utility by using easily available data to predict mortality. Copyright © 2015 American Heart Association, Inc. DA - 2016/// PY - 2016 DO - 10.1161/STROKEAHA.115.009898 VL - 47 IS - 1 SP - 74 EP - 9 J2 - Stroke SN - 1524-4628 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26578661 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Cohort Studies KW - *Independent Living/td [Trends] KW - Age Factors KW - Prognosis KW - England/ep [Epidemiology] KW - Predictive Value of Tests KW - *Severity of Illness Index KW - *Stroke/mo [Mortality] KW - Stroke/di [Diagnosis] KW - Mortality/td [Trends] KW - *Stroke/cl [Classification] ER - TY - JOUR TI - Exploratory investigation of communication management in residential-aged care: a comparison of staff knowledge, documentation and observed resident-staff communication. AU - Bennett, Michelle K AU - Ward, Elizabeth C AU - Scarinci, Nerina A T2 - International journal of language & communication disorders AB - BACKGROUND: There is a high prevalence of communication difficulty among older people living in residential-aged care. Such functional deficits can have a negative impact on resident quality of life, staff workplace satisfaction and the provision of quality care. Systematic research investigating the nature of communication management in residential-aged care and factors impacting optimal communication management is lacking., AIMS: To use data triangulation across multiple sources to describe resident-staff communication and communication management in residential-aged care., METHODS & PROCEDURES: Participants included a sample of 14 residents and 29 staff directly involved in communication interactions with residents. Data were obtained from: (1) resident file review (n = 14), (2) observation of resident-staff communication (n = 14), (3) resident surveys (n = 14) and (4) staff surveys (n = 29). Data from each source were examined separately then triangulated., OUTCOMES & RESULTS: All residents had limited opportunity for meaningful communication with staff. Documentation of residents' communication needs and strategies to facilitate resident-staff communication was insufficient to provide individualized recommendations. Although staff were observed to use various strategies to facilitate communication with residents, staff agreement about the applicability of these strategies to individual residents was inconsistent. Differences in resident-staff communication for residents who experience nil/mild versus moderate/severe communication difficulty were also found., CONCLUSIONS & IMPLICATIONS: Resident-staff communication and communication management in residential-aged care is limited in scope and challenged in meeting residents' individual communication needs. Improvements in both documentation and staff knowledge of residents' communication needs are necessary. Strategies to facilitate communication with individual residents must be tailored, evidence based, documented in care plans and delivered to staff through ongoing education. Increased involvement of specialist providers such as speech pathologists to support better communication management in residential-aged care may provide one way of facilitating such change. Copyright © 2015 Royal College of Speech and Language Therapists. DA - 2016/// PY - 2016 DO - 10.1111/1460-6984.12207 VL - 51 IS - 3 SP - 296 EP - 309 J2 - Int J Lang Commun Disord SN - 1460-6984 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26575694 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - Nursing Homes/og [Organization & Administration] KW - *Attitude of Health Personnel KW - Homes for the Aged/og [Organization & Administration] KW - Nurse-Patient Relations KW - *Communication KW - *Professional-Patient Relations KW - Comprehension KW - Quality Improvement/og [Organization & Administration] KW - Patient Care Team/og [Organization & Administration] KW - Queensland KW - Patient Care Planning/og [Organization & Administration] KW - *Communication Disorders/di [Diagnosis] KW - *Communication Disorders/th [Therapy] KW - *Documentation KW - Communication Disorders/et [Etiology] KW - Communication Disorders/nu [Nursing] KW - Communication Methods, Total ER - TY - JOUR TI - Description and cohort characterization of the Longevity Study: learning from our elders. AU - O'Connor, Kathleen AU - Coon, David W AU - Malek-Ahmadi, Michael AU - Dugger, Brittany N AU - Schofield, Sharon AU - Nieri, Walter T2 - Aging clinical and experimental research AB - The purpose of this article is to describe the Longevity Study: Learning From Our Elders, a research program on healthy aging that began in 2007 at the Center for Healthy Aging at Banner Sun Health Research Institute. As of June 2015, 1139 participants (age range of 50-110 years) completed baseline assessments with the majority living in the Sun Cities retirement communities northwest of Phoenix, Arizona but expanding throughout the state. The registry includes over 830 currently active participants with 450 aged 80 years and older, 188 aged 90 and older, and 27 centenarians. Data from in-person interviews at the Center for Healthy Aging in Sun City or in the participants' residences which includes sociodemographic, medical, cognitive, physical and psychosocial variables have been collected since the study's inception. This paper outlines some of the key demographic and clinical characteristics of the Longevity Study, its progress, and future directions. It also reflects on how exceptional aging individuals function psychosocially, cognitively and physically, particularly among individuals aged 85 and older. DA - 2016/// PY - 2016 DO - 10.1007/s40520-015-0488-z VL - 28 IS - 5 SP - 863 EP - 9 J2 - Aging Clin Exp Res SN - 1720-8319 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26572156 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Health Status KW - Demography KW - Cognition KW - *Aging KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - Longitudinal Studies KW - Socioeconomic Factors KW - Aging/ph [Physiology] KW - *Geriatric Assessment KW - *Longevity KW - Aging/px [Psychology] KW - Geriatrics/mt [Methods] KW - Psychology KW - Arizona/ep [Epidemiology] ER - TY - JOUR TI - Prevalence of anemia and malnutrition and their association in elderly nursing home residents. AU - Sahin, Sevnaz AU - Tasar, Pinar Tosun AU - Simsek, Hatice AU - Cicek, Zeynep AU - Eskiizmirli, Hulya AU - Aykar, Fisun Senuzun AU - Sahin, Fahri AU - Akcicek, Fehmi T2 - Aging clinical and experimental research AB - PURPOSE: Malnutrition is one of the most important geriatric syndromes in the elderly. The aim of this study was to investigate the association between anemia and malnutrition in elderly nursing home residents., MATERIALS AND METHODS: Local nursing home residents over 60 years old in the Izmir were included in the study. Blood samples were taken from study participants for hemogram, iron, ferritin, total iron-binding capacity, vitamin B12 and folic acid analysis. WHO criteria were used to define anemia. Causes of anemia were classified as iron deficiency, vitamin B12 or folic acid deficiency, anemia of chronic disease or other hematologic causes. Anemia was defined as the dependent variable and malnutrition was defined as the independent variable. Correlation between MNA scores and Hb levels was determined using Pearson correlation analysis. The slope of causality between malnutrition and anemia was determined using the chi (2) test and logistic regression analysis., RESULTS: The study included 257 elderly nursing home residents with a mean age of 78.5 +/- 7.8 years. The overall prevalence of anemia was 54.9 %; 35.8 % of the study participants were at risk of malnutrition and 8.2 % were malnourished. Anemia risk was 2.12-fold higher in participants at risk of malnutrition and 5.05-fold higher in those with malnutrition. In the participants with malnutrition or malnutrition risk, the most common cause of anemia was anemia of chronic disease (57.1 and 46.5 %, respectively)., CONCLUSION: The prevalence of anemia among elderly nursing home residents is high in Turkey. Malnutrition and malnutrition risk increase the incidence of anemia. DA - 2016/// PY - 2016 DO - 10.1007/s40520-015-0490-5 VL - 28 IS - 5 SP - 857 EP - 62 J2 - Aging Clin Exp Res SN - 1720-8319 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26572155 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - Geriatric Assessment/mt [Methods] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Nutrition Assessment KW - Nutritional Status KW - Incidence KW - Malnutrition/bl [Blood] KW - *Malnutrition KW - Malnutrition/ep [Epidemiology] KW - Malnutrition/di [Diagnosis] KW - Turkey/ep [Epidemiology] KW - Chronic Disease/ep [Epidemiology] KW - Statistics as Topic KW - *Anemia KW - Anemia/bl [Blood] KW - Anemia/di [Diagnosis] KW - Anemia/ep [Epidemiology] ER - TY - JOUR TI - Engaging dental professionals in residential aged-care facilities: staff perspectives regarding access to oral care. AU - Hearn, Lydia AU - Slack-Smith, Linda T2 - Australian journal of primary health AB - The limited access to oral care for older people living in residential aged care facilities (RACFs) has been noted repeatedly in the literature. The aim of this study was to explore RACF staff perspectives on how to engage dental professionals in the provision of oral care for RACF residents. Semi-structured interviews were conducted with 30 staff from six purposively selected RACFs located in high socioeconomic areas to gain understanding of the multidimensional issues that influenced the engagement of dental professionals from a carer perspective. Analysis revealed that staff perceived tensions regarding affordability, availability, accessibility and flexibility of dental professionals as significant barriers to better oral care for their residents. Participants raised a series of options for how to better engage dental professionals and reduce these barriers. Their ideas included: the engagement of RACF staff in collaborative discussions with representatives of public and private dental services, dental associations, corporate partners and academics; the use of hygienists/oral health therapists to educate and motivate RACF staff; the promotion of oral health information for troubleshooting and advice on how to deal with residents' dental pain while waiting for support; the encouragement of onsite training for dental professionals; and the importance of gerodontology (geriatric dentistry). Findings highlighted the need to explore alternative approaches to delivering oral care that transcend the model of private clinical practice to focus instead on the needs of RACFs and take into account quality of end-of-life oral care. DA - 2016/// PY - 2016 DO - 10.1071/PY15028 VL - 22 IS - 5 SP - 445 EP - 451 J2 - Aust J Prim Health SN - 1448-7527 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26568408 KW - Female KW - Humans KW - Aged KW - Attitude of Health Personnel KW - *Homes for the Aged KW - *Health Services Accessibility KW - *Dental Care for Aged/og [Organization & Administration] KW - *Dentists/sd [Supply & Distribution] ER - TY - JOUR TI - Continuous monitoring of emergency admissions of older care home residents to hospital. AU - Sherlaw-Johnson, Chris AU - Smith, Paul AU - Bardsley, Martin T2 - Age and ageing AB - BACKGROUND: evidence from inspection programmes suggest that the quality of care provided by individual care homes for older people is very variable. Aside from periodic inspection, there is limited information that is routinely collected and can be used to monitor quality., OBJECTIVES: to describe a method for using routine hospital data on admissions of older people as means for monitoring quality of care within a care home. To explore how this might be applied and used., METHODS: we linked hospital admissions to care homes using postcode matching and analysed hospital admission data as a time series, using the Cumulative Sum (CUSUM) technique to detect unusually high rates of admission., RESULTS: if we develop the CUSUM so that the number of times it falsely signals a high rate of admissions is limited to a rate of 0.1% per year, the chances of successfully detecting a doubling of the admission rate within 2 years will range from 48% for the smaller homes to 96% for the larger homes., CONCLUSION: monitoring tools using data on admissions to hospital are both possible and feasible, particularly for the larger homes. However, due to data limitations, users need to be careful about how they interpret triggers and thus ensure follow-up is appropriate. Some of the problems caused by using routine national data can be overcome if care homes used their own information for local monitoring. Copyright © The Author 2015. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/ageing/afv158 VL - 45 IS - 1 SP - 71 EP - 7 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26563889 KW - Humans KW - Aged KW - Reproducibility of Results KW - Time Factors KW - Age Factors KW - Feasibility Studies KW - *Homes for the Aged/td [Trends] KW - *Emergency Service, Hospital/td [Trends] KW - *Patient Admission/td [Trends] KW - *Geriatrics/td [Trends] KW - *Patient Transfer/td [Trends] KW - *Quality Indicators, Health Care/td [Trends] ER - TY - JOUR TI - The impact of indoor air quality and contaminants on respiratory health of older people living in long-term care residences in Porto. AU - Mendes, Ana AU - Papoila, Ana Luisa AU - Carreiro-Martins, Pedro AU - Bonassi, Stefano AU - Caires, Iolanda AU - Palmeiro, Teresa AU - Aguiar, Livia AU - Pereira, Cristiana AU - Neves, Paula AU - Mendes, Diana AU - Botelho, Maria Amalia Silveira AU - Neuparth, Nuno AU - Teixeira, Joao Paulo T2 - Age and ageing AB - BACKGROUND: persons who are 65 years or older often spend an important part of their lives indoors thus adverse indoor climate might influence their health status., OBJECTIVE: to evaluate the influence of indoor air quality and contaminants on older people's respiratory health., DESIGN: cross-sectional study., SETTING: 21 long-term care residences (LTC) in the city of Porto, Portugal., SUBJECTS: older people living in LTC with >=65 years old., METHODS: the Portuguese version of BOLD questionnaire was administered by an interviewer to older residents able to participate (n = 143). Indoor air contaminants (IAC) were measured twice, during winter and summer in 135 areas. Mixed effects logistic regression models were used to study the association between the health questionnaire results and the monitored IAC, adjusted for age, smoking habits, gender and number of years living in the LTC., RESULTS: cough (23%) and sputum (12%) were the major respiratory symptoms, and allergic rhinitis (22%) the main self-reported illness. Overall particulate matter up to 2.5 micrometres in size median concentration was above the reference levels both in winter and summer seasons. Peak values of particulate matter up to 10 micrometres in size (PM10), total volatile organic compounds, carbon dioxide, bacteria and fungi exceeded the reference levels. Older people exposed to PM10 above the reference levels demonstrated higher odds of allergic rhinitis (OR = 2.9, 95% CI: 1.1-7.2)., CONCLUSION: high levels of PM10 were associated with 3-fold odds of allergic rhinitis. No association was found between indoor air chemical and biological contaminants and respiratory symptoms. Copyright © The Author 2015. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/ageing/afv157 VL - 45 IS - 1 SP - 136 EP - 42 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26563886 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Surveys and Questionnaires KW - Logistic Models KW - Cross-Sectional Studies KW - *Homes for the Aged KW - Age Factors KW - Geriatric Assessment KW - *Long-Term Care KW - Odds Ratio KW - Seasons KW - Aging KW - Portugal KW - *Air Microbiology KW - Environmental Monitoring KW - *Air Pollutants/ae [Adverse Effects] KW - *Air Pollution, Indoor KW - *Lung KW - *Particulate Matter/ae [Adverse Effects] KW - *Respiration/de [Drug Effects] KW - *Respiratory Tract Diseases KW - Inhalation Exposure/ae [Adverse Effects] KW - Lung/de [Drug Effects] KW - Lung/mi [Microbiology] KW - Lung/pp [Physiopathology] KW - Particle Size KW - Respiratory Tract Diseases/ci [Chemically Induced] KW - Respiratory Tract Diseases/di [Diagnosis] KW - Respiratory Tract Diseases/mi [Microbiology] KW - Respiratory Tract Diseases/pp [Physiopathology] KW - Rhinitis, Allergic/ci [Chemically Induced] KW - Rhinitis, Allergic/di [Diagnosis] KW - Rhinitis, Allergic/mi [Microbiology] KW - Rhinitis, Allergic/pp [Physiopathology] ER - TY - JOUR TI - A randomized controlled trial of the effect of an intensive 1-year care management program on measures of health status in independent, community-living old elderly: the Eldercare project. AU - Godwin, Marshall AU - Gadag, Veeresh AU - Pike, Andrea AU - Pitcher, Heather AU - Parsons, Karen AU - McCrate, Farah AU - Parsons, Wanda AU - Buehler, Sharon AU - Sclater, Anne AU - Miller, Robert T2 - Family practice AB - BACKGROUND: Primary care practitioners are familiar with the frail elderly and commonly have to deal with their multi-morbidity and their functional decline, both physically and mentally. However, there are well elderly with high quality of life and very few co-morbidities who seldom seek medical care., OBJECTIVE: To determine if a nurse-based program of home-delivered care, linked directly with the primary care practitioner or primary care team, would improve quality of life, symptoms, satisfaction with care and utilization of community and medical services, in independent community living old elderly., DESIGN: Randomized controlled trial., SETTING: St. John's, Newfoundland, Canada., PARTICIPANTS: Two hundred and thirty-six independent, community-dwelling, cognitively functioning, people aged 80 years and older., INTERVENTION: A nurse-based program of care, carried out in the patients home, that involved a detailed assessment of needs, the development of a plan to meet the needs, and up to eight visits to the patients home during a 1-year period to facilitate the meeting of those needs., CONTROL GROUP: Usual care, MAIN OUTCOME MEASUREMENTS: Quality of Life measured using the SF-36 and the CASP-19 scales; symptomology using the Comorbidity Symptom Scale; patient satisfaction using the PSQ-18; and assessment of health care services (community services, emergency room visits, hospitalizations, use of diagnostic services and family doctor visits) through patient recall, family physician chart review and assessment of hospitalization records., RESULTS: There were no statistical or meaningful differences between the intervention and control groups in any of the outcomes measured., CONCLUSION: The intensive, home-delivered, program of care for the well old elderly did not have an impact on the outcomes measured. Copyright © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/fampra/cmv089 VL - 33 IS - 1 SP - 37 EP - 41 J2 - Fam Pract SN - 1460-2229 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26560094 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Frail Elderly KW - Needs Assessment KW - *Independent Living KW - *Quality of Life KW - Canada KW - *Health Status KW - *Home Care Services KW - Health Services Accessibility/sn [Statistics & Numerical Data] KW - Hospitalization/sn [Statistics & Numerical Data] KW - Patient Satisfaction KW - *Practice Patterns, Nurses' KW - *Primary Care Nursing/mt [Methods] KW - Community Health Services/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Multidisciplinary nutritional support for undernutrition in nursing home and home-care: A cluster randomized controlled trial. AU - Beck, Anne Marie AU - Christensen, Annette Gogsig AU - Hansen, Birthe Stenbaek AU - Damsbo-Svendsen, Signe AU - Moller, Tina Kreinfeldt Skovgaard T2 - Nutrition (Burbank, Los Angeles County, Calif.) T3 - [Comment in: Nutrition. 2016 Apr;32(4):503; PMID: 26732831 [https://www.ncbi.nlm.nih.gov/pubmed/26732831]][Comment in: Nutrition. 2016 Apr;32(4):504; PMID: 26803332 [https://www.ncbi.nlm.nih.gov/pubmed/26803332]] AB - OBJECTIVE: To assess the effect of multidisciplinary nutritional support for undernutrition in older adults in nursing home and home-care identified with the validated Eating Validation Scheme (EVS)., METHODS: An 11 wk cluster randomized trial with a home-care (3 clusters) or nursing home (3 clusters) setting as the unit of randomization. Before starting the study, a train-the-trainer course was performed to educate the nutrition coordinators. In addition to the nutrition coordinator, the participants assigned to the intervention group strategy received multidisciplinary nutrition support. Focus was on treatment of the potentially modifiable nutritional risk factors identified with the EVS, by involving the physiotherapist, registered dietitian, and occupational therapist, as relevant and independent of the municipality's ordinary assessment and referral system. Outcome parameters were quality of life (by means of EuroQol-5D-3L), physical performance (30-seconds chair stand), nutritional status (weight and hand-grip strength), oral care, fall incidents, hospital admissions, rehabilitation stay, moving to nursing homes (participants from home-care), and mortality., RESULTS: Respectively, 55 (46 from 2 home-care clusters) and 40 (18 from 1 home-care cluster) were identified with the EVS and comprised the intervention and control group. A difference after 11 wk in quality of life (0.758 [0.222] versus 0.534 [0.355], P = 0.001), 30-seconds chair stand (47% versus 17% improved, P = 0.005) and oral care (1.1 [0.3] versus 1.3 [0.5], P = 0.021) was observed. There was a almost significant difference in mortality (2% versus 13%, P = 0.079)., CONCLUSIONS: Multidisciplinary nutritional support in older adults in nursing home and home-care could have a positive effect on quality of life, muscle strength, and oral care. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.nut.2015.08.009 VL - 32 IS - 2 SP - 199 EP - 205 J2 - Nutrition SN - 1873-1244 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26553461 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Quality of Life KW - Body Weight KW - Cluster Analysis KW - Cost-Benefit Analysis KW - Exercise KW - *Homes for the Aged KW - *Nursing Homes KW - Muscle Strength KW - Socioeconomic Factors KW - Hand Strength KW - Nutritional Status KW - Body Mass Index KW - *Home Care Services KW - Patient Compliance KW - *Malnutrition/th [Therapy] KW - *Nutritional Support/mt [Methods] KW - Nutritionists ER - TY - JOUR TI - The prevalence of anxiety among older adults in nursing homes and other residential aged care facilities: a systematic review. AU - Creighton, Alexandra S AU - Davison, Tanya E AU - Kissane, David W T2 - International journal of geriatric psychiatry AB - OBJECTIVES: To synthesize and summarize the studies examining the prevalence rate of anxiety disorders and symptoms in older adults living in residential aged care., METHODS: Using the PRISMA guidelines, five electronic databases were searched using key terms and subject headings, as well as reference lists of relevant papers. The search was limited to literature published in English. Eligible studies examined the prevalence of anxiety disorders or symptoms in aged care residents aged 50+ years., RESULTS: A total of 2249 articles were identified, of which 18 studies (with a total of 5927 participants) were included in this review. The rate of overall anxiety disorders ranged from 3.2% to 20%, with the highest quality studies estimating a prevalence rate of 5% to 5.7%. Generalized anxiety disorder and specific phobias were found to be the most common anxiety disorders among aged care residents, while clinically significant anxiety symptoms were found to be more frequent (6.5% to 58.4%) than threshold disorders., CONCLUSIONS: Anxiety disorders and anxiety symptoms are common in older aged care residents. Given the paucity and overall quality of research examining anxiety within this population and the heterogeneity found in studies, further research is needed to help clarify this issue. Copyright © 2015 John Wiley & Sons, Ltd. DA - 2016/// PY - 2016 DO - 10.1002/gps.4378 VL - 31 IS - 6 SP - 555 EP - 66 J2 - Int J Geriatr Psychiatry SN - 1099-1166 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26552603 KW - Adult KW - Humans KW - Prevalence KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - *Anxiety Disorders/ep [Epidemiology] ER - TY - JOUR TI - Factors associated with eating performance for long-term care residents with moderate-to-severe cognitive impairment. AU - Liu, Wen AU - Galik, Elizabeth AU - Boltz, Marie AU - Nahm, Eun-Shim AU - Lerner, Nancy AU - Resnick, Barbara T2 - Journal of advanced nursing AB - AIMS: The aim of this study was to examine the association of specific personal and environmental factors with eating performance among long-term care residents with moderate-to-severe cognitive impairment., BACKGROUND: Eating is the one of the most basic and easiest activities of daily living to perform. While multilevel factors can be associated with eating performance, the evidence among those with dementia was insufficient., DESIGN: A secondary analysis of baseline data collected between March and September in 2012 from 199 residents in eight long-term care facilities., METHODS: Eating performance was conceptualized using the single self-care 'feeding' item in the Barthel Index and was scored based on four levels of dependence and assistance required. Binary logistic regression was used to examine the adjusted association of specific factors with eating performance., RESULTS: Almost one-third of the residents needed help with eating. After adjusting the type of facility, number of comorbidities, chair-sitting balance, agitation and depression, compromised eating performance was associated with severe cognitive impairment and low physical capability., CONCLUSION: This study supported the association of eating performance with cognitive impairment and physical capability among long-term care residents with moderate-to-severe cognitive impairment. Targeted interventions should be implemented to reduce the impact of cognitive decline on eating performance and promote physical capability to optimize eating performance. Future work need to use validated multiple-item measures for eating performance and test the association of personal and environmental factors with eating performance among a larger heterogeneous group of long-term care residents to enhance understanding of the factors. Copyright © 2015 John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/jan.12846 VL - 72 IS - 2 SP - 348 EP - 60 J2 - J Adv Nurs SN - 1365-2648 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26552367 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Nursing Homes KW - Assisted Living Facilities KW - Long-Term Care KW - *Feeding Behavior/px [Psychology] KW - *Activities of Daily Living/px [Psychology] KW - *Cognition Disorders/co [Complications] KW - *Dementia/co [Complications] KW - Homes for the Aged KW - *Feeding and Eating Disorders/et [Etiology] ER - TY - JOUR TI - Instructions influence response to the Chinese version of the Movement-Specific Reinvestment Scale in community-dwelling older adults. AU - Wong, Thomson Wl AU - Abernethy, Bruce AU - Masters, Rich Sw T2 - Geriatrics & gerontology international AB - AIM: To examine whether differences emerged when the Chinese version of the Movement-Specific Reinvestment Scale (MSRS-C) was administered to community-dwelling older adults with instructions to respond in the context of "general" movements, walking, using chopsticks or dressing. Furthermore, the difference between the six-point Likert scale and four-point Likert scale response formats of the MSRS-C was investigated., METHODS: The study was implemented in the community of Hong Kong with 52 older adults (mean age 77.4 years). Telephone interviews were carried out on two occasions for each participant. Participants provided a verbal response to each of 10 questions from the MSRS-C with different response formats (i.e., six-point or four-point Likert Scales) and different instructions in the response context (i.e. general, walking, using chopsticks, dressing). The sequence of response format and context was randomized for each participant., RESULTS: Older fallers scored significantly higher on the MSRS-C (general) with six-point or four-point response formats than non-fallers. The MSRS-C (general) and MSRS-C (walking) were not statistically different, and showed good discriminative power for previous older fall status (older fallers or older non-fallers). However, MSRS-C (chopsticks) and MSRS-C (dressing) failed to differentiate older fallers from older non-fallers., CONCLUSION: Both the MSRS-C (general) and MSRS-C (walking) with a six-point or a four-point response format showed good discrimination of older fallers from non-fallers. Older adults might respond to the MSRS-C with respect to the most challenging movements (e.g. fall-related movements) in their daily living. Geriatr Gerontol Int 2016; 16: 1305-1311. Copyright © 2015 Japan Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/ggi.12644 VL - 16 IS - 12 SP - 1305 EP - 1311 J2 - Geriatr Gerontol Int SN - 1447-0594 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26531243 KW - Female KW - Humans KW - Male KW - Aged KW - *Independent Living KW - *Geriatric Assessment/mt [Methods] KW - *Accidental Falls KW - Hong Kong KW - Movement KW - *Walking ER - TY - JOUR TI - The reliability of the quantitative timed up and go test (QTUG) measured over five consecutive days under single and dual-task conditions in community dwelling older adults. AU - Smith, Erin AU - Walsh, Lorcan AU - Doyle, Julie AU - Greene, Barry AU - Blake, Catherine T2 - Gait & posture AB - The timed up and go (TUG) test is a commonly used assessment in older people with variations including the addition of a motor or cognitive dual-task, however in high functioning older adults it is more difficult to assess change. The quantified TUG (QTUG) uses inertial sensors to detect test and gait parameters during the test. If it is to be used in the longitudinal assessment of older adults, it is important that we know which parameters are reliable and under which conditions. This study aims to examine the relative reliability of the QTUG over five consecutive days under single, motor and cognitive dual-task conditions. Twelve community dwelling older adults (10 females, mean age 74.17 (3.88)) performed the QTUG under three conditions for five consecutive days. The relative reliability of each of the gait parameters was assessed using intra-class correlation coefficient (ICC 3,1) and standard error of measurement (SEM). Five of the measures demonstrated excellent reliability (ICC>0.70) under all three conditions (time to complete test, walk time, number of gait cycles, number of steps and return from turn time). Measures of variability and turn derived parameters demonstrated weak reliability under all three conditions (ICC=0.05-0.49). For the most reliable parameters under single-task conditions, the addition of a cognitive task resulted in a reduction in reliability suggesting caution when interpreting results under these conditions. Certain sensor derived parameters during the QTUG test may provide an additional resource in the longitudinal assessment of older people and earlier identification of falls risk. Copyright © 2015 Elsevier B.V. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.gaitpost.2015.10.004 VL - 43 IS - 9416830, dcm SP - 239 EP - 44 J2 - Gait Posture SN - 1879-2219 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26526223 KW - Female KW - Humans KW - Male KW - Aged KW - Reproducibility of Results KW - Task Performance and Analysis KW - *Independent Living KW - *Walking/ph [Physiology] KW - *Gait/ph [Physiology] ER - TY - JOUR TI - Muscle activity during daily life in the older people. AU - Tikkanen, Olli AU - Sipila, Sarianna AU - Kuula, Anna-Stina AU - Pesola, Arto AU - Haakana, Piia AU - Finni, Taija T2 - Aging clinical and experimental research AB - BACKGROUND: Daily muscle activity is important for functional independence. This study examined muscle activity patterns during normal daily life and simulated daily tasks and compared muscle activity and energy consumption during active and passive transport tasks in older adults., METHODS: Nine volunteers (70 +/- 6 years) were measured for quadriceps and hamstring muscle activity (EMG) during normal daily life, treadmill walking, and during passive and active transport tasks. EMG was normalized to that recorded during maximal voluntary contraction (MVC). Oxygen uptake (VO2) was measured during treadmill and transport tasks., RESULTS: During daily life the mean EMG amplitude was 5.9 +/- 2.4 % of EMGMVC, activity time was 187 +/- 43 min and the longest continuous inactivity periods were 20.9 +/- 10.0 min. During stair ascend the peak EMG activity was 120 % of EMGMVC and the peak VO2 values were only about 70 % of VO2max. One kilometer walk consumed 3.5 times more energy than passive transport by bus, and using stairs consumed 11.7 times more energy than using an elevator., CONCLUSIONS: In daily life, older adults use only a small fraction of muscle's maximal capacity and have long continuous inactivity periods. Negotiating stairs produce significant load to neuromuscular, but not to cardiovascular system, thus providing an effective strength training stimulus. DA - 2016/// PY - 2016 DO - 10.1007/s40520-015-0482-5 VL - 28 IS - 4 SP - 713 EP - 20 J2 - Aging Clin Exp Res SN - 1720-8319 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26526027 KW - Female KW - Humans KW - Male KW - Aged KW - Activities of Daily Living KW - *Muscle, Skeletal/ph [Physiology] KW - Walking KW - Exercise Test KW - Resistance Training KW - Electromyography ER - TY - JOUR TI - Social capital and mental well-being of older people residing in a residential care facility in Durban, South Africa. AU - Chipps, Jennifer AU - Jarvis, Mary Ann T2 - Aging & mental health AB - INTRODUCTION: Global increases in life expectancy are expected to continue, with accompanying physical and mental well-being challenges specifically for older people living in residential care settings., OBJECTIVE: The aim of the study was to investigate the association between mental well-being and social capital of older residents (60+ years) in an urban residential care facility in South Africa., METHOD: A descriptive survey was conducted with 103 residents living in a residential care facility in an urban environment in South Africa. The social capital framework from the Canadian Policy Research Initiative, the WHO-5 well-being index, the Kessler-6 measure of psychosocial distress, the OSLO-3 Social Support Scale and the Australian Bureau of Statistics Indigenous Health Questionnaire were used to develop the questionnaire., RESULTS: The WHO-5 showed moderate ratings of mental well-being for the standard scoring (>13) (62, 82.7%), but lower levels when using 'no negative ratings' (36; 50.6%). Significant differences in the primary network size, average closeness, self-efficacy and social support as well as the ability to confide in primary network was shown between residents with mentally well and unwell ratings. Logistic regression showed that the strongest predictor for mental well-being was participation in activities outside of the residence and having a primary network., CONCLUSION: The study confirms the association between social capital and mental well-being. DA - 2016/// PY - 2016 VL - 20 IS - 12 SP - 1264 EP - 1270 J2 - Aging Ment Health SN - 1364-6915 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26523870 KW - Female KW - Humans KW - Male KW - Aged KW - Surveys and Questionnaires KW - *Homes for the Aged KW - *Personal Satisfaction KW - *Social Capital KW - *Mental Health KW - Pilot Projects KW - South Africa ER - TY - JOUR TI - Performance of cognitive tests, individually and combined, for the detection of cognitive disorders amongst community-dwelling elderly people with memory complaints: the EVATEM study. AU - Vannier-Nitenberg, C AU - Dauphinot, V AU - Bongue, B AU - Sass, C AU - Bathsavanis, A AU - Rouch, I AU - Deville, N AU - Beauchet, O AU - Krolak-Salmon, P AU - Fantino, B T2 - European journal of neurology AB - BACKGROUND AND PURPOSE: Dementia is a leading cause of dependence amongst the aged population. Early identification of cognitive impairment could help to delay advanced stages of dependence. This study aimed at assessing the performance of three neuropsychological tests to detect cognitive disorders in elderly subjects with memory complaints., METHODS: The EVATEM study is a prospective multicentre cohort with a 1-year follow-up. Subjects with memory complaints were selected during preventive health examinations, and three neuropsychological tests (five-word, cognitive disorders examination, verbal fluency) were administered. Two groups were identified in memory clinics: (i) cognitively healthy individuals (CHI) and (ii) mild cognitive impairment or demented individuals (MCI-DI). Cross-sectional analyses were performed on data at inclusion. The relationship between the diagnosis of MCI-DI/CHI and the neuropsychological tests was assessed using logistic regressions. The performance of the neuropsychological tests, individually and combined, to detect cognitive disorders was calculated., RESULTS: Of 585 subjects, 31.11% had cognitive disorders (MCI, 176 subjects; DI, six subjects). Amongst the three tests studied, the odds ratio for MCI-DI was higher for the five-word test <10 [odds ratio 3.2 (1.81; 5.63)]. The best performance was observed when the three tests were combined: specificity 90.5% and sensitivity 42.4% compared to respectively 89.2% and 28.3% for the five-word test., CONCLUSIONS: Despite the poor sensitivity of the five-word test, it seems to be the most adapted for the diagnosis of MCI-DI in older adults with a memory complaint, in prevention centres, taking into account its high specificity and its rapid administration compared to the other tests. Copyright © 2015 EAN. DA - 2016/// PY - 2016 DO - 10.1111/ene.12888 VL - 23 IS - 3 SP - 554 EP - 61 J2 - Eur J Neurol SN - 1468-1331 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26518736 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cognitive Dysfunction/ep [Epidemiology] KW - Follow-Up Studies KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Dementia/ep [Epidemiology] KW - *Dementia/di [Diagnosis] KW - *Cognitive Dysfunction/di [Diagnosis] KW - *Neuropsychological Tests KW - France/ep [Epidemiology] KW - *Memory Disorders/di [Diagnosis] KW - Memory Disorders/ep [Epidemiology] ER - TY - JOUR TI - Experiences of frequent visits to the emergency department by residents with dementia in assisted living. AU - Sharpp, Tara J AU - Young, Heather M T2 - Geriatric nursing (New York, N.Y.) AB - Assisted living (AL) is a growing option for housing for older adults with dementia in the United States. Typically, nurses are not employed in AL in California. The purpose of this paper is to describe the health care incidents and experiences of residents and their family members who are transferred from AL to an (emergency department) ED. Data were collected from two dementia-only AL communities in California over a period of six months. In this study, only 32% of ED visits resulted in admission to acute care. Of the 71 residents, eight (11%) were responsible for 47% of the ED visits. Qualitative interviews with 3 employees and 9 family members and focus groups with 11 employee caregivers were conducted to augment the quantitative data. The qualitative theme of frustration and helplessness by family and staff to prevent repeated falling and ED transfers was identified, which complemented the quantitative findings. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.gerinurse.2015.09.001 VL - 37 IS - 1 SP - 30 EP - 5 J2 - Geriatr Nurs SN - 1528-3984 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26518626 KW - Adult KW - Humans KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Focus Groups KW - *Caregivers/px [Psychology] KW - *Assisted Living Facilities KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - Prospective Studies KW - Interviews as Topic KW - Hospitalization KW - California KW - *Dementia/nu [Nursing] ER - TY - JOUR TI - Tai Chi training reduced coupling between respiration and postural control. AU - Holmes, Matthew L AU - Manor, Brad AU - Hsieh, Wan-hsin AU - Hu, Kun AU - Lipsitz, Lewis A AU - Li, Li T2 - Neuroscience letters AB - In order to maintain stable upright stance, the postural control system must account for the continuous perturbations to the body's center-of-mass including those caused by spontaneous respiration. Both aging and disease increase "posturo-respiratory synchronization;" which reflects the degree to which respiration affects postural sway fluctuations over time. Tai Chi training emphasizes the coordination of respiration and bodily movements and may therefore optimize the functional interaction between these two systems. The purpose of the project was to examine the effect of Tai Chi training on the interaction between respiration and postural control in older adults. We hypothesized that Tai Chi training would improve the ability of the postural control system to compensate for respiratory perturbations and thus, reduce posturo-respiratory synchronization. Participants were recruited from supportive housing facilities and randomized to a 12-week Tai Chi intervention (n=28; 86 +/- 5 yrs) or educational-control program (n=34, 85 +/- 6 yrs). Standing postural sway and respiration were simultaneously recorded with a force plate and respiratory belt under eyes-open and eyes-closed conditions. Posturo-respiratory synchronization was determined by quantifying the variation of the phase relationship between the dominant oscillatory mode of respiration and corresponding oscillations within postural sway. Groups were similar in age, gender distribution, height, body mass, and intervention compliance. Neither intervention altered average sway speed, sway magnitude or respiratory rate. As compared to the education-control group, however, Tai Chi training reduced posturo-respiratory synchronization when standing with eyes open or closed (p<0.001). Tai Chi training did not affect traditional parameters of standing postural control or respiration, yet reduced the coupling between respiration and postural control. The beneficial effects of Tai Chi training may therefore stem in part from optimization of this multi-system interaction. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.neulet.2015.10.053 VL - 610 IS - n7n, 7600130 SP - 60 EP - 5 J2 - Neurosci Lett SN - 1872-7972 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26518241 KW - Female KW - Humans KW - Male KW - Aged KW - *Postural Balance/ph [Physiology] KW - *Tai Ji KW - Random Allocation KW - *Respiration ER - TY - JOUR TI - Associations of Computed Tomography-Based Trunk Muscle Size and Density With Balance and Falls in Older Adults. AU - Anderson, Dennis E AU - Quinn, Emily AU - Parker, Emily AU - Allaire, Brett T AU - Muir, Jesse W AU - Rubin, Clinton T AU - Magaziner, Jay AU - Hannan, Marian T AU - Bouxsein, Mary L AU - Kiel, Douglas P T2 - The journals of gerontology. Series A, Biological sciences and medical sciences AB - BACKGROUND: Deficits in balance and muscle function are important risk factors for falls in older adults. Aging is associated with significant declines in muscle size and density, but associations of trunk muscle size and density with balance and falls in older adults have not been previously examined., METHODS: Trunk muscle size (cross-sectional area) and attenuation (a measure of tissue density) were measured in computed tomography scans (at the L2 lumbar level) in a cohort of older adults (mean +/- SD age of 81.9+/-6.4) residing in independent living communities. Outcome measures were postural sway measured during quiet standing and Short Physical Performance Battery (SPPB) at baseline, and falls reported by participants for up to 3 years after baseline measurements., RESULTS: Higher muscle density was associated with reduced postural sway, particularly sway velocities, in both men and women, and better Short Physical Performance Battery score in women, but was not associated with falls. Larger muscle size was associated with increased postural sway in men and women and with increased likelihood of falling in men., CONCLUSIONS: The results suggest that balance depends more on muscle quality than on the size of the muscle. The unexpected finding that larger muscle size was associated with increased postural sway and increased fall risk requires further investigation, but highlights the importance of factors besides muscle size in muscle function in older adults. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/gerona/glv185 VL - 71 IS - 6 SP - 811 EP - 6 J2 - J Gerontol A Biol Sci Med Sci SN - 1758-535X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26503375 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged, 80 and over KW - Independent Living KW - *Aging/ph [Physiology] KW - *Muscle, Skeletal/ph [Physiology] KW - *Accidental Falls KW - *Geriatric Assessment KW - *Postural Balance/ph [Physiology] KW - *Tomography, X-Ray Computed KW - *Muscle, Skeletal/dg [Diagnostic Imaging] KW - *Torso/dg [Diagnostic Imaging] KW - *Torso/ph [Physiology] ER - TY - JOUR TI - Modelling the cost-effectiveness of impact-absorbing flooring in Swedish residential care facilities. AU - Ryen, Linda AU - Svensson, Mikael T2 - European journal of public health AB - OBJECTIVE: Fall-related injuries among the elderly, specifically hip fractures, cause significant morbidity and mortality as well as imposing a substantial financial cost on the health care system. Impact-absorbing flooring has been advocated as an effective method for preventing hip fractures resulting from falls. This study identifies the cost-effectiveness of impact-absorbing flooring compared to standard flooring in residential care facilities for the elderly in a Swedish setting., METHOD: An incremental cost-effectiveness analysis was performed comparing impact-absorbing flooring to standard flooring using a Markov decision model. A societal perspective was adopted and incremental costs were compared to incremental gains in quality-adjusted life years (QALYs). Data on costs, probability transitions and health-related quality of life measures were retrieved from the published literature and from Swedish register data. Probabilistic sensitivity analysis was performed through a Monte Carlo simulation., RESULTS: The base-case analysis indicates that the impact-absorbing flooring reduces costs and increases QALYs. When allowing for uncertainty we find that 60% of the simulations indicate that impact-absorbing flooring is cost-saving compared to standard flooring and an additional 20% that it has a cost per QALY below a commonly used threshold value, CONCLUSIONS: : Using a modelling approach, we find that impact-absorbing flooring is a dominant strategy at the societal level considering that it can save resources and improve health in a vulnerable population. Copyright © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1093/eurpub/ckv197 VL - 26 IS - 3 SP - 407 EP - 11 J2 - Eur J Public Health SN - 1464-360X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26498954 KW - Humans KW - Aged KW - *Accidental Falls/ec [Economics] KW - Accidental Falls/pc [Prevention & Control] KW - *Homes for the Aged KW - Sweden KW - Cost-Benefit Analysis/mt [Methods] KW - Markov Chains KW - *Cost-Benefit Analysis/ec [Economics] KW - Health Care Costs/sn [Statistics & Numerical Data] KW - Hip Fractures/ec [Economics] KW - *Floors and Floorcoverings/ec [Economics] KW - *Hip Fractures/pc [Prevention & Control] KW - *Models, Economic KW - Cost-Benefit Analysis/sn [Statistics & Numerical Data] KW - Floors and Floorcoverings/mt [Methods] ER - TY - JOUR TI - Self-reported stigma and its association with socio-demographic factors and physical disability in people with intellectual disabilities: results from a cross-sectional study in England. AU - Ali, Afia AU - King, Michael AU - Strydom, Andre AU - Hassiotis, Angela T2 - Social psychiatry and psychiatric epidemiology AB - PURPOSE: The aim of this study was to investigate whether socio-demographic variables and physical disability (e.g. sensory impairment and mobility problems) were associated with self-reported stigma in people with intellectual disabilities (ID), and to examine whether age, sex and ethnicity modified the relationship between severity of intellectual disability and self-reported stigma., METHODS: 229 participants with mild or moderate intellectual disabilities were recruited from 12 centres/sites in England from community intellectual disability services, day centres, supported housing schemes, voluntary organisations and invitation letters. Information on physical disability and socio-demographic variables were obtained using a structured data collection form. Self-reported stigma was measured using a validated questionnaire., RESULTS: Age was associated with self-reported stigma, with older adults reporting more stigmatising experiences. Participants with moderate intellectual disabilities were more likely to report being treated differently such as being made fun of and being treated like children. Physical disability such as sensory, mobility and speech problems were not associated with self-reported stigma. Gender modified the relationship between severity of ID and self-reported stigma as participants who were male and had moderate ID were more likely to report stigma compared to females with moderate ID. Categorical age also modified the relationship between severity of ID and self-reported stigma as older participants who had moderate ID were more likely to report stigma compared to younger people with moderate ID., CONCLUSIONS: Older adults and those with moderate ID are potentially at higher risk of being targets of public stigma or are more likely to report stigma. Interventions to help individuals cope with stigma could be targeted to this group. DA - 2016/// PY - 2016 DO - 10.1007/s00127-015-1133-z VL - 51 IS - 3 SP - 465 EP - 74 J2 - Soc Psychiatry Psychiatr Epidemiol SN - 1433-9285 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26498927 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Cross-Sectional Studies KW - Disabled Persons/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Severity of Illness Index KW - Self Report KW - *Disabled Persons/px [Psychology] KW - England KW - Ethnic Groups/sn [Statistics & Numerical Data] KW - *Intellectual Disability/px [Psychology] KW - *Social Stigma KW - African Continental Ancestry Group/sn [Statistics & Numerical Data] KW - European Continental Ancestry Group/sn [Statistics & Numerical Data] KW - African Continental Ancestry Group/px [Psychology] KW - Ethnic Groups/px [Psychology] KW - European Continental Ancestry Group/px [Psychology] ER - TY - JOUR TI - Longitudinal predictors of informal and formal caregiving time in community-dwelling dementia patients. AU - Hajek, Andre AU - Brettschneider, Christian AU - Ernst, Annette AU - Posselt, Tina AU - Wiese, Birgitt AU - Prokein, Jana AU - Weyerer, Siegfried AU - Werle, Jochen AU - Fuchs, Angela AU - Pentzek, Michael AU - Stein, Janine AU - Riedel-Heller, Steffi G AU - Bickel, Horst AU - Mosch, Edelgard AU - Heser, Kathrin AU - Jessen, Frank AU - Maier, Wolfgang AU - Scherer, Martin AU - Konig, Hans-Helmut T2 - Social psychiatry and psychiatric epidemiology AB - PURPOSE: Care provided in the community for dementia patients on an individual basis may be very time consuming. Yet, little is known about the factors affecting caregiving time for community-dwelling dementia patients. Thus, we aimed to investigate the predictors of informal and formal caregiving time for these patients in a longitudinal approach., METHOD: Caregiving time for n = 126 community-dwelling dementia patients was assessed by proxy interviews in four assessments at 6-month intervals (1.5 years of longitudinal follow-up; AgeCoDe study). Measurement of informal caregiving time was based on a German adaptation of the Resource Utilization in Dementia questionnaire. Dementia severity was measured by the Clinical Dementia Rating (CDR). We used random effects models to estimate the effects of sociodemographic variables (age, gender, marital status and education), comorbidity and dementia severity on informal and formal caregiving time., RESULTS: At the first assessment, mean age was 85.0 years (+/-3.2 years). The majority of patients was female (65.9 %), not married (divorced, single, widowed: 55.6 %) and had primary education (63.5 %). Furthermore, mean GDS was 4.4 (+/-0.8) and mean MMSE was 20.1 (+/-5.1). According to CDR, 43 individuals had very mild dementia, 55 individuals had mild dementia and 28 individuals had moderate/severe dementia. Moreover, mean total caregiving time was 3.4 h per day (+/-4.0). Thereof the main part represents informal caregiving time (2.3 h +/- 3.4), whereas formal caregiving time was 1.2 h (+/-2.4). Dementia severity was associated with total caregiving time, mainly influenced by informal caregiving time. Age was positively associated with total caregiving time, driven by formal caregiving time, while being married was positively associated with total caregiving time, mainly affected by informal caregiving time. All need categories of informal caregiving time were strongly related to dementia severity, whereas none of the categories of formal caregiving time were related to dementia severity., CONCLUSIONS: Our findings extend previous studies that found an association between informal caregiving time and dementia severity. Moreover, our findings highlight the role of informal care for community-dwelling dementia patients in Germany. Informal caregiving time strongly increases with dementia severity. Consequently, as the number of patients suffering from dementia is expected to increase considerably in the next decades, there is a paramount need to strengthen the informal care system to meet patients' needs. DA - 2016/// PY - 2016 DO - 10.1007/s00127-015-1138-7 VL - 51 IS - 4 SP - 607 EP - 16 J2 - Soc Psychiatry Psychiatr Epidemiol SN - 1433-9285 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26498751 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - *Independent Living KW - Time Factors KW - Germany KW - Longitudinal Studies KW - Comorbidity KW - Dementia/ep [Epidemiology] KW - Socioeconomic Factors KW - *Caregivers/sn [Statistics & Numerical Data] KW - Severity of Illness Index KW - *Dementia/th [Therapy] ER - TY - JOUR TI - Translation of a Motor Learning Walking Rehabilitation Program Into a Group-Based Exercise Program for Community-Dwelling Older Adults. AU - Brach, Jennifer S AU - Francois, Sara J AU - VanSwearingen, Jessie M AU - Gilmore, Sandra AU - Perera, Subashan AU - Studenski, Stephanie A T2 - PM & R : the journal of injury, function, and rehabilitation AB - BACKGROUND: Traditional exercise programs for older adults, which focus on aerobic and strength training, have had only modest effects on walking. Recently, a motor learning exercise program was shown to have greater effects on walking compared with a traditional exercise program. Translating this novel motor learning exercise program into a group exercise program would allow it to be offered as an evidence-based, community-based program for older adults., OBJECTIVE: To translate a walking rehabilitation program based on motor learning theory from one-on-one to group delivery (On the Move) and evaluate multiple aspects of implementation in older adults with impaired mobility., DESIGN: The translation process involved multiple iterations, including meetings of experts in the field (Phase I), focus groups (Phase II), and implementation of the newly developed program (Phase III). Phase III was based on a one-group model of intervention development for feasibility, safety, potential effects, and acceptability., SETTING: Community sites, including 2 independent living facilities, an apartment building, and a community center., PARTICIPANTS: Adults 65 years of age or older who could ambulate independently and who were medically stable. Thirty-one adults, mean age 82.3 +/- 5.6 years, were eligible to participate., METHODS: The group exercise program was held twice a week for 12 weeks., MAIN OUTCOME MEASUREMENTS: Acceptability of the program was determined by retention and adherence rates and a satisfaction survey. Risk was measured by adverse events and questions on perceived challenge and safety. Mobility was assessed pre- and postintervention by gait speed, Figure of 8 Walk Test, and 6-minute walk test., RESULTS: Modifications to the program included adjustments to format/length, music, education, and group interaction. The 12-week program was completed by 24 of 31 entrants (77%). Adherence was high, with participants attending on average 83% of the classes. Safety was excellent, with only 1 subject experiencing a controlled, noninjurious fall. There was preliminary evidence for improved mobility after the intervention: gait speed improved from 0.76 +/- 0.21 to 0.81 +/- 0.22 m/s, P = .06; Figure of 8 Walk Test from 13.0 +/- 3.9 to 12.0 +/- 3.9 seconds, P = .07; and 6-minute walk test from 246 +/- 75 to 281 +/- 67 m, P = .02., CONCLUSIONS: The group-based program was safe and acceptable to older adults with impaired mobility and resulted in potentially clinically meaningful improvements in mobility. Copyright © 2016 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.pmrj.2015.10.004 VL - 8 IS - 6 SP - 520 EP - 8 J2 - PM R SN - 1934-1563 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26493856 KW - Humans KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Exercise KW - Exercise Therapy KW - *Walking KW - Resistance Training ER - TY - JOUR TI - Improving Australian care home medicine supply services: Evaluation of a quality improvement intervention. AU - Gilmartin, Julia Fiona-Maree AU - Marriott, Jennifer Lillian AU - Hussainy, Safeera Yasmeen T2 - Australasian journal on ageing AB - AIM: The study aims to determine the impact of a quality improvement intervention on how accurately and suitably medicines are supplied to residents of residential aged-care facilities (RACFs)., METHODS: Between September 2012 and January 2013, pharmacy-supplied dose administration aids (DAAs) were audited at 45 Victorian RACFs (Australia). RACFs had previously received an intervention (education session/toolkit) and were involved in an earlier DAA audit. Recently supplied DAAs containing regular medicines were compared to prescriber-prepared medicine charts to identify, and classify risks of, inaccurate or unsuitable packing incidents., RESULTS: Of 2389 DAAs audited for 983 residents, 770 incidents in 502 DAAs were identified. The overall DAA incident rate increased significantly from 11.5% pre-intervention to 21.0% post-intervention (P < 0.001). The proportion of DAAs affected by incidents classified as 'insignificant' or 'minor' risk increased post-intervention (P < 0.001)., CONCLUSIONS: Further wide-scale evaluation of RACF medicine supply services is needed. Interventions that are effective in reducing DAA incidents should be explored. Copyright © 2015 AJA Inc. DA - 2016/// PY - 2016 DO - 10.1111/ajag.12236 VL - 35 IS - 2 SP - E1 EP - 6 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26489372 KW - Humans KW - Program Evaluation KW - Victoria KW - Time Factors KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - Polypharmacy KW - *Quality Improvement/st [Standards] KW - *Quality Indicators, Health Care/st [Standards] KW - *Medication Errors/pc [Prevention & Control] KW - Drug Administration Schedule KW - Medical Audit KW - *Community Pharmacy Services/st [Standards] KW - *Medication Therapy Management/st [Standards] KW - *Pharmaceutical Preparations/sd [Supply & Distribution] KW - Dosage Forms KW - Drug Packaging/st [Standards] KW - Pharmaceutical Preparations/ad [Administration & Dosage] ER - TY - JOUR TI - Trajectories of Outdoor Mobility in Vulnerable Community-Dwelling Elderly: The Role of Individual and Environmental Factors. AU - Smith, Abigail R AU - Chen, Charity AU - Clarke, Philippa AU - Gallagher, Nancy Ambrose T2 - Journal of aging and health AB - OBJECTIVE: Outdoor mobility is critical for healthy aging, yet little is known about the factors influencing mobility in the frail elderly. We investigated the role of individual and community risk factors on trajectories of mobility in a population of vulnerable community-dwelling elderly., METHOD: Using data from 1,188 older adults in Detroit, MI, who qualify for federally funded home care, a latent class growth analysis was used to model the frequency of going outside over a 15-month period., RESULTS: Four latent trajectories were found: those with a low, high, and declining frequency of going outdoors over time, and those who do not go outdoors on a regular basis. Risk factors for membership in the homebound and infrequent mobility groups were older age, more severe mobility impairment, and fear of falling. Barriers at the entry to the home were associated with being homebound., DISCUSSION: Declining health status and functional limitations are risk factors that pose a threat to outdoor mobility in the frail elderly, while housing barriers and community accessibility also merit attention. Copyright © The Author(s) 2015. DA - 2016/// PY - 2016 DO - 10.1177/0898264315611665 VL - 28 IS - 5 SP - 796 EP - 811 J2 - J Aging Health SN - 1552-6887 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26486782 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Mobility Limitation KW - *Independent Living KW - *Exercise KW - Disabled Persons/sn [Statistics & Numerical Data] KW - Residence Characteristics/sn [Statistics & Numerical Data] KW - *Frail Elderly KW - Frail Elderly/sn [Statistics & Numerical Data] KW - Michigan KW - Frail Elderly/px [Psychology] KW - *Vulnerable Populations KW - Environment Design/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Examining Time Use of Dutch Nursing Staff in Long-Term Institutional Care: A Time-Motion Study. AU - Tuinman, Astrid AU - de Greef, Mathieu H G AU - Krijnen, Wim P AU - Nieweg, Roos M B AU - Roodbol, Petrie F T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: Increasing residents' acuity levels and available resources in long-term institutional care requires insight into the care provided by nursing staff so as to guide task allocation and optimal use of resources, and enhance quality of care. The purpose of this study was to examine the relationship between time use and type of nursing staff, residents' acuity levels, and unit type by using a standardized nursing intervention classification., DESIGN: A multicenter cross-sectional observational study was performed using time-motion technique., SETTING: Five Dutch long-term institutional care facilities participated. In total, 4 residential care units, 3 somatic units, and 6 psycho-geriatric units were included., PARTICIPANTS: Data were collected from 136 nursing staff members: 19 registered nurses, 89 nursing assistants, 9 primary caregivers, and 19 health care assistants., MEASUREMENTS: A structured observation list was used based on the Nursing Interventions Classification (NIC). Residents' acuity levels, representing residents' needs, were based on the Dutch Care Severity Index. Medians and interquartile ranges were calculated for time spent on interventions per type of nursing staff and units. Linear mixed models were used to examine the relationship between time spent on nursing interventions and the type of nursing staff, residents' acuity levels, and unit type., RESULTS: Observations resulted in 52,628 registered minutes for 102 nursing interventions categorized into 6 NIC domains for 335 residents. Nursing staff spent the most time on direct care interventions, particularly in the domain of basic physiological care. Variances in time spent on interventions between types of nursing staff were minimal. Unit type was more significantly (P < .05) associated with time spent on interventions in domains than the type of nursing staff. Residents' acuity levels did not affect time spent by nursing staff (P > .05)., CONCLUSION: The current study found limited evidence for task allocation between the types of nursing staff, which may suggest a blurring of role differentiation. Also, findings suggest that residents received similar care regardless of their needs, implying that care is predominantly task-oriented instead of person-centered. Managers may reconsider whether the needs of residents are adequately met by qualified nursing staff, considering the differences in education and taking into account increasing acuity levels of residents and available resources. Copyright © 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jamda.2015.09.002 VL - 17 IS - 2 SP - 148 EP - 54 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26482057 KW - Female KW - Humans KW - Male KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Staff KW - Netherlands KW - *Time and Motion Studies ER - TY - JOUR TI - Homeowner and homebuyer impressions of visitable features. AU - Nasar, Jack L AU - Elmer, Julia R T2 - Disability and health journal AB - BACKGROUND: Though visitable house features (32+ wide doors; no-step or low slope entries; and a usable half- or full bathroom on the main floor) have benefits, many developers and builders oppose them because they believe homebuyers do not want them., OBJECTIVE: The present study sought to test the accuracy of developer and builder perceived barriers to including visitable features in new houses. Specifically, we tested the desirability of houses with and without such features to homeowners and homebuyers. We hypothesized that homeowners and homebuyers would prefer to buy homes with visitable features even if they believed such homes would cost more., METHODS: In a cross-sectional study, we surveyed 96 homeowners and 107 homebuyers in Ohio. For photos of nine matched pairs of visitable and non-visitable features, respondents assessed home would sell faster, which they preferred to buy, and which had an older inhabitant. They also rated effects of each visitable feature on qualities that might affect the marketability of the home, such as good design, aesthetics, appeal to young, appeal to old, ease of hosting visitors, and resale value., RESULTS: Both homeowners and homebuyers preferred to buy houses with visitable features, thought they would sell faster, and rated each visitable feature as having favorable effects on the qualities, even though they expected houses with visitable feature to cost more and to house an older person or a person with difficulty walking., CONCLUSIONS: Contrary to developer and builder beliefs, homeowners and homebuyers may prefer houses with visitable features. Copyright © 2016 Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.dhjo.2015.08.012 VL - 9 IS - 1 SP - 108 EP - 17 J2 - Disabil Health J SN - 1876-7583 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26477863 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Surveys and Questionnaires KW - Interpersonal Relations KW - Cross-Sectional Studies KW - *Disabled Persons KW - *Housing KW - *Environment Design ER - TY - JOUR TI - The impact of fall risk assessment on nurse fears, patient falls, and functional ability in long-term care. AU - Dever Fitzgerald, Theresa AU - Hadjistavropoulos, Thomas AU - Williams, Jaime AU - Lix, Lisa AU - Zahir, Sharmeen AU - Alfano, Dennis AU - Scudds, Rhonda T2 - Disability and rehabilitation AB - PURPOSE: The purpose of this study was to determine whether providing fall risk information to long-term care (LTC) nurses affects restraint use, activities of daily living (ADL), falls, and nurse fears about patient falls., METHODS: One-hundred and fifty LTC residents were randomized to a fall risk assessment intervention or care-as-usual group. Hypotheses were tested using analyses of variance and path analyses., RESULTS: Restraint use was associated with lower ADL scores. In the intervention group, there ceased to be significant relationships between nurse fears about falls and patient falls (after controlling for actual patient risk; post-intervention, nurse fears about falls were based on realistic appraisals), and between fears and restraints (i.e. unjustified nurse fears became less likely to lead to unjustified restraint use). No group differences in falls were identified., CONCLUSION: Despite a lack of group differences in falls, results show initial promise in potentially impacting resident care. Increasing intervention intensity may lead to fall reductions in future research., IMPLICATIONS FOR REHABILITATION: Given the high prevalence rates of falls in LTC and associated injuries, prevention programs are important. Nurse fears about patient falls may impact upon restraint use which, when excessive, can interfere with the patient's ability to perform ADL. Excessive restraint use, due to unjustified nurse fears, could also lead to falls. Providing accurate, concise information to nursing staff about patient fall risk may aid in reducing the association between unjustified nurse fears and the resulting restraint use that can have potential negative consequences. DA - 2016/// PY - 2016 DO - 10.3109/09638288.2015.1085102 VL - 38 IS - 11 SP - 1041 EP - 52 J2 - Disabil Rehabil SN - 1464-5165 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26474116 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Attitude of Health Personnel KW - *Accidental Falls/pc [Prevention & Control] KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment/mt [Methods] KW - Risk Assessment/mt [Methods] KW - *Nurses/px [Psychology] KW - Long-Term Care/mt [Methods] KW - Geriatric Nursing/mt [Methods] KW - Outcome and Process Assessment (Health Care) KW - Restraint, Physical/sn [Statistics & Numerical Data] KW - *Restraint, Physical KW - Nursing Assessment/mt [Methods] KW - Restraint, Physical/mt [Methods] ER - TY - JOUR TI - Factors influencing falls in the frail elderly individuals in urban and rural areas. AU - Yoo, Jae Soon AU - Kim, Chul Gyu AU - Yim, JongEun AU - Jeon, Mi Yang T2 - Aging clinical and experimental research AB - BACKGROUND: Falls in older people commonly cause morbidity and mortality, loss of independence, and poor quality of life. Differences in residential environments might influence falls experienced by elderly people in urban and rural areas., AIM: The purpose of this study was to provide data through the comparative analysis of physical and environmental factors influencing falls in the frail elderly individuals in urban and rural areas, which might be used for developing the fall prevention program., METHODS: A total of 534 frail elderly individuals living in regional communities were assessed over 2 months. Discomfort when walking, avoiding falls, awareness of falls, physical activity, fear of falling, depression, and a safety score for the home environment were measured., RESULTS: Frail elderly individuals in urban and rural areas had significant differences in terms of their prior experience of falls; the number of falls; the intake of hypertension medication, arthritis medication, and painkillers, respectively, discomfort when walking; physical activity; and the safety score of their home environments. There were significant differences between the frail elderly individuals living in urban and rural areas with the highest incidence of falls with regard to their education level, marital status, residential types, the intake of arthritis medication and painkillers, walking discomfort, physical activity, and the safety score of their home environments. In the factors influencing falls of frail elderly individuals in urban areas, stroke, visual impairment, and the fear of falling were significant explanatory variables. In the factors influencing falls of frail elderly individuals in rural areas, dizziness, walking discomfort and the fear of falling were significant explanatory variables., DISCUSSION: These results indicate that different factors influence falls among the elderly living in different residential areas., CONCLUSION: Based on these results, a multidimensional customized fall prevention program should be considered by various factors according to residential environments to effectively prevent falls among elderly adults. DA - 2016/// PY - 2016 DO - 10.1007/s40520-015-0469-2 VL - 28 IS - 4 SP - 687 EP - 97 J2 - Aging Clin Exp Res SN - 1720-8319 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26462845 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Accidental Falls/pc [Prevention & Control] KW - *Frail Elderly KW - *Accidental Falls KW - Rural Population KW - Urban Population ER - TY - JOUR TI - Effectiveness of educational nursing home visits on quality of life, functional status and care dependency in older adults with mobility impairments: a randomized controlled trial. AU - Buss, Arne AU - Wolf-Ostermann, Karin AU - Dassen, Theo AU - Lahmann, Nils AU - Strupeit, Steve T2 - Journal of evaluation in clinical practice AB - RATIONALE, AIMS AND OBJECTIVES: Facilitating and maintaining functional status (FS) and quality of life (QoL) and avoiding care dependency (CD) are and will increasingly become major tasks of nursing. Educational nursing home visits may have positive effects on FS and QoL in older adults. The aim of this study was to determine the effectiveness of educational home visits on FS, QoL and CD in older adults with mobility impairments., METHOD: We performed a randomized controlled trial. The study was conducted in the living environments of 123 participants with functional impairments living in Hamburg, Germany. The intervention group received an additional nursing education intervention on mobility and QoL; the control group received care as usual. Data were collected from August 2011 to December 2012 at baseline, 6 months and 12 months of follow-up. The main outcomes were FS (Barthel Index), QoL (WHOQOL-BREF) and CD (Care Dependency Scale). Data were analyzed using descriptive statistics and generalized linear models., RESULTS: In total, 113 participants (57 in the intervention and 56 in the control group) were included in the study. The intervention had no statistical significant effect on FS, QoL and CD., CONCLUSIONS: The intervention did not show the benefits that we assumed. Further studies on the effects of educational nursing interventions should be performed using different concepts and rigorous research methods. Copyright © 2015 John Wiley & Sons, Ltd. DA - 2016/// PY - 2016 DO - 10.1111/jep.12457 VL - 22 IS - 2 SP - 213 EP - 21 J2 - J Eval Clin Pract SN - 1365-2753 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26459503 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Interpersonal Relations KW - Activities of Daily Living KW - Health Status KW - Mobility Limitation KW - *Quality of Life KW - Cognition KW - Germany KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Depression/ep [Epidemiology] KW - Self Efficacy KW - *House Calls KW - *Disabled Persons/rh [Rehabilitation] KW - *Patient Education as Topic/og [Organization & Administration] KW - Physical Therapy Modalities/og [Organization & Administration] ER - TY - JOUR TI - A novel housing-based socioeconomic measure predicts hospitalisation and multiple chronic conditions in a community population. AU - Takahashi, Paul Y AU - Ryu, Euijung AU - Hathcock, Matthew A AU - Olson, Janet E AU - Bielinski, Suzette J AU - Cerhan, James R AU - Rand-Weaver, Jennifer AU - Juhn, Young J T2 - Journal of epidemiology and community health AB - BACKGROUND: Socioeconomic status (SES) is an important predictor for outcomes of chronic diseases. However, it is often unavailable in clinical data. We sought to determine whether an individual housing-based SES index termed HOUSES can influence the likelihood of multiple chronic conditions (MCC) and hospitalisation in a community population., METHODS: Participants were residents of Olmsted County, Minnesota, aged >18 years, who were enrolled in Mayo Clinic Biobank on 31 December 2010, with follow-up until 31 December 2011. Primary outcome was all-cause hospitalisation over 1 calendar-year. Secondary outcome was MCC determined through a Minnesota Medical Tiering score. A logistic regression model was used to assess the association of HOUSES with the Minnesota tiering score. With adjustment for age, sex and MCC, the association of HOUSES with hospitalisation risk was tested using the Cox proportional hazards model., RESULTS: Eligible patients totalled 6402 persons (median age, 57 years; 25th-75th quartiles, 45-68 years). The lowest quartile of HOUSES was associated with a higher Minnesota tiering score after adjustment for age and sex (OR (95% CI) 2.4 (2.0 to 3.1)) when compared with the highest HOUSES quartile. Patients in the lowest HOUSES quartile had higher risk of all-cause hospitalisation (age, sex, MCC-adjusted HR (95% CI) 1.53 (1.18 to 1.98)) compared with those in the highest quartile., CONCLUSIONS: Low SES, as assessed by HOUSES, was associated with increased risk of hospitalisation and greater MCC health burden. HOUSES may be a clinically useful surrogate for SES to assess risk stratification for patient care and clinical research. Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ DA - 2016/// PY - 2016 DO - 10.1136/jech-2015-205925 VL - 70 IS - 3 SP - 286 EP - 91 J2 - J Epidemiol Community Health SN - 1470-2738 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26458399 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - Cohort Studies KW - Follow-Up Studies KW - *Hospitalization/sn [Statistics & Numerical Data] KW - *Housing KW - *Socioeconomic Factors KW - Social Class KW - *Multiple Chronic Conditions/ep [Epidemiology] KW - Minnesota/ep [Epidemiology] KW - Income/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Impact of residential medication management reviews on anticholinergic burden in aged care residents. AU - McLarin, Patricia E AU - Peterson, Gregory M AU - Curtain, Colin M AU - Nishtala, Prasad S AU - Hannan, Paul J AU - Castelino, Ronald L T2 - Current medical research and opinion AB - OBJECTIVES: The primary objective of this study was to investigate the impact of Residential Medication Management Reviews (RMMRs) on anticholinergic burden quantified by seven anticholinergic risk scales., DESIGN: Retrospective analysis., SETTING: Accredited pharmacists conducted RMMRs in aged-care facilities (ACFs) in Sydney, Australia., PARTICIPANTS: RMMRs pertained to 814 residents aged 65 years or older., MEASUREMENTS: Anticholinergic burden was quantified using seven scales at baseline, after pharmacists' recommendations and after the actual GP uptake of pharmacists' recommendations. Change in the anticholinergic burden was measured using the Wilcoxon sign rank test., RESULTS: At baseline, depending on the scale used to estimate the anticholinergic burden, between 36% and 67% of patients were prescribed at least one regular anticholinergic medication (ACM). Anticholinergic burden scores were significantly (p < 0.001) lower after pharmacists' recommendations as determined by each of the seven scales. The reduction in anticholinergic burden was also significant (p < 0.001) after GPs' acceptance of the pharmacists' recommendations according to all scales with the exception of one scale which reached borderline significance (p = 0.052)., CONCLUSION: Despite the limitations of the retrospective design and differences in the estimation of anticholinergic burden, this is the first study to demonstrate that RMMRs are effective in reducing ACM prescribing in ACF residents, using a range of measures of anticholinergic burden. Future studies should focus on whether a decrease in anticholinergic burden will translate into improvement in clinical outcomes. DA - 2016/// PY - 2016 DO - 10.1185/03007995.2015.1105794 VL - 32 IS - 1 SP - 123 EP - 31 J2 - Curr Med Res Opin SN - 1473-4877 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26455537 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Australia KW - Retrospective Studies KW - *Homes for the Aged KW - *Cholinergic Antagonists/ae [Adverse Effects] KW - Pharmacists KW - *Drug Utilization Review KW - Pharmaceutical Services ER - TY - JOUR TI - Strategies for improving memory: a randomized trial of memory groups for older people, including those with mild cognitive impairment. AU - Kinsella, Glynda J AU - Ames, David AU - Storey, Elsdon AU - Ong, Ben AU - Pike, Kerryn E AU - Saling, Michael M AU - Clare, Linda AU - Mullaly, Elizabeth AU - Rand, Elizabeth T2 - Journal of Alzheimer's disease : JAD AB - BACKGROUND: Governments are promoting the importance of maintaining cognitive health into older age to minimize risk of cognitive decline and dementia. Older people with amnestic mild cognitive impairment (aMCI) are particularly vulnerable to memory challenges in daily activities and are seeking ways to maintain independent living., OBJECTIVE: To evaluate the effectiveness of memory groups for improving memory strategies and memory ability of older people, especially those with aMCI., METHODS: 113 healthy older adults (HOA) and 106 adults with aMCI were randomized to a six-week memory group or a waitlist control condition. Outcome was evaluated through knowledge and use of memory strategies, memory ability (self-report and neuropsychological tests), and wellbeing. Assessments included a six-month follow-up., RESULTS: Using intention to treat analyses, there were intervention effects for HOA and aMCI groups in strategy knowledge (HOA: eta2= 0.20; aMCI: eta2= 0.06), strategy use (HOA: eta2= 0.18; aMCI: eta2= 0.08), and wellbeing (HOA: eta2= 0.11; aMCI: eta2= 0.05). There were also intervention effects in the HOA group, but not the aMCI group, in self-reported memory ability (eta2= 0.06) and prospective memory tests (eta2= 0.02). By six-month follow-up, gains were found on most HOA outcomes. In the aMCI group gains were found in strategy use, and by this stage, gains in prospective memory were also found., CONCLUSION: Memory groups can engage older people in techniques for maintaining cognitive health and improve memory performance, but more modest benefits are seen for older adults with aMCI. DA - 2016/// PY - 2016 DO - 10.3233/JAD-150378 VL - 49 IS - 1 SP - 31 EP - 43 J2 - J Alzheimers Dis SN - 1875-8908 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26444773 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Neuropsychological Tests KW - *Cognitive Dysfunction/px [Psychology] KW - *Aging/px [Psychology] KW - Self Report KW - *Memory, Episodic KW - Cross-Over Studies KW - *Cognitive Dysfunction/th [Therapy] ER - TY - JOUR TI - Drinking behavior among older adults in a planned retirement community: results from The Villages survey. AU - Fishleder, Sarah AU - Schonfeld, Lawrence AU - Corvin, Jaime AU - Tyler, Susan AU - VandeWeerd, Carla T2 - International journal of geriatric psychiatry AB - OBJECTIVES: Research indicates increasing trends among older adults toward heavy and abusive drinking, often associated with depressive symptoms. Possible exceptions are residents of planned retirement communities, whose drinking may be associated with social activities. To better understand these relationships, this study examined the relationship of depressive symptoms and drinking in a large retirement community., METHODS: The Villages, a retirement community in central Florida with a focus on healthy, active living, has almost 90,000 residents. In 2012, a population-based needs assessment was conducted in partnership with University of South Florida Health. In the present study, 11,102 surveys were completed and returned. A structural equation model was utilized to analyze the relationship between depressive symptoms and alcohol use as measured by the three-item Alcohol Use Disorders Identification Test (AUDIT-C)., RESULTS: Hazardous drinking was reported in 15.4% of respondents, somewhat higher than the general population of older adults (around 10%). Variables of depressive symptoms, physical activity, total health problems, and poor general health loaded significantly into the factor of depression indicators, which was shown to have a significant, negative correlation with risk of hazardous drinking (lambda = 0.16, p < 0.000, R(2) = 0.02)., CONCLUSIONS: Results suggest at-risk drinking among respondents was not associated with depression, in contrast to studies of older adults living alone where alcohol abuse was often associated with depression. Implications for successful aging are discussed. Copyright © 2015 John Wiley & Sons, Ltd. DA - 2016/// PY - 2016 DO - 10.1002/gps.4359 VL - 31 IS - 5 SP - 536 EP - 43 J2 - Int J Geriatr Psychiatry SN - 1099-1166 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26436200 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Alcohol Drinking/ep [Epidemiology] KW - *Housing for the Elderly/sn [Statistics & Numerical Data] KW - *Depressive Disorder/ep [Epidemiology] KW - *Alcoholism/ep [Epidemiology] KW - Florida/ep [Epidemiology] KW - Retirement/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Pain and Cognitive Function Among Older Adults Living in the Community. AU - van der Leeuw, Guusje AU - Eggermont, Laura H P AU - Shi, Ling AU - Milberg, William P AU - Gross, Alden L AU - Hausdorff, Jeffrey M AU - Bean, Jonathan F AU - Leveille, Suzanne G T2 - The journals of gerontology. Series A, Biological sciences and medical sciences AB - BACKGROUND: Pain related to many age-related chronic conditions is a burdensome problem in elderly adults and may also interfere with cognitive functioning. The purpose of this study was to examine the cross-sectional relationship between measures of pain severity and pain interference and cognitive performance in community-living older adults., METHODS: We studied 765 participants in the Maintenance of Balance Independent Living Intellect and Zest (MOBILIZE) Boston Study, a population-based study of persons aged 70 and older. Global pain severity and interference were measured using the Brief Pain Inventory subscales. The neuropsychological battery included measures of attentional capacity (Trail Making Test A, WORLD Test), executive function (Trail Making Test B and Delta, Clock-in-a-Box, Letter Fluency), memory (Hopkins Verbal Learning Test), and a global composite measure of cognitive function. Multivariable linear regression models were used to analyze the relationship between pain and cognitive functioning., RESULTS: Elderly adults with more severe pain or more pain interference had poorer performance on memory tests and executive functioning compared to elders with none or less pain. Pain interference was also associated with impaired attentional capacity. Additional adjustment for chronic conditions, behaviors, and psychiatric medication resulted in attenuation of many of the observed associations. However, the association between pain interference and general cognitive function persisted., CONCLUSIONS: Our findings point to the need for further research to understand how chronic pain may contribute to decline in cognitive function and to determine strategies that may help in preventing or managing these potential consequences of pain on cognitive function in older adults. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/gerona/glv166 VL - 71 IS - 3 SP - 398 EP - 405 J2 - J Gerontol A Biol Sci Med Sci SN - 1758-535X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26433218 KW - Female KW - Humans KW - Male KW - Aged KW - *Cognition/ph [Physiology] KW - Cross-Sectional Studies KW - Incidence KW - *Postural Balance/ph [Physiology] KW - *Chronic Pain/pp [Physiopathology] KW - Boston/ep [Epidemiology] KW - Chronic Pain/ep [Epidemiology] KW - Pain Measurement KW - *Executive Function/ph [Physiology] KW - Chronic Pain/px [Psychology] ER - TY - JOUR TI - Pain in older adults: development of a tool for measuring knowledge of residential aged care staff. AU - Fetherstonhaugh, Deirdre AU - Lewis, Virginia AU - McAuliffe, Linda AU - Bauer, Michael T2 - International journal of geriatric psychiatry AB - OBJECTIVE: To develop a psychometrically sound tool for measuring the knowledge of nursing and care staff about the experience, assessment and management of pain in older people (including people with dementia) for use in the residential aged care setting., METHODS: The Pain in Older Adults Knowledge Survey (POAKS) was developed and tested in two phases. Phase 1 involved developing an initial item pool with good content validity based on a review of the research literature and a modified Delphi technique involving national and international experts. A pool of 24 items was developed for testing. Initial testing of the psychometric properties of the POAKS with 30 university employees led to refinement and final wording of items. Phase 2 involved testing of the psychometric properties of the POAKS with 279 respondents, including first year (n = 176) and third year (n = 70) nursing students and staff in a residential aged care service (n = 33)., RESULTS: Results established the content validity and internal consistency of the POAKS and supported its use as an instrument to measure nursing staff knowledge about the experience, assessment and management of pain in older people., CONCLUSIONS: The POAKS will enable residential aged care facilities to measure the level of knowledge among nursing and care staff about pain in older people (including people with dementia). The measure provides a basis for the development and implementation of educational interventions to address knowledge gaps that may impact on the quality of care provided. Copyright © 2015 John Wiley & Sons, Ltd. DA - 2016/// PY - 2016 DO - 10.1002/gps.4364 VL - 31 IS - 4 SP - 428 EP - 34 J2 - Int J Geriatr Psychiatry SN - 1099-1166 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26430905 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Middle Aged KW - Health Care Surveys KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Psychometrics KW - *Health Knowledge, Attitudes, Practice KW - Dementia KW - *Nursing Staff/st [Standards] KW - Pain/di [Diagnosis] KW - *Clinical Competence/st [Standards] KW - *Pain Management KW - *Pain ER - TY - JOUR TI - Medication use and potentially inappropriate medications in those with limited prognosis living in residential aged care. AU - Heppenstall, Claire Patricia AU - Broad, Joanna B AU - Boyd, Michal AU - Hikaka, Joanna AU - Zhang, Xian AU - Kennedy, Julia AU - Connolly, Martin J T2 - Australasian journal on ageing AB - AIM: To compare the prevalence in residential aged care (RAC) of preventative and potentially inappropriate medications (PIMs) in those who died within 12 months versus those alive after 12 months., METHODS: Firstly, a cross-sectional survey of 6196 people living in RAC in Auckland. Secondly, a research physician searched electronic hospital records in one District Health Board for a sub-sample (n = 222) of these residents. Classes of medications and dates of death were obtained from the Ministry of Health databases. Those who died versus those alive at 12 months were compared., RESULTS: Over half of the 6196 participants received antihypertensives and/or antiplatelet agents. Cardiovascular preventative medications were significantly more common in those who died within 12 months. Seventy percent in high-level care received psychotropics. PIMs were commonly used., CONCLUSIONS: Use of preventative medications is common in RAC, especially during the last year of life. Psychotropics are very commonly used, despite being potentially inappropriate. Copyright © 2015 AJA Inc. DA - 2016/// PY - 2016 DO - 10.1111/ajag.12220 VL - 35 IS - 2 SP - E18 EP - 24 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26416493 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged, 80 and over KW - Electronic Health Records KW - Health Care Surveys KW - Frail Elderly KW - Nursing Homes KW - Retrospective Studies KW - Time Factors KW - Cross-Sectional Studies KW - *Homes for the Aged KW - Age Factors KW - Comorbidity KW - *Psychotropic Drugs/tu [Therapeutic Use] KW - New Zealand KW - Prognosis KW - Polypharmacy KW - Inappropriate Prescribing/pc [Prevention & Control] KW - *Inappropriate Prescribing KW - Psychotropic Drugs/ae [Adverse Effects] KW - Life Expectancy KW - Drug Utilization Review KW - *Preventive Health Services/mt [Methods] KW - *Potentially Inappropriate Medication List KW - *Cardiovascular Agents/tu [Therapeutic Use] KW - Cardiovascular Agents/ae [Adverse Effects] ER - TY - JOUR TI - Factors Associated With Changes in Perceived Quality of Life Among Elderly Recipients of Long-Term Services and Supports. AU - Naylor, Mary D AU - Hirschman, Karen B AU - Hanlon, Alexandra L AU - Abbott, Katherine M AU - Bowles, Kathryn H AU - Foust, Janice AU - Shah, Shivani AU - Zubritsky, Cynthia T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: Advance knowledge about changes in multiple dimensions of health related quality of life (HRQoL) among older adults receiving long-term services and supports (LTSS) over time and across settings., DESIGN: A prospective, observational, longitudinal cohort design., SETTING: Nursing homes (NHs), assisted living facilities (ALFs), community., PARTICIPANTS: A total of 470 older adults who were first-time recipients of LTSS., MEASUREMENT: Single-item quality-of-life measure assessed every 3 months over 2 years. HRQoL domains of emotional status, functional status, and social support were measured using standardized instruments., RESULTS: Multivariable mixed effects model with time varying covariates revealed that quality-of-life ratings decreased over time (P < .001). Quality-of-life ratings were higher among enrollees with fewer depressive symptoms (P < .001), higher general physical function (P < .001), enhanced emotional well-being (P < .001), and greater social support (P = .004). Ratings also were higher among those with increased deficits in activities of daily living (P = .02). Ratings were highest among enrollees who received LTSS from ALFs, followed by NHs, then home and community-based services (H&CBS), but only findings between ALFs and H&CBS were statistically significant (P < .001). Finally, ratings tended to decrease over time among enrollees with greater cognitive impairment and increase over time among enrollees with less cognitive impairment (P < .001)., CONCLUSIONS: Findings advance knowledge regarding what is arguably the most important outcome of elderly LTSS recipients: quality of life. Understanding associations between multiple HRQoL domains and quality of life over time and directly from LTSS recipients represents a critical step in enhancing care processes and outcomes of this vulnerable population. Copyright © 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.jamda.2015.07.019 VL - 17 IS - 1 SP - 44 EP - 52 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26412018 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Status KW - Nursing Homes KW - Social Support KW - *Quality of Life KW - Assisted Living Facilities KW - Longitudinal Studies KW - Prospective Studies KW - Depression/ep [Epidemiology] KW - *Long-Term Care KW - Home Care Services KW - Cognition Disorders/ep [Epidemiology] KW - Mid-Atlantic Region/ep [Epidemiology] ER - TY - JOUR TI - Evaluation of a hybrid paper-electronic medication management system at a residential aged care facility. AU - Elliott, Rohan A AU - Lee, Cik Yin AU - Hussainy, Safeera Y T2 - Australian health review : a publication of the Australian Hospital Association AB - Objectives The aims of the study were to investigate discrepancies between general practitioners' paper medication orders and pharmacy-prepared electronic medication administration charts, back-up paper charts and dose-administration aids, as well as delays between prescribing, charting and administration, at a 90-bed residential aged care facility that used a hybrid paper-electronic medication management system. Methods A cross-sectional audit of medication orders, medication charts and dose-administration aids was performed to identify discrepancies. In addition, a retrospective audit was performed of delays between prescribing and availability of an updated electronic medication administration chart. Medication administration records were reviewed retrospectively to determine whether discrepancies and delays led to medication administration errors. Results Medication records for 88 residents (mean age 86 years) were audited. Residents were prescribed a median of eight regular medicines (interquartile range 5-12). One hundred and twenty-five discrepancies were identified. Forty-seven discrepancies, affecting 21 (24%) residents, led to a medication administration error. The most common discrepancies were medicine omission (44.0%) and extra medicine (19.2%). Delays from when medicines were prescribed to when they appeared on the electronic medication administration chart ranged from 18min to 98h. On nine occasions (for 10% of residents) the delay contributed to missed doses, usually antibiotics. Conclusion Medication discrepancies and delays were common. Improved systems for managing medication orders and charts are needed. What is known about the topic? Hybrid paper-electronic medication management systems, in which prescribers' orders are transcribed into an electronic system by pharmacy technicians and pharmacists to create medication administration charts, are increasingly replacing paper-based medication management systems in Australian residential aged care facilities. The accuracy and safety of these systems has not been studied. What does this paper add? The present study identified discrepancies between general practitioners' orders and pharmacy-prepared electronic medication administration charts, back-up paper medication charts and dose-administration aids, as well as delays between ordering, charting and administering medicines. Discrepancies and delays sometimes led to medication administration errors. What are the implications for practitioners? Facilities that use hybrid systems need to implement robust systems for communicating medication changes to their pharmacy and reconciling prescribers' orders against pharmacy-generated medication charts and dose-administration aids. Fully integrated, paperless medication management systems, in which prescribers' electronic medication orders directly populate an electronic medication administration chart and are automatically communicated to the facility's pharmacy, could improve patient safety. DA - 2016/// PY - 2016 DO - 10.1071/AH14206 VL - 40 IS - 3 SP - 244 EP - 250 J2 - Aust Health Rev SN - 0156-5788 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26386946 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Medical Records Systems, Computerized KW - Retrospective Studies KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Medication Therapy Management/og [Organization & Administration] KW - *Electronic Prescribing KW - Medication Errors/pc [Prevention & Control] ER - TY - JOUR TI - Shared Homes as an Alternative to Nursing Home Care: Impact of VA's Medical Foster Home Program on Hospitalization. AU - Levy, Cari R AU - Alemi, Farrokh AU - Williams, Allison E AU - Williams, Arthur R AU - Wojtusiak, Janusz AU - Sutton, Bryce AU - Giang, Phan AU - Pracht, Etienne AU - Argyros, Lisa T2 - The Gerontologist AB - PURPOSE OF THE STUDY: This study compares hospitalization rates for common conditions in the Veteran Affairs (VA) Medical Foster Home (MFH) program to VA nursing homes, known as Community Living Centers (CLCs)., DESIGN AND METHODS: We used a nested, matched, case control design. We examined 817 MFH residents and matched each to 3 CLC residents selected from a pool of 325,031. CLC and MFH cases were matched on (a) baseline time period, (b) follow-up time period, (c) age, (d) gender, (e) race, (f) risk of mortality calculated from comorbidities, and (g) history of hospitalization for the selected condition during the baseline period. Odds ratio (OR) and related confidence interval (CI) were calculated to contrast MFH cases and matched CLC controls., RESULTS: Compared with matched CLC cases, MFH residents were less likely to be hospitalized for adverse care events, (OR = 0.13, 95% CI = 0.03-0.53), anxiety disorders (OR = 0.52, 95% CI = 0.33-0.80), mood disorders (OR = 0.57, 95% CI = 0.42-0.79), skin infections (OR = 0.22, 95% CI = 0.10-0.51), pressure ulcers (OR = 0.22, 95% CI = 0.09-0.50) and bacterial infections other than tuberculosis or septicemia (OR = 0.54, 95% CI = 0.31-0.92). MFH cases and matched CLC controls did not differ in rates of urinary tract infections, pneumonia, septicemia, suicide/self-injury, falls, other injury besides falls, history of injury, delirium/dementia/cognitive impairments, or adverse drug events. Hospitalization rates were not higher for any conditions studied in the MFH cohort compared with the CLC cohort., IMPLICATIONS: MFH participants had the same or lower rates of hospitalizations for conditions examined compared with CLC controls suggesting that noninstitutional care by a nonfamilial caregiver does not increase hospitalization rates for common medical conditions. Copyright Published by Oxford University Press on behalf of the Gerontological Society of America 2015. DA - 2016/// PY - 2016 DO - 10.1093/geront/gnv092 VL - 56 IS - 1 SP - 62 EP - 71 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26384495 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Odds Ratio KW - *Dementia/th [Therapy] KW - *Program Evaluation KW - *Hospitalization/td [Trends] KW - *United States Department of Veterans Affairs ER - TY - JOUR TI - Benefits and problems of health-care robots in aged care settings: A comparison trial. AU - Broadbent, Elizabeth AU - Kerse, Ngaire AU - Peri, Kathryn AU - Robinson, Hayley AU - Jayawardena, Chandimal AU - Kuo, Tony AU - Datta, Chandan AU - Stafford, Rebecca AU - Butler, Haley AU - Jawalkar, Pratyusha AU - Amor, Maddy AU - Robins, Ben AU - MacDonald, Bruce T2 - Australasian journal on ageing T3 - [Comment in: Australas J Ageing. 2016 Dec;35(4):291; PMID: 27933742 [https://www.ncbi.nlm.nih.gov/pubmed/27933742]] AB - AIM: This study investigated whether multiple health-care robots could have any benefits or cause any problems in an aged care facility., METHOD: Fifty-three residents and 53 staff participated in a non-randomised controlled trial over 12 weeks. Six robots provided entertainment, communication and health-monitoring functions in staff rooms and activity lounges. These settings were compared to control settings without robots., RESULTS: There were no significant differences between groups in resident or staff outcomes, except a significant increase in job satisfaction in the control group only. The intervention group perceived the robots had more agency and experience than the control group did. Perceived agency of the robots decreased over time in both groups. Overall, we received very mixed responses with positive, neutral and negative comments., CONCLUSIONS: The robots had no major benefits or problems. Future research could give robots stronger operational roles, use more specific outcome measures, and perform cost-benefit analyses. Copyright © 2015 AJA Inc. DA - 2016/// PY - 2016 DO - 10.1111/ajag.12190 VL - 35 IS - 1 SP - 23 EP - 9 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26364706 KW - Humans KW - Health Knowledge, Attitudes, Practice KW - Attitude of Health Personnel KW - Attitude to Computers KW - Communication KW - Patient Acceptance of Health Care KW - Activities of Daily Living KW - Quality of Life KW - Time Factors KW - *Homes for the Aged KW - *Nursing Homes KW - *Aging KW - Age Factors KW - Interviews as Topic KW - *Health Services for the Aged KW - Social Behavior KW - New Zealand KW - *Robotics/is [Instrumentation] KW - Aging/px [Psychology] ER - TY - JOUR TI - [Predictors of institutionalization of elderly persons in dependency situation in Andalusia]. AU - Pinzon-Pulido, Sandra AU - Garrido Pena, Francisco AU - Reyes Alcazar, Victor AU - Lima-Rodriguez, Joaquin Salvador AU - Raposo Triano, Maria Fernanda AU - Martinez Domene, Manuel AU - Alonso Trujillo, Federico T2 - Factores predictores de la institucionalizacion de personas mayores en situacion de dependencia en Andalucia. AB - OBJECTIVE: Identifying preferences regarding type of care and risk factors for institutionalization of elderly persons in dependency situations in Andalusia., METHODS: The data on 200,039 persons registered in the System for Autonomy and Dependency Care over the period 2007-2012 were analysed. The study population was described in terms of: age, dependency situation, preferences, support network and clinical factors at the time of inclusion in the study. Separate analysis was made for men and women. A logistic regression model was designed to determine the risk factors for institutionalization for each sex., RESULTS: 87,4% of women and 85,9% of men expressed their wish to receive care in their own home. The risk of institutionalization is three times higher among men than among women. Among women, the risks of institutionalization are: level of dependency, wishing to move into a residential care home, medium consistency and fragility of support network and being diagnosed with dementia. Among men, the risks are: wishing to move into a residential care home and low or medium consistency of support network., CONCLUSIONS: Care in the home is the preferred alternative for elderly persons in dependency situations. The risk of institutionalization is conditioned more by the preferences of the person and their family and the characteristics of the support network than by individual's clinical condition. Copyright © 2015 Elsevier Espana, S.L.U. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.enfcli.2015.08.003 VL - 26 IS - 1 SP - 23 EP - 30 J2 - ENFERM CLIN SN - 1579-2013 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26363992 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Social Support KW - Spain KW - *Homes for the Aged KW - *Nursing Homes KW - Dementia KW - *Institutionalization KW - Dependency (Psychology) ER - TY - JOUR TI - Prevalence of elder self-neglect in a Chicago Chinese population: The role of cognitive physical and mental health. AU - Dong, XinQi AU - Simon, Melissa T2 - Geriatrics & gerontology international AB - AIM: The present study examined the cognitive, physical and psychological characteristics associated with elder self-neglect in a USA Chinese older population., METHODS: The Population Study of Chinese Elderly in Chicago is a population-based epidemiological study of Chinese older adults in the greater Chicago area. In total, 3159 Chinese older adults aged 60 years and older were interviewed from 2011 to 2013. Personal and home environment was rated on hoarding, personal hygiene, house in need of repair, unsanitary conditions and inadequate utility., RESULTS: The prevalence of elder self-neglect of all severities was higher among older adults who were with worsening health status, lower cognitive function, lower physical function and more depressive symptoms. Poorer health status (mild self-neglect OR 1.20, 95% CI 1.06-1.35; moderate/severe self-neglect: OR 1.52, 95% CI 1.30-1.77), lower physical function (activities of daily living moderate/severe self-neglect OR 1.09, 95% CI 1.05-1.13; instrumental activities of daily living mild OR 1.04, 95% CI 1.03-1.06; instrumental activities of dailiy living moderate/severe OR 1.06, 95% CI 1.04-1.07), lower cognitive function (mild self-neglect OR 1.05, 95% CI 1.03-1.07; moderate/severe self-neglect OR 1.07, 95% CI 1.04-1.09) and more depressive symptoms (mild self-neglect OR 1.05, 95% CI 1.02-1.07; moderate/severe self-neglect OR 1.08, 95% CI 1.06-1.11) were significantly associated with increased risk for elder self-neglect of all severities., CONCLUSION: Older adults with lower levels of cognitive, physical, and psychological health were more likely to report elder self-neglect and its phenotypes. Future research is required to examine risk/protective factors associated with elder self-neglect. Geriatr Gerontol Int 2016; 16: 1051-1062. Copyright © 2015 Japan Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/ggi.12598 VL - 16 IS - 9 SP - 1051 EP - 62 J2 - Geriatr Gerontol Int SN - 1447-0594 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26337031 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Risk Assessment KW - Health Status KW - Prevalence KW - Health Surveys KW - Geriatric Assessment KW - Independent Living/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Interviews as Topic KW - Depression/di [Diagnosis] KW - Confidence Intervals KW - Self Care/px [Psychology] KW - Elder Abuse/px [Psychology] KW - *Depression/eh [Ethnology] KW - *Self Care/sn [Statistics & Numerical Data] KW - Chicago/ep [Epidemiology] KW - *Asian Americans/sn [Statistics & Numerical Data] KW - *Cognition Disorders/eh [Ethnology] KW - *Elder Abuse/eh [Ethnology] KW - *Mental Health/eh [Ethnology] ER - TY - JOUR TI - ["The Impact of Poverty on Elderly's Health in the District of Altona" Key Findings of The Second Altona Health Report]. AU - Wollesen, B AU - Bischoff, L AU - Stehr, G AU - Niessen, J T2 - "Auswirkungen der Armut auf die Gesundheit von Senioren im Bezirk Altona" Zentrale Ergebnisse des 2. Altonaer Gesundheitsberichts. AB - OBJECTIVES: The aim of this study was to analyze whether health-related characteristics of elderly differ considering their income situation., METHODS: N=322 elderly were included in a quantitative survey (e. g., SF36, GDS, Barthelindex, IADL). The evaluation was conducted in consideration of housing (independent, outpatient, nursing homes, district)., RESULTS: There were significantly higher values of diseases in the lower income than in higher income groups (F(316)=2,971; p=0,008; eta2=0,053). Furthermore the lower income groups were more often classified into long-term care level 2 (Chi2=25,36; p=0,009; C=0,283) associated with reduced abilities of daily living and lower scores on physical and mental wellbeing. Gender differences could not be found., CONCLUSIONS: Low-income elderly have a poorer health status than high-income elderly. Endeavors should be undertaken to improve prevention strategies to retain independence and quality of life of low-income elderly. Copyright © Georg Thieme Verlag KG Stuttgart . New York. DA - 2016/// PY - 2016 DO - 10.1055/s-0035-1555947 VL - 78 IS - 8-09 SP - 505 EP - 9 J2 - Gesundheitswesen SN - 1439-4421 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26335656 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - Housing/sn [Statistics & Numerical Data] KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - *Health Status KW - Poverty/px [Psychology] KW - *Poverty/ec [Economics] KW - Quality of Life/px [Psychology] KW - *Chronic Disease/ec [Economics] KW - *Housing/ec [Economics] KW - Germany/ep [Epidemiology] KW - *Chronic Disease/ep [Epidemiology] KW - Chronic Disease/px [Psychology] KW - Poverty/sn [Statistics & Numerical Data] KW - *Income/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Acceptance and Commitment Therapy and Selective Optimization with Compensation for Institutionalized Older People with Chronic Pain. AU - Alonso-Fernandez, Miriam AU - Lopez-Lopez, Almudena AU - Losada, Andres AU - Gonzalez, Jose Luis AU - Wetherell, Julie Loebach T2 - Pain medicine (Malden, Mass.) AB - OBJECTIVE: Recent studies support the efficacy of Acceptance and Commitment Therapy (ACT) with people with chronic pain. In addition, Selective Optimization with Compensation strategies (SOC) can help the elderly with chronic pain to accept their chronic condition and increase functional autonomy. Our aim was to analyze the efficacy of an ACT treatment program combined with training in SOC strategies for elderly people with chronic pain living in nursing homes., METHODS: 101 participants (mean age = 82.26; SD = 10.00; 78.6% female) were randomized to the intervention condition (ACT-SOC) or to a minimal support group (MS). Complete data are available for 53 participants (ACT-SOC: n = 27; MS: n = 26). Assessments of functional performance, pain intensity, pain acceptance, SOC strategies, emotional well being and catastrophizing beliefs were done preintervention and postintervention., RESULTS: Significant time by intervention changes (P = 0.05) were found in acceptance, pain related anxiety, compensation strategies, and pain interference in walking ability. Simple effects changes were found in acceptance (P = 0.01), selection strategies (P = 0.05), catastrophizing beliefs (P = 0.03), depressive symptoms (P = 0.05), pain anxiety (P = 0.01) and pain interference in mood and walking ability (P = 0.03) in the ACT-SOC group. No significant changes were found in the MS group., CONCLUSIONS: These results suggest that an ACT intervention combined with training in SOC strategies could help older people with pain to improve their emotional well being and their functional capability. DA - 2016/// PY - 2016 VL - 17 IS - 2 SP - 264 EP - 77 J2 - PAIN MED SN - 1526-4637 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26304771 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - Age Factors KW - Homes for the Aged/st [Standards] KW - Nursing Homes/st [Standards] KW - Spain/ep [Epidemiology] KW - Chronic Pain/ep [Epidemiology] KW - *Chronic Pain/px [Psychology] KW - *Acceptance and Commitment Therapy/mt [Methods] KW - *Chronic Pain/th [Therapy] KW - Acceptance and Commitment Therapy/st [Standards] ER - TY - JOUR TI - Gait Speed Predicts Incident Disability: A Pooled Analysis. AU - Perera, Subashan AU - Patel, Kushang V AU - Rosano, Caterina AU - Rubin, Susan M AU - Satterfield, Suzanne AU - Harris, Tamara AU - Ensrud, Kristine AU - Orwoll, Eric AU - Lee, Christine G AU - Chandler, Julie M AU - Newman, Anne B AU - Cauley, Jane A AU - Guralnik, Jack M AU - Ferrucci, Luigi AU - Studenski, Stephanie A T2 - The journals of gerontology. Series A, Biological sciences and medical sciences AB - BACKGROUND: Functional independence with aging is an important goal for individuals and society. Simple prognostic indicators can inform health promotion and care planning, but evidence is limited by heterogeneity in measures of function., METHODS: We performed a pooled analysis of data from seven studies of 27,220 community-dwelling older adults aged 65 or older with baseline gait speed, followed for disability and mortality. Outcomes were incident inability or dependence on another person in bathing or dressing; and difficulty walking 1/4 - 1/2 mile or climbing 10 steps within 3 years., RESULTS: Participants with faster baseline gait had lower rates of incident disability. In subgroups (defined by 0.2 m/s-wide intervals from <0.4 to >= 1.4 m/s) with increasingly greater gait speed, 3-year rates of bathing or dressing dependence trended from 10% to 1% in men, and from 15% to 1% in women, while mobility difficulty trended from 47% to 4% in men and 40% to 6% in women. The age-adjusted relative risk ratio per 0.1 m/s greater speed for bathing or dressing dependence in men was 0.68 (0.57-0.81) and in women: 0.74 (0.66-0.82); for mobility difficulty, men: 0.75 (0.68-0.82), women: 0.73 (0.67-0.80). Results were similar for combined disability and mortality. Effects were largely consistent across subgroups based on age, gender, race, body mass index, prior hospitalization, and selected chronic conditions. In the presence of multiple other risk factors for disability, gait speed significantly increased the area under the receiver operator characteristic curve., CONCLUSION: In older adults, gait speed predicts 3 year incidence of bathing or dressing dependence, mobility difficulty, and a composite outcome of disability and mortality. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/gerona/glv126 VL - 71 IS - 1 SP - 63 EP - 71 J2 - J Gerontol A Biol Sci Med Sci SN - 1758-535X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26297942 KW - Female KW - Humans KW - Male KW - Risk Factors KW - United States KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Cohort Studies KW - *Activities of Daily Living KW - *Aging/ph [Physiology] KW - *Independent Living/sn [Statistics & Numerical Data] KW - Geriatric Assessment KW - ROC Curve KW - Disability Evaluation KW - Prognosis KW - Survival Analysis KW - Predictive Value of Tests KW - *Disabled Persons/sn [Statistics & Numerical Data] KW - *Mobility Limitation KW - *Gait/ph [Physiology] KW - Psychomotor Performance ER - TY - JOUR TI - Exploring undergraduate nursing students' perceptions of working in aged care settings: A review of the literature. AU - Algoso, Maricris AU - Peters, Kath AU - Ramjan, Lucie AU - East, Leah T2 - Nurse education today AB - OBJECTIVES: To explore undergraduate nursing students' perceptions of working in the aged care setting through a review of the literature., DESIGN: A review of available literature relating to undergraduate nursing students' attitudes, perceptions and experiences in the aged care setting, or in the care of older adults., DATA SOURCES: CINAHL Plus with Full Text was the primary database used. Other databases include PsycINFO and Health Source: Nursing/Academic Edition., REVIEW METHODS: Studies focused on undergraduate nursing students and their experiences in the aged care setting and on the perceptions and attitudes of nursing students toward older adults, were included. Studies that did not present an original study or those that did not meet the aim of the study were excluded from the review., RESULTS: Following removal of duplicates and exclusion of articles not meeting the aim of this paper, 24 articles remained. Three main themes emerged from the review of the literature: perceptions of aged care placement, attitudes to working in aged care, and experiences in aged care., CONCLUSION: The experiences of nursing students employed as undergraduate AINs in the aged care setting can provide an immersive clinical learning experience in preparation for their new graduate (NG) year. Furthermore, it is an opportunity to challenge ageist attitudes and instil core nursing values in novice nurses such as promoting compassionate care. Copyright © 2015 Elsevier Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.nedt.2015.08.001 VL - 36 IS - ned, 8511379 SP - 275 EP - 80 J2 - Nurse Educ Today SN - 1532-2793 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26296542 KW - Humans KW - Curriculum KW - *Homes for the Aged/og [Organization & Administration] KW - Clinical Competence KW - *Students, Nursing/px [Psychology] KW - Education, Nursing/og [Organization & Administration] ER - TY - JOUR TI - Ambulatory cardiac arrhythmias in relation to mild hypokalaemia and prognosis in community dwelling middle-aged and elderly subjects. AU - Mattsson, Nick AU - Sadjadieh, Golnaz AU - Kumarathurai, Preman AU - Nielsen, Olav Wendelboe AU - Kober, Lars AU - Sajadieh, Ahmad T2 - Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology AB - AIMS: Severe hypokalaemia can aggravate arrhythmia tendency and prognosis, but less is known about risk of mild hypokalaemia, which is a frequent finding. We examined the associations between mild hypokalaemia and ambulatory cardiac arrhythmias and their prognosis., METHODS AND RESULTS: Subjects from the cohort of the 'Copenhagen Holter Study' (n = 671), with no history of manifest cardiovascular (CV) disease or stroke, were studied. All had laboratory tests and 48-h ambulatory electrocardiogram (ECG) recording. The median follow-up was 6.3 years. p-Potassium was inversely associated with frequency of premature ventricular complexes (PVCs) especially in combination with diuretic treatment (r = -0.22, P = 0.015). Hypokalaemia was not associated with supraventricular arrhythmias. Subjects at lowest quintile of p-potassium (mean 3.42, range 2.7-3.6 mmol/L) were defined as hypokalaemic. Cardiovascular mortality was higher in the hypokalaemic group (hazard ratio and 95% confidence intervals: 2.62 (1.11-6.18) after relevant adjustments). Hypokalaemia in combination with excessive PVC worsened the prognosis synergistically; event rates: 83 per 1000 patient-year in subjects with both abnormalities, 10 and 15 per 1000 patient-year in those with one abnormality, and 3 per 1000 patient-year in subjects with no abnormality. One variable combining hypokalaemia with excessive supraventricular arrhythmias gave similar results in univariate analysis, but not after multivariate adjustments., CONCLUSION: In middle-aged and elderly subjects with no manifest heart disease, mild hypokalaemia is associated with increased rate of ventricular but not supraventricular arrhythmias. Hypokalaemia interacts synergistically with increased ventricular ectopy to increase the risk of adverse events. Copyright Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/europace/euv204 VL - 18 IS - 4 SP - 585 EP - 91 J2 - Europace SN - 1532-2092 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26293625 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Denmark KW - Aged KW - Middle Aged KW - Logistic Models KW - *Independent Living KW - Time Factors KW - Age Factors KW - Severity of Illness Index KW - Proportional Hazards Models KW - Linear Models KW - Biomarkers/bl [Blood] KW - Multivariate Analysis KW - Predictive Value of Tests KW - Kaplan-Meier Estimate KW - *Hypokalemia/co [Complications] KW - *Ventricular Premature Complexes/et [Etiology] KW - Atrial Premature Complexes/et [Etiology] KW - Atrial Premature Complexes/mo [Mortality] KW - Atrial Premature Complexes/pp [Physiopathology] KW - Disease-Free Survival KW - Diuretics/tu [Therapeutic Use] KW - Electrocardiography, Ambulatory KW - Hypokalemia/bl [Blood] KW - Hypokalemia/di [Diagnosis] KW - Hypokalemia/dt [Drug Therapy] KW - Hypokalemia/mo [Mortality] KW - Potassium/bl [Blood] KW - Tachycardia, Supraventricular/et [Etiology] KW - Tachycardia, Supraventricular/mo [Mortality] KW - Tachycardia, Supraventricular/pp [Physiopathology] KW - Ventricular Premature Complexes/di [Diagnosis] KW - Ventricular Premature Complexes/mo [Mortality] KW - Ventricular Premature Complexes/pp [Physiopathology] ER - TY - JOUR TI - Independent Associations Between Sedentary Behaviors and Mental, Cognitive, Physical, and Functional Health Among Older Adults in Retirement Communities. AU - Rosenberg, Dori E AU - Bellettiere, John AU - Gardiner, Paul A AU - Villarreal, Veronica N AU - Crist, Katie AU - Kerr, Jacqueline T2 - The journals of gerontology. Series A, Biological sciences and medical sciences AB - BACKGROUND: We examined the relationships between objective and self-reported sedentary time and health indicators among older adults residing in retirement communities., METHODS: Our cross-sectional analysis used data from 307 participants who completed baseline measurements of a physical activity trial in 11 retirement communities in San Diego County. Sedentary time was objectively measured with devices (accelerometers) and using self-reports. Outcomes assessed included emotional and cognitive health, physical function, and physical health (eg, blood pressure). Linear mixed-effects models examined associations between sedentary behavior and outcomes adjusting for demographics and accelerometer physical activity., RESULTS: Higher device-measured sedentary time was associated with worse objective physical function (Short Physical Performance Battery, balance task scores, 400-m walk time, chair stand time, gait speed), self-reported physical function, and fear of falling but with less sleep disturbance (all ps < .05). TV viewing was positively related to 400-m walk time (p < .05). Self-reported sedentary behavior was related to better performance on one cognitive task (trails A; p < .05)., CONCLUSIONS: Sedentary time was mostly related to poorer physical function independently of moderate-to-vigorous physical activity and may be a modifiable behavior target in interventions aiming to improve physical function in older adults. Few associations were observed with self-reported sedentary behavior measures. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/gerona/glv103 VL - 71 IS - 1 SP - 78 EP - 83 J2 - J Gerontol A Biol Sci Med Sci SN - 1758-535X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26273024 KW - Female KW - Humans KW - Male KW - Aged KW - Mobility Limitation KW - *Accidental Falls/pc [Prevention & Control] KW - Cross-Sectional Studies KW - *Aging KW - Geriatric Assessment/mt [Methods] KW - Aging/ph [Physiology] KW - *Sedentary Behavior KW - *Health Status Disparities KW - Self Report KW - *Cognition KW - Motor Activity/ph [Physiology] KW - Aging/px [Psychology] KW - *Mental Competency KW - Accelerometry/mt [Methods] KW - Statistics as Topic KW - Psychomotor Performance KW - Residential Facilities/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Predicting Abused Women With Children Who Return to a Shelter: Development and Use of a Rapid Assessment Triage Tool. AU - McFarlane, Judith AU - Pennings, Jacquelyn AU - Liu, Fuqin AU - Gilroy, Heidi AU - Nava, Angeles AU - Maddoux, John A AU - Montalvo-Liendo, Nora AU - Paulson, Rene T2 - Violence against women AB - To develop a tool to predict risk for return to a shelter, 150 women with children, exiting a domestic violence shelter, were evaluated every 4 months for 24 months to determine risk factors for returning to a shelter. The study identified four risk factors, including danger for murder, woman's age (i.e., older women), tangible support (i.e., access to money, transportation), and child witness to verbal abuse of the mother. An easy to use, quick triage tool with a weighted score was derived, which can identify with 90% accuracy abused women with children most likely to return to shelters. Copyright © The Author(s) 2015. DA - 2016/// PY - 2016 DO - 10.1177/1077801215599843 VL - 22 IS - 2 SP - 189 EP - 205 J2 - Violence Against Women SN - 1552-8448 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26270386 KW - Adult KW - Female KW - Humans KW - Young Adult KW - Child KW - Age Factors KW - *Housing KW - Risk KW - Transportation KW - *Social Work/mt [Methods] KW - *Battered Women KW - *Spouse Abuse KW - Child Abuse KW - Exposure to Violence KW - Financial Support KW - Homicide KW - Mothers KW - Triage ER - TY - JOUR TI - High-Intensity Telemedicine Decreases Emergency Department Use by Senior Living Community Residents. AU - Shah, Manish N AU - Wasserman, Erin B AU - Wang, Hongyue AU - Gillespie, Suzanne M AU - Noyes, Katia AU - Wood, Nancy E AU - Nelson, Dallas AU - Dozier, Ann AU - McConnochie, Kenneth M T2 - Telemedicine journal and e-health : the official journal of the American Telemedicine Association AB - BACKGROUND: The failure to provide timely acute illness care can lead to adverse consequences or emergency department (ED) use. We evaluated the effect on ED use of a high-intensity telemedicine program that provides acute illness care for senior living community (SLC) residents., MATERIALS AND METHODS: We performed a prospective cohort study over 3.5 years. Six SLCs cared for by a primary care geriatrics practice were intervention facilities, with the remaining 16 being controls. Consenting patients at intervention facilities could access telemedicine for acute illness care. Patients were provided patient-to-provider, real-time, or store-and-forward high-intensity telemedicine (i.e., technician-assisted with resources beyond simple videoconferencing) to diagnose and treat acute illnesses. The primary outcome was the rate of ED use., RESULTS: We enrolled 494 of 705 (70.1%) subjects/proxies in the intervention group; 1,058 subjects served as controls. Control and intervention subjects visited the ED 2,238 and 725 times, respectively, with 47.3% of control and 43.4% of intervention group visits resulting in discharge home. Among intervention subjects, ED use decreased at an annualized rate of 18% (rate ratio [RR]=0.82; 95% confidence interval [CI], 0.70-0.95), whereas in the control group there was no statistically significant change in ED use (RR=1.01; 95% CI, 0.95-1.07; p=0.009 for group-by-time interaction). Primary care use and mortality were not significantly different., CONCLUSIONS: High-intensity telemedicine significantly reduced ED use among SLC residents without increasing other utilization or mortality. This alternative to traditional acute illness care can enhance access to acute illness care and should be integrated into population health programs. DA - 2016/// PY - 2016 DO - 10.1089/tmj.2015.0103 VL - 22 IS - 3 SP - 251 EP - 8 J2 - Telemed J E Health SN - 1556-3669 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26252866 KW - Female KW - Humans KW - Male KW - United States KW - Program Evaluation KW - Outcome Assessment (Health Care) KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - *Independent Living KW - Cohort Studies KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - *Homes for the Aged KW - Prospective Studies KW - Geriatric Assessment KW - Cost Savings KW - Emergency Service, Hospital/ec [Economics] KW - *Telemedicine/og [Organization & Administration] ER - TY - JOUR TI - Forecasting the use of elderly care: a static micro-simulation model. AU - Eggink, Evelien AU - Woittiez, Isolde AU - Ras, Michiel T2 - The European journal of health economics : HEPAC : health economics in prevention and care AB - This paper describes a model suitable for forecasting the use of publicly funded long-term elderly care, taking into account both ageing and changes in the health status of the population. In addition, the impact of socioeconomic factors on care use is included in the forecasts. The model is also suitable for the simulation of possible implications of some specific policy measures. The model is a static micro-simulation model, consisting of an explanatory model and a population model. The explanatory model statistically relates care use to individual characteristics. The population model mimics the composition of the population at future points in time. The forecasts of care use are driven by changes in the composition of the population in terms of relevant characteristics instead of dynamics at the individual level. The results show that a further 37 % increase in the use of elderly care (from 7 to 9 % of the Dutch 30-plus population) between 2008 and 2030 can be expected due to a further ageing of the population. However, the use of care is expected to increase less than if it were based on the increasing number of elderly only (+70 %), due to decreasing disability levels and increasing levels of education. As an application of the model, we simulated the effects of restricting access to residential care to elderly people with severe physical disabilities. The result was a lower growth of residential care use (32 % instead of 57 %), but a somewhat faster growth in the use of home care (35 % instead of 32 %). DA - 2016/// PY - 2016 DO - 10.1007/s10198-015-0714-9 VL - 17 IS - 6 SP - 681 EP - 91 J2 - Eur J Health Econ SN - 1618-7601 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26248823 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - *Independent Living/ec [Economics] KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Databases, Factual KW - Forecasting KW - Netherlands KW - Health Services for the Aged KW - *Homes for the Aged/ec [Economics] KW - Long-Term Care/sn [Statistics & Numerical Data] KW - Long-Term Care/ec [Economics] KW - Insurance Benefits/ec [Economics] ER - TY - JOUR TI - The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review. AU - Smith, Toby O AU - Purdy, Rachel AU - Latham, Sarah K AU - Kingsbury, Sarah R AU - Mulley, Graham AU - Conaghan, Philip G T2 - Rheumatology international AB - The aim was to systematically review the literature describing the prevalence, impact and current management of musculoskeletal pain in older people living in care homes. Published literature (AMED, CINAHL, EMBASE, psycINFO, MEDLINE, Cochrane Library) and unpublished literature (OpenGrey, the WHO International Clinical Trials Registry Platform, Current Controlled Trials, UK National Research Register Archive) were searched on 1 March 2015. All studies assessing the prevalence, impact and management of musculoskeletal disorders in older people living in care homes were included. Literature was appraised using the CASP cohort and qualitative critical appraisal tools. Data were analysed using descriptive statistical approaches, meta-analysis and meta-ethnography techniques. Twenty-four papers reporting the results of 263,775 care home residents in 12 countries were identified. The evidence base was moderate in quality. Prevalence of musculoskeletal pain for people in care homes was 30.2 % (95 % confidence intervals 29.9-30.5 %; n = 105,463). Care home residents reported that musculoskeletal pain had a significant impact on their perceived independence and overall ability to participate in everyday activities of daily living. Three papers which presented data on interventions demonstrated that whilst multi-component assessment and management packages did not significantly change clinical outcomes, these empowered care home staff to feel more confident in managing these patients. Musculoskeletal pain is a common problem in care homes worldwide, and residents report significant impact on their lives. However, there is uncertainty regarding how to assess and manage such pain. PROSPERO Registration Number: CRD42014009824. DA - 2016/// PY - 2016 DO - 10.1007/s00296-015-3322-1 VL - 36 IS - 1 SP - 55 EP - 64 J2 - Rheumatol Int SN - 1437-160X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26245357 KW - Humans KW - Aged KW - Activities of Daily Living KW - Prevalence KW - *Homes for the Aged KW - *Nursing Homes KW - Disease Management KW - Cost of Illness KW - *Musculoskeletal Diseases/th [Therapy] KW - *Musculoskeletal Diseases/ep [Epidemiology] ER - TY - JOUR TI - Indicators of oral nutritional supplements prescription in nursing home residents: A cross-sectional study. AU - Dupuy, Charlotte AU - de Souto Barreto, Philipe AU - Ghisolfi, Anne AU - Guyonnet, Sophie AU - Dorigny, Beatrice AU - Vellas, Bruno AU - Rolland, Yves T2 - Clinical nutrition (Edinburgh, Scotland) AB - BACKGROUND & AIMS: Identifying factors associated with oral nutritional supplement (ONS) prescription in nursing homes (NH) may help to treat malnutrition in this very old and vulnerable population., OBJECTIVES: The aim of the study was to investigate if resident-related and NH-related characteristics were associated with ONS prescription., DESIGN: Cross-sectional study using medical and demographic data from 6275 NH residents and data on the structure and organization (e.g., presence of a dietitian, organization of the meal) of 175 NHs in southwestern France. The main outcome measure was ONS prescription (dichotomous variable: yes/no)., RESULTS: ONS were prescribed for 7.8% (n = 489) of NH residents. In a multivariate binary logistic regression, resident-related factors associated with the prescription of ONS were age, clinical markers of undernutrition (body mass index and weight loss), disability in activities of daily living, pain, pressure sores, and hospitalization in the last 12 months. NH-related factors associated with ONS prescription were: presence of a dietitian (Odds Ratio (OR): 1.46, 95% Confidence Interval: 1.18-1.88), NH coordinating physician with specific training in geriatrics (OR: 2.58, 95% CI: 1.48-4.49), organization of evening snack (OR: 1.63, 95% CI: 1.28-2.07), number of general practitioners per NH bed (OR: 0.49, 95% CI: 0.38-0.64 intermediate tertile; OR:0.77, 95% CI:0.59-1.06 highest tertile. Reference category: lowest tertile) and number of drug prescriptions (OR: 0.97, 95% CI: 0.94-0.99)., CONCLUSIONS: Both resident's characteristics and NH characteristics were associated with ONS prescription independently of each other. Our results showed that NH organizational aspects are associated with ONS prescribing, suggesting that modifiable aspects may contribute to achieve optimal nutritional status in the NH setting. Copyright © 2015 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.clnu.2015.07.015 VL - 35 IS - 5 SP - 1047 EP - 52 J2 - Clin Nutr SN - 1532-1983 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26243061 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Logistic Models KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Body Mass Index KW - Multivariate Analysis KW - Meals KW - France KW - *Dietary Supplements KW - *Drug Prescriptions KW - Weight Loss KW - Administration, Oral KW - *Malnutrition/dt [Drug Therapy] ER - TY - JOUR TI - Evaluation of adherence by elderly nursing home patients to regular consumption of apple compote enriched with protein and soluble fiber. AU - Allaert, F A AU - Guerin-Deremaux, L AU - Mauray-Soulier, A AU - Saniez-Degrave, M H T2 - Aging clinical and experimental research AB - BACKGROUND: An increase in daily doses of protein and fiber for the elderly is relevant in preventing sarcopenia and preserving intestinal balance. However, such intake of supplements is often compromised by the lack of adherence among the elderly., OBJECTIVES: The main objective was to evaluate the perception of the hedonic qualities of compote enriched with NUTRALYS() pea protein, NUTRALYS()W hydrolyzed wheat gluten and NUTRIOSE() soluble fiber and the changes in that perception due to repeated consumption. The secondary objectives were to evaluate the evolution in the quantity of compote eaten, satisfaction with consumption and any changes in fatigue, digestive comfort and digestive tolerance when eating compote every other day for 3 weeks., METHOD: An observational study was conducted in nursing homes on volunteers aged 70-90 years. The compote was proposed as a lunchtime dessert every two days for a period of three consecutive weeks. All criteria were evaluated at days D0 and/or D1, D7, D15 and D21, except for the amount of compote eaten, evaluated after each meal at which it was served., RESULTS: When first tasted, the compote was judged 'rather pleasant' to 'very pleasant' by 91.6 % and this rating held up at 79.2 % (p = 0.1797) after 1 week, 83.3 % (p = 0.3173) after 2 weeks and 79.2 % (p = 0.2568) after 3 weeks. Average consumption of compote was stable and varied between a maximum of 79.5 % of the total quantity at inclusion to a minimum of 61.5 % recorded on D17. The other parameters did not change significantly., CONCLUSION: Pea protein, hydrolyzed wheat gluten and soluble fiber seem to provide an appropriate form of protein and fiber supplementation in the diets of elderly people in nursing homes. DA - 2016/// PY - 2016 DO - 10.1007/s40520-015-0415-3 VL - 28 IS - 2 SP - 189 EP - 95 J2 - Aging Clin Exp Res SN - 1720-8319 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26240032 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Sarcopenia KW - Dietary Supplements KW - France KW - *Eating/px [Psychology] KW - *Patient Compliance/sn [Statistics & Numerical Data] KW - *Dextrins/ad [Administration & Dosage] KW - *Dietary Fiber/ad [Administration & Dosage] KW - Malus KW - Plant Proteins, Dietary/ad [Administration & Dosage] KW - Portion Size KW - Sarcopenia/dh [Diet Therapy] KW - Sarcopenia/pc [Prevention & Control] ER - TY - JOUR TI - Psychological and social resources relate to biomarkers of allostasis in newly admitted nursing home residents. AU - Meeks, Suzanne AU - Van Haitsma, Kimberly AU - Mast, Benjamin T AU - Arnold, Steven AU - Streim, Joel E AU - Sephton, Sandra AU - Smith, Patrick J AU - Kleban, Morton AU - Rovine, Michael T2 - Aging & mental health AB - OBJECTIVES: This paper presents preliminary baseline data from a prospective study of nursing home adaptation that attempts to capture the complexity of residents' adaptive resources by examining psychological, social, and biological variables from a longitudinal conceptual framework. Our emphasis was on validating an index of allostasis., METHOD: In a sample of 26 long-term care patients, we measured 6 hormone and protein biomarkers to capture the concept of allostasis as an index of physiological resilience, related to other baseline resources, including frailty, hope and optimism, social support, and mental health history, collected via interview with the resident and collaterals. We also examined the performance of self-report measures reflecting psychosocial and well-being constructs, given the prevalence of cognitive impairment in nursing homes., RESULTS: Our results supported both the psychometric stability of our self-report measures, and the preliminary validity of our index of allostasis. Each biomarker was associated with at least one other resilience resource, suggesting that our choice of biomarkers was appropriate. As a group, the biomarkers showed good correspondence with the majority of other resource variables, and our standardized summation score was also associated with physical, social, and psychological resilience resources, including those reflecting physical and mental health vulnerability as well as positive resources of social support, optimism, and hope., CONCLUSION: Although these results are based on a small sample, the effect sizes were large enough to confer some confidence in the value of pursuing further research relating biomarkers of allostasis to psychological and physical resources and well-being. DA - 2016/// PY - 2016 DO - 10.1080/13607863.2015.1072796 VL - 20 IS - 1 SP - 88 EP - 99 J2 - Aging Ment Health SN - 1364-6915 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26237175 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Reproducibility of Results KW - Surveys and Questionnaires KW - Quality of Life KW - Social Support KW - *Homes for the Aged KW - *Nursing Homes KW - Long-Term Care KW - *Adaptation, Psychological KW - Mental Health KW - Self Concept KW - *Adaptation, Physiological/ph [Physiology] KW - Psychometrics/sn [Statistics & Numerical Data] KW - Resilience, Psychological KW - Biomarkers KW - *Stress, Psychological/pp [Physiopathology] KW - *Allostasis/ph [Physiology] ER - TY - JOUR TI - A protocol for a systematic review of effective home support to people with dementia and their carers: components and impacts. AU - Clarkson, Paul AU - Giebel, Clarissa M AU - Larbey, Matthew AU - Roe, Brenda AU - Challis, David AU - Hughes, Jane AU - Jolley, David AU - Poland, Fiona AU - Russell, Ian AU - Members of the HoSt-D (Home Support in Dementia) Programme Management Group T2 - Journal of advanced nursing A2 - Orrell M, Kapur N, Davies L, Roberts C, Tottie J, Blyth R AB - AIM: To review the evidence for home support approaches directed at tertiary prevention; ameliorating difficulties and enhancing well-being., BACKGROUND: With population ageing dementia represents a significant care challenge with 60% of people with dementia living at home. However, little is known about existing forms of home support and their relative effectiveness., DESIGN: A two-stage design: First, an overview of systematic reviews of psychosocial interventions for dementia to identify their components; second, a systematic review of the effectiveness of home support interventions to older people with dementia/their carers., METHODS: We will search electronic databases using specific search terms with additional searches of other known studies. Data will be extracted by two reviewers according to pre-determined categories. An initial synthesis will elicit components of interventions from stage 1 and operationalize them in terms of specific techniques. These will then be used in synthesis of data in stage 2, to determine the extent to which each home support intervention relies on these components and distill evidence concerning outcomes. Studies from stage 2 are expected to be methodologically diverse; if so, a narrative approach to synthesis will be taken. Study findings will be explored with Patient, Public and Carer Involvement groups., DISCUSSION: The review seeks to develop a theory of home support: how and why interventions may work; in what contexts; and for whom. We will identify effective home support approaches, informing policy-makers and establishing how they might be experienced by people with dementia and their carers. Copyright © 2015 John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/jan.12737 VL - 72 IS - 1 SP - 186 EP - 96 J2 - J Adv Nurs SN - 1365-2648 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26222343 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Systematic Reviews as Topic KW - Quality of Life KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Home Care Services/og [Organization & Administration] KW - Dementia/px [Psychology] KW - *Aging/px [Psychology] KW - Caregivers/px [Psychology] KW - *Dementia/nu [Nursing] KW - *Caregivers/og [Organization & Administration] KW - *Community Health Nursing/og [Organization & Administration] ER - TY - JOUR TI - Effects of bioDensity Training and Power Plate Whole-Body Vibration on Strength, Balance, and Functional Independence in Older Adults. AU - Smith, Derek T AU - Judge, Stacey AU - Malone, Ashley AU - Moynes, Rebecca C AU - Conviser, Jason AU - Skinner, James S T2 - Journal of aging and physical activity AB - Reduced strength, balance, and functional independence diminish quality of life and increase health care costs. Sixty adults (82.2 +/- 4.9 years) were randomized to a control or three 12-week intervention groups: bioDensity (bD); Power Plate (PP) whole-body vibration (WBV); or bD+PP. bD involved one weekly 5-s maximal contraction of four muscle groups. PP involved two 5-min WBV sessions. Primary outcomes were strength, balance, and Functional Independence Measure (FIM). No groups differed initially. Strength significantly increased 22-51% for three muscle groups in bD and bD+PP (P < .001), with no changes in control and PP. Balance significantly improved in PP and bD+PP but not in control or bD. bD, PP, and bD+PP differentially improved FIM self-care and mobility. Strength improvements from weekly 5-min sessions of bD may impart health/clinical benefits. Balance and leg strength improvements suggest WBV beneficially impacts fall risk and incidence. Improved FIM scores are encouraging and justify larger controlled trials on bD and bD+PP efficacy. DA - 2016/// PY - 2016 DO - 10.1123/japa.2015-0057 VL - 24 IS - 1 SP - 139 EP - 48 J2 - J AGING PHYS ACTIVITY SN - 1543-267X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26215362 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Quality of Life KW - Accidental Falls/pc [Prevention & Control] KW - Accidental Falls/sn [Statistics & Numerical Data] KW - *Muscle Strength/ph [Physiology] KW - *Postural Balance/ph [Physiology] KW - *Physical Education and Training/mt [Methods] KW - Wyoming ER - TY - JOUR TI - Effectiveness of Expanded Implementation of STAR-VA for Managing Dementia-Related Behaviors Among Veterans. AU - Karel, Michele J AU - Teri, Linda AU - McConnell, Eleanor AU - Visnic, Stephanie AU - Karlin, Bradley E T2 - The Gerontologist AB - PURPOSE OF THE STUDY: Nonpharmacological, psychosocial approaches are first-line treatments for managing behavioral symptoms in dementia, but they can be challenging to implement in long-term care settings. The Veterans Health Administration implemented STAR-VA, an interdisciplinary behavioral approach for managing challenging dementia-related behaviors in its Community Living Center (CLCs, nursing home care) settings. This study describes how the program was implemented and provides an evaluation of Veteran clinical outcomes and staff feedback on the intervention., DESIGN AND METHODS: One mental health professional and registered nurse team from 17 CLCs completed STAR-VA training, which entailed an experiential workshop followed by 6 months of expert consultation as they worked with their teams to implement STAR-VA with Veterans identified to have challenging dementia-related behaviors. The frequency and severity of target behaviors and symptoms of depression, anxiety, and agitation were evaluated at baseline and at intervention completion. Staff provided feedback regarding STAR-VA feasibility and impact., RESULTS: Seventy-one Veterans completed the intervention. Behaviors clustered into 6 types: care refusal or resistance, agitation, aggression, vocalization, wandering, and other. Frequency and severity of target behaviors and symptoms of depression, anxiety, and agitation all significantly decreased, with overall effect sizes of 1 or greater. Staff rated both benefits for Veterans and program feasibility favorably., IMPLICATIONS: This evaluation supports the feasibility and effectiveness of STAR-VA, an interdisciplinary, behavioral intervention for managing challenging behaviors among residents with dementia in CLCs. Copyright Published by Oxford University Press on behalf of the Gerontological Society of America 2015. DA - 2016/// PY - 2016 DO - 10.1093/geront/gnv068 VL - 56 IS - 1 SP - 126 EP - 34 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26185155 KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - Follow-Up Studies KW - *Homes for the Aged KW - Dementia/px [Psychology] KW - Pilot Projects KW - *Psychotherapy/mt [Methods] KW - *Dementia/rh [Rehabilitation] KW - United States Department of Veterans Affairs KW - *Veterans/px [Psychology] KW - *Counseling ER - TY - JOUR TI - Gender and Racial Disparities in Life-Space Constriction Among Older Adults. AU - Choi, Moon AU - O'Connor, Melissa L AU - Mingo, Chivon A AU - Mezuk, Briana T2 - The Gerontologist AB - PURPOSE OF THE STUDY: "Life-space" is the spatial area through which a person experiences and interacts with the world. Life-space constriction, the shrinking of the spatial area that a person traverses, is associated with negative health outcomes in later life. Racial and gender disparities in mobility as indicated by life-space constriction are thought to contribute to broader disparities in health and functioning among older adults., DESIGN AND METHODS: Data come from the 5-year follow-up of the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) Study (N = 2,765; mean age = 73.6; 75.8% women; 73.7% White). Life-space constriction was defined as "not traveling beyond one's town." A series of logistic regression and Cox proportional hazard models were used to estimate risk for incident life-space constriction by race and gender., RESULTS: Blacks and women had greater likelihood of life-space constriction at baseline. Women were more likely to experience incident life-space constriction at follow-up relative to men (Hazard ratio [HR]: 1.89, 95% Confidence interval [CI]: 1.26-2.83). Blacks were associated with lower risk of life-space constriction over time (HR: 0.67, 95% CI: 0.45-0.99) relative to Whites., IMPLICATIONS: Disparities in life-space constriction by gender and race exist in later life. Understanding the processes underlying these mobility restrictions is important to developing intervention programs to enhance health and functioning for older adults. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 VL - 56 IS - 6 SP - 1153 EP - 1160 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26185148 KW - Female KW - Humans KW - Male KW - Social Environment KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - *Independent Living KW - Sex Factors KW - African Americans KW - European Continental Ancestry Group KW - *Residence Characteristics KW - Proportional Hazards Models KW - *Mobility Limitation KW - *Ethnic Groups ER - TY - JOUR TI - Factors Contributing to Single- and Dual-Task Timed "Up & Go" Test Performance in Middle-Aged and Older Adults Who Are Active and Dwell in the Community. AU - Chen, Hui-Ya AU - Tang, Pei-Fang T2 - Physical therapy AB - BACKGROUND: Dual-task Timed "Up & Go" (TUG) tests are likely to have applications different from those of a single-task TUG test and may have different contributing factors., OBJECTIVE: The purpose of this study was to compare factors contributing to performance on single- and dual-task TUG tests., DESIGN: This investigation was a cross-sectional study., METHODS: Sixty-four adults who were more than 50 years of age and dwelled in the community were recruited. Interviews and physical examinations were performed to identify potential contributors to TUG test performance. The time to complete the single-task TUG test (TUGsingle) or the dual-task TUG test, which consisted of completing the TUG test while performing a serial subtraction task (TUGcognitive) or while carrying water (TUGmanual), was measured., RESULTS: Age, hip extensor strength, walking speed, general mental function, and Stroop scores for word and color were significantly associated with performance on all TUG tests. Hierarchical multiple regression models, without the input of walking speed, revealed different independent factors contributing to TUGsingle performance (Mini-Mental Status Examination score, beta=-0.32), TUGmanual performance (age, beta=0.35), and TUGcognitive performance (Stroop word score, beta=-0.40; Mini-Mental Status Examination score, beta=-0.31)., LIMITATIONS: At least 40% of the variance in the performance on the 3 TUG tests was not explained by common clinical measures, even when the factor of walking speed was considered. However, this study successfully identified some important factors contributing to performance on different TUG tests, and other studies have reported similar findings for single-task TUG test and dual-task gait performance., CONCLUSIONS: Although the TUGsingle and the TUGcognitive shared general mental function as a common factor, the TUGmanual was uniquely influenced by age and the TUGcognitive was uniquely influenced by focused attention. These results suggest that both common and unique factors contribute to performance on single- and dual-task TUG tests and suggest important applications of the combined use of the 3 TUG tests. Copyright © 2016 American Physical Therapy Association. DA - 2016/// PY - 2016 DO - 10.2522/ptj.20140292 VL - 96 IS - 3 SP - 284 EP - 92 J2 - Phys Ther SN - 1538-6724 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26183585 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - *Independent Living KW - *Geriatric Assessment/mt [Methods] KW - Cross-Sectional Studies KW - Interviews as Topic KW - *Task Performance and Analysis ER - TY - JOUR TI - Excessive daytime sleepiness is related to subjective memory impairment in late life: a cross-sectional community-based study. AU - Okamura, Tsuyoshi AU - Ura, Chiaki AU - Miyamae, Fumiko AU - Sugiyama, Mika AU - Niikawa, Hirotoshi AU - Ito, Kae AU - Awata, Shuichi T2 - Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society AB - AIM: The aim of this study was to determine whether daytime sleepiness is related to subjective memory impairment among community-dwelling elderly people, after adjustment for psychosocial variables., METHODS: Questionnaires were mailed to all 5199 elderly residents living in one area of Tokyo. The questionnaires collected information about sociodemographic variables, subjective memory impairment, and excessive daytime sleepiness, which was measured by the Japanese version of the Epworth Sleepiness Scale. Information was also collected on sleep hygiene, health-related variables, and psychosocial variables, including perceived social support, social withdrawal, and work status., RESULTS: Of the 4783 questionnaires that were returned (92.0%), 4185 participants were included in the analysis (valid response rate: 80.5%), after the exclusion of questionnaires with missing data. The average score on the Japanese version of the Epworth Sleepiness Scale was 5.0 +/- 3.9 for men and 4.5 +/- 3.7 for women. The frequency of excessive daytime sleepiness was 8.3% for men, 5.8% for women, and 7.0% in total. Stepwise multivariate logistic regression revealed the odds ratio of excessive daytime sleepiness as a predictor of subjective memory impairment was 6.06 (95% confidence interval; 3.06-12.03)., CONCLUSIONS: Elderly people who complain of daytime sleepiness are potential candidates for interventions related to dementia care after careful consideration of other possible causes of sleepiness. Copyright © 2015 The Authors. Psychogeriatrics © 2015 Japanese Psychogeriatric Society. DA - 2016/// PY - 2016 DO - 10.1111/psyg.12139 VL - 16 IS - 3 SP - 196 EP - 201 J2 - Psychogeriatrics SN - 1479-8301 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26179318 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Logistic Models KW - Prevalence KW - *Independent Living KW - *Geriatric Assessment/mt [Methods] KW - Cross-Sectional Studies KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - Odds Ratio KW - Tokyo/ep [Epidemiology] KW - Neuropsychological Tests/sn [Statistics & Numerical Data] KW - Disorders of Excessive Somnolence/di [Diagnosis] KW - Memory Disorders/ep [Epidemiology] KW - *Disorders of Excessive Somnolence/ep [Epidemiology] KW - *Memory Disorders/co [Complications] KW - Disorders of Excessive Somnolence/px [Psychology] KW - Memory Disorders/px [Psychology] ER - TY - JOUR TI - Social risk factors for falls among rural Nigerian community-dwelling older adults. AU - Maruf, Fatai Adesina AU - Muonwe, Chidile AU - Odetunde, Marufat T2 - Geriatrics & gerontology international AB - AIM: Reports on social risk factors for falls are scarce. This study explored the associations of selected sociodemographic and health variables with falls among rural Nigerian community-dwelling older adults., METHODS: The present cross-sectional study involved 131 community-dwelling older adults (84 women and 47 men) recruited at an outreach center. Demographic (age, sex and marital status), social (frequency of visiting relations and friends, and number of consistent informal carers) and health (number of comorbid conditions) variables were recorded., RESULTS: Having fewer than two informal carers (0.26, 95% CI 0.10-0.68) was independently associated with reduced risk for falls. Visiting relations and friends less than twice per week was independently associated with greater risks for falls (3.85, 95% CI 1.42-10.46) and recurrent falls (4.86, 95% CI 1.25-18.85)., CONCLUSIONS: The number of informal carers and frequency of social visits are risk factors for falls in older adults, and need to be taken into consideration in any strategy for fall prevention in older adults. Geriatr Gerontol Int 2015; : -. Copyright © 2015 Japan Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/ggi.12548 VL - 16 IS - 6 SP - 747 EP - 53 J2 - Geriatr Gerontol Int SN - 1447-0594 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26178609 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Developing Countries KW - Social Environment KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - *Independent Living KW - Cross-Sectional Studies KW - Age Factors KW - Socioeconomic Factors KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Incidence KW - *Interpersonal Relations KW - *Geriatric Assessment KW - Prognosis KW - Multivariate Analysis KW - Rural Population KW - Anthropometry KW - Postural Balance/ph [Physiology] KW - Nigeria ER - TY - JOUR TI - Association of Dynapenia, Sarcopenia, and Cognitive Impairment Among Community-Dwelling Older Taiwanese. AU - Huang, Chung-Yu AU - Hwang, An-Chun AU - Liu, Li-Kuo AU - Lee, Wei-Ju AU - Chen, Liang-Yu AU - Peng, Li-Ning AU - Lin, Ming-Hsien AU - Chen, Liang-Kung T2 - Rejuvenation research AB - A decline in physical and/or cognitive function is a common feature of aging, and frailty has been shown to be associated with cognitive impairment and dementia. This study aimed to evaluate the association between dynapenia, sarcopenia, and cognitive impairment among community-dwelling older people in Taiwan. Data from the I-Lan Longitudinal Aging Study (ILAS) were retrieved for study. Global cognitive function was assessed by Mini-Mental State Examination (MMSE), whereas the Chinese Version Verbal Learning Test, Boston Naming Test, Verbal Fluency Test, Taylor Complex Figure Test, Digits Backward Test, and Clock Drawing Test were used to assess different domains of cognitive function. Association between sarcopenia and global cognitive function as well as all different dimensions of cognitive function were evaluated. Data from 731 elderly participants (mean age 73.4 +/- 5.4 years, 53.8% males) were used for study analysis. The overall prevalence of sarcopenia was 6.8%, which was significantly higher in men (9.3% versus 4.1%, p < 0.05). The mean MMSE score was 23.4 +/- 4.4 for all participants, and 10.3% of the study participants were cognitively impaired. Sarcopenia was not significantly associated with global cognitive function (odds ratio [OR] = 1.55, p = 0.317), but global cognitive impairment was significantly associated with low physical performance (OR = 2.31, p = 0.003) and low muscle strength (OR = 2.59, p = 0.011). Nonetheless, sarcopenia was significantly associated with impairment in the verbal fluency test (OR = 3.96, p = 0.006) after adjustment for potential confounders. Dynapenia was significantly associated with cognitive impairment in multiple dimensions and global cognitive function, but sarcopenia was only associated with an impaired verbal fluency test. Reduced muscle strength and/or physical performance related to non-muscle etiology were strongly associated with cognitive impairment. More longitudinal studies are needed. DA - 2016/// PY - 2016 DO - 10.1089/rej.2015.1710 VL - 19 IS - 1 SP - 71 EP - 8 J2 - Rejuvenation Res SN - 1557-8577 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26165544 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - *Independent Living KW - Demography KW - *Muscle Strength KW - *Cognition Disorders/co [Complications] KW - Taiwan KW - *Cognition Disorders/pp [Physiopathology] KW - *Sarcopenia/pp [Physiopathology] KW - *Sarcopenia/co [Complications] ER - TY - JOUR TI - Determinants of received long-term care - Individual responses to regional nursing home provisions. AU - Pilny, Adam AU - Stroka, Magdalena A T2 - Health care management science AB - Existing literature analyzing the choice of received long-term care by frail elderly (65+ years) predominantly focuses on physical and psychological conditions of elderly people as factors that influence the decision for a particular type of care. Until now, however, the regional in-patient long-term care supply has been neglected as influential factor in this decision-making process. In this study, we analyze the determinants of received long-term care in Germany by explicitly taking the regional supply of nursing homes into account. We estimate a multinomial probit model to illustrate this decision-making process. Therefore, within this discrete choice setting we distinguish between all available types of long-term care in Germany, i.e. four different types of formal and informal care provision. We find that the decision for long-term in-patient care is significantly correlated with the regional supply of nursing home beds, while controlling for physical and psychological conditions of the individual. DA - 2016/// PY - 2016 VL - 19 IS - 4 SP - 326 EP - 337 J2 - Health Care Manag Sci SN - 1386-9620 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26163809 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Decision Making KW - Sex Factors KW - Germany KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Long-Term Care/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Age Factors KW - *Health Status KW - *Mental Health KW - Health Services Research KW - Health Services/sn [Statistics & Numerical Data] KW - Choice Behavior KW - Models, Econometric ER - TY - JOUR TI - [Trialogical Evaluation of a Gerontological Psychiatric Consulting and Liaison Service]. AU - Bohm, Martin AU - Stiglbauer, Barbara AU - Ohlinger, Gisela AU - Weichbold, Martin AU - Weichbold, Birgit AU - Koren, Gernot AU - Schony, Werner T2 - Trialogische Evaluierung eines gerontopsychiatrischen Konsiliar- und Liaisondienstes. AB - Objective: The presented project shows the effects of a gerontological psychiatric consulting and liaison service (C&L) on nursing home residents and the care team. Methods: The implementation of the C&L was evaluated using a quasi-experimental design in longitudinal section of residents', nursing, medical and family perspective using quantitative and qualitative methods. Results/Conclusion: The results provide evidence for the positive effects of C&L especially in relation to the "common action" within the care team. Copyright © Georg Thieme Verlag KG Stuttgart . New York. DA - 2016/// PY - 2016 VL - 43 IS - 8 SP - 421 EP - 428 J2 - Psychiatr Prax SN - 1439-0876 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26158714 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Cross-Sectional Studies KW - Germany KW - Longitudinal Studies KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Mental Disorders/th [Therapy] KW - Non-Randomized Controlled Trials as Topic KW - *Patient Care Team/og [Organization & Administration] KW - Mental Disorders/ep [Epidemiology] KW - *Referral and Consultation/og [Organization & Administration] KW - *Geriatric Psychiatry/og [Organization & Administration] ER - TY - JOUR TI - The impact of weight loss and low BMI on mortality of nursing home residents - Results from the nutritionDay in nursing homes. AU - Wirth, Rainer AU - Streicher, Melanie AU - Smoliner, Christine AU - Kolb, Christian AU - Hiesmayr, Michael AU - Thiem, Ulrich AU - Sieber, Cornel Christian AU - Volkert, Dorothee T2 - Clinical nutrition (Edinburgh, Scotland) AB - BACKGROUND: Weight loss and low body-mass-index (BMI) are well-known risk factors for mortality among older persons. Both items represent a reduced nutritional state but their nature is different. It is, however, unclear which of these factors is more important for prognosis and if there is interference or interaction between them., OBJECTIVE: To measure the prevalence of low BMI and weight loss in nursing home residents and to analyze their impact on mortality., METHODS: The nutritionDay in nursing homes is an international annual one-day cross sectional survey evaluating malnutrition and 6-months mortality. The data collected from 2007 to 2012 were analyzed. The mortality risk due to a BMI <20 kg/m(2) and weight loss >5 kg was calculated by logistic regression analysis with adjustment for confounding factors., RESULTS: In total, 10,298 residents with a mean age of 85 years (78% female) from 191 nursing homes in 13 countries were included in the analysis. Eighteen percent (17.7%) had a low BMI < 20 kg/m(2), and 11.3% lost > 5 kg of body weight in the previous year. Low BMI <20 kg/m(2) and weight loss >5 kg were both independent and significant risk factors for 6-months mortality (OR 1.7 and 1.5; p < 0.001 in the adjusted model). In comparison to the effect size of low BMI and weight loss alone, the interaction of both factors was substantial (OR = 1.4; p = 0.056). The average 6-months mortality was 13.8%. Subjects with BMI >=20 kg/m(2) without weight loss >5 kg presented the lowest mortality of 11.2%. In subjects with one of the two features, weight loss >5 kg or low BMI <20 kg/m(2), mortality was significantly increased to 17.4% and 19.8%, respectively. However, if both features were present simultaneously the mortality increased disproportionally to 35.7% (OR 3.5; p < 0.001). In addition, this study presents an overlap and a strong dose-effect relationship of both items with regard to the 6-month mortality., CONCLUSION: A BMI <20 kg/m(2) and weight loss >5 kg in one year are both independent and equally relevant risk factors for the 6-months mortality of nursing home residents aged 65 years or older. For this reason weight loss should be avoided and residents with a low BMI and weight loss should receive particular attention and nutritional care. Copyright © 2015 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.clnu.2015.06.003 VL - 35 IS - 4 SP - 900 EP - 6 J2 - Clin Nutr SN - 1532-1983 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26143743 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Logistic Models KW - Body Weight KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment KW - Nutrition Assessment KW - Nutritional Status KW - *Body Mass Index KW - *Mortality KW - *Weight Loss ER - TY - JOUR TI - Pain in Community-Dwelling Elderly African Americans. AU - Bazargan, Mohsen AU - Yazdanshenas, Hamed AU - Gordon, David AU - Orum, Gail T2 - Journal of aging and health AB - OBJECTIVE: This study examines the type, severity, and correlates of pain among underserved elderly African Americans., METHOD: This cross-sectional study includes 400 non-institutionalized underserved aged African Americans, recruited from 16 African American churches located in South Los Angeles., RESULTS: Two thirds of our participants reported a level of pain of 5 or higher (on a scale of 0-10) for at least one of the pain items. Participants with severe level of pain showed a higher level of insomnia, depression, and deficiency in activity of daily living as well as a lower level of memory function and quality of physical and mental health. Also, level of pain is a statistically significant correlate of office-based physician visits and emergency department admission., CONCLUSION: Our findings encourage multidisciplinary and interdisciplinary interventions to include pharmacotherapy, psychological support, and physical rehabilitation, specifically on neuropathic pain among aged African Americans with multiple chronic conditions. Copyright © The Author(s) 2015. DA - 2016/// PY - 2016 DO - 10.1177/0898264315592600 VL - 28 IS - 3 SP - 403 EP - 25 J2 - J Aging Health SN - 1552-6887 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26115668 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Cross-Sectional Studies KW - Severity of Illness Index KW - *African Americans/sn [Statistics & Numerical Data] KW - *Pain/eh [Ethnology] KW - Healthcare Disparities/eh [Ethnology] KW - Los Angeles ER - TY - JOUR TI - Long-term effects of cardiac rehabilitation in elderly individuals with stable coronary artery disease. AU - Mandic, Sandra AU - Stevens, Emily AU - Hodge, Claire AU - Brown, Casey AU - Walker, Robert AU - Body, Dianne AU - Barclay, Leanne AU - Nye, Edwin R AU - Williams, Michael J A T2 - Disability and rehabilitation AB - PURPOSE: To compare exercise capacity and cardiovascular response to exercise in elderly individuals with coronary artery disease (CAD) who attend ongoing community-based maintenance cardiac rehabilitation (CR) versus age- and gender-matched healthy "very active" (HVA; >= 2000 kcal/week) and healthy "less active" (HLA; <2000 kcal/week) individuals., METHOD: Sixty-three participants (age: 72.3 +/- 5.1 years; 62% men; n = 21 per group) completed the following assessments: (1) symptom-limited graded exercise test with expired gas analysis and bioimpedance assessment of cardiovascular function during exercise; (2) walking tests; (3) physical function; (4) anthropometry and (5) 12-month physical activity recall., RESULTS: The CR group achieved 98% (range: 73-154%) of age- and gender-predicted peak oxygen consumption for healthy individuals. Peak oxygen consumption was lower in CR compared to HVA but not HLA group (VO2peak: CR: 19.0 +/- 4.5, HVA: 23.7 +/- 2.9, HLA: 20.7 +/- 4.7 ml .kg(-1)cmin(-1), p = 0.001 versus HVA; p = 0.390 versus HLA). Peak heart rate was lower in CR compared to both HVA and HLA. Walking test results and cardiovascular and physical function were not different between the groups., CONCLUSIONS: Elderly individuals with CAD participating in maintenance CR have similar exercise capacity and cardiorespiratory response to exercise compared to their age- and gender-matched less active healthy peers. The findings support referral of elderly patients to community-based CR., IMPLICATIONS FOR REHABILITATION: Fitness benefits of long-term maintenance cardiac rehabilitation (CR) programs remain unknown. Elderly individuals with coronary artery disease participating in maintenance CR have exercise capacity and cardiorespiratory response to exercise similar to their less active healthy peers. Maintenance CR may play an important role prolonging independent living in elderly individuals. DA - 2016/// PY - 2016 DO - 10.3109/09638288.2015.1061611 VL - 38 IS - 9 SP - 837 EP - 43 J2 - Disabil Rehabil SN - 1464-5165 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26108278 KW - Female KW - Humans KW - Male KW - Aged KW - *Exercise Therapy/mt [Methods] KW - *Quality of Life KW - Follow-Up Studies KW - New Zealand KW - Exercise Test/mt [Methods] KW - Time KW - *Cardiovascular System/pp [Physiopathology] KW - *Coronary Artery Disease KW - *Exercise Tolerance KW - Anthropometry/mt [Methods] KW - Cardiac Rehabilitation/mt [Methods] KW - Cardiography, Impedance/mt [Methods] KW - Coronary Artery Disease/di [Diagnosis] KW - Coronary Artery Disease/pp [Physiopathology] KW - Coronary Artery Disease/px [Psychology] KW - Coronary Artery Disease/rh [Rehabilitation] KW - Heart Rate KW - Oxygen Consumption ER - TY - JOUR TI - Food security for community-living elderly people in Beijing, China. AU - Cheng, Yang AU - Rosenberg, Mark AU - Yu, Jie AU - Zhang, Hua T2 - Health & social care in the community AB - Food security has been identified as an important issue for elderly people's quality of life and ageing in place. A food security index composed of three indicators (food intake, food quality and food affordability) was developed to measure the food security status of community-living elderly people. Food security was then examined among community-living elderly in the central urban districts of Beijing, China. Data were collected by a questionnaire survey in the summer of 2013 and the response rate was 78.5%. Descriptive statistics and binary logistic regression were applied to analyse food security and the associations between food security and demographic and socioeconomic factors. The results showed that 54.2% of the surveyed elderly experienced food security. Participants with better education (OR = 1.68) and better health (OR = 1.47) were more likely to experience food security. The young-old were less likely to experience food security than the older old (OR = 0.94). Elderly people who lived with their children were less likely to experience food security than those who lived alone (OR = 0.43). The results of impact factors on food security highlight both similarities with studies from more developed countries and the unique challenges faced in a rapidly changing China with its unique social, cultural and political systems. The food security index we developed in this study is a simple and effective measure of food security status, which can be used in surveys for evaluating the food security status of elderly people in the future. Copyright © 2015 John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/hsc.12255 VL - 24 IS - 6 SP - 747 EP - 757 J2 - Health Soc Care Community SN - 1365-2524 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26094641 KW - Humans KW - Aged KW - Surveys and Questionnaires KW - *Quality of Life KW - China KW - *Food Supply KW - Beijing ER - TY - JOUR TI - Musculoskeletal pain characteristics associated with lower balance confidence in community-dwelling older adults. AU - Stubbs, Brendon AU - Schofield, Patricia AU - Patchay, Sandhi AU - Leveille, Suzanne T2 - Physiotherapy AB - OBJECTIVE: To determine whether musculoskeletal pain (pain severity and number of chronic pain sites; single or multisite) is associated with balance confidence over and above previously established risk factors., DESIGN: Cross-sectional study., SETTING: Ten community sites (five day centres, two sheltered housing schemes and three community 'clubs') in the UK., PARTICIPANTS: Two hundred and eighty-nine community-dwelling older adults [response rate 72%, mean age 78 (standard deviation 8) years, 67% female] completed the study assessment. Eligibility criteria were as follows: living in the community; aged >=60 years; able to walk >=10m; able to communicate in English; and no cognitive (e.g. dementia), neurological or mental health conditions., INTERVENTIONS: Not applicable., MAIN OUTCOME MEASURE: Balance confidence as measured by the 16-item Activities Balance Confidence (ABC) scale (lower scores indicate less confidence)., RESULTS: One hundred and fifty participants had at least one site of chronic musculoskeletal pain (52%), and the remaining 139 (48%) participants did not report chronic musculoskeletal pain. Older people with chronic musculoskeletal pain had significantly lower scores on the ABC scale compared with those without chronic musculoskeletal pain (mean 48.3 vs 71.3, P<0.001). After adjustment for established risk factors, two separate hierarchical regression models demonstrated that both pain severity (beta=-0.106, P=0.029) and number of chronic musculoskeletal pain sites (beta=-0.98, P=0.023) were significantly associated with lower balance confidence., CONCLUSION: Both pain severity and number of chronic pain sites (particularly multisite pain) are associated with lower balance confidence in community-dwelling older adults. Further research is needed to target pain symptoms and balance confidence in relation to fall risk in older adults with chronic musculoskeletal pain. Copyright © 2015 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.physio.2015.03.3721 VL - 102 IS - 2 SP - 152 EP - 8 J2 - Physiotherapy SN - 1873-1465 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26091560 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - United Kingdom KW - Independent Living KW - Health Status KW - Mobility Limitation KW - Cross-Sectional Studies KW - Geriatric Assessment KW - Socioeconomic Factors KW - *Postural Balance KW - Severity of Illness Index KW - Mental Health KW - *Chronic Pain/px [Psychology] KW - *Self Efficacy KW - *Musculoskeletal Pain/px [Psychology] ER - TY - JOUR TI - Global cognitive performance and frailty in non-demented community-dwelling older adults: Findings from the Sasaguri Genkimon Study. AU - Chen, Sanmei AU - Honda, Takanori AU - Narazaki, Kenji AU - Chen, Tao AU - Nofuji, Yu AU - Kumagai, Shuzo T2 - Geriatrics & gerontology international AB - AIM: To investigate the associations of global cognitive performance with frailty and pre-frailty in non-demented community-dwelling older adults., METHOD: A cross-sectional study was carried out using data from the baseline survey of the Sasaguri Genkimon Study in 2011. The study sample consisted of 1565 older adults with complete data and no evidence of dementia. Global cognitive performance was evaluated using the Montreal Cognitive Assessment (MoCA) and the Mini-Mental State Examination (MMSE). Frailty state was defined using the Cardiovascular Health Study criteria, based on five components: unintentional weight loss, low grip strength, exhaustion, low gait speed and low physical activity., RESULTS: Total MoCA and MMSE scores, and their domain-specific scores decreased across the non-frail, pre-frail and frail groups. Poorer total MoCA and MMSE scores, as well as their domain-specific scores, were associated with the greater likelihood of being frail, but not with pre-frailty after full adjustment. The strength of the association with frailty was greater for total MoCA score than for total MMSE score. Domain-specific scores for visuospatial abilities and attention domains in both of the MoCA and MMSE were consistently associated with the likelihood of pre-frailty and frailty, even after being mutually adjusted for all domains., CONCLUSIONS: The MoCA performance is more strongly associated with the odds of frailty than the MMSE performance in the relatively functional and non-demented older adult population. The present findings could contribute to further exploration of possible common pathways that can be targeted in the prevention and management for both of these two conditions. Geriatr Gerontol Int 2015; : -. Copyright © 2015 Japan Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/ggi.12546 VL - 16 IS - 6 SP - 729 EP - 36 J2 - Geriatr Gerontol Int SN - 1447-0594 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26082148 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Cross-Sectional Studies KW - Japan KW - *Frail Elderly/px [Psychology] KW - Geriatric Assessment/mt [Methods] KW - Age Factors KW - *Independent Living/px [Psychology] KW - Severity of Illness Index KW - Odds Ratio KW - Neuropsychological Tests KW - Incidence KW - Prognosis KW - *Mental Health KW - *Cognitive Aging/px [Psychology] KW - Cognition Disorders/ep [Epidemiology] KW - Confidence Intervals KW - *Cognition Disorders/di [Diagnosis] ER - TY - JOUR TI - Caring for acutely unwell older residents in residential aged-care facilities: Perspectives of staff and general practitioners. AU - Stokoe, Amy AU - Hullick, Carolyn AU - Higgins, Isabel AU - Hewitt, Jacqueline AU - Armitage, Deborah AU - O'Dea, Ian T2 - Australasian journal on ageing AB - AIM: To explore the challenges and facilitators of managing acutely unwell residents in their residential aged-care facilities (RACF) and transferring RACF residents to the emergency department of a tertiary referral hospital in Australia., METHODS: This exploratory study used a qualitative descriptive approach incorporating structured focus group interviews with nursing staff from RACFs and General Practitioners (GPs) within the local area. Four focus groups were held with staff from RACFs and one with GPs who visited one or more of the facilities during 2010. The interview data were analysed for themes relating to the study aims., RESULTS: Findings revealed both challenges and facilitators associated with managing acutely unwell older people including, communication, nursing staffing mix and numbers, use of advanced care directives, responsibilities of GPs and awareness of community services., CONCLUSION: From these findings it is possible to make recommendations for alternative ways of practising and/or new models of care. Copyright © 2015 AJA Inc. DA - 2016/// PY - 2016 DO - 10.1111/ajag.12221 VL - 35 IS - 2 SP - 127 EP - 32 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26059684 KW - Humans KW - Qualitative Research KW - *Health Personnel/px [Psychology] KW - *Homes for the Aged KW - *Nursing Homes KW - Interviews as Topic KW - *Attitude of Health Personnel KW - New South Wales KW - *Health Knowledge, Attitudes, Practice KW - Emergency Service, Hospital KW - Tertiary Care Centers KW - Patient Care Team KW - Professional Role KW - *General Practitioners/px [Psychology] KW - Patient Transfer KW - *Acute Disease/th [Therapy] ER - TY - JOUR TI - Group sessions with Paro in a nursing home: Structure, observations and interviews. AU - Robinson, Hayley AU - Broadbent, Elizabeth AU - MacDonald, Bruce T2 - Australasian journal on ageing AB - AIM: We recently reported that a companion robot reduced residents' loneliness in a randomised controlled trial at an aged-care facility. This report aims to provide additional, previously unpublished data about how the sessions were run, residents' interactions with the robot and staff perspectives., METHODS: Observations were conducted focusing on engagement, how residents treated the robot and if the robot acted as a social catalyst. In addition, 16 residents and 21 staff were asked open-ended questions at the end of the study about the sessions and the robot., RESULTS: Observations indicated that some residents engaged on an emotional level with Paro, and Paro was treated as both an agent and an artificial object. Interviews revealed that residents enjoyed sharing, interacting with and talking about Paro., CONCLUSION: This study supports other research showing Paro has psychosocial benefits and provides a guide for those wishing to use Paro in a group setting in aged care. Copyright © 2015 AJA Inc. DA - 2016/// PY - 2016 DO - 10.1111/ajag.12199 VL - 35 IS - 2 SP - 106 EP - 12 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26059390 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Middle Aged KW - Qualitative Research KW - *Homes for the Aged KW - *Nursing Homes KW - Age Factors KW - Interviews as Topic KW - *Aging/px [Psychology] KW - *Loneliness/px [Psychology] KW - Social Behavior KW - New Zealand KW - *Robotics/is [Instrumentation] KW - Emotions KW - *Attitude to Computers KW - *Group Processes ER - TY - JOUR TI - Night-time continence care in Australian residential aged care facilities: findings from a grounded theory study. AU - Ostaszkiewicz, Joan AU - O'Connell, Beverly AU - Dunning, Trisha T2 - Contemporary nurse AB - BACKGROUND: Continence care commonly disrupts sleep in residential aged care facilities, however, little is known about what staff do when providing continence care, and the factors that inform their practice., AIMS: To describe nurses' and personal careworkers' beliefs and experiences of providing continence care at night in residential aged care facilities., METHODS/DESIGN: Eighteen nurses and personal careworkers were interviewed about continence care, and 24 hours of observations were conducted at night in two facilities., RESULTS/FINDINGS: Most residents were checked overnight. This practice was underpinned by staffs' concern that residents were intractably incontinent and at risk of pressure injuries. Staff believed pads protected and dignified residents. Decisions were also influenced by beliefs about limited staff-to-resident ratios., CONCLUSION: Night-time continence care should be audited to ensure decisions are based on residents' preferences, skin health, sleep/wake status, ability to move in bed, and the frequency, severity and type of residents' actual incontinence. DA - 2016/// PY - 2016 DO - 10.1080/10376178.2015.1011047 VL - 52 IS - 2-3 SP - 152 EP - 62 J2 - Contemp Nurse SN - 1839-3535 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26058323 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Australia KW - Nursing Homes KW - Assisted Living Facilities KW - *Attitude of Health Personnel KW - *Nursing Staff/px [Psychology] KW - Grounded Theory KW - *Geriatric Nursing/st [Standards] KW - Homes for the Aged KW - *Urinary Incontinence/nu [Nursing] KW - *Nursing Care/px [Psychology] KW - *Urinary Incontinence/px [Psychology] ER - TY - JOUR TI - Older Adults' Reasons for Using Technology while Aging in Place. AU - Peek, Sebastiaan T M AU - Luijkx, Katrien G AU - Rijnaard, Maurice D AU - Nieboer, Marianne E AU - van der Voort, Claire S AU - Aarts, Sil AU - van Hoof, Joost AU - Vrijhoef, Hubertus J M AU - Wouters, Eveline J M T2 - Gerontology AB - BACKGROUND: Most older adults prefer to age in place, and supporting older adults to remain in their own homes and communities is also favored by policy makers. Technology can play a role in staying independent, active and healthy. However, the use of technology varies considerably among older adults. Previous research indicates that current models of technology acceptance are missing essential predictors specific to community-dwelling older adults. Furthermore, in situ research within the specific context of aging in place is scarce, while this type of research is needed to better understand how and why community-dwelling older adults are using technology., OBJECTIVE: To explore which factors influence the level of use of various types of technology by older adults who are aging in place and to describe these factors in a comprehensive model., METHODS: A qualitative explorative field study was set up, involving home visits to 53 community-dwelling older adults, aged 68-95, living in the Netherlands. Purposive sampling was used to include participants with different health statuses, living arrangements, and levels of technology experience. During each home visit: (1) background information on the participants' chronic conditions, major life events, frailty, cognitive functioning, subjective health, ownership and use of technology was gathered, and (2) a semistructured interview was conducted regarding reasons for the level of use of technology. The study was designed to include various types of technology that could support activities of daily living, personal health or safety, mobility, communication, physical activity, personal development, and leisure activities. Thematic analysis was employed to analyze interview transcripts., RESULTS: The level of technology use in the context of aging in place is influenced by six major themes: challenges in the domain of independent living; behavioral options; personal thoughts on technology use; influence of the social network; influence of organizations, and the role of the physical environment., CONCLUSION: Older adults' perceptions and use of technology are embedded in their personal, social, and physical context. Awareness of these psychological and contextual factors is needed in order to facilitate aging in place through the use of technology. A conceptual model covering these factors is presented. Copyright © 2015 S. Karger AG, Basel. DA - 2016/// PY - 2016 DO - 10.1159/000430949 VL - 62 IS - 2 SP - 226 EP - 37 J2 - Gerontology SN - 1423-0003 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26044243 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Attitude to Computers KW - Qualitative Research KW - *Independent Living KW - Social Support KW - *Attitude KW - Netherlands KW - *Motivation KW - *Technology ER - TY - JOUR TI - Nutritional status and eating habits of the institutionalised elderly in Turkey: a follow-up study. AU - Rakicioglu, N AU - Aksoy, B AU - Tamer, F AU - Yildiz, E Akal AU - Samur, G AU - Pekcan, G AU - Besler, H T T2 - Journal of human nutrition and dietetics : the official journal of the British Dietetic Association AB - BACKGROUND: As the elderly population increases in Turkey, so do the associated health and nutritional problems. The main purpose of the present study was to determine the nutritional status of elderly individuals who live in institutions., METHODS: A total of 102 elderly volunteers was recruited from seven residential homes of the Ministry of Family and Social Policies in Ankara. In the consecutive years of 2007, 2008 and 2009, dietary intake was assessed using a 24-h food recall. Nutritional status was screened using a questionnaire from the Mini-Nutritional Assessment, basic characteristics were determined and anthropometric measurements were assessed., RESULTS: The percentage of elderly participants who were malnourished or at risk for malnutrition increased by the completion of the follow-up (P < 0.05). It was found that energy, total protein, animal proteins, carbohydrates, niacin, vitamin C, vitamin E and zinc intake of men decreased significantly over the years studied (P < 0.05). A significant decrease occurred among women in animal protein, vitamin B1 , niacin and the percentage of energy from proteins (P < 0.05); however, an increase in energy from fat (P < 0.05) was determined. Within the years studied, the percentage of nutrients meeting the Turkish recommended daily allowances decreased from 2007 to 2009 both in men and women. During the years 2007 to 2009, the percentage of waist circumferences >102 cm for men was 46.4%, 45.6% and 48.1%, respectively, and the percentage of waist circumferences for women >88 cm was 75.6%, 75.6% and 81.8%, respectively., CONCLUSIONS: During the follow-up, significant nutritional changes were determined. To prevent malnutrition, periodical screening of nutritional status should be a priority and a standard policy for elderly people, especially for those institutionalised. Copyright © 2015 The British Dietetic Association Ltd. DA - 2016/// PY - 2016 DO - 10.1111/jhn.12320 VL - 29 IS - 2 SP - 185 EP - 95 J2 - J Hum Nutr Diet SN - 1365-277X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26036607 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - *Nutritional Status KW - Follow-Up Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment KW - Socioeconomic Factors KW - Nutrition Assessment KW - Body Mass Index KW - *Diet KW - Energy Intake KW - Malnutrition/pc [Prevention & Control] KW - Dietary Carbohydrates/ad [Administration & Dosage] KW - Turkey KW - Waist Circumference KW - Recommended Dietary Allowances KW - Dietary Proteins/ad [Administration & Dosage] KW - Dietary Fats/ad [Administration & Dosage] KW - Ascorbic Acid/ad [Administration & Dosage] KW - Niacin/ad [Administration & Dosage] KW - Thiamine/ad [Administration & Dosage] KW - Vitamin E/ad [Administration & Dosage] KW - Zinc/ad [Administration & Dosage] ER - TY - JOUR TI - Recruitment of Mobility Limited Older Adults Into a Facility-Led Exercise-Nutrition Study: The Effect of Social Involvement. AU - Corcoran, Michael P AU - Nelson, Miriam E AU - Sacheck, Jennifer M AU - Reid, Kieran F AU - Kirn, Dylan AU - Fielding, Roger A AU - Folta, Sara C T2 - The Gerontologist AB - PURPOSE OF THE STUDY: Older adults are among the most challenging population groups to enroll into health-related research. This article describes two methods used by investigators to recruit mobility limited older adults residing at assisted living or senior housing (SH) facilities into a facility-led exercise-nutrition research study., DESIGN AND METHODS: Sedentary older adults were recruited from 42 different assisted living facilities (ALFs) or SH communities. Two different recruitment approaches were used: At 22 sites, investigators conducted heavily advertised informational sessions to recruit participants (Info only). At 20 locations, these sessions were preceded by attendance of a study team member at various activities offered by the facility over the preceding 2 weeks (activity attendance). Population reach, enrollment, personnel cost, and time required to recruit at least five participants at each facility was measured. Reasons for declining participation and withdrawal rate were also measured., RESULTS: Sixty percent more residents elected to be screened for eligibility when study personnel attended an activity offered by the facility. Activity attendance resulted in significantly less time, costs, and participant withdrawals compared with facilities with no activity attendance., IMPLICATIONS: Study team member attendance at activities offered by senior living facilities reduces cost and duration of recruitment and improves study retention. Interventions targeting this demographic are likely to benefit from deliberately building trust and familiarity among the resident population at senior living communities as part of the recruitment process. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/geront/gnv018 VL - 56 IS - 4 SP - 669 EP - 76 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26035904 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Assisted Living Facilities KW - Exercise KW - Costs and Cost Analysis KW - *Housing for the Elderly KW - *Mobility Limitation KW - *Social Participation KW - *Patient Selection KW - Nutritional Sciences ER - TY - JOUR TI - Breathing Room in Monitored Space: The Impact of Passive Monitoring Technology on Privacy in Independent Living. AU - Berridge, Clara T2 - The Gerontologist AB - PURPOSE OF THE STUDY: This study examines articulations of the relationship between privacy and passive monitoring by users and former users of a sensor-based remote monitoring system. A new conceptualization of privacy provides a framework for a constructive analysis of the study's findings with practical implications., DESIGN AND METHODS: Forty-nine in-depth semistructured interviews were conducted with elder residents, family members, and staff of 6 low-income independent living residence apartment buildings where the passive monitoring system had been offered for 6 years. Transcribed interviews were coded into the Dedoose software service and were analyzed using methods of grounded theory., RESULTS: Five diverse articulations of the relationship between privacy and passive monitoring emerged. The system produced new knowledge about residents and enabled staff to decide how much of that knowledge to disclose to residents. They chose not to disclose to residents their reason for following up on system-generated alerts for 2 reasons: concern that feelings of privacy invasion may arise and cause dissatisfaction with the technology, and the knowledge that many resident users did not comprehend the extent of its features and would be alarmed., IMPLICATIONS: This research reveals the importance and challenges of obtaining informed consent. It identifies where boundary intrusion can occur in the use of passive monitoring as well as how changes to technology design and practice could create opportunities for residents to manage their own boundaries according to their privacy needs. The diversity of approaches to privacy supports the need for "opportunity for boundary management" to be employed as both a design and practice principle. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/geront/gnv034 VL - 56 IS - 5 SP - 807 EP - 16 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26035900 KW - Humans KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Monitoring, Ambulatory KW - Motor Activity KW - *Housing for the Elderly KW - *Privacy KW - *Informed Consent ER - TY - JOUR TI - Couples' Social Careers in Assisted Living: Reconciling Individual and Shared Situations. AU - Kemp, Candace L AU - Ball, Mary M AU - Perkins, Molly M T2 - The Gerontologist AB - PURPOSE OF THE STUDY: Despite important connections between relationships, health, and well-being, little is known about later-life couples' daily lives and experiences, especially those who are frail. Our aim was to advance knowledge by gaining an in-depth understanding of married and unmarried couples' intimate and social relationships in assisted living (AL) and by generating an explanatory theory., DESIGN AND METHODS: Using Grounded Theory Methods, we build on past research and analyze qualitative data from a 3-year mixed-methods study set in eight diverse AL settings located in the state of Georgia. Data collection included participant observation and informal and formal interviews yielding information on 29 couples, 26 married and 3 unmarried., RESULTS: Defined by their relationships with one another and those around them, couples' experiences were variable and involved a process of reconciling individual and shared situations. Analysis affirms and expands an existing typology of couples in AL. Our conceptual model illustrates the multilevel factors influencing the reconciliation process and leading to variation. Findings highlight the strengths and burdens of late-life couplehood and have implications for understanding these intimate ties beyond AL., IMPLICATIONS: Intimate and social relationships remain significant in later life. Strategies aimed at supporting couples should focus on individual and shared situations, particularly as couples' experience physical and cognitive decline across time. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/geront/gnv025 VL - 56 IS - 5 SP - 841 EP - 54 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26035896 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Residence Characteristics KW - Qualitative Research KW - *Assisted Living Facilities KW - Long-Term Care KW - Grounded Theory KW - *Interpersonal Relations KW - Family Characteristics KW - *Marriage KW - *Spouses KW - Georgia ER - TY - JOUR TI - Stigma and Discontinuity in Multilevel Senior Housing's Continuum of Care. AU - Roth, Erin G AU - Eckert, J Kevin AU - Morgan, Leslie A T2 - The Gerontologist AB - PURPOSE OF THE STUDY: This article presents data from 2 qualitative studies, confirming what gerontologists observed 30 years ago. Multilevel senior housing residents experience stigma and distress in an environment where people are grouped by levels of functioning., DESIGN AND METHODS: Qualitative, interview-based (N = 367) studies were conducted in senior housing settings offering multiple levels of care (N = 7). Analyses involved revisiting coded narrative data, ethnographers' field-based knowledge, and identification of pattern saturation., RESULTS: Residents and places reflecting the highest levels of care are stigmatized in a context where people are monitored for health changes and required to relocate. Consequently, residents self-isolate, develop a diminished sense of self, and hide health and cognitive conditions out of fear of relocation., IMPLICATIONS: Developers, operators, staff, and potential residents need to recognize the personal and social challenges typically experienced even in within-site relocation. It is important to rethink the predominant model of senior housing that requires residents with changing needs to move and adapt to the setting. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/geront/gnv055 VL - 56 IS - 5 SP - 868 EP - 76 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26035887 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Qualitative Research KW - *Assisted Living Facilities KW - *Nursing Homes KW - *Housing for the Elderly KW - *Social Stigma KW - *Continuity of Patient Care KW - *Patient Transfer KW - Self Concept KW - Social Isolation ER - TY - JOUR TI - Support from Neighbors and Aging in Place: Can NORC Programs Make a Difference?. AU - Greenfield, Emily A T2 - The Gerontologist AB - PURPOSE OF THE STUDY: There is growing enthusiasm for community-level efforts to strengthen supportive relationships among neighbors to enhance aging in place. However, there is little research on how older adults perceive support from neighbors in terms of helping them to remain in their own homes and communities safely and comfortably, particularly in the face of later life challenges. There also is little systematic study of ways in which community initiatives might influence these relationships., DESIGN AND METHODS: Qualitative interviews were conducted with 41 older adults from seven Naturally Occurring Retirement Community Supportive Service Program (NORC program) catchment areas in the greater New York City area. A grounded theory approach was used to identify themes and develop an empirically grounded account of NORC programs, support among neighbors, and aging in place., RESULTS: Participants identified several ways in which NORC programs influenced support among neighbors, such as by serving as a conduit for information sharing and helping older adults to broaden their private networks of social relationships. Overall, however, participants more consistently described limitations of the NORC programs' influence on support within these relationships. Participants also described how other sources of support were necessary in addition to support from neighbors to help people overcome major challenges to aging in place., IMPLICATIONS: Results suggest the importance of neighbors-helping-neighbors approaches to promote aging in place as a complement, rather than substitute, to other efforts, such as those that focus on enhancing access to formal providers and strengthening care within families. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/geront/gnu162 VL - 56 IS - 4 SP - 651 EP - 9 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26035886 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Qualitative Research KW - *Independent Living KW - *Social Support KW - Grounded Theory KW - *Attitude KW - *Residence Characteristics KW - New York City KW - *Community Participation KW - *Community Health Services ER - TY - JOUR TI - "We Had a Beautiful Home . . . But I Think I'm Happier Here": A Good or Better Life in Residential Aged Care. AU - Minney, Melissa J AU - Ranzijn, Rob T2 - The Gerontologist AB - PURPOSE OF THE STUDY: This qualitative study investigates residents' perspectives on whether a "good life" is possible for older people living in residential aged care (RAC) and offers insight into the services and support needed to sustain their good life., DESIGN AND METHODS: Thirteen aged care residents (2 male, 11 female) ranging in age from 77 to 95 years, participated in semi-structured interviews in 2 RAC facilities in Adelaide, South Australia. Both facilities employed a model of aged care based on active aging and positive psychology principles called the partners in positive aging (PiPA) model., RESULTS: Interpretative phenomenological analysis showed that residents' perception of a good life was centred on the service providers' ability to enhance their physical, social, and psychological well-being while allowing them to maintain their sense of identity. Counter-stereotypically, findings suggest that the aged care environment can provide older people who are physically frail but cognitively intact with a better life than when they were living in their own homes., IMPLICATIONS: Psychological good life theory needs to be adapted and modified when considering the needs of cognitively intact older adults in residential care. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/geront/gnu169 VL - 56 IS - 5 SP - 919 EP - 27 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26035883 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Qualitative Research KW - *Homes for the Aged KW - *Personal Satisfaction KW - South Australia KW - *Happiness KW - Psychological Theory ER - TY - JOUR TI - Effectiveness of the Liverpool care pathway for the dying in residential care homes: An exploratory, controlled before-and-after study. AU - Brannstrom, Margareta AU - Furst, Carl Johan AU - Tishelman, Carol AU - Petzold, Max AU - Lindqvist, Olav T2 - Palliative medicine AB - BACKGROUND: Clinical pathways aim to ensure that individuals receive appropriate evidence-based care and interventions, with the Liverpool Care Pathway for the Dying Patient focusing on end of life. However, controlled studies of the Liverpool Care Pathway for the Dying Patient, particularly outside of cancer settings, are lacking., AIM: To compare the effects of the Liverpool Care Pathway for the Dying Patient and usual care on patients' symptom distress and well-being during the last days of life, in residential care homes., DESIGN: Exploratory, controlled before-and-after study. During a 15-month baseline, usual care was carried out in two areas. During the following 15-months, usual care continued in the control area, while residential care home staff implemented Liverpool Care Pathway for the Dying Patient use in the intervention area. The intervention was evaluated by family members completing retrospective symptom assessments after the patient's death, using the Edmonton Symptom Assessment System and Views of Informal Carers - Evaluation of Services., SETTINGS/PARTICIPANTS: Patients who died at all 19 residential care homes in one municipality in Sweden., RESULTS: Shortness of breath (estimate = -2.46; 95% confidence interval = -4.43 to -0.49) and nausea (estimate = -1.83; 95% confidence interval = -3.12 to -0.54) were significantly reduced in Edmonton Symptom Assessment System in patients in the intervention compared to the control area. A statistically significant improvement in shortness of breath was also found on the Views of Informal Carers - Evaluation of Services item (estimate = -0.47; 95% confidence interval = -0.85 to -0.08)., CONCLUSION: When implemented with adequate staff training and support, the Liverpool Care Pathway for the Dying Patient may be a useful tool for providing end-of-life care of elderly people at the end of life in non-cancer settings. Copyright © The Author(s) 2015. DA - 2016/// PY - 2016 DO - 10.1177/0269216315588007 VL - 30 IS - 1 SP - 54 EP - 63 J2 - Palliat Med SN - 1477-030X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25986540 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - *Homes for the Aged/og [Organization & Administration] KW - Terminal Care/st [Standards] KW - Sweden KW - *Terminal Care/og [Organization & Administration] KW - *Critical Pathways ER - TY - JOUR TI - Who prefers to age in place? Cross-sectional survey of middle-aged people in Japan. AU - Matsumoto, Hiroshige AU - Naruse, Takashi AU - Sakai, Mahiro AU - Nagata, Satoko T2 - Geriatrics & gerontology international AB - AIM: Preference for aging in place among middle-aged people is an important element in estimating the future needs for community services of disabled older adults. Drawing on Litwak and Longino's typologies of relocation, the present study investigated the characteristics of middle-aged adults who prefer to age in place and those who prefer to move, at two levels of disability: being unable to walk alone and being bedridden., METHODS: In the present cross-sectional study, an anonymous, self-administered questionnaire was sent to 2500 community-dwelling adults aged 40-64 years., RESULTS: If unable to walk outside alone, 43.0% of respondents would prefer to move from their own homes. If bedridden, 29.5% preferred to move. After age and sex had been adjusted for, house size, length of time living at that house, the number of people living together, and attachment to home and neighborhood were independently related to moving preferences if unable to walk outside alone. Accessibility of hospitals and supermarkets, community participation, and use of the Internet were related to moving preferences if bedridden., CONCLUSIONS: Sex, current living arrangement and geographic properties are correlated with changes in community-dwelling adults' preferences for residential relocation as physical function declines. It is necessary for municipal policymakers to understand these correlations in order to plan and develop effective community care systems. Geriatr Gerontol Int 2016; 16: 631-637. Copyright © 2015 Japan Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/ggi.12503 VL - 16 IS - 5 SP - 631 EP - 7 J2 - Geriatr Gerontol Int SN - 1447-0594 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25981233 KW - Adult KW - Female KW - Humans KW - Male KW - Middle Aged KW - Activities of Daily Living KW - Mobility Limitation KW - *Independent Living KW - Cross-Sectional Studies KW - Japan KW - Sex Factors KW - Age Factors KW - *Health Services Needs and Demand KW - Socioeconomic Factors KW - *Patient Preference KW - Dependent Ambulation ER - TY - JOUR TI - Understanding the Wii Exergames Use: Voices from Assisted Living Residents. AU - Chao, Ying-Yu AU - Lucke, Kathleen T AU - Scherer, Yvonne K AU - Montgomery, Carolyn A T2 - Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses AB - PURPOSE: The study was to understand the facilitators and barriers to exercise using exergames among assisted living residents, particularly in the area of cognitive, physical, and psychosocial effects., DESIGN: Self-efficacy theory was incorporated into the design of the Wii Fit exergaming program., METHOD: Fifteen participants (mean age: 87.07 +/- 3.92) received the program twice a week for 4 weeks. Semi-structural individual interview was conducted after the program. Interview responses were analyzed using basic content analysis methods., FINDINGS: Five themes emerged that facilitated participants? desire to exercise: (1) health and mobility; (2) increased alertness; (3) elevated mindset; (4) social interaction; and (5) structured program. Barriers to engage in exercise included: (1) age- or health-related impairments to exercise; and (2) unpleasant experiences related to exercise., CONCLUSIONS: An intervention incorporating self-efficacy and Wii exergames did result in the identification of cognitive, physical, and psychosocial benefits and barriers to exercise. Copyright © 2015 Association of Rehabilitation Nurses. DA - 2016/// PY - 2016 DO - 10.1002/rnj.216 VL - 41 IS - 5 SP - 279 EP - 88 J2 - Rehabil Nurs SN - 2048-7940 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25974657 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Mobility Limitation KW - *Exercise Therapy/mt [Methods] KW - Pilot Projects KW - Assisted Living Facilities/og [Organization & Administration] KW - Motivation KW - *Self Efficacy KW - *Video Games/td [Trends] KW - Nursing Theory KW - Rehabilitation Nursing/mt [Methods] ER - TY - JOUR TI - Enforcement of science-using a Clostridium perfringens outbreak investigation to take legal action. AU - Acheson, Peter AU - Bell, Vikki AU - Gibson, Janet AU - Gorton, Russell AU - Inns, Thomas T2 - Journal of public health (Oxford, England) AB - BACKGROUND: We report an outbreak of Clostridium perfringens in a care home in North East England., METHODS: A retrospective cohort study was used to investigate this outbreak. Faecal samples were obtained from symptomatic residents. Environmental Health Officers carried out a food hygiene inspection and formal statements were taken., RESULTS: Fifteen residents reported illness and the epidemic curve was suggestive of a point source outbreak. Results suggest that illness was associated with consumption of mince & vegetable pie and/or gravy. There were a number of issues with food served, in particular the mince products had been cooked, cooled, reheated and served again over a period of several days. Faecal sampling revealed the presence of C.perfringens enterotoxin gene and four samples were indistinguishable by fluorescent amplified fragment length polymorphism, indicating a likely common source. The operator of the home was charged with three offences under the General Food Regulations 2004 and the Food Hygiene (England) Regulations 2006 and was convicted on all counts., CONCLUSIONS: An outbreak of C.perfringens occurred in a care home. The likely cause was consumption of mince & vegetable pie and/or gravy. Epidemiological evidence can be used to help prosecute businesses with food safety offences in such circumstances. Copyright © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 VL - 38 IS - 3 SP - 511 EP - 515 J2 - J Public Health (Oxf) SN - 1741-3850 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25972386 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - England KW - *Homes for the Aged/lj [Legislation & Jurisprudence] KW - *Clostridium Infections/ep [Epidemiology] KW - *Clostridium perfringens KW - *Disease Outbreaks/lj [Legislation & Jurisprudence] KW - *Foodborne Diseases/ep [Epidemiology] KW - *Liability, Legal KW - Clostridium Infections/et [Etiology] KW - Food Microbiology/lj [Legislation & Jurisprudence] KW - Food Safety KW - Foodborne Diseases/et [Etiology] KW - Nursing Homes/lj [Legislation & Jurisprudence] ER - TY - JOUR TI - Periodontal status and oral health-related quality of life in elderly residents of aged care homes in Delhi. AU - Rekhi, Amit AU - Marya, Charu Mohan AU - Oberoi, Sukhvinder Singh AU - Nagpal, Ruchi AU - Dhingra, Chandan AU - Kataria, Sakshi T2 - Geriatrics & gerontology international AB - AIM: The aim of the present study was to explore the associations between clinical periodontal findings and oral health-related quality of life in elderly people residing in the aged care homes of Delhi, India., METHODS: A cross-sectional study was carried out among 500 residents of aged care homes across Delhi. Data were collected by carrying out clinical oral examinations and by filling a self-administered questionnaire. Oral health-related quality of life was assessed by a pretested Hindi version of the Geriatric Oral Health Assessment Index (GOHAI-Hi). Periodontal status was assessed using the Community Periodontal Index - CPI, and loss of attachment and tooth mobility was assessed using a modified Miller's index., RESULTS: Of a total of 500 participants, 221 (44.20%) were men and 279 (55.80%) were women The mean additive score GOHAI score was 41.57 +/- 6.07 and the mean number of negative impacts or mean simple count GOHAI score was 6.27 +/- 1.54. Mean GOHAI scores were significantly higher among men than women, and were found to be decreasing continuously with the increasing age categories. Tooth mobility and loss of attachment scores were found to be significantly associated with oral health-related quality of life, whereas Community Periodontal Index scores showed a negative correlation with it., CONCLUSION: The geriatric population, especially those in aged care homes, is a special need group because of their inability to access dental care rather than some particular feature of their oral or general health The findings of the present study point to a need to improve access to oral healthcare for this elderly population. Copyright © 2015 Japan Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/ggi.12494 VL - 16 IS - 4 SP - 474 EP - 80 J2 - Geriatr Gerontol Int SN - 1447-0594 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25952758 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Prevalence KW - *Quality of Life KW - *Geriatric Assessment/mt [Methods] KW - Cross-Sectional Studies KW - *Oral Health KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Attitude to Health KW - India/ep [Epidemiology] KW - Incidence KW - *Periodontal Diseases/ep [Epidemiology] KW - Periodontal Diseases/px [Psychology] ER - TY - JOUR TI - Willingness to complete advance directives among low-income older adults living in the USA. AU - Ko, Eunjeong AU - Lee, Jaehoon AU - Hong, Youngjoon T2 - Health & social care in the community AB - This study explored low-income older adults' willingness to (i) complete advance directives, legal documents, whereby an individual designates decision-makers in the event that they cannot make their own decisions about end-of-life treatment preferences, and (ii) the role of social support and other predictors that impact their willingness. This study was conducted as part of a larger study exploring behaviours of advance care planning among low-income older adults. Out of a total of 255 participants from the original study, this study included 204 participants who did not complete an advance directive for data analysis. A cross-sectional study using probability random sampling stratified by ethnicity was used. Older adults residing in two supportive housing facilities or who were members of a senior centre in San Diego, California, USA, were interviewed in person between December 2010 and April 2011. Hierarchical logistic regression analysis revealed that the majority of participants (72.1%) were willing to complete advance directives and the factors significantly predicting willingness to complete included self-rated health, attitudes towards advance decision-making and social support. Participants with a poorer health status (OR = 1.43, 95% CI = 1.07-1.90) were more willing to complete advance directives. Conversely, participants with higher positive attitudes (OR = 1.18, 95% CI = 1.00-1.39) and greater social support (OR = 1.07, 95% CI = 1.00-1.15) were also more willing to complete advance directives. The findings suggest the importance of ongoing support from healthcare professionals in end-of-life care planning. Healthcare professionals can be a source of support assisting older adults in planning end-of-life care. Initiating ongoing communication regarding personal value and preference for end-of-life care, providing relevant information and evaluating willingness to complete as well as assisting in the actual completion of advance directives will be necessary. Copyright © 2015 John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/hsc.12248 VL - 24 IS - 6 SP - 708 EP - 716 J2 - Health Soc Care Community SN - 1365-2524 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25939688 KW - Adult KW - Humans KW - Cross-Sectional Studies KW - *Poverty KW - California KW - Advance Care Planning KW - *Advance Directives ER - TY - JOUR TI - A Multidimensional Time-Series Similarity Measure With Applications to Eldercare Monitoring. AU - Hajihashemi, Zahra AU - Popescu, Mihail T2 - IEEE journal of biomedical and health informatics AB - In the last decade, data mining techniques have been applied to sensor data in a wide range of application domains, such as healthcare monitoring systems, manufacturing processes, intrusion detection, database management, and others. Many data mining techniques are based on computing the similarity between two sensor data patterns. A variety of representations and similarity measures for multiattribute time series have been proposed in the literature. In this paper, we describe a novel method for computing the similarity of two multiattribute time series based on a temporal version of Smith-Waterman (SW), a well-known bioinformatics algorithm. We then apply our method to sensor data from an eldercare application for early illness detection. Our method mitigates difficulties related to data uncertainty and aggregation that often arise when processing sensor data. The experiments take place at an aging-in-place facility, TigerPlace, located in Columbia, MO, USA. To validate our method, we used data from nonwearable sensor networks placed in TigerPlace apartments, combined with information from an electronic health record. We provide a set of experiments that investigate temporal version of SW properties, together with experiments on TigerPlace datasets. On a pilot sensor dataset from nine residents, with a total of 1902 days and around 2.1 million sensor hits of collected data, we obtained an average abnormal events prediction F-measure of 0.75. DA - 2016/// PY - 2016 DO - 10.1109/JBHI.2015.2424711 VL - 20 IS - 3 SP - 953 EP - 962 J2 - IEEE j. biomed. health inform. SN - 2168-2208 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25910260 KW - Humans KW - *Independent Living KW - Time Factors KW - Algorithms KW - Activities of Daily Living/cl [Classification] KW - *Monitoring, Ambulatory/mt [Methods] KW - *Signal Processing, Computer-Assisted KW - Data Mining ER - TY - JOUR TI - Staff-reported strategies for prevention and management of resident-to-resident elder mistreatment in long-term care facilities. AU - Rosen, Tony AU - Lachs, Mark S AU - Teresi, Jeanne AU - Eimicke, Joseph AU - Van Haitsma, Kimberly AU - Pillemer, Karl T2 - Journal of elder abuse & neglect AB - Resident-to-resident elder mistreatment (R-REM) in nursing homes is frequent and leads to adverse outcomes. Nursing home staff responses may significantly mitigate R-REM's impact, but little is known about current practices. The objective was to identify common staff responses to R-REM. The authors interviewed 282 certified nursing assistants (CNAs) in five urban nursing homes on their responses during the previous 2 weeks to R-REM behaviors of residents under their care. Ninety-seven CNAs (34.4%) reported actions responding to R-REM incidents involving 182 residents (10.8%), describing 22 different responses. Most common were physically intervening/separating residents (51), talking calmly to settle residents down (50), no intervention (39), and verbally intervening to defuse the situation (38). Less common were notifying a nurse (13) or documenting in behavior log (4). Nursing home staff report many varied responses to R-REM, a common and dangerous occurrence. CNAs seldom documented behaviors or reported them to nurses. DA - 2016/// PY - 2016 DO - 10.1080/08946566.2015.1029659 VL - 28 IS - 1 SP - 1 EP - 13 J2 - J ELDER ABUSE NEGL SN - 1540-4129 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25894206 KW - Humans KW - Aged KW - *Homes for the Aged KW - *Nursing Homes KW - Long-Term Care KW - *Nursing Staff KW - *Elder Abuse/pc [Prevention & Control] ER - TY - JOUR TI - Prevalence and definition of sarcopenia in community dwelling older people. Data from the Berlin aging study II (BASE-II). AU - Spira, D AU - Norman, K AU - Nikolov, J AU - Demuth, I AU - Steinhagen-Thiessen, E AU - Eckardt, R T2 - Zeitschrift fur Gerontologie und Geriatrie AB - BACKGROUND: Sarcopenia describes the age-associated loss of muscle mass, strength and function. The aim of this study was to compare the prevalence of sarcopenia in a cohort of community dwelling elderly people living in Berlin, Germany, according to the criteria proposed by current consensus statements and to study the respective impact on self-reported physical performance., MATERIAL AND METHODS: This study included 1405 participants from the Berlin aging study II (BASE-II). The appendicular skeletal muscle mass index (SMI) was assessed with dual energy X-ray absorptiometry (DXA), muscle strength was measured by hand grip strength and the timed up and go" test (TUG) was performed as a functional parameter to reflect mobility., RESULTS: The prevalence of sarcopenia was 24.3 % in terms of reduced SMI only and considerably lower for sarcopenia with reduced grip strength (4.1 %) and sarcopenia with limited mobility (2.4 %). Only 0.6 % of the participants fulfilled all three criteria. Of the subjects with a normal SMI, 8.6 % had reduced grip strength and 5.1 % had limited mobility, whereas 1.3 % subjects fulfilled both criteria. Participants with reduced strength or function reported severe difficulties in performing physical tasks significantly more often than participants with normal or reduced SMI alone (p <0.029-p <0.0001)., CONCLUSION: In BASE-II low skeletal muscle mass was much more frequent than reduced grip strength or poor function. Reduced strength and function were found to be associated with a greater impact on physical performance than reduced muscle mass. Low SMI does not seem to be a prerequisite for low strength or limitations in mobility. DA - 2016/// PY - 2016 DO - 10.1007/s00391-015-0886-z VL - 49 IS - 2 SP - 94 EP - 9 J2 - Z Gerontol Geriatr SN - 1435-1269 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25877773 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Terminology as Topic KW - Reproducibility of Results KW - Prevalence KW - *Geriatric Assessment/mt [Methods] KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Sarcopenia/ep [Epidemiology] KW - *Muscle Weakness/ep [Epidemiology] KW - Hand Strength KW - Self Report KW - Walking Speed KW - Age Distribution KW - Sex Distribution KW - *Sarcopenia/di [Diagnosis] KW - Sensitivity and Specificity KW - Germany/ep [Epidemiology] KW - *Muscle Weakness/di [Diagnosis] KW - Absorptiometry, Photon/sn [Statistics & Numerical Data] KW - Berlin/ep [Epidemiology] KW - Muscle Weakness/cl [Classification] KW - Sarcopenia/cl [Classification] ER - TY - JOUR TI - Prediction of future falls in a community dwelling older adult population using instrumented balance and gait analysis. AU - Bauer, C M AU - Groger, I AU - Rupprecht, R AU - Marcar, V L AU - Gasmann, K G T2 - Zeitschrift fur Gerontologie und Geriatrie AB - BACKGROUND: The role of instrumented balance and gait assessment when screening for prospective fallers is currently a topic of controversial discussion., OBJECTIVES: This study analyzed the association between variables derived from static posturography, instrumented gait analysis and clinical assessments with the occurrence of prospective falls in a sample of community dwelling older people., METHODS: In this study 84 older people were analyzed. Based on a prospective occurrence of falls, participants were categorized into fallers and non-fallers. Variables derived from clinical assessments, static posturography and instrumented gait analysis were evaluated with respect to the association with the occurrence of prospective falls using a forward stepwise, binary, logistic regression procedure., RESULTS: Fallers displayed a significantly shorter single support time during walking while counting backwards, increased mediolateral to anteroposterior sway amplitude ratio, increased fast mediolateral oscillations and a larger coefficient (Coeff) of sway direction during various static posturography tests. Previous falls were insignificantly associated with the occurrence of prospective falls., CONCLUSION: Variables derived from posturography and instrumented gait analysis showed significant associations with the occurrence of prospective falls in a sample of community dwelling older adults. DA - 2016/// PY - 2016 DO - 10.1007/s00391-015-0885-0 VL - 49 IS - 3 SP - 232 EP - 6 J2 - Z Gerontol Geriatr SN - 1435-1269 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25862429 KW - Female KW - Humans KW - Male KW - Aged KW - Reproducibility of Results KW - *Accidental Falls/pc [Prevention & Control] KW - Postural Balance KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Geriatric Assessment/sn [Statistics & Numerical Data] KW - Gait KW - Risk Assessment/mt [Methods] KW - Actigraphy/is [Instrumentation] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Prognosis KW - Sensitivity and Specificity KW - Actigraphy/mt [Methods] KW - Actigraphy/sn [Statistics & Numerical Data] KW - Forecasting/mt [Methods] ER - TY - JOUR TI - Conservative treatment for incontinence in women in rest home care in Christchurch: Outcomes and cost. AU - Arnold, Edwin Paterson AU - Milne, Dorothy Joan AU - English, Sharon T2 - Neurourology and urodynamics AB - AIMS: To assess if conservative therapy can reduce urinary leakage and pad usage and improve quality of life in elderly incontinent women living in a rest home setting; and if so at what additional cost., METHODS: Sixty-eight elderly women with urinary incontinence, and preserved cognitive ability, living in 26 rest homes were identified. Clinical evaluation, included bladder diary, pad weigh tests, pad usage, and quality of life and activities questionnaires (FIM: Functional Impairment Measure; EQ-5D: Euroquol 5 dimension score; ICIQ-SF: International Consultation on Incontinence-Short Form). A specialist Continence Advisor Nurse provided conservative treatment according to the needs of each participant. Outcomes were recorded after 12 weeks of treatment by repeating above evaluations, and the costs involved were measured., RESULTS: Leakage was reduced by a mean of 60 ml per 24 hr, and four fewer pads were required per week. The ICIQ-SF improved significantly. The EQ-5D did not demonstrate significant improvement, so a cost-utility analysis was not possible. The mean cost of the Advisor's time and mileage in providing the 12 week course was $247.75 per participant., CONCLUSION: Conservative therapies tailored to each individual, can improve the severity of leakage in the short term, even in this elderly group of women with preserved cognitive function, at modest additional cost. Measuring quality of life and the impact of incontinence, has challenges in this age group. Neurourol. Urodynam. 35:636-641, 2016. © 2015 Wiley Periodicals, Inc. Copyright © 2015 Wiley Periodicals, Inc. DA - 2016/// PY - 2016 DO - 10.1002/nau.22773 VL - 35 IS - 5 SP - 636 EP - 41 J2 - Neurourol Urodyn SN - 1520-6777 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25854327 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - *Quality of Life KW - Cost-Benefit Analysis KW - Cognition KW - Assisted Living Facilities KW - Homes for the Aged KW - *Conservative Treatment/ec [Economics] KW - *Urinary Incontinence/th [Therapy] KW - Incontinence Pads KW - Urinary Incontinence/ec [Economics] ER - TY - JOUR TI - Housing Satisfaction of Older (55+) Single-Person Householders in U.S. Rural Communities. AU - Ahn, Mira AU - Lee, Sung-Jin T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society T3 - [Comment in: J Appl Gerontol. 2016 Aug;35(8):811-3; PMID: 27381565 [https://www.ncbi.nlm.nih.gov/pubmed/27381565]] AB - This study aims to understand the housing satisfaction of older (55+) single-person householders in U.S. rural communities using the available variables from a secondary data set, the 2011 American Housing Survey (AHS). In this study, housing satisfaction was considered to be an indicator of quality of life. Based on previous studies, we developed a model to test a hypothesized relationship between older (55+) single-person householders' (N = 1,017) housing satisfaction and their personal, physical, financial, and environmental characteristics. Multiple regression results showed that the model was supported, indicating that significant variables in housing satisfaction include age, gender, health status, age of house, structure type, and unit location. Among the significant variables, health status was revealed to be the strongest factor in housing satisfaction. Housing satisfaction was discussed as potential indicators of quality of life. Copyright © The Author(s) 2015. DA - 2016/// PY - 2016 DO - 10.1177/0733464815577142 VL - 35 IS - 8 SP - 878 EP - 911 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25846383 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Review Literature as Topic KW - Surveys and Questionnaires KW - *Quality of Life KW - *Aging KW - *Housing KW - Socioeconomic Factors KW - *Personal Satisfaction KW - Regression Analysis KW - Rural Population KW - *Single Person/px [Psychology] ER - TY - JOUR TI - Modeling and evaluating evidence-based continuing education program in nursing home dementia care (MEDCED)--training of care home staff to reduce use of restraint in care home residents with dementia. A cluster randomized controlled trial. AU - Testad, Ingelin AU - Mekki, Tone Elin AU - Forland, Oddvar AU - Oye, Christine AU - Tveit, Eva Marie AU - Jacobsen, Frode AU - Kirkevold, Oyvind T2 - International journal of geriatric psychiatry AB - OBJECTIVE: The aim of this study was to evaluate the effectiveness of a tailored 7-month training intervention "Trust Before Restraint," in reducing use of restraint, agitation, and antipsychotic medications in care home residents with dementia., METHODS: This is a single-blind cluster randomized controlled trial in 24 care homes within the Western Norway Regional Health Authority 2011-2013., RESULTS: From 24 care homes, 274 residents were included in the study, with 118 in the intervention group and 156 in the control group. Use of restraint was significantly reduced in both the intervention group and the control group despite unexpected low baseline, with a tendency to a greater reduction in the control group. There was a significant reduction in Cohen-Mansfield Agitation Inventory score in both the intervention group and the follow-up group with a slightly higher reduction in the control group, although this did not reach significance and a small nonsignificant increase in use of antipsychotics (14.1-17.7%) and antidepressants (35.9-38.4%) in both groups., CONCLUSIONS: This study reports on the statistically significant reduction in use of restraint in care homes, both prior and during the 7-month intervention periods, in both intervention and control groups. When interpreted within the context of the current climate of educational initiatives to reduce restraint and a greater focus on the importance of person-centered care, the study also highlights the potential success achieved with national training programs for care staff and should be further evaluated to inform future training initiatives both in Norway and internationally. Copyright © 2015 John Wiley & Sons, Ltd. DA - 2016/// PY - 2016 DO - 10.1002/gps.4285 VL - 31 IS - 1 SP - 24 EP - 32 J2 - Int J Geriatr Psychiatry SN - 1099-1166 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25845462 KW - Female KW - Humans KW - Male KW - Norway KW - Aged KW - Aged, 80 and over KW - Single-Blind Method KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Dementia/th [Therapy] KW - Antidepressive Agents/tu [Therapeutic Use] KW - Antipsychotic Agents/tu [Therapeutic Use] KW - *Dementia/nu [Nursing] KW - *Education, Nursing, Continuing KW - Restraint, Physical/sn [Statistics & Numerical Data] KW - Education, Nursing, Continuing/mt [Methods] KW - Education, Nursing, Continuing/st [Standards] KW - Psychomotor Agitation/pc [Prevention & Control] ER - TY - JOUR TI - Impact of living alone on institutionalization and mortality: a population-based longitudinal study. AU - Pimouguet, Clement AU - Rizzuto, Debora AU - Schon, Par AU - Shakersain, Behnaz AU - Angleman, Sara AU - Lagergren, Marten AU - Fratiglioni, Laura AU - Xu, Weili T2 - European journal of public health AB - BACKGROUND: Living alone is common among elderly people in Western countries, and studies on its relationship with institutionalization and all-cause mortality have shown inconsistent results. We investigated that the impact of living alone on institutionalization and mortality in a population-based cohort of elderly people., METHODS: Data originate from the Swedish National study on Aging and Care-Kungsholmen. Participants aged >=66 years and living at home (n = 2404) at baseline underwent interviews and clinical examination. Data on living arrangements were collected in interviews. All participants were followed for 6 years; survival status and admission into institutions were tracked continuously through administrative registers from 2001 to 2007. Data were analysed using Cox proportional hazard models, competing risk regressions and Laplace regressions with adjustment for potential confounders., RESULTS: Of the 2404 participants, 1464 (60.9%) lived alone at baseline. During the follow-up, 711 (29.6%) participants died, and 185 (15.0%) were institutionalized. In the multi-adjusted Cox model, the hazard ratio (HR) of mortality in those living alone was 1.35 (95% confidence interval [CI] 1.18 to 1.54), especially among men (HR = 1.44, 95% CI 1.18 to 1.76). Living alone shortened survival by 0.6 years and was associated with the risk of institutionalization (HR = 1.74, 95% CI 1.10 to 2.77) after taking death into account as a competing risk., CONCLUSIONS: Living alone is associated with elevated mortality, especially among men and an increased risk of institutionalization. Over a 6-year period, living alone was related to a half year reduction in survival among elderly people in Sweden. Copyright © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1093/eurpub/ckv052 VL - 26 IS - 1 SP - 182 EP - 7 J2 - Eur J Public Health SN - 1464-360X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25817209 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Aging KW - Sex Factors KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Longitudinal Studies KW - Sweden KW - *Institutionalization/sn [Statistics & Numerical Data] KW - *Family Characteristics KW - *Life Expectancy ER - TY - JOUR TI - Spanish validation of the Person-centered Care Assessment Tool (P-CAT). AU - Martinez, Teresa AU - Suarez-Alvarez, Javier AU - Yanguas, Javier AU - Muniz, Jose T2 - Aging & mental health AB - OBJECTIVES: Person-centered Care (PCC) is an innovative approach which seeks to improve the quality of care services given to the care-dependent elderly. At present there are no Spanish language instruments for the evaluation of PCC delivered by elderly care services. The aim of this work is the adaptation and validation of the Person-centered Care Assessment Tool (P-CAT) for a Spanish population., METHOD: The P-CAT was translated and adapted into Spanish, then given to a sample of 1339 front-line care professionals from 56 residential elderly care homes. The reliability and validity of the P-CAT were analyzed, within the frameworks of Classical Test Theory and Item Response Theory models., RESULTS: The Spanish P-CAT demonstrated good reliability, with an alpha coefficient of .88 and a test-retest reliability coefficient of .79. The P-CAT information function indicates that the test measures with good precision for the majority of levels of the measured variables (theta values between -2 and +1). The factorial structure of the test is essentially one-dimensional and the item discrimination indices are high, with values between .26 and .61. In terms of predictive validity, the correlations which stand out are between the P-CAT and organizational climate (r = .689), and the burnout factors; personal accomplishment (r = .382), and emotional exhaustion (r = - .510)., CONCLUSION: The Spanish version of the P-CAT demonstrates good psychometric properties for its use in the evaluation of elderly care homes both professionally and in research. DA - 2016/// PY - 2016 DO - 10.1080/13607863.2015.1023768 VL - 20 IS - 5 SP - 550 EP - 8 J2 - Aging Ment Health SN - 1364-6915 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25811968 KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Reproducibility of Results KW - Spain KW - *Homes for the Aged KW - *Nursing Homes KW - *Surveys and Questionnaires KW - *Alzheimer Disease/nu [Nursing] KW - *Psychometrics/sn [Statistics & Numerical Data] KW - Language KW - *Patient-Centered Care/sn [Statistics & Numerical Data] KW - Translating ER - TY - JOUR TI - Social support and cognitive functioning as resources for elderly persons with chronic arthritis pain. AU - Lee, Jeong Eun AU - Kahana, Boaz AU - Kahana, Eva T2 - Aging & mental health AB - OBJECTIVE: Arthritis pain and depression are prevalent physical and psychological disorders in late life and co-occur frequently. We explored the stability and covariation of arthritis pain and depressive symptoms. We also addressed the influence of cognitive functioning and social support on the relationship between pain and depressive symptoms among community-dwelling older individuals., METHOD: This longitudinal study utilized a sample of 299 residents of Florida retirement communities who participated in a long-term panel study using yearly assessments across 4 years. Using multilevel modeling, we modeled the individual differences as well as stability in arthritis pain and depressive symptoms simultaneously. Further, we tested the role of cognitive functioning and social support in the association between arthritis pain and depressive symptoms., RESULTS: We found substantial within-person variation in both pain and depressive symptoms (between 58% and 65%) across 4 years even after controlling for a time effect. After controlling for arthritis pain, persons with higher social support and higher cognitive functioning reported lower levels of depressive symptoms., DISCUSSION: Findings suggest that fluctuations in pain and depressive symptoms are common for older adults. Furthermore, social support and intact cognitive functioning may serve as useful resources, as they buffer the negative impact of arthritis pain on depressive symptoms. DA - 2016/// PY - 2016 DO - 10.1080/13607863.2015.1013920 VL - 20 IS - 4 SP - 370 EP - 9 J2 - Aging Ment Health SN - 1364-6915 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25806938 KW - Humans KW - Aged KW - Aged, 80 and over KW - *Social Support KW - Longitudinal Studies KW - Multilevel Analysis KW - *Depression/px [Psychology] KW - *Cognition KW - *Chronic Pain/px [Psychology] KW - *Musculoskeletal Pain/px [Psychology] KW - *Osteoarthritis/px [Psychology] ER - TY - JOUR TI - Intergenerational Perspectives on Autonomy Following a Transition to a Continuing Care Retirement Community. AU - Ayalon, Liat T2 - Research on aging AB - The study evaluated the concept of autonomy from the perspective of older adults and their adult children following a transition of the older adult to a continuing care retirement community (CCRC). Overall, 70 interviews (with older adults and their adult children; 34 dyads) were analyzed, using a line-by-line open coding, followed by dyadic analysis. Autonomy was not portrayed as a uniform, homogenous construct, but rather encompassed four different domains: (a) the focus of one's attention or concerns: on others, on self, or not at all; (b) the ability to exercise decisions and make independent choices; (c) the degree of physical functioning and ability of the older adult; and (d) the financial ability of the older adult. The duality in the relationships between older adults and their adult children is discussed in relation to the give and take of autonomy that occur following a transition to a CCRC. Copyright © The Author(s) 2015. DA - 2016/// PY - 2016 DO - 10.1177/0164027515575029 VL - 38 IS - 2 SP - 127 EP - 49 J2 - Res Aging SN - 1552-7573 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25749736 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Middle Aged KW - *Housing for the Elderly KW - Personal Autonomy KW - *Retirement KW - Adult Children ER - TY - JOUR TI - The Effect of Dining Room Physical Environmental Renovations on Person-Centered Care Practice and Residents' Dining Experiences in Long-Term Care Facilities. AU - Hung, Lillian AU - Chaudhury, Habib AU - Rust, Tiana T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - This qualitative study evaluated the effect of dining room physical environmental changes on staff practices and residents' mealtime experiences in two units of a long-term care facility in Edmonton, Canada. Focus groups with staff (n = 12) and individual interviews with unit managers (n = 2) were conducted. We also developed and used the Dining Environment Assessment Protocol (DEAP) to conduct a systematic physical environmental evaluation of the dining rooms. Four themes emerged on the key influences of the renovations: (a) supporting independence and autonomy, (b) creating familiarity and enjoyment, (c) providing a place for social experience, and (d) challenges in supporting change. Feedback from the staff and managers provided evidence on the importance of physical environmental features, as well as the integral nature of the role of the physical environment and organizational support to provide person-centered care for residents. Copyright © The Author(s) 2015. DA - 2016/// PY - 2016 VL - 35 IS - 12 SP - 1279 EP - 1301 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25724947 KW - Humans KW - Aged, 80 and over KW - Attitude of Health Personnel KW - Administrative Personnel KW - Focus Groups KW - Nursing Homes KW - Qualitative Research KW - *Meals KW - *Homes for the Aged KW - *Long-Term Care KW - Social Participation KW - Personal Autonomy KW - Patient Satisfaction KW - *Health Facility Environment KW - Environment Design KW - Interior Design and Furnishings KW - Patient-Centered Care/og [Organization & Administration] ER - TY - JOUR TI - Improving oral health of institutionalized older people with diagnosed dementia. AU - Zenthofer, Andreas AU - Cabrera, Tomas AU - Rammelsberg, Peter AU - Hassel, Alexander Jochen T2 - Aging & mental health AB - OBJECTIVE: Previous research has revealed poor oral hygiene and health among older people suffering from dementia. To evaluate the oral health and denture hygiene of older people with and without dementia, six months after carer have followed a dental education programme., METHOD: Ninety-three older people living in four long-term care homes in south-western Germany were included in this longitudinal cohort study. All participants were allocated into two groups on basis of the medical dementia diagnosis extracted from the medical records in the care documentation: suffering from dementia (n = 33) or not (n = 60). For each participant plaque control record, gingival bleeding index (GBI), community periodontal index of treatment needs (CPITN), and denture hygiene index (DHI) were assessed at baseline and six months after carer have followed a dental education programme, and after use of ultrasonic devices for denture cleaning. Differences between all target variables from baseline to follow-up, and between participants with and without dementia, were evaluated by bivariate and multivariate testing., RESULTS: In bivariate testing, participants with dementia had a significantly lower DHI (p < 0.001), a lower GBI (p < 0.05), and a lower CPITN (p < 0.01) at follow-up. In participants without dementia, only for DHI (p < 0.001) a significant improvement was observed. In multivariate analyses, the significant association could not be reproduced (p > 0.05)., CONCLUSIONS: Use of ultrasonic baths can be a successful means for improving denture hygiene among older people in long-term care with and without dementia. Education for carer in order to improve oral hygiene, however, seems to be of minor significance and to be more effective for people with dementia. DA - 2016/// PY - 2016 DO - 10.1080/13607863.2015.1008986 VL - 20 IS - 3 SP - 303 EP - 8 J2 - Aging Ment Health SN - 1364-6915 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25677603 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Follow-Up Studies KW - Germany KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Long-Term Care KW - *Dementia/ep [Epidemiology] KW - *Oral Health/sn [Statistics & Numerical Data] KW - *Dentures/sn [Statistics & Numerical Data] KW - *Oral Hygiene/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Mild cognitive impairment (MCI) in long-term care patients: subtype classification and occurrence. AU - Mansbach, William E AU - Mace, Ryan A AU - Clark, Kristen M T2 - Aging & mental health AB - OBJECTIVES: This study examines mild cognitive impairment (MCI) in long-term care settings by identifying and quantifying MCI subtypes in a combined sample of nursing home and assisted-living patients. We compared impairment thresholds of 1-SD and 1.5-SD to determine if different cut-offs differentially affect occurrence rates., METHOD: One hundred and eight participants who met general criteria for MCI were included for the purposes of this study. The general diagnosis of MCI was based on criteria. Participants were further grouped into MCI subtypes. Based on previously established norms, Brief Cognitive Assessment Tool (BCAT) factor scores were used to assess whether MCI participants met either the 1-SD and 1.5-SD impairment thresholds for memory, executive functions, and attentional capacity., RESULTS: Using both 1-SD and 1.5-SD impairment thresholds, three clear MCI subtypes were identified: amnestic, single-domain; non-amnestic, single-domain (executive); and amnestic, multi-domain (memory and executive). A fourth category (undifferentiated) was identified in patients who did not meet criteria for a distinct MCI subtype, but still had cognitive impairments. The stricter impairment threshold of 1.5-SD resulted in fewer patients classified as having any of the three domain-specific subtypes., CONCLUSION: Based on a sample of nursing home and assisted-living patients, we identified three MCI subtypes, and a fourth category consisting of participants with general MCI, but without clear evidence of domain-specific cognitive impairment. When selecting impairment thresholds, one should consider the impact on the identification of MCI subtypes and the probability of misdiagnoses. DA - 2016/// PY - 2016 DO - 10.1080/13607863.2014.1003283 VL - 20 IS - 3 SP - 271 EP - 6 J2 - Aging Ment Health SN - 1364-6915 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25633202 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Long-Term Care KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - *Cognitive Dysfunction/cl [Classification] ER - TY - JOUR TI - Students Explore Supportive Transportation Needs of Older Adults. AU - Silverstein, Nina M AU - Turk, Kristina T2 - Gerontology & geriatrics education AB - Students in an undergraduate applied research in aging class learned about qualitative research methods by analyzing previously collected narratives. The interviews were with 32 participants who were national experts in senior transportation in the United States. The purpose of the study was to explore the specialized supportive mobility needs of community-residing older adults. The policy goal of the study was to expand the discussion on levels of assistance needed in senior transportation. The educational goal of the study was to expose undergraduate students to qualitative research methods, having them analyze transcripts and audio recordings. In preparation for the research, students reviewed the current literature in transportation and aging and learned that the ability to get to where you want to go, when you want to go there, is a key factor for aging-in-place in our communities. When that ability is compromised, the informal network of family and friends may not be a sustainable transportation option. Students were divided into three analysis groups by the domains of challenges, strategies, and policies and coded themes and subthemes through an iterative process. An important subtheme that emerged was the connection of community mobility to health care outcomes. DA - 2016/// PY - 2016 VL - 37 IS - 4 SP - 381 EP - 401 J2 - Gerontol Geriatr Educ SN - 1545-3847 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25621827 KW - Humans KW - Research Design KW - Qualitative Research KW - *Independent Living KW - *Aging/ph [Physiology] KW - *Mobility Limitation KW - *Geriatrics/ed [Education] KW - *Transportation of Patients/mt [Methods] ER - TY - JOUR TI - A Typology of New Residents' Adjustment to Continuing Care Retirement Communities. AU - Ayalon, Liat AU - Greed, Ohad T2 - The Gerontologist AB - PURPOSE OF THE STUDY: The study was designed to examine the diverse experiences of older adults upon their transition to continuing care retirement communities (CCRCs)., DESIGN AND METHODS: As part of a larger qualitative study on CCRC residents and their adult children, the first wave of interviews with 59 CCRC residents located in 12 different CCRCs was analyzed. A line-by-line analysis was followed by constant comparisons within each interview and across interviews in order to identify commonalities and differences. Subsequent to the identification of major thematic categories, whole interviews were analyzed to identify unique response-patterns across interviews., FINDINGS: Three major themes emerged: (a) continuity versus discontinuity in life experiences following the transition to the CCRC; (b) time-orientation (e.g., past, present, or future); and (c) place attachment (e.g., within the CCRC or in the larger community). These 3 themes distinguished among four different types of CCRC residents: "shades of gray," "still searching after all these years," "disapprover," and "I finally found it.", IMPLICATIONS: The study offers a unique perspective on the adjustment process to CCRCs, by stressing the need to view qualitative differences in adjustment, rather than level of adjustment. Whereas CCRCs allow a segment of older adults to truly enjoy the opportunity for a new beginning in old age, for others, the transition does not pose a major change from past life experiences and is not viewed with the same level of enthusiasm. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/geront/gnu121 VL - 56 IS - 4 SP - 641 EP - 50 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25614609 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Qualitative Research KW - *Adaptation, Psychological KW - *Housing for the Elderly KW - *Life Change Events KW - Israel KW - *Social Adjustment ER - TY - JOUR TI - engAGE in Community: Using Mixed Methods to Mobilize Older People to Elucidate the Age-Friendly Attributes of Urban and Rural Places. AU - John, Deborah H AU - Gunter, Katherine T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - The growing numbers of older adults in the United States will have a significant impact on community resources, which will affect the ability of residents to live and thrive in their local community regardless of age. For this study, we applied explanatory sequential mixed methods and community-based participatory research (CBPR) to discover how attributes of the physical, social, and service environments determine residents' perceptions of community age-friendliness and conditions for aging-in-place. A population survey measuring county residents' (n = 387) perceptions and importance of community resources that support community livability are explained by thematic results of the CBPR, that is, emergent proximal and distal age-friendly factors. Our qualitative approach engaged local people (n = 237) in participatory processes to study and share perceptions of environmental attributes in six communities in one Oregon county. Findings are integrated to explain similarities and differences in older residents' lived experience of rural and urban settings with regard to age-friendly foci. Copyright © The Author(s) 2015. DA - 2016/// PY - 2016 DO - 10.1177/0733464814566679 VL - 35 IS - 10 SP - 1095 EP - 120 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25608869 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Surveys and Questionnaires KW - Community Health Services KW - Housing KW - *Independent Living KW - Community-Based Participatory Research KW - Social Support KW - Perception KW - *Residence Characteristics KW - *Environment Design KW - *Social Environment KW - Photography KW - Rural Population KW - Urban Population KW - Geographic Mapping KW - Oregon KW - *Social Welfare ER - TY - JOUR TI - The Impact of Nonelective Abdominal Surgery on the Residential Status of Older Adult Patients. AU - Davis, Philip J B AU - Bailey, Jonathan G AU - Molinari, Michele AU - Hayden, Jill AU - Johnson, Paul M T2 - Annals of surgery AB - OBJECTIVE: To describe the change in residential status at discharge and 6 months after hospitalization among older adults who have undergone nonelective abdominal surgery and to identify risk factors associated with discharge to institution., BACKGROUND: Surgery in older adults may lead to a loss of independence that prevents them from returning to their preadmission residential status. Understanding the impact of surgery on residential status and risk factors for institutionalization is important for patient counseling, discharge planning, and resource allocation., METHODS: Community-dwelling patients aged 70 years and older who underwent nonelective abdominal surgery over a 15-month period were prospectively enrolled. Residential status before admission, at discharge, and 6 months after admission was assessed. Multiple logistic regression was used to identify factors associated with discharge to institution., RESULTS: Of the 197 patients who underwent surgery and survived to discharge, 30% were living alone before admission and 70% were living with others. At discharge, 72% of patients returned to their preadmission residential status and 22% were institutionalized. Six months after hospitalization, 55% of institutionalized patients had returned to community-living, and 79% of all patients had returned to their preadmission residential status. Change in residential status was associated with decreased quality of life. Increasing American Society of Anesthesiologists score, frailty, surgery for malignancy, and postoperative complications were associated with discharge to institution., CONCLUSIONS: The majority of older patients, including those who were discharged to an institution, returned to their preadmission residential status 6 months after nonelective abdominal surgery. DA - 2016/// PY - 2016 DO - 10.1097/SLA.0000000000001126 VL - 263 IS - 2 SP - 274 EP - 9 J2 - Ann Surg SN - 1528-1140 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25607757 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Frail Elderly KW - Logistic Models KW - Quality of Life KW - Follow-Up Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Prospective Studies KW - *Patient Discharge/sn [Statistics & Numerical Data] KW - *Institutionalization/sn [Statistics & Numerical Data] KW - Emergencies KW - *Abdomen/su [Surgery] ER - TY - JOUR TI - Survey on the use of health consultation services provided in a Japanese urban public housing area with a high elderly population. AU - Fukui, Sakiko AU - Otoguro, Chizuru AU - Ishikawa, Takako AU - Fujita, Junko T2 - Geriatrics & gerontology international AB - OBJECTIVE: The aim of the present study was to determine how the elderly in an urban public housing area intends to utilize health consultation services., METHODS: In December 2011, a cross-sectional posting survey was carried out on 2000 randomly selected elderly residents in an urban public housing area in Japan. The survey included information on the intention of use of health consultation services provided in the community, demographic background, living situation, medical and social care situation, and the concerns and desires about the services., RESULTS: We received 553 responses from the survey. Of the 534 responders who had never used the service, 150 (28.1%) intended to use, 313 (58.6%) were undecided and 71 (13.3%) expressed having no intention to use. Binominal logistic regression analysis showed that individuals who intended to use it tended to have the following features: aged >=70 years (OR 2.35, 95% CI 1.41-3.93), resident of the complex for <10 years (OR 1.94, 95% CI 1.15-3.27), low sense of well-being (OR 3.69, 95% CI 1.03-13.26), family-related stress (OR 1.72, 95% CI 1.01-2.93), outpatient of internal medicine (OR 1.74, 95% CI 1.10-2.75), outpatient of cancer treatment (OR 2.58, 95% CI 1.15-5.77), history of unpleasant medical experience (OR 1.68, 95% CI 1.03-2.73), desire for a free health consultation (OR 1.80, 95% CI 1.07-3.04), desiring to consult about diseases (OR 2.01, 95% CI 1.27-3.18) and desiring to consult about caregiving (OR 1.64, 95% CI 1.05-2.56)., CONCLUSION: Approximately 30% of residents had the intention of using the health consultation services provided in the community. The people who were more likely to use the services tended to have more intensive consultation support. Copyright © 2015 Japan Geriatrics Society. DA - 2016/// PY - 2016 DO - 10.1111/ggi.12439 VL - 16 IS - 1 SP - 81 EP - 8 J2 - Geriatr Gerontol Int SN - 1447-0594 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25597764 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Care Surveys KW - Logistic Models KW - Cross-Sectional Studies KW - Japan KW - Socioeconomic Factors KW - *Public Housing KW - Urban Population KW - *Referral and Consultation/sn [Statistics & Numerical Data] KW - Intention ER - TY - JOUR TI - Design and Evaluation of an Interactive Exercise Coaching System for Older Adults: Lessons Learned. AU - Ofli, Ferda AU - Kurillo, Gregorij AU - Obdrzalek, Stepan AU - Bajcsy, Ruzena AU - Jimison, Holly Brugge AU - Pavel, Misha T2 - IEEE journal of biomedical and health informatics AB - Although the positive effects of exercise on the well-being and quality of independent living for older adults are well accepted, many elderly individuals lack access to exercise facilities, or the skills and motivation to perform exercise at home. To provide a more engaging environment that promotes physical activity, various fitness applications have been proposed. Many of the available products, however, are geared toward a younger population and are not appropriate or engaging for an older population. To address these issues, we developed an automated interactive exercise coaching system using the Microsoft Kinect. The coaching system guides users through a series of video exercises, tracks and measures their movements, provides real-time feedback, and records their performance over time. Our system consists of exercises to improve balance, flexibility, strength, and endurance, with the aim of reducing fall risk and improving performance of daily activities. In this paper, we report on the development of the exercise system, discuss the results of our recent field pilot study with six independently living elderly individuals, and highlight the lessons learned relating to the in-home system setup, user tracking, feedback, and exercise performance evaluation. DA - 2016/// PY - 2016 DO - 10.1109/JBHI.2015.2391671 VL - 20 IS - 1 SP - 201 EP - 12 J2 - IEEE j. biomed. health inform. SN - 2168-2208 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25594988 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Exercise Therapy/mt [Methods] KW - Pilot Projects KW - *User-Computer Interface KW - Geriatrics KW - *Video Games KW - *Exercise Therapy/is [Instrumentation] ER - TY - JOUR TI - Experiences With Family Health Conversations at Residential Homes for Older People. AU - Dorell, Asa AU - Backstrom, Britt AU - Ericsson, Marie AU - Johansson, Maria AU - Ostlund, Ulrika AU - Sundin, Karin T2 - Clinical nursing research AB - The aim of this study was to highlight family members' experiences of participating in Family Health Conversation (FamHC), based on families in which a family member was living in a residential home for older people. A total of 10 families and 22 family members participated in evaluating family interviews 1 month after participating in FamHC. The interviews were analyzed by qualitative content analysis. The main finding was being a part of FamHC increased family members' insights, understanding, and communication within the family. Getting confirmation from nurses was essential to cope with the new life situation, which also meant that they felt comfortable to partly hand over the responsibility for the older person who moved to the residential home. By being open and expressing their feelings, a bad conscience could be relieved. These findings showed that FamHC could be helpful for family members in adapting to this novel situation. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/1054773814565174 VL - 25 IS - 5 SP - 560 EP - 82 J2 - Clin Nurs Res SN - 1552-3799 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25550306 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Qualitative Research KW - *Homes for the Aged KW - Interviews as Topic KW - *Communication KW - Adaptation, Psychological KW - *Family Health KW - Family/px [Psychology] KW - Nurses/px [Psychology] ER - TY - JOUR TI - [Perception of knowledge in palliative care housing for the elderly workers in a basic health zone]. AU - Sanchez-Holgado, J AU - Gonzalez-Gonzalez, J AU - Torijano-Casalengua, M L T2 - Percepcion sobre conocimientos en cuidados paliativos de los trabajadores de los centros sociosanitarios de personas mayores de una zona basica de salud. AB - OBJECTIVE: To analyze the level of knowledge in palliative care that health and non health housing for the elderly workers refer, to study the differences between professional categories and to detect their interest in receiving palliative care training., PATIENTS AND METHODS: Cross-sectional study conducted among physicians, nurses, physiotherapists, nursing assistant and occupational therapists applying a questionnaire assisting terminal patients with 22 items grouped into four sections: generalities palliative care, physical care, psycho-emotional and spiritual. Each question is answered using a four point scale in much-regulate-little-nothing., RESULTS: 86.8% of respondents know quite what they mean or regular palliative care. 3.8% consider themselves sufficiently trained in palliative care. We found significant differences in non-pharmacological management of dyspnea and insomnia where concerns have less knowledge worker. Medicine and nursing reported having more knowledge in the recognition of a tumor ulcer., CONCLUSIONS: There is a very high interest in receiving palliative care training and these are considered very useful. Required impact on the acquisition of knowledge in the medical staff not optional as to non-pharmacological management of major symptoms It also emphasizes the need to approach not to question the patient's pain by physicians. The test to detect cognitive impairment are not well known for nursing assistants. The spiritual realm is the acceptable level of knowledge on the part of all professional categories surveyed. Copyright © 2014 Sociedad Espanola de Medicos de Atencion Primaria (SEMERGEN). Publicado por Elsevier Espana, S.L.U. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.semerg.2014.10.013 VL - 42 IS - 1 SP - 19 EP - 24 J2 - SEMERGEN, Soc. Esp. Med. Rural Gen. SN - 1578-8865 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25510589 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - *Housing for the Elderly KW - *Health Knowledge, Attitudes, Practice KW - *Palliative Care/mt [Methods] KW - *Health Personnel/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Knowledge, Skills, and Attitudes in Caring for Older Adults With Advanced Illness Among Staff Members of Long-Term Care and Assisted Living Facilities: An Educational Needs Assessment. AU - Cimino, Nina M AU - Lockman, Kashelle AU - Grant, Marian AU - McPherson, Mary Lynn T2 - The American journal of hospice & palliative care AB - In long-term care and assisted living facilities, many groups of health care professionals contribute to the work of the health care team. These staff members perform essential, direct patient care activities. An educational needs assessment was conducted to determine the learning needs and preferences of staff members related to providing care for patients with life-limiting illnesses. Staff members placed importance on understanding topics such as principles of palliative care, pain assessment, pain management, and nonpain symptom management. The majority of survey respondents were also interested in learning more about these topics. The results of this educational needs analysis suggest staff members would benefit from a course tailored to these identified educational needs and designed to overcome previously identified educational barriers. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/1049909114561996 VL - 33 IS - 4 SP - 327 EP - 34 J2 - Am J Hosp Palliat Care SN - 1938-2715 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25473091 KW - Humans KW - Needs Assessment KW - Palliative Care/mt [Methods] KW - *Health Knowledge, Attitudes, Practice KW - Health Personnel/px [Psychology] KW - *Assisted Living Facilities/og [Organization & Administration] KW - *Health Personnel/ed [Education] KW - Inservice Training/og [Organization & Administration] KW - *Long-Term Care/og [Organization & Administration] KW - Pain Measurement/mt [Methods] KW - Pain Management/mt [Methods] KW - Social Workers/px [Psychology] KW - *Social Workers/ed [Education] ER - TY - JOUR TI - Evaluation of a healthy ageing intervention for frail older people living in the community. AU - McNamara, Beverley AU - Rosenwax, Lorna AU - Lee, Elinda A L AU - Same, Anne T2 - Australasian journal on ageing AB - AIM: To evaluate a healthy ageing intervention in the form of a program of physical and social activity for frail older people living in the community., METHODS: New members of an activity program were surveyed before and after attending the program and interviewed face-to-face prior to the program, immediately after the program and through a telephone interview two months following the program., RESULTS: Program participants reported better health, social function and mental well-being; greater engagement in household and leisure activities; and increased enjoyment and confidence through participating in the program. Some participants could not attend the whole program due to poor health or difficulties securing transport., CONCLUSION: The results suggest the program was successful in enhancing the health and well-being of those community-dwelling older adults who stayed in the program. However, the high drop-out rate suggests that flexibility is required in community-based healthy ageing programs. Copyright © 2014 AJA Inc. DA - 2016/// PY - 2016 DO - 10.1111/ajag.12196 VL - 35 IS - 1 SP - 30 EP - 5 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25472546 KW - Female KW - Humans KW - Male KW - Program Evaluation KW - Aged KW - Middle Aged KW - *Independent Living KW - Quality of Life KW - Time Factors KW - *Aging KW - *Exercise KW - Age Factors KW - Geriatric Assessment KW - *Frail Elderly KW - Interviews as Topic KW - *Health Promotion/mt [Methods] KW - Aging/ph [Physiology] KW - *Health Services for the Aged KW - Mental Health KW - *Healthy Lifestyle KW - *Social Behavior KW - Health Services Research KW - Aging/px [Psychology] KW - Patient Dropouts KW - Telephone ER - TY - JOUR TI - Well-Being With Objects: Evaluating a Museum Object-Handling Intervention for Older Adults in Health Care Settings. AU - Thomson, Linda J M AU - Chatterjee, Helen J T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - The extent to which a museum object-handling intervention enhanced older adult well-being across three health care settings was examined. The program aimed to determine whether therapeutic benefits could be measured objectively using clinical scales. Facilitator-led, 30 to 40 min sessions handling and discussing museum objects were conducted in acute and elderly care (11 one-to-ones), residential (4 one-to-ones and 1 group of five), and psychiatric (4 groups of five) settings. Pre-post measures of psychological well-being (Positive Affect and Negative Affect Schedule) and subjective wellness and happiness (Visual Analogue Scales) were compared. Positive affect and wellness increased significantly in acute and elderly and residential care though not psychiatric care whereas negative affect decreased and happiness increased in all settings. Examination of audio recordings revealed enhanced confidence, social interaction, and learning. The program allowed adults access to a museum activity who by virtue of age and ill health would not otherwise have engaged with museum objects. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/0733464814558267 VL - 35 IS - 3 SP - 349 EP - 62 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25421749 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Quality of Life/px [Psychology] KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Psychiatric Status Rating Scales KW - Self Report KW - London KW - Learning KW - Self Concept KW - *Happiness KW - *Art Therapy/mt [Methods] KW - *Museums ER - TY - JOUR TI - Prevalence and Description of Palliative Care in US Nursing Homes: A Descriptive Study. AU - Lester, Paula E AU - Stefanacci, Richard G AU - Feuerman, Martin T2 - The American journal of hospice & palliative care AB - OBJECTIVE: To describe rates and policies in U.S. Nursing Homes (NH) related to palliative care, comfort care, and hospice care based on a nationwide survey of directors of nursing., MEASUREMENTS: A national survey was distributed online and was completed by 316 directors of nursing of NHs (11% response rate). The directors of nursing were asked about availability and policies in their facilities. Specifically, questions were related to policies, referral patterns, discussion about such care, and types of medical conditions qualifying for such services., RESULTS: Hospice is significantly more available than palliative or comfort care programs; also, for-profit facilities, compared to non-profits, are significantly more likely to have palliative care programs and medical directors for palliative care. Social workers and nurses were most likely to suggest palliative type programs. Only 42% of facilities with palliative program provide consultation by a palliative certified physician. Residents with non-healing pressure ulcers, frequent hospitalizations, or severe/uncontrolled pain or non-pain symptoms were less likely to be referred., CONCLUSIONS: There is limited availability of palliative type programs in NH facilities and underutilization in those NH with programs. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/1049909114558585 VL - 33 IS - 2 SP - 171 EP - 7 J2 - Am J Hosp Palliat Care SN - 1938-2715 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25395553 KW - Humans KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Ownership/sn [Statistics & Numerical Data] KW - *Palliative Care/og [Organization & Administration] KW - Referral and Consultation/og [Organization & Administration] KW - Hospice Care/sn [Statistics & Numerical Data] KW - *Hospice Care/og [Organization & Administration] KW - Palliative Care/sn [Statistics & Numerical Data] KW - Patient Comfort/og [Organization & Administration] KW - Patient Comfort/sn [Statistics & Numerical Data] KW - Policy ER - TY - JOUR TI - Older People's Perspectives Regarding the Use of Sensor Monitoring in Their Home. AU - Pol, Margriet AU - van Nes, Fenna AU - van Hartingsveldt, Margo AU - Buurman, Bianca AU - de Rooij, Sophia AU - Krose, Ben T2 - The Gerontologist AB - PURPOSE: The early detection of a decline in daily functioning of independently living older people can aid health care professionals in providing preventive interventions. To monitor daily activity patterns and, thereby detect a decline in daily functioning, new technologies, such as sensors can be placed in the home environment. The purpose of this qualitative study was to determine the perspectives of older people regarding the use of sensor monitoring in their daily lives., DESIGN AND METHODS: We conducted indepth, semistructured interviews with 11 persons between 68 and 93 years who had a sensor monitoring system installed in their home. The data were analyzed using Interpretative Phenomenological Analysis., RESULTS: The interviewed older persons positively valued sensor monitoring and indicated that the technology served as a strategy to enable independent living. The participants perceived that the system contributed to their sense of safety as an important premise for independent living. Some of the participants stated that it helped them to remain active. The potential privacy violation was not an issue for the participants. The participants considered that health care professionals' continuous access to their sensor data and use of the data for their safety outweighed the privacy concerns., IMPLICATIONS: These results provide new evidence that older persons experience sensor monitoring as an opportunity or strategy that contributes to independent living and that does not disturb their natural way of living. Based on this study, the development of new strategies to provide older people with access to their sensor data must be further explored. Copyright © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/geront/gnu104 VL - 56 IS - 3 SP - 485 EP - 93 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25384761 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Qualitative Research KW - *Independent Living KW - *Activities of Daily Living KW - Interviews as Topic KW - Personal Autonomy KW - *Privacy KW - *Wireless Technology ER - TY - JOUR TI - Neighborhood Support and Aging-in-Place Preference Among Low-Income Elderly Chinese City-Dwellers. AU - Lum, Terry Y S AU - Lou, Vivian W Q AU - Chen, Yanyan AU - Wong, Gloria H Y AU - Luo, Hao AU - Tong, Tracy L W T2 - The journals of gerontology. Series B, Psychological sciences and social sciences AB - OBJECTIVES: Preferences for aging-in-place are unclear among low-income elderly Chinese city-dwellers, who are more likely to be geographically bound, to have little care support, but possess strong filial values and family cohesiveness. This study investigated the preferences for aging-in-place and its contributing neighborhood factors among low-income Chinese elderly in a metropolitan city., METHOD: We conducted interviews with 400 older people residing in public housing estates in Hong Kong., RESULTS: The majority of low-income elderly persons (80.4%) prefer to age in place even if their health and functioning has deteriorated beyond independent living. Logistic regression showed that (a) having very low income ( DA - 2016/// PY - 2016 DO - 10.1093/geronb/gbu154 VL - 71 IS - 1 SP - 98 EP - 105 J2 - J Gerontol B Psychol Sci Soc Sci SN - 1758-5368 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25384636 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - *Quality of Life KW - *Social Support KW - Independent Living/sn [Statistics & Numerical Data] KW - Independent Living/px [Psychology] KW - *Residence Characteristics KW - Poverty/px [Psychology] KW - Hong Kong KW - *Poverty KW - Urban Population KW - Aging/px [Psychology] KW - Interview, Psychological KW - Poverty/sn [Statistics & Numerical Data] KW - Asian Continental Ancestry Group/px [Psychology] ER - TY - JOUR TI - Factors Associated With Preferences for Institutionalized Care in Elderly Persons: Comparing Hypothetical Conditions of Permanent Disability and Alzheimer's Disease. AU - Werner, Perla AU - Segel-Karpas, Dikla T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - OBJECTIVE: To study the willingness to use institutional care versus home care in hypothetical situations of permanent disability and Alzheimer's disease (AD)., METHOD: A convenience sample of 484 adults aged 45 and older was obtained. Respondents were asked about their care preferences in case they were diagnosed with AD or became permanently disabled. Based on Andersen's extended behavioral model, a large group of correlates was examined., RESULTS: Institutional care was preferred in the situation of becoming sick with AD, whereas being cared for at home by the family was preferred in a situation of permanent disability. Fear of losing one's independence and concern over burdening the family were associated with care preferences in both situations., DISCUSSION: Although some similarities exist between the correlates for care preferences in the two distinct situations, there are noticeable differences. These are discussed and implications for practice are suggested. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/0733464814546041 VL - 35 IS - 4 SP - 444 EP - 64 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25245385 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Logistic Models KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Home Care Services/og [Organization & Administration] KW - Socioeconomic Factors KW - Alzheimer Disease/px [Psychology] KW - Israel KW - *Alzheimer Disease/th [Therapy] KW - *Patient Preference/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Use, non-use and perceived unmet needs of assistive technology among Swedish people in the third age. AU - Lofqvist, Charlotte AU - Slaug, Bjorn AU - Ekstrom, Henrik AU - Kylberg, Marianne AU - Haak, Maria T2 - Disability and rehabilitation. Assistive technology AB - PURPOSE: To describe the most prominent use of or perceived unmet need of assistive technology (AT) and to compare the characteristics of users, non-users and those expressing perceived unmet need with respect to overall health, independence in everyday life, environmental barriers and socio-demographic features., METHOD: The study is based on data collected in the "Home and Health in the Third Age Project". In all, 371 individuals participated and data were collected during home visits in southern Sweden by interviewers trained specifically for this project. The data collection comprised well-proven self-report scales and observational formats on the home environment and health indicators as well as questions about basic demographics and socio-structural data., RESULTS: The proportion of users constituted almost half of the total sample. The most common types of AT used were for furnishing/adaptation (35%) and the highest perceived unmet need concerned AT for communication, in total 8%. Those cohabiting were to a higher extent users of AT for furnishing/adaptation, compared to those who lived alone. A higher perceived unmet need was seen among those who lived alone compared with cohabiting people., CONCLUSIONS: These findings are of importance for future planning and development of policy to improve health services for the new generation of elderly. Implications for Rehabilitation In order to support the ageing process, the need for assistive technology has to be monitored in the third age. Assistive technology for furnishings and adaptation are frequently used by individuals in their third age and are important to support ageing in the home. Not only do health aspects impact the use of assistive technology, but gender, living conditions and social situation also matter - older men especially need to be monitored thoroughly according to their perceived unmet needs as well as do older persons living alone. DA - 2016/// PY - 2016 DO - 10.3109/17483107.2014.961180 VL - 11 IS - 3 SP - 195 EP - 201 J2 - Disabil. rehabil., Assist. technol. SN - 1748-3115 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25238550 KW - Female KW - Humans KW - Male KW - Aged KW - Activities of Daily Living KW - Health Status KW - *Aging KW - Sex Factors KW - Age Factors KW - Socioeconomic Factors KW - *Environment KW - Sweden KW - *Self-Help Devices/sn [Statistics & Numerical Data] KW - *Perception ER - TY - JOUR TI - End of life care: The experiences of advance care planning amongst family caregivers of people with advanced dementia - A qualitative study. AU - Ashton, Susan Elizabeth AU - Roe, Brenda AU - Jack, Barbara AU - McClelland, Bob T2 - Dementia (London, England) AB - BACKGROUND: End of life decisions for people with advanced dementia are reported as often being difficult for families as they attempt to make appropriate and justified decisions., AIM: To explore the experiences of advance care planning amongst family caregivers of people with advanced dementia., DESIGN: Qualitative research including a series of single cases (close family relatives)., METHODS: A purposive sample of 12 family caregivers within a specialist dementia unit was interviewed about their experiences of advance care planning between August 2009 and February 2010., RESULTS/FINDINGS: Family caregivers need encouragement to ask the right questions during advance care planning to discuss the appropriateness of nursing and medical interventions at the end of life., CONCLUSIONS: Advance care planning can be facilitated with the family caregiver in the context of everyday practice within the nursing home environment for older people with dementia. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/1471301214548521 VL - 15 IS - 5 SP - 958 EP - 75 J2 - DEMENTIA SN - 1741-2684 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25187482 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Decision Making KW - Qualitative Research KW - *Caregivers/px [Psychology] KW - *Dementia/px [Psychology] KW - *Terminal Care/px [Psychology] KW - *Advance Care Planning ER - TY - JOUR TI - "Move or Suffer": Is Age-Segregation the New Norm for Older Americans Living Alone?. AU - Portacolone, Elena AU - Halpern, Jodi T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society T3 - [Comment in: J Appl Gerontol. 2016 Aug;35(8):811-3; PMID: 27381565 [https://www.ncbi.nlm.nih.gov/pubmed/27381565]] AB - Despite ethical claims that civic societies should foster intergenerational integration, age-segregation is a widespread yet understudied phenomenon. The purpose of this study was to understand the reasons that led community-dwelling older Americans to relocate into senior housing. Qualitative data were collected through participant observation and ethnographic interviews with 47 older adults living alone in San Francisco, California. Half of study participants lived in housing for seniors, the other half in conventional housing. Data were analyzed with standard qualitative methods. Findings illuminate the dynamics that favor age-segregation. Senior housing might be cheaper, safer, and offer more socializing opportunities than conventional housing. Yet, tenants of senior housing may also experience isolation, crime, and distress. Findings suggest that rather than individual preference, cultural, political, and economic factors inform the individual decision to relocate into age-segregated settings. Findings also call for an increased awareness on the ethical implications of societies increasingly segregated by age. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/0733464814538118 VL - 35 IS - 8 SP - 836 EP - 56 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25186312 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Qualitative Research KW - Interviews as Topic KW - *Housing for the Elderly KW - *Intergenerational Relations KW - *Ageism KW - *Social Segregation/td [Trends] KW - San Francisco KW - Transitional Care ER - TY - JOUR TI - Dentition, nutritional status and adequacy of dietary intake among older residents in assisted living facilities. AU - Saarela, Riitta K T AU - Lindroos, Eeva AU - Soini, Helena AU - Hiltunen, Kaija AU - Muurinen, Seija AU - Suominen, Merja H AU - Pitkala, Kaisu H T2 - Gerodontology AB - OBJECTIVE: We examined the relationships between dentition, nutritional status and dietary intakes of energy, protein and micronutrients among older people in assisted living facilities in Helsinki., BACKGROUND: Poor dentition is associated with malnutrition. Less is known about how dentition is associated with detailed nutrient intakes in institutionalised older people., MATERIALS AND METHODS: This cross-sectional study assessed 343 participants (mean age 83 years). Dentition was assessed by trained ward nurses and divided into edentulous participants without dentures (group 1), edentulous participants with removable dentures (group 2) and those with any natural teeth (group 3). Nutritional status was assessed by Mini Nutritional Assessment (MNA). The energy, protein and nutrient intakes were calculated from detailed 1-day food diaries and compared with the recommendations of the Finnish National Nutrition Council as a measure of dietary adequacy. Assessment included also participants' cognitive and functional status., RESULTS: Of the participants, 8.2, 39.1 and 52.8% were in groups 1, 2 and 3, respectively. Altogether 22% were malnourished according to MNA. Group 1 had the poorest nutritional status. A large proportion of participants consumed less than the recommended amounts of energy, protein or micronutrients. Half of the participants consumed <60 g/day of protein. The intake of protein was significantly lower in group 1 than in other two groups., CONCLUSION: Malnutrition and inadequate protein intake were very common and associated with dentition among older people with multiple disabilities in assisted living facilities. Assessment of dental status should be part of good nutritional care in long-term care. Copyright © 2014 John Wiley & Sons A/S and The Gerodontology Association. Published by John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/ger.12144 VL - 33 IS - 2 SP - 225 EP - 32 J2 - Gerodontology SN - 1741-2358 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25163661 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Nutritional Status KW - Cross-Sectional Studies KW - *Assisted Living Facilities KW - *Homes for the Aged KW - *Malnutrition/ep [Epidemiology] KW - Finland/ep [Epidemiology] KW - *Diet KW - Malnutrition/di [Diagnosis] KW - *Dentition ER - TY - JOUR TI - Mobility Limitation and Changes in Personal Goals Among Older Women. AU - Saajanaho, Milla AU - Viljanen, Anne AU - Read, Sanna AU - Eronen, Johanna AU - Kaprio, Jaakko AU - Jylha, Marja AU - Rantanen, Taina T2 - The journals of gerontology. Series B, Psychological sciences and social sciences AB - OBJECTIVES: Several theoretical viewpoints suggest that older adults need to modify their personal goals in the face of functional decline. The aim of this study was to investigate longitudinally the association of mobility limitation with changes in personal goals among older women., METHOD: Eight-year follow-up of 205 women aged 66-78 years at baseline., RESULTS: Health-related goals were the most common at both measurements. Goals related to independent living almost doubled and goals related to exercise and to cultural activities substantially decreased during the follow-up. Higher age decreased the likelihood for engaging in new goals related to cultural activities and disengaging from goals related to independent living. Women who had developed mobility limitation during the follow-up were less likely to engage in new goals related to exercise and more likely to disengage from goals related to cultural activities and to health and functioning., DISCUSSION: The results of this study support theories suggesting that age-related losses such as mobility limitation may result in older adults modifying or disengaging from personal goals. Copyright © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/geronb/gbu094 VL - 71 IS - 1 SP - 1 EP - 10 J2 - J Gerontol B Psychol Sci Soc Sci SN - 1758-5368 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25123689 KW - Female KW - Humans KW - Aged KW - *Aging KW - *Independent Living/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - Longitudinal Studies KW - Aging/ph [Physiology] KW - Motor Activity KW - *Activities of Daily Living/px [Psychology] KW - *Interpersonal Relations KW - Finland/ep [Epidemiology] KW - Health Status Disparities KW - *Mobility Limitation KW - Aging/px [Psychology] KW - Psychomotor Performance KW - *Goals ER - TY - JOUR TI - Assessing Communities' Age-Friendliness: How Congruent Are Subjective Versus Objective Assessments?. AU - Menec, Verena H AU - Newall, Nancy E G AU - Nowicki, Scott T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - The notion of age-friendliness is gaining increasing attention from policy makers and researchers. In this study, we examine the congruence between two types of age-friendly surveys: subjective assessments by community residents versus objective assessments by municipal officials. The study was based on data from 39 mostly rural communities in Manitoba, Canada, in which a municipal official and residents (M= 25 residents per community) completed a survey to assess age-friendly features in a range of domains, such as transportation and housing. Congruence between the two surveys was generally good, although the municipal official survey consistently overestimated communities' age-friendliness, relative to residents' ratings. The findings suggest that a survey completed by municipal officials can provide a reasonable assessment of age-friendliness that may be useful for certain purposes, such as cross-community comparisons. However, some caution is warranted when using only these surveys for community development, as they may not adequately reflect residents' views. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/0733464814542612 VL - 35 IS - 5 SP - 549 EP - 65 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25098252 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - *Independent Living KW - *Housing KW - *Rural Population KW - Canada KW - *Residence Characteristics KW - Regression Analysis KW - *Transportation KW - *Environment Design/td [Trends] ER - TY - JOUR TI - Service-Enriched Housing: The Staying at Home Program. AU - Castle, Nicholas AU - Resnick, Neil T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society T3 - [Comment in: J Appl Gerontol. 2016 Aug;35(8):811-3; PMID: 27381565 [https://www.ncbi.nlm.nih.gov/pubmed/27381565]] AB - INTRODUCTION: The purpose of this research was to determine whether service-enriched housing (i.e., the Staying at Home [SAH] program) in publicly subsidized buildings for low-income older adults influenced resident outcomes., METHOD: Eleven elderly high-rise buildings were used. Seven buildings had the SAH program and four did not. Information was collected from resident questionnaires, housing managers data, and medical information. A total of 10 desired outcomes were proposed as part of SAH (e.g., health improvements, receive more non-institutional services, receive more preventive services, and be less likely to be institutionalized). Information was collected over the course of the SAH program every 6 months from December 2008 through June 2011., RESULTS: Overall, 736 surveys were completed by SAH program participants and 399 were completed by control group participants. Seven of the ten desired outcomes were achieved, and in 3 of the ten cases, no differences between the SAH group and control group were identified. The program was also beneficial with respect to cost savings., CONCLUSION: On the basis of these findings, the SAH program should be viewed as a success. In this case, service-enriched housing for elders in high-rise buildings would appear to be beneficial. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/0733464814540049 VL - 35 IS - 8 SP - 857 EP - 77 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25012185 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Poverty KW - *Housing for the Elderly/st [Standards] KW - *Independent Living/st [Standards] KW - *Public Housing/st [Standards] KW - *Health Policy/lj [Legislation & Jurisprudence] ER - TY - JOUR TI - Promoting and Protecting Against Stigma in Assisted Living and Nursing Homes. AU - Zimmerman, Sheryl AU - Dobbs, Debra AU - Roth, Erin G AU - Goldman, Susan AU - Peeples, Amanda D AU - Wallace, Brandy T2 - The Gerontologist AB - PURPOSE OF THE STUDY: To determine the extent to which structures and processes of care in multilevel settings (independent living, assisted living, and nursing homes) result in stigma in assisted living and nursing homes., DESIGN AND METHODS: Ethnographic in-depth interviews were conducted in 5 multilevel settings with 256 residents, families, and staff members. Qualitative analyses identified the themes that resulted when examining text describing either structures of care or processes of care in relation to 7 codes associated with stigma., RESULTS: Four themes related to structures of care and stigma were identified, including the physical environment, case mix, staff training, and multilevel settings; five themes related to processes of care and stigma, including dining, independence, respect, privacy, and care provision. For each theme, examples were identified illustrating how structures and processes of care can potentially promote or protect against stigma., IMPLICATIONS: In no instance were examples or themes identified that suggested the staff intentionally promoted stigma; on the other hand, there was indication that some structures and processes were intentionally in place to protect against stigma. Perhaps the most important theme is the stigma related to multilevel settings, as it has the potential to reduce individuals' likelihood to seek and accept necessary care. Results suggest specific recommendations to modify care and reduce stigma. Copyright © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 DO - 10.1093/geront/gnu058 VL - 56 IS - 3 SP - 535 EP - 47 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=24928555 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Attitude of Health Personnel KW - *Assisted Living Facilities KW - *Nursing Homes KW - *Aging KW - Anthropology, Cultural KW - *Social Stigma KW - *Prejudice ER - TY - JOUR TI - 'You can't be forcing food down 'em': Nursing home carers' perceptions of residents' dining needs. AU - Dunn, Heather AU - Moore, Tria T2 - Journal of health psychology AB - Malnutrition is a life-threatening condition among older people living in nursing care homes. This qualitative analysis of interview data from five care staff aimed to understand their perceptions of 'caring for' residents' nutritional needs. Tensions in the delivery of care and institutionalisation and disempowerment were identified. Despite carers' good intentions, they often failed to recognise the importance of the psychosocial aspects of mealtimes. Staff shortages, routine-driven, medically based working practices and residents' resistance to institutionalisation emerged as barriers to quality caregiving. The findings indicate that the relational aspects of care are constrained by social, structural and ideological contexts. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/1359105314532971 VL - 21 IS - 5 SP - 619 EP - 27 J2 - J HEALTH PSYCHOL SN - 1461-7277 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=24829377 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - United Kingdom KW - Needs Assessment KW - Qualitative Research KW - Nursing Homes/og [Organization & Administration] KW - *Attitude of Health Personnel KW - *Feeding Behavior/px [Psychology] KW - Homes for the Aged/og [Organization & Administration] KW - Patient Participation/px [Psychology] KW - *Homes for the Aged/es [Ethics] KW - *Nursing Homes/es [Ethics] KW - Power (Psychology) KW - *Allied Health Personnel/px [Psychology] KW - *Feeding Behavior/es [Ethics] KW - *Professional-Patient Relations/es [Ethics] KW - Institutionalization/es [Ethics] KW - Institutionalization/og [Organization & Administration] ER - TY - JOUR TI - Quality of Life and Psychological Distress Among Older Adults: The Role of Living Arrangements. AU - Henning-Smith, Carrie T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - This study asks (a) What are the relationships between types of living arrangements and psychological well-being for older adults? and (b) How do these relationships differ by gender? Data come from the 2010 wave of the National Health Interview Survey and include non-institutionalized adults aged 65 and older (N = 4,862). Dependent variables include self-rated quality of life and psychological distress. The study finds that older adults living alone or with others fare worse than those living with a spouse only. Yet, the outcomes of different types of living arrangements for older adults vary by gender. Women living with others are at greater risk of worse quality of life and serious psychological distress than men. Programs and policies must be responsive to the diverse needs of this population, rather than attempting a "one-size-fits-all" approach to housing and community-based services designed to promote older adults' psychological well-being and independence. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/0733464814530805 VL - 35 IS - 1 SP - 39 EP - 61 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=24776792 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Health Status KW - Logistic Models KW - *Quality of Life/px [Psychology] KW - Geriatric Assessment KW - Psychiatric Status Rating Scales KW - Mental Health KW - *Aging/px [Psychology] KW - Sex Distribution KW - *Housing for the Elderly/sn [Statistics & Numerical Data] KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - *Stress, Psychological/ep [Epidemiology] KW - Social Isolation ER - TY - JOUR TI - Sedative load and salivary secretion and xerostomia in community-dwelling older people. AU - Tiisanoja, Antti AU - Syrjala, Anna-Maija AU - Komulainen, Kaija AU - Hartikainen, Sirpa AU - Taipale, Heidi AU - Knuuttila, Matti AU - Ylostalo, Pekka T2 - Gerodontology AB - OBJECTIVE: The aim was to investigate how sedative load and the total number of drugs used are related to hyposalivation and xerostomia among 75-year-old or older dentate, non-smoking, community-dwelling people., MATERIALS AND METHODS: The study population consisted of 152 older people from the Oral Health GeMS study. The data were collected by interviews and clinical examinations during 2004-2005. Sedative load, which measures the cumulative effect of taking multiple drugs with sedative properties, was calculated using the Sedative Load Model., RESULTS: The results showed that participants with a sedative load of either 1-2 or >=3 had an increased likelihood of having low stimulated salivary flow (<0.7 ml/min; OR: 2.4; CI: 0.6-8.6 and OR: 11; CI: 2.2-59; respectively) and low unstimulated salivary flow (<0.1 ml/min; OR: 2.7, CI: 1.0-7.4 and OR: 4.5, CI: 1.0-20, respectively) compared with participants without a sedative load. Participants with a sedative load >=3 had an increased likelihood of having xerostomia (OR: 2.5, CI: 0.5-12) compared with participants without a sedative load. The results showed that the association between the total number of drugs and hyposalivation was weaker than the association between sedative load and hyposalivation., CONCLUSION: Sedative load is strongly related to hyposalivation and to a lesser extent with xerostomia. The adverse effects of drugs on saliva secretion are specifically related to drugs with sedative properties. Copyright © 2014 John Wiley & Sons A/S and The Gerodontology Association. Published by John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/ger.12129 VL - 33 IS - 2 SP - 177 EP - 84 J2 - Gerodontology SN - 1741-2358 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=24766552 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - *Polypharmacy KW - *Hypnotics and Sedatives/ae [Adverse Effects] KW - Saliva/me [Metabolism] KW - *Saliva/de [Drug Effects] KW - *Xerostomia/ci [Chemically Induced] KW - Secretory Rate/de [Drug Effects] KW - Xerostomia/ep [Epidemiology] ER - TY - JOUR TI - Environmental Predictors of Unmet Home-and Community-Based Service Needs of Older Adults. AU - Ferris, Rosie E AU - Glicksman, Allen AU - Kleban, Morton H T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - Home- and community-based services (HCBS) for many older adults are an essential component of aging-in-place. Andersen developed the contemporary model used to predict service use. Researchers have modified the model to examine need. Studies that attempt to predict unmet needs have explained only 10% to 15% of the variance. This study is based on the supposition that lack of accounting for environmental factors has resulted in such small explanatory power. Through the use of 2008 Southeastern Pennsylvania Household Health Survey data, this exploratory study modeled predictors of unmet HCBS needs. Findings reveal that lack of access to healthy foods and poor housing quality have a significant relationship to unmet HCBS needs. This model predicted 54% of the variance. Results reveal environmental questions to ask, a way to identify older adults with unmet HCBS needs and environmental barriers that if addressed may reduce older adults' eventual need for health services and HCBS. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/0733464814525504 VL - 35 IS - 2 SP - 179 EP - 208 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=24717561 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - *Independent Living/px [Psychology] KW - *Home Care Services/sn [Statistics & Numerical Data] KW - *Health Services Needs and Demand/td [Trends] KW - *Needs Assessment KW - *Community Health Services/sn [Statistics & Numerical Data] KW - Models, Psychological KW - Pennsylvania KW - Forecasting/mt [Methods] ER - TY - JOUR TI - Feasibility and Utility of Experience Sampling to Assess Alcohol Consumption Among Older Adults. AU - Sacco, Paul AU - Smith, Cristan A AU - Harrington, Donna AU - Svoboda, Deborah V AU - Resnick, Barbara T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - In the literature on alcohol use and aging, drinking has often been conceptualized as a means of coping with negative feelings, such as stress, yet much of the literature on older adults and drinking has utilized cross-sectional or other data ill-suited for exploring dynamic processes. Experience sampling methods have the ability to measure and analyze dynamic processes in real time, such as relations between alcohol use and mood states. Nonetheless, these approaches are intensive and may burden respondents. Therefore, this study evaluated the feasibility, acceptability, and validity of a modified daily diary to measure alcohol use and explored alternate methods of collecting diary data. Findings suggest that a modified diary was acceptable and not burdensome. Respondents were reluctant to consider technology (e.g., cellphone)-based means of data collection. Measures of alcohol use showed little within-person variation suggesting that for those who drink at all, drinking is a daily habit. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/0733464813519009 VL - 35 IS - 1 SP - 106 EP - 20 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=24652928 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - Socioeconomic Factors KW - Interviews as Topic KW - *Adaptation, Psychological KW - *Alcohol Drinking/ep [Epidemiology] KW - *Alcohol Drinking/px [Psychology] KW - *Affect KW - Maryland ER - TY - JOUR TI - Caring for older people living alone with dementia: Healthcare professionals' experiences. AU - de Witt, Lorna AU - Ploeg, Jenny T2 - Dementia (London, England) AB - Older adults living alone with dementia are at greater risk of placement in long-term care homes compared with those living with others. Healthcare professionals have vital roles in supporting them to continue living in the community. Yet, little is known about how healthcare professionals fulfill these roles and what their experiences are like. The study purpose was to describe health care professionals' experiences of caring for older people with dementia living alone. Using a qualitative descriptive approach and qualitative content analysis method, 15 healthcare professionals were interviewed in Ontario, Canada. The overall theme of the findings, doing the best we can for them, involved discussing sensitive care issues with what professionals viewed as gentle realism. Walking the tightrope expressed tensions in meeting professional responsibilities. Constraints (my hands are tied) and boundaries (it's not my job, it's not my decision) described perceived limitations on professional roles. Effects of the emotional struggle involved in working with these older people were lessened by believing I did the right thing. The findings have implications for what we could do better for older people with dementia living alone, through integration of person-centered/relationship-centered principles in education programs, community agency policies, a national dementia care strategy, and culture change in community care. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/1471301214523280 VL - 15 IS - 2 SP - 221 EP - 38 J2 - DEMENTIA SN - 1741-2684 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=24556001 KW - Female KW - Humans KW - Male KW - Attitude of Health Personnel KW - Qualitative Research KW - *Independent Living KW - *Health Personnel/px [Psychology] KW - Long-Term Care KW - Home Care Services KW - *Dementia/th [Therapy] KW - Aging KW - Ontario KW - *Empathy ER - TY - JOUR TI - Facilitating independence: The benefits of a post-diagnostic support project for people with dementia. AU - Kelly, Fiona AU - Innes, Anthea T2 - Dementia (London, England) AB - Providing support in the form of information, advice and access to services or social events is promoted as beneficial for people newly diagnosed with dementia and their families. This paper reports on key findings from an evaluation of a post-diagnostic support pilot project in Scotland addressing local service gaps, namely information provision, emotional and practical support and maintaining community links. Twenty-seven participants (14 people newly diagnosed with dementia and 13 family carers) were interviewed at two time points: T1 shortly after joining the pilot project and T2 approximately six months later, to ascertain their views on existing services and the support offered by the pilot project. A comparative thematic analysis revealed that the project facilitated increased independence (associated with increased motivation and self-confidence) of people with dementia. The project illustrates what can be achieved if resources are targeted at providing individualised post-diagnostic support, particularly where there are service delivery gaps. Copyright © The Author(s) 2014. DA - 2016/// PY - 2016 DO - 10.1177/1471301214520780 VL - 15 IS - 2 SP - 162 EP - 80 J2 - DEMENTIA SN - 1741-2684 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=24535818 KW - Female KW - Humans KW - Male KW - Scotland KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - *Independent Living KW - *Social Support KW - *Dementia KW - Caregivers/px [Psychology] KW - Pilot Projects ER - TY - JOUR TI - Prevalence and factors associated with xerostomia and hyposalivation among community-dwelling older people in Japan. AU - Ohara, Yuki AU - Hirano, Hirohiko AU - Yoshida, Hideyo AU - Obuchi, Shuichi AU - Ihara, Kazushige AU - Fujiwara, Yoshinori AU - Mataki, Shiro T2 - Gerodontology AB - OBJECTIVE: This study investigated the prevalence and factors associated with xerostomia and hyposalivation among community-dwelling older people., BACKGROUND: Xerostomia and hyposalivation are common symptoms in the older population., MATERIALS AND METHODS: This study included with 894 community-dwelling, Japanese older people (355 men, 539 women; age 65-84 years) who participated in a comprehensive geriatric health examination, which included questionnaires and interviews regarding medical history, medications, Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC), depressive condition. The Zung Self-Rating Depression Scale (SDS) was used to evaluate depression. Resting salivary flow rate was evaluated by the modified cotton roll method., RESULTS: In this study, 34.8% of the participants (mean age, 73.5 +/- 5.0 years) complained about xerostomia, while the prevalence of hyposalivation was 11.5%. Multiple regression analysis revealed hypnotics use [odds ratio (OR) = 1.71, 95% confidence interval (CI) = 1.13-2.61], SDS (OR = 1.05, CI = 1.04-1.07) and TMIG-IC total points (OR = 0.87, CI = 0.76-0.99) to be significantly associated with xerostomia. In contrast, female gender (OR = 2.59, CI = 1.55-4.31) and the use of agents affecting digestive organs (OR = 1.78, CI = 1.11-2.86) were associated with hyposalivation., CONCLUSION: Our findings showed that the prevalence of xerostomia and hyposalivation were approximately 1 in 3 and 1 in 10 respectively. The factors associated with psychological factors and high-level functional competence, while hyposalivation was associated with medications and gender, as well as systemic and/or metabolic differences. It is important to consider these multidimensional factors associated with xerostomia and hyposalivation. Copyright © 2013 John Wiley & Sons A/S and The Gerodontology Society. Published by John Wiley & Sons Ltd. DA - 2016/// PY - 2016 DO - 10.1111/ger.12101 VL - 33 IS - 1 SP - 20 EP - 7 J2 - Gerodontology SN - 1741-2358 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=24304087 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Health Status KW - Prevalence KW - *Independent Living KW - Japan/ep [Epidemiology] KW - Cross-Sectional Studies KW - Odds Ratio KW - Regression Analysis KW - Confidence Intervals KW - Depression/co [Complications] KW - Geriatrics KW - *Xerostomia/co [Complications] KW - *Xerostomia/ep [Epidemiology] KW - Hypnotics and Sedatives KW - Salivary Glands/me [Metabolism] KW - Salivation KW - Secretory Rate KW - Xerostomia/px [Psychology] ER - TY - JOUR TI - Getting Grandma Online: Are Tablets the Answer for Increasing Digital Inclusion for Older Adults in the U.S.?. AU - Tsai, Hsin-Yi Sandy AU - Shillair, Ruth AU - Cotten, Shelia R AU - Winstead, Vicki AU - Yost, Elizabeth T2 - Educational gerontology AB - Using information and communication technologies (ICTs) can improve older adults' quality of life. ICT use is associated with decreased feelings of loneliness and depression, along with increased feelings of independence and personal growth. However, limited access and low technological self-efficacy are key reasons why some groups, especially older adults, are excluded from being fully engaged in the digital world. In this study, we focus on older adults' technological self-efficacy, which is related to their actual use of technology and the second level digital divide. Specifically, we examine: 1) how older adults decide to use a new technology, tablet computers; 2) how they conquer the barrier of technological self-efficacy through using tablets; and 3) the impacts of using this new technology in their lives. Twenty-one in-depth interviews were conducted with older adults residing in independent living communities in a medium-sized city in the Deep South region of the United States. Observational and enactive learning played important roles for older adults in using tablets. Seeing others use tablets, getting recommendations from family members, or having tablets given to them were the primary reasons they started to use tablet computers. The ease of use feature of tablets helped solve the problem of lacking technological self-efficacy. Using tablets helped increase a sense of connectedness. Tablet computers may be one way to increase digital inclusion among older adults. DA - 2015/// PY - 2015 VL - 41 IS - 10 SP - 695 EP - 709 J2 - Educ Gerontol SN - 0360-1277 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medp&NEWS=N&AN=26877583 ER - TY - JOUR TI - Senior housing at a crossroads: A case study of a university/community partnership in Detroit, Michigan. AU - Perry, Tam E AU - Wintermute, Tim AU - Carney, Brenda C AU - Leach, Deacon Donald E AU - Sanford, Claudia AU - Quist, Laura T2 - Traumatology DA - 2015/// PY - 2015 VL - 21 IS - 3 SP - 244 EP - 250 J2 - Traumatology SN - 1534-7656 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medp&NEWS=N&AN=26451135 ER - TY - JOUR TI - Living conditions as predictor of elderly residential satisfaction. A cross-European view by poverty status. AU - Fernandez-Carro, Celia AU - Modenes, Juan Antonio AU - Spijker, Jeroen T2 - European journal of ageing AB - Although there is an extensive body of literature on the use of residential satisfaction to measure the impact of housing conditions on well-being in later life, less is known about differences and similarities between sub-populations and national contexts. By means of a cross-European analysis (EU15), this study aims to examine how objective and subjective factors of living conditions shape the perceptions of older Europeans about the adequacy of their residential environment. Two patterns of housing quality are explored: (1) international heterogeneity of the EU15 countries, and (2) intra-national heterogeneity, where we distinguish between households at risk of poverty and those not at risk in the elderly population of these countries. Data were drawn from the 2007 wave of the European Union Statistics on Income and Living Conditions survey, providing a sample of more than 58,000 individuals aged 65 years and older. The housing characteristics surveyed were reduced using tetrachoric correlations in a principal component analysis. The resulting predictors, as well as control variables (including gender, age, health status and tenure), are assessed using multiple linear regression analysis to explore their association with a high or low level of residential satisfaction. Despite a generally positive assessment by older Europeans of their living space, major geographic and household income differences existed in the factors that explained residential satisfaction. Identifying factors associated with residential satisfaction in different household income groups and national contexts may facilitate the development of EU policies that attempt to make 'ageing in place' a viable and suitable option for older Europeans. DA - 2015/// PY - 2015 DO - 10.1007/s10433-015-0338-z VL - 12 IS - 3 SP - 187 EP - 202 J2 - Eur. j. ageing SN - 1613-9372 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=28804354 ER - TY - JOUR TI - Models of long-term care use among older people with disabilities in Taiwan: institutional care, community care, live-in migrant care and family care. AU - Chou, Yueh-Ching AU - Kroger, Teppo AU - Pu, Cheng-Yun T2 - European journal of ageing AB - The four main models of long-term care (LTC) for older people in Taiwan are institutional care, community and home-based care, live-in migrant care and family care. This study aims to examine the factors associated with the four above-mentioned LTC models, using the Andersen model as its framework for analysis. Data were from the 2005 National Taiwanese Health Interview Survey (n = 30,680), and in this study, 592 over 65-year-old persons who require personal care in daily life were included. The findings showed that the majority of older people with care needs lived with family and were cared only by their family. The second largest group was those older people who were cared by migrant care workers, and the third group used institutional care. Only a very small proportion used community/home-based care services. If older people had intensive care needs, they either hired migrant care workers or used institutional care, depending on social and economic backgrounds. Multinomial logistic regression results showed that the way how disabled older people use different LTC models was affected by three components of the Andersen model: their needs (level of ADL and IADL), predisposing factors (age, education) and enabling factors (family networks). Results suggest that there is a need for LTC policies in Taiwan to provide more available and accessible community/home-based care services, particularly for older people with intensive care needs, in order to support their 'ageing in place' and to decrease the use of migrant care workers. DA - 2015/// PY - 2015 DO - 10.1007/s10433-014-0322-z VL - 12 IS - 2 SP - 95 EP - 104 J2 - Eur. j. ageing SN - 1613-9372 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=28804349 ER - TY - JOUR TI - Self-Rated Health Among Very Old People in European Countries: An Explorative Study in Latvia and Sweden. AU - Harschel, Anne K AU - Schaap, Laura A AU - Iwarsson, Susanne AU - Horstmann, Vibeke AU - Tomsone, Signe T2 - Gerontology & geriatric medicine AB - Objectives: To explore and gain insight into factors related to self-rated health (SRH) among very old people in two European countries. Methods: The study was based on Latvian (n = 301) and Swedish (n = 397) data from the baseline of the Enabling Autonomy, Participation, and Well-Being in Old Age: The Home Environment as a Determinant for Healthy Ageing Survey Study. Besides descriptive statistics, ordinal regression analysis was used to analyze demographic, physical and mental health-related, functional and environmental factors related to SRH in each sample. Results: In both samples, participants with worse perceived physical mobility and more symptoms were significantly more likely to have worse SRH. There were more diverse results regarding other factors in terms of opposite relations to SRH, comparing the two samples. Discussion: Preventive measures and health care should focus on improving and supporting mobility and physical health among older people. Especially in countries with low scores on indicators of health such as Latvia, to minimize health inequalities. More attention should be paid to factors to improve the general health status of the population. DA - 2015/// PY - 2015 DO - 10.1177/2333721415598432 VL - 1 IS - 101662571 SP - 2333721415598432 J2 - Gerontol. geriatr. med. SN - 2333-7214 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=28138462 ER - TY - JOUR TI - Fracture in the Elderly Multidisciplinary Rehabilitation (FEMuR): study protocol for a phase II randomised feasibility study of a multidisciplinary rehabilitation package following hip fracture [ISRCTN22464643]. AU - Williams, Nefyn H AU - Hawkes, Claire AU - Din, Nafees Ud AU - Roberts, Jessica L AU - Charles, Joanna M AU - Morrison, Val L AU - Hoare, Zoe AU - Edwards, Rhiannon T AU - Andrew, Glynne AU - Alexander, Swapna AU - Lemmey, Andrew B AU - Woods, Bob AU - Sackley, Catherine AU - Logan, Pip AU - Hunnisett, David AU - Mawdesley, Kevin AU - Wilkinson, Clare T2 - Pilot and feasibility studies AB - BACKGROUND: Proximal femoral fracture is a common, major health problem in old age resulting in loss of functional independence and a high-cost burden on society, with estimated health and social care costs of 2.3 billion per year in the UK. Rehabilitation has the potential to maximise functional recovery and maintain independent living, but evidence of effectiveness is lacking. Usual rehabilitation care is delivered by a multi-disciplinary team in the hospital and in the community. An 'enhanced rehabilitation' intervention has been developed consisting of a workbook, goal-setting diary and extra therapy sessions, designed to improve self-efficacy and increase the amount and quality of the practice of physical exercise and activities of daily living., METHODS/DESIGN: This paper describes the design of a phase II study comprising an anonymous cohort of all proximal femoral fracture patients admitted to the three acute hospitals in Betsi Cadwaladr University Health Board over a 6-month period with a randomised feasibility study comparing the enhanced rehabilitation intervention with usual care. These will assess the feasibility of a future definitive randomised controlled trial and concurrent economic evaluation in terms of recruitment, retention, outcome measure completion, compliance with the intervention and fidelity of delivery, health service use data, willingness to be randomised and effect size for a future sample size calculation. Focus groups will provide qualitative data to contribute to the assessment of the acceptability of the intervention amongst patients, carers and rehabilitation professionals and the feasibility of delivering the planned intervention. The primary outcome measure is function assessed by the Barthel Index. Secondary outcomes measure the ability to perform activities of daily living, anxiety and depression, potential mediators of outcomes such as hip pain, self-efficacy and fear of falling, health utility, health service use, objectively assessed physical function and adverse events. Participants' preference for rehabilitation services will be assessed in a discrete choice experiment., DISCUSSION: Phase II studies are an opportunity to not only assess the feasibility of trial methods but also to compare different methods of outcome measurement and novel methods of obtaining health service use data from routinely collected patient information., TRIAL REGISTRATION: Current Controlled Trials ISRCTN22464643, UKCRN16677. DA - 2015/// PY - 2015 VL - 1 IS - 101676536 SP - 13 J2 - Pilot feasibility stud. SN - 2055-5784 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=27965792 ER - TY - JOUR TI - The application of strength and power related field tests in older adults: criteria, current status and a future perspective. AU - Regterschot, G Ruben H AU - Morat, Tobias AU - Folkersma, Marjanne AU - Zijlstra, Wiebren T2 - European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity AB - Leg muscle strength (LMS) and leg muscle power (LMP) are determinants of aspects of functional status and important parameters for measuring intervention effects in older adults. Field tests are often used for the evaluation of LMS and LMP in older persons. However, criteria important for the application of strength and power related field tests in older adults have not been systematically taken into account and are not yet fully listed and described in a single publication. Therefore, this paper describes criteria important for the application of strength and power related field tests in older adults. In addition, strength and power related field tests commonly used in older adults are evaluated by using the described criteria. Based on this evaluation, this paper provides a perspective on the further development of field tests. Criteria important for strength and power related field tests are: adequate accuracy, precision, concurrent validity, clinical validity, practical feasibility and pure strength or power outcomes. Commonly used strength and power related field tests do not meet all the aforementioned criteria. Therefore, further development of field tests is necessary. Mobile sensing systems are potentially useful for the evaluation of LMS and LMP in older adults. Mobile sensing systems do not have the limitations of commonly used field tests and provide important additional advantages. In particular, mobile sensing systems offer the opportunity of continuous monitoring during free-movement in the home-environment, thereby reducing the need of standardized assessments by health-care professionals. Future studies should examine the clinical validity of mobile sensing systems and evaluate the application of sensor technology in exercise-based interventions. DA - 2015/// PY - 2015 DO - 10.1186/s11556-015-0147-6 VL - 12 IS - 101284836 SP - 2 J2 - Eur. rev. aging phys. act. SN - 1813-7253 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=26865866 ER - TY - JOUR TI - HEALTH LAW AND ELDERLY PERSONS. AU - de Oliveira, Guilherme T2 - Medicine and law AB - The article stresses that the elderly probably do not need sophisticated health care because they probably suffer from known pathologies and are chronically ill. The elderly probably do need improvements in: 1. Law focused on respect for patients, including: Protection and promotion of personal autonomy and informed consent practice; adequate information; slowness and time to understand and decide. They also need effective legal representation and quick schemes for damage compensation. Other needs include: "ageing in place"; maintaining links with places, family and peers. 2. Law focused on access and on appropriate medical techniques, including: access; quality of care; trained professionals; long- term care instead of acute care; friendly modes of administration of medicines; friendly medical devices; information technology; medical research; and clinical trials. 3. Law focused on the sustainability of health care systems,including: social and technical innovation; promoting one's health through healthy lifestyles; and discussing the rationing of care. DA - 2015/// PY - 2015 VL - 34 IS - 1 SP - 603 EP - 625 J2 - Med Law SN - 0723-1393 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30759954 KW - Humans KW - Aged KW - Delivery of Health Care KW - *Decision Making KW - Personal Autonomy KW - *Informed Consent KW - *Legislation as Topic KW - Biomedical Research ER - TY - JOUR TI - Depression in assisted living. AU - Allen, Josh T2 - Geriatric nursing (New York, N.Y.) DA - 2015/// PY - 2015 VL - 36 IS - 1 SP - 78 EP - 80 J2 - Geriatr Nurs SN - 1528-3984 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=25806394 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - *Quality of Life KW - *Assisted Living Facilities KW - Severity of Illness Index KW - Incidence KW - *Depressive Disorder/ep [Epidemiology] KW - Geriatric Nursing/mt [Methods] KW - Depressive Disorder/di [Diagnosis] KW - *Depressive Disorder/nu [Nursing] KW - Societies, Nursing/og [Organization & Administration] ER - TY - JOUR TI - High prevalence of undernutrition and low dietary diversity in institutionalised elderly living in Sri Lanka. AU - Rathnayake, Kumari M AU - Wimalathunga, Mppm AU - Weech, Michelle AU - Jackson, Kim G AU - Lovegrove, Julie A T2 - Public health nutrition AB - OBJECTIVE: The present study aimed to assess nutritional status, dietary diversity and lifestyle risk factors associated with undernutrition in an institutionalised Sri Lankan elderly population., DESIGN: The study was of cross-sectional design followed by a stratified sampling method., SETTING: Twelve homes for the elderly recruited from six provinces in Sri Lanka., SUBJECTS: A total of 311 institutionalised elderly aged >=60 years., RESULTS: The mean age of the study population was 75 (sd 8) years. Prevalence of undernutrition was 30 %. Mean food variety score, dietary diversity score and dietary serving score of the study population were 8.7 (sd 1.5), 7.3 (sd 1.2) and 10.9 (sd 2.0), respectively. Mean daily intakes of fruit, vegetables, meat, fish, eggs and pulses and dairy portions were below the national recommendations, whereas the mean consumption of sugar exceeded the national recommendation. Only the mean intake of starch was within the recommendation. Food allergies (OR=8.0; 95 % CI 3.9, 16.2), skipping meals (OR=3.8; 95 % CI 2.0, 7.5) and lack of leisure activities (OR=3.1; 95 % CI 1.5, 6.7) significantly increased the risk of undernutrition, whereas the use of dentures decreased the risk (OR=0.20; 95 % CI 0.06, 0.69)., CONCLUSIONS: High prevalence of undernutrition and low dietary diversity were observed in an institutionalised elderly Sri Lankan population. Therefore, there is an urgent need to implement nutrition interventions as part of geriatric care to reduce undernutrition and improve the diets of the institutionalised elderly population in Sri Lanka. DA - 2015/// PY - 2015 DO - 10.1017/S1368980015000749 VL - 18 IS - 15 SP - 2874 EP - 80 J2 - Public Health Nutr SN - 1475-2727 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=25828742 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Leisure Activities KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Meals KW - Cross-Sectional Studies KW - Odds Ratio KW - Institutionalization KW - Sri Lanka/ep [Epidemiology] KW - *Malnutrition/ep [Epidemiology] KW - Dentures KW - *Housing for the Elderly KW - *Geriatric Assessment KW - *Diet KW - *Nutrition Assessment KW - Diet Surveys KW - Food Hypersensitivity/co [Complications] ER - TY - JOUR TI - Dietary availability in elderly Portuguese households. AU - Santos, Debora M AU - Rodrigues, Sara S P AU - Oliveira, Bruno M P M AU - de Almeida, Maria Daniel V T2 - Public health nutrition AB - OBJECTIVE: To identify dietary availability and its time trends in elderly Portuguese households., DESIGN: A set of four cross-sectional studies based on the Household Budget Surveys was used. The dietary data were described using the daily per capita availability of food and beverages, energy and selected nutrients (macronutrients, different lipid fractions and simple sugars). Differences between elderly household types and time trends were studied., SETTING: Portuguese Household Budget Survey data from 1989/1990, 1994/1995, 2000/2001 and 2005/2006., SUBJECTS: Households with members aged >=65 years were selected and categorized as solitary elderly female, solitary elderly male or couple (composed of one elderly female and one elderly male)., RESULTS: While cereals, fats/oils, potatoes and sugar/sugar products decreased, an increase occurred in milk/milk products, fruits, bottled water, fruit/vegetable juices and soft drinks (P<0.05). The highest values for foods and beverages were mostly found in couples, while the lowest ones were from solitary males. Exceptions were observed for cereals, eggs, milk/milk products, vegetables, fruits and non-alcoholic beverages, higher in solitary females; and for sugar/sugar products and alcoholic beverages, higher in solitary males. Over time, total energy and carbohydrates decreased while proteins and saturated fatty acids increased (P<0.001). Lipids increased in solitary males and couples (P<0.05). Simple sugars increased in solitary males but decreased in solitary females and couples (P<0.05)., CONCLUSIONS: The increases in fruits and vegetables in solitary females accord with a healthier food pattern, but overall imbalances in the macronutrient profile for all elderly households may imply a decreasing diet quality. DA - 2015/// PY - 2015 DO - 10.1017/S1368980014000494 VL - 18 IS - 3 SP - 392 EP - 402 J2 - Public Health Nutr SN - 1475-2727 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=24762448 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Patient Compliance KW - Cross-Sectional Studies KW - *Aging KW - Sex Characteristics KW - Family Characteristics KW - *Food Supply/ec [Economics] KW - Diet/td [Trends] KW - *Nutrition Policy KW - Portugal KW - *Energy Intake KW - Diet Surveys KW - *Diet/ae [Adverse Effects] KW - Diet/ec [Economics] KW - Social Change KW - Spatio-Temporal Analysis ER - TY - JOUR TI - Circulating vascular cell adhesion molecule-1 is associated with cerebral blood flow dysregulation, mobility impairment, and falls in older adults. AU - Tchalla, Achille E AU - Wellenius, Gregory A AU - Travison, Thomas G AU - Gagnon, Margaret AU - Iloputaife, Ikechukwu AU - Dantoine, Thierry AU - Sorond, Farzaneh A AU - Lipsitz, Lewis A T2 - Hypertension (Dallas, Tex. : 1979) T3 - [Comment in: Hypertension. 2015 Aug;66(2):263-4; PMID: 26056338 [https://www.ncbi.nlm.nih.gov/pubmed/26056338]] AB - Soluble vascular cell adhesion molecule-1 (sVCAM-1) is associated with hypertension, vascular inflammation, and systemic endothelial dysfunction. We evaluated whether elevated plasma sVCAM-1 is associated with impaired cerebrovascular function and mobility impairments in elderly people. We studied the cross-sectional relationships between plasma sVCAM-1 level, gait speed, and cerebrovascular hemodynamics, and its longitudinal relationship with falls in 680 community-dwelling participants aged >=65 years in the Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly (MOBILIZE) Boston Study. Falls were recorded prospectively for 1 year on daily calendars. sVCAM-1 was measured by ELISA assay and beat-to-beat blood flow velocity in the middle cerebral artery during rest and in response to changes in end-tidal CO2 was measured by transcranial Doppler ultrasound. sVCAM-1 concentration was 1094+/-340 ng/mL in normotensives, 1195+/-438 ng/mL in controlled hypertensives, and 1250+/-445 ng/mL in uncontrolled hypertensives (P=0.008). The mean resting blood flow velocity and cerebral vasomotor range were, respectively, 41.0+/-10.3 cm/s and 1.3+/-0.4 cm/s per millimeter of mercury. Elevated sVCAM-1 levels indicative of endothelial dysfunction were associated with reduced resting blood flow velocity (P=0.017) and cerebral vasomotor range (P=0.0048). Elevated sVCAM-1 levels were associated with slower gait speed (<0.8 m/s; odds ratio, 3.01; 95% confidence interval, 1.56-5.83; P=0.0011) and an increased odds of injurious falls (odds ratio, 2.4; 95% confidence interval, 1.4-4.2; P=0.0028). An elevated sVCAM-1 level may be a marker of cerebral blood flow dysregulation because of endothelial damage from hypertension. It may also signal the presence of cerebral microvascular disease and its clinical consequences, including slow gait speed and falls. Copyright © 2015 American Heart Association, Inc. DA - 2015/// PY - 2015 DO - 10.1161/HYPERTENSIONAHA.115.05180 VL - 66 IS - 2 SP - 340 EP - 6 J2 - Hypertension SN - 1524-4563 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=26056332 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Cohort Studies KW - Cross-Sectional Studies KW - Age Factors KW - Prospective Studies KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Incidence KW - Biomarkers/bl [Blood] KW - Gait/ph [Physiology] KW - *Mobility Limitation KW - Hypertension/pp [Physiopathology] KW - *Brain/bs [Blood Supply] KW - *Cerebrovascular Circulation/ph [Physiology] KW - *Regional Blood Flow/ph [Physiology] KW - *Vascular Cell Adhesion Molecule-1/bl [Blood] KW - Middle Cerebral Artery/ph [Physiology] ER - TY - JOUR TI - Diabetes in an older woman living in a long-term care residence. AU - Tessier, Daniel M AU - Meneilly, Graydon S T2 - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne DA - 2015/// PY - 2015 DO - 10.1503/cmaj.130851 VL - 187 IS - 4 SP - 269 EP - 271 J2 - CMAJ SN - 1488-2329 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=25135925 KW - Female KW - Humans KW - Aged, 80 and over KW - Activities of Daily Living KW - Nursing Homes KW - *Homes for the Aged KW - Long-Term Care KW - *Frail Elderly KW - *Diabetes Mellitus, Type 2/di [Diagnosis] KW - *Diabetes Mellitus, Type 2/th [Therapy] KW - *Hypoglycemic Agents/tu [Therapeutic Use] KW - *Insulin/tu [Therapeutic Use] KW - *Metformin/tu [Therapeutic Use] ER - TY - JOUR TI - Acceptability of a theory-based sedentary behaviour reduction intervention for older adults ('On Your Feet to Earn Your Seat'). AU - Matei, Raluca AU - Thune-Boyle, Ingela AU - Hamer, Mark AU - Iliffe, Steve AU - Fox, Kenneth R AU - Jefferis, Barbara J AU - Gardner, Benjamin T2 - BMC public health AB - BACKGROUND: Adults aged 60 years and over spend most time sedentary and are the least physically active of all age groups. This early-phase study explored acceptability of a theory-based intervention to reduce sitting time and increase activity in older adults, as part of the intervention development process., METHODS: An 8-week uncontrolled trial was run among two independent samples of UK adults aged 60-75 years. Sample 1, recruited from sheltered housing on the assumption that they were sedentary and insufficiently active, participated between December 2013 and March 2014. Sample 2, recruited through community and faith centres and a newsletter, on the basis of self-reported inactivity (<150 weekly minutes of moderate-to-vigorous activity) and sedentary behaviour (>= 6 h mean daily sitting), participated between March and August 2014. Participants received a booklet offering 16 tips for displacing sitting with light-intensity activity and forming activity habits, and self-monitoring 'tick-sheets'. At baseline, 4-week, and 8-week follow-ups, quantitative measures were taken of physical activity, sedentary behaviour, and habit. At 8 weeks, tick-sheets were collected and a semi-structured interview conducted. Acceptability was assessed for each sample separately, through attrition and adherence to tips, ANOVAs for behaviour and habit changes, and, for both samples combined, thematic analysis of interviews., RESULTS: In Sample 1, 12 of 16 intervention recipients completed the study (25% attrition), mean adherence was 40% (per-tip range: 15-61%), and there were no clear patterns of changes in sedentary or physical activity behaviour or habit. In Sample 2, 23 of 27 intervention recipients completed (15% attrition), and mean adherence was 58% (per-tip range: 39-82%). Sample 2 decreased mean sitting time and sitting habit, and increased walking, moderate activity, and activity habit. Qualitative data indicated that both samples viewed the intervention positively, found the tips easy to follow, and reported health and wellbeing gains., CONCLUSIONS: Low attrition, moderate adherence, and favourability in both samples, and positive changes in Sample 2, indicate the intervention was acceptable. Higher attrition, lower adherence, and no apparent behavioural impact among Sample 1 could perhaps be attributable to seasonal influences. The intervention has been refined to address emergent acceptability problems. An exploratory controlled trial is underway. DA - 2015/// PY - 2015 DO - 10.1186/s12889-015-1921-0 VL - 15 IS - 100968562 SP - 606 J2 - BMC Public Health SN - 1471-2458 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=26135402 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - United Kingdom KW - *Patient Acceptance of Health Care/sn [Statistics & Numerical Data] KW - Analysis of Variance KW - *Health Promotion/mt [Methods] KW - *Sedentary Behavior KW - *Exercise/px [Psychology] KW - *Health Behavior KW - Walking KW - *Patient Acceptance of Health Care/px [Psychology] KW - Health Promotion/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Antibiotic use in the care home setting: a retrospective cohort study analysing routine data. AU - Sundvall, Par-Daniel AU - Stuart, Beth AU - Davis, Martin AU - Roderick, Paul AU - Moore, Michael T2 - BMC geriatrics AB - BACKGROUND: Point prevalence studies in care homes show a high use of antibiotics, especially to treat urinary tract infections (UTI). There is a lack of large studies presenting annual antibiotic prescription data in care homes compared to those not in care homes. This study aimed to describe the pattern of antibiotic prescribing in those 75 years and over, with a focus on UTI., METHODS: In this retrospective longitudinal cohort study we used the Hampshire Health Record (HHR) containing routine data from general practices in Hampshire area, UK covering 1.24 million residents. Data were extracted throughout 2011 from the Hampshire Health Record on age, gender, care home status, antibiotic prescriptions, urinary catheters and comorbidity. Prescription pattern expressed as rate per 100 people. Nursing home residence defined by postcode. Logistic regression was used to assess independent risk of one or more antibiotic prescriptions in care home residents adjusting for age, sex and comorbidity, separately by catheter use., RESULTS: 102,020 of 1,244,313 residents in the Hampshire Health Record (8.2 %) were aged >=75 years of whom 7481 (7.3 %) were resident in care home settings. The annual antibiotic prescriptions increased from 53/100 inhabitants among those <75 years, to 142/100 among those >=75 years not in a care home and to 199/100 among those >=75 years in a care home. Care home residents with urinary catheters (4.4 %) had even higher use at 440/100 versus 188/100 if no catheter. UTI antibiotics showed a similar but more rapidly increasing pattern. For those in care homes without a urinary catheter, the odds ratio was 2.2 (2.1-2.3) higher for prescriptions of UTI antibiotics compared to those not in care homes after adjusting for age, gender and comorbidity. For those with a urinary catheter the odds ratio was 1.4 (1.1-1.8) for UTI antibiotics compared to those not in care homes. For all antibiotics the odds ratio was 1.2 (1.2-1.3)., CONCLUSIONS: Residence in a care home setting is associated with high antibiotic consumption; this is especially evident for UTI antibiotics where the odds of prescription is doubled. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0073-5 VL - 15 IS - 100968548 SP - 71 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=26108340 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Retrospective Studies KW - Cohort Studies KW - Follow-Up Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Longitudinal Studies KW - England/ep [Epidemiology] KW - *Anti-Bacterial Agents/tu [Therapeutic Use] KW - Homes for the Aged/td [Trends] KW - Nursing Homes/td [Trends] KW - Statistics as Topic/td [Trends] KW - Urinary Tract Infections/ep [Epidemiology] KW - Urinary Tract Infections/dt [Drug Therapy] KW - *Statistics as Topic/mt [Methods] ER - TY - JOUR TI - Longitudinal Predictors of Institutionalization in Old Age. AU - Hajek, Andre AU - Brettschneider, Christian AU - Lange, Carolin AU - Posselt, Tina AU - Wiese, Birgitt AU - Steinmann, Susanne AU - Weyerer, Siegfried AU - Werle, Jochen AU - Pentzek, Michael AU - Fuchs, Angela AU - Stein, Janine AU - Luck, Tobias AU - Bickel, Horst AU - Mosch, Edelgard AU - Wagner, Michael AU - Jessen, Frank AU - Maier, Wolfgang AU - Scherer, Martin AU - Riedel-Heller, Steffi G AU - Konig, Hans-Helmut AU - AgeCoDe Study Group T2 - PloS one A2 - Maier W, Scherer M, Abholz HH, Bachmann C, Bickel H, Blank W, van den Bussche H, Eifflaender-Gorfer S, Eisele M, Ernst A, Fuchs A, Heser K, Jessen F, Kaduszkiewicz H, Kaufeler T, Kohler M, Konig HH, Koppara A, Lange C, Leicht H, Luck T, Luppa M, Mayer M, Mosch E, Olbrich J, Pentzek M, Prokein J, Schumacher A, Riedel-Heller S, Stein J, Steinmann S, Tebarth F, Wagner M, Weckbecker K, Weeg D, Werle J, Weyerer S, Wiese B, Wolfsgruber S, Zimmermann T AB - OBJECTIVE: To investigate time-dependent predictors of institutionalization in old age using a longitudinal approach., METHODS: In a representative survey of the German general population aged 75 years and older predictors of institutionalization were observed every 1.5 years over six waves. Conditional fixed-effects logistic regressions (with 201 individuals and 960 observations) were performed to estimate the effects of marital status, depression, dementia, and physical impairments (mobility, hearing and visual impairments) on the risk of admission to old-age home or nursing home. By exploiting the longitudinal data structure using panel econometric models, we were able to control for unobserved heterogeneity such as genetic predisposition and personality traits., RESULTS: The probability of institutionalization increased significantly with occurrence of widowhood, depression, dementia, as well as walking and hearing impairments. In particular, the occurrence of widowhood (OR = 78.3), dementia (OR = 154.1) and substantial mobility impairment (OR = 36.7) were strongly associated with institutionalization., CONCLUSION: Findings underline the strong influence of loss of spouse as well as dementia on institutionalization. This is relevant as the number of old people (a) living alone and (b) suffering from dementia is expected to increase rapidly in the next decades. Consequently, it is supposed that the demand for institutionalization among the elderly will increase considerably. Practitioners as well as policy makers should be aware of these upcoming challenges. DA - 2015/// PY - 2015 DO - 10.1371/journal.pone.0144203 VL - 10 IS - 12 SP - e0144203 J2 - PLoS ONE SN - 1932-6203 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=26658776 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Logistic Models KW - Mobility Limitation KW - Germany KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Longitudinal Studies KW - *Dementia/di [Diagnosis] KW - Dementia/pp [Physiopathology] KW - *Depression/di [Diagnosis] KW - *Institutionalization/sn [Statistics & Numerical Data] KW - Depression/pp [Physiopathology] KW - Marital Status/sn [Statistics & Numerical Data] KW - Probability KW - *Hearing Loss/di [Diagnosis] KW - Hearing Loss/pp [Physiopathology] KW - Personality Assessment ER - TY - JOUR TI - Supervision of care networks for frail community dwelling adults aged 75 years and older: protocol of a mixed methods study. AU - Verver, Didi AU - Merten, Hanneke AU - Robben, Paul AU - Wagner, Cordula T2 - BMJ open AB - INTRODUCTION: The Dutch healthcare inspectorate (IGZ) supervises the quality and safety of healthcare in the Netherlands. Owing to the growing population of (community dwelling) older adults and changes in the Dutch healthcare system, the IGZ is exploring new methods to effectively supervise care networks that exist around frail older adults. The composition of these networks, where formal and informal care takes place, and the lack of guidelines and quality and risk indicators make supervision complicated in the current situation., METHODS AND ANALYSIS: This study consists of four phases. The first phase identifies risks for community dwelling frail older adults in the existing literature. In the second phase, a qualitative pilot study will be conducted to assess the needs and wishes of the frail older adults concerning care and well-being, perception of risks, and the composition of their networks, collaboration and coordination between care providers involved in the network. In the third phase, questionnaires based on the results of phase II will be sent to a larger group of frail older adults (n=200) and their care providers. The results will describe the composition of their care networks and prioritise risks concerning community dwelling older adults. Also, it will provide input for the development of a new supervision framework by the IGZ. During phase IV, a second questionnaire will be sent to the participants of phase III to establish changes of perception in risks and possible changes in the care networks. The framework will be tested by the IGZ in pilots, and the researchers will evaluate these pilots and provide feedback to the IGZ., ETHICS AND DISSEMINATION: The study protocol was approved by the Scientific Committee of the EMGO+institute and the Medical Ethical review committee of the VU University Medical Centre. Results will be presented in scientific articles and reports and at meetings. Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. DA - 2015/// PY - 2015 DO - 10.1136/bmjopen-2015-008632 VL - 5 IS - 8 SP - e008632 J2 - BMJ Open SN - 2044-6055 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=26307619 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Research Design KW - Surveys and Questionnaires KW - Geriatric Assessment/mt [Methods] KW - *Frail Elderly KW - Netherlands KW - Pilot Projects KW - *Independent Living/st [Standards] KW - *Community Networks/og [Organization & Administration] ER - TY - JOUR TI - Rationale and methods of a multicentre randomised controlled trial of the effectiveness of a Community Health Assessment Programme with Emergency Medical Services (CHAP-EMS) implemented on residents aged 55 years and older in subsidised seniors' housing buildings in Ontario, Canada. AU - Agarwal, Gina AU - McDonough, Beatrice AU - Angeles, Ricardo AU - Pirrie, Melissa AU - Marzanek, Francine AU - McLeod, Brent AU - Dolovich, Lisa T2 - BMJ open AB - INTRODUCTION: Chronic diseases and falls substantially contribute to morbidity/mortality among seniors, causing this population to frequently seek emergency medical care. Research suggests the paramedic role can be successfully expanded to include community-based health promotion and prevention. This study implements a community paramedicine programme targeting seniors in subsidised housing, a high-risk population and frequent users of emergency medical services (EMS). The aims are to reduce EMS calls, improve health outcomes and healthcare utilisation., METHODS/ANALYSIS: This is a pragmatic clustered randomised control trial in four communities across Ontario, Canada. Within each, four to eight seniors' apartment buildings will be paired and within each pair one building will be randomly assigned to receive the Community Health Assessment Programme through EMS (CHAP-EMS) intervention, while the other building receives no intervention. During the 1-year intervention, paramedics will run weekly sessions in a common area of the building, assessing risk factors for cardiovascular disease, diabetes and falls; providing health education and referrals to community programmes; and communicating results to the participant's primary physician. The primary outcomes are rate of emergency calls per 100 residents, change in blood pressure and change in Canadian Diabetes Risk (CANRISK) score, as collected by the local EMS and study databases. The secondary outcomes are change in health behaviours, measured using a preintervention and postintervention survey and healthcare utilisation, available through administrative databases. Analysis will mainly consist of descriptive statistics and generalised estimating equations, including subgroup cluster analysis., ETHICS/DISSEMINATION: This study is approved by the Hamilton Integrated Research Ethics Board and will follow the Tri-Council Policy Statement. Findings will be disseminated through reports to local stakeholders, publication in peer-reviewed journals and conference presentations., TRIAL REGISTRATION NUMBER: NCT02152891. Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. DA - 2015/// PY - 2015 DO - 10.1136/bmjopen-2015-008110 VL - 5 IS - 6 SP - e008110 J2 - BMJ Open SN - 2044-6055 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=26068514 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Program Evaluation KW - Aged KW - Middle Aged KW - Public Health KW - Chronic Disease KW - *Accidental Falls/pc [Prevention & Control] KW - *Cardiovascular Diseases/ep [Epidemiology] KW - Ontario/ep [Epidemiology] KW - Comorbidity KW - *Housing for the Elderly KW - *Health Promotion KW - Pilot Projects KW - *Diabetes Mellitus/ep [Epidemiology] KW - *Emergency Medical Services/sn [Statistics & Numerical Data] KW - Hypertension/co [Complications] KW - *Hypertension/pc [Prevention & Control] KW - *Preventive Medicine/og [Organization & Administration] ER - TY - JOUR TI - Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. AU - Marasinghe, Keshini Madara T2 - BMJ open AB - OBJECTIVES: Computerised clinical decision support systems (CCDSS) are used to improve the quality of care in various healthcare settings. This systematic review evaluated the impact of CCDSS on improving medication safety in long-term care homes (LTC). Medication safety in older populations is an important health concern as inappropriate medication use can elevate the risk of potentially severe outcomes (ie, adverse drug reactions, ADR). With an increasing ageing population, greater use of LTC by the growing ageing population and increasing number of medication-related health issues in LTC, strategies to improve medication safety are essential., METHODS: Databases searched included MEDLINE, EMBASE, Scopus and Cochrane Library. Three groups of keywords were combined: those relating to LTC, medication safety and CCDSS. One reviewer undertook screening and quality assessment., RESULTS: Overall findings suggest that CCDSS in LTC improved the quality of prescribing decisions (ie, appropriate medication orders), detected ADR, triggered warning messages (ie, related to central nervous system side effects, drug-associated constipation, renal insufficiency) and reduced injury risk among older adults., CONCLUSIONS: CCDSS have received little attention in LTC, as attested by the limited published literature. With an increasing ageing population, greater use of LTC by the ageing population and increased workload for health professionals, merely relying on physicians' judgement on medication safety would not be sufficient. CCDSS to improve medication safety and enhance the quality of prescribing decisions are essential. Analysis of review findings indicates that CCDSS are beneficial, effective and have potential to improve medication safety in LTC; however, the use of CCDSS in LTC is scarce. Careful assessment on the impact of CCDSS on medication safety and further modifications to existing CCDSS are recommended for wider acceptance. Due to scant evidence in the current literature, further research on implementation and effectiveness of CCDSS is required. Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. DA - 2015/// PY - 2015 DO - 10.1136/bmjopen-2014-006539 VL - 5 IS - 5 SP - e006539 J2 - BMJ Open SN - 2044-6055 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=25967986 KW - Humans KW - Nursing Homes KW - *Homes for the Aged KW - Long-Term Care KW - *Patient Safety/st [Standards] KW - *Drug Prescriptions/st [Standards] KW - *Drug-Related Side Effects and Adverse Reactions/pc [Prevention & Control] KW - *Computers KW - *Clinical Decision-Making/mt [Methods] KW - *Decision Support Systems, Clinical KW - Patient Harm/pc [Prevention & Control] ER - TY - JOUR TI - Elderly care between global and local services: the use of somatic care practices. AU - Mazuz, Keren T2 - BMJ case reports AB - Israel's population is ageing alongside the worldwide ageing population. As the population ages and the number of older people who are 'ageing in place' increases, the system of elderly care will face new opportunities and challenges in responding to non-institutional services for elderly care. There is an increasing demand for foreign caregivers despite differences in language and cultural background. This case report describes the global care services provided in Israel by caregivers from the Philippines to emphasis the cultural and social components of elderly care. The following case analyses the use of somatic care practices as culturally intuitive sensitivity practices adjustable to the local culture, especially since the caregiver from the Philippines and her Israeli patient do not share a common language or cultural background. Copyright 2015 BMJ Publishing Group Ltd. DA - 2015/// PY - 2015 DO - 10.1136/bcr-2015-211055 VL - 2015 IS - 101526291 J2 - BMJ Case Rep SN - 1757-790X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=26604226 KW - Female KW - Humans KW - Aged KW - *Caregivers/px [Psychology] KW - *Frail Elderly KW - *Home Care Services/og [Organization & Administration] KW - Frail Elderly/px [Psychology] KW - *Health Services for the Aged/og [Organization & Administration] KW - *Patient Acceptance of Health Care/px [Psychology] KW - Health Services Needs and Demand/og [Organization & Administration] KW - *Cultural Diversity KW - Aging/eh [Ethnology] KW - Social Change KW - Cross-Cultural Comparison KW - Israel/eh [Ethnology] KW - Patient Acceptance of Health Care/eh [Ethnology] KW - Philippines/eh [Ethnology] ER - TY - JOUR TI - Walking Training and Functioning Among Elderly Persons With Stroke: Results of a Prospective Cohort Study. AU - Karttunen, Auli H AU - Kallinen, Mauri AU - Peurala, Sinikka H AU - Hakkinen, Arja T2 - PM & R : the journal of injury, function, and rehabilitation AB - OBJECTIVE: To determine if 65- to 85-year-old persons who had a stroke within the previous 3-36 months can improve functioning and quality of life during walking rehabilitation., DESIGN: Prospective cohort study with 6-month follow-up., SETTING: Three inpatient rehabilitation centers and one outpatient rehabilitation center., PARTICIPANTS: A total of 147 persons who had sustained a stroke., INTERVENTION: The multidisciplinary rehabilitation intervention consisted of inpatient (20 days) or outpatient (18 days) rehabilitation with follow-up. Rehabilitation included walking exercises with and without body-weight support and conventional physiotherapy. After the rehabilitation period, participants received 10-15 individual physiotherapy sessions at outpatient clinics and guidance in home exercises., MEASUREMENTS: The 6-Minute Walking Test (6MWT), Berg Balance Scale (BBS), Assessment of Motor and Process Skills (AMPS), Functional Status Questionnaire (FSQ), Functional Independence Measure (FIM), WHO Quality of Life (WHOQOL-BREF), and Sense of Coherence (SOC-13) were administered at the beginning of rehabilitation and at 6-month follow-up., RESULTS: Walking distance (6MWT) improved by 17 +/- 51 meters (P < .001). The AMPS motor scale score improved by 0.15 +/- 0.65 logits (P = .010), the process scale score improved by 0.10 +/- 0.46 logits (P = .012), and the FSQ self-care score improved by 2.8 +/- 15.8 points (P = .039). The changes in the total (4.2 +/- 9.0), motor (3.7 +/- 8.0), and cognitive (0.5 +/- 2.0) scores of the FIM were statistically significant (P < .01). The BBS, WHOQOL-BREF, and SOC-13 remained unchanged., CONCLUSIONS: Walking distance and both self-reported and measured functioning improved during walking rehabilitation among elderly persons who had a stroke. Maintaining or improving functioning through rehabilitation and self-administered exercises may be important in supporting mobility and independent living outside institutional care. Copyright © 2015 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.pmrj.2015.06.444 VL - 7 IS - 12 SP - 1205 EP - 1214 J2 - PM R SN - 1934-1563 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=26164351 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Exercise Therapy/mt [Methods] KW - Time Factors KW - *Activities of Daily Living KW - Stroke/pp [Physiopathology] KW - Follow-Up Studies KW - Prospective Studies KW - *Stroke Rehabilitation KW - *Cognitive Behavioral Therapy/mt [Methods] KW - *Walking ER - TY - JOUR TI - Quality of life and attitudes to ageing in Turkish older adults at old people's homes. AU - Top, Mehmet AU - Dikmetas, Elif T2 - Health expectations : an international journal of public participation in health care and health policy AB - OBJECTIVES: The purpose of this study was to investigate quality of life (QOL) and attitudes to ageing in Turkish older adults at two old people's homes (nursing homes) and to explain relationship between QOL and attitudes to ageing., METHODS: This study is a quantitative and descriptive exploratory study of QOL and attitudes to ageing of older adults in nursing homes in a developing country., INSTRUMENTS: Two international data measurement tools were used for data collection. Data measurement instruments in this study are The World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD) and the WHO - Attitudes to Ageing Questionnaire (AAQ). The WHOQOL-OLD module consists of 24 items assigned to six facets (sensory abilities, autonomy, past, present and future activities, social participation, death and dying and intimacy) AAQ consists of 24 items classified in three domains (psychosocial loss, physical change and psychological growth) with eight items each., PARTICIPANTS: The Turkish version of the WHOQOL-OLD and AAQ was administered to 120 older (>65 years) adults living in two old people's homes in Samsun Province, Turkey. This study was conducted and planned between on 1 November 2011 and on 31 November, 2011., RESULTS: The results indicated that there was significant relationship between QOL and attitudes to ageing of older adults. In this study, the highest significant relationship is between psychological growth subscale of attitudes to ageing and sensory abilities subscale of QOL (r = 0.579; P < 0.01). Overall QOL and overall attitudes to ageing had a significant and positive relationship (r = 0.408; P < 0.01). The dimensions of attitudes to ageing (psychosocial loss, physical change and psychological growth) were significant predictors for QOL in older adults in Turkey. It was found that the gender does not affect overall QOL in older adults. However, happiness is significant variable for overall QOL in this study., CONCLUSION: The results suggest that QOL is a complex, multidimensional concept that should be studied at different levels of analysis in Turkey and other developing countries. The results of this study emphasize the importance of QOL in older adults in older people's homes in Turkey and attitudes to ageing of nursing home residents in Turkey. Copyright © 2012 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/hex.12032 VL - 18 IS - 2 SP - 288 EP - 300 J2 - Health Expect SN - 1369-7625 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=23240580 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Health Status KW - Cross-Sectional Studies KW - *Quality of Life/px [Psychology] KW - *Homes for the Aged KW - *Nursing Homes KW - Sex Factors KW - Age Factors KW - *Attitude KW - Mental Health KW - *Aging/px [Psychology] KW - Turkey ER - TY - JOUR TI - Reablement in community-dwelling older adults: a randomised controlled trial. AU - Tuntland, Hanne AU - Aaslund, Mona Kristin AU - Espehaug, Birgitte AU - Forland, Oddvar AU - Kjeken, Ingvild T2 - BMC geriatrics AB - BACKGROUND: There has been an increasing interest in reablement in Norway recently and many municipalities have implemented this form of rehabilitation despite a lack of robust evidence of its effectiveness. The aim of this study was to investigate the effectiveness of reablement in home-dwelling older adults compared with usual care in relation to daily activities, physical functioning, and health-related quality of life., METHODS: This is a parallel-group randomised controlled trial conducted in a rural municipality in Norway. Sixty-one home-dwelling older adults with functional decline were randomised to an intervention group (n = 31) or a control group (n = 30). The intervention group received ten weeks of multicomponent home-based rehabilitation. The Canadian Occupational Performance Measure (COPM) was used to measure self-perceived activity performance and satisfaction with performance. In addition, physical capacity and health-related quality of life were measured. The participants were assessed at baseline and at 3- and 9-month follow-ups., RESULTS: There were significant improvements in mean scores favouring reablement in COPM performance at 3 months with a score of 1.5 points (p = 0.02), at 9 months 1.4 points (p = 0.03) and overall treatment 1.5 points (p = 0.01), and for COPM satisfaction at 9 months 1.4 points (p = 0.03) and overall treatment 1.2 points (p = 0.04). No significant group differences were found concerning COPM satisfaction at 3 months, physical capacity or health-related quality of life., CONCLUSION: A 10-week reablement program resulted in better activity performance and satisfaction with performance on a long-term basis, but not the other outcomes measured., TRIAL REGISTRATION: The trial was registered in ClinicalTrials.gov November 20, 2012, identifier NCT02043262 . DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0142-9 VL - 15 IS - 100968548 SP - 145 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=26537789 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Program Evaluation KW - Norway KW - Aged KW - Aged, 80 and over KW - Recovery of Function KW - *Quality of Life KW - *Independent Living/px [Psychology] KW - *Home Care Services/og [Organization & Administration] KW - *Activities of Daily Living/px [Psychology] KW - Rural Population KW - Patient Satisfaction ER - TY - JOUR TI - Antioxidant vitamin intake and mortality: the Leisure World Cohort Study. AU - Paganini-Hill, Annlia AU - Kawas, Claudia H AU - Corrada, Maria M T2 - American journal of epidemiology AB - To assess the relationship between antioxidant vitamin intake and all-cause mortality in older adults, we examined these associations using data from the Leisure World Cohort Study, a prospective study of residents of the Leisure World retirement community in Laguna Hills, California. In the early 1980s, participants (who were aged 44-101 years) completed a postal survey, which included details on use of vitamin supplements and dietary intake of foods containing vitamins A and C. Age-adjusted and multivariate-adjusted (for factors related to mortality in this cohort-smoking, alcohol intake, caffeine consumption, exercise, body mass index, and histories of hypertension, angina, heart attack, stroke, diabetes, rheumatoid arthritis, and cancer) hazard ratios for death were calculated using Cox regression for 8,640 women and 4,983 men (median age at entry, 74 years). During follow-up (1981-2013), 13,104 participants died (median age at death, 88 years). Neither dietary nor supplemental intake of vitamin A or vitamin C nor supplemental intake of vitamin E was significantly associated with mortality after multivariate adjustment. A compendium that summarizes previous findings of cohort studies evaluating vitamin intake and mortality is provided. Attenuation in the observed associations between mortality and antioxidant vitamin use after adjustment for confounders in our study and in previous studies suggests that such consumption identifies persons with other mortality-associated lifestyle and health risk factors. Copyright © The Author 2014. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/aje/kwu294 VL - 181 IS - 2 SP - 120 EP - 6 J2 - Am J Epidemiol SN - 1476-6256 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=25550360 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prospective Studies KW - California KW - *Mortality KW - Health Behavior KW - *Dietary Supplements/sn [Statistics & Numerical Data] KW - Vitamin E/ad [Administration & Dosage] KW - *Antioxidants/ad [Administration & Dosage] KW - *Ascorbic Acid/ad [Administration & Dosage] KW - *Vitamin A/ad [Administration & Dosage] ER - TY - JOUR TI - The Risk Instrument for Screening in the Community (RISC): a new instrument for predicting risk of adverse outcomes in community dwelling older adults. AU - O'Caoimh, Ronan AU - Gao, Yang AU - Svendrovski, Anton AU - Healy, Elizabeth AU - O'Connell, Elizabeth AU - O'Keeffe, Gabrielle AU - Cronin, Una AU - Igras, Estera AU - O'Herlihy, Eileen AU - Fitzgerald, Carol AU - Weathers, Elizabeth AU - Leahy-Warren, Patricia AU - Cornally, Nicola AU - Molloy, D William T2 - BMC geriatrics AB - BACKGROUND: Predicting risk of adverse healthcare outcomes, among community dwelling older adults, is difficult. The Risk Instrument for Screening in the Community (RISC) is a short (2-5 min), global subjective assessment of risk created to identify patients' 1-year risk of three outcomes:institutionalisation, hospitalisation and death., METHODS: We compared the accuracy and predictive ability of the RISC, scored by Public Health Nurses (PHN), to the Clinical Frailty Scale (CFS) in a prospective cohort study of community dwelling older adults (n = 803), in two Irish PHN sectors. The area under the curve (AUC), from receiver operating characteristic curves and binary logistic regression models, with odds ratios (OR), compared the discriminatory characteristics of the RISC and CFS., RESULTS: Follow-up data were available for 801 patients. The 1-year incidence of institutionalisation, hospitalisation and death were 10.2, 17.7 and 15.6 % respectively. Patients scored maximum-risk (RISC score 3,4 or 5/5) at baseline had a significantly greater rate of institutionalisation (31.3 and 7.1 %, p < 0.001), hospitalisation (25.4 and 13.2 %, p < 0.001) and death (33.5 and 10.8 %, p < 0.001), than those scored minimum-risk (score 1 or 2/5). The RISC had comparable accuracy for 1-year risk of institutionalisation (AUC of 0.70 versus 0.63), hospitalisation (AUC 0.61 versus 0.55), and death (AUC 0.70 versus 0.67), to the CFS. The RISC significantly added to the predictive accuracy of the regression model for institutionalisation (OR 1.43, p = 0.01), hospitalisation (OR 1.28, p = 0.01), and death (OR 1.58, p = 0.001)., CONCLUSION: Follow-up outcomes matched well with baseline risk. The RISC, a short global subjective assessment, demonstrated satisfactory validity compared with the CFS. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0095-z VL - 15 IS - 100968548 SP - 92 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=26224138 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Cohort Studies KW - *Geriatric Assessment/mt [Methods] KW - Survival Rate/td [Trends] KW - Follow-Up Studies KW - Prospective Studies KW - Predictive Value of Tests KW - Independent Living/td [Trends] KW - *Mass Screening/mt [Methods] KW - *Hospitalization/td [Trends] KW - *Institutionalization/td [Trends] KW - *Mass Screening/td [Trends] ER - TY - JOUR TI - Memory training plus yoga for older adults. AU - McDougall, Graham J Jr AU - Vance, David E AU - Wayde, Ernest AU - Ford, Katy AU - Ross, Jeremiah T2 - The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses AB - Previous tests of the SeniorWISE intervention with community-residing older adults that were designed to improve affect and cognitive performance were successful and positively affected these outcomes. In this study, we tested whether adding yoga to the intervention would affect the outcomes. Using a quasiexperimental pre-post design, we delivered 12 hours of SeniorWISE memory training that included a 30-minute yoga component before each training session. The intervention was based on the four components of self-efficacy theory: enactive mastery experience, vicarious experience, verbal persuasion, and physiologic arousal. We recruited 133 older adults between the ages of 53 and 96 years from four retirement communities in Central Texas. Individuals were screened and tested and then attended training sessions two times a week over 4 weeks. A septuagenarian licensed psychologist taught the memory training, and a certified yoga instructor taught yoga. Eighty-three participants completed at least 9 hours (75%) of the training and completed the posttest. Those individuals who completed made significant gains in memory performance, instrumental activities of daily living, and memory self-efficacy and had fewer depressive symptoms. Thirteen individuals advanced from poor to normal memory performance, and seven improved from impaired to poor memory performance; thus, 20 individuals improved enough to advance to a higher functioning memory group. The findings from this study of a memory training intervention plus yoga training show that the benefits of multifactorial interventions had additive benefits. The combined treatments offer a unique model for brain health programs and the promotion of nonpharmacological treatment with the goals of maintaining healthy brain function and boosting brain plasticity. DA - 2015/// PY - 2015 DO - 10.1097/JNN.0000000000000133 VL - 47 IS - 3 SP - 178 EP - 88 J2 - J Neurosci Nurs SN - 1945-2810 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=25943999 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Combined Modality Therapy KW - *Yoga KW - *Learning ER - TY - JOUR TI - Patterns of Weekday and Weekend Sedentary Behavior Among Older Adults. AU - Marshall, Simon AU - Kerr, Jacqueline AU - Carlson, Jordan AU - Cadmus-Bertram, Lisa AU - Patterson, Ruth AU - Wasilenko, Kari AU - Crist, Katie AU - Rosenberg, Dori AU - Natarajan, Loki T2 - Journal of aging and physical activity AB - The purpose of this study was to compare estimates of sedentary time on weekdays vs. weekend days in older adults and determine if these patterns vary by measurement method. Older adults (N = 230, M = 83.5, SD = 6.5 years) living in retirement communities completed a questionnaire about sedentary behavior and wore an ActiGraph accelerometer for seven days. Participants engaged in 9.4 (SD = 1.5) hr per day of accelerometer-measured sedentary time, but self-reported engaging in 11.4 (SD = 4.9) hr per day. Men and older participants had more accelerometer-measured sedentary time than their counterparts. The difference between accelerometer-measured weekday and weekend sedentary time was nonsignificant. However, participants self-reported 1.1 hr per day more sedentary time on weekdays compared with weekend days. Findings suggest self-reported but not accelerometer-measured sedentary time should be investigated separately for weekdays and weekend days, and that self-reports may overestimate sedentary time in older adults. DA - 2015/// PY - 2015 DO - 10.1123/japa.2013-0208 VL - 23 IS - 4 SP - 534 EP - 41 J2 - J AGING PHYS ACTIVITY SN - 1543-267X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=25415205 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Accelerometry/is [Instrumentation] KW - *Sedentary Behavior KW - Self Report KW - California KW - Time ER - TY - JOUR TI - Exploring access to care among older people in the last phase of life using the behavioural model of health services use: a qualitative study from the perspective of the next of kin of older persons who had died in a nursing home. AU - Condelius, Anna AU - Andersson, Magdalena T2 - BMC geriatrics AB - BACKGROUND: There is little investigation into what care older people access during the last phase of their life and what factors enable access to care in this group. Illuminating this from the perspective of the next of kin may provide valuable insights into how the health and social care system operates with reference to providing care for this vulnerable group. The behavioural model of health services use has a wide field of application but has not been tested conceptually regarding access to care from the perspective of the next of kin. The aim of this study was to explore the care accessed by older people during the last phase of their life from the perspective of the next of kin and to conceptually test the behavioural model of health services use., METHODS: The data collection took place in 2011 by means of qualitative interviews with 14 next of kin of older people who had died in a nursing home. The interviews were analysed using directed content analysis. The behavioural model of health services use was used in deriving the initial coding scheme, including the categories: utilization of health services, consumer satisfaction and characteristics of the population at risk., RESULTS: Utilization of health services in the last phase of life was described in five subcategories named after the type of care accessed i.e. admission to a nursing home, primary healthcare, hospital care, dental care and informal care. The needs were illuminated in the subcategories: general deterioration, medical conditions and acute illness and deterioration when death approaches. Factors that enabled access to care were described in three subcategories: the organisation of care, next of kin and the older person. These factors could also constitute barriers to accessing care. Next of kin's satisfaction with care was illuminated in the subcategories: satisfaction, dissatisfaction and factors influencing satisfaction. One new category was constructed inductively: the situation of the next of kin., CONCLUSIONS: A bed in a nursing home was often accessed during what the next of kin regarded as the last phase of life. The needs among older people in the last phase of life can be regarded as complex and worsening over time. Most enabling factors lied within the organisation of care but the next of kin enabled access to care and contributed significantly to care quality. More research is needed regarding ageism and stigmatic attitudes among professionals and informal caregivers acting as a barrier to accessing care for older people in the last phase of their life. The behavioural model of health services use was extended with a new category showing that the situation of the next of kin must be taken into consideration when investigating access to care from their perspective. It may also be appropriate to include informal care as part of the concept of access when investigating access to care among older people in the last phase of their life. The results may not be transferable to older people who have not gained access to a bed in a nursing home or to countries where the healthcare system differs largely from the Swedish. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0126-9 VL - 15 IS - 100968548 SP - 138 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=26502955 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Qualitative Research KW - Patient Acceptance of Health Care/px [Psychology] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Patient Acceptance of Health Care/sn [Statistics & Numerical Data] KW - *Patient Acceptance of Health Care KW - *Health Services Accessibility/sn [Statistics & Numerical Data] KW - *Health Services for the Aged/sn [Statistics & Numerical Data] KW - Sweden KW - Hospitalization/sn [Statistics & Numerical Data] KW - Patient Satisfaction KW - Models, Psychological ER - TY - JOUR TI - A measure of person-centered practices in assisted living: the PC-PAL. AU - Zimmerman, Sheryl AU - Allen, Josh AU - Cohen, Lauren W AU - Pinkowitz, Jackie AU - Reed, David AU - Coffey, Walter O AU - Reed, Peter AU - Lepore, Michael AU - Sloane, Philip D AU - University of North Carolina-Center for Excellence in Assisted Living Collaborative T2 - Journal of the American Medical Directors Association A2 - Allen J, Clairmont J, Cohen L, Coffey W, Demeter L, Detrick B, Frazier S, Giorgio P, Lepore M, Pinkowitz J, Reed D, Reed P, Sloane P, Zimmerman S AB - OBJECTIVES: Develop self-administered questionnaires of person-centeredness for completion by residents and staff in assisted living (AL), in response to concerns that AL is not person-centered; also, demonstrated person-centeredness is necessary for Medicaid support as a home- and community-based services provider., DESIGN: Community-based participatory research partnership among a research team, a consortium of 11 stakeholder organizations, and others. Methods included literature review, item generation and reduction, cognitive testing, field testing, exploratory factor analysis, and convergent and discriminant validity testing., SETTING: Cognitive testing conducted in 2 AL residences and field testing conducted in 19 diverse, stratified AL residences in 6 states., PARTICIPANTS: Eight residents and staff participated in cognitive testing, and 228 residents and 123 staff participated in field testing., MEASUREMENTS: Feasibility and psychometric testing of draft questionnaires that included 75 items (resident version) and 102 items (staff version), with parallel items on both versions as appropriate., RESULTS: The final resident questionnaire included 49 items and 4 factors: well-being and belonging, individualized care and services, social connectedness, and atmosphere. The staff questionnaire included 62 items and 5 factors: workforce practices, social connectedness, individualized care and services, atmosphere, and caregiver-resident relationships. Staff scored person-centeredness higher than did residents, reflecting their different perspectives., CONCLUSION: The Person-Centered Practices in Assisted Living (PC-PAL) questionnaires measure person-centeredness from the perspectives of residents and staff, meaning that they reflect the concepts and items considered to be important to these key stakeholders. Use of these instruments to describe, assess, quantify, ensure, and ultimately improve person-centeredness in AL is feasible and appropriate for all AL settings, and supported by numerous national organizations. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2014.07.016 VL - 16 IS - 2 SP - 132 EP - 7 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=25244956 KW - Female KW - Humans KW - Male KW - United States KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Risk Assessment KW - Reproducibility of Results KW - Community-Based Participatory Research KW - *Geriatric Assessment/mt [Methods] KW - Follow-Up Studies KW - *Patient-Centered Care/og [Organization & Administration] KW - Severity of Illness Index KW - Quality Improvement KW - Psychometrics KW - *Surveys and Questionnaires KW - Cognition Disorders/di [Diagnosis] KW - Cognition Disorders/ep [Epidemiology] KW - *Assisted Living Facilities/og [Organization & Administration] KW - Patient Care Planning KW - *Cognition Disorders/th [Therapy] ER - TY - JOUR TI - Positive affect, depressive symptoms, and arthritis pain of elderly people over time. AU - Lee, Jeong E AU - Kahana, Eva AU - Kahana, Boaz AU - Barnes, Kaitlyn T2 - Healthy aging research AB - Background: Older adults frequently experience physical symptoms of arthritis pain. We examined the dynamic change of arthritis pain and depressive symptoms over time. We also addressed the influence of time varying arthritis pain on depressive symptoms and positive affect among community dwelling older individuals., Methods: Analyses were based on data from 4 annual follow-ups in a sample of 299 elderly residents (M=83.78) of Florida retirement communities. We estimated a hierarchical growth curve model that related the effects of time varying pain and characteristics of participants such as age, gender, cognitive functioning, emotional support and health. Growth curve modeling was used to assess changes in emotional well-being as a function of arthritis pain over time., Results: We found that depressive symptoms increased over 4 years whereas positive affect declined over 4 years with significant between-person differences in levels and slopes. As predicted, changes in arthritis pain co-varied with both depressive symptoms and positive affect over time. Gender, cognitive functioning, health conditions and emotional support from others were associated with between person differences in level of emotional well-being., Conclusions: Our findings suggest that conceptualization of emotional well-being of older adults as a dynamic, changing construct applies both depressive symptoms and positive affect. Findings also suggest that arthritis pain as well as emotional support contribute to depressive symptoms and to positive affect among older adults with arthritis. DA - 2015/// PY - 2015 DO - 10.12715/har.2015.4.16 VL - 4 IS - 101647988 J2 - Healthy aging res. SN - 2261-7434 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=29399574 ER - TY - JOUR TI - A comparison in the prevalence of malnutrition of elderly residents in a warden-assisted compared with home-living setting. AU - Riches, K AU - Jeanes, Y M T2 - Clinical nutrition ESPEN DA - 2015/// PY - 2015 DO - 10.1016/j.clnesp.2015.03.020 VL - 10 IS - 5 SP - e184 J2 - Clin Nutr ESPEN SN - 2405-4577 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=28531490 ER - TY - JOUR TI - Older Adults' Functional Performance and Health Knowledge After a Combination Exercise, Health Education, and Bingo Game. AU - Crandall, K Jason AU - Steenbergen, Katryn I T2 - Gerontology & geriatric medicine AB - Combining exercise, health education, and the game of bingo may help older adults remain independent. The objective was to determine whether a 10-week health promotion program (Bingocize) improves functional performance and health knowledge in older adults. Participants were assigned to experimental (n = 13) or control (n = 14) groups. The intervention was administered twice per week at two independent living facilities. Pre and postfunctional performance and health knowledge were measured. Mixed between-within subject ANOVA was used to detect differences between groups (p < .05). Improvements were found in all dependent variables except lower body flexibility, systolic blood pressure, and health knowledge. Adherence was 97.31% +/- 2.59%. Bingocize has the potential to help older adults remain independent by improving functional performance. Statistical improvements in health knowledge were not found, but future researchers may explore modifying the health education component or using a different measure of health knowledge to detect changes. DA - 2015/// PY - 2015 DO - 10.1177/2333721415613201 VL - 1 IS - 101662571 SP - 2333721415613201 J2 - Gerontol. geriatr. med. SN - 2333-7214 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=28138476 ER - TY - JOUR TI - Making the Move: A Mixed Research Integrative Review. AU - Gilbert, Sarah AU - Amella, Elaine AU - Edlund, Barbara AU - Nemeth, Lynne T2 - Healthcare (Basel, Switzerland) AB - The purpose of this mixed research integrative review is to determine factors that influence relocation transitions for older adults who are considering a move from independent living to supervised housing, such as assisted living, using the Theory of Planned Behavior as a conceptual guide. PubMED, CINAHL, and PsychInfo databases were queried using key words: relocation, transition, older adults, and, elderly and time limited from 1992 to 2014. Sixteen articles were retained for review. The majority of articles, qualitative in design, reveal that older adults who comprehend the need to move and participate in the decision-making process of a relocation adjust to new living environments with fewer negative outcomes than older adults who experience a forced relocation. The few quantitative articles examined the elements of impending relocation using a variety of instruments but support the necessity for older adults to recognize the possibility of a future move and contribute to the relocation process. Additionally, the influence of family, friends, and health care providers provides the older adult with support and guidance throughout the process. DA - 2015/// PY - 2015 DO - 10.3390/healthcare3030757 VL - 3 IS - 3 SP - 757 EP - 74 J2 - Healthcare (Basel) SN - 2227-9032 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=27417795 ER - TY - JOUR TI - Nutrition and Osteoporosis: Preliminary data of Campania Region of European PERsonalised ICT Supported Service for Independent Living and Active Ageing. AU - Vuolo, L AU - Barrea, L AU - Savanelli, M C AU - Savastano, S AU - Rubino, M AU - Scarano, E AU - Soprano, M AU - Illario, M AU - Colao, A AU - Di Somma, C T2 - Translational medicine @ UniSa AB - BACKGROUND: Bone impairment and malnutrition are associated with significant disability and mortality. PERSSILAA is an European project developing health services to detect and prevent frailty in older adults by addressing cognitive, physical and nutritional., METHODS: Subjects underwent anthropometric measurements, calcaneal quantitative ultrasound (QUS) scan and PREDIMED (PREvencion con DIeta MEDiterranea) questionnaire., AIM: To investigate the association between adherence to the Mediterranean Diet (MD) and bone health., RESULTS: 87 subjects (4 males and 83 females) 70.1+/-4.9 aged, were examined. Mean Body Mass Index (BMI) was 28.7+/-4.7(kg/m(2)): in particular 28 subjects (32.2%) resulted obese, 42 (48.3%) overweight, and only 17 (19.5%) with normal weight. Mean T score was -1.2+/-1.2: in particular 13 subjects (14.9%) resulted osteoporotic; 43 (49.5%) osteopenic; and 31 (35.6%) with normal bone mineral density. Regarding adherence to MD, 9 subjects (10.3%) were poorly adherent; 41 (47.2%) average adherent; 37 (42.5%) highly adherent. T-score was associated with PREDIMED score and osteoporotic subjects presented the lowest PREDIMED score (5.8+/-2.2)., CONCLUSIONS: These preliminary data show a significant correlation between the adherence to the MD and bone health parameters. The association between MD and bone health highlights the potential beneficial effects of nutritional interventions promoting a Mediterranean food pattern, as safe adjuvant treatment in ageing. DA - 2015/// PY - 2015 VL - 13 IS - 101588308 SP - 13 EP - 8 J2 - Transl. med. @ UniSa SN - 2239-9747 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=27042428 ER - TY - JOUR TI - From Hospital to Home: Limited Nutritional and Functional Recovery for Older Adults. AU - Young, A M AU - Mudge, A M AU - Banks, M D AU - Rogers, L AU - Allen, J AU - Vogler, B AU - Isenring, E T2 - The Journal of frailty & aging AB - BACKGROUND: The post-hospital period may be a vulnerable time for elders recovering from acute illness. Few studies have examined nutrition outcomes of older people at nutrition risk after acute hospitalisation., OBJECTIVES: This study aims to describe a) standard nutrition care received by recently discharged older medical patients, b) change in nutritional and functional status at six weeks post-discharge and c) clinical outcomes at twelve weeks post discharge., DESIGN: Prospective cohort study., SETTING: Two metropolitan teaching hospitals in Brisbane, Australia., PARTICIPANTS: Medical patients aged >=65 years at risk of malnutrition (Malnutrition Screening Score >=2) and discharged to independent living in the community., MEASUREMENT: Nutritional status (Mini Nutritional Assessment (MNA), weight, lean body mass), functional status (grip strength, walk speed, activities of daily living) and health-related quality of life assessed on discharge and six weeks post-discharge. Inpatient and post-discharge nutrition intervention was recorded. Death and unplanned admissions were measured at 12 weeks., RESULTS: Of the 42 consented participants, only 14% (n=6) received post-discharge dietitian review and 19% (n=8) received practical nutrition supports at home (meal delivery, shopping assistance) as part of standard care. While there was a small improvement in MNA (18.4+/-4.0 to 20.1+/-4.2, p=0.004) and walk speed (0.7+/-0.3 m/s to 0.9+/-0.3, p=0.004) at six weeks, there was no difference in mean weight, lean body mass, grip strength or activities of daily living. Five (15%) participants lost >=5% body weight. By twelve weeks, 17 participants (46%) had at least one unplanned hospital admission and four (10%) had died., CONCLUSIONS: Few patients at nutrition risk received nutrition-focussed care in the post-hospital period, and most did not improve nutritional or functional status at 6 weeks. DA - 2015/// PY - 2015 DO - 10.14283/jfa.2015.51 VL - 4 IS - 2 SP - 69 EP - 73 J2 - J. frailty & aging SN - 2260-1341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=27032047 ER - TY - JOUR TI - Exploring the context of sedentary behaviour in older adults (what, where, why, when and with whom). AU - Leask, Calum F AU - Harvey, Juliet A AU - Skelton, Dawn A AU - Chastin, Sebastien Fm T2 - European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity AB - BACKGROUND: Older adults are the most sedentary segment of the population. Little information is available about the context of sedentary behaviour to inform guidelines and intervention. There is a dearth of information about when, where to intervene and which specific behaviours intervention should target. The aim of this exploratory study was to obtain objective information about what older adults do when sedentary, where and when they are sedentary and in what social context., METHODS: The study was a cross-sectional data collection. Older adults (Mean age = 73.25, SD +/- 5.48, median = 72, IQR = 11) volunteers wore activPAL monitors and a Vicon Revue timelapse camera between 1 and 7 days. Periods of sedentary behaviour were identified using the activPAL and the context extracted from the pictures taken during these periods. Analysis of context was conducted using the Sedentary Behaviour International Taxonomy classification system., RESULTS: In total, 52 days from 36 participants were available for analysis. Participants spent 70.1 % of sedentary time at home, 56.9 % of sedentary time on their own and 46.8 % occurred in the afternoon. Seated social activities were infrequent (6.9 % of sedentary bouts) but prolonged (18 % of sedentary time). Participants appeared to frequently have vacant sitting time (41 % of non-screen sedentary time) and screen sitting was prevalent (36 % of total sedentary time)., CONCLUSIONS: This study provides valuable information to inform future interventions to reduce sedentary behaviour. Interventions should consider targeting the home environment and focus on the afternoon sitting time, though this needs confirmation in a larger study. Tackling social isolation may also be a target to reduce sedentary time. DA - 2015/// PY - 2015 DO - 10.1186/s11556-015-0146-7 VL - 12 IS - 101284836 SP - 4 J2 - Eur. rev. aging phys. act. SN - 1813-7253 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=26865868 ER - TY - JOUR TI - Non-therapist identification of falling hazards in older adult homes using digital photography. AU - Ritchey, Katherine C AU - Meyer, Deborah AU - Ice, Gillian H T2 - Preventive medicine reports AB - Evaluation and removal of home hazards is an invaluable method for preventing in-home falls and preserving independent living. Current processes for conducting home hazard assessments are impractical from a whole population standpoint given the substantial resources required for implementation. Digital photography offers an opportunity to remotely evaluate an environment for falling hazards. However, reliability of this method has only been tested under the direction of skilled therapists. Ten community dwelling adults over the age of 65 were recruited from local primary care practices between July, 2009 and February, 2010. In-home (IH) assessments were completed immediately after a photographer, blinded to the assessment form, took digital photographs (DP) of the participant home. A different non-therapist assessor then reviewed the photographs and completed a second assessment of the home. Kappa statistic was used to analyze the reliability between the two independent assessments. Home assessments completed by a non-therapist using digital photographs had a substantial agreement (Kappa = 0.61, p < 0.001) with in-home assessments completed by another non-therapist. Additionally, the DP assessments agreed with the IH assessments on the presence or absence of items 96.8% of the time. This study showed that non-therapists can reliably conduct home hazard evaluations using digital photographs. DA - 2015/// PY - 2015 DO - 10.1016/j.pmedr.2015.09.004 VL - 2 IS - 101643766 SP - 794 EP - 7 J2 - Prev Med Rep SN - 2211-3355 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=26844151 ER - TY - JOUR TI - The state of nutrition and the self-assessment of symptoms of depression in the group of seniors living in the countryside of Lublin province - preliminary report. AU - Bartoszek, Agnieszka AU - Domzal-Drzewicka, Renata AU - Kachaniuk, Hanna AU - Kocka, Katarzyna AU - Muzyczka, Katarzyna T2 - Przeglad gastroenterologiczny AB - INTRODUCTION: The incidence of malnutrition increases together with the number of chronic diseases and medications taken daily. There are also other factors causing changes in the nutrition of the elderly, raising the risk of undernourishment. Such factors include difficulties with daily shopping, meal preparation and other everyday activities, hindering access to food with proper quantitative and qualitative properties. The nutritional state of the elderly is influenced not only by somatic disorders, but also by mental disorders such as depression., AIM: To define the relationship between the nutritional state of the elderly living in their home environment and the incidence of depression., MATERIAL AND METHODS: The described sample consisted of 116 (100%) elderly persons living in the Lubelskie Voivodeship, using the services carried out within primary healthcare. The nutritional state of the elderly was assessed with the use of the full version of the Mini Nutritional Assessment (MNA) questionnaire. In order to determine the intensity of depression symptoms, the Geriatric Depression Scale (GDS) (the 15-item version by Yesavage) was applied., RESULTS: During analysis of the impact of depression on malnutrition risk, a correlation with a high statistical significance level was found. Malnutrition was significantly more often identified in people in whom the GDS scale revealed severe depression (p = 0.00002). The risk of depression has a substantial impact on nutritional state. The nutritional state of the elderly deteriorates together with the increase of the risk of depression., CONCLUSIONS: In over 48% of respondents, including those living with their families, an intensification of depression symptoms was found. DA - 2015/// PY - 2015 DO - 10.5114/pg.2015.49476 VL - 10 IS - 4 SP - 208 EP - 14 J2 - Prz. Gastroenterol. SN - 1895-5770 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=26759627 ER - TY - JOUR TI - Preliminary study on activity monitoring using an android smart-watch. AU - Ahanathapillai, Vijayalakshmi AU - Amor, James D AU - Goodwin, Zoe AU - James, Christopher J T2 - Healthcare technology letters AB - The global trend for increasing life expectancy is resulting in aging populations in a number of countries. This brings to bear a pressure to provide effective care for the older population with increasing constraints on available resources. Providing care for and maintaining the independence of an older person in their own home is one way that this problem can be addressed. The EU Funded Unobtrusive Smart Environments for Independent Living (USEFIL) project is an assistive technology tool being developed to enhance independent living. As part of USEFIL, a wrist wearable unit (WWU) is being developed to monitor the physical activity (PA) of the user and integrate with the USEFIL system. The WWU is a novel application of an existing technology to the assisted living problem domain. It combines existing technologies and new algorithms to extract PA parameters for activity monitoring. The parameters that are extracted include: activity level, step count and worn state. The WWU, the algorithms that have been developed and a preliminary validation are presented. The results show that activity level can be successfully extracted, that worn state can be correctly identified and that step counts in walking data can be estimated within 3% error, using the controlled dataset. DA - 2015/// PY - 2015 DO - 10.1049/htl.2014.0091 VL - 2 IS - 1 SP - 34 EP - 9 J2 - Healthc. technol. lett. SN - 2053-3713 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=26609402 ER - TY - JOUR TI - Risky decision-making is associated with residential choice in healthy older adults. AU - Seaman, Kendra L AU - Stillman, Chelsea M AU - Howard, Darlene V AU - Howard, James H Jr T2 - Frontiers in psychology T3 - [Comment in: Front Psychol. 2016;7:1304; PMID: 27628904 [https://www.ncbi.nlm.nih.gov/pubmed/27628904]] AB - As our society becomes more mobile and people reside farther away from their immediate families, competent decision-making has become critical for the older adults wishing to maintain their independence. However, very little is known about the relationship between residential choice and decision-making. Here we use the Balloon Analog Risk Task (BART) to examine risk-taking in two samples of older adults, one living in a retirement community and another living independently. We also used a cognitive model to gain insight into the cognitive factors underlying decision-making in these groups. We found that older adults living in a retirement community were more risk averse than their independent counterparts. Furthermore, this difference appeared to be motivated by group differences in initial perception of risk. This study suggests an intriguing difference between these two residential groups, and also points to the utility of using laboratory methods in research on real-world problems. DA - 2015/// PY - 2015 DO - 10.3389/fpsyg.2015.01192 VL - 6 IS - 101550902 SP - 1192 J2 - Front Psychol SN - 1664-1078 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=26322000 ER - TY - JOUR TI - The NEIL Memory Research Unit: psychosocial, biological, physiological and lifestyle factors associated with healthy ageing: study protocol. AU - Hannigan, Caoimhe AU - Coen, Robert F AU - Lawlor, Brian A AU - Robertson, Ian H AU - Brennan, Sabina T2 - BMC psychology AB - BACKGROUND: Population ageing is a global phenomenon that has characterised demographic trends during the 20th and 21st century. The rapid growth in the proportion of older adults in the population, and resultant increase in the incidence of age-related cognitive decline, dementia and Alzheimer's disease, brings significant social, economic and healthcare challenges. Decline in cognitive abilities represents the most profound threat to active and healthy ageing. Current evidence suggests that a significant proportion of cases of age-related cognitive decline and dementia may be preventable through the modification of risk factors including education, depressive symptomology, physical activity, social engagement and participation in cognitively stimulating activities. The NEIL Memory Research Unit cohort study was established to investigate factors related to brain health and the maintenance of cognitive function., METHODS: A cohort of 1000 normally ageing adults aged 50 years and over are being recruited to participate in comprehensive assessments at baseline, and at follow-up once every 2 years. The assessment protocol comprises a comprehensive neuropsychological battery, some basic physical measures, psychosocial scales, questionnaire measures related to a range of health, lifestyle and behavioural factors, and a measure of resting state activity using electroencephalography (EEG)., DISCUSSION: The NEIL Memory Research Unit cohort study will address key questions about brain health and cognitive ageing in the population aged 50+, with a particular emphasis on the influence of potentially modifiable factors on cognitive outcomes. Analyses will be conducted with a focus on factors involved in the maintenance of cognitive function among older adults, and therefore will have the potential to contribute significant knowledge related to key questions within the field of cognitive ageing, and to inform the development of public health interventions aimed at preventing cognitive decline and promoting active and healthy ageing. DA - 2015/// PY - 2015 DO - 10.1186/s40359-015-0079-y VL - 3 IS - 1 SP - 20 J2 - BMC Psychol SN - 2050-7283 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=26131366 ER - TY - JOUR TI - Nutritional self-care among a group of older home-living people in rural Southern Norway. AU - Dale, Bjorg AU - Soderhamn, Ulrika T2 - Journal of multidisciplinary healthcare AB - BACKGROUND: Older home-living people are an at-risk group for undernutrition, particularly those who are living alone. Lack of knowledge about healthy dietary habits, altered taste sensation, and declined health status are shown to be some of the factors related to undernutrition. The aims of this study were to explore how a small group of older people in Southern Norway perceived their nutritional self-care., METHODS: An exploratory qualitative approach, combined with a simple self-report questionnaire, was used. Five persons living in rural areas in Southern Norway, who in a former study were screened and found to be at risk for undernutrition, participated. Qualitative data assessed by means of individual self-care talks in the persons' own homes were analyzed using directed content analysis. A simple self-report questionnaire containing demographic variables, two health-related questions, and the Nutritional Form For the Elderly (NUFFE-NO) instrument was filled out at baseline and 6 months after the self-care talks., RESULTS: The qualitative data showed that the participants had adequate knowledge about healthy and nutritious diets. They were aware of and motivated to adapt their diet to their current state of health and to perform the necessary actions to maintain an optimal nutritional status and nutritional self-care., CONCLUSION: Older people living at home are a diverse group. However, this study showed that they may have sufficient knowledge, willingness, and ability to perform nutritional self-care, even if they live alone and have several chronic illnesses and impaired health. DA - 2015/// PY - 2015 DO - 10.2147/JMDH.S75521 VL - 8 IS - 101512691 SP - 67 EP - 74 J2 - J Multidiscip Healthc SN - 1178-2390 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=25670905 ER - TY - JOUR TI - The effects of laughter therapy on general health of elderly people referring to jahandidegan community center in shiraz, iran, 2014: a randomized controlled trial. AU - Ghodsbin, Fariba AU - Sharif Ahmadi, Zahra AU - Jahanbin, Iran AU - Sharif, Farkhondeh T2 - International journal of community based nursing and midwifery AB - BACKGROUND: Aging and its social-biological process naturally impair the functions of different body organs and cause progressive disabilities in managing personal affairs and performing social roles. Laughter therapy is an important strategy which has been recommended by experts for increasing health promotion in older adults. Therefore, we aimed to investigate the effect of laughter therapy program on public health of senior citizens., METHODS: In a randomized controlled trial, we enrolled 72 senior citizens aged 60 and over referring to Jahandidegan (Khold-e-Barin) retirement community center in Shiraz, southwest Iran during January to February 2014. The participants were assigned into experimental (N=36) and control (N=36) groups. Data were collected using General Health Questionnaire (GHQ-28) and demographic questionnaire. The participants of experimental group attended a laughter therapy program consisting of two 90-minute sessions per week lasting for 6 weeks., RESULTS: We found a statistically significant correlation between laughter therapy program and factors such as general health (P=0.001), somatic symptoms (P=0.001), insomnia and anxiety (P=0.001). However, there was no statistically significant correlation among laughter therapy, social dysfunction (P=0.28) and depression (P=0.069)., CONCLUSION: We concluded that laughter therapy can improve general health and its subscales in elderly people., TRIAL REGISTRATION NUMBER: IRCT2014061111691N4. DA - 2015/// PY - 2015 VL - 3 IS - 1 SP - 31 EP - 8 J2 - Int. j. community nurs. midwifery SN - 2322-2476 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=25553332 ER - TY - JOUR TI - [The quality of life of elderly citizens in Kazakhstan (by the example of Astana)]. AU - Amirgaliyev, Y R T2 - Advances in gerontology = Uspekhi gerontologii AB - The article presents the results of the study of self-assessment of quality of life of older Kazakhstan citizens. The differences between the self-assessment of quality of life of older people living in institutional care in the hospital and outside the hospital are discussed. The results show that elderly people who live in institutional care in a hospital, assess the quality of life is better than older people living independently. DA - 2015/// PY - 2015 VL - 28 IS - 3 SP - 586 EP - 588 J2 - Adv Gerontol SN - 1561-9125 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=28509501 KW - Female KW - Humans KW - Male KW - Aged KW - Activities of Daily Living KW - Qualitative Research KW - *Independent Living KW - *Quality of Life KW - *Aging KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Independent Living/sn [Statistics & Numerical Data] KW - Aging/ph [Physiology] KW - Independent Living/px [Psychology] KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - Aging/px [Psychology] KW - Self-Assessment KW - Kazakhstan/ep [Epidemiology] ER - TY - JOUR TI - [The study of general satisfaction in stationary social institutions (Yaroslavl Regional Gerontology Center)]. AU - Startseva, O N T2 - Advances in gerontology = Uspekhi gerontologii AB - The article analyzes the satisfaction with social environment of patients of older age groups living in the Yaroslavl Regional Gerontology Center. On the basis of a survey of 118 patients of older age groups the satisfaction with the living conditions in the institution, the provision of socio-medical assistance, catering, leisure activities and social environment were assessed. 92,4 % of patients reported of their satisfaction, in general, with the stay. The obtained information confirms necessity of creation of qualitative therapeutic environment in a hospital of social service. DA - 2015/// PY - 2015 VL - 28 IS - 4 SP - 780 EP - 782 J2 - Adv Gerontol SN - 1561-9125 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=28509471 KW - Female KW - Humans KW - Male KW - Aged KW - Health Care Surveys KW - Activities of Daily Living KW - Qualitative Research KW - *Quality of Life KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Long-Term Care KW - *Social Environment KW - Personal Satisfaction KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - Long-Term Care/px [Psychology] KW - Long-Term Care/st [Standards] KW - Russia ER - TY - JOUR TI - [Demographic aspects of population aging in Saint-Petersburg at the end of XX-the beginning of XXI century. Part I. Conventional aging measures]. AU - Safarova, A A AU - Safarova, G L AU - Kosolapenko, N G AU - Arutyunov, A V T2 - Advances in gerontology = Uspekhi gerontologii AB - The paper represents the first part of the series of two articles on demographic aspects of population aging in Saint-Petersburg in 1990-2010 compared to the situation in the Russian Federation as a whole. In the first part, the situation with the population aging in Saint-Petersburg and Russia is considered based on traditional aging measures - the proportion of elderly in the total population, aging index, old age dependency rate and the parents support ratio. In the second part, a number of prospective aging indicators that take account of remaining life expectancy, will be studied. The analysis also includes the consideration of gender imbalance of aging indicators. Accelerating of population aging in Saint-Petersburg and Russia leads to a new demographic situation requiring a number of economic and socially oriented measures. DA - 2015/// PY - 2015 VL - 28 IS - 4 SP - 605 EP - 611 J2 - Adv Gerontol SN - 1561-9125 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=28509444 KW - Female KW - Humans KW - Male KW - Aged KW - Needs Assessment KW - *Independent Living KW - Social Support KW - Sex Factors KW - Independent Living/sn [Statistics & Numerical Data] KW - Forecasting KW - Socioeconomic Factors KW - Russia/ep [Epidemiology] KW - Independent Living/td [Trends] KW - *Population Dynamics KW - Population Dynamics/td [Trends] KW - *Life Expectancy/td [Trends] KW - Demography/td [Trends] KW - Population Dynamics/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Utility of iliac vein stenting in elderly population older than 80 years. AU - Raju, Seshadri AU - Ward, Mark T2 - Journal of vascular surgery. Venous and lymphatic disorders AB - BACKGROUND: The geriatric population aged 80 years and older with severe manifestations of chronic venous disease face diminishing therapeutic options. Self-applied compression is often not possible because of frailty or arthritis. Significant limb swelling diminishes mobility, affects independent living, and precipitates institutionalization. Limb ulceration and pain diminish quality of life at a time when it is paramount. Cellulitis uniquely poses septicemic risk in this age group. Family caregivers are often able to continue home care if the intensity of care can be reduced. Iliac vein stenting may have a role as it appears to be safe and effective in this advanced stage of life., METHODS: Patients who had failed to respond to compression and desired palliation of continuing severe chronic venous disease symptoms were considered for iliac vein stenting. Intravascular ultrasound-guided stenting was carried out under fluoroscopy without venography in case of allergy to contrast material or decreased renal function. General anesthesia was used for better cardiopulmonary control., RESULTS: A total of 107 limbs (12 bilateral) were treated with iliac vein stents during a 13-year period, representing 5% of all stented limbs. Median age was 83 years (80-96 years), and 10 were >= 90 years; 59% were post-thrombotic. Clinical, etiologic, anatomic, and pathologic classification was as follows: C2 (with pain), 3%; C3, 32%; C4, 33%; C5, 5%; and C6, 27%. Concurrent saphenous ablation was carried out in 28% when saphenous reflux was considered ancillary and not the main disease. There was no mortality. Reintervention was required in 20% of limbs for nonocclusive stent malfunction; 2% of stents occluded. Primary and primary-assisted duplex patency rates at 5 years were 52% and 90%, respectively. The visual analog scale score of pain improved from median 4 (0-9) to 0 (0-10) after stenting (P < .0001). Pain was completely relieved in 43% of limbs. Cumulative improvement in the pain score of at least 3 points was 71% at 6 years. Swelling (grade 0, none; grade 1, pitting; grade 2, ankle edema; grade 3, gross) improved from median 3 (0-3) to 1 (0-3) (P < .0001). Swelling completely resolved in 25% of limbs. Cumulative improvement of at least one grade of swelling (examination) was 63% at 6 years; 70% of limbs (n = 33) with prior cellulitis were relieved of recurrence after stent placement; 61% of active ulcers healed, and 37% of patients were able to discard stockings (P < .001)., CONCLUSIONS: Iliac vein stenting appears to offer a safe and effective option in octogenarians and nonagenarians when compression fails, is difficult, or is impossible. Copyright © 2015 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jvsv.2014.08.001 VL - 3 IS - 1 SP - 58 EP - 63 J2 - J Vasc Surg Venous Lymphat Disord SN - 2213-3348 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26993682 KW - Humans KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Chronic Disease KW - Quality of Life KW - *Iliac Vein/su [Surgery] KW - *Stents KW - *Venous Insufficiency KW - Phlebography KW - Ultrasonography, Interventional KW - Venous Insufficiency/px [Psychology] KW - Venous Insufficiency/su [Surgery] ER - TY - JOUR TI - [A MULTIDISCIPLINARY BIOPSYCHOSOCIAL INTEGRATED APPROACH IN ORGANIZATION OF REHABILITATIVE ACTIVITY IN NURSING HOMES (RSA)]. AU - Panella, Lorenzo AU - Piccioni, Davide AU - Borcescu, Lidia AU - Isella, Celeste AU - Callegari, Camilla T2 - Un approccio multidisciplinare integrato bio-psico-sociale nella programmazione dell'attivita riabilitativa nelle Residenze Sanitarie Assistenziali (RSA). AB - Objectives , social role and organization of Italian nursing homes (RSA) are characterized by a pronounced regional differentiation that causes situations which are difficult to compare about expected outcomes. The definition of a functional outcome is particularly difficult in institutionalized patients and this is due to the failure of a conclusive moment of the rehabilitative treatment. Furthermore we often take care of patients who have already been admitted to intensive and/or extensive rehabilitation units time after time, without further functional profit margin. The inconstant presence of professional figures of rehabilitation in nursing homes' staff makes difficult the drafting of an adequate rehabilitative project, especially for the multiple needs of frail old people. Starting with these assumptions, authors hypothesize and adopt a model of sanitary organization to consent a correct allocation of available resources, according to the patient's needs. They stratified all nursing home patients, using the Multidimensional Prognostic Index (MPI) and "Scheda di osservazione intermedia assistenza" (SOSIA), and measured the residual function. They concluded that a multidimensional evaluation of patients allows to identify wellness (of the sick person and of caregivers) as the main objective; nursing home organization could be think as a "complex supportive prosthesis for old people", made by the interaction among structure, operators and activities. DA - 2015/// PY - 2015 VL - 37 IS - 4 SP - 255 EP - 9 J2 - G Ital Med Lav Ergon SN - 1592-7830 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26934811 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Frail Elderly KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Prognosis KW - Italy KW - *Interdisciplinary Communication KW - *Rehabilitation/og [Organization & Administration] ER - TY - JOUR TI - [Assessment, evaluation and nutrition monitoring in older people living in a rest home]. AU - Pfrimer, Karina AU - Marques Messias, Mariana AU - Ferriolli, Eduardo AU - Vieira Salles, Marcia Saladini AU - Roma Junior, Luiz Carlos AU - Saran Netto, Arlindo AU - Zanetti, Marcus Antonio AU - Vannucchi, Helio T2 - Avaliacao e acompanhamento nutricional em idosos de uma instituicao de longa permanencia. AB - Institutionalized elderly have an increased risk of changes in nutritional status, therefore sensitive parameters are necessary for the identification of changes in nutritional status. The aim of this study was to evaluate parameters for analysis of the nutritional status of institutionalized elderly in a period of three months by means of biochemical and anthropometric measurements. Eighty one volunteers were selected, with 78 +/- 10 years old and 53% female. Anthropometric data showed that the variables body mass index, weight, fat mass, and phase angle of the institutionalized elderly in three months decreased with significant difference between the assessments. Among all the biochemical and anthropometric measurements, body mass index, weight, fat mass, phase angle and blood fat were the indicators of nutritional assessment that identified early changes and nutritional risks of institutionalized elderly in three months. It is noteworthy that the early evaluation of nutritional indicators can prevent nutritional risk among elderly in living in rest homes. DA - 2015/// PY - 2015 VL - 65 IS - 2 SP - 104 EP - 9 J2 - Arch Latinoam Nutr SN - 0004-0622 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26817382 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Long-Term Care KW - Body Mass Index KW - Brazil KW - *Nutrition Assessment KW - Statistics, Nonparametric KW - *Nutritional Status/ph [Physiology] KW - Body Weight/ph [Physiology] KW - *Institutionalization/sn [Statistics & Numerical Data] KW - Adiposity/ph [Physiology] KW - Muscle Strength/ph [Physiology] KW - C-Reactive Protein/an [Analysis] KW - *Elder Nutritional Physiological Phenomena ER - TY - JOUR TI - Lynx: Automatic Elderly Behavior Prediction in Home Telecare. AU - Lopez-Guede, Jose Manuel AU - Moreno-Fernandez-de-Leceta, Aitor AU - Martinez-Garcia, Alexeiw AU - Grana, Manuel T2 - BioMed research international AB - This paper introduces Lynx, an intelligent system for personal safety at home environments, oriented to elderly people living independently, which encompasses a decision support machine for automatic home risk prevention, tested in real-life environments to respond to real time situations. The automatic system described in this paper prevents such risks by an advanced analytic methods supported by an expert knowledge system. It is minimally intrusive, using plug-and-play sensors and machine learning algorithms to learn the elder's daily activity taking into account even his health records. If the system detects that something unusual happens (in a wide sense) or if something is wrong relative to the user's health habits or medical recommendations, it sends at real-time alarm to the family, care center, or medical agents, without human intervention. The system feeds on information from sensors deployed in the home and knowledge of subject physical activities, which can be collected by mobile applications and enriched by personalized health information from clinical reports encoded in the system. The system usability and reliability have been tested in real-life conditions, with an accuracy larger than 81%. DA - 2015/// PY - 2015 DO - 10.1155/2015/201939 VL - 2015 IS - 101600173 SP - 201939 J2 - Biomed Res Int SN - 2314-6141 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26783514 KW - Humans KW - Aged KW - Electronic Health Records KW - *Activities of Daily Living KW - Algorithms KW - Assisted Living Facilities KW - *Telemedicine KW - *Home Care Services ER - TY - JOUR TI - [Problems with drugs administration in nursing homes]. AU - Di Giulio, Paola AU - Castaldo, Anna AU - Zanetti, Ermellina T2 - I problemi con le terapie in RSA. AB - SUMMARY: Problems with drugs administration in nursing homes. A survey in a convenience sample of nursing homes was the occasion to collect data on the frequency of some common problems related to the administration of drugs to dementia residents. Some common problems such as crushing tables and opening capsules, the concealment of drugs in food and beverage to mask their bitter taste, the unavoidable administration of insulin after meals are discussed. DA - 2015/// PY - 2015 DO - 10.1702/2110.22866 VL - 34 IS - 4 SP - 198 EP - 207 J2 - Assist Inferm Ric SN - 2038-1778 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26779877 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Workforce KW - *Homes for the Aged KW - *Nurse's Role KW - *Nursing Homes KW - *Aging KW - Dementia/dt [Drug Therapy] KW - *Dementia/nu [Nursing] KW - Drug Utilization KW - Dosage Forms KW - *Conjunctivitis/nu [Nursing] KW - *Diabetes Mellitus, Type 1/nu [Nursing] KW - Conjunctivitis/dt [Drug Therapy] KW - Deglutition Disorders/nu [Nursing] KW - Diabetes Mellitus, Type 1/dt [Drug Therapy] KW - Insulin/ad [Administration & Dosage] KW - Ophthalmic Solutions/ad [Administration & Dosage] KW - Psychotropic Drugs/ad [Administration & Dosage] ER - TY - JOUR TI - To a Deeper Understanding of Loneliness amongst Older Irish Adults. AU - Squires, Susan Elaine T2 - Collegium antropologicum AB - Loneliness can play a significant role in the wellbeing of older adults. This article describes a qualitative method for using case notes from the clinical records of older individuals in order to investigate the priority concerns spontaneously reported by older adults to deepen our understanding of both the context in which reported loneliness occurs in Ireland and the potential triggers. The participants in this study represent a cross-section of older adults who participated in the Technology Research for Independent Living Clinic (TRIL). Data were collected from participants through interviewer case notes at the TRIL centre in St James's hospital, Dublin. 624 participants (431 females; 193 males) ranging in age from 60-92 years (Mean 73 years, SD 7 years) took part in the study. All were community dwelling and provided consent. A thematic analysis from grounded theory was used to evaluate the case notes for each participant. Preliminary results highlight the richness of phenomenological experience to enhance our understanding of loneliness and provide an opportunity to better understand the precursors and variability that loneliness may take. In this study we found themes in the case note analysis linking social loneliness with self-imposed limitations on social engagement due to declining health while predominate themes for emotionally lonely focused on psychological issues of stress and anxiety associated with adverse life events. The results suggest the importance of case notes to inform clinical practice. Qualitative results provided insights into differing live events of older Irish adults, which help distinguish the causal differences between social and emotional loneliness. DA - 2015/// PY - 2015 VL - 39 IS - 2 SP - 289 EP - 95 J2 - Coll Antropol SN - 0350-6134 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26753445 KW - Female KW - Humans KW - Male KW - Ireland KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Cross-Sectional Studies KW - *Loneliness/px [Psychology] KW - Social Behavior KW - Emotions KW - Social Isolation ER - TY - JOUR TI - Assessment of the nutritional status of residents in homes for the elderly in Lattakia, Syrian Arab Republic. AU - Hallaj, F A T2 - Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit AB - Malnutrition is common among residents of homes for the elderly. This study aimed to identify the nutritional status of people in residential homes for the elderly in Lattakia, Syrian Arab Republic, and to determine the factors that affected nutritional status in these homes. A total of 103 elderly people in 3 residential homes were interviewed individually using an Arabic version of the Mini Nutritional Assessment (MNA) scale, and anthropometric measurements were carried out to assess nutritional status. The mean age was 70.9 (SD 6.4) years. Two-thirds of residents were either at risk of malnutrition (39.8%; score 17-23 on the MNA) or malnourished (19.4%; score < 17 on the MNA). Mean body mass index was 22.0 (SD 4.7) kg/m(2). Nutritional status was significantly affected by age, level of education, source of income, duration of stay in the home, number of diseases, number of medicines taken, anthropometric data and teeth and vision problems. DA - 2015/// PY - 2015 VL - 21 IS - 10 SP - 753 EP - 61 J2 - East Mediterr Health J SN - 1020-3397 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26750166 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Nutritional Status KW - *Homes for the Aged KW - Interviews as Topic KW - Anthropometry KW - Syria ER - TY - JOUR TI - Ambulation and independence among Veterans with nontraumatic bilateral lower-limb loss. AU - Sharath, Sherene AU - Henson, Helene AU - Flynn, Stacy AU - Pisimisis, George AU - Kougias, Panos AU - Barshes, Neal R T2 - Journal of rehabilitation research and development AB - In describing functional outcomes and independent living in a cohort of bilateral major amputees, we sought to provide current estimates of function and independence after a second major amputation in an elderly Veteran population with peripheral arterial disease and/or diabetes. After retrospectively reviewing and excluding the electronic health records of those failing to meet the inclusion criteria, we identified 40 patients with a history of unilateral major amputation who underwent a second major amputation during the defined study period. Of these, 43% (17) were bilateral transfemoral amputations (TFAs); bilateral transtibial amputations (TTAs) and TFA-TTA accounted for the rest (33% and 25%, respectively). Of the 19 (48%) patients who were ambulatory prior to bilateral amputation, only 2 (11%) remained ambulatory after the second amputation, while 17 (89%) patients lost ambulatory capabilities. Compared with those who were DA - 2015/// PY - 2015 DO - 10.1682/JRRD.2014.07.0176 VL - 52 IS - 7 SP - 851 EP - 8 J2 - J Rehabil Res Dev SN - 1938-1352 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26745753 KW - Adult KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Retrospective Studies KW - Follow-Up Studies KW - *Veterans KW - *Mobility Limitation KW - *Walking/ph [Physiology] KW - *Recovery of Function KW - *Amputation/rh [Rehabilitation] KW - *Amputees/rh [Rehabilitation] KW - *Lower Extremity/su [Surgery] KW - Artificial Limbs ER - TY - JOUR TI - Patient safety in domiciliary dental care for elderly nursing home residents in Sweden. AU - Sjogren, P AU - Backman, N AU - Sjostrom, O AU - Zimmerman, M T2 - Community dental health AB - OBJECTIVE: To analyse patient safety in domiciliary dental care, with data from a quality registry., DESIGN: Retrospective analysis., CLINICAL SETTING: Domiciliary dental care, private caregiver, Sweden, 2012-2014., METHODS: All reported events in the quality registry at a provider of domiciliary dental care, (2012-05-01 to 2014-06-30) were categorized into 14 domains, and for severity as 'minor', 'moderate', or 'serious' events. The reported events were also independently assessed by an experienced reviewer for national requirements of reporting patient safety related events., RESULTS: The quality registry covered 724 (0.03%) reported events during 218,586 consecutive treatment sessions in domiciliary dental care, including 628,070 registered dental procedures. Fifty (6.9%) of the reported events were patient safety related, of which 11 (1.5%) events were reportedly of minor severity, 20 (2.8%) as moderate, and 19 (2.6%) as serious. For all degrees of severity, the most frequently reported events were related to problems with patient identity control (3.3%). None of the events required reporting to national authorities., CONCLUSIONS: Domiciliary dental care has a low frequency of patient safety related events (0.03% of all treatments). Identity controls need to be emphasised in nursing homes or where individuals are dependent on the care of others. DA - 2015/// PY - 2015 VL - 32 IS - 4 SP - 216 EP - 20 J2 - Community Dent Health SN - 0265-539X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26738218 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Registries KW - Retrospective Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Home Care Services KW - Sweden KW - Referral and Consultation KW - *Patient Safety KW - Dentition KW - *Dental Care for Aged KW - Dental Caries/cl [Classification] KW - Patient Harm KW - Patient Identification Systems KW - Tooth Root/pa [Pathology] ER - TY - JOUR TI - Promoting autonomy in a smart home environment with a smarter interface. AU - Brennan, C P AU - McCullagh, P J AU - Galway, L AU - Lightbody, G T2 - Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference AB - In the not too distant future, the median population age will tend towards 65; an age at which the need for dependency increases. Most older people want to remain autonomous and self-sufficient for as long as possible. As environments become smarter home automation solutions can be provided to support this aspiration. The technology discussed within this paper focuses on providing a home automation system that can be controlled by most users regardless of mobility restrictions, and hence it may be applicable to older people. It comprises a hybrid Brain-Computer Interface, home automation user interface and actuators. In the first instance, our system is controlled with conventional computer input, which is then replaced with eye tracking and finally a BCI and eye tracking collaboration. The systems have been assessed in terms of information throughput; benefits and limitations are evaluated. DA - 2015/// PY - 2015 DO - 10.1109/EMBC.2015.7319522 VL - 2015 IS - 101243413 SP - 5032 EP - 5 J2 - Conf Proc IEEE Eng Med Biol Soc SN - 1557-170X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26737422 KW - Adult KW - Humans KW - Middle Aged KW - User-Computer Interface KW - Automation KW - *Brain-Computer Interfaces KW - Electroretinography KW - Eye Movements/ph [Physiology] KW - Radio Frequency Identification Device KW - Remote Sensing Technology ER - TY - JOUR TI - Early illness recognition using frequent motif discovery. AU - Hajihashemi, Zahra AU - Popescu, Mihail T2 - Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference AB - Living alone in their own residence, older adults are at risk for late assessment of physical or cognitive changes due to many factors such as their impression that such changes are simply a normal part of aging or their reluctance to admit to a problem. This paper describes an early illness recognition framework using sensor network technology to identify the health trajectory of older adults reflected in patterns of day-today activities. Describing the behavior of older adults could help clinicians to identify those at the greatest risk for functional decline and adverse events. The proposed framework, denoted as Abnormal Frequent Activity Pattern (AFAP), is based on the identification of known past abnormal frequent activities in current sensor data. More specifically, AFAP declares a day abnormal when past frequent abnormal behavior patterns, not found during normal days, are discovered in the current activity data. While AFAP requires the labeling of past days as normal/abnormal, it doesn't need specific activity identification. Frequent activity patterns (FAP) are found using MEME, a bioinformatics motif detection algorithm. To validate our approach, we used data obtained from TigerPlace, an aging in place community situated in Columbia, MO, where apartments are equipped with sensor networks (motion, bed and depth sensors). A retrospective multiple case study (N=3) design was used to quantify the in-home older adult's daily routines, over a period of two weeks. Within-person variability of routine activities may be used as a new predictor in the study of health trajectories of older adults. DA - 2015/// PY - 2015 DO - 10.1109/EMBC.2015.7319196 VL - 2015 IS - 101243413 SP - 3699 EP - 702 J2 - Conf Proc IEEE Eng Med Biol Soc SN - 1557-170X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26737096 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - *Independent Living KW - Retrospective Studies KW - *Activities of Daily Living KW - *Algorithms KW - *Monitoring, Ambulatory/mt [Methods] KW - *Early Diagnosis KW - Motion ER - TY - JOUR TI - A computer vision based candidate for functional balance test. AU - Nalci, Alican AU - Khodamoradi, Alireza AU - Balkan, Ozgur AU - Nahab, Fatta AU - Garudadri, Harinath T2 - Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference AB - Balance in humans is a motor skill based on complex multimodal sensing, processing and control. Ability to maintain balance in activities of daily living (ADL) is compromised due to aging, diseases, injuries and environmental factors. Center for Disease Control and Prevention (CDC) estimate of the costs of falls among older adults was $34 billion in 2013 and is expected to reach $54.9 billion in 2020. In this paper, we present a brief review of balance impairments followed by subjective and objective tools currently used in clinical settings for human balance assessment. We propose a novel computer vision (CV) based approach as a candidate for functional balance test. The test will take less than a minute to administer and expected to be objective, repeatable and highly discriminative in quantifying ability to maintain posture and balance. We present an informal study with preliminary data from 10 healthy volunteers, and compare performance with a balance assessment system called BTrackS Balance Assessment Board. Our results show high degree of correlation with BTrackS. The proposed system promises to be a good candidate for objective functional balance tests and warrants further investigations to assess validity in clinical settings, including acute care, long term care and assisted living care facilities. Our long term goals include non-intrusive approaches to assess balance competence during ADL in independent living environments. DA - 2015/// PY - 2015 DO - 10.1109/EMBC.2015.7319148 VL - 2015 IS - 101243413 SP - 3504 EP - 8 J2 - Conf Proc IEEE Eng Med Biol Soc SN - 1557-170X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26737048 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Activities of Daily Living KW - *Postural Balance/ph [Physiology] KW - *Vision, Ocular KW - Signal Processing, Computer-Assisted KW - *Computers KW - *Motion ER - TY - JOUR TI - Development and preliminary validation of an interactive remote physical therapy system. AU - Mishra, Anup K AU - Skubic, Marjorie AU - Abbott, Carmen T2 - Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference AB - In this paper, we present an interactive physical therapy system (IPTS) for remote quantitative assessment of clients in the home. The system consists of two different interactive interfaces connected through a network, for a real-time low latency video conference using audio, video, skeletal, and depth data streams from a Microsoft Kinect. To test the potential of IPTS, experiments were conducted with 5 independent living senior subjects in Kansas City, MO. Also, experiments were conducted in the lab to validate the real-time biomechanical measures calculated using the skeletal data from the Microsoft Xbox 360 Kinect and Microsoft Xbox One Kinect, with ground truth data from a Vicon motion capture system. Good agreements were found in the validation tests. The results show potential capabilities of the IPTS system to provide remote physical therapy to clients, especially older adults, who may find it difficult to visit the clinic. DA - 2015/// PY - 2015 DO - 10.1109/EMBC.2015.7318332 VL - 2015 IS - 101243413 SP - 190 EP - 3 J2 - Conf Proc IEEE Eng Med Biol Soc SN - 1557-170X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26736232 KW - Humans KW - Aged KW - User-Computer Interface KW - Independent Living KW - *Telemedicine/mt [Methods] KW - *Physical Therapy Modalities KW - Biomechanical Phenomena KW - *Videoconferencing KW - Telemedicine/is [Instrumentation] KW - Physical Therapy Modalities/is [Instrumentation] KW - Videoconferencing/is [Instrumentation] ER - TY - JOUR TI - Heterogeneity of Characteristics among Housing Adaptation Clients in Sweden--Relationship to Participation and Self-Rated Health. AU - Thordardottir, Bjorg AU - Chiatti, Carlos AU - Ekstam, Lisa AU - Malmgren Fange, Agneta T2 - International journal of environmental research and public health AB - The aim of the paper was to explore the heterogeneity among housing adaptation clients. Cluster analysis was performed using baseline data from applicants in three Swedish municipalities. The analysis identified six main groups: "adults at risk of disability", "young old with disabilities", "well-functioning older adults", "frail older adults", "frail older with moderate cognitive impairments" and "resilient oldest old". The clusters differed significantly in terms of participation frequency and satisfaction in and outside the home as well as in terms of self-rated health. The identification of clusters in a heterogeneous sample served the purpose of finding groups with different characteristics, including participation and self-rated health which could be used to facilitate targeted home-based interventions. The findings indicate that housing adaptions should take person/environment/activity specific characteristics into consideration so that they may fully serve the purpose of facilitating independent living, as well as enhancing participation and health. DA - 2015/// PY - 2015 DO - 10.3390/ijerph13010091 VL - 13 IS - 1 J2 - Int J Environ Res Public Health SN - 1660-4601 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26729145 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - Cluster Analysis KW - Cross-Sectional Studies KW - *Housing KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - *Health Status KW - Self Report KW - Sweden KW - Personal Satisfaction KW - Adaptation, Psychological KW - *Disabled Persons/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Effect of daily application of a 0.05% chlorhexidine solution on the incidence of (aspiration) pneumonia in care home residents: design of a multicentre cluster randomised controlled clinical trial. AU - Hollaar, Vanessa AU - van der Maarel-Wierink, Claar AU - van der Putten, Gert-Jan AU - de Swart, Bert AU - de Baat, Cees T2 - BMJ open AB - INTRODUCTION: Pneumonia is an important cause of death in care home residents. Dysphagia and poor oral health are significant risk factors for developing aspiration pneumonia. Oral hygiene care reduces the number of oral bacteria and the risk of aspiration pneumonia. However, it is not clear yet which oral hygiene care intervention is most efficacious in reducing the risk of aspiration pneumonia. The aim of the study is to assess whether the application of a 0.05% chlorhexidine-containing solution in addition to the usual daily oral hygiene care reduces the incidence of pneumonia in physically disabled care home residents with dysphagia., METHODS AND ANALYSIS: The study was designed as a multicentre cluster randomised controlled clinical trial, with care homes as units of randomisation. During 1 year, 500 physically disabled care home residents with dysphagia will be followed. The intervention consists of applying a 0.05% chlorhexidine-containing solution twice daily, immediately after the usual oral hygiene care, whereas the control group receives no application after the usual oral hygiene care. The primary outcome is the incidence of pneumonia diagnosed by a physician, using a set of strictly described criteria. The effect of the intervention on the incidence of pneumonia will be determined using a Cox regression analysis. The secondary outcomes are correlations between incidence of pneumonia, age, gender, diagnosed diseases, dysphagia severity, care dependency, actually used medication, number of teeth and implants present and the presence of removable dentures., ETHICS AND DISSEMINATION: Ethical approval was obtained from the Medical Ethical Committee of Radboud university medical centre: NL.nr: 41990.091.12. Written and informed consent will be obtained from all participating care homes and residents. The study's findings will be published in peer-reviewed journals., TRIAL REGISTRATION NUMBER: The trial has been registered in the Netherlands in the National Trial Register: TC=3515. Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ DA - 2015/// PY - 2015 DO - 10.1136/bmjopen-2015-007889 VL - 5 IS - 12 SP - e007889 J2 - BMJ Open SN - 2044-6055 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26715476 KW - Humans KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Frail Elderly KW - *Homes for the Aged KW - *Nursing Homes KW - Netherlands KW - Incidence KW - *Anti-Infective Agents, Local/ad [Administration & Dosage] KW - *Chlorhexidine/ad [Administration & Dosage] KW - *Mouthwashes/ad [Administration & Dosage] KW - *Pneumonia, Aspiration/ep [Epidemiology] KW - Deglutition Disorders/co [Complications] KW - Pneumonia, Aspiration/pc [Prevention & Control] ER - TY - JOUR TI - "Grandma, You Should Do It--It's Cool" Older Adults and the Role of Family Members in Their Acceptance of Technology. AU - Luijkx, Katrien AU - Peek, Sebastiaan AU - Wouters, Eveline T2 - International journal of environmental research and public health AB - Despite its potential, the acceptance of technology to support the ability to live independently in one's own home, also called aging in place, is not optimal. Family members may play a key role in technology acceptance by older adults; however, it is not well understood why and how they exert influence. Based on open interviews with 53 community-dwelling older adults, this paper describes the influence of family members, including spouses, on the use of various types of consumer electronics by older adults as was reported by themselves. Such a broad focus enables understanding the use of technology as was reported by older adults, instead of its intended use. Our study reveals that the influence of each family member has its own characteristics. The influence of technology acceptance is a natural and coincidental part of the interaction with spouses and grandchildren in which entertainment and pleasure are prominent. This is also partly true for the influence of children, but their influence also is intentional and driven by concerns. Our study indicates the importance of including all family members when implementing technology in the lives of older adults. Besides information for children about the use(fullness) of devices, it is worthwhile to give grandchildren an important role, because older adults easily adopt their enthusiasm and it might eventually lighten the burden on children. DA - 2015/// PY - 2015 DO - 10.3390/ijerph121214999 VL - 12 IS - 12 SP - 15470 EP - 85 J2 - Int J Environ Res Public Health SN - 1660-4601 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26690188 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Netherlands KW - *Attitude to Computers KW - *Family/px [Psychology] KW - *Family Relations/px [Psychology] KW - *Computers/sn [Statistics & Numerical Data] KW - *Technology Assessment, Biomedical/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Effectiveness of interventions to improve family-staff relationships in the care of people with dementia in residential aged care: a systematic review protocol. AU - Nguyen, Mynhi AU - Pachana, Nancy A AU - Beattie, Elizabeth AU - Fielding, Elaine AU - Ramis, Mary-Anne T2 - JBI database of systematic reviews and implementation reports AB - REVIEW QUESTION/OBJECTIVE: The objective of this review is to identify and appraise existing evidence regarding the effectiveness of interventions designed to enhance staff-family relationships for people with dementia living in residential aged care facilities.More specifically, the objectives are to identify the effectiveness of constructive communication, cooperation programs, and practices or strategies to enhance family-staff relationships. The effectiveness of these interventions will be measured by comparing the intervention to no intervention, comparing one intervention with another, or comparing pre- and post-interventions.Specifically the review question is: What are the most effective interventions for improving communication and cooperation to enhance family-staff relationships in residential aged care facilities?, BACKGROUND: In our aging world, dementia is prevalent and is a serious health concern affecting approximately 35.6 million people worldwide. This figure is expected to increase two-fold by 2030 and three-fold by 2050. Although younger-onset dementia is increasingly recognized, dementia is most commonly a disease that affects the elderly. Among those aged 65 to 85, the prevalence of dementia increases exponentially, and doubles with every five-year increase in age.Dementia is defined as a syndrome, commonly chronic or progressive in nature, and caused by a range of brain disorders that affect memory, thinking and the ability to perform activities of daily living. While the rate of progression and manifestation of decline differs, all cases of dementia share a similar trajectory of decline. The progressive decline in cognitive functions and ultimately physical function that these people face affects not only the person with the disease but also their family caregivers and health care staff.The manifestation of dementia presents unique and extreme challenges for the family caregiver. Generally it causes great physical, emotional and social strain because the caregiving process is long in duration, unfamiliar, unpredictable and ambiguous. In the later stages of dementia, many family caregivers relocate their relative to a residential aged care facility, most often when the burden of care outweighs the means of the caregiver. This is especially likely when the person with dementia ages, and has lower cognitive function increased limitations in activities in daily living and poorer self-related health. As a result, approximately 50% of all persons aged 65 years or over admitted into residential aged care facilities have dementia.The relocation of a relative into a residential aged care facility can be complex and distressing for family caregivers. While relocation alleviates many issues for the family caregiver, it does not consequently reduce their stress. The stress experienced by the family caregivers who remain involved post-relocation often continues and may even worsen. This is because family caregivers are uncertain about how to transition from a direct caregiving role to a more indirect, supportive interpersonal role, and may be provided with little support from care staff in this regard. Although family caregivers experience a new form of stress post-relocation, family involvement in residential aged care settings has been shown to be beneficial to residents with dementia, their families and care staff.Family involvement is widely acknowledged to provide the resident physical and emotional healing, optimal well-being, and the sustainment of quality of life. Family caregivers benefit from improved satisfaction with the facility and experiences of care, and greater well-being. Care staff benefit from enhanced job satisfaction and greater motivation to remain in their job. The key to these positive outcomes is effective communication and strong relationships between care staff and family caregivers.Effective communication between care staff and family caregivers is crucial for residents with dementia. This is because residents with cognitive impairment may have difficulties articulating their needs, concerns and preferences effectively. Family caregivers rely on staff for information about their relative's behavior in the residential aged care facility; however they themselves have in-depth information about the resident's physical, psychosocial and emotional histories that are necessary for developing individualized care support plans. Family involvement can support care staff in reducing residents' behavioral symptoms by assisting to identify social and emotional needs, or unmet medical needs. Ineffective communication from family caregivers in conveying information to care staff may be disruptive in the caregiving process, and may lead to disagreement regarding respective roles and approaches to caring for the resident. Consequently, family caregivers may withhold information that may support care staff and improve care. They may also be concerned about negative repercussions for the resident.Care staff and family caregivers generally have differing needs and expectations. Care staff are usually in the position where they have to manage a relationship with the family, which is based on multiple roles. Perceptions of family caregivers by care staff include seeing them as colleagues, subordinates, or people who themselves may be in need of nursing care. These different perceptions lead to role ambiguity and result in separate approaches to the caregiving process.Cohen et al. suggest in their study that family involvement can benefit people with dementia in residential aged care settings, their family carers and staff; however further research is required. The relationship between care staff and family caregivers is often challenging due to problems with communication, role ambiguity of both care staff and family carers, and differing approaches to caring for the resident. These problems highlight the need for interventions to constructively enhance the quality of family-staff relationships. For example, one intervention called Partners and Caregiving has been reported as being designed to increase cooperation and effective communication between staff and family. In this study, staff and family members were randomly subjected to treatment and control conditions. The treatment group received parallel training sessions on communication and conflict resolution techniques, followed by a joint meeting with the facility administrators. The results of the study demonstrated improved outcomes in the form of improved attitudes of staff and family members towards each other, less conflict between family and staff, and fewer intentions of staff to quit. Further research is vital in order to identify effective family-staff intervention studies that can provide directions for implementation in residential aged care facilities. Furthermore, it is equally important to identify interventions that are ineffective, so as to provide insights into potential pitfalls to avoid in order to improve staff and family members' relationships and the provision of care to people living with dementia in the future.Previous systematic reviews have focused on factors associated with constructive family-staff relationships in caring for older adults in the institutional setting and the family's involvement in decision making for people with dementia in residential aged care facilites. This review will however specifically investigate interventions for improving communication and cooperation that promote effective family-staff relationships when caring for people with dementia living in residential aged care facilities. DA - 2015/// PY - 2015 DO - 10.11124/jbisrir-2015-2415 VL - 13 IS - 11 SP - 52 EP - 63 J2 - JBI Database System Rev Implement Rep SN - 2202-4433 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26657464 KW - Female KW - Humans KW - Male KW - Program Evaluation KW - Aged KW - Aged, 80 and over KW - Systematic Reviews as Topic KW - Communication KW - Social Support KW - *Homes for the Aged KW - *Nursing Homes KW - Dementia/px [Psychology] KW - Caregivers/px [Psychology] KW - Health Services for the Aged KW - *Professional-Family Relations KW - *Dementia/nu [Nursing] KW - *Family/px [Psychology] KW - Transitional Care ER - TY - JOUR TI - [LIMITATIONS OF THE BIOMEDICAL PARADIGM IN GERIATRICS INSTITUTIONS]. AU - Robledo, Maria Laura AU - Cabello, Cecilia AU - Dahl, Silvina T2 - Limitaciones del paradigma biomedico en las instituciones geriatricas. AB - The social perception of ageing related to the loss of both physical and psychological functions that determine in many cases the institutionalization of the elderly in nursing homes, leads to a medical care focused on a biomedical model, centered on organic factors as determinants of the illness. Illness is not an isolated condition in an individual, but has a subjective and social dimension. For this reason the biographic history becomes the main reference point in the care of the elderly. People experiment their disease within a narrative that gives a meaning to their experience; but this is not considered by the biomedical model, where the psychosocial factors that influence the onset or progression of the pathology are disregarded. This article attempts to explore the problem that arises when the care of the elderly that reside in geriatric institutions is centered on the biomedical model. DA - 2015/// PY - 2015 VL - 26 IS - 120 SP - 143 EP - 6 J2 - Vertex SN - 0327-6139 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26650415 KW - Humans KW - Male KW - Aged KW - Models, Theoretical KW - *Homes for the Aged KW - Housing for the Elderly KW - *Geriatrics ER - TY - JOUR TI - [PSYCHOSOCIAL APPROACH OF BEHAVIORAL AND PSYCHOLOGICAL SYMPTOMS OF DEMENTIA IN GERIATRICS INSTITUTIONS]. AU - Mune, Laura AU - Pisa, Hugo T2 - Aproximacion psicosocial de los sintomas conductuales y psicologicos de las demencias en las instituciones geriatricas. AB - The psychological and behavioural symptoms of dementia are one of the most important causesof institutionalization. They can, otherwise, go against it: some institutions refuse to accept patients or their staying there. Lattely, this creates difficult situations to deal with that can destabilize the medical team. A psychosocial approach is based in a wide variety of interventions that are designed in the patient himself, to relief the stress that generates dealing people with dementia. The aim of this paper is to analize theoretical issues and to revalue the role of psychosocial approach based on psychosocial interventions. DA - 2015/// PY - 2015 VL - 26 IS - 120 SP - 115 EP - 9 J2 - Vertex SN - 0327-6139 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26650410 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - *Homes for the Aged KW - Dementia/th [Therapy] KW - *Dementia/px [Psychology] KW - Behavior KW - Dementia/di [Diagnosis] ER - TY - JOUR TI - [PERSONALITY DISORDERS AND GERIATRIC INSTITUTION]. AU - Szulik, Judith T2 - Los trastornos de personalidad y la institucion geriatric. AB - Nursing Homes house a large number of residents with some kind of psychiatric disorder. The most complex cases are those involving personality disorders; these, known as difficult residents, often imply a challenge to the institution in every aspect and have a strong impact on the staff and on other residents. The present article considers the relevant aspects of personality disorders in the nursing home, with the nursing home, and from the nursing home, taking into account the difficulties presented by these personalities when faced aging. Moreover, possible approaches to these residents are proposed. DA - 2015/// PY - 2015 VL - 26 IS - 120 SP - 109 EP - 14 J2 - Vertex SN - 0327-6139 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26650409 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Interpersonal Relations KW - *Homes for the Aged KW - *Nursing Homes KW - *Personality Disorders KW - Personality Disorders/di [Diagnosis] KW - Personality Disorders/th [Therapy] ER - TY - JOUR TI - Medicare Home Visit Program Associated With Fewer Hospital And Nursing Home Admissions, Increased Office Visits. AU - Mattke, Soeren AU - Han, Dan AU - Wilks, Asa AU - Sloss, Elizabeth T2 - Health affairs (Project Hope) AB - Clinical home visit programs for Medicare beneficiaries are a promising approach to supporting aging in place and avoiding high-cost institutional care. Such programs combine a comprehensive geriatric assessment by a clinician during a home visit with referrals to community providers and health plan resources to address uncovered issues. We evaluated UnitedHealth Group's HouseCalls program, which has been offered to Medicare Advantage plan members in Arkansas, Georgia, Missouri, South Carolina, and Texas since January 2008. We found that, compared to non-HouseCalls Medicare Advantage plan members and fee-for-service beneficiaries, HouseCalls participants had reductions in admissions to hospitals (1 percent and 14 percent, respectively) and lower risk of nursing home admission (0.67 percent and 1.3 percent, respectively). In addition, participants' numbers of office visits--chiefly to specialists--increased 2-6 percent (depending on the comparison group). The program's effects on emergency department use were mixed. These results indicate that a thorough home-based clinical assessment of a member's health and home environment combined with referral services can support aging in place, promote physician office visits, and preempt costly institutional care. Copyright Project HOPE-The People-to-People Health Foundation, Inc. DA - 2015/// PY - 2015 DO - 10.1377/hlthaff.2015.0583 VL - 34 IS - 12 SP - 2138 EP - 46 J2 - Health Aff (Millwood) SN - 1544-5208 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26643635 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *House Calls KW - *Hospitalization/td [Trends] KW - *Office Visits/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Concept of successful ageing among the community-dwelling oldest old in Japan. AU - Sato-Komata, Michiko AU - Hoshino, Akiko AU - Usui, Kanae AU - Katsura, Toshiki T2 - British journal of community nursing AB - AIM: In Japan, increasing human longevity has forced society to rethink the notion of what constitutes 'successful ageing'. This study attempts to advocate a new concept of successful ageing that involves complete acceptance of the ageing process., METHOD: Research was based on semi-structured interviews with 15 community dwelling oldest-old (aged 85 years and above) participants. The analysis was completed using a grounded theory approach., FINDINGS: Successful ageing for the oldest old was grouped into six categories. Within these categories, we discovered the structure of successful ageing, which synthesises ideas from the adaptation process with those of physical and cognitive decreased function as well as spirituality., CONCLUSION: The oldest old in Japan work to arrive at a conclusion with their lives, all the while coping with the drawbacks of ageing, such as declining physical and cognitive functions. This resilient and flexible way of life makes their form of ageing an equally 'successful' one. DA - 2015/// PY - 2015 DO - 10.12968/bjcn.2015.20.12.586 VL - 20 IS - 12 SP - 586 EP - 92 J2 - Br J Community Nurs SN - 1462-4753 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26636892 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - *Quality of Life KW - *Aging/ph [Physiology] KW - Japan KW - *Independent Living/px [Psychology] KW - *Attitude to Health KW - Grounded Theory KW - *Adaptation, Psychological KW - *Aging/px [Psychology] KW - *Attitude to Death ER - TY - JOUR TI - Prevalence and Association of Undernutrition with Quality of Life among Swedish People Aged 60 Years and Above: Results of the SNAC-B Study. AU - Naseer, M AU - Fagerstrom, C T2 - The journal of nutrition, health & aging AB - OBJECTIVES: This study aimed to assess the prevalence of undernutrition among elderly and to investigate the association of risk of undernutrition with health-related quality of life and life satisfaction controlling for age, gender, marital status, economic status, housing arrangement, education level, functional ability, and diseases., DESIGN: A cross-sectional study design was used for this study. The baseline data (2001-2003) of "The Swedish National Study of Aging and Care-Blekinge (SNAC-B)" was used., SETTING: This population-based study focused on both home-living and special-housing residents., PARTICIPANTS: The participants (n=1402) were randomly selected and included both males and females 60-96 years of age residing in a municipality of south-east Sweden., MEASUREMENTS: The risk of undernutrition was estimated by the occurrence of at least one anthropometric measure (body mass index, mid-arm circumference, and calf circumference) below cut-off, in addition to the presence of at least one subjective measure (declined food intake, weight loss, and eating difficulty). The dependent variables, health-related quality of life and life satisfaction, were measured by the validated short form health survey (SF-12) and Liang's life satisfactions index A (LSIA), respectively., RESULTS: According to the criterion, 8.5% of the participants were at risk of undernutrition, and subjects at nutritional risk were significantly older, female, unmarried/widowed/divorced, residing in special housing, and functionally impaired. The risk of undernutrition was significantly associated with poor health-related quality of life, both in the physical (OR 2.31, 95% CI 1.18-4.52) and mental (OR 2.34, 95% CI 1.22-4.47) dimensions. However, no significant association was observed between nutritional status and life satisfaction (OR 1.30, 95% CI 0.70-2.40)., CONCLUSION: The risk of undernutrition significantly increases the risk of poor physical and mental health-related quality of life but has negligible impact on life satisfaction. This study also highlights the importance of functional ability both for the prevention of undernutrition and promotion of quality of life. However, more studies are needed to validate the tool used here for undernutrition risk assessment before it can be used in clinical or population settings. DA - 2015/// PY - 2015 DO - 10.1007/s12603-015-0475-2 VL - 19 IS - 10 SP - 970 EP - 9 J2 - J Nutr Health Aging SN - 1760-4788 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26624207 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Risk Assessment KW - Housing KW - Prevalence KW - *Nutritional Status KW - *Quality of Life KW - *Activities of Daily Living KW - Cross-Sectional Studies KW - Health Surveys KW - Socioeconomic Factors KW - Body Mass Index KW - Animals KW - Sweden/ep [Epidemiology] KW - *Geriatric Assessment KW - Malnutrition/ep [Epidemiology] KW - Anthropometry KW - Eating KW - Marital Status KW - *Malnutrition/co [Complications] ER - TY - JOUR TI - Consumer views about aging-in-place. AU - Grimmer, Karen AU - Kay, Debra AU - Foot, Jan AU - Pastakia, Khushnum T2 - Clinical interventions in aging AB - BACKGROUND: Supporting older people's choices to live safely and independently in the community (age-in-place) can maximize their quality of life and minimize unnecessary hospitalizations and residential care placement. Little is known of the views of older people about the aging-in-place process, and how they approach and prioritize the support they require to live in the community accommodation of their choice., PURPOSE: To explore and synthesize the experiences and perspectives of older people planning for and experiencing aging-in-place., METHODS: Two purposively sampled groups of community-dwelling people aged 65+ years were recruited for individual interviews or focus groups. The interviews were semistructured, audio-recorded, and transcribed. Themes were identified by three researchers working independently, then in consort, using a qualitative thematic analysis approach., RESULTS: Forty-two participants provided a range of insights about, and strategies for, aging-in-place. Thematic saturation was reached before the final interviews. We identified personal characteristics (resilience, adaptability, and independence) and key elements of successful aging-in-place, summarized in the acronym HIPFACTS: health, information, practical assistance, finance, activity (physical and mental), company (family, friends, neighbors, pets), transport, and safety., DISCUSSION: This paper presents rich, and rarely heard, older people's views about how they and their peers perceive, characterize, and address changes in their capacity to live independently and safely in the community. Participants identified relatively simple, low-cost, and effective supports to enable them to adapt to change, while retaining independence and resilience. The findings highlighted how successful aging-in-place requires integrated, responsive, and accessible primary health and community services. DA - 2015/// PY - 2015 DO - 10.2147/CIA.S90672 VL - 10 IS - 101273480 SP - 1803 EP - 11 J2 - Clin Interv Aging SN - 1178-1998 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26604723 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Qualitative Research KW - Quality of Life KW - Social Support KW - *Independent Living/px [Psychology] KW - Interviews as Topic KW - *Aging/px [Psychology] KW - South Australia KW - *Health Status KW - *Interpersonal Relations KW - *Mental Health KW - Personal Satisfaction KW - Adaptation, Psychological KW - Safety KW - Transportation KW - Resilience, Psychological ER - TY - JOUR TI - The effects of acute versus chronic training status on pacing strategies of older men in a hot, humid environment. AU - Chia, Eevon AU - Cannon, Jack AU - Marino, Frank E T2 - Journal of thermal biology AB - The combined effects of age and training on the regulation of exercise performance may be confounded by the additional challenge of thermoregulation. Thus, the objective of this study was to compare the pacing strategy of older men who have recently completed 12 weeks of exercise training (acute) to men who have been regularly (>3 times/week) training for at least 6 months (chronic) in a hot, humid environment and to observe disparity, if any, between acute and chronic exercise training on thermoregulation. Eleven chronically trained men (OT) completed a familiarisation trial before returning after 7-10 days to repeat the protocol. Similarly, eight untrained men (OU-PRE) were familiarised and repeated the protocol before completing 12 weeks of exercise training. Post-training, the eight acutely trained men (OU-POST) returned to the laboratory for a third trial. All trials were conducted on a cycle ergometer at the same time of the day in a climate controlled chamber with a mean dry bulb temperature and relative humidity of 32.0degreeC and 68%, respectively. OT consumed more water than OU-POST and OU-PRE (P<0.01) whilst no differences were observed in the OU with training. Voluntary activation of the knee extensors decreased by 11.3% (P<0.05) in the OU-PRE after the cycling time trial. However, the decrease in voluntary activation observed in the OU-POST and OT after the cycling time trial were not significant. The OT maintained a higher power output compared with the OU-POST and OU-PRE except for the last sprint, whilst no significant differences in power output were observed between the OU-PRE and OU-POST. The rate of rise in core temperature was significantly higher in the OT compared with OU-POST (P<0.001) and OU-PRE (P<0.001). With more experience in training, the OT used an alternative hydration strategy compared with the OU-POST and OU-PRE to mitigate the effects of possible exercise hyperthermia, ultimately attaining a higher, but non-critical core temperature at the end of the cycling time trial. Twelve weeks of exercise training may not manifest in improved exercise performance per se, but could translate to improved performance of activities of daily and independent living. Copyright © 2015 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jtherbio.2015.10.001 VL - 53 IS - 7600115 SP - 125 EP - 34 J2 - J Therm Biol SN - 0306-4565 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26590465 KW - Humans KW - Male KW - Middle Aged KW - *Aging/ph [Physiology] KW - *Exercise/ph [Physiology] KW - *Hot Temperature KW - *Exercise Tolerance KW - *Humidity KW - *Sweating/ph [Physiology] ER - TY - JOUR TI - Akathisia: prevalence and risk factors in a community-dwelling sample of patients with schizophrenia. Results from the FACE-SZ dataset. AU - Berna, F AU - Misdrahi, D AU - Boyer, L AU - Aouizerate, B AU - Brunel, L AU - Capdevielle, D AU - Chereau, I AU - Danion, J M AU - Dorey, J M AU - Dubertret, C AU - Dubreucq, J AU - Faget, C AU - Gabayet, F AU - Lancon, C AU - Mallet, J AU - Rey, R AU - Passerieux, C AU - Schandrin, A AU - Schurhoff, F AU - Tronche, A M AU - Urbach, M AU - Vidailhet, P AU - Llorca, P M AU - Fond, G AU - FACE-SZ (FondaMental Academic Centers of Expertise for Schizophrenia) group T2 - Schizophrenia research A2 - Aouizerate B, Berna F, Blanc O, Brunel L, Bulzacka E, Capdevielle D, Chereau-Boudet I, Chesnoy-Servanin G, Danion JM, D'Amato T, Deloge A, Delorme C, Denizot H, De Pradier M, Dorey JM, Dubertret C, Dubreucq J, Faget C, Fluttaz C, Fond G, Fonteneau S, Gabayet F, Giraud-Baro E, Hardy-Bayle MC, Lacelle D, Lancon C, Laouamri H, Leboyer M, Le Gloahec T, Le Strat Y, Llorca PM, Mallet J, Metairie E, Misdrahi D, Offerlin-Meyer I, Passerieux C, Peri P, Pires S, Portalier C, Rey R, Roman C, Sebilleau M, Schandrin A, Schurhoff F, Tessier A, Tronche AM, Urbach M, Vaillant F, Vehier A, Vidailhet P, Vilain J, Vila E, Yazbek H, Zinetti-Bertschy A AB - The main objective of this study was to determine the prevalence of akathisia in a community-dwelling sample of patients with schizophrenia, and to determine the effects of treatments and the clinical variables associated with akathisia. 372 patients with schizophrenia or schizoaffective disorder were systematically included in the network of FondaMental Expert Center for Schizophrenia and assessed with validated scales. Akathisia was measured with the Barnes Akathisia Scale (BAS). Ongoing psychotropic treatment was recorded. The global prevalence of akathisia (as defined by a score of 2 or more on the global akathisia subscale of the BAS) in our sample was 18.5%. Patients who received antipsychotic polytherapy were at higher risk of akathisia and this result remained significant (adjusted odd ratio=2.04, p=.025) after controlling the influence of age, gender, level of education, level of psychotic symptoms, substance use comorbidities, current administration of antidepressant, anticholinergic drugs, benzodiazepines, and daily-administered antipsychotic dose. The combination of second-generation antipsychotics was associated with a 3-fold risk of akathisia compared to second-generation antipsychotics used in monotherapy. Our results indicate that antipsychotic polytherapy should be at best avoided and suggest that monotherapy should be recommended in cases of akathisia. Long-term administration of benzodiazepines or anticholinergic drugs does not seem to be advisable in cases of akathisia, given the potential side effects of these medications. Copyright © 2015 Elsevier B.V. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.schres.2015.10.040 VL - 169 IS - 1-3 SP - 255 EP - 261 J2 - Schizophr Res SN - 1573-2509 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26589388 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Prevalence KW - *Independent Living KW - Schizophrenia/dt [Drug Therapy] KW - Independent Living/sn [Statistics & Numerical Data] KW - Severity of Illness Index KW - Antipsychotic Agents/tu [Therapeutic Use] KW - Psychotic Disorders/ep [Epidemiology] KW - Psychomotor Agitation/di [Diagnosis] KW - *Schizophrenia/ep [Epidemiology] KW - *Psychomotor Agitation/ep [Epidemiology] KW - Databases, Factual/sn [Statistics & Numerical Data] KW - Psychotic Disorders/dt [Drug Therapy] ER - TY - JOUR TI - Does primary total knee arthroplasty for acute knee joint fracture maintain autonomy in the elderly? A retrospective study of 21 cases. AU - Boureau, F AU - Benad, K AU - Putman, S AU - Dereudre, G AU - Kern, G AU - Chantelot, C T2 - Orthopaedics & traumatology, surgery & research : OTSR AB - INTRODUCTION: Due to poor results and failure encountered in osteosynthesis of peri-articular fracture of the knee, arthroplasty may be suggested to osteopenic elderly subjects. All osteosynthesis techniques entail loss of independence and are associated with elevated mortality. No studies definitively establish better management of such fractures., HYPOTHESIS: Total arthroplasty provides better autonomy after peri-articular fracture of the knee., MATERIAL AND METHOD: Seventy-nine patients aged over 65years were operated on for peri-articular fracture of the knee between April 2008 and March 2013. In 21 cases, treated by a single surgeon, total knee arthroplasty was performed in view of osteopenia or osteoarthritis. Mean age was 79years (range, 68-96years). There were 10 distal femoral and 11 proximal tibial fractures. Mean follow-up was 31months (range, 9-68months). Cases of pathologic fracture, failed osteosynthesis and non-operative management were excluded. All patients showed severe osteopenia on radiology and half already had advanced osteoarthritis., RESULTS: One-year mortality was 14%. At last follow-up, the revision rate was 9.5%. Fifteen patients were followed up. Mean Parker score fell from 7.2 (range, 2-9) preoperatively to 4.6 (range, 0-9) at last follow-up, indicating loss of independence. At follow-up, mean IKS score was 116.6 (range, 0-192) with mean IKS knee score of 78.4 (range, 0-100) and IKS function score of 38.2 (range, 0-100). Mean Oxford score was 36/60 (range, 18-53). Global IKS and IKS function scores were significantly better in case of ASA-2 than ASA-3 (P<0.05). There was no difference between femoral and tibial fractures in terms of IKS or Oxford score or loss of independence., DISCUSSION: Total knee arthroplasty can be considered for peri-articular fracture of the knee in osteopenic geriatric patients. Although surgical revision was less frequent than after osteosynthesis and resumption of weight-bearing was immediate, autonomy was still impaired. Mortality was comparable to other reports., LEVEL OF EVIDENCE: IV, retrospective study. Copyright © 2015 Elsevier Masson SAS. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.otsr.2015.09.021 VL - 101 IS - 8 SP - 947 EP - 51 J2 - Orthop Traumatol Surg Res SN - 1877-0568 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26589193 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Retrospective Studies KW - Femoral Fractures/co [Complications] KW - *Arthroplasty, Replacement, Knee KW - Reoperation KW - Weight-Bearing KW - *Femoral Fractures/su [Surgery] KW - *Intra-Articular Fractures/su [Surgery] KW - *Knee Joint/su [Surgery] KW - *Tibial Fractures/su [Surgery] KW - Arthroplasty, Replacement, Knee/mt [Methods] KW - Bone Diseases, Metabolic/co [Complications] KW - Fracture Fixation, Internal/mt [Methods] KW - Knee Joint/pp [Physiopathology] KW - Osteoarthritis, Knee/co [Complications] KW - Osteoarthritis, Knee/su [Surgery] KW - Tibial Fractures/co [Complications] ER - TY - JOUR TI - [Caregivers faced with anxiety-depressive disorders in elderly people with severe dementia]. AU - Grondin, Marie AU - Bungener, Catherine T2 - Soignants et troubles anxio-depressifs des personnes agees atteintes de demence severe. AB - A survey of 104 caregivers in nursing homes assesses their knowledge of anxiety-depressive disorders in patients with severe dementia with aphasia and their proposed treatment. Despite a lack of training, information and tools to assess these disorders and offer adapted care, this survey highlights in particular caregivers' concern for these issues. Copyright © 2015 Elsevier Masson SAS. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.sger.2015.09.009 IS - 116 SP - 34 EP - 8 J2 - Soins Gerontol SN - 1268-6034 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26574131 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - *Caregivers/px [Psychology] KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Nursing Assessment KW - Comorbidity KW - *Alzheimer Disease/nu [Nursing] KW - Inservice Training KW - France KW - *Alzheimer Disease/px [Psychology] KW - Alzheimer Disease/ep [Epidemiology] KW - *Depressive Disorder/px [Psychology] KW - Depressive Disorder/ep [Epidemiology] KW - *Depressive Disorder/nu [Nursing] KW - *Anxiety Disorders/nu [Nursing] KW - *Anxiety Disorders/px [Psychology] KW - Anxiety Disorders/ep [Epidemiology] KW - Aphasia/nu [Nursing] KW - Aphasia/px [Psychology] KW - Dehumanization ER - TY - JOUR TI - Effectiveness of professional oral health care intervention on the oral health of residents with dementia in residential aged care facilities: a systematic review protocol. AU - Yi Mohammadi, Joanna Jin AU - Franks, Kay AU - Hines, Sonia T2 - JBI database of systematic reviews and implementation reports AB - REVIEW QUESTION/OBJECTIVE: The objective of this review is to critically appraise and synthesize evidence on the effectiveness of professional oral health care intervention on the oral health of aged care residents with dementia.More specifically the objectives are to identify the efficacy of professional oral health care interventions on general oral health, the presence of plaque and the number of decayed or missing teeth., BACKGROUND: Dementia poses a significant challenge for health and social policy in Australia. The quality of life of individuals, their families and friends is impacted by dementia. Older people with dementia often have other health comorbidities resulting in the need for a higher level of care. From 2009 to 2010, 53% of permanent residents in Residential Aged Care Facilities (RACFs) had dementia on admission. Older Australians are retaining more of their natural teeth, therefore residents entering RACFs will have more of their natural teeth and require complex dental work than they did in previous generations. Data from the Australian Institute of Health and Welfare showed that more than half the residents in RACFs are now partially dentate with an average of 12 teeth each. Furthermore, coronal and root caries are significant problems, especially in older Australians who are cognitively impaired.Residents in aged care facilities frequently have poor oral health and hygiene with moderate to high levels of oral disease and overall dental neglect. This is reinforced by aged care staff who acknowledge that the demands of feeding, toileting and behavioral issues amongst residents often take precedence over oral health care regimens. Current literature shows that there is a general reluctance on the part of aged care staff to prioritize oral care due to limited knowledge as well as existing psychological barriers to working on another person's mouth. Although staff routinely deal with residents' urinary and faecal incontinence, deep psychological barriers exist when working on someone's mouth due to their own personal values of oral health or their views that residents should be looking after their own teeth or dentures. Furthermore, residents with behavioral issues associated with dementia frequently have their oral hygiene neglected as they may be resistant and violent towards receiving oral care from aged care staff. Studies have shown that residents with dementia will often refuse to open their mouth or partake in oral hygiene care by aged care staff. The aged care staff in return often do not pursue an oral care regimen for these "difficult" residents, perpetuating the cycle of oral neglect and resultant disease.Dental hygienists are qualified oral health professionals who are specifically trained to develop individualized oral health care plans and preventative programs to reduce oral health disease in the community. Residents with dementia in aged care facilities have the right to live their lives comfortably and free of oral discomfort or pain. A Victorian study conducted by Hopcraft et al. investigated the ability of a dental hygienist to undertake a dental examination/screening for residents in aged care facilities, to develop a preventative and periodontal treatment plan and to refer patients appropriately to a dentist. Results from this study demonstrated that there was an excellent agreement between the dentist and dental hygienist regarding the decision to refer residents to a dentist for treatment, demonstrating high sensitivity (99.6%) and high specificity (82.9%). Residents from 31 Victorian RACFs (n=510) were examined by a single experienced dental epidemiologist and one of four dental hygienists using a simple mouth mirror and probe. Hopcraft et al. concluded that hygienists should be utilized more widely in providing holistic oral health care to residents in aged care facilities.Recently, Lewis et al. discussed the need to develop models of care to improve access to dental care for frail and functionally dependent elderly people in aged care facilities, with the model of care involving dental hygienists/oral health therapists having merit.The concept of professional oral care involves an oral health professional such as a dental hygienist or oral health therapist supervising or assisting residents with their oral care. Oral care involves the mechanical removal of plaque and food debris using a toothbrush, interproximal brush and floss.In 2014, Morino et al. explored the efficacy of short term professional oral care from dental hygienists once a week after breakfast for one month. In this study, the dental hygienists did not perform dental scaling but brushed subjects' teeth using a toothbrush and interdental brush. Dental plaque scores decreased significantly (Fisher's two-tailed tests, p<0.05) in the professional oral health intervention group. Interestingly, the positive effects of this short term intervention were sustained for the following three months (Wilcoxon test, p<0.05).A pilot study in Arkansas was conducted by Amerine et al. and utilized the dental hygienist as the "oral health champion" in the residential aged care facility using the Oral Health Assessment Tool (OHAT) and Geriatric Oral Health Assessment Index (GOHAI) scores to measure oral health. The results from this study showed improvements in three measured areas (tongue health, denture status and oral cleanliness) in the dental hygiene champion group. These findings suggest that the presence of a dental hygiene champion in long term care facilities may positively impact the oral health of residents requiring assistance with their oral care. However, the authors noted further research in this concept is required.Van Der Putten GJ et al. explored the effectiveness of a supervised implementation of an oral health care guideline in care homes. In each ward of the care homes, a nurse who acted as the ward oral health care organiser (WOO) was appointed. The dental hygienist and an investigator would attend the RACFs every six weeks to support them. The dental hygienist would train the WOO, and the WOO would train the ward nurses and nurse assistants. Participants were allocated into an intervention or a control group. The intervention group received supervised oral care. Statistically significant differences in mean dental and denture plaque scores at six months in both groups occurred (student t-test, p < 0.0001). This research study implemented an intervention using the train-the-trainer approach and although improvements in dental and denture plaque scores were seen in the six-month period, the long-term effects of this intervention are unknown. Further studies exploring the long-term effects of staff training on oral health education are needed as well as ongoing staff training in aged care facilities.A systematic review on oral health and aspiration pneumonia conducted by Vander Maarel-Wierink et al. has suggested that, in the frail elderly, the best intervention to reduce the incidence of aspiration pneumonia is brushing of teeth after each meal, cleaning dentures once a day, and receiving professional oral health care once a week.The need to advocate for a new model of geriatric dentistry is critical. A holistic multi-disciplinary approach to health care for residents entering aged care homes is imperative to achieve better oral health and comfort for residents, especially with Australia's ageing dentate population. A dental examination and assessment on admission to a RACF should be conducted by a Registered Nurse (RN), followed by an oral health professional such as a dentist, dental hygienist or oral health therapist. Current practice in the majority of Australian government funded nursing homes is that the RN or the Assistant in Nursing (AIN) conduct the oral health assessment as part of the aged care funding instrument (ACFI). Ongoing oral health care supported by an oral health professional is important throughout the individual's residency and eventual palliation whilst in an aged care facility.No systematic reviews conducted on the impact of professional oral care on the oral health of elderly people living in residential aged care facilities could be located, despite extensive searching of Medline, CINAHL, EMBASE, Web of Science, Cochrane Central Register of Trials and Dentistry & Oral Sciences Source (DOSS) databases. A JBI systematic review was conducted in 2004, titled, "Oral hygiene care for adults with dementia in residential aged care facilities"; however, this review examined the prevalence, incidence and increments of oral diseases; the use of assessment tools to evaluate oral health; preventative oral hygiene care strategies; and the provision of dental treatment and so had a different clinical focus. Twenty studies were included for analysis in the review conducted by Weening-Verbree et al, The studies in this review addressed oral health knowledge of aged care staff and mostly were conducted as an educational session delivered by dental hygienists or dentists.Overall, the current evidence available on interventions to improve oral health for residents living in aged care facilities is inadequate and should be explored further. DA - 2015/// PY - 2015 DO - 10.11124/jbisrir-2015-2330 VL - 13 IS - 10 SP - 110 EP - 22 J2 - JBI Database System Rev Implement Rep SN - 2202-4433 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26571287 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Systematic Reviews as Topic KW - Quality of Life KW - *Oral Health KW - *Homes for the Aged KW - *Nursing Homes KW - *Health Services for the Aged KW - *Delivery of Health Care/mt [Methods] KW - *Dementia/th [Therapy] KW - Dementia/pp [Physiopathology] KW - Clinical Protocols ER - TY - JOUR TI - 'It is a completely new world you step into.' How older clients and their representatives experience the operational access to Dutch long-term institutional care. AU - Schipper, Lisette AU - Luijkx, Katrien G AU - Meijboom, Bert R AU - Schols, Jos M G A T2 - Journal of aging studies AB - PURPOSE OF THE STUDY: The access process is an important first step in the long-term institutional care for older people. Access can be seen as a concept consisting of three closely related dimensions: availability, affordability and acceptability (three A's). This study takes a new perspective by investigating how older clients experience the access process., DESIGN AND METHODS: Data were gathered through interviews with representatives of clients that were recently admitted in a long-term care facility, or if possible with clients themselves. A total of 33 respondents from 4 organizations that provide long-term institutional care were interviewed., RESULTS: The first contact with the long-term care provider was made in several different ways. Finding a location nearby family was a common aim, which in urgent situations was not always feasible. Most respondents were satisfied about the process and felt taken care of personally. Yet, many respondents mention the lack of practical information and 'guidance' in the complexity of elder care. For acceptability, having a dedicated liaison in the organization was relevant., IMPLICATIONS: The study revealed that the 3A model can be used to understand how older clients or their representatives experience the operational access process to long-term care. Especially the dimensions' availability and acceptability seemed to shape their experience. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jaging.2015.09.002 VL - 35 IS - 8916517 SP - 211 EP - 20 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26568230 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Homes for the Aged KW - *Nursing Homes KW - Long-Term Care KW - Interviews as Topic KW - Netherlands KW - *Patient Satisfaction KW - Family/px [Psychology] ER - TY - JOUR TI - Conflicting notions of citizenship in old age: An analysis of an activation practice. AU - van Hees, Susan AU - Horstman, Klasien AU - Jansen, Maria AU - Ruwaard, Dirk T2 - Journal of aging studies AB - Ageing societies and increasing healthcare expenditures are inducing Western welfare states to reform their care arrangements. In a qualitative research project, we explored how citizenship in old age is constructed in a public innovative care practice situated in the southern part of the Netherlands: the shaping of 'life cycle robust neighbourhoods'. Life cycle robustness entails a further not formally defined ideal of age-friendly places, enabling older adults to live independently for longer periods of time. Participation is being presented as an important element towards life cycle robustness. We used ethnographic methods to understand different constructions of citizenship in old age. We analysed documents and interviewed local policymakers and civil servants, managers and directors in the fields of housing, care and welfare, professionals working for these organisations, and older adults living (independently) in these neighbourhoods (n=73). Additionally, we observed formal and informal meetings and organised focus groups. Our findings demonstrate conflicting notions of old age. Policymakers and civil servants, managers and directors, professionals, and even representatives of older adults share a belief an activation policy is necessary, although they differ in how they interpret this need. Policymakers and civil servants are convinced that societal and financial incentives necessitate current reforms, managers and directors talk about quality and organisational needs, while professionals mainly strive to empower older adults (as citizens). Simultaneously, older adults try to live their lives as independent as possible. We argue that, whereas old age became a distinct category in the last century, we now recognise a new period in which this category is being more and more de-categorised. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jaging.2015.09.001 VL - 35 IS - 8916517 SP - 178 EP - 89 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26568227 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Residence Characteristics KW - Qualitative Research KW - *Aging/px [Psychology] KW - Netherlands KW - *Social Participation/px [Psychology] KW - *Delivery of Health Care/mt [Methods] KW - Environment Design KW - *Conflict (Psychology) KW - *Social Welfare ER - TY - JOUR TI - Exergaming in retirement centres and the integration of media and physical literacies. AU - Millington, Brad T2 - Journal of aging studies AB - This paper reports on a multi-method analysis of a recently emergent, though still understudied, trend: the use of exercise-themed video games (i.e., 'exergames') in retirement centres. The study in question specifically featured participant observation and interviews with residents and members of staff at retirement centres in Ontario, Canada. Data collection was aimed at understanding how games such as Wii Bowling are being put to use in retirement centre contexts and the implications of such activity. Findings on the one hand suggest that exergames are deemed valuable in the process of promoting both social engagement and physical activity. 'Virtual' bowling can bring people together in communal spaces while also 'getting them up' and active. On the other hand, however, exergaming presents challenges. For retirement centre residents, it engenders health risks while also demanding the deft synchronization of media and physical literacies. For activities coordinators and other members of staff responsible for residents' care, it means they too must stay abreast of the technology sector's latest innovations; they must develop media and physical literacies of their own. These findings are used as a platform for a broader discussion of aging, embodiment, and media in the paper's final section. Against the backdrop of existing conceptualizations of the third age, the use of exergames in retirement centres is deemed conducive not to independence and consumerism fully-fledged, but rather to the manifestation of 'quasi-consumerism' and 'quasi-independence' instead. Third age logic is thus both reinforced and subtly undermined. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jaging.2015.08.005 VL - 35 IS - 8916517 SP - 160 EP - 8 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26568225 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - Interviews as Topic KW - *Health Promotion/mt [Methods] KW - *Exercise/px [Psychology] KW - *Aging/px [Psychology] KW - Risk KW - Ontario KW - Retirement/px [Psychology] KW - Health Promotion/sn [Statistics & Numerical Data] KW - *Computer Literacy KW - *Video Games/px [Psychology] KW - Video Games/sn [Statistics & Numerical Data] ER - TY - JOUR TI - One of us: Stories from two New Zealand rest homes. AU - Jaye, Chrystal AU - Hale, Beatrice AU - Butler, Mary AU - McKechnie, Roz AU - Robertson, Linda AU - Simpson, Jean AU - Tordoff, June AU - Young, Jessica T2 - Journal of aging studies AB - In this article we explore the ways in which two aged residential care facilities in New Zealand construct and present themselves through the stories told by those who live and work in them. Ethnographic field notes and interviews were analysed using an immersion/crystallization method consistent with a narrative gerontology framework. Woven into residents' stories about their lives in the facility were tales of earlier lives and identities, immigration, occupations, marriage, tragedies and medical emergencies. Care workers, nursing staff and managers talked about vocation, the ethos and values of the institution and the importance that both staff and residents felt a sense of belonging and 'being one of us.' These stories, 'talk into reality' the aged residential care facility as a particular kind of rest home, in which residents feel 'at home'. In addition, as researchers who brought our own stories to the project, we actively contributed to the construction of each institution as a certain kind of facility. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jaging.2015.08.010 VL - 35 IS - 8916517 SP - 135 EP - 43 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26568223 KW - Adult KW - Humans KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Attitude of Health Personnel KW - *Health Personnel/px [Psychology] KW - *Homes for the Aged KW - *Nursing Homes KW - *Aging/px [Psychology] KW - New Zealand KW - *Family/px [Psychology] KW - *Narration ER - TY - JOUR TI - Patient, resident, or person: Recognition and the continuity of self in long-term care for older people. AU - Pirhonen, Jari AU - Pietila, Ilkka T2 - Journal of aging studies AB - Becoming a resident in a long-term care facility challenges older people's continuity of self in two major ways. Firstly, as they leave behind their previous home, neighborhood, and often their social surroundings, older people have to change their life-long lifestyles, causing fears of the loss of one's self. Secondly, modern-day care facilities have some features of 'total' institutions that produce patient-like role expectations and thus challenge older people's selves. Our ethnographic study in a geriatric hospital and a sheltered home in Finland aims to find out what features of daily life either support or challenge older people's continuity of self. A philosophical reading of the concept of recognition is used to explore how various daily practices and interactions support recognizing people as persons in long-term care. Categories of institution-centered and person-centered features are described to illustrate multiple ways in which people are recognized and misrecognized. The discussion highlights some ways in which long-term care providers could use the results of the study. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jaging.2015.05.004 VL - 35 IS - 8916517 SP - 95 EP - 103 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26568219 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - Finland KW - Interviews as Topic KW - *Aging/px [Psychology] KW - Social Behavior KW - *Activities of Daily Living/px [Psychology] KW - *Interpersonal Relations KW - Quality of Life/px [Psychology] KW - Long-Term Care/px [Psychology] KW - *Ego ER - TY - JOUR TI - 'We're in the sandwich': Aged care staff members' negotiation of constraints and the role of the organisation in enacting and supporting an ethic of care. AU - Petriwskyj, Andrea AU - Gibson, Alexandra AU - Webby, Glenys T2 - Journal of aging studies AB - Aged care staff are often seen as holding power in care relationships, particularly in client engagement. Such a perception, however, may limit our understanding and analysis of the dynamics and politics within care spaces. This paper uses interview and focus group data from both staff and clients of an Australian aged care provider to identify the positions given to, and taken up by, staff in client engagement. Focusing on one of these positions, in which staff are seen as managing and negotiating constraints, the paper uses an ethic of care lens to examine the context in which engagement - and this position taking - occurs. Findings reflect the importance of the organisational and systemic context to the practice of care ethics and the potential vulnerability and disempowerment of care giving staff. Implications for the support of staff in client engagement and the role of care organisations beyond structures and processes to an active participant in an ethic of care are discussed. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jaging.2015.08.008 VL - 35 IS - 8916517 SP - 84 EP - 94 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26568218 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Australia KW - Workforce KW - Focus Groups KW - Interviews as Topic KW - *Attitude of Health Personnel KW - Homes for the Aged/og [Organization & Administration] KW - *Homes for the Aged/es [Ethics] KW - *Job Satisfaction KW - Power (Psychology) KW - *Professional Role/px [Psychology] KW - Negotiating/px [Psychology] ER - TY - JOUR TI - Not ageing in place: Negotiating meanings of residency in age-related housing. AU - Vasara, Paula T2 - Journal of aging studies AB - PURPOSE: This article explores the experience of residing in age-related housing. The focus is on the negotiations around the multiple meanings assigned to place of residency among older people - in a situation where the official policy objectives of growing old in one's own home are not achieved., DESIGN AND METHODS: Narrative analysis is employed to study the experiences of older people aged 75 or older living in special types of housing due to actual or anticipated difficulties associated with age. The interviews are part of a larger body of data gathered in MOVAGE Moving in Old Age: Transitions in Housing and Care research project., FINDINGS: The storyworld was structured by the romantic canonical narrative associated with the policy of 'ageing in place'; growing old at home is idealised and moving is constructed as a disruption. This breach was resolved through explaining deviance from canonical expectations by causes constructed as legitimate, through encountering trouble by constructing oneself as a non-typical resident, and through creating counter stories of natural transitions and choices. As a result, despite the commonly negative meanings associated with the residency in age-related housing, positive storylines respecting values embedded in the canonical narratives of home and endurance were achieved., IMPLICATIONS: A living environment that is experienced as suitable, and that has adequate formal help available, supports and enables wellbeing and independence. This is true within age-related housing as well as in other forms. Thus, even though the important meaning of a long-term home should continue to be acknowledged, various other kinds of forms of housing should be made available in order to enhance older people's sense of security and feeling that they are autonomous, independent agents in their everyday life in accordance with their subjective life experiences. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jaging.2015.07.004 VL - 35 IS - 8916517 SP - 55 EP - 64 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26568215 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Housing/sn [Statistics & Numerical Data] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Finland KW - Independent Living/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Interviews as Topic KW - *Aging/px [Psychology] KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - Choice Behavior ER - TY - JOUR TI - Need or right: Sexual expression and intimacy in aged care. AU - Rowntree, Margaret R AU - Zufferey, Carole T2 - Journal of aging studies AB - This paper explores how the residential aged care sector could engage with residents' sexual expression and intimacy. It is informed by a study of 19 aged care staff members and 23 community members, and initially designed on the principles of Appreciative Inquiry methodology. The data were collected through focus groups and interviews and analyzed using discourse analysis. We found that staff members mainly conceptualize sexual expression as a need to be met, while community members (current and prospective residents) understand it as a right to be exercised. We conclude that the way in which sexual expression is conceptualized has critical implications for the sector's engagement with this topic. A 'needs' discourse informs policies, procedures and practices that enable staff to meet residents' needs, while a 'rights' discourse shapes policies, practices and physical designs that improve residents' privacy and autonomy, shifting the balance of power towards them. The former approach fits with a nursing home medical model of care, and the latter with a social model of service provision and consumption. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jaging.2015.07.003 VL - 35 IS - 8916517 SP - 20 EP - 5 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26568211 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Homes for the Aged KW - *Nursing Homes KW - *Attitude of Health Personnel KW - South Australia KW - *Sexual Behavior/px [Psychology] KW - *Patient Rights KW - *Sexual Partners/px [Psychology] ER - TY - JOUR TI - Urban-rural differences in daily time-activity patterns, occupational activity and housing characteristics. AU - Matz, Carlyn J AU - Stieb, David M AU - Brion, Orly T2 - Environmental health : a global access science source AB - BACKGROUND: There is evidence that rural residents experience a health disadvantage compared to urban residents, associated with a greater prevalence of health risk factors and socioeconomic differences. We examined differences between urban and rural Canadians using data from the Canadian Human Activity Pattern Survey (CHAPS) 2., METHODS: Data were collected from 1460 respondents in two rural areas (Haldimand-Norfolk, Ontario and Annapolis Valley-Kings County, Nova Scotia) and 3551 respondents in five urban areas (Vancouver, Edmonton, Toronto, Montreal, and Halifax) using a 24-h recall diary and supplementary questionnaires administered using computer-assisted telephone interviews. We evaluated differences in time-activity patterns, occupational activity, and housing characteristics between rural and urban populations using multivariable linear and logistic regression models adjusted for design as well as demographic and socioeconomic covariates. Taylor linearization method and design-adjusted Wald tests were used to test statistical significance., RESULTS: After adjustment for demographic and socioeconomic covariates, rural children, adults and seniors spent on average 0.7 (p < 0.05), 1.2 (p < 0.001), and 0.9 (p < 0.001) more hours outdoors per day respectively than urban counterparts. 23.1% (95% CI: 19.0-27.2%) of urban and 37.8% (95% CI: 31.2-44.4%) of rural employed populations reported working outdoors and the distributions of job skill level and industry differed significantly (p < 0.001) between urban and rural residents. In particular, 11.4% of rural residents vs. 4.9% of urban residents were employed in unskilled jobs, and 11.5% of rural residents vs. <0.5% of urban residents were employ in primary industry. Rural residents were also more likely than urban residents to report spending time near gas or diesel powered equipment other than vehicles (16.9% vs. 5.2%, p < 0.001), more likely to report wood as a heating fuel (9.8% vs. <0.1%; p < 0.001 for difference in distribution of heating fuels), less likely to have an air conditioner (43.0% vs. 57.2%, p < 0.001), and more likely to smoke (29.1% vs. 19.0 %, p < 0.001). Private wells were the main water source in rural areas (68.6%) in contrast to public water systems (97.6%) in urban areas (p < 0.001). Despite these differences, no differences in self-reported health status were observed between urban and rural residents., CONCLUSIONS: We identified a number of differences between urban and rural residents, which provide evidence pertinent to the urban-rural health disparity. DA - 2015/// PY - 2015 DO - 10.1186/s12940-015-0075-y VL - 14 IS - 101147645 SP - 88 J2 - Environ Health SN - 1476-069X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26566986 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Child KW - Aged KW - Aged, 80 and over KW - Child, Preschool KW - Middle Aged KW - Logistic Models KW - Time Factors KW - Health Surveys KW - Age Factors KW - *Housing/sn [Statistics & Numerical Data] KW - *Occupations/sn [Statistics & Numerical Data] KW - Canada KW - *Health Status Disparities KW - Linear Models KW - Infant KW - Life Style KW - *Environmental Exposure/sn [Statistics & Numerical Data] KW - *Rural Health/sn [Statistics & Numerical Data] KW - *Human Activities/sn [Statistics & Numerical Data] KW - *Urban Health/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Understanding organizational and cultural premises for quality of care in nursing homes: an ethnographic study. AU - Nakrem, Sigrid T2 - BMC health services research AB - BACKGROUND: Internationally, there are concerns about the quality of care in nursing homes. The concept of 'corporate culture' as an internal variable could be seen as the means to improve quality of care and quality of life for the residents. The aim of this article was to describe the nursing home culture from the staff's perspective and to include how the residents describe quality of care., METHODS: An ethnographic design was employed. A purposive sample of four municipal public nursing homes in Norway with long-term care residents was included in the study. Data were collected by participant observation including informal conversation with the staff, and in-depth interviews with 15 residents using a narrative approach., RESULTS: The main findings were that organizational cultures could be seen as relatively stable corporate cultures described as 'personalities' with characteristics that were common for all nursing homes (conformity) and typical traits that were present in some nursing homes, but that they were also like no other nursing home (distinctiveness). Conformity ('Every nursing home is like all other nursing homes') meant that nursing home organizations formed their services according to a perception of what residents in general need and expect. Trait ('Every nursing home is like some other nursing homes') expressed typologies of nursing homes: residency, medical, safeguard or family orientation. The distinctness of each nursing home ('Every nursing home is like no other nursing home') was expressed in unique features of the nursing home; the characteristics of the nursing home involved certain patterns of structure, cultural assumptions and interactions that were unique in each nursing home. Nursing home residents experienced quality of care as 'The nursing home as my home' and 'Interpersonal care quality'. The resident group in the different types of nursing homes were unique, and the experience of quality of care seemed to depend on whether their unique needs and expectations were met or not., CONCLUSION: In order to create a sustainable nursing home service the service needs to be characterized by learning and openness to change and must actually implement practices that respond to the resident and his or her family's values. DA - 2015/// PY - 2015 DO - 10.1186/s12913-015-1171-y VL - 15 IS - 101088677 SP - 508 J2 - BMC Health Serv Res SN - 1472-6963 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26566784 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Quality of Health Care KW - Quality of Life KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Homes for the Aged/st [Standards] KW - Nursing Homes/st [Standards] KW - Quality Improvement KW - Social Behavior KW - Professional-Patient Relations KW - Professional Practice KW - Long-Term Care/og [Organization & Administration] KW - Anthropology, Cultural KW - Inpatients/px [Psychology] KW - Long-Term Care/st [Standards] KW - *Organizational Culture KW - Norway/eh [Ethnology] KW - Patient Satisfaction/eh [Ethnology] ER - TY - JOUR TI - A multilevel study on the association of observer-assessed working conditions with depressive symptoms among female eldercare workers from 56 work units in 10 care homes in Denmark. AU - Jakobsen, Louise M AU - Jorgensen, Anette F B AU - Thomsen, Birthe L AU - Greiner, Birgit A AU - Rugulies, Reiner T2 - BMJ open AB - OBJECTIVES: Eldercare workers in Denmark have a higher prevalence of poor psychological health than other occupational groups. We examined the association between working conditions assessed by trained observers and depressive symptoms assessed by self-report in a study of female Danish eldercare workers., METHODS: Working conditions were observed based on action regulation theory and defined as (1) regulation requirements, a workplace resource providing opportunity for decision-making and skill development and (2) barriers for task completion. We examined the associations of individual and work unit averaged working conditions with depressive symptoms in a sample of 95 individually observed eldercare workers. Further, we examined the association of work unit averaged working conditions with depressive symptoms in a sample of 205 care workers, including both observed and non-observed individuals. We used regression models that allowed for correlations within work units and care homes and adjusted these models for demographics, job characteristics and stressful life events., RESULTS: Higher levels of regulation requirements were associated with lower depressive symptoms at the individual level (p=0.04), but not at the workplace level. Barriers were not associated with depressive symptoms at the individual level. At the workplace level, a higher number of qualitatively different barriers (p=0.04) and a higher number of barriers for equipment use (p=0.03) were associated with lower levels of depressive symptoms in the age and cohabitation adjusted model, however statistical significance was lost in the fully adjusted model., CONCLUSIONS: Low level of regulation requirements was associated with a high level of depressive symptoms. The study highlights the importance of examining both individual and workplace levels of working conditions. Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ DA - 2015/// PY - 2015 DO - 10.1136/bmjopen-2015-008713 VL - 5 IS - 11 SP - e008713 J2 - BMJ Open SN - 2044-6055 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26560058 KW - Adult KW - Female KW - Humans KW - Denmark KW - Middle Aged KW - *Health Personnel/px [Psychology] KW - *Homes for the Aged KW - Workplace/px [Psychology] KW - *Depressive Disorder/et [Etiology] KW - *Occupational Exposure/ae [Adverse Effects] KW - *Occupational Diseases/et [Etiology] KW - *Workplace/st [Standards] ER - TY - JOUR TI - An evaluation of the benefits and challenges of video consulting between general practitioners and residential aged care facilities. AU - Wade, Victoria AU - Whittaker, Frank AU - Hamlyn, Jeremy T2 - Journal of telemedicine and telecare AB - This research evaluated a project that provided video consultations between general practitioners (GPs) and residential aged care facilities (RACFs), with the aim of enabling faster access to medical care and avoidance of unnecessary hospital transfers. GPs were paid for video consultations at a rate equivalent to existing insurance reimbursement for supporting telehealth services. Evaluation data were gathered by direct observation at the project sites, semi-structured interviews and video call data from the technical network. Three pairs of general practices and RACFs were recruited to the project. 40 video consultations eligible for payment occurred over a 6 month period, three of which were judged to have avoided hospital attendance. The process development and change management aspects of the project required substantially more effort than was anticipated. This was due to problems with RACF technical infrastructure, the need for repeated training and awareness raising in RACFs, the challenge of establishing new clinical procedures, the short length of the project and broader difficulties in the relationships between GPs and RACFs. Video consulting between GPs and RACFs was clinically useful and avoided hospital attendance on a small scale, but further focus on process development is needed to embed this as a routine method of service delivery. Copyright © The Author(s) 2015. DA - 2015/// PY - 2015 DO - 10.1177/1357633X15611771 VL - 21 IS - 8 SP - 490 EP - 3 J2 - J Telemed Telecare SN - 1758-1109 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26556062 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Attitude of Health Personnel KW - *Homes for the Aged KW - *Health Services for the Aged/og [Organization & Administration] KW - Health Services for the Aged/st [Standards] KW - *Videoconferencing KW - *Remote Consultation/mt [Methods] KW - *Family Practice/og [Organization & Administration] KW - Remote Consultation/st [Standards] ER - TY - JOUR TI - [Ambient assisted living - an overview]. AU - Christiansen, St AU - Klotzer, J-P T2 - Ambient Assisted Living - ein Uberblick. AB - Ambient assisted living (AAL) technologies are mainly developed to support elderly people in their own homes and facilitate a longer, self-determined life. In addition to providing a demographic prognosis for Germany, the present publication includes the definition, classification and current market situation of AAL. Lastly, the benefit of AAL technologies to the insurance industry and the subsequent steps to be taken are addressed. DA - 2015/// PY - 2015 VL - 67 IS - 3 SP - 130 EP - 2 J2 - Versicherungsmedizin SN - 0933-4548 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26548006 KW - Germany KW - *Assisted Living Facilities/td [Trends] KW - *Telemedicine/td [Trends] KW - *Self-Help Devices/td [Trends] KW - *Diagnosis, Computer-Assisted/td [Trends] KW - *Monitoring, Ambulatory/td [Trends] KW - *Therapy, Computer-Assisted/td [Trends] ER - TY - JOUR TI - A Flex-Model for long-term assessment of community-residing older adults following disasters. AU - Rosenkoetter, Marlene M AU - McDonough, JoEllen AU - McCall, Amber AU - Smith, Deborah AU - Looney, Stephen T2 - Journal of emergency management (Weston, Mass.) AB - For the rapidly growing older adult population, disaster consequences are frequently life disruptive and even life threatening. By 2050, it is estimated that the global older adult population will reach 22 percent of the total. With declining health, this population poses a particular risk needing to be addressed in emergency preparedness and disaster recovery. The purpose of this article is to describe a Flex-Model (F-M) for the long-term assessment of older adults following a disaster. An F-M is a series of three-dimensional representations of an archetype with flexible components, both linear and parallel, that can be adapted to situations, time, place, and needs. The model incorporates the Life Patterns Model and provides a template that can be adjusted to meet the needs of a local community, healthcare providers, and emergency management officials, regardless of the country or region, during the months after a disaster. The focus is on changes resulting from the disaster including roles, relationships, support systems, use of time, self-esteem, and life structure. Following a baseline assessment, each of these life patterns is assessed through the model with options for interventions over time. A pilot study was conducted in Georgia to gain information that would be helpful in developing a more specific assessment tool following a severe winter storm. While this is a local study, the findings can nevertheless be used to refine and focus the F-M for future implementation. Results indicated that older adults used high-risk heating and lighting sources and many were totally responsible for their own welfare. Findings have implications for emergency preparedness and long-term recovery. DA - 2015/// PY - 2015 DO - 10.5055/jem.2015.0251 VL - 13 IS - 5 SP - 401 EP - 16 J2 - J Emerg Manag SN - 1543-5865 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26537697 KW - Female KW - Humans KW - Male KW - Aged KW - Interpersonal Relations KW - *Independent Living KW - Social Support KW - *Geriatric Assessment KW - Pilot Projects KW - *Disasters KW - *Vulnerable Populations KW - *Needs Assessment KW - Self Concept KW - *Disaster Planning KW - Life Change Events KW - Georgia ER - TY - JOUR TI - How substandard dwellings and housing affordability problems are associated with poor health in a vulnerable population during the economic recession of the late 2000s. AU - Novoa, Ana M AU - Ward, Julia AU - Malmusi, Davide AU - Diaz, Fernando AU - Darnell, Merce AU - Trilla, Carme AU - Bosch, Jordi AU - Borrell, Carme T2 - International journal for equity in health AB - INTRODUCTION: Given the increasing number of people in Spain struggling to pay housing-related costs during the economic recession, it is important to assess the health status of these communities as compared to the general population and to better understand the different housing dimensions that are related with poor mental health. This study aims to describe the housing conditions and health status of a sample of people assisted by Caritas Barcelona (Spain) and living in inadequate housing and/or struggling to pay their rent or mortgage, to compare the health outcomes of this population with those of the overall population of Barcelona, and to analyze the association between housing dimensions and mental health., METHODS: We used a cross-sectional design. The participating adults (n = 320) and children (n = 177) were those living in the dioceses of Barcelona, Sant Feliu and Terrassa (Spain) in 2012 and assisted by Caritas. They were asked to answer to three questionnaires on housing and health conditions. Eight health related variables were used to compare participants with Barcelona's residents and associations between housing conditions and poor mental health were examined with multivariate logistic regression models., RESULTS: In Barcelona, people seeking Caritas's help and facing serious housing problems had a much poorer health status than the general population, even when compared to those belonging to the most deprived social classes. For example, 69.4 % of adult participants had poor mental health compared to 11.5 % male and 15.2 % female Barcelona residents. Moreover, housing conditions were associated with poor mental health., CONCLUSIONS: This study has shown how, in a country hit by the financial recession, those people facing housing problems have much worse health compared to the general population. DA - 2015/// PY - 2015 DO - 10.1186/s12939-015-0238-z VL - 14 IS - 101147692 SP - 120 J2 - Intern. j. equity health SN - 1475-9276 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26530721 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Status KW - Housing/sn [Statistics & Numerical Data] KW - Cross-Sectional Studies KW - Socioeconomic Factors KW - Spain/ep [Epidemiology] KW - *Vulnerable Populations/sn [Statistics & Numerical Data] KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - Health Status Indicators KW - *Housing/ec [Economics] KW - Housing/st [Standards] KW - *Economic Recession/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Trends in Psychotropic Dispensing Among Older Adults with Dementia Living in Long-Term Care Facilities: 2004-2013. AU - Vasudev, Akshya AU - Shariff, Salimah Z AU - Liu, Kuan AU - Burhan, Amer M AU - Herrmann, Nathan AU - Leonard, Sean AU - Mamdani, Muhammad T2 - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry AB - OBJECTIVE: Guidelines worldwide have cautioned against the use of antipsychotics as first-line agents to treat neuropsychiatric symptoms of dementia. We aimed to investigate the changes over time in the dispensing of antipsychotics and other psychotropics among older adults with dementia living in long-term care facilities., METHODS: We used drug claims data from Ontario, Canada, to calculate quarterly rates of prescription dispensing of six psychotropic drug classes among all elderly (>=65 years of age) long-term care residents with dementia from January 1, 2004, to March 31, 2013. Psychotropic drugs were classified into the following categories: atypical and conventional antipsychotics, non-sedative and sedative antidepressants, anti-epileptics, and benzodiazepines. We used time-series analysis to assess trends over time., RESULTS: The study sample increased by 21% over the 10-year study period, from 49,251 patients to 59,785 patients. The majority of patients (within the range of 75%-79%) were dispensed at least one psychotropic medication. At the beginning of the study period atypical antipsychotics (38%) were the most frequently dispensed psychotropic, followed by benzodiazepines (28%), non-sedative antidepressants (27%), sedative antidepressants (17%), anti-epileptics (7%), and conventional antipsychotics (3%). Dispensing of anti-epileptics (2% increase) and conventional antipsychotics (1% decrease) displayed modest changes over time, but we observed more pronounced changes in dispensing of benzodiazepines (11% decrease) and atypical antipsychotics (4% decrease). Concurrently, we observed a substantial growth in the dispensing of both sedative (15% increase) and non-sedative (9% increase) antidepressants. The proportion of patients dispensed two or more psychotropic drug classes increased from 42% in 2004 to 50% in 2013., CONCLUSIONS: Utilization patterns of psychotropic drugs in institutionalized patients with dementia have changed over the past decade. Although their use declined slightly over the study period, atypical antipsychotics continue to be used at a high rate. A decline in the use of benzodiazepines along with an increased use of sedative and non-sedative antidepressants suggests that the latter class of drugs is being substituted for the former in the management of neuropsychiatric symptoms. Psychotropic polypharmacy continues to be highly prevalent in these patient samples. Copyright © 2015 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jagp.2015.07.001 VL - 23 IS - 12 SP - 1259 EP - 1269 J2 - Am J Geriatr Psychiatry SN - 1545-7214 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26525997 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Long-Term Care KW - *Dementia/dt [Drug Therapy] KW - *Psychotropic Drugs/tu [Therapeutic Use] KW - Ontario ER - TY - JOUR TI - Nursing home placement in the Donepezil and Memantine in Moderate to Severe Alzheimer's Disease (DOMINO-AD) trial: secondary and post-hoc analyses. AU - Howard, Robert AU - McShane, Rupert AU - Lindesay, James AU - Ritchie, Craig AU - Baldwin, Ashley AU - Barber, Robert AU - Burns, Alistair AU - Dening, Tom AU - Findlay, David AU - Holmes, Clive AU - Jones, Robert AU - Jones, Roy AU - McKeith, Ian AU - Macharouthu, Ajay AU - O'Brien, John AU - Sheehan, Bart AU - Juszczak, Edmund AU - Katona, Cornelius AU - Hills, Robert AU - Knapp, Martin AU - Ballard, Clive AU - Brown, Richard G AU - Banerjee, Sube AU - Adams, Jessica AU - Johnson, Tony AU - Bentham, Peter AU - Phillips, Patrick P J T2 - The Lancet. Neurology T3 - [Comment in: Lancet Neurol. 2015 Dec;14(12):1145-6; PMID: 26515659 [https://www.ncbi.nlm.nih.gov/pubmed/26515659]][Comment in: Nat Rev Neurol. 2016 Jan;12(1):11-3; PMID: 26714658 [https://www.ncbi.nlm.nih.gov/pubmed/26714658]] AB - BACKGROUND: Findings from observational studies have suggested a delay in nursing home placement with dementia drug treatment, but findings from a previous randomised trial of patients with mild-to-moderate Alzheimer's disease showed no effect. We investigated the effects of continuation or discontinuation of donepezil and starting of memantine on subsequent nursing home placement in patients with moderate-to-severe Alzheimer's disease., METHODS: In the randomised, double-blind, placebo-controlled Donepezil and Memantine in Moderate to Severe Alzheimer's Disease (DOMINO-AD) trial, community-living patients with moderate-to-severe Alzheimer's disease (who had been prescribed donepezil continuously for at least 3 months at a dose of 10 mg for at least the previous 6 weeks and had a score of between 5 and 13 on the Standardised Mini-Mental State Examination) were recruited from 15 secondary care memory centres in England and Scotland and randomly allocated to continue donepezil 10 mg per day without memantine, discontinue donepezil without memantine, discontinue donepezil and start memantine 20 mg per day, or continue donepezil 10 mg per day and start memantine 20 mg per day, for 52 weeks. After 52 weeks, choice of treatment was left to participants and their physicians. Place of residence was recorded during the first 52 weeks of the trial and then every 26 weeks for a further 3 years. A secondary outcome of the trial, reported in this study, was nursing home placement: an irreversible move from independent accommodation to a residential caring facility. Analyses restricted to risk of placement in the first year of follow-up after the patients had completed the double-blind phase of the trial were post-hoc. The DOMINO-AD trial is registered with the ISRCTN Registry, number ISRCTN49545035., FINDINGS: Between Feb 11, 2008, and March 5, 2010, 73 (25%) patients were randomly assigned to continue donepezil without memantine, 73 (25%) to discontinue donepezil without memantine, 76 (26%) to discontinue donepezil and start memantine, and 73 (25%) to continue donepezil and start memantine. 162 (55%) patients underwent nursing home placement within 4 years of randomisation, with similar numbers for all groups (36 [49%] in patients who continued donepezil without memantine, 42 [58%] who discontinued donepezil without memantine, 41 [54%] who discontinued donepezil and started memantine, and 43 [59%] who continued donepezil and started memantine). We noted significant (p=0.010) heterogeneity of treatment effect over time, with significantly more nursing home placements in the combined donepezil discontinuation groups during the first year (hazard ratio 2.09 [95% CI 1.29-3.39]) than in the combined donepezil continuation groups, and no difference during the next 3 years (0.89 [0.58-1.35]). We noted no effect of patients starting memantine compared with not starting memantine during the first year (0.92 [0.58-1.45]) or the next 3 years (1.23 [0.81-1.87])., INTERPRETATION: Withdrawal of donepezil in patients with moderate-to-severe Alzheimer's disease increased the risk of nursing home placement during 12 months of treatment, but made no difference during the following 3 years of follow-up. Decisions to stop or continue donepezil treatment should be informed by potential risks of withdrawal, even if the perceived benefits of continued treatment are not clear., FUNDING: Medical Research Council and UK Alzheimer's Society. Copyright © 2015 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/S1474-4422(15)00258-6 VL - 14 IS - 12 SP - 1171 EP - 81 J2 - Lancet neurol. SN - 1474-4465 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26515660 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - Severity of Illness Index KW - Neuropsychological Tests KW - *Alzheimer Disease/dt [Drug Therapy] KW - Alzheimer Disease/di [Diagnosis] KW - *Nootropic Agents/tu [Therapeutic Use] KW - Double-Blind Method KW - Alzheimer Disease/nu [Nursing] KW - *Indans/tu [Therapeutic Use] KW - *Memantine/tu [Therapeutic Use] KW - *Piperidines/tu [Therapeutic Use] KW - Cognition/de [Drug Effects] KW - Donepezil KW - Indans/pd [Pharmacology] KW - Memantine/pd [Pharmacology] KW - Nootropic Agents/pd [Pharmacology] KW - Piperidines/pd [Pharmacology] ER - TY - JOUR TI - "Give Sorrow Words": Working With Bereavement in Senior Residential Settings. AU - Aldrich, C Knight T2 - The Journal of nervous and mental disease AB - Bereavement and its consequent grief are frequent in senior residential settings. Failure to manage grief appropriately can have serious medical consequences, principally clinical depression. Focused talk with a grieving person can help ease the pain of grief; it can also help prevent complications that often lead to depression. Along with mental health professionals, staff members and volunteers can be important, and less expensive, participants in reaching this goal. DA - 2015/// PY - 2015 DO - 10.1097/NMD.0000000000000383 VL - 203 IS - 11 SP - 876 EP - 7 J2 - J Nerv Ment Dis SN - 1539-736X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26513510 KW - Humans KW - Aged KW - *Homes for the Aged KW - Depression/di [Diagnosis] KW - *Depression/th [Therapy] KW - *Depression/px [Psychology] KW - *Bereavement KW - Grief ER - TY - JOUR TI - Change in Care Dependency and Nursing Care Problems in Nursing Home Residents with and without Dementia: A 2-Year Panel Study. AU - Schussler, Sandra AU - Lohrmann, Christa T2 - PloS one AB - Over time, chronic conditions like dementia can lead to care dependency and nursing care problems, often necessitating nursing home admission. This panel study (2012-2014) aims to explore changes in care dependency and nursing care problems (incontinence, malnutrition, decubitus, falls and restraints) in residents with and without dementia over time. In total, nine Austrian nursing homes participated, including 258 residents (178 with, 80 without dementia) who completed all five measurements. Data were collected with the International Prevalence Measurement of Care Problems questionnaire, the Care Dependency Scale and the Mini-Mental State Examination-2. Repeated measures ANOVA and crosstabs were used to analyse changes. The results showed that care dependency in dementia residents increased significantly for all 15 items of the Care Dependency Scale, with the highest increase being residents' day-/night pattern, contact with others, sense of rules/values and communication. In contrast, care dependency in residents without dementia increased for four of the 15 items, with the highest increase being for continence, followed by getting (un)dressed. With respect to the assessed nursing care problems, residents with dementia and those without only differed significantly in terms of an increase in urinary- (12.3% vs. 14.2%), fecal- (17.4% vs. 10%), and double incontinence (16.7% vs. 11.9%). The results indicated that residents with dementia experienced increased care dependency in different areas than residents without dementia. Furthermore, residents with dementia experienced a lower increase in urinary incontinence but a higher increase in fecal- and double incontinence. These results help professionals to identify areas for improvement in dementia care. DA - 2015/// PY - 2015 DO - 10.1371/journal.pone.0141653 VL - 10 IS - 10 SP - e0141653 J2 - PLoS ONE SN - 1932-6203 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26513358 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Prevalence KW - *Homes for the Aged KW - *Nursing Homes KW - Databases, Factual KW - *Dementia/ep [Epidemiology] KW - *Nursing Care KW - Australia/ep [Epidemiology] KW - Cognition Disorders/ep [Epidemiology] ER - TY - JOUR TI - Posterior Teeth Occlusion Associated with Cognitive Function in Nursing Home Older Residents: A Cross-Sectional Observational Study. AU - Takeuchi, Kenji AU - Izumi, Maya AU - Furuta, Michiko AU - Takeshita, Toru AU - Shibata, Yukie AU - Kageyama, Shinya AU - Ganaha, Seijun AU - Yamashita, Yoshihisa T2 - PloS one AB - Early detection and subsequent reduction of modifiable risk factors for cognitive decline is important for extending healthy life expectancy in the currently aging society. Although a recent increase in studies on the state or number of the teeth and cognitive function, few studies have focused on the association between posterior teeth occlusion necessary to maintain chewing function and cognitive function among older adults. This study examined the association between posterior teeth occlusion and cognitive function in nursing home older residents. In this cross-sectional study, 279 residents aged >=60 years from eight nursing homes in Aso City, Japan participated in cognitive function and dental status assessments and completed a comprehensive questionnaire survey in 2014. Cognitive function was measured using a Mini-Mental State Examination (MMSE). Posterior teeth occlusion was assessed using a total number of functional tooth units (total-FTUs), depending on the number and location of the remaining natural and artificial teeth on implant-supported, fixed, and removable prostheses. Linear regression models were used to assess univariate and multivariate associations between total-FTUs and MMSE scores. Models were sequentially adjusted for demographic characteristics, number of natural teeth, socioeconomic status, health behaviors, comorbidities, physical function, and nutritional status. Among the 200 residents included in our analysis, mean MMSE scores and total-FTUs were 11.0 +/- 8.6 and 9.3 +/- 4.6, respectively. Higher total-FTUs were significantly associated with higher MMSE scores after adjustment for demographics and teeth number (B = 0.48, 95% confidence interval [CI] = 0.22-0.74). The association remained significant even after adjustment for all covariates (B = 0.25, 95% CI = 0.01-0.49). The current findings demonstrated that loss of posterior teeth occlusion was independently associated with cognitive decline in nursing home older residents in Japan. Maintenance and restoration of posterior teeth occlusion may be a preventive factor against cognitive decline in aged populations. DA - 2015/// PY - 2015 DO - 10.1371/journal.pone.0141737 VL - 10 IS - 10 SP - e0141737 J2 - PLoS ONE SN - 1932-6203 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26512900 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment KW - Dental Health Surveys KW - *Cognition KW - Cognition Disorders/ep [Epidemiology] KW - Cognition Disorders/et [Etiology] KW - *Tooth/pp [Physiopathology] KW - Public Health Surveillance KW - Tooth Loss ER - TY - JOUR TI - [Fall risk factors and sex differences among community-dwelling elderly individuals in Japan. A Kameoka study]. AU - Masumoto, Taeko AU - Yamada, Yosuke AU - Yamada, Minoru AU - Nakaya, Tomoki AU - Miyake, Motoko AU - Watanabe, Yuya AU - Yoshida, Tsukasa AU - Yokoyama, Keiichi AU - Yamagata, Emi AU - Date, Heiwa AU - Nanri, Hinako AU - Komatsu, Mitsuyo AU - Yoshinaka, Yasuko AU - Fujiwara, Yoshinori AU - Okayama, Yasuko AU - Kimura, Misaka T2 - [Nihon koshu eisei zasshi] Japanese journal of public health AB - OBJECTIVES: Although factors associated with falls might differ between men and women, no large-scale studies were conducted to examine the sex difference of risk factors for falls in Japanese elderly. The purpose of this study was to examine fall risk factors and sex differences among community-dwelling elderly individuals using a complete survey of the geriatric population in Kameoka city., METHODS: A self-administered questionnaire survey was conducted with 18,231 community-dwelling elderly individuals aged 65 years or over in Kameoka city, Kyoto Prefecture, between July and August 2011, excluding people who were publicly certified with a long-term care need of grade 3 or higher. The questionnaire was individually distributed and collected via mail. Out of 12,159 responders (recovery rate of 72.2%), we analyzed the data of 12,054 elderly individuals who were not certified as having long-term care needs. The questionnaire was composed of basic attributes, a simple screening test for fall risk, the Kihon Check List with 25 items, and the Tokyo Metropolitan Institute of Gerontology (TMIG) index of competence with 13 items. These items were grouped into nine factors: motor function, malnutrition, oral function, houseboundness, forgetfulness, depression, Instrumental Activity of Daily Living (IADL), intellectual activities, and social role., RESULTS: Of all the respondents, 20.8% experienced falls within the last year, and 26.6% were classified as having high fall risk. Fall risk increased with age in both sexes, and risk in all age groups was higher for women than for men. All factors were significantly associated with fall risk in both sexes. After controlling for these factors, a significant relationship was found between fall risk and motor function, malnutrition, oral function, forgetfulness, depression, and IADL in men and motor function, oral function, forgetfulness, depression, and IADL in women. The deterioration of motor function was associated with three-times-higher risk than non-deterioration of motor function. In addition, significant interaction was found in sexxmalnutrition, oral function, IADL, and intellectual activities; malnutrition and low oral function were stronger factors in men than in women; and IADL and intellectual activities were stronger factors in women than in men., CONCLUSION: One in five community-dwelling independent elderly individuals experienced falls in the last year, and one in four had high fall risk. We found a significant relationship between fall risk and the nine factors, particularly deterioration of motor function in both sexes. Sex difference was observed for fall risk factors; therefore, a sex-specific support policy for fall prevention is necessary. DA - 2015/// PY - 2015 DO - 10.11236/jph.62.8_390 VL - 62 IS - 8 SP - 390 EP - 401 J2 - Nippon Koshu Eisei Zasshi SN - 0546-1766 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26511610 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - *Independent Living KW - Japan KW - Accidental Falls/sn [Statistics & Numerical Data] KW - Sex Characteristics KW - *Accidental Falls ER - TY - JOUR TI - Exploring risk profiles and emergency frequency of purchasers and non-purchasers of personal emergency alarms: a prospective cohort study. AU - De San Miguel, Kristen AU - Lewin, Gill AU - Burton, Elissa AU - Toye, Christine AU - Boldy, Duncan AU - Howat, Peter T2 - BMC geriatrics AB - BACKGROUND: Personal alarms support independent living and have the potential to reduce serious consequences after a fall or during a medical emergency. While some Australian states have government funded personal alarm programs, others do not; but user-pays services are available. Although several studies have examined the profiles of alarm users, little is known about the risk profile of non-users. Specifically, whether there are "at risk" individuals who are unable, or choose not to purchase a service, who experience a home-based emergency in which an alarm could have mitigated an adverse outcome. This study aimed to describe the 'risk profile' of purchasers and non-purchasers of alarms; explore the reasons behind the decision to purchase or not to purchase and identify how often emergency assistance was needed and why., METHODS: Purchasers and non-purchasers were followed for one year in this prospective cohort study. Demographic, decision-making and risk factor data were collected at an initial face-to-face interview, while information about emergencies was collected by monthly calls., RESULTS: One hundred and fifty-seven purchasers and sixty-five non-purchasers completed the study. The risk profiles between the groups were similar in terms of gender, living arrangements, fall history and medical conditions. Purchasers (Mean = 82.6 years) were significantly older than non-purchasers (Mean = 79.3 years), (t(220) = -3.38, p = 0.000) and more functionally dependent on the IADL (z = -2.57, p = 0.010) and ADL (z = -2.45 p = 0.014) function scores. Non-purchasers (Mean = 8.04, SD = 3.57) were more socially isolated with significantly fewer family networks than purchasers (Mean = 9.46, SD = 3.25) (t(220) = -2.86, p = 0.005). Both groups experienced similarly high numbers of emergencies, 38.2 % of purchasers and 41.5 % of non-purchasers had at least one emergency where an alarm could have assisted. Main reasons for non-purchase were: cost (77 %), limited alarm range (51 %), no need (39 %) and lack of suitable contacts (30 %)., CONCLUSION: There are older individuals who are at high risk of an emergency who are choosing, often for financial and lack of family support reasons, not to purchase a personal alarm service. Greater availability of government funded subsidy schemes would enable these individuals to access a service. Increasing the range over which alarms work could increase their appeal to a broader range of older persons living in the community. Future research should consider how strategies that improve social isolation from family and challenge clients' beliefs about their own health and independence can support increased access to personal alarm services. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0139-4 VL - 15 IS - 100968548 SP - 140 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26507908 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Australia KW - Cohort Studies KW - Demography KW - Accidental Falls/pc [Prevention & Control] KW - Prospective Studies KW - Independent Living/sn [Statistics & Numerical Data] KW - Independent Living/px [Psychology] KW - *Health Behavior KW - Health Status Indicators KW - *Counseling/mt [Methods] KW - Social Isolation KW - *Clinical Alarms KW - *Emergency Treatment/is [Instrumentation] KW - Clinical Alarms/ec [Economics] KW - Clinical Alarms/sn [Statistics & Numerical Data] KW - Emergency Treatment/mt [Methods] ER - TY - JOUR TI - Predictors of Discharge Disposition in Older Adults With Burns: A Study of the Burn Model Systems. AU - Pham, Tam N AU - Carrougher, Gretchen J AU - Martinez, Erin AU - Lezotte, Dennis AU - Rietschel, Carly AU - Holavanahalli, Radha AU - Kowalske, Karen AU - Esselman, Peter C T2 - Journal of burn care & research : official publication of the American Burn Association AB - Older patients with burn injury have a greater likelihood for discharge to nursing facilities. Recent research indicates that older patients discharged to nursing facilities are two to three times as likely to die within a 3-year period relative to those discharged to home. In light of these poor long-term outcomes, we conducted this study to identify predictors for discharge to independent vs nonindependent living status in older patients hospitalized for burns. We retrospectively reviewed all older adults (age >= 55 years) who were prospectively enrolled in a longitudinal multicenter study of outcomes from 1993 to 2011. Patient, injury, and treatment outcomes data were analyzed. Recognizing that transfer to inpatient rehabilitation may have impacted final hospital discharge disposition: we assessed the likelihood of inpatient rehabilitation stay, based on identified predictors of inpatient rehabilitation. We subsequently performed a logistic regression analysis on the clustered, propensity-matched cohort to assess associations of burn and injury characteristics on the primary outcome of final discharge status. A total of 591 patients aged >=55 years were treated and discharged alive from three participating U.S. burn centers during the study period. Mean burn size was 14.8% (SD 11.2%) and mean age was 66.7 years (SD 9.3 years). Ninety-three patients had an inpatient rehabilitation stay before discharge (15.7%). Significant factors predictive of inpatient rehabilitation included a burn >20% TBSA, mechanical ventilation, older age, range of motion deficits at acute care discharge, and study site. These factors were included in the propensity model. Four hundred seventy-one patients (80%) were discharged to independent living status. By matched propensity analysis, older age was significantly associated with a higher likelihood of discharge to nonindependent living (P < .01 in both the 65-74 age group and the oldest age group when compared with the 55-64 age group). Comorbidity (P < .01) and history of alcohol abuse (P < 0.01) were also predictive patient factors. Furthermore, clinical practice variations among the three study sites also constituted a significant factor in discharge disposition (both P < .01 when compared with the index study site). Older age remains an important risk factor for discharge to nonindependent living status, even after accounting for inpatient rehabilitation stay. This analysis, however, reveals significant variations in discharge disposition practices among the three participating study sites. We believe that these variations among burn centers need to be elucidated to better understand discharge disposition status in older patients with burns. DA - 2015/// PY - 2015 DO - 10.1097/BCR.0000000000000216 VL - 36 IS - 6 SP - 607 EP - 12 J2 - J Burn Care Res SN - 1559-0488 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26492549 KW - Female KW - Humans KW - Male KW - United States KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - Length of Stay KW - Quality of Life KW - Retrospective Studies KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Survival Rate KW - Longitudinal Studies KW - Databases, Factual KW - Prognosis KW - *Home Care Services/sn [Statistics & Numerical Data] KW - Predictive Value of Tests KW - Models, Statistical KW - *Patient Discharge KW - Patient Care Team/og [Organization & Administration] KW - Chi-Square Distribution KW - Injury Severity Score KW - *Burns/di [Diagnosis] KW - *Burns/th [Therapy] KW - Burn Units/og [Organization & Administration] KW - Burns/px [Psychology] ER - TY - JOUR TI - [Elderly, drugs, nursing homes: when settings matter more than problems]. AU - Di Giulio, Paola AU - Castaldo, Anna AU - Zanetti, Ermellina T2 - Anziani, farmaci e RSA: pro memoria per quando i contesti pesano piu dei problemi. DA - 2015/// PY - 2015 DO - 10.1702/2038.22144 VL - 34 IS - 3 SP - 149 EP - 53 J2 - Assist Inferm Ric SN - 2038-1778 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26488931 KW - Humans KW - Aged KW - Aged, 80 and over KW - Focus Groups KW - *Homes for the Aged KW - *Nursing Homes KW - *Aging KW - Dementia/dt [Drug Therapy] KW - *Dementia/nu [Nursing] KW - Drug Administration Routes KW - *Drug Therapy/nu [Nursing] ER - TY - JOUR TI - Computer modeling with randomized-controlled trial data informs the development of person-centered aged care homes. AU - Chenoweth, Lynn AU - Vickland, Victor AU - Stein-Parbury, Jane AU - Jeon, Yun-Hee AU - Kenny, Patricia AU - Brodaty, Henry T2 - Neurodegenerative disease management AB - AIM: To answer questions on the essential components (services, operations and resources) of a person-centered aged care home (iHome) using computer simulation., MATERIALS & METHODS: iHome was developed with AnyLogic software using extant study data obtained from 60 Australian aged care homes, 900+ clients and 700+ aged care staff. Bayesian analysis of simulated trial data will determine the influence of different iHome characteristics on care service quality and client outcomes. Interim results: A person-centered aged care home (socio-cultural context) and care/lifestyle services (interactional environment) can produce positive outcomes for aged care clients (subjective experiences) in the simulated environment., CONCLUSION: Further testing will define essential characteristics of a person-centered care home. DA - 2015/// PY - 2015 DO - 10.2217/nmt.15.40 VL - 5 IS - 5 SP - 403 EP - 12 J2 - Neurodegener Dis Manag SN - 1758-2032 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26477894 KW - Humans KW - Aged KW - Australia KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Models, Statistical KW - *Patient-Centered Care/sn [Statistics & Numerical Data] KW - *Health Services Research/sn [Statistics & Numerical Data] KW - *Randomized Controlled Trials as Topic/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Bacteruria and Urinary Tract Infections in the Elderly. AU - Detweiler, Keri AU - Mayers, Daniel AU - Fletcher, Sophie G T2 - The Urologic clinics of North America AB - Both urinary tract infection (UTI) and asymptomatic bacteriuria (ASB) are common problems among elderly adults and represent a significant health care burden. Despite their frequency, differentiating between ASB and true UTI remains controversial among health care providers. Several challenges exist in the evaluation of urinary symptoms in the elderly patient. Symptoms of UTI are variable; problems are encountered in the collection, testing, and interpretation of urine specimens; and results of urinalysis are often misinterpreted and mishandled. Multiple studies have shown no morbidity or mortality benefit to antibiotic therapy in either community or long-term care facility residents with ASB. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.ucl.2015.07.002 VL - 42 IS - 4 SP - 561 EP - 8 J2 - Urol Clin North Am SN - 1558-318X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26475952 KW - Humans KW - Risk Factors KW - Aged KW - Practice Guidelines as Topic KW - Independent Living KW - *Homes for the Aged KW - *Anti-Bacterial Agents/tu [Therapeutic Use] KW - *Institutionalization KW - Urinary Tract Infections/ep [Epidemiology] KW - Urinary Tract Infections/pc [Prevention & Control] KW - Urinary Tract Infections/dt [Drug Therapy] KW - Urinary Tract Infections/mi [Microbiology] KW - *Asymptomatic Infections/th [Therapy] KW - *Bacteriuria/di [Diagnosis] KW - *Bacteriuria/dt [Drug Therapy] KW - Anti-Bacterial Agents/ae [Adverse Effects] KW - Asymptomatic Infections/ep [Epidemiology] KW - Bacteriuria/ep [Epidemiology] KW - Bacteriuria/mi [Microbiology] KW - Bacteriuria/pc [Prevention & Control] KW - Catheters, Indwelling/ae [Adverse Effects] KW - Device Removal KW - Urinary Catheters/ae [Adverse Effects] KW - Urinary Tract Infections/di [Diagnosis] ER - TY - JOUR TI - Mortality of older persons living alone: Singapore Longitudinal Ageing Studies. AU - Ng, Tze Pin AU - Jin, Aizhen AU - Feng, Liang AU - Nyunt, Ma Shwe Zin AU - Chow, Khuan Yew AU - Feng, Lei AU - Fong, Ngan Phoon T2 - BMC geriatrics AB - BACKGROUND: We investigated the association of living alone with mortality among older persons, independently of marital, health and other factors, and explored its effect modification by age group, sex, marital status and physical functional disability., METHOD: Using data from 8 years of mortality follow up (1 September 2003 to 31 December 2011) of 2553 participants in the Singapore Longitudinal Ageing Studies (SLAS) cohort, we estimated hazard ratio (HR) of mortality associated with living alone using Cox proportional hazard models., RESULTS: At baseline, 7.4 % (N = 189) of the participants were living alone, and 227 (8.9 %) died during the follow up period. Living alone was significantly associated with mortality 1.66 (95 % CI, 1.05-2.63), controlling for health status (hypertension, diabetes, chronic lung disease, stroke, heart disease, kidney failure, IADL-ADL disability and depressive symptoms), marital status and other variables (age, sex, housing type). Possible substantive effect modification by sex (p for interaction = 0.106) and marital status (p for interaction <0.115) were observed: higher among men (HR = 2.36, 95 % CI, 1.24-4.49) than women (HR = 1.14, 95 % CI, 0.58-2.22), and among single, divorce or widowed (HR = 2.26, 95 % CI, 1.24-4.10) than married individuals (HR = 0.83, 95 % CI, 0.30-2.31)., CONCLUSION: Living alone was associated with increased mortality, independently of marital, health and other variables. The impact of living alone on mortality appeared to be stronger among men and those who were single, divorced or married. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0128-7 VL - 15 IS - 100968548 SP - 126 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26470796 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Health Status KW - Stroke/px [Psychology] KW - Follow-Up Studies KW - Longitudinal Studies KW - Depression/di [Diagnosis] KW - *Aging/px [Psychology] KW - Depression/px [Psychology] KW - *Mortality/td [Trends] KW - Stroke/mo [Mortality] KW - Stroke/di [Diagnosis] KW - Singapore/ep [Epidemiology] KW - *Marital Status KW - Depression/mo [Mortality] KW - *Social Isolation/px [Psychology] KW - Spouses/px [Psychology] ER - TY - JOUR TI - Health Benefits of Green Public Housing: Associations With Asthma Morbidity and Building-Related Symptoms. AU - Colton, Meryl D AU - Laurent, Jose Guillermo Cedeno AU - MacNaughton, Piers AU - Kane, John AU - Bennett-Fripp, Mae AU - Spengler, John AU - Adamkiewicz, Gary T2 - American journal of public health AB - OBJECTIVES: We examined associations of several health outcomes with green and conventional low-income housing, where the prevalence of morbidities and environmental pollutants is elevated., METHODS: We used questionnaires and a visual inspection to compare sick building syndrome (SBS) symptoms and asthma-related morbidity among residents in multifamily units in Boston, Massachusetts, between March 2012 and May 2013. Follow-up was approximately 1 year later., RESULTS: Adults living in green units reported 1.35 (95% confidence interval [CI] = 0.66, 2.05) fewer SBS symptoms than those living in conventional (control) homes (P < .001). Furthermore, asthmatic children living in green homes experienced substantially lower risk of asthma symptoms (odds ratio [OR] = 0.34; 95% CI = 0.12, 1.00), asthma attacks (OR = 0.31; 95% CI = 0.11, 0.88), hospital visits (OR = 0.24; 95% CI = 0.06, 0.88), and asthma-related school absences (OR = 0.21; 95% CI = 0.06, 0.74) than children living in conventional public housing., CONCLUSIONS: Participants living in green homes had improved health outcomes, which remained consistent over the study period. Green housing may provide a significant value in resource-poor settings where green construction or renovation could simultaneously reduce harmful indoor exposures, promote resident health, and reduce operational costs. DA - 2015/// PY - 2015 DO - 10.2105/AJPH.2015.302793 VL - 105 IS - 12 SP - 2482 EP - 9 J2 - Am J Public Health SN - 1541-0048 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26469661 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - *Public Housing/st [Standards] KW - Boston/ep [Epidemiology] KW - *Asthma/ep [Epidemiology] KW - Public Housing/sn [Statistics & Numerical Data] KW - *Sick Building Syndrome/ep [Epidemiology] KW - Asthma/et [Etiology] KW - Sick Building Syndrome/et [Etiology] ER - TY - JOUR TI - Use of fall risk increasing drugs in residents of retirement villages: a pilot study of long term care and retirement home residents in Ontario, Canada. AU - Rojas-Fernandez, Carlos AU - Dadfar, Farzan AU - Wong, Andrea AU - Brown, Susan G T2 - BMC research notes AB - BACKGROUND: Falls continue to be a problem for older people in long-term care (LTC) and retirement home (RH) settings and are associated with significant morbidity and health care use. Fall-risk increasing drugs (FRIDs) are known to increase fall risk and represent modifiable risk factors. There are limited data regarding the use of FRIDs in contemporary LTC and RH settings, and it has not been well documented to what extent medication regimens are reviewed and modified for those who have sustained falls. The objective of this study is to characterize medication related fall risk factors in LTC and RH residents and on-going use of medications known to increase fall risk., METHODS: Retrospective chart review of residents aged >65 who sustained one or more falls living in LTC or RH settings., RESULTS: 105 residents who fell one or more times during 2009-2010 were identified with a mean age of 89 years, a mean of nine scheduled medications and seven diagnoses, and 83% were women. Residents in LTC were ostensibly at higher risk for falls relative to those in RH settings as suggested by higher proportion of residents with multiple falls, multiple comorbidities, comorbidities that increase fall risk and visual impairment. Post fall injuries were sustained by 42% of residents, and residents in RH sustained more injuries relative to LTC residents (47 vs 34%). Use of FRIDs such as benzodiazepines, antipsychotic, antidepressant and various antihypertensive drugs was common in the present sample. No medication regimen changes were noted in the 6-month post fall period., CONCLUSIONS: The present study documented common use FRIDs by LTC and RH residents with multiple falls. These potentially modifiable falls risk factors are not being adequately addressed in contemporary practice, demonstrating that there is much room for improvement with regards to the safe and appropriate use of medications in LTC and RH residents. DA - 2015/// PY - 2015 DO - 10.1186/s13104-015-1557-2 VL - 8 IS - 101462768 SP - 568 J2 - BMC Res Notes SN - 1756-0500 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26467915 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - Accidental Falls/pc [Prevention & Control] KW - *Homes for the Aged KW - *Nursing Homes KW - Long-Term Care KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Pilot Projects KW - *Benzodiazepines/ae [Adverse Effects] KW - *Antihypertensive Agents/ae [Adverse Effects] KW - Ontario KW - *Antipsychotic Agents/ae [Adverse Effects] KW - *Antidepressive Agents/ae [Adverse Effects] ER - TY - JOUR TI - Self-reported hearing difficulties and changes in life-space mobility among community-dwelling older adults: a Two-year follow-Up study. AU - Polku, Hannele AU - Mikkola, Tuija M AU - Rantakokko, Merja AU - Portegijs, Erja AU - Tormakangas, Timo AU - Rantanen, Taina AU - Viljanen, Anne T2 - BMC geriatrics AB - BACKGROUND: Life-space mobility reflects individuals' actual mobility and engagement with society. Difficulty in hearing is common among older adults and can complicate participation in everyday activities, thus restricting life-space mobility. The aim of this study was to examine whether self-reported hearing predicts changes in life-space mobility among older adults., METHODS: We conducted a prospective cohort study of community-dwelling older adults aged 75-90 years (n = 848). At-home face-to-face interviews at baseline and telephone follow-up were used. Participants responded to standardized questions on perceived hearing at baseline. Life-space mobility (the University of Alabama at Birmingham Life-Space Assessment, LSA, range 0-120) was assessed at baseline and one and two years thereafter. Generalized estimating equations were used to analyze the effect of hearing difficulties on changes in LSA scores., RESULTS: At baseline, participants with major hearing difficulties had a significantly lower life-space mobility score than those without hearing difficulties (mean 54, 95 % CI 50-58 vs. 57, 95 % CI 53-61, p = .040). Over the 2-year follow-up, the life-space mobility score declined in all hearing categories in a similar rate (main effect of time p < .001, group x time p = .164). Participants with mild or major hearing difficulties at baseline had significantly higher odds for restricted life-space (LSA score < 60) at two years (OR 1.8, 95 % CI 1.0-3.2 and 2.0, 95 % CI 1.0-3.9, respectively) compared to those without hearing difficulties. The analyses were adjusted for chronic conditions, age, sex and cognitive functioning., CONCLUSIONS: People with major hearing difficulties had lower life-space mobility scores at baseline but did not exhibit accelerated decline over the follow-up compared to those without hearing difficulties. Life-space mobility describes older people's possibilities for participating in out-of-home activities and access to community amenities, which are important building blocks of quality of life in old age. Early recognition of hearing difficulties may help prevent life-space restriction. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0119-8 VL - 15 IS - 100968548 SP - 121 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26459630 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Time Factors KW - Cohort Studies KW - Follow-Up Studies KW - Prospective Studies KW - *Independent Living/px [Psychology] KW - *Self Report KW - *Activities of Daily Living/px [Psychology] KW - *Interpersonal Relations KW - Independent Living/td [Trends] KW - Quality of Life/px [Psychology] KW - *Hearing Loss/di [Diagnosis] KW - *Hearing Loss/px [Psychology] KW - Hearing Loss/ep [Epidemiology] ER - TY - JOUR TI - Pneumococcal Carriage and Vaccine Coverage in Retirement Community Residents. AU - Becker-Dreps, Sylvia AU - Kistler, Christine E AU - Ward, Kimberly AU - Killeya-Jones, Ley A AU - Better, Olga Maria AU - Weber, David J AU - Zimmerman, Sheryl AU - Nicholson, Bradly P AU - Woods, Chris W AU - Sloane, Philip T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To evaluate pneumococcal immunization in older adults living in retirement communities and to measure nasopharyngeal carriage of Streptococcus pneumoniae to better assess the potential for herd protection from the 13-valent pneumococcal conjugate vaccine (PCV-13) in these settings., DESIGN: Cross-sectional observational study of adults aged 65 and older living in retirement communities to determine coverage with 23-valent pneumococcal vaccine (PPSV-23), coverage with PCV-13 in immuncompromised individuals according to 2012 Advisory Committee on Immunization Practices (ACIP) guidelines, and nasopharyngeal carriage of S. pneumoniae., SETTING: Two retirement communities in North Carolina., PARTICIPANTS: Older adults recruited between December 2013 and April 2014 (N = 21, 64.8% female, mean age 81.4)., MEASUREMENTS: A survey was used to assess chronic illnesses, immunization history, and potential risk factors for pneumococcal carriage; a chart review was used to confirm immunization history and abstract chronic conditions; and a nasopharyngeal swab was collected and cultured for S. pneumoniae., RESULTS: Eighty-seven percent of participants reported receiving PPSV-23 since age 65. Of the 16.2% of participants with an immunocompromising condition, only one had received PCV-13. Nasopharyngeal carriage with S. pneumoniae was detected in 1.9% (95% confidence interval = 0.0-3.8%) of participants., CONCLUSION: In this select sample, PPSV-23 coverage was high, but adherence to the ACIP recommendation for PCV-13 in immunocompromised groups was low. Nasopharyngeal carriage of S. pneumoniae was present, although infrequent, suggesting that immunization with PCV-13 could provide an individual benefit and a small degree of herd protection. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/jgs.13651 VL - 63 IS - 10 SP - 2094 EP - 8 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26456473 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Vaccination/sn [Statistics & Numerical Data] KW - *Housing for the Elderly KW - North Carolina/ep [Epidemiology] KW - *Carrier State KW - *Nasopharynx/mi [Microbiology] KW - *Pneumococcal Vaccines KW - *Streptococcus pneumoniae/ip [Isolation & Purification] KW - Immunocompromised Host KW - Pneumonia, Pneumococcal/pc [Prevention & Control] KW - Vaccines, Conjugate ER - TY - JOUR TI - Adapted Tango Improves Mobility, Motor-Cognitive Function, and Gait but Not Cognition in Older Adults in Independent Living. AU - Hackney, Madeleine E AU - Byers, Colleen AU - Butler, Gail AU - Sweeney, Morgan AU - Rossbach, Lauren AU - Bozzorg, Aaron T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To determine the efficacy of adapted tango for improving mobility, motor-cognitive function, and gait; to determine whether former dance experience was associated with improvements; and to evaluate participant satisfaction, changes in depression, and quality of life., DESIGN: Quasi-experimental, two-group, repeated-measures preintervention, postintervention, and 3-month postintervention study., SETTING: Diverse senior independent living communities in an urban metropolitan area., PARTICIPANTS: Individuals aged 59 to 95 (73% aged 80 and older; 31% nonwhite, 72% female) (N = 74)., INTERVENTION: Participants were assigned to 20 sessions of 90-minute tango (n = 62) or health education (n = 12) classes over 12 weeks., MEASUREMENTS: Mobility, motor-cognitive function, gait, cognition, and psychosocial function were evaluated before, immediately after, and 3 months after the intervention. Two (groups) by two (before and after) repeated-measures analyses of variance with post hoc comparisons were used to evaluate differences in primary analyses. Secondary analyses from immediately after to 3 months after were used to examine the data for retention of any gains., RESULTS: Forty-four tango and 10 education participants completed 20 sessions. Significant group by time interactions revealed that tango improved mobility (P = .006), backward and fast gait speeds (P < .001), and motor-cognitive function (P = .03). Education improved depression (P = .001). No relationship was noted between previous dance experience and improvements. Gains were maintained 3 months after the intervention., CONCLUSION: Adapted tango may improve mobility, gait and motor-cognitive function more than health education classes in older adults. Further research is necessary to confirm these findings. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/jgs.13650 VL - 63 IS - 10 SP - 2105 EP - 13 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26456371 KW - Female KW - Humans KW - Male KW - Health Education KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Independent Living KW - Cognition KW - Postural Balance KW - *Movement KW - Neuropsychological Tests KW - *Gait KW - Depression/th [Therapy] KW - Urban Population KW - *Motor Skills KW - *Dancing KW - Georgia/ep [Epidemiology] ER - TY - JOUR TI - Using a Clinical Surveillance System to Detect Drug-Associated Hypoglycemia in Nursing Home Residents. AU - Culley, Colleen M AU - Perera, Subashan AU - Marcum, Zachary A AU - Kane-Gill, Sandra L AU - Handler, Steven M T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To determine whether a clinical surveillance system could be used to detect drug-associated hypoglycemia events and determine their incidence in nursing home (NH) residents., DESIGN: Retrospective cohort., SETTING: Four NHs in western Pennsylvania., PARTICIPANTS: Any resident of the four NHs who had a computer-generated alert detecting potential drug-associated hypoglycemia over a 6-month period were included., MEASUREMENTS: Descriptive statistics were used to summarize all variables, including the frequency and distribution of alert type according to glucose threshold. Analyses were conducted according to numbers of alerts and residents. The medications associated with the drug-associated hypoglycemia alerts were identified, and frequency of their inclusion in alerts was calculated. Additional calculations included time to drug-associated hypoglycemic event alert from date of admission and frequency of events associated with postacute, short-stay (<=35 days) admissions., RESULTS: Seven hundred seventy-two alerts involving 141 residents were detected. Ninety (63.8%) residents had a glucose level of 55 mg/dL or less, and 42 (29.8%) had a glucose level of 40 mg/dL or less. Insulin orders were associated with 762 (98.7%) alerts. Overall incidence of drug-associated hypoglycemia events was 9.5 per 1,000 resident-days., CONCLUSION: Hypoglycemia can be detected using a clinical surveillance system. This evaluation found a high incidence of drug-associated hypoglycemia in a general NH population. Future studies are needed to determine the potential benefits of use of a surveillance system in real-time detection and management of hypoglycemia in NHs. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/jgs.13648 VL - 63 IS - 10 SP - 2125 EP - 9 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26456318 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - Geriatric Assessment/mt [Methods] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Incidence KW - Population Surveillance/mt [Methods] KW - Pennsylvania/ep [Epidemiology] KW - Insulin/ad [Administration & Dosage] KW - *Blood Glucose/an [Analysis] KW - *Hypoglycemia KW - *Insulin/ae [Adverse Effects] KW - Adverse Drug Reaction Reporting Systems/sn [Statistics & Numerical Data] KW - Hypoglycemia/ci [Chemically Induced] KW - Hypoglycemia/di [Diagnosis] KW - Hypoglycemia/ep [Epidemiology] KW - Hypoglycemic Agents/ad [Administration & Dosage] KW - Hypoglycemic Agents/ae [Adverse Effects] KW - Hypoglycemic Agents/cl [Classification] ER - TY - JOUR TI - Impact of climate change on the domestic indoor environment and associated health risks in the UK. AU - Vardoulakis, Sotiris AU - Dimitroulopoulou, Chrysanthi AU - Thornes, John AU - Lai, Ka-Man AU - Taylor, Jonathon AU - Myers, Isabella AU - Heaviside, Clare AU - Mavrogianni, Anna AU - Shrubsole, Clive AU - Chalabi, Zaid AU - Davies, Michael AU - Wilkinson, Paul T2 - Environment international AB - There is growing evidence that projected climate change has the potential to significantly affect public health. In the UK, much of this impact is likely to arise by amplifying existing risks related to heat exposure, flooding, and chemical and biological contamination in buildings. Identifying the health effects of climate change on the indoor environment, and risks and opportunities related to climate change adaptation and mitigation, can help protect public health. We explored a range of health risks in the domestic indoor environment related to climate change, as well as the potential health benefits and unintended harmful effects of climate change mitigation and adaptation policies in the UK housing sector. We reviewed relevant scientific literature, focusing on housing-related health effects in the UK likely to arise through either direct or indirect mechanisms of climate change or mitigation and adaptation measures in the built environment. We considered the following categories of effect: (i) indoor temperatures, (ii) indoor air quality, (iii) indoor allergens and infections, and (iv) flood damage and water contamination. Climate change may exacerbate health risks and inequalities across these categories and in a variety of ways, if adequate adaptation measures are not taken. Certain changes to the indoor environment can affect indoor air quality or promote the growth and propagation of pathogenic organisms. Measures aimed at reducing greenhouse gas emissions have the potential for ancillary public health benefits including reductions in health burdens related heat and cold, indoor exposure to air pollution derived from outdoor sources, and mould growth. However, increasing airtightness of dwellings in pursuit of energy efficiency could also have negative effects by increasing concentrations of pollutants (such as PM2.5, CO and radon) derived from indoor or ground sources, and biological contamination. These effects can largely be ameliorated by mechanical ventilation with heat recovery (MVHR) and air filtration, where such solution is feasible and when the system is properly installed, operated and maintained. Groups at high risk of these adverse health effects include the elderly (especially those living on their own), individuals with pre-existing illnesses, people living in overcrowded accommodation, and the socioeconomically deprived. A better understanding of how current and emerging building infrastructure design, construction, and materials may affect health in the context of climate change and mitigation and adaptation measures is needed in the UK and other high income countries. Long-term, energy efficient building design interventions, ensuring adequate ventilation, need to be promoted. Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.envint.2015.09.010 VL - 85 IS - du1, 7807270 SP - 299 EP - 313 J2 - Environ Int SN - 1873-6750 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26453820 KW - Humans KW - Aged KW - United Kingdom KW - Risk Assessment KW - Public Health KW - Models, Theoretical KW - *Housing/st [Standards] KW - *Environmental Monitoring/mt [Methods] KW - Particle Size KW - *Air Pollution, Indoor/an [Analysis] KW - *Climate Change KW - Air Pollution, Indoor/pc [Prevention & Control] KW - Carbon Monoxide/an [Analysis] KW - Particulate Matter/an [Analysis] KW - Radon/an [Analysis] KW - Ventilation ER - TY - JOUR TI - Association of Metabolic Syndrome with Serum Adipokines in Community-Living Elderly Japanese Women: Independent Association with Plasminogen Activator-Inhibitor-1. AU - Takeuchi, Mika AU - Tsuboi, Ayaka AU - Kurata, Miki AU - Fukuo, Keisuke AU - Kazumi, Tsutomu T2 - Metabolic syndrome and related disorders AB - BACKGROUND: Associations between metabolic syndrome (MetS) with serum adipokines and basal lipoprotein lipase mass (serum LPL) have not been extensively studied in elderly Asians, who in general have lower body mass index than European populations., METHODS: A cross-sectional analysis was conducted including 159 community-living elderly Japanese women whose age averaged 77 years. MetS was defined by the modified National Cholesterol Education Program Adult Treatment Panel III criteria, but using a body mass index >=25 kg/m(2) instead of waist circumference. Serum LPL, leptin, adiponectin, plasminogen activator inhibitor 1 (PAI-1), interleukin-6, tumor necrosis factor-alpha, and high-sensitivity C-reactive protein were measured., RESULTS: Both the presence of MetS and the number of MetS components were associated with higher homeostasis assessment of insulin resistance, serum levels of leptin, PAI-1, and tumor necrosis factor-alpha and with lower serum levels of LPL and adiponectin (all P < 0.05), but not with high-sensitivity C-reactive protein and interleukin-6. Among six biomarkers of MetS, PAI-1 remained associated with MetS independent of fat mass index and insulin resistance., CONCLUSIONS: Although proinflammatory, prothrombotic, and anti-inflammatory states were associated with MetS, higher PAI-1 was associated with MetS independent of fat mass index and insulin resistance in elderly Japanese women, in whom obesity is rare. DA - 2015/// PY - 2015 DO - 10.1089/met.2015.0014 VL - 13 IS - 9 SP - 415 EP - 21 J2 - Metab. syndr. relat. disord. SN - 1557-8518 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26451494 KW - Female KW - Humans KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Japan/ep [Epidemiology] KW - Cross-Sectional Studies KW - Sex Factors KW - Age Factors KW - Biomarkers/bl [Blood] KW - Metabolic Syndrome/di [Diagnosis] KW - Asian Continental Ancestry Group KW - *Aging/bl [Blood] KW - Aging/eh [Ethnology] KW - Adiposity KW - *Adipokines/bl [Blood] KW - *Metabolic Syndrome/bl [Blood] KW - *Plasminogen Activator Inhibitor 1/bl [Blood] KW - Inflammation Mediators/bl [Blood] KW - Insulin Resistance KW - Metabolic Syndrome/eh [Ethnology] KW - Metabolic Syndrome/pp [Physiopathology] ER - TY - JOUR TI - Oral health status of older people living in care homes in Wales. AU - Karki, A J AU - Monaghan, N AU - Morgan, M T2 - British dental journal AB - BACKGROUND: UK adult dental health surveys (ADHS) exclude care home residents from sampling. Aim To understand oral health status of care home residents in Wales using ADHS criteria., METHOD: Cross sectional survey of care home residents in Wales using a questionnaire and oral examination contemporaneous with, and paralleling, the ADHS 2009. 708 randomly selected participants from 213 randomly selected care homes participated including individuals with and without capacity., RESULTS: 72.8% of residents had tooth decay. Compared to older adults examined in the ADHS, residents are less likely to brush teeth/dentures twice a day (37% vs 63%), more likely to only attend a dentist when they have a problem (63% vs 26%), have more teeth with active decay (3.1 vs 0.9), more have current dental pain (13% vs 5%) and other morbidity (open pulp, ulceration, fistulae, abscess 27% vs 10%). High decay is present in both recently admitted and longer term residents. There was some regional variation in levels of oral hygiene., CONCLUSION: Oral health status of older people resident in care homes in Wales is poor. Findings suggest more could be done to improve preventive care both before and after admission to the care home. DA - 2015/// PY - 2015 DO - 10.1038/sj.bdj.2015.756 VL - 219 IS - 7 SP - 331 EP - 4 J2 - Br Dent J SN - 1476-5373 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26450249 KW - Adult KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Needs Assessment KW - Prevalence KW - Cross-Sectional Studies KW - *Oral Health KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Dental Health Surveys KW - Wales/ep [Epidemiology] KW - *Dental Caries/ep [Epidemiology] KW - *Dental Care for Aged/sn [Statistics & Numerical Data] KW - Diagnosis, Oral KW - DMF Index KW - Oral Hygiene ER - TY - JOUR TI - Nurse Education to Reduce Harmful Medication Use in Assisted Living Facilities: Effects of a Randomized Controlled Trial on Falls and Cognition. AU - Juola, Anna-Liisa AU - Bjorkman, Mikko P AU - Pylkkanen, Sarita AU - Finne-Soveri, Harriet AU - Soini, Helena AU - Kautiainen, Hannu AU - Bell, J Simon AU - Pitkala, Kaisu H T2 - Drugs & aging AB - BACKGROUND: Psychotropic and anticholinergic medications may increase the risk of falls and impair cognition., OBJECTIVE: The aim of the study was to investigate whether educating nursing staff in assisted living facilities about harmful medication use has effects on the incidence of falls and cognition., METHODS: This was a secondary analysis of a cluster randomized controlled trial (N = 227 residents, >=65 years) in 20 wards in assisted living facilities in Helsinki, Finland. Wards were randomized to those in which staff received two 4-h interactive training sessions to recognize potentially harmful medications (intervention group) and a control group. Cognition (verbal fluency, clock-drawing test) was assessed at baseline and 6 and 12 months. The number of falls per resident over the 12-month follow-up was recorded., RESULTS: The prevalence of harmful medication use declined in the intervention group {-11.7% [95% confidence interval (CI) -20.5 to -2.9]; p = 0.009}, but remained constant in the control group [+3.4% (95% CI -3.7 to 10.6); p = 0.34]. There were 171 falls in the intervention group (2.25 falls/person year, 95% CI 1.93-2.62) and 259 falls in the control group (3.25 falls/person year, 95% CI 2.87-3.67) [incidence rate ratio 0.72 (95% CI 0.59-0.88); p < 0.001]. Residents in the intervention group with a Mini-Mental State Examination (MMSE) score >=10 had significantly less falls compared with respective residents in the control group (p < 0.001). Changes in verbal fluency or clock drawing test were not significantly different between the groups., CONCLUSION: Educating nurses using activating learning methods can reduce the prevalence of harmful medications and the incidence of falls among residents in institutional settings. DA - 2015/// PY - 2015 DO - 10.1007/s40266-015-0311-8 VL - 32 IS - 11 SP - 947 EP - 55 J2 - Drugs Aging SN - 1179-1969 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26446153 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Accidental Falls/pc [Prevention & Control] KW - *Assisted Living Facilities KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Incidence KW - Cholinergic Antagonists/ae [Adverse Effects] KW - Finland/ep [Epidemiology] KW - *Nursing Staff/ed [Education] KW - Cognition Disorders/ep [Epidemiology] KW - *Inappropriate Prescribing/sn [Statistics & Numerical Data] KW - Psychotropic Drugs/ae [Adverse Effects] KW - *Drug Utilization/sn [Statistics & Numerical Data] KW - *Inappropriate Prescribing/pc [Prevention & Control] KW - *Cognition Disorders/ci [Chemically Induced] KW - Cognition Disorders/pc [Prevention & Control] ER - TY - JOUR TI - Time Out-of-Home and Cognitive, Physical, and Emotional Wellbeing of Older Adults: A Longitudinal Mixed Effects Model. AU - Petersen, Johanna AU - Austin, Daniel AU - Mattek, Nora AU - Kaye, Jeffrey T2 - PloS one AB - BACKGROUND: Time out-of-home has been linked with numerous health outcomes, including cognitive decline, poor physical ability and low emotional state. Comprehensive characterization of this important health metric would potentially enable objective monitoring of key health outcomes. The objective of this study is to determine the relationship between time out-of-home and cognitive status, physical ability and emotional state., METHODS AND FINDINGS: Participants included 85 independent older adults, age 65-96 years (M = 86.36; SD = 6.79) who lived alone, from the Intelligent Systems for Assessing Aging Changes (ISAAC) and the ORCATECH Life Laboratory cohorts. Factors hypothesized to affect time out-of-home were assessed on three different temporal levels: yearly (cognitive status, loneliness, clinical walking speed), weekly (pain and mood) or daily (time out-of-home, in-home walking speed, weather, and season). Subject characteristics including age, race, and gender were assessed at baseline. Total daily time out-of-home in hours was assessed objectively and unobtrusively for up to one year using an in-home activity sensor platform. A longitudinal tobit mixed effects regression model was used to relate daily time out-of-home to cognitive status, physical ability and emotional state. More hours spend outside the home was associated with better cognitive function as assessed using the Clinical Dementia Rating (CDR) Scale, where higher scores indicate lower cognitive function (betaCDR = -1.69, p<0.001). More hours outside the home was also associated with superior physical ability (betaPain = -0.123, p<0.001) and improved emotional state (betaLonely = -0.046, p<0.001; betaLow mood = -0.520, p<0.001). Weather, season, and weekday also affected the daily time out-of-home., CONCLUSIONS: These results suggest that objective longitudinal monitoring of time out-of-home may enable unobtrusive assessment of cognitive, physical and emotional state. In addition, these results indicate that the factors affecting out-of-home behavior are complex, with factors such as living environment, weather and season significantly affecting time out-of-home. Studies investigating the relationship between time out-of-home and health outcomes may be optimized by taking into account the environment and life factors presented here. DA - 2015/// PY - 2015 DO - 10.1371/journal.pone.0139643 VL - 10 IS - 10 SP - e0139643 J2 - PLoS ONE SN - 1932-6203 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26437228 KW - Female KW - Humans KW - Male KW - Depression KW - Aged KW - Aged, 80 and over KW - Mobility Limitation KW - *Independent Living KW - Time Factors KW - Loneliness KW - *Quality of Life KW - Affect KW - Social Behavior KW - Walking KW - *Physical Fitness KW - Personal Satisfaction KW - *Cognition KW - Cognition Disorders/ep [Epidemiology] KW - *Emotions KW - Pain/ep [Epidemiology] KW - Weather KW - Oregon KW - Homebound Persons ER - TY - JOUR TI - CT Pulmonary Angiography: Using Decision Rules in the Emergency Department. AU - Stojanovska, Jadranka AU - Carlos, Ruth C AU - Kocher, Keith E AU - Nagaraju, Arun AU - Guy, Karen AU - Kelly, Aine M AU - Chughtai, Aamer R AU - Kazerooni, Ella A T2 - Journal of the American College of Radiology : JACR AB - PURPOSE: The aim of this study was to assess the appropriateness of utilization and diagnostic yields of CT pulmonary angiography (CTPA), comparing two commonly applied decision rules, the pulmonary embolism (PE) rule-out criteria (PERC) and the modified Wells criteria (mWells), in the emergency department (ED) setting., METHODS: Institutional review board approval was obtained for this HIPAA-compliant, prospective-cohort, academic single-center study. Six hundred two consecutive adult ED patients undergoing CTPA for suspected PE formed the study population. The outcome was positive or negative for PE by CTPA and at 6-month follow-up. PERC and mWells scores were calculated. A positive PERC score was defined as meeting one or more criteria and a positive mWells score as >4. The percentage of CT pulmonary angiographic examinations that could have been avoided and the diagnostic yield of CTPA using PERC, mWells, and PERC applied to a negative mWells score were calculated., RESULTS: The diagnostic yield of CTPA was 10% (61 of 602). By applying PERC, mWells, and PERC to negative mWells score, 17.6% (106 of 602), 45% (273 of 602), and 17.1% (103 of 602) of CT pulmonary angiographic examinations, respectively, could have been avoided. The diagnostic yield in PERC-positive patients was higher than in mWells-positive patients (10% [59 of 602] vs 8% [49 of 602], P < .0001). Among PERC-negative and mWells-negative patients, the diagnostic yields for PE were 1.9% (2 of 106) and 4% (12 of 273), respectively (P = .004). The diagnostic yield of a negative PERC score applied to a negative mWells score was 1.9% (2 of 103)., CONCLUSIONS: The use of PERC in the ED has the potential to significantly reduce the utilization of CTPA and misses fewer cases of PE compared with mWells, and it is therefore a more efficient decision tool. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jacr.2015.06.002 VL - 12 IS - 10 SP - 1023 EP - 9 J2 - J. Am. Coll. Radiol. SN - 1558-349X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26435116 KW - Adolescent KW - Adult KW - Humans KW - Risk Factors KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Reproducibility of Results KW - Prevalence KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - Sensitivity and Specificity KW - *Decision Support Systems, Clinical/sn [Statistics & Numerical Data] KW - *Pulmonary Embolism/dg [Diagnostic Imaging] KW - Pulmonary Embolism/ep [Epidemiology] KW - Utilization Review KW - Michigan/ep [Epidemiology] KW - *Angiography/sn [Statistics & Numerical Data] KW - *Tomography, X-Ray Computed/sn [Statistics & Numerical Data] KW - *Unnecessary Procedures/sn [Statistics & Numerical Data] KW - Critical Care/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Is Aging in Place Delaying Nursing Home Admission?. AU - Young, Yuchi AU - Kalamaras, John AU - Kelly, Lindsay AU - Hornick, David AU - Yucel, Recai T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: This study examines whether aging in place (community-based living before admission to a nursing home) delays nursing home admission among New York State home health care recipients., DESIGN: Retrospective cohort study (January 2007-December 2012)., SETTING: New York State., PARTICIPANTS: Adults age 65+ who received home health services for at least 2 months before permanent nursing home admission., MEASUREMENT AND ANALYSIS: Permanent transition is defined as home care patients who are discharged to and stay at a nursing home for more than 3 months. Data were abstracted from the Minimum Data Set (MDS) and Outcome and Assessment Information Set (OASIS). Descriptive and bivariate Kruskal-Wallis and chi(2) tests were performed., RESULTS: The average age of nursing home residents at admission remained steady at 83 years between 2007 and 2012. The proportion of minority populations (Asian, black, Hispanic/Latino) increased, whereas the white population declined (P < .0001). The average length of stay at home increased 8 months, from 17 months in 2007 to 25 months in 2012 (P < .0001). Chronic conditions with significant increases in prevalence during the study period were hypertension (P < .0009), dementia (P < .0001), heart failure (P = .05), urinary incontinence (P < .0001), and bowel incontinence (P < .0001). Increases in functional disabilities requiring extensive human assistance included toileting, dressing, personal hygiene, and transferring (all P < .001)., CONCLUSION: Home health services enabled recipients to remain at home 8 months longer, thus delaying nursing home entry. Given the increase in prevalence of comorbidities and disability, we anticipate a concomitant increase in support services at the nursing home. These results may inform policy and staffing decisions regarding adjustments in required caregivers' credentials and nurse-patient ratios. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2015.07.017 VL - 16 IS - 10 SP - 900.e1 EP - 6 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26433865 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - *Independent Living KW - Retrospective Studies KW - Time Factors KW - Cohort Studies KW - *Nursing Homes KW - Patient Admission/sn [Statistics & Numerical Data] KW - *Home Care Services/sn [Statistics & Numerical Data] KW - Chronic Disease/ep [Epidemiology] KW - New York/ep [Epidemiology] ER - TY - JOUR TI - Influenza prevention in nursing homes: Great significance of seasonal variability and spatio-temporal pattern. AU - Gaspard, Philippe AU - Mosnier, Anne AU - Stoll-Keller, Francoise AU - Roth, Cathy AU - Larocca, Sabrina AU - Bertrand, Xavier T2 - Presse medicale (Paris, France : 1983) AB - OBJECTIVE: This work evaluated seasonal variations and spatio-temporal pattern of respiratory tract infections (RTI) in geriatric nursing homes in order to improve effective surveillance, prevention, control and management of RTI., METHODS: Prospective surveillance of RTI (Low Respiratory Tract infections and Influenza Like Illnesses) was conducted in 11 sites in Alsace over a 10-year period with clinical case definitions and rapid tests (Immunoassay) to identify influenza virus., RESULTS: Influenza national epidemic was a period at high risk of RTI in nursing homes with variable impacts depending on the seasonal period. 2004-2005, 2008-2009, 2011-2012 and 2012-2013 were the periods with the highest impacts. The higher risk was not well understood during these four influenza epidemics and outbreaks occurred in numerous nursing homes despite the alerts and surveillance., CONCLUSION: Information about seasonal variability and spatio-temporal patterns of the RTI during the national epidemic periods is essential for the nursing homes in order to help the health care workers and the visitors to understand the risk for the residents and then to improve the implementation of the control and prevention measures. Copyright © 2015 Elsevier Masson SAS. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.lpm.2015.04.041 VL - 44 IS - 10 SP - e311 EP - 9 J2 - Presse Med SN - 2213-0276 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26433834 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Population Surveillance KW - *Homes for the Aged KW - *Nursing Homes KW - Nursing Homes/sn [Statistics & Numerical Data] KW - *Seasons KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Influenza, Human/ep [Epidemiology] KW - *Influenza, Human/pc [Prevention & Control] KW - Disease Outbreaks/pc [Prevention & Control] KW - Disease Outbreaks/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Efficacy of memory training in healthy community-dwelling older people: study protocol for a randomized controlled trial. AU - Perez, Anna AU - Roque, Marta AU - Domenech, Sara AU - Monteserin, Rosa AU - Soriano, Nuria AU - Blancafort, Xavier AU - Bosom, Maria AU - Vidal, Cristina AU - Petit, Montse AU - Hortal, Nuria AU - Gil, Carles AU - Espelt, Albert AU - Lopez, Maria Jose T2 - BMC geriatrics AB - BACKGROUND: There is limited evidence on the efficacy and social utility of cognitive training. To address this, we have designed a randomized controlled trial to assess the effectiveness of memory training workshops for healthy older people in terms of their short- and long-term impact on cognitive function, health-related quality of life, and functionality., METHODS/DESIGN: A randomized controlled trial will be performed in health care centers in Barcelona (Spain) through comparison of a group of individuals participating in memory training workshops (experimental group) with another group with similar characteristics not participating in the workshops (control group). The intervention will consist of twelve 90-minute group sessions imparted once a week by a psychologist specialized in memory training. The groups will each comprise approximately 15 people, for a total number of 230 patients involved in the study. Each session has its own objectives, materials and activities. The content of the intervention is based on memory training from different perspectives, including cognitive and emotional aspects and social and individual skills. Data will be collected at baseline, at 3-4 months and at 6 months. To assess the efficacy of the intervention on cognitive function, health-related quality of life and functionality, a statistical analysis will be performed by fitting a repeated-measures mixed effects model for each main outcome: Self-perceived memory, measured by a Subjective Self-reported Memory Score (from 0 to 10) and by the Memory Failures in Everyday life questionnaire (MFE); Everyday memory, measured using the Rivermead Behavioural Memory Test-3 (RBMT-3) and Executive control abilities, measured in terms of visual-perceptual ability, working memory and task-switching ability with the Trail Making Test (TMT) and with the digit span scale of the Wechsler Adult Intelligence Scale III (WAIS III)., DISCUSSION: The results of this study will be highly useful for social and public health policies related to older people. Given the continuous increase in the prevalence of older people, a large number of interventions targeting memory loss are funded by public resources. To ensure transparency and effective prioritization, research such as the present study is needed to provide evidence of the effectiveness and usefulness of these interventions., TRIAL REGISTRATION: Number: NCT02431182 . DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0110-4 VL - 15 IS - 100968548 SP - 113 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26429559 KW - Adult KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Follow-Up Studies KW - Cognition KW - *Independent Living/px [Psychology] KW - *Health Status KW - Spain/ep [Epidemiology] KW - Quality of Life/px [Psychology] KW - *Learning KW - Memory Disorders/ep [Epidemiology] KW - *Memory Disorders/px [Psychology] KW - *Memory Disorders/th [Therapy] ER - TY - JOUR TI - Detection and proportion of very early dental caries in independent living older adults. AU - Holtzman, Jennifer S AU - Kohanchi, Daniel AU - Biren-Fetz, John AU - Fontana, Margherita AU - Ramchandani, Manisha AU - Osann, Kathryn AU - Hallajian, Lucy AU - Mansour, Stephanie AU - Nabelsi, Tasneem AU - Chung, Na Eun AU - Wilder-Smith, Petra T2 - Lasers in surgery and medicine AB - BACKGROUND AND OBJECTIVES: Dental caries is an important healthcare challenge in adults over 65 years of age. Integration of oral health screening into non-dental primary care practice may improve access to preventive dental care for vulnerable populations such as the elderly. Such integration would require easy, fast, and accurate early caries detection tools. Primary goal of this study was to evaluate the diagnostic performance of optical coherence tomography (OCT) imaging for detecting very early caries in the elderly living in community-based settings. The International Caries Detection and Assessment System (ICDAS) served as gold standard. Secondary goal of this study was to provide baseline prevalence data of very early caries lesions in independent living adults aged 65+ years., MATERIALS AND METHODS: Seventy-two subjects were recruited from three sites in Southern California: a retirement community, a senior health fair, and a convalescent hospital. Clinical examination was performed using the ICDAS visual criteria and this was followed by OCT imaging. The two-dimensional OCT images (B-scan) were analyzed with simple software. Locations with a log of back-scattered light intensity (BSLI) below 2.9 were scored as sound, and areas equaling or exceeding 2.9 BSLI were considered carious. Diagnostic performance of OCT imaging was compared with ICDAS score., RESULTS: OCT-based diagnosis demonstrated very good sensitivity (95.1%) and good specificity (85.8%). 54.7% of dentate subjects had at least one tooth with very early coronal caries., CONCLUSIONS: Early coronal decay is prevalent in the unrestored pits and fissures of coronal surfaces of teeth in independent living adults aged 65+ years. Though OCT imaging coupled with a simple diagnostic algorithm can accurately detect areas of very early caries in community-based settings, existing devices are expensive and not well-suited for use by non-dental health care providers. Simple, inexpensive, fast, and accurate tools for early caries detection by field health care providers working in non-traditional settings are urgently needed to support inter-professional dental health management. Copyright © 2015 Wiley Periodicals, Inc. DA - 2015/// PY - 2015 DO - 10.1002/lsm.22411 VL - 47 IS - 9 SP - 683 EP - 8 J2 - Lasers Surg Med SN - 1096-9101 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26414887 KW - Female KW - Humans KW - Male KW - Aged KW - Prevalence KW - *Independent Living KW - Cohort Studies KW - Age Factors KW - California KW - Sensitivity and Specificity KW - Dental Caries/ep [Epidemiology] KW - Early Diagnosis KW - *Dental Caries/di [Diagnosis] KW - *Tomography, Optical Coherence ER - TY - JOUR TI - Social Participation and the Prevention of Decline in Effectance among Community-Dwelling Elderly: A Population-Based Cohort Study. AU - Tomioka, Kimiko AU - Kurumatani, Norio AU - Hosoi, Hiroshi T2 - PloS one T3 - [Erratum in: PLoS One. 2016 Oct 18;11(10 ):e0164925; PMID: 27755579 [https://www.ncbi.nlm.nih.gov/pubmed/27755579]] AB - BACKGROUND: We examined the association between a decline in effectance and social participation (SP) from the perspective of the number and the type of SP in a prospective cohort study., METHODS: Included in this analysis were community-dwelling elderly aged >= 65 without dependency on the basic activities of daily living and reporting a perfect baseline effectance score (n = 4,588; mean age 72.8 +/- 5.7). SP was categorized into 5 types: neighborhood associations, hobby groups, local event groups, senior citizen clubs, and volunteer groups. Effectance was evaluated using the Tokyo Metropolitan Institute of Gerontology Index of Competence. Using logistic regression analysis, odds ratio (OR) and a 95% confidence interval (CI) for a decline in effectance were calculated. Age, family, BMI, pensions, medical history, medications, alcohol, smoking, cognitive function, depression, social support, ADL, and IADL were used as covariates., RESULTS: During the 3-year follow-up, 17.8% of eligible participants reported a decline in effectance. After adjustment for covariates, participation in various groups was associated with the preservation of effectance for both genders. Regarding the type of SP, among females, participation in neighborhood associations (OR: 0.62, 95%CI: 0.48-0.81), hobby groups (0.58, 0.43-0.77), local event groups (0.63, 0.47-0.86), and volunteer groups (0.53, 0.35-0.82) was inversely associated with a decline in effectance. Among males, the beneficial effect was more likely limited to hobby groups (0.59, 0.43-0.81) and volunteer groups (0.57, 0.39-0.83)., CONCLUSIONS: Our results suggest that participation in a variety of social groups is effective for maintenance of older people's effectance, while the beneficial effect of each type of SP on effectance is stronger for females than for males. Recommending community-dwelling elderly to participate in social groups appropriate for their gender may be effective for successful aging. DA - 2015/// PY - 2015 DO - 10.1371/journal.pone.0139065 VL - 10 IS - 9 SP - e0139065 J2 - PLoS ONE SN - 1932-6203 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26406326 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - *Independent Living/px [Psychology] KW - Independent Living/sn [Statistics & Numerical Data] KW - *Aging/px [Psychology] KW - *Social Participation KW - *Motivation ER - TY - JOUR TI - Adaptive Strategies and Person-Environment Fit among Functionally Limited Older Adults Aging in Place: A Mixed Methods Approach. AU - Lien, Laura L AU - Steggell, Carmen D AU - Iwarsson, Susanne T2 - International journal of environmental research and public health AB - Older adults prefer to age in place, necessitating a match between person and environment, or person-environment (P-E) fit. In occupational therapy practice, home modifications can support independence, but more knowledge is needed to optimize interventions targeting the housing situation of older adults. In response, this study aimed to explore the accessibility and usability of the home environment to further understand adaptive environmental behaviors. Mixed methods data were collected using objective and perceived indicators of P-E fit among 12 older adults living in community-dwelling housing. Quantitative data described objective P-E fit in terms of accessibility, while qualitative data explored perceived P-E fit in terms of usability. While accessibility problems were prevalent, participants' perceptions of usability revealed a range of adaptive environmental behaviors employed to meet functional needs. A closer examination of the P-E interaction suggests that objective accessibility does not always stipulate perceived usability, which appears to be malleable with age, self-perception, and functional competency. Findings stress the importance of evaluating both objective and perceived indicators of P-E fit to provide housing interventions that support independence. Further exploration of adaptive processes in older age may serve to deepen our understanding of both P-E fit frameworks and theoretical models of aging well. DA - 2015/// PY - 2015 DO - 10.3390/ijerph120911954 VL - 12 IS - 9 SP - 11954 EP - 74 J2 - Int J Environ Res Public Health SN - 1660-4601 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26404352 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - *Aging KW - *Housing KW - Environment KW - *Adaptation, Psychological KW - Northwestern United States ER - TY - JOUR TI - Influence of Sampling and Recruitment Methods in Studies of Subjective Cognitive Decline. AU - Rodriguez-Gomez, Octavio AU - Abdelnour, Carla AU - Jessen, Frank AU - Valero, Sergi AU - Boada, Merce T2 - Journal of Alzheimer's disease : JAD AB - Subjective cognitive decline (SCD) has been proposed as a marker of neurodegeneration in cognitively normal elderly. This idea is supported by the growing evidence that SCD is associated with Alzheimer's disease (AD) biomarkers and increases the risk of future cognitive impairment. Nevertheless, this evidence is not complete, since other studies have not found these associations. This discrepancy could have a methodological basis. It is well known that across the broad spectrum of degenerative disease from healthy controls to dementia, the research setting affects key characteristics of the sample such as age, educational level, or family history of dementia. However, virtually no studies have specifically tested the influence of sampling and recruitment methods in SCD research. Population-based samples are less biased and therefore they probably are more suitable for the study of memory complaints as a symptom at the population level. On the other hand, the memory clinic setting could introduce a set of biases that make these patients more likely to develop cognitive impairment. Thus, memory clinic would be the most cost-effective context in which to study the phenomenology of SCD due to AD and eventually recruit patients for secondary prevention trials. However, this general hypothesis needs to be tested. Studies that compare samples of patients with SCD from different settings are necessary. Sometimes it is difficult for patients with subtle forms of cognitive impairment to access specialized diagnostic centers. Based in our experience we state that Open House type initiatives may be useful for attracting these individuals to memory clinics. DA - 2015/// PY - 2015 DO - 10.3233/JAD-150189 VL - 48 Suppl 1 IS - 9814863 SP - S99 EP - S107 J2 - J Alzheimers Dis SN - 1875-8908 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26402087 KW - Humans KW - *Aging KW - Neuropsychological Tests KW - *Patient Selection KW - *Cognition Disorders/di [Diagnosis] KW - *Sample Size KW - Community Health Planning ER - TY - JOUR TI - Early Cognitively Based Functional Limitations Predict Loss of Independence in Instrumental Activities of Daily Living in Older Adults. AU - Lau, Karen M AU - Parikh, Mili AU - Harvey, Danielle J AU - Huang, Chun-Jung AU - Farias, Sarah Tomaszewski T2 - Journal of the International Neuropsychological Society : JINS AB - Older adults with early forms of neurodegenerative disease are at risk for functional disability, which is often defined by the loss of independence in instrumental activities of daily living (IADLs). The current study investigated the influence of mild changes in everyday functional abilities (referred to as functional limitations) on risk for development of incident functional disability. A total of 407 participants, who were considered cognitively normal or diagnosed with mild cognitive impairment (MCI) at baseline, were followed longitudinally over an average 4.1 years (range=0.8-9.2 years). Informant-based ratings from the Everyday Cognition (ECog; Farias et al., 2008) and the Instrumental Activities of Daily Living (Lawton & Brody, 1969) scales assessed the degree of functional limitations and incident IADL disability, respectively. Cox proportional hazards models revealed that more severe functional limitations (as measured by the Total ECog score) at baseline were associated with approximately a four-fold increased risk of developing IADL disability a few years later. Among the ECog domains, functional limitations in Everyday Planning, Everyday Memory, and Everyday Visuospatial domains were associated with the greatest risk of incident functional disability. These results remained robust even after controlling for participants' neuropsychological functioning on tests of executive functions and episodic memory. Current findings indicate that early functional limitations have prognostic value in identifying older adults at risk for developing functional disability. Findings highlight the importance of developing interventions to support everyday abilities related to memory, executive function, and visuospatial skills in an effort to delay loss of independence in IADLs. DA - 2015/// PY - 2015 DO - 10.1017/S1355617715000818 VL - 21 IS - 9 SP - 688 EP - 98 J2 - J Int Neuropsychol Soc SN - 1469-7661 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26391766 KW - Female KW - Humans KW - Male KW - Aged KW - Cognitive Dysfunction/ep [Epidemiology] KW - Longitudinal Studies KW - *Independent Living/px [Psychology] KW - Independent Living/sn [Statistics & Numerical Data] KW - Cognitive Dysfunction/di [Diagnosis] KW - Neuropsychological Tests KW - *Activities of Daily Living/px [Psychology] KW - Disability Evaluation KW - Prognosis ER - TY - JOUR TI - Burns in the elderly: Is the observed mortality a good criterion?. AU - Gaucher, Sonia AU - Grabar, Sophie T2 - Burns : journal of the International Society for Burn Injuries T3 - [Comment on: Burns. 2015 Sep;41(6):1161-8; PMID: 25983286 [https://www.ncbi.nlm.nih.gov/pubmed/25983286]][Comment in: Burns. 2015 Nov;41(7):1617-8; PMID: 26382825 [https://www.ncbi.nlm.nih.gov/pubmed/26382825]] DA - 2015/// PY - 2015 DO - 10.1016/j.burns.2015.08.030 VL - 41 IS - 7 SP - 1616 EP - 7 J2 - Burns SN - 1879-1409 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26385827 KW - Female KW - Humans KW - Male KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Patient Discharge/sn [Statistics & Numerical Data] KW - *Burns/mo [Mortality] ER - TY - JOUR TI - Breaking-up sedentary time is associated with impairment in activities of daily living. AU - Sardinha, Luis B AU - Ekelund, Ulf AU - dos Santos, Leandro AU - Cyrino, Edilson S AU - Silva, Analiza M AU - Santos, Diana A T2 - Experimental gerontology T3 - [Comment in: Exp Gerontol. 2015 Dec;72:278; PMID: 26514290 [https://www.ncbi.nlm.nih.gov/pubmed/26514290]][Comment in: Exp Gerontol. 2015 Dec;72:279-80; PMID: 26477485 [https://www.ncbi.nlm.nih.gov/pubmed/26477485]] AB - Identifying modifiable behaviors associated with prevention of activities of daily living (ADL) impairments is vital to implement preventive strategies for independent living in elderly. We aimed to examine the associations between objectively measured breaks in sedentary time with ADL impairments and physical independence. Cross-sectional assessments were carried out in 371 participants (131 male) aged 65-103 years from the Portuguese surveillance system of physical activity. Physical activity (PA) and sedentary time (ST) were assessed with accelerometry, and ADL impairments and physical independence with the self-reported 12-item composite physical function scale. Using ROC analyses a cut-off of 7 hourly breaks in sedentary time was identified which maximized the sensitivity and specificity in diagnosing physical dependence. Logistic regression analysis demonstrated that, independently of moderate-to-vigorous PA (MVPA), participants performing <= 7 hourly breaks in sedentary time had 2 to 7 fold increased odds for impairment in 10 of the 12 ADL. When stratifying ADL into basic, instrumental and advanced ADL we verified that less than 7 hourly breaks in sedentary time was associated with a 2 to 5 fold increased odds for impairments and physical dependence, independent of MVPA. No associations were observed between meeting PA guidelines and basic, instrumental, and advanced ADL impairment although time in MVPA was lower in participants showing impairments. In conclusion, the frequency of breaks in sedentary time in older ages is independently associated with lower risk for ADL impairments and physical dependence. Our findings support interventions to encourage older adults to increase overall PA by interrupting sedentary time. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.exger.2015.09.011 VL - 72 IS - epq, 0047061 SP - 57 EP - 62 J2 - Exp Gerontol SN - 1873-6815 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26385738 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - *Activities of Daily Living KW - *Aging/ph [Physiology] KW - Cross-Sectional Studies KW - ROC Curve KW - *Sedentary Behavior KW - Self Report KW - *Physical Fitness KW - *Motor Activity KW - Accelerometry ER - TY - JOUR TI - Physician substitution by mid-level providers in primary healthcare for older people and long-term care facilities: protocol for a systematic literature review. AU - Lovink, Marleen H AU - Persoon, Anke AU - van Vught, Anneke J A H AU - Koopmans, Raymond T C M AU - Schoonhoven, Lisette AU - Laurant, Miranda G H T2 - Journal of advanced nursing AB - AIM: This protocol describes a systematic review that evaluates the effects of physician substitution by mid-level providers (nurse practitioners, physician assistants or nurses) in primary healthcare for older people and long-term care facilities. The secondary aim is to describe facilitators and barriers to the implementation of physician substitution in these settings., BACKGROUND: Healthcare for older people is undergoing major changes, due to population ageing and reforms that shift care to the community. Besides, relatively few medical students are pursuing careers in healthcare for older people. Innovative solutions are needed to guarantee the quality of healthcare and to contain costs. A solution might be shifting care from physicians to mid-level providers. To date, no systematic review on this topic exits to guide policymaking., DESIGN: A quantitative systematic literature review using Cochrane methods., METHODS: The following databases will be searched for original research studies that quantitatively compare care provided by a physician to the same care provided by a mid-level provider: PubMed, EMBASE, CINAHL, PsycINFO, CENTRAL and Web of Science. Study selection, data extraction and quality appraisal will be conducted independently by two reviewers. Data synthesis will consist of a qualitative analysis of the data. Funding of the review was confirmed in August 2013 by the Ministry of Health, Welfare and Sport of the Netherlands., DISCUSSION: This review will contribute to the knowledge on effects of physician substitution in healthcare for older people and factors that influence the outcomes. This knowledge will guide professionals and policy administrators in their decisions to optimize healthcare for older people. Copyright © 2015 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/jan.12759 VL - 71 IS - 12 SP - 2998 EP - 3005 J2 - J Adv Nurs SN - 1365-2648 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26383740 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Systematic Reviews as Topic KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Netherlands KW - *Long-Term Care/og [Organization & Administration] KW - *Primary Health Care/og [Organization & Administration] KW - *Nurse Practitioners/og [Organization & Administration] KW - *Physician Assistants/og [Organization & Administration] KW - *Physicians/og [Organization & Administration] ER - TY - JOUR TI - Burns in the elderly: Mortality is still a relevant outcome. AU - Wearn, Christopher M AU - Hardwicke, Joseph AU - Moiemen, Naiem T2 - Burns : journal of the International Society for Burn Injuries T3 - [Comment on: Burns. 2015 Sep;41(6):1161-8; PMID: 25983286 [https://www.ncbi.nlm.nih.gov/pubmed/25983286]][Comment on: Burns. 2015 Nov;41(7):1616-7; PMID: 26385827 [https://www.ncbi.nlm.nih.gov/pubmed/26385827]] DA - 2015/// PY - 2015 DO - 10.1016/j.burns.2015.08.029 VL - 41 IS - 7 SP - 1617 EP - 8 J2 - Burns SN - 1879-1409 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26382825 KW - Female KW - Humans KW - Male KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Patient Discharge/sn [Statistics & Numerical Data] KW - *Burns/mo [Mortality] ER - TY - JOUR TI - Improving Personal Characterization of Meaningful Activity in Adults with Chronic Conditions Living in a Low-Income Housing Community. AU - Ciro, Carrie A AU - Smith, Patsy T2 - International journal of environmental research and public health AB - PURPOSE: To understand how adults living in a low-income, public housing community characterize meaningful activity (activity that gives life purpose) and if through short-term intervention, could overcome identified individual and environmental barriers to activity engagement., METHODS: We used a mixed methods design where Phase 1 (qualitative) informed the development of Phase 2 (quantitative). Focus groups were conducted with residents of two low-income, public housing communities to understand their characterization of meaningful activity and health. From these results, we developed a theory-based group intervention for overcoming barriers to engagement in meaningful activity. Finally, we examined change in self-report scores from the Meaningful Activity Participation Assessment (MAPA) and the Engagement in Meaningful Activity Survey (EMAS)., RESULTS: Health literacy appeared to impact understanding of the questions in Phase 1. Activity availability, transportation, income and functional limitations were reported as barriers to meaningful activity. Phase 2 within group analysis revealed a significant difference in MAPA pre-post scores (p =0.007), but not EMAS (p =0.33)., DISCUSSION: Health literacy should be assessed and addressed in this population prior to intervention. After a group intervention, participants had a change in characterization of what is considered healthy, meaningful activity but reported fewer changes to how their activities aligned with their values. DA - 2015/// PY - 2015 DO - 10.3390/ijerph120911379 VL - 12 IS - 9 SP - 11379 EP - 95 J2 - Int J Environ Res Public Health SN - 1660-4601 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26378559 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Focus Groups KW - Health Status KW - Qualitative Research KW - *Social Participation/px [Psychology] KW - *Poverty KW - Pilot Projects KW - *Public Housing KW - *Occupational Therapy/mt [Methods] KW - Motivation KW - Attitude to Health KW - Chronic Disease/px [Psychology] KW - *Chronic Disease/th [Therapy] ER - TY - JOUR TI - Perceived Challenges to the Sustainability of Community-Based Aging Initiatives: Findings from a National Study of Villages. AU - Lehning, Amanda AU - Scharlach, Andrew AU - Price Wolf, Jennifer AU - Davitt, Joan AU - Wiseman, Hilary T2 - Journal of gerontological social work AB - Concerns have been raised regarding the sustainability of Villages, a rapidly-expanding set of organizations that typically use a participant-directed approach to improve older adults' quality of life and ability to age in place. Using online survey and telephone-interview data from a 2013 follow-up study of Villages across the United States, this study examined organizational leaders' perceptions of the major challenges to sustainability. Major challenges identified included: (a) funding, (b) membership recruitment, (c) leadership development, (d) meeting members' service needs, and (e) limitations of the Village model itself. Findings point to a number of important considerations for the development, implementation, and sustainability of the Village model, including the role of social workers in addressing these challenges. DA - 2015/// PY - 2015 DO - 10.1080/01634372.2015.1088111 VL - 58 IS - 7-8 SP - 684 EP - 702 J2 - J Gerontol Soc Work SN - 1540-4048 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26376229 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Models, Organizational KW - Needs Assessment KW - Qualitative Research KW - *Independent Living KW - Social Support KW - *Quality of Life KW - *Homes for the Aged/og [Organization & Administration] KW - Independent Living/px [Psychology] KW - Independent Living/st [Standards] KW - *Social Workers KW - Professional Role KW - *Community Networks/og [Organization & Administration] KW - *Residential Facilities/og [Organization & Administration] ER - TY - JOUR TI - An observational study on work interruptions during medication administration in residential care homes for older people. AU - Lee, Linda Yin-king AU - Tiu, Mimi Mei-ha AU - Charm, Caroline Yee-chong AU - Wong, Ka-fai T2 - Journal of clinical nursing DA - 2015/// PY - 2015 DO - 10.1111/jocn.12966 VL - 24 IS - 21-22 SP - 3336 EP - 9 J2 - J Clin Nurs SN - 1365-2702 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26373233 KW - Humans KW - Outcome Assessment (Health Care) KW - Aged KW - Cross-Sectional Studies KW - *Homes for the Aged KW - Hong Kong KW - Health Services for the Aged/st [Standards] KW - *Medication Errors/pc [Prevention & Control] KW - *Workplace KW - *Practice Patterns, Nurses' KW - Medication Errors/nu [Nursing] ER - TY - JOUR TI - Quality of life of older adults in rural southern Brazil. AU - Gambin, Gisele AU - Molzahn, Anita AU - Fuhrmann, Ana C AU - Morais, Eliane P AU - Paskulin, Lisiane Mg T2 - Rural and remote health AB - INTRODUCTION: Ageing in rural communities poses unique challenges that can have an impact on older adults' quality of life (QoL). These limitations can be costly to the healthcare system but there is potential for them to be addressed with a better understanding of factors that affect QoL. The goal of this study was to assess the perceptions of QoL of older adults living in rural areas of southern Brazil and to identify factors associated with QoL in this population., METHODS: A cross-sectional study was conducted with 197 older adults (mean age 69.7+/-7.5 years). Instruments included the Katz and Lawton activities of daily living scales, QoL instruments and a questionnaire that addressed social, economic, demographic and health variables. Multiple regression analysis was performed, using various domains and overall QoL as dependent variables., RESULTS: Older adults who were more independent, living with a spouse, with higher income and educational levels, fewer morbidities, fewer years of tobacco use, and who did not report falls in the last year were significantly more likely to rate their QoL higher on one or more domains/measures., CONCLUSIONS: Factors associated with QoL of older adults in rural areas are similar to those found in studies conducted in urban areas, but the rural context may influence these variables in unique ways. DA - 2015/// PY - 2015 VL - 15 IS - 3 SP - 3300 J2 - RURAL REMOTE HEALTH SN - 1445-6354 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26363721 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Interpersonal Relations KW - Independent Living KW - Cross-Sectional Studies KW - *Quality of Life/px [Psychology] KW - Comorbidity KW - *Rural Population/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Brazil/ep [Epidemiology] KW - *Activities of Daily Living/px [Psychology] KW - Regression Analysis KW - Morbidity KW - Activities of Daily Living/cl [Classification] KW - Health Status Indicators KW - Chronic Disease/ep [Epidemiology] ER - TY - JOUR TI - Pain, quality of life and activity in aged evacuees living in temporary housing after the Great East Japan earthquake of 11 March 2011: a cross-sectional study in Minamisoma City, Fukushima prefecture. AU - Yabuki, Shoji AU - Ouchi, Kazuo AU - Kikuchi, Shin-ichi AU - Konno, Shin-ichi T2 - BMC musculoskeletal disorders AB - BACKGROUND: The aim of this study was to clarify pain, quality of life and activity in the aged evacuees living in temporary housing after the Great East Japan Earthquake on 11 March 2011., METHODS: The study was a cross-sectional study performed in Minamisoma City, Fukushima Prefecture 1 year and 6 months after the disaster. Inclusion criteria were the ability to walk independently and consent to answer questionnaires. Seventy-one evacuees who met the inclusion criteria were included in this study. There were 16 men and 55 women with a mean age of 75.9 years. Sixty evacuees were surveyed when they gathered at the assembly hall in the temporary housing (Assembled group) and 11 evacuees were surveyed through individual visits to their residences (Individual group). Evacuees in the Individual group agreed to participate in this study, but refused to visit the assembly hall to engage in exercise and recreation. Pain, quality of life (QOL) and level of activity were assessed with the Numeric Rating Scale (NRS), the MOS Short-Form 36 item Health Survey (SF-36) and a pedometer, respectively. Student's t-test, Mann-Whitney U test, and Fisher's exact test were used for statistical analysis., RESULTS: Forty-four (62.0 %) residents had chronic pain with a mean NRS of 2.74. Twenty-one (29.6 %) of these residents had relatively severe pain rated 5 or above on the NRS. QOL was significantly lower for the subscales of "physical functioning," "role physical", "general health", "social functioning", "role emotional" and "mental health", when compared with the national standard values. Values were also visibly lower for "physical component summary" in the summary score. On comparing the Assembled group and the Individual group, "physical function", "role physical", "social functioning" and "physical component summary" were found to be significantly lower in the Individual group. The mean daily number of steps was 1,892 in the Individual group and 4,579 in the Assembled group. The Individual group thus significantly took less mean daily number of steps compared with the Assembled group., CONCLUSIONS: This study quantified the state of pain, QOL and activity of aged evacuees living in temporary housing after the Great East Japan Earthquake. The evacuees frequently had chronic pain and lower physical and mental QOL scores compared to the national standard values. DA - 2015/// PY - 2015 DO - 10.1186/s12891-015-0711-2 VL - 16 IS - 100968565 SP - 246 J2 - BMC Musculoskelet Disord SN - 1471-2474 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26359245 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Japan/ep [Epidemiology] KW - Cross-Sectional Studies KW - *Quality of Life/px [Psychology] KW - *Housing KW - *Motor Activity KW - Motor Activity/ph [Physiology] KW - *Disasters KW - *Earthquakes KW - *Pain/px [Psychology] KW - Housing/st [Standards] KW - Pain/di [Diagnosis] KW - Pain/ep [Epidemiology] ER - TY - JOUR TI - Presentation and Management Outcomes of Corneal and Scleral Perforations in Geriatric Nursing Home Residents. AU - Ying Fong, Yoly Yeuk AU - Yu, Marco AU - Young, Alvin Lerrmann AU - Jhanji, Vishal T2 - Medicine AB - We compared the clinical presentation and treatment outcomes of corneal and scleral perforations in geriatric nursing home residents, geriatric community residents, and non-geriatric population. The medical records of patients who were treated for corneal and scleral perforations at the Prince of Wales Hospital, Hong Kong between January 1, 2004 and May 1, 2013, were reviewed retrospectively. Of 144 cases, 53 (37%) occurred in the geriatric population, of which 16 (11%) lived in nursing homes, and 37 (26%) were community residents. There were 91 (63%) patients in the non-geriatric group. The mean age of the patients in nursing home geriatric group was 86.5 years (87.5% females). The most common etiology of perforation was trauma. Rupture due to fall was more common in geriatric patients (P < 0.001) whereas laceration due to penetrating eye injury was more common in non-geriatric patients (P < 0.001). There were more cases of infection leading to spontaneous perforation in geriatric nursing home group compared to the other groups (P = 0.001). In the geriatric nursing home group, visual acuity at presentation (P < 0.001) and postoperative visual acuity (P = 0.012) was worse compared to the other groups. Our study showed that corneal and scleral perforations in the geriatric nursing home residents carry a poor visual prognosis. The causes and anatomical outcomes of such events in geriatric age group differ from those in the general population. In our study, geriatric patients residing in nursing homes had worse baseline as well as posttreatment visual acuity, compared to community residents. DA - 2015/// PY - 2015 DO - 10.1097/MD.0000000000001518 VL - 94 IS - 36 SP - e1518 EP - 0 J2 - Medicine (Baltimore) SN - 1536-5964 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26356724 KW - Adult KW - Female KW - Humans KW - Male KW - Outcome Assessment (Health Care) KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - Accidental Falls/sn [Statistics & Numerical Data] KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Age Factors KW - Hong Kong/ep [Epidemiology] KW - *Disease Management KW - *Eye Infections KW - *Eye Injuries, Penetrating KW - Corneal Perforation/di [Diagnosis] KW - Corneal Perforation/ep [Epidemiology] KW - Corneal Perforation/et [Etiology] KW - Corneal Perforation/th [Therapy] KW - Eye Infections/co [Complications] KW - Eye Infections/ep [Epidemiology] KW - Eye Injuries, Penetrating/di [Diagnosis] KW - Eye Injuries, Penetrating/ep [Epidemiology] KW - Eye Injuries, Penetrating/et [Etiology] KW - Eye Injuries, Penetrating/th [Therapy] KW - Rupture, Spontaneous KW - Scleral Diseases/di [Diagnosis] KW - Scleral Diseases/ep [Epidemiology] KW - Scleral Diseases/et [Etiology] KW - Scleral Diseases/th [Therapy] ER - TY - JOUR TI - Clinical characteristics of nursing home-acquired pneumonia in elderly patients admitted to a Korean teaching hospital. AU - Koh, Seong Joo AU - Lee, Jong Hoo T2 - The Korean journal of internal medicine AB - BACKGROUND/AIMS: Nursing home-acquired pneumonia (NHAP) is included under healthcare-associated pneumonia. However, the optimal treatment strategy for NHAP has been controversial in several studies. We evaluated the clinical features of NHAP compared to community-acquired pneumonia (CAP) in elderly patients admitted with pneumonia., METHODS: This was a retrospective study in elderly patients aged >= 65 years with NHAP or CAP who were hospitalized at Jeju National University Hospital between January 2012 and April 2013., RESULTS: A total of 209 patients were enrolled, and 58 (27.7%) had NHAP. The patients with NHAP were older, had more frequent central nervous system disorders, and showed worse clinical parameters. Potential drug-resistant pathogens were more frequently detected in the NHAP group (22.4% vs. 9.9%, p = 0.018), and the incidences of Pseudomonas aeruginosa and methicillin-resistant Staphylococcus aureus were 8.6% and 10.3%, respectively. In-hospital mortality occurred in 13 patients (22.4%) with NHAP and 17 patients (11.2%) with CAP (p = 0.039). In multivariate analyses, only higher pneumonia severity index (PSI) score was associated with increased mortality (p < 0.001), and the PSI score was higher in the NHAP group than that in the CAP group., CONCLUSIONS: Elderly patients admitted with NHAP showed more severe pneumonia at onset, higher rates of potentially drug-resistant pathogens, and worse clinical outcomes than those with CAP. However, higher in-hospital mortality in those with NHAP seemed to be related to the PSI score reflecting host factors and severity of pneumonia rather than the type of pneumonia or the presence of drug-resistant pathogens. DA - 2015/// PY - 2015 DO - 10.3904/kjim.2015.30.5.638 VL - 30 IS - 5 SP - 638 EP - 47 J2 - Korean J Intern Med SN - 2005-6648 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26354058 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - Retrospective Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Age Factors KW - Hospital Mortality KW - Severity of Illness Index KW - Odds Ratio KW - Republic of Korea KW - *Patient Admission KW - Multivariate Analysis KW - Cross Infection/mi [Microbiology] KW - *Anti-Bacterial Agents/tu [Therapeutic Use] KW - Cross Infection/di [Diagnosis] KW - Pneumonia, Bacterial/di [Diagnosis] KW - Chi-Square Distribution KW - Pneumonia, Bacterial/mi [Microbiology] KW - *Community-Acquired Infections/th [Therapy] KW - *Cross Infection/th [Therapy] KW - *Hospitals, Teaching KW - *Pneumonia, Bacterial/th [Therapy] KW - Community-Acquired Infections/di [Diagnosis] KW - Community-Acquired Infections/mi [Microbiology] KW - Community-Acquired Infections/mo [Mortality] KW - Cross Infection/mo [Mortality] KW - Drug Resistance, Bacterial KW - Microbial Sensitivity Tests KW - Pneumonia, Bacterial/mo [Mortality] ER - TY - JOUR TI - Clear anterior rhinorrhea in the population. AU - Rodriguez, Kenneth AU - Rubinstein, Elaine AU - Ferguson, Berrylin J T2 - International forum of allergy & rhinology AB - BACKGROUND: Clear anterior rhinorrhea is commonly observed in older adults and is widely known as "senile rhinorrhea." Although appreciated in the literature, no studies support that clear rhinorrhea increases with age. Our goal was to determine the prevalence of clear rhinorrhea in adults and the variation between young and old. Additionally, we sought to determine if clear rhinorrhea was bothersome enough for patients to seek treatment., METHODS: A questionnaire was randomly distributed to 158 adults, 76 young adults on the University of Pittsburgh Undergraduate campus, and 82 older adults at Longwood Retirement Community in 2011., RESULTS: Older subjects reported more drip and an increase in rhinorrhea over time regardless of gender (p < 0.05). Participants wanting to seek treatment reported drip occurred more often, that they used more tissues, and were more bothered by drip compared to those not wanting treatment (p < 0.05)., CONCLUSION: Clear, anterior rhinorrhea affects older adults regardless of gender significantly more often and more severely than young adults (p < 0.05). The more frequent and bothersome the nasal drip, the more likely individuals would elect treatment. Copyright © 2015 ARS-AAOA, LLC. DA - 2015/// PY - 2015 DO - 10.1002/alr.21583 VL - 5 IS - 11 SP - 1063 EP - 7 J2 - Int Forum Allergy Rhinol SN - 2042-6984 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26349813 KW - Adult KW - Female KW - Humans KW - Male KW - United States KW - Young Adult KW - Aged KW - Surveys and Questionnaires KW - *Age Factors KW - *Mucus/me [Metabolism] KW - *Nasal Cavity/me [Metabolism] KW - *Nose Diseases/ep [Epidemiology] KW - *Population Groups KW - Nasal Cavity/pa [Pathology] KW - Nose Diseases/pp [Physiopathology] ER - TY - JOUR TI - Optimizing inhaler use by pharmacist-provided education to community-dwelling elderly. AU - Bouwmeester, Carla AU - Kraft, Jacqueline AU - Bungay, Kathleen M T2 - Respiratory medicine AB - OBJECTIVE: To assess, using a standard observational tool, the ability of patients to demonstrate and maintain proper inhaled medication administration techniques following pharmacist education., DESIGN: Six-month observational study., SETTING: Patients' homes or adult day health center., PARTICIPANTS: Patients in a Program for All-inclusive Care for the Elderly (PACE) prescribed one or more inhaled medications used at least once daily., INTERVENTION: Instruction by on-site clinical pharmacist., MEASUREMENTS: Hickey's Pharmacies Inhaler Technique assessment (score range: 0-20, higher better)., RESULTS: Forty-two patients were evaluated at baseline, taught proper techniques for using inhaled medications, assessed immediately following the education, and re-assessed 4-6 weeks later. The mean pre-assessment score was 14 (SD 4.5, range 0-20), the initial post-assessment score increased to 18 (SD 3, range 10-20). The second post-assessment (4-6 weeks later) score mean was 17.7 (SD 3, range 10-20). Both follow-up scores were significantly improved from baseline (p < 0.05). Multivariable analysis indicated the strongest predictors of second post-training score were: score after initial pharmacist training and being subscribed to auto-refill. These characteristics predicted ~70% of the variance in the second score (p < 0.001)., CONCLUSIONS: These results indicate that education by a pharmacist combined with an auto-refill program can improve and sustain appropriate inhaler use by community-dwelling elders in a PACE program. The improved score was maintained 4-6 weeks later indicating a sustained benefit of medication administration education. Optimal inhaler use ensures optimal dosing and supports appropriate inhaler treatment in lieu of oral agents. Copyright © 2015 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.rmed.2015.07.013 VL - 109 IS - 10 SP - 1363 EP - 8 J2 - Respir Med SN - 1532-3064 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26341546 KW - Female KW - Humans KW - Male KW - Outcome Assessment (Health Care) KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Age Factors KW - Administration, Inhalation KW - *Patient Education as Topic/mt [Methods] KW - *Independent Living/ed [Education] KW - Pharmacists KW - Adult Day Care Centers KW - *Nebulizers and Vaporizers KW - Asthma/dt [Drug Therapy] KW - Bronchodilator Agents/ad [Administration & Dosage] KW - Drug Delivery Systems KW - Fluticasone-Salmeterol Drug Combination/ad [Administration & Dosage] KW - Pulmonary Disease, Chronic Obstructive/dt [Drug Therapy] KW - Tiotropium Bromide/ad [Administration & Dosage] ER - TY - JOUR TI - Prevalence and risk factors of sarcopenia among adults living in nursing homes. AU - Senior, Hugh E AU - Henwood, Tim R AU - Beller, Elaine M AU - Mitchell, Geoffrey K AU - Keogh, Justin W L T2 - Maturitas AB - OBJECTIVES: Sarcopenia is a progressive loss of skeletal muscle and muscle function, with significant health and disability consequences for older adults. We aimed to evaluate the prevalence and risk factors of sarcopenia among older residential aged care adults using the European Working Group on Sarcopenia in Older People (EWGSOP) criteria., STUDY DESIGN: A cross-sectional study design that assessed older people (n=102, mean age 84.5+/-8.2 years) residing in 11 long-term nursing homes in Australia., MAIN OUTCOME MEASUREMENTS: Sarcopenia was diagnosed from assessments of skeletal mass index by bioelectrical impedance analysis, muscle strength by handheld dynamometer, and physical performance by the 2.4m habitual walking speed test. Secondary variables where collected to inform a risk factor analysis., RESULTS: Forty one (40.2%) participants were diagnosed as sarcopenic, 38 (95%) of whom were categorized as having severe sarcopenia. Univariate logistic regression found that body mass index (BMI) (Odds ratio (OR)=0.86; 95% confidence interval (CI) 0.78-0.94), low physical performance (OR=0.83; 95% CI 0.69-1.00), nutritional status (OR=0.19; 95% CI 0.05-0.68) and sitting time (OR=1.18; 95% CI 1.00-1.39) were predictive of sarcopenia. With multivariate logistic regression, only low BMI (OR=0.80; 95% CI 0.65-0.97) remained predictive., CONCLUSIONS: The prevalence of sarcopenia among older residential aged care adults is very high. In addition, low BMI is a predictive of sarcopenia. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.maturitas.2015.08.006 VL - 82 IS - 4 SP - 418 EP - 23 J2 - Maturitas SN - 1873-4111 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26341045 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Australia KW - Prevalence KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - *Sarcopenia/ep [Epidemiology] KW - Sarcopenia/et [Etiology] KW - Muscle Strength KW - Nutritional Status KW - Body Mass Index KW - Walking KW - Muscle, Skeletal/pp [Physiopathology] KW - Exercise Test KW - Electric Impedance KW - Sarcopenia/pp [Physiopathology] KW - *Muscle, Skeletal ER - TY - JOUR TI - Prevalence and Molecular Epidemiology of Staphylococcus aureus among Residents of Seven Nursing Homes in Shanghai. AU - Zhang, Ji AU - Gu, Fei-Fei AU - Zhao, Sheng-Yuan AU - Xiao, Shu-Zhen AU - Wang, Yan-Chun AU - Guo, Xiao-Kui AU - Ni, Yu-Xing AU - Han, Li-Zhong T2 - PloS one AB - BACKGROUND: Residents in nursing homes (NHs) always represent potential reservoirs for Staphylococcus aureus and methicillin-resistant S. aureus (MRSA). To our knowledge, there is no epidemiological information up till now that describes the prevalence and molecular characteristics of S. aureus in nursing home residents in Shanghai, China., METHODS: Four hundred and ninety-one unique residents from 7 NHs were enrolled in this study. Specimens were collected among these residents including 491 nasal swabs, 487 axillary swabs and 119 skin swabs. S. aureus isolated and identified from the swabs was characterized according to antimicrobial susceptibility profiling, toxin gene prevalence, and multilocus sequence typing (MLST), spa and SCCmec typing., RESULTS: Among the 491 residents screened, S. aureus was isolated in 109 residents from 90 nasal swabs (90/491, 18.3%), 29 axillary swabs (29/487, 6.0%), and 22 skin swabs (22/119, 18.5%). Sixty-eight MRSA isolates were detected in 52 residents from 41 nasal carriers, 15 axillary carriers and 12 skin carriers. The overall prevalence rate of S. aureus and MRSA colonization was 22.2% and 10.6% respectively. Ten residents presented S. aureus in all three sample types and 12 residents presented S. aureus in two of the three sample types collected. Molecular analysis revealed CC1 (29.1%) to be the dominant clone in this study, followed by CC398 (19.9%), CC188 (13.5%) and CC5 (12.8%). The most common spa type was t127 (22.0%), followed by t14383 (12.8%) and t002 (10.6%)., CONCLUSIONS: A high prevalence of S. aureus and MRSA colonization was revealed in nursing home residents in Shanghai. CC1 was the most common clonal complex and t127 was the most common spa type among NH residents. The data provides an important baseline for future surveillance of S. aureus in NHs in Shanghai and other highly urbanized regions in China. Implementation of infection control strategies must be given high priority in NHs to fight such high prevalence of both MRSA and methicillin-susceptible S. aureus (MSSA). DA - 2015/// PY - 2015 DO - 10.1371/journal.pone.0137593 VL - 10 IS - 9 SP - e0137593 J2 - PLoS ONE SN - 1932-6203 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26340648 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - *Homes for the Aged KW - *Nursing Homes KW - Cities KW - China/ep [Epidemiology] KW - *Staphylococcal Infections/ep [Epidemiology] KW - Staphylococcal Infections/mi [Microbiology] KW - Genotype KW - *Genes, Bacterial KW - *Methicillin-Resistant Staphylococcus aureus/ge [Genetics] KW - Bacterial Toxins/ge [Genetics] KW - Bacterial Typing Techniques KW - Methicillin-Resistant Staphylococcus aureus/cl [Classification] KW - Methicillin-Resistant Staphylococcus aureus/ip [Isolation & Purification] KW - Molecular Epidemiology KW - Multilocus Sequence Typing KW - Nasal Cavity/mi [Microbiology] KW - Skin/mi [Microbiology] KW - Staphylococcal Infections/di [Diagnosis] ER - TY - JOUR TI - The effects of playing Nintendo Wii on depression, sense of belonging and social support in Australian aged care residents: a protocol study of a mixed methods intervention trial. AU - Chesler, Jessica AU - McLaren, Suzanne AU - Klein, Britt AU - Watson, Shaun T2 - BMC geriatrics AB - BACKGROUND: The proportion of people aged 65 or older is the fastest growing age group worldwide. Older adults in aged care facilities have higher levels of depression, and lower levels of social support and sense of belonging compared with older adults living in the community. Research has begun to assess the effectiveness of interventions to improve the mental health of residents and has found both cognitive and physical benefits of video game playing. The benefits of playing these games in a group may also lead to greater social interaction and decreased loneliness. The current study aims to investigate an intervention program designed to foster relationships among older adults in care based on shared interests. Residents will be assessed on the effectiveness of a 6 week program of playing Wii bowling in comparison to a control group., METHOD/DESIGN: Participants will be allocated to the intervention (Wii bowling) or the control group based on their place of residence. Participants in the intervention group will be invited to participate in Wii bowling twice weekly, with up to three other residents for a period of 6 weeks. Residents in both conditions will be assessed for depression, social support, sense of belonging, and current self-rated mood at pre-intervention (0 weeks), post-intervention (6 weeks), and at 2-month follow up (14 weeks). Qualitative data on social interaction between group members will also be collected at weeks 1, 3, and 6. Both groups will receive a Wii console after week 6 to establish if residents and staff engage with the Wii without intervention., DISCUSSION: The Wii provides a user friendly platform for older adults to use video games, and it incorporates both social and competitive aspects in the game play. Existing research has not extensively investigated the social aspects of using this type of technology with older adults. If found to be effective, incorporating Wii games into an activity schedule may benefit the mental health of older adults living in care by establishing an intervention that is fun, economical, and easy to use., TRIAL REGISTRY: Australian New Zealand Clinical Trials Registry: ACTRN12614000445673. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0107-z VL - 15 IS - 100968548 SP - 106 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26336883 KW - Adult KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Interpersonal Relations KW - Follow-Up Studies KW - *Homes for the Aged KW - *Social Support KW - Depression/ep [Epidemiology] KW - *Depression/th [Therapy] KW - *Depression/px [Psychology] KW - Australia/ep [Epidemiology] KW - Loneliness/px [Psychology] KW - Exercise Therapy/mt [Methods] KW - *Early Medical Intervention/mt [Methods] KW - *Video Games/px [Psychology] ER - TY - JOUR TI - Association of Physical Performance and Pain With Fear of Falling Among Community-Dwelling Japanese Women Aged 65 Years and Older. AU - Tomita, Yoshihito AU - Arima, Kazuhiko AU - Kanagae, Mitsuo AU - Okabe, Takuhiro AU - Mizukami, Satoshi AU - Nishimura, Takayuki AU - Abe, Yasuyo AU - Goto, Hisashi AU - Horiguchi, Itsuko AU - Aoyagi, Kiyoshi T2 - Medicine AB - Our aim was to explore the association of physical performance and pain with fear of falling among community-dwelling Japanese women.The subjects were 278 women aged 65 years and over. We collected information on fear of falling, painful joints, comorbidities, falls in the previous year, and cataracts. Walking time (distance of 6 m), chair stand time (5 times), grip strength, the timed up and go test (TUG), and functional reach were measured.The prevalence of fear of falling was 36.3%, and it increased with age, but it was not significant (P = 0.081). Multivariate logistic regression analysis showed that poor physical performance (longer walking time, longer chair stand time, weaker grip strength, and longer TUG) and pain (low back, and upper and lower extremity pain) were significantly associated with fear of falling after adjusting for age, body mass index, comorbidities, falls in the previous year, and cataracts.Maintaining physical functioning and managing pain may be important for elderly women with fear of falling. DA - 2015/// PY - 2015 DO - 10.1097/MD.0000000000001449 VL - 94 IS - 35 SP - e1449 J2 - Medicine (Baltimore) SN - 1536-5964 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26334906 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Independent Living KW - *Motor Activity/ph [Physiology] KW - Cross-Sectional Studies KW - Age Factors KW - Comorbidity KW - *Asian Continental Ancestry Group KW - Hand Strength/ph [Physiology] KW - *Accidental Falls KW - Regression Analysis KW - Walking/ph [Physiology] KW - Disease Management KW - *Fear/px [Psychology] KW - Muscle Strength/ph [Physiology] KW - Arthralgia/pp [Physiopathology] KW - Fear/ph [Physiology] KW - *Arthralgia/ep [Epidemiology] ER - TY - JOUR TI - Part 1. Statistical Learning Methods for the Effects of Multiple Air Pollution Constituents. AU - Coull, Brent A AU - Bobb, Jennifer F AU - Wellenius, Gregory A AU - Kioumourtzoglou, Marianthi-Anna AU - Mittleman, Murray A AU - Koutrakis, Petros AU - Godleski, John J T2 - Research report (Health Effects Institute) AB - INTRODUCTION: The United States Environmental Protection Agency (U.S. EPA*) currently regulates individual air pollutants on a pollutant-by-pollutant basis, adjusted for other pollutants and potential confounders. However, the National Academies of Science concluded that a multipollutant regulatory approach that takes into account the joint effects of multiple constituents is likely to be more protective of human health. Unfortunately, the large majority of existing research had focused on health effects of air pollution for one pollutant or for one pollutant with control for the independent effects of a small number of copollutants. Limitations in existing statistical methods are at least partially responsible for this lack of information on joint effects. The goal of this project was to fill this gap by developing flexible statistical methods to estimate the joint effects of multiple pollutants, while allowing for potential nonlinear or nonadditive associations between a given pollutant and the health outcome of interest., METHODS: We proposed Bayesian kernel machine regression (BKMR) methods as a way to simultaneously achieve the multifaceted goals of variable selection, flexible estimation of the exposure-response relationship, and inference on the strength of the association between individual pollutants and health outcomes in a health effects analysis of mixtures. We first developed a BKMR variable-selection approach, which we call component-wise variable selection, to make estimating such a potentially complex exposure-response function possible by effectively using two types of penalization (or regularization) of the multivariate exposure-response surface. Next we developed an extension of this first variable-selection approach that incorporates knowledge about how pollutants might group together, such as multiple constituents of particulate matter that might represent a common pollution source category. This second grouped, or hierarchical, variable-selection procedure is applicable when groups of highly correlated pollutants are being studied. To investigate the properties of the proposed methods, we conducted three simulation studies designed to evaluate the ability of BKMR to estimate environmental mixtures responsible for health effects under potentially complex but plausible exposure-response relationships. An attractive feature of our simulation studies is that we used actual exposure data rather than simulated values. This real-data simulation approach allowed us to evaluate the performance of BKMR and several other models under realistic joint distributions of multipollutant exposure. The simulation studies compared the two proposed variable-selection approaches (component-wise and hierarchical variable selection) with each other and with existing frequentist treatments of kernel machine regression (KMR). After the simulation studies, we applied the newly developed methods to an epidemiologic data set and to a toxicologic data set. To illustrate the applicability of the proposed methods to human epidemiologic data, we estimated associations between short-term exposures to fine particulate matter constituents and blood pressure in the Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly (MOBILIZE) Boston study, a prospective cohort study of elderly subjects. To illustrate the applicability of these methods to animal toxicologic studies, we analyzed data on the associations between both blood pressure and heart rate in canines exposed to a composition of concentrated ambient particles (CAPs) in a study conducted at the Harvard T. H. Chan School of Public Health (the Harvard Chan School; formerly Harvard School of Public Health; Bartoli et al. 2009)., RESULTS: We successfully developed the theory and computational tools required to apply the proposed methods to the motivating data sets. Collectively, the three simulation studies showed that component-wise variable selection can identify important pollutants within a mixture as long as the correlations among pollutant concentrations are low to moderate. The hierarchical variable-selection method was more effective in high-dimension, high-correlation settings. Variable selection in existing frequentist KMR models can incur inflated type I error rates, particularly when pollutants are highly correlated. The analyses of the MOBILIZE data yielded evidence of a linear and additive association of black carbon (BC) or Cu exposure with standing diastolic blood pressure (DBP), and a linear association of S exposure with standing systolic blood pressure (SBP). Cu is thought to be a marker of urban road dust associated with traffic; and S is a marker of power plant emissions or regional long-range transported air pollution or both. Therefore, these analyses of the MOBILIZE data set suggest that emissions from these three source categories were most strongly associated with hemodynamic responses in this cohort. In contrast, in the Harvard Chan School canine study, after controlling for an overall effect of CAPs exposure, we did not observe any associations between DBP or SBP and any elemental concentrations. Instead, we observed strong evidence of an association between Mn concentrations and heart rate in that heart rate increased linearly with increasing concentrations of Mn. According to the positive matrix factorization (PMF) source apportionment analyses of the multipollutant data set from the Harvard Chan School Boston Supersite, Mn loads on the two factors that represent the mobile and road dust source categories. The results of the BKMR analyses in both the MOBILIZE and canine studies were similar to those from existing linear mixed model analyses of the same multipollutant data because the effects have linear and additive forms that could also have been detected using standard methods., CONCLUSIONS: This work provides several contributions to the KMR literature. First, to our knowledge this is the first time KMR methods have been used to estimate the health effects of multipollutant mixtures. Second, we developed a novel hierarchical variable-selection approach within BKMR that is able to account for the structure of the mixture and systematically handle highly correlated exposures. The analyses of the epidemiologic and toxicologic data on associations between fine particulate matter constituents and blood pressure or heart rate demonstrated associations with constituents that are typically associated with traffic emissions, power plants, and long-range transported pollutants. The simulation studies showed that the BKMR methods proposed here work well for small to moderate data sets; more work is needed to develop computationally fast methods for large data sets. This will be a goal of future work. DA - 2015/// PY - 2015 IS - 183 Pt 1-2 SP - 5 EP - 50 J2 - Res Rep Health Eff Inst SN - 1041-5505 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26333238 KW - Humans KW - United States KW - Aged KW - Prospective Studies KW - Animals KW - *Artificial Intelligence KW - Dogs KW - Data Interpretation, Statistical KW - *Environmental Monitoring/mt [Methods] KW - *Environmental Exposure/ae [Adverse Effects] KW - Air Pollution/an [Analysis] KW - *Air Pollutants/ae [Adverse Effects] KW - *Air Pollution/ae [Adverse Effects] KW - *Respiratory Tract Diseases/ci [Chemically Induced] KW - Air Pollutants/ch [Chemistry] KW - Air Pollutants/pd [Pharmacology] KW - Bayes Theorem KW - Computer Simulation KW - Environmental Exposure/an [Analysis] KW - Hazardous Substances/ae [Adverse Effects] KW - Hazardous Substances/ch [Chemistry] KW - Hazardous Substances/pd [Pharmacology] KW - Particulate Matter/ae [Adverse Effects] KW - Particulate Matter/ch [Chemistry] KW - Particulate Matter/pd [Pharmacology] KW - United States Environmental Protection Agency ER - TY - JOUR TI - [Telemedicine for the elderly- opportunities are increasing, critical factors have to be tackled!]. AU - Otto, Ulrich AU - Tarnutzer, Silvan AU - Brettenhofer, Marlene T2 - Telemedizin fur Altere - Chancen mehren, kritische Punkte angehen! AB - An autonomous life and quality .of life are essential objectives for the use of telemedicine among the elderly population. To make aging in place possible the elderly peoples' homes have to be embedded in an integrated health and aged care system. In addition to this, it is necessary to create coproduction with the patients and their relatives. However, to meet those targets it is required to achieve enormous rethinking and widely acceptance of telemedicine among all health care professionals. Medical institutions have to undergo vast changes towards a patient-centered health care delivery and an increased intersectoral and interdisciplinary collaboration. Political will for fair and just allocation processes is essential to avoid a potential digital divide among the population, e.g. for socioeconomic disadvantaged population groups or people living in rural areas. Therefore,flanking preparing measures and continuous support through easily accessible contact persons are essential. According adaptations of financial models and an extension of health insurance benefits will be necessary. DA - 2015/// PY - 2015 DO - 10.1024/0040-5930/a000721 VL - 72 IS - 9 SP - 577 EP - 9 J2 - Ther Umsch SN - 0040-5930 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26323957 KW - Humans KW - Aged KW - Interdisciplinary Communication KW - *Independent Living KW - *Quality of Life KW - Cross-Sectional Studies KW - Switzerland KW - Self-Help Devices KW - Caregivers/ed [Education] KW - Patient Education as Topic KW - Chronic Disease/ep [Epidemiology] KW - Health Services Accessibility/og [Organization & Administration] KW - *Chronic Disease/th [Therapy] KW - Cooperative Behavior KW - *Population Dynamics ER - TY - JOUR TI - Ethnic Clusters in Public Housing and Independent Living of Elderly Immigrants from the Former Soviet Union. AU - Vinokurov, Andrey AU - Trickett, Edison J T2 - Journal of cross-cultural gerontology AB - The study examines the effects of ethnic clusters and independent living arrangements on adaptation of elderly immigrants from the Former Soviet Union. The multigenerational living arrangements were compared with independent living in a dispersed ethnic community and in an ethnic cluster of public housing. The residents of the ethnic clusters of public housing reported poorer health, were more reliant on government resources, and experienced greater acculturative hassles. However, public housing residents reported significantly larger Russian-speaking and American social networks, greater American acculturation, higher social support from neighbors, as well as lower cultural alienation. In contrast, the multigenerational living arrangements were related to greater social support from extended family and higher extended family satisfaction. While, the independent living in the dispersed ethnic community was associated with smaller American social networks and higher levels of cultural alienation. The results highlight how the ecologies of different living arrangements are reflected in the nature of acculturative, social, and psychological experiences of elderly immigrants. DA - 2015/// PY - 2015 DO - 10.1007/s10823-015-9271-z VL - 30 IS - 4 SP - 353 EP - 76 J2 - J Cross Cult Gerontol SN - 1573-0719 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26310209 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Residence Characteristics KW - *Independent Living/px [Psychology] KW - Social Adjustment KW - European Continental Ancestry Group KW - *Aging/px [Psychology] KW - *Public Housing KW - *Aging/eh [Ethnology] KW - *Emigrants and Immigrants/px [Psychology] KW - *Acculturation KW - *Ethnic Groups/px [Psychology] KW - Intergenerational Relations/eh [Ethnology] KW - USSR/eh [Ethnology] ER - TY - JOUR TI - Using the Technology Acceptance Model to explore community dwelling older adults' perceptions of a 3D interior design application to facilitate pre-discharge home adaptations. AU - Money, Arthur G AU - Atwal, Anita AU - Young, Katherine L AU - Day, Yasmin AU - Wilson, Lesley AU - Money, Kevin G T2 - BMC medical informatics and decision making AB - BACKGROUND: In the UK occupational therapy pre-discharge home visits are routinely carried out as a means of facilitating safe transfer from the hospital to home. Whilst they are an integral part of practice, there is little evidence to demonstrate they have a positive outcome on the discharge process. Current issues for patients are around the speed of home visits and the lack of shared decision making in the process, resulting in less than 50 % of the specialist equipment installed actually being used by patients on follow-up. To improve practice there is an urgent need to examine other ways of conducting home visits to facilitate safe discharge. We believe that Computerised 3D Interior Design Applications (CIDAs) could be a means to support more efficient, effective and collaborative practice. A previous study explored practitioners perceptions of using CIDAs; however it is important to ascertain older adult's views about the usability of technology and to compare findings. This study explores the perceptions of community dwelling older adults with regards to adopting and using CIDAs as an assistive tool for the home adaptations process., METHODS: Ten community dwelling older adults participated in individual interactive task-focused usability sessions with a customised CIDA, utilising the think-aloud protocol and individual semi-structured interviews. Template analysis was used to carry out both deductive and inductive analysis of the think-aloud and interview data. Initially, a deductive stance was adopted, using the three pre-determined high-level themes of the technology acceptance model (TAM): Perceived Usefulness (PU), Perceived Ease of Use (PEOU), Actual Use (AU). Inductive template analysis was then carried out on the data within these themes, from which a number of sub-thmes emerged., RESULTS: Regarding PU, participants believed CIDAs served as a useful visual tool and saw clear potential to facilitate shared understanding and partnership in care delivery. For PEOU, participants were able to create 3D home environments however a number of usability issues must still be addressed. The AU theme revealed the most likely usage scenario would be collaborative involving both patient and practitioner, as many participants did not feel confident or see sufficient value in using the application autonomously., CONCLUSIONS: This research found that older adults perceived that CIDAs were likely to serve as a valuable tool which facilitates and enhances levels of patient/practitioner collaboration and empowerment. Older adults also suggested a redesign of the interface so that less sophisticated dexterity and motor functions are required. However, older adults were not confident, or did not see sufficient value in using the application autonomously. Future research is needed to further customise the CIDA software, in line with the outcomes of this study, and to explore the potential of collaborative application patient/practitioner-based deployment. DA - 2015/// PY - 2015 DO - 10.1186/s12911-015-0190-2 VL - 15 IS - 101088682 SP - 73 J2 - BMC Med Inf Decis Mak SN - 1472-6947 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26307048 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Patient Acceptance of Health Care KW - *Independent Living/st [Standards] KW - *Interior Design and Furnishings/st [Standards] KW - *Continuity of Patient Care/st [Standards] KW - *Patient Discharge/st [Standards] KW - *Software/st [Standards] KW - Occupational Therapy/st [Standards] ER - TY - JOUR TI - Indoor location-aware medical systems for smart homecare and telehealth monitoring: state-of-the-art. AU - Santoso, Fendy AU - Redmond, Stephen J T2 - Physiological measurement AB - This paper presents a comprehensive literature review of current progress in the application of state-of-the-art indoor positioning systems for telecare and telehealth monitoring. This review is the first in the literature that provides a comprehensive discussion on how existing wireless indoor positioning systems can benefit the development of home-based care systems. More specifically, this review provides an in-depth comparative study of how both system users and medical practitioners can get benefit from indoor positioning technologies; e.g. for real-time monitoring of patients suffering chronic cardiovascular conditions, general monitoring of activities of daily living (ADLs), fall detection systems for the elderly as well as indoor navigation systems for those suffering from visual impairments. Furthermore, it also details various aspects worth considering when choosing a certain technology for a specific healthcare application; e.g. the spatial precision demanded by the application, trade-offs between unobtrusiveness and complexity, and issues surrounding compliance and adherence with the use of wearable tags. Beyond the current state-of-the-art, this review also rigorously discusses several research opportunities and the challenges associated with each. DA - 2015/// PY - 2015 DO - 10.1088/0967-3334/36/10/R53 VL - 36 IS - 10 SP - R53 EP - 87 J2 - Physiol Meas SN - 1361-6579 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26306639 KW - Humans KW - Delivery of Health Care KW - *Housing KW - *Telemedicine/mt [Methods] KW - *Geographic Information Systems ER - TY - JOUR TI - "People are Getting Lost a Little Bit": Systemic Factors that Contribute to Falls in Community-Dwelling Octogenarians. AU - Gotzmeister, Dorothy AU - Zecevic, Aleksandra A AU - Klinger, Lisa AU - Salmoni, Alan T2 - Canadian journal on aging = La revue canadienne du vieillissement AB - Octogenarians living in the community are the fastest-growing demographic in Canada. Simultaneously, they have the highest prevalence of falls and nine times greater risk of injury due to a fall. To understand how to improve the safety of octogenarians' aging-in-place, a systems approach is essential. Understanding how societal factors interact and affect the older adult can help care custodians identify and remove safety deficiencies that bring about falls. The purpose of this study was to identify system-wide factors contributing to falls in community-dwelling octogenarians. Eight falls were investigated using the systemic falls investigative method. Participants ranged in age from 83-90 years. Across-case analyses identified 247 contributing factors, grouped within four distinct themes: (a) everyday living has become risky; (b) supervision limitations; (c) health care system disconnects; and (d) poor fall risk identification and follow-up. This qualitative study provides systemic insights into how and why falls occur in community-dwelling octogenarians. DA - 2015/// PY - 2015 DO - 10.1017/S071498081500015X VL - 34 IS - 3 SP - 397 EP - 410 J2 - Can J Aging SN - 1710-1107 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26300194 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged, 80 and over KW - Risk Assessment KW - *Geriatric Assessment/mt [Methods] KW - *Independent Living/sn [Statistics & Numerical Data] KW - Canada KW - *Accidental Falls/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Defining ambulatory bouts in free-living activity: Impact of brief stationary periods on bout metrics. AU - Barry, Gillian AU - Galna, Brook AU - Lord, Sue AU - Rochester, Lynn AU - Godfrey, Alan T2 - Gait & posture AB - The aim of this study was to assess the effect of varying the maximum resting period between consecutive ambulatory bouts in community-based outcomes. Ambulation was assessed in 97 community-dwelling older adults (mean (SD) age 69.2 (7.7) years) using an accelerometer (activPALTM) worn on the upper thigh for 7 consecutive days. The volume, pattern and variability of ambulation were calculated over a range of maximum resting periods (1-30s). Outcomes with a maximum resting period from 1 to 6s did not vary due to device functionality. Non-linear regression (power law, r(2) > 0.99) showed that increasing the maximum resting period from 6 to 30s resulted in changes in volume (increased duration spent walking, and decreased number of bouts), variability (S2 increased) and pattern (alpha decreased), and a linear relationship with an increase in average bout length. With a MRP of 6s, 6% of the cohort achieved the public health guidelines of 150 min of ambulation/week accumulated in bouts >= 10 min, which increased to 40% using a maximum resting period of 30s. Modifying the maximum resting period impacts on volume, pattern and variability measures of community based ambulation, and attainment of public health guidelines. This highlights the need for standardised algorithms to aid interpretation and explicit reporting of the maximum resting period to aid comparison between studies. Copyright © 2015 Elsevier B.V. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.gaitpost.2015.07.062 VL - 42 IS - 4 SP - 594 EP - 7 J2 - Gait Posture SN - 1879-2219 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26299735 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - *Walking/ph [Physiology] KW - Accelerometry KW - *Rest/ph [Physiology] ER - TY - JOUR TI - The experiences of self-care in community-dwelling older people: a meta-synthesis. AU - Lommi, Marzia AU - Matarese, Maria AU - Alvaro, Rosaria AU - Piredda, Michela AU - De Marinis, Maria Grazia T2 - International journal of nursing studies AB - OBJECTIVES: To identify, critically appraise and synthesize qualitative evidence of self-care experiences in health promotion for home-dwelling elders., DESIGN: A meta-synthesis was conducted following the Joanna Briggs Institute guidelines and using Qualitative Assessment and Review Instrument Software., DATA SOURCES: The literature search was conducted on PubMed, CINHAL, Embase, PsycInfo, Eric and ILISI databases from inception up until March 2015. Other articles were searched on Scopus and Web of Knowledge. The reference list of all the identified articles was also searched for additional studies. Studies published in English, Italian, French, Portuguese, and Spanish were considered for inclusion in the review., REVIEW METHODS: Data from the selected qualitative articles were extracted independently by two reviewers using the data extraction tool of the Joanna Briggs Institute-Qualitative Assessment and Review Instrument. The meta-synthesis involved the following three steps: the production of a set of statements representing the aggregated data obtained by assembling the findings of qualitative studies; the categorization of findings on the basis of similarity in meaning; and the aggregation of these categories to produce a comprehensive set of synthesized findings. No studies were excluded due to methodological quality., RESULTS: Of the 4001 records identified, 11 articles met the inclusion criteria. Most articles were conducted in Scandinavian countries and used a phenomenological design. Most elders in the sample were middle-class, cognitively intact, independent, and in good health. The meta-synthesis revealed that older people living at home make decisions about their self-care activities on the basis of their attitudes toward their life and future. These self-care activities are directed toward holistic wellness, prevention and treatment of aging effects, obtaining a sense of satisfaction, and self-realization. Furthermore, self-care activities are settled in a social and relational network that allows old people to take care of themselves and of others or to be cared for by others., CONCLUSIONS: This meta-synthesis presents the perspectives of home-dwelling old people on health-promoting self-care experiences. Such information can help healthcare professionals to maintain long-term autonomy of elders in self-care and to promote healthy aging. Further qualitative research describing self-care experiences of home-dwelling elders from different cultures, education levels, and social backgrounds is needed. Copyright © 2015 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.ijnurstu.2015.06.012 VL - 52 IS - 12 SP - 1854 EP - 67 J2 - Int J Nurs Stud SN - 1873-491X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26296653 KW - Humans KW - Health Promotion KW - *Independent Living KW - *Self Care KW - *Aged KW - Attitude to Health ER - TY - JOUR TI - Gender and Age Differences in Hourly and Daily Patterns of Sedentary Time in Older Adults Living in Retirement Communities. AU - Bellettiere, John AU - Carlson, Jordan A AU - Rosenberg, Dori AU - Singhania, Anant AU - Natarajan, Loki AU - Berardi, Vincent AU - LaCroix, Andrea Z AU - Sears, Dorothy D AU - Moran, Kevin AU - Crist, Katie AU - Kerr, Jacqueline T2 - PloS one AB - BACKGROUND: Total sedentary time varies across population groups with important health consequences. Patterns of sedentary time accumulation may vary and have differential health risks. The purpose of this study is to describe sedentary patterns of older adults living in retirement communities and illustrate gender and age differences in those patterns., METHODS: Baseline accelerometer data from 307 men and women (mean age = 84+/-6 years) who wore ActiGraph GT3X+ accelerometers for >= 4 days as part of a physical activity intervention were classified into bouts of sedentary time (<100 counts per minute). Linear mixed models were used to account for intra-person and site-level clustering. Daily and hourly summaries were examined in mutually non-exclusive bouts of sedentary time that were 1+, 5+, 10+, 20+, 30+, 40+, 50+, 60+, 90+ and 120+ minutes in duration. Variations by time of day, age and gender were explored., RESULTS: Men accumulated more sedentary time than women in 1+, 5+, 10+, 20+, 30+, 40+, 50+ and 60+ minute bouts; the largest gender-differences were observed in 10+ and 20+ minute bouts. Age was positively associated with sedentary time, but only in bouts of 10+, 20+, 30+, and 40+ minutes. Women had more daily 1+ minute sedentary bouts than men (71.8 vs. 65.2), indicating they break up sedentary time more often. For men and women, a greater proportion of time was spent being sedentary during later hours of the day than earlier. Gender differences in intra-day sedentary time were observed during morning hours with women accumulating less sedentary time overall and having more 1+ minute bouts., CONCLUSIONS: Patterns identified using bouts of sedentary time revealed gender and age differences in the way in which sedentary time was accumulated by older adults in retirement communities. Awareness of these patterns can help interventionists better target sedentary time and may aid in the identification of health risks associated with sedentary behavior. Future studies should investigate the impact of patterns of sedentary time on healthy aging, disease, and mortality. DA - 2015/// PY - 2015 DO - 10.1371/journal.pone.0136161 VL - 10 IS - 8 SP - e0136161 J2 - PLoS ONE SN - 1932-6203 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26296095 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Independent Living KW - *Motor Activity/ph [Physiology] KW - Actigraphy KW - Cross-Sectional Studies KW - Sex Factors KW - Age Factors KW - *Sedentary Behavior KW - *Retirement/px [Psychology] ER - TY - JOUR TI - Checking dwelling performance for Aging-in-Place. AU - van der Vlies, Remy D AU - Nauta, Joram AU - Smit-Rietveld, Charlotte T2 - Studies in health technology and informatics AB - About 90% of persons aged 55 and older would prefer to stay in their current residences as long as possible because older adults value their independence. However, aging-in-place is not always a choice. Recently, the Dutch government tightened the criteria for older adults to be admitted in a nursing home. Throughout the past 5 years TNO was requested by the trade association for building service contractors in the Netherlands to develop a number of tools for building service professionals. The 'dwelling check' was developed as a 'basic' check on the possibility for aging-in-place. A pilot study was conducted to assess the added value of the dwelling check for older adults. During this pilot study the occupants of over 200 dwellings were interviewed by 11 building services contractors using the dwelling check. Based on these interviews a personal advice was written. After which the interviewees were asked to evaluate this service, comprising the interview and written advice. The dwelling check contributed most to the awareness of and interest in possible alterations for aging-in-place. In a few cases the decision (17%) or even action (5%) was taken to make alterations. Overall the dwelling check was rated 8 out of 10 by the interviewees and may therefore be considered of added value. DA - 2015/// PY - 2015 VL - 217 IS - ck1, 9214582 SP - 1040 EP - 6 J2 - Stud Health Technol Inform SN - 0926-9630 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26294608 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - *Independent Living KW - Netherlands KW - Pilot Projects KW - *Environment Design/st [Standards] KW - Checklist KW - *Housing/st [Standards] KW - Interview, Psychological KW - Safety Management KW - Awareness KW - Building Codes KW - Security Measures ER - TY - JOUR TI - Use of Robotic Pets in Providing Stimulation for Nursing Home Residents with Dementia. AU - Naganuma, M AU - Ohkubo, E AU - Kato, N T2 - Studies in health technology and informatics AB - Trial experiments utilized robotic pets to facilitate self-reliance in nursing home residents. A remote-control robot modeled clear and meaningful behaviors to elderly residents. Special attention was paid to its effects on mental and social domains. Employing the robot as a gaze target and center of attention created a cue to initiate a communication channel between residents who normally show no interest in each other. The Sony AIBO robot in this study uses commercially available wireless equipment, and all its components are easily accessible to any medical or welfare institution interested in additional practice of these activities. DA - 2015/// PY - 2015 VL - 217 IS - ck1, 9214582 SP - 1009 EP - 12 J2 - Stud Health Technol Inform SN - 0926-9630 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26294602 KW - Female KW - Humans KW - Male KW - Aged KW - Communication KW - *Homes for the Aged KW - *Nursing Homes KW - Social Behavior KW - Animals KW - *Robotics/is [Instrumentation] KW - Attention KW - *Alzheimer Disease/px [Psychology] KW - *Disabled Persons/rh [Rehabilitation] KW - *Pets KW - Dogs KW - Equipment Design KW - *Alzheimer Disease/rh [Rehabilitation] KW - *Animal Assisted Therapy/is [Instrumentation] KW - Cues KW - Motor Skills ER - TY - JOUR TI - How to live independently with or without technology?. AU - Karki, Anne AU - Sallinen, Merja AU - Kuusinen, Jere T2 - Studies in health technology and informatics AB - This qualitative study aims to identify how Finnish elderly, aged 65-82, consider technology as part of their life and how the learning of using technology is happening. Thematic interviews were carried out and transcribed to text. Content analysis was done and common elements were found. The analysis was done in researcher triangulation to enhance the reliability of the data extraction. Two main categories were named: lived life and the role of ICT/ICT AT, ICT support and education. We can conclude that the results showed that there is a need to integrate ICT/ICT AT education into the daily life and rehabilitation of elderly. The most common need to use ICT is to be connected and to be able to follow the society. Also open discussion is needed concerning the divide between older and younger citizens. Based on the results the non-users who don't want to use technology also need to be considered in society by developing new service solutions for all. If being positive towards using technology this study showed that ICT skills can positively affect feeling of self-determination and quality of life. DA - 2015/// PY - 2015 VL - 217 IS - ck1, 9214582 SP - 306 EP - 10 J2 - Stud Health Technol Inform SN - 0926-9630 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26294489 KW - Humans KW - Aged, 80 and over KW - Qualitative Research KW - *Independent Living KW - Quality of Life KW - Interviews as Topic KW - Independent Living/px [Psychology] KW - Activities of Daily Living/px [Psychology] KW - Aged/px [Psychology] KW - *Self-Help Devices/px [Psychology] ER - TY - JOUR TI - Combining apps targeting professionals and senior citizens to improve housing accessibility and influence housing provision policies. AU - Helle, Tina AU - Iwarsson, Susanne AU - Lunn, Tine Bieber AU - Iversen, Mogens Holm AU - Jonsson, Oskar AU - Martensson, Knut AU - Svarre, Tanja AU - Slaug, Bjorn T2 - Studies in health technology and informatics AB - Two separate apps that address the increasingly important issue of accessible housing for senior citizens have been developed in different project settings. One of the apps was developed to facilitate the process for professional raters to assess housing accessibility in the context of individual housing adaptations. The other app was developed for senior citizens to raise their awareness of possible accessibility problems in their current dwelling and in other apartments within the available housing stock. Both apps were developed with a high degree of active user involvement in processes utilizing multiple state of the art methods. The results are two well accepted prototype apps perceived as user-friendly and appropriate for the intended user groups. By combining these two apps, our ambition is for the professional raters to benefit by gaining knowledge of their clients' perceived needs and desires, and for senior citizens to benefit by getting access to a database of professionally rated dwellings. The ultimate goal is the generation of sound knowledge reflecting the needs and desires of senior citizens and professional requirements regarding accessible housing as a means to inform and influence housing provision policies. DA - 2015/// PY - 2015 VL - 217 IS - ck1, 9214582 SP - 300 EP - 5 J2 - Stud Health Technol Inform SN - 0926-9630 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26294488 KW - Humans KW - Aged KW - Health Policy KW - *Homes for the Aged KW - Homes for the Aged/st [Standards] KW - Homes for the Aged/og [Organization & Administration] KW - *Mobile Applications KW - Housing/og [Organization & Administration] KW - Housing/st [Standards] KW - Architectural Accessibility/st [Standards] KW - *Architectural Accessibility/mt [Methods] KW - Biomedical Technology/mt [Methods] ER - TY - JOUR TI - Tele-care robot for assisting independent senior citizens who live at home. AU - Katz, Reuven T2 - Studies in health technology and informatics AB - In the last twenty years most developed countries face dramatic demographic changes, and predominantly the rapid aging of their population. As the share of elderly people is climbing while the number of care providers is declining, the aging problem is becoming an increasingly important social and economic challenge. The supply of care at home, utilizing affordable tele-care systems and smart home technologies, is one of the promising strategies to cope with challenges posed by these demographic changes. The goal of this paper is to present a tele-care robot (TCR) aimed to assist Senior citizens who live independently at their home, that need assistance in daily life activities. The idea of the proposed system is that a caregiver, operating from a central location, will be able to service between 10 to 20 patients living at their home, by using the tele-care robot. The robot will possess motion control capabilities to move inside the house of each patient and alert in case that emergency events occur. The robot will allow the care provider to communicate remotely with the patient using audio and video equipment installed on the robot. By using the robot, the caregiver will be able to examine several times during the day the well-being of the patient, his medication consumption, and his overall functionality. DA - 2015/// PY - 2015 VL - 217 IS - ck1, 9214582 SP - 288 EP - 94 J2 - Stud Health Technol Inform SN - 0926-9630 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26294486 KW - Humans KW - Activities of Daily Living KW - *Independent Living KW - *Self-Help Devices KW - *Home Care Services KW - *Robotics KW - Robotics/mt [Methods] KW - Aged/px [Psychology] KW - Robotics/is [Instrumentation] KW - Wireless Technology ER - TY - JOUR TI - An evaluation of Snoezelen() compared to 'common best practice' for allaying the symptoms of wandering and restlessness among residents with dementia in aged care facilities. AU - Bauer, Michael AU - Rayner, Jo-Anne AU - Tang, Judy AU - Koch, Susan AU - While, Christine AU - O'Keefe, Fleur T2 - Geriatric nursing (New York, N.Y.) AB - Snoezelen has become an increasingly popular therapy in residential aged care facilities in Australia and elsewhere, despite no conclusive evidence of its clinical efficacy. This paper reports on an evaluation of the use of Snoezelen compared to 'common best practice' for allaying the dementia related behaviors of wandering and restlessness in two residential aged care facilities in Victoria, Australia. Sixteen residents had their behavior and responses to Snoezelen or 'common best practice' observed and recorded over three time periods. The Wilcoxon signed-rank test showed there was a significant improvement in behaviors immediately after the intervention and after 60 min. However, no significant differences were found between residents receiving Snoezelen and 'common best practice' interventions for the reduction of the dementia related behaviors. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.gerinurse.2015.07.005 VL - 36 IS - 6 SP - 462 EP - 6 J2 - Geriatr Nurs SN - 1528-3984 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26294096 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Australia KW - Evidence-Based Practice KW - Assisted Living Facilities KW - Dementia/px [Psychology] KW - *Dementia/th [Therapy] KW - *Wandering Behavior KW - Wandering Behavior/px [Psychology] KW - *Psychomotor Agitation/pc [Prevention & Control] ER - TY - JOUR TI - High-Intensity Telemedicine Decreases Emergency Department Use for Ambulatory Care Sensitive Conditions by Older Adult Senior Living Community Residents. AU - Shah, Manish N AU - Wasserman, Erin B AU - Gillespie, Suzanne M AU - Wood, Nancy E AU - Wang, Hongyue AU - Noyes, Katia AU - Nelson, Dallas AU - Dozier, Ann AU - McConnochie, Kenneth M T2 - Journal of the American Medical Directors Association AB - BACKGROUND: Emergency department (ED) visits for ambulatory care sensitive conditions (ACSCs) are common among older adults. The high-intensity telemedicine model of care has been proposed as an innovative approach to expand access to acute illness care, thereby preventing ED visits. The aim of this study was to assess the effect of a high-intensity telemedicine program for senior living community (SLC) residents on the rate of ED use for ACSCs., METHODS: We performed a prospective cohort study at a primary care geriatrics practice that provides care to 22 SLCs. Six SLCs selected as intervention facilities, with the remaining SLCs serving as controls. Consenting practice patients at intervention facilities could have patient-to-provider, real-time, or store-and-forward high-intensity telemedicine services to diagnose and treat illnesses. The primary outcome was the rate of ED visits for which the primary diagnosis was an "ambulatory-care-sensitive" condition by the Institute of Medicine, which we compared between control and intervention participants., RESULTS: During the study period, control participants had 310 ED visits for ACSCs, for a rate of 0.195 visits/person-year. Intervention participants visited the ED for ACSCs 85 times, for a rate of 0.138 visits/person-year [unadjusted rate ratio (RR): 0.71, 95% confidence interval (CI): 0.53-0.94]. Among intervention participants, ED use for ACSCs decreased at an annual rate of 34% (RR: 0.661, 95% CI: 0.444-0.982), whereas, in the control group there was no statistically significant change in ED use over time (RR: 1.01, 95% CI: 0.90-1.14)., CONCLUSIONS: Providing acute illness care by high-intensity telemedicine to older adults residing in SLCs significantly decreases the rate of ED use for ACSCs over 1 year, compared with no change in the rate of ED use for ACSCs among the control group. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2015.07.009 VL - 16 IS - 12 SP - 1077 EP - 81 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26293419 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - *Homes for the Aged KW - Prospective Studies KW - *Telemedicine KW - *Ambulatory Care ER - TY - JOUR TI - Validation of an integral conceptual model of frailty in older residents of assisted living facilities. AU - Gobbens, Robbert J J AU - Krans, Anita AU - van Assen, Marcel A L M T2 - Archives of gerontology and geriatrics AB - OBJECTIVE: The aim of this cross-sectional study was to examine the validity of an integral model of the associations between life-course determinants, disease(s), frailty, and adverse outcomes in older persons who are resident in assisted living facilities., METHODS: Between June 2013 and May 2014 seven assisted living facilities were contacted. A total of 221 persons completed the questionnaire on life-course determinants, frailty (using the Tilburg Frailty Indicator), self-reported chronic diseases, and adverse outcomes disability, quality of life, health care utilization, and falls. Adverse outcomes were analyzed with sequential (logistic) regression analyses., RESULTS: The integral model is partially validated. Life-course determinants and disease(s) affected only physical frailty. All three frailty domains (physical, psychological, social) together affected disability, quality of life, visits to a general practitioner, and falls. Contrary to the model, disease(s) had no effect on adverse outcomes after controlling for frailty. Life-course determinants affected adverse outcomes, with unhealthy lifestyle having consistent negative effects, and women had more disability, scored lower on physical health, and received more personal and informal care after controlling for all other predictors., CONCLUSION: The integral model of frailty is less useful for predicting adverse outcomes of residents of assisted living facilities than for community-dwelling older persons, because these residents are much frailer and already have access to healthcare facilities., PRACTICAL IMPLICATIONS: The present study showed that a multidimensional assessment of frailty, distinguishing three domains of frailty (physical, psychological, social), is beneficial with respect to predicting adverse outcomes in residents of assisted living facilities. Copyright © 2015. Published by Elsevier Ireland Ltd. DA - 2015/// PY - 2015 DO - 10.1016/j.archger.2015.06.001 VL - 61 IS - 3 SP - 400 EP - 10 J2 - Arch Gerontol Geriatr SN - 1872-6976 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26293001 KW - Female KW - Humans KW - Aged KW - Surveys and Questionnaires KW - *Geriatric Assessment/mt [Methods] KW - Cross-Sectional Studies KW - *Assisted Living Facilities KW - *Quality of Life/px [Psychology] KW - Accidental Falls/sn [Statistics & Numerical Data] KW - Patient Acceptance of Health Care/sn [Statistics & Numerical Data] KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - Frail Elderly/px [Psychology] KW - Self Report KW - *Models, Psychological KW - Prognosis KW - Predictive Value of Tests KW - Life Style KW - Physicians KW - Mental Disorders/px [Psychology] KW - Physical Examination KW - General Practitioners KW - *Models, Biological ER - TY - JOUR TI - As they see it: A qualitative study of how older residents in nursing homes perceive their care needs. AU - Chuang, Yeu-Hui AU - Abbey, Jennifer A AU - Yeh, Yueh-Chen AU - Tseng, Ing-Jy AU - Liu, Megan F T2 - Collegian (Royal College of Nursing, Australia) AB - OBJECTIVES: Meeting care needs of nursing home residents is a significant element in providing the best quality care. A literature review revealed that there is poor understanding of the care needs of older residents from their own viewpoints within a nursing home context. Therefore, this study aimed to explore the older nursing home residents' care needs from their own perspectives., METHODS: This was a qualitative study. In-depth interviews were conducted by a purposive sample of 18 nursing home residents with a mean age of 80.7 years in Taiwan. All data was transcribed and coded for emerging themes., RESULTS: A qualitative data analysis generated six themes including the body, economics, environment, mind, preparation for death, and social support, referred to subsequently as BEEMPS., CONCLUSIONS: These findings can provide nursing home managers with information on how to improve nursing home care protocols to accommodate residents' expressed needs and also inform healthcare professionals about the care needs of older residents, thus fostering better care. DA - 2015/// PY - 2015 VL - 22 IS - 1 SP - 43 EP - 51 J2 - Collegian SN - 1322-7696 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26285408 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Attitude of Health Personnel KW - Qualitative Research KW - Quality of Life KW - *Health Services Needs and Demand KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Health Knowledge, Attitudes, Practice KW - *Quality of Health Care KW - Taiwan KW - *Inpatients/px [Psychology] ER - TY - JOUR TI - Health economic analyses of domiciliary dental care and care at fixed clinics for elderly nursing home residents in Sweden. AU - Lundqvist, M AU - Davidson, T AU - Ordell, S AU - Sjostrom, O AU - Zimmerman, M AU - Sjogren, P T2 - Community dental health AB - OBJECTIVES: Dental care for elderly nursing home residents is traditionally provided at fixed dental clinics, but domiciliary dental care is an emerging alternative. Longer life expectancy accompanied with increased morbidity, and hospitalisation or dependence on the care of others will contribute to a risk for rapid deterioration of oral health so alternative methods for delivering oral health care to vulnerable individuals for whom access to fixed dental clinics is an obstacle should be considered. The aim was to analyse health economic consequences of domiciliary dental care for elderly nursing home residents in Sweden, compared to dentistry at a fixed clinic., METHODS: A review of relevant literature was undertaken complemented by interviews with nursing home staff, officials at county councils, and academic experts in geriatric dentistry. Domiciliary dental care and fixed clinic care were compared in cost analyses and cost-effectiveness analyses., RESULTS: The mean societal cost of domiciliary dental care for elderly nursing home residents was lower than dental care at a fixed clinic, and it was also considered cost-effective. Lower cost of dental care at a fixed dental clinic was only achieved in a scenario where dental care could not be completed in a domiciliary setting., CONCLUSIONS: Domiciliary dental care for elderly nursing home residents has a lower societal cost and is cost-effective compared to dental care at fixed clinics. To meet current and predicted need for oral health care in the ageing population alternative methods to deliver dental care should be available. DA - 2015/// PY - 2015 VL - 32 IS - 1 SP - 39 EP - 43 J2 - Community Dent Health SN - 0265-539X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26263591 KW - Humans KW - Aged KW - Quality of Life KW - Cost-Benefit Analysis KW - Costs and Cost Analysis KW - *Homes for the Aged/ec [Economics] KW - *Nursing Homes/ec [Economics] KW - Sweden KW - *Home Care Services/ec [Economics] KW - Motivation KW - Health Care Costs KW - *Dental Care for Aged/ec [Economics] KW - *Dental Clinics/ec [Economics] KW - Budgets KW - Fees, Dental KW - Nurses/ec [Economics] KW - Reimbursement Mechanisms/ec [Economics] KW - Transportation/ec [Economics] KW - Value of Life/ec [Economics] ER - TY - JOUR TI - The Pain Management Life History Calendar: A Pilot Study. AU - McDonald, Deborah Dillon AU - Barri, Caroline T2 - Pain management nursing : official journal of the American Society of Pain Management Nurses AB - Pain management trajectory data that includes previous pain treatments, timing, changes, and outcomes provide crucial data for patients with chronic pain and their practitioners to use when discussing ways to optimize pain management regimens. The aim of this study was to test the use of the life history calendar method to identify pain treatments, treatment regimens, timing, and outcomes of the pain management trajectory of individuals with chronic pain, and to examine feasibility. A pilot, descriptive, methodological design was used. Settings included community-based sites such as congregate housing. Nineteen community-dwelling older adults with osteoarthritis (OA) pain of at least 1 year's duration participated. Participants were interviewed and asked to chronicle from the beginning of the OA pain to the present all of their pain treatments and treatment effects (pain outcomes and adverse events). Raters independently content analyzed the transcribed interviews to identify pain treatments, treatment groupings (regimens), and treatment effects on pain. Feasibility of patients reporting their pain management trajectories was content analyzed by identifying participant difficulty identifying pain treatments, treatment effects, treatment sequence; and difficulty discriminating between treatments, and between OA pain and other pain sources. Individual pain management trajectories were constructed that depicted chronological order of pain treatment regimens and treatment effects. Participants identified pain treatments, discriminate between treatments and between OA and other conditions, and identified treatment effects. Treatment sequence was identified, but more precise timing was generally not reported. Pain management trajectories could provide a helpful way for practitioners to discuss safe, efficacious pain management options with patients. Copyright © 2015 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.pmn.2014.11.002 VL - 16 IS - 4 SP - 587 EP - 94 J2 - Pain Manag Nurs SN - 1532-8635 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26256222 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Time Factors KW - Feasibility Studies KW - Self Report KW - Disease Progression KW - Pilot Projects KW - *Pain Management KW - *Osteoarthritis/th [Therapy] KW - *Chronic Pain/th [Therapy] KW - *Medical History Taking KW - Calendars as Topic ER - TY - JOUR TI - Optimizing Eating Performance for Long-Term Care Residents With Dementia: Testing the Impact of Function-Focused Care for Cognitively Impaired. AU - Liu, Wen AU - Galik, Elizabeth AU - Nahm, Eun-Shim AU - Boltz, Marie AU - Resnick, Barbara T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: The objective of this study was to evaluate the impact of a well-developed theory-based function-focused care for cognitively impaired (FFC-CI) intervention on eating performance among long-term care (LTC) residents with moderate-to-severe cognitive impairment., DESIGN: A secondary analysis of longitudinal data from 2 cluster-randomized controlled trials that originally tested the impact of FFC-CI on all function and physical activities., PARTICIPANTS AND SETTING: Participants were 199 residents with moderate-to-severe cognitive impairment from 4 nursing homes and 4 assisted living facilities., MEASUREMENTS: Data at baseline, and 3 and 6 months were used. Resident outcome data used in this analysis included eating performance conceptualized using the single self-care "feeding" item in the Barthel Index, cognitive function by Mini-Mental State Examination, sitting balance conceptualized using the single "chair sit-sitting balance" item in the Tinetti Gait and Balance scale, physical capability by Physical Capability Scale, depression by Cornell Scale for Depression in Dementia, and agitation by Cohen-Mansfield Agitation Inventory (short form)., RESULTS: At baseline, almost one-third (32.2%) of the 199 residents needed help with eating. There was no significant change with regard to eating performance over time in both groups, and no significant treatment by time difference between groups in eating performance (P = .195)., CONCLUSION: Current findings support a need to revise the FFC-CI to better address eating performance. Future work may benefit from a stronger focus on eating performance rather than the more commonly addressed functional tasks, such as bathing, dressing, and ambulation. In addition, the inclusion of a more heterogeneous group of LTC residents with regard to eating performance is needed to test the impact of the revised approach on eating performance. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2015.06.023 VL - 16 IS - 12 SP - 1062 EP - 8 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26255100 KW - Female KW - Humans KW - Male KW - Randomized Controlled Trials as Topic KW - Outcome Assessment (Health Care) KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Assisted Living Facilities KW - *Nursing Homes KW - Longitudinal Studies KW - *Dementia KW - *Cognition KW - *Eating/ph [Physiology] ER - TY - JOUR TI - Frailty as a Predictor of Future Falls Among Community-Dwelling Older People: A Systematic Review and Meta-Analysis. AU - Kojima, Gotaro T2 - Journal of the American Medical Directors Association AB - BACKGROUND: Although multiple longitudinal studies have investigated frailty as a predictor of future falls, the results were mixed. Thus far, no systematic review or meta-analysis on this topic has been conducted., OBJECTIVE: To review the evidence of frailty as a predictor of future falls among community-dwelling older people., METHODS: Systematic review of literature and meta-analysis were performed using 6 electronic databases (Embase, Scopus, MEDLINE, CINAHL Plus, PsycINFO, and the Cochrane Library) searching for studies that prospectively examined risk of future fall risk according to frailty among community-dwelling older people published from 2010 to April 2015 with no language restrictions., RESULTS: Of 2245 studies identified through the systematic review, 11 studies incorporating 68,723 individuals were included in the meta-analysis. Among 7 studies reporting odds ratios (ORs), frailty and prefrailty were significantly associated with higher risk of future falls (pooled OR = 1.84, 95% confidence interval [95% CI] = 1.43-2.38, P < .001; pooled OR = 1.25, 95% CI = 1.01-1.53, P = .005, respectively). Among 4 studies reporting hazard ratios (HRs), whereas frailty was significantly associated with higher risk of future falls (pooled HR = 1.24, 95% CI = 1.10-1.41, P < .001), future fall risk according to prefrailty did not reach statistical significance (pooled HR = 1.14, 95% CI = 0.95-1.36, P = .15). High heterogeneity was noted among 7 studies reporting ORs and seemed attributed to difference in gender proportion of cohorts according to subgroup and meta-regression analyses., CONCLUSIONS: Frailty is demonstrated to be a significant predictor of future falls among community-dwelling older people despite various criteria used to define frailty. The future fall risk according to frailty seemed to be higher in men than in women. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2015.06.018 VL - 16 IS - 12 SP - 1027 EP - 33 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26255098 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Frail Elderly KW - Forecasting KW - *Accidental Falls ER - TY - JOUR TI - Reference values for hand grip strength in Japanese community-dwelling elderly: a meta-analysis. AU - Kamide, Naoto AU - Kamiya, Ryo AU - Nakazono, Tetsuharu AU - Ando, Masataka T2 - Environmental health and preventive medicine AB - OBJECTIVES: Reference values for hand grip strength in Japanese community-dwelling elderly independent in activities of daily living (ADLs) were calculated by meta-analysis., METHODS: Papers reporting data on hand grip strength in elderly Japanese adults >=60 years of age and independent in ADLs were retrieved from electronic databases. Data were extracted from the selected papers and the weighted mean for hand grip strength by sex was calculated by random effect model. The association of hand grip strength with age and body weight was also analyzed using meta-regression analysis., RESULTS: Data for 15,784 individuals (5216 men and 10,568 women; mean age 67.0-79.8 years) were extracted from 97 sets of data from 33 papers. The weighted mean for hand grip strength was calculated as 33.11 kg [95 % CI 32.27-33.96] in men and 20.92 kg [95 % CI 20.45-21.39] in women. A significant negative correlation was also seen between hand grip strength and age., CONCLUSIONS: The mean hand grip strength of elderly people calculated in this study can be used as a reference value for the hand grip strength of Japanese community-dwelling elderly who are independent in ADLs. However, age needs to be considered in reference values for hand grip strength. DA - 2015/// PY - 2015 DO - 10.1007/s12199-015-0485-z VL - 20 IS - 6 SP - 441 EP - 6 J2 - Environ. health prev. med. SN - 1347-4715 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26253392 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - Independent Living/sn [Statistics & Numerical Data] KW - Reference Values KW - *Hand Strength ER - TY - JOUR TI - Understanding how older adults living in deprived neighbourhoods address ageing issues. AU - Bielderman, Annemiek AU - Schout, Gert AU - de Greef, Mathieu AU - van der Schans, Cees T2 - British journal of community nursing AB - Older adults living in deprived areas are at risk of developing frailty and becoming care dependent. The aim of this qualitative study is to explore how community-dwelling, older adults living in deprived neighbourhoods address ageing issues. In-depth interviews were conducted with 20 participants who were community-dwelling (independently living), aged 65 years and older, not dependent on care, and living in a socioeconomically deprived urban neighbourhood in the northern part of the Netherlands. Data were analysed using the constant comparative method. Our findings emphasise the resourcefulness of these older adults when coping with apparent adversities. Simultaneously, the findings convey deficits concerning knowledge about ageing and health. Despite this, it appeared that these older adults possess an optimistic view of life, accept their situation, and are content with the capacities they still possess. Perspectives on how older adults address ageing issues are important for developing leads for nursing practice. Nurses will be challenged to recognise the coping strategies of older adults, particularly considering their deficits in health knowledge. The results of this study may serve as a basis for community nurses to manage care for older adults in deprived neighbourhoods. DA - 2015/// PY - 2015 DO - 10.12968/bjcn.2015.20.8.394 VL - 20 IS - 8 SP - 394 EP - 9 J2 - Br J Community Nurs SN - 1462-4753 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26252237 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Qualitative Research KW - *Independent Living/px [Psychology] KW - *Poverty/px [Psychology] KW - *Aging/px [Psychology] KW - Netherlands KW - Adaptation, Psychological KW - Attitude to Health KW - *Community Health Nursing/og [Organization & Administration] ER - TY - JOUR TI - Inverse relationship between body mass index and mortality in older nursing home residents: a meta-analysis of 19,538 elderly subjects. AU - Veronese, N AU - Cereda, E AU - Solmi, M AU - Fowler, S A AU - Manzato, E AU - Maggi, S AU - Manu, P AU - Abe, E AU - Hayashi, K AU - Allard, J P AU - Arendt, B M AU - Beck, A AU - Chan, M AU - Audrey, Y J P AU - Lin, W-Y AU - Hsu, H-S AU - Lin, C-C AU - Diekmann, R AU - Kimyagarov, S AU - Miller, M AU - Cameron, I D AU - Pitkala, K H AU - Lee, J AU - Woo, J AU - Nakamura, K AU - Smiley, D AU - Umpierrez, G AU - Rondanelli, M AU - Sund-Levander, M AU - Valentini, L AU - Schindler, K AU - Torma, J AU - Volpato, S AU - Zuliani, G AU - Wong, M AU - Lok, K AU - Kane, J M AU - Sergi, G AU - Correll, C U T2 - Obesity reviews : an official journal of the International Association for the Study of Obesity AB - Body mass index (BMI) and mortality in old adults from the general population have been related in a U-shaped or J-shaped curve. However, limited information is available for elderly nursing home populations, particularly about specific cause of death. A systematic PubMed/EMBASE/CINAHL/SCOPUS search until 31 May 2014 without language restrictions was conducted. As no published study reported mortality in standard BMI groups (<18.5, 18.5-24.9, 25-29.9, >=30 kg/m(2)), the most adjusted hazard ratios (HRs) according to a pre-defined list of covariates were obtained from authors and pooled by random-effect model across each BMI category. Out of 342 hits, 20 studies including 19,538 older nursing home residents with 5,223 deaths during a median of 2 years of follow-up were meta-analysed. Compared with normal weight, all-cause mortality HRs were 1.41 (95% CI = 1.26-1.58) for underweight, 0.85 (95% CI = 0.73-0.99) for overweight and 0.74 (95% CI = 0.57-0.96) for obesity. Underweight was a risk factor for higher mortality caused by infections (HR = 1.65 [95% CI = 1.13-2.40]). RR results corroborated primary HR results, with additionally lower infection-related mortality in overweight and obese than in normal-weight individuals. Like in the general population, underweight is a risk factor for mortality in old nursing home residents. However, uniquely, not only overweight but also obesity is protective, which has relevant nutritional goal implications in this population/setting. Copyright © 2015 World Obesity. DA - 2015/// PY - 2015 DO - 10.1111/obr.12309 VL - 16 IS - 11 SP - 1001 EP - 15 J2 - Obes Rev SN - 1467-789X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26252230 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - *Body Mass Index KW - *Overweight/mo [Mortality] KW - *Thinness/mo [Mortality] KW - Nutritional Physiological Phenomena ER - TY - JOUR TI - Psychometric properties of Antonovsky's 29-item Sense of Coherence scale in research on older home-dwelling Norwegians. AU - Soderhamn, Ulrika AU - Sundsli, Kari AU - Cliffordson, Christina AU - Dale, Bjorg T2 - Scandinavian journal of public health AB - AIM: The aim of this study was to test the homogeneity and construct validity of the Sense of Coherence 29-item scale (SOC-29) among older home-dwelling Norwegians., METHODS: A postal questionnaire, consisting of background variables, five health-related questions, the SOC-29, and three other instruments measuring mental health, self-care ability, and risk for undernutrition, was sent to 6033 home-dwelling older people (65+ years) in southern Norway. A total of 2069 participants were included. Homogeneity was assessed with Cronbach's alpha coefficient and item-to-total correlations. The construct validity was assessed with "the known-groups technique," a linear stepwise regression analysis with SOC score serving as the dependent variable and with confirmatory factor analysis., RESULTS: With a Cronbach's alpha coefficient of 0.91 and statistically significant item-to-total correlations, the SOC-29 was found to be homogeneous. Construct validity was supported because the SOC-29 could separate known groups with expected high and low scores. The factors that could predict SOC were mental health, self-care ability, feeling lonely, being active, and chronic disease or handicap. Evidence of construct validity was displayed in a confirmatory factor analysis that confirmed SOC-29 as one theoretical construct with the three dimensions, comprehensibility, manageability, and meaningfulness., CONCLUSIONS: The Norwegian version of the SOC-29 is a reliable and valid instrument for use in research among older people. The results confirm that SOC has a particularly strong relationship with mental health and self-care ability. Copyright © 2015 the Nordic Societies of Public Health. DA - 2015/// PY - 2015 DO - 10.1177/1403494815598863 VL - 43 IS - 8 SP - 867 EP - 74 J2 - Scand J Public Health SN - 1651-1905 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26249839 KW - Female KW - Humans KW - Male KW - Norway KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - *Independent Living/px [Psychology] KW - Psychometrics KW - *Surveys and Questionnaires KW - Mental Health KW - Self Care/px [Psychology] KW - *Biomedical Research/mt [Methods] KW - *Sense of Coherence ER - TY - JOUR TI - Place of Death: Trends Over the Course of a Decade: A Population-Based Study of Death Certificates From the Years 2001 and 2011. AU - Dasch, Burkhard AU - Blum, Klaus AU - Gude, Philipp AU - Bausewein, Claudia T2 - Deutsches Arzteblatt international T3 - [Erratum in: Dtsch Arztebl Int. 2015 Sep 18;112(38):634] AB - BACKGROUND: In Germany, data on place of death is recorded from death certificates, but not further analyzed. Consequently, hardly any information is available at the population level regarding the distribution of place of death (e.g. home, hospital, palliative care unit, nursing home, hospice)., METHODS: We carried out a descriptive statistical analysis of the registered places of death in evaluated death certificates from selected areas of Westphalia-Lippe for the years 2001 and 2011. Factors affecting the place of death were determined with binary multivariate regression., RESULTS: We analyzed 24 009 death certificates (11 585 for 2001 and 12 424 for 2011). The distribution of places of death for the overall population was as follows (2001 vs. 2011): at home, 27.5% vs. 23.0% (p<0.001); in the hospital, 57.6% vs. 51.2% (p<0.001); on a palliative care unit, 0.0% vs. 1.0%, in a care or nursing home, 12.2% vs. 19.0% (p<0.001); in a hospice, 2.0% vs. 4.6% (p<0.001); elsewhere, 0.6% vs. 0.6% (p = 0.985); not indicated, 0.1% vs. 0.6% (p<0.001). Independent factors affecting the place of death were age, sex, place of residence, and the presence of cancer or of dementia., CONCLUSION: Most people in Germany die in institutions; the most common place of death is still the hospital, where more than half of all deaths take place. Only one death in four occurs at home. There is a marked secular trend away from dying at home or in the hospital, in favor of dying in a care or nursing home; death in palliative care units and hospices is also becoming more common. DA - 2015/// PY - 2015 DO - 10.3238/arztebl.2015.0496 VL - 112 IS - 29-30 SP - 496 EP - 504 J2 - Dtsch. Arztebl. int. SN - 1866-0452 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26249252 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Longitudinal Studies KW - *Housing/sn [Statistics & Numerical Data] KW - *Hospices/sn [Statistics & Numerical Data] KW - Age Distribution KW - Sex Distribution KW - Mortality KW - *Hospitals/sn [Statistics & Numerical Data] KW - Dementia/mo [Mortality] KW - *Neoplasms/mo [Mortality] KW - Germany/ep [Epidemiology] KW - *Death Certificates ER - TY - JOUR TI - [Attitudes towards assisted living inAustria-A qualitative study]. AU - Boggatz, Thomas AU - Lechner, Cornelia T2 - Einstellungen zum Betreuten Wohnen in Osterreich - Eine qualitative Studie. AB - BACKGROUND: Surveys in German speaking countries identified motives for choosing assisted living, but their importance in the context of decision making remains unclear., AIM: This study aimed to identify types of attitudes towards assisted living among older persons in Austria that result from the interplay of single motives., METHOD: A comparative qualitative study with semi-structured interviews was conduCted in the land Salzburg among residents of assisted living facilities and home dwelling older adults. Data were analysed by using qualitative content analysis according to Mayring and subsequent construction of types., RESULTS: Among residents types of attitudes were "proactive users" who expected more safety or comfort and persons who "moved m due to external circumstances" like taking the opportunity of available place or feeling forced by functional/imitations or be ing influenced by significant others. Types of attitudes among home dwelling older persons were "conditional acceptance';"rejection" and ;'indecisiveness':Vague ideas about assisted living often prevented an informed decision., CONCLUSION: Choice of assisted living only depends to some extent on specific expectations. Better information,advice by significant others and availability of a place may favour a decision to move in. DA - 2015/// PY - 2015 DO - 10.1024/1012-5302/a000434 VL - 28 IS - 4 SP - 205 EP - 18 J2 - Pflege SN - 1012-5302 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26244800 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Evaluation Studies as Topic KW - *Assisted Living Facilities KW - *Attitude KW - Disability Evaluation KW - Motivation KW - Austria KW - Choice Behavior ER - TY - JOUR TI - Cost Effectiveness of Falls and Injury Prevention Strategies for Older Adults Living in Residential Aged Care Facilities. AU - Church, Jody L AU - Haas, Marion R AU - Goodall, Stephen T2 - PharmacoEconomics AB - OBJECTIVE: To evaluate the cost effectiveness of interventions designed to prevent falls and fall-related injuries among older people living in residential aged care facilities (RACFs) from an Australian health care perspective., METHODS: A decision analytic Markov model was developed that stratified individuals according to their risk of falling and accounted for the risk of injury following a fall. The effectiveness of the interventions was derived from two Cochrane reviews of randomized controlled trials for falls/fall-related injury prevention in RACFs. Interventions were considered effective if they reduced the risk of falling or reduced the risk of injury following a fall. The interventions that were modelled included vitamin D supplementation, annual medication review, multifactorial intervention (a combination of risk assessment, medication review, vision assessment and exercise) and hip protectors. The cost effectiveness was calculated as the incremental cost relative to the incremental benefit, in which the benefit was estimated using quality-adjusted life-years (QALYs). Uncertainty was explored using univariate and probabilistic sensitivity analysis., RESULTS: Vitamin D supplementation and medication review both dominated 'no intervention', as these interventions were both more effective and cost saving (because of healthcare costs avoided). Hip protectors are dominated (less effective and more costly) by vitamin D and medication review. The incremental cost-effectiveness ratio (ICER) for medication review relative to vitamin D supplementation is AU$2442 per QALY gained, and the ICER for multifactorial intervention relative to medication review is AU$1,112,500 per QALY gained. The model is most sensitive to the fear of falling and the cost of the interventions., CONCLUSION: The model suggests that vitamin D supplementation and medication review are cost-effective interventions that reduce falls, provide health benefits and reduce health care costs in older adults living in RACFs. DA - 2015/// PY - 2015 DO - 10.1007/s40273-015-0313-8 VL - 33 IS - 12 SP - 1301 EP - 10 J2 - Pharmacoeconomics SN - 1179-2027 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26242882 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Australia KW - *Accidental Falls/pc [Prevention & Control] KW - Cost-Benefit Analysis KW - *Health Care Costs/sn [Statistics & Numerical Data] KW - *Homes for the Aged/ec [Economics] KW - Accidental Falls/ec [Economics] KW - *Wounds and Injuries/pc [Prevention & Control] KW - *Quality-Adjusted Life Years KW - Markov Chains KW - Vitamin D/tu [Therapeutic Use] KW - Accidental Falls/mo [Mortality] KW - Wounds and Injuries/ec [Economics] KW - *Vitamin D/ec [Economics] KW - Wounds and Injuries/mo [Mortality] ER - TY - JOUR TI - Antibiotic resistance patterns of bacteria causing urinary tract infections in the elderly living in nursing homes versus the elderly living at home: an observational study. AU - Fagan, Mark AU - Lindbaek, Morten AU - Grude, Nils AU - Reiso, Harald AU - Romoren, Maria AU - Skaare, Dagfinn AU - Berild, Dag T2 - BMC geriatrics AB - BACKGROUND: Antibiotic resistance is a problem in nursing homes. Presumed urinary tract infections (UTI) are the most common infection. This study examines urine culture results from elderly patients to see if specific guidelines based on gender or whether the patient resides in a nursing home (NH) are warranted., METHODS: This is a cross sectional observation study comparing urine cultures from NH patients with urine cultures from patients in the same age group living in the community., RESULTS: There were 232 positive urine cultures in the NH group and 3554 in the community group. Escherichia coli was isolated in 145 urines in the NH group (64%) and 2275 (64%) in the community group. There were no clinically significant differences in resistance. Combined, there were 3016 positive urine cultures from females and 770 from males. Escherichia coli was significantly more common in females 2120 (70%) than in males 303 (39%) (p < 0.05). Enterococcus faecalis was significantly less common in females 223 (7%) than males 137 (18%) (p < 0.05). For females, there were lower resistance rates to ciprofloxacin among Escherichia coli (7% vs 12%; p < 0.05) and to mecillinam among Proteus mirabilis (3% vs 12%; p < 0.05)., CONCLUSIONS: Differences in resistance rates for patients in the nursing home do not warrant separate recommendations for empiric antibiotic therapy, but recommendations based on gender seem warranted. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0097-x VL - 15 IS - 100968548 SP - 98 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26238248 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Practice Guidelines as Topic KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Sex Factors KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Norway/ep [Epidemiology] KW - Urinary Tract Infections/ep [Epidemiology] KW - Urinary Tract Infections/dt [Drug Therapy] KW - Urinary Tract Infections/mi [Microbiology] KW - Urinary Tract Infections/di [Diagnosis] KW - Drug Resistance, Bacterial KW - *Anti-Infective Agents, Urinary KW - *Escherichia coli Infections KW - *Escherichia coli/de [Drug Effects] KW - *Proteus Infections KW - *Proteus mirabilis/de [Drug Effects] KW - *Urinary Tract Infections KW - Anti-Infective Agents, Urinary/cl [Classification] KW - Anti-Infective Agents, Urinary/pd [Pharmacology] KW - Escherichia coli Infections/di [Diagnosis] KW - Escherichia coli Infections/dt [Drug Therapy] KW - Escherichia coli Infections/ep [Epidemiology] KW - Proteus Infections/di [Diagnosis] KW - Proteus Infections/dt [Drug Therapy] KW - Proteus Infections/ep [Epidemiology] KW - Urinalysis/mt [Methods] ER - TY - JOUR TI - Risk of Dementia Among Elderly Nursing Home Patients Using Paroxetine and Other Selective Serotonin Reuptake Inhibitors. AU - Bali, Vishal AU - Chatterjee, Satabdi AU - Carnahan, Ryan M AU - Chen, Hua AU - Johnson, Michael L AU - Aparasu, Rajender R T2 - Psychiatric services (Washington, D.C.) AB - OBJECTIVE: Selective serotonin reuptake inhibitors (SSRIs) are the first line of treatment for depression. Among the SSRIs, paroxetine has strong anticholinergic properties and may lead to increased risk of adverse cognitive outcomes among elderly patients. This study evaluated the comparative risk of dementia associated with use of paroxetine and other SSRIs among elderly nursing home patients., METHODS: A retrospective cohort study using propensity score matching was conducted with 2007-2010 Minimum Data Set-linked Medicare data. The study population included elderly nursing home patients with depression who were new users of SSRIs. Patients were followed for a maximum of two years after index SSRI use. The risk of dementia was modeled by using a robust Cox proportional hazards model to account for clustering within matched users of paroxetine and other SSRIs., RESULTS: The unmatched cohort included 19,952 new users of SSRIs; 1,898 used paroxetine, and 18,054 used other SSRIs. In the propensity-matched cohort of 3,796 patients, the unadjusted incidence of dementia was 7.5% for users of paroxetine and 8.6% for users of other SSRIs. There was no difference in the risk of dementia for users of paroxetine or other SSRIs. These study findings remained robust in multiple sensitivity analyses involving various measures of dementia., CONCLUSIONS: Compared with use of other SSRIs, use of paroxetine was not associated with higher risk of dementia among elderly nursing home patients with depression. Future studies are needed to evaluate the impact of paroxetine on other cognition measures. DA - 2015/// PY - 2015 DO - 10.1176/appi.ps.201500011 VL - 66 IS - 12 SP - 1333 EP - 40 J2 - Psychiatr Serv SN - 1557-9700 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26234334 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - Cohort Studies KW - United States/ep [Epidemiology] KW - *Homes for the Aged KW - *Nursing Homes KW - Comorbidity KW - *Dementia/ep [Epidemiology] KW - Proportional Hazards Models KW - Risk KW - Serotonin Uptake Inhibitors/tu [Therapeutic Use] KW - Depressive Disorder/ep [Epidemiology] KW - Causality KW - *Depressive Disorder/dt [Drug Therapy] KW - *Paroxetine/ae [Adverse Effects] KW - *Serotonin Uptake Inhibitors/ae [Adverse Effects] KW - Paroxetine/tu [Therapeutic Use] ER - TY - JOUR TI - Prevalence of Disability and Disability Type Among Adults--United States, 2013. AU - Courtney-Long, Elizabeth A AU - Carroll, Dianna D AU - Zhang, Qing C AU - Stevens, Alissa C AU - Griffin-Blake, Shannon AU - Armour, Brian S AU - Campbell, Vincent A T2 - MMWR. Morbidity and mortality weekly report AB - Understanding the prevalence of disability is important for public health programs to be able to address the needs of persons with disabilities. Beginning in 2013, to measure disability prevalence by functional type, the Behavioral Risk Factor Surveillance System (BRFSS), added five questions to identify disability in vision, cognition, mobility, self-care, and independent living. CDC analyzed data from the 2013 BRFSS to assess overall prevalence of any disability, as well as specific types of disability among noninstitutionalized U.S. adults. Across all states, disabilities in mobility and cognition were the most frequently reported types. State-level prevalence of each disability type ranged from 2.7% to 8.1% (vision); 6.9% to 16.8% (cognition); 8.5% to 20.7% (mobility); 1.9% to 6.2% (self-care) and 4.2% to 10.8% (independent living). A higher prevalence of any disability was generally seen among adults living in states in the South and among women (24.4%) compared with men (19.8%). Prevalences of any disability and disability in mobility were higher among older age groups. These are the first data on functional disability types available in a state-based health survey. This information can help public health programs identify the prevalence of and demographic characteristics associated with different disability types among U.S. adults and better target appropriate interventions to reduce health disparities. DA - 2015/// PY - 2015 VL - 64 IS - 29 SP - 777 EP - 83 J2 - MMWR Morb Mortal Wkly Rep SN - 1545-861X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26225475 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Prevalence KW - United States/ep [Epidemiology] KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Disabled Persons/px [Psychology] KW - *Disabled Persons/sn [Statistics & Numerical Data] KW - *Mobility Limitation KW - *Cognition Disorders/ep [Epidemiology] KW - *Vision Disorders/ep [Epidemiology] KW - Behavioral Risk Factor Surveillance System KW - *Self Care/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Prevalence, Geographic Variation, and Trends in Hospital Services Relevant to the Care of Older Adults: Development of the Senior Care Services Scale and Examination of Measurement Properties. AU - Arbaje, Alicia I AU - Yu, Qilu AU - Newhall, Karina A AU - Leff, Bruce T2 - Medical care AB - BACKGROUND: The availability of hospital services for older adults nationwide is not well understood., OBJECTIVE: To present the development of the Senior Care Services Scale (SCSS) through: (1) identification of hospital services relevant to the care of older adults; (2) development of a taxonomy classifying these services; and (3) description of prevalence, geographic variation, and trends in service provision in US hospitals over time., DESIGN, SETTING, AND PARTICIPANTS: A retrospective cohort study of US hospitals in 1999 and 2006 rounds of American Hospital Association Annual Survey of Hospitals (n=4998 and 4831 hospitals, respectively). Exploratory factor analysis was used to create the SCSS, and confirmatory factor analysis was used to examine services over time. The paper reports prevalence of services nationwide., RESULTS: The SCSS consisted of 2 service groups: (1) Inpatient Specialty Care (IP): geriatrics, palliative care, psychiatric geriatrics, pain management, social work, case management, rehabilitation, and hospice; and (2) Postacute Community Care (PA): skilled nursing, intermediate care, other long-term care, assisted living, retirement housing, adult day care, and home health services. Over time, hospitals offered more IP services and fewer PA services. The distribution of services did not mirror the distribution of where older adults reside in the United States., CONCLUSIONS: The development of the SCSS provides important information about senior care services before the passage of the Affordable Care Act. The apparent mismatch of hospital services and demographic trends suggests that many US hospitals may not provide a seamless continuum of care for an increasing population of older adults. DA - 2015/// PY - 2015 DO - 10.1097/MLR.0000000000000408 VL - 53 IS - 9 SP - 768 EP - 75 J2 - Med Care SN - 1537-1948 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26225447 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Hospitals KW - Prevalence KW - Retrospective Studies KW - *Health Services for the Aged/og [Organization & Administration] KW - *Continuity of Patient Care/og [Organization & Administration] KW - Continuity of Patient Care/td [Trends] KW - Factor Analysis, Statistical KW - Health Services for the Aged/cl [Classification] KW - *Hospital Administration KW - American Hospital Association KW - Continuity of Patient Care/cl [Classification] KW - Health Services for the Aged/td [Trends] KW - Hospital Administration/cl [Classification] KW - Hospital Administration/td [Trends] ER - TY - JOUR TI - Physician involvement in life transition planning: a survey of community-dwelling older adults. AU - Lum, Hillary D AU - Brown, Jared B AU - Juarez-Colunga, Elizabeth AU - Betz, Marian E T2 - BMC family practice AB - BACKGROUND: With many information sources for healthy aging and life transitions, it is unknown whether community-dwelling older adults desire physician involvement in future planning decisions. The study aimed to examine older adults' experiences and opinions concerning four future planning domains: advance care planning, driving, finances, and housing., METHODS: Adults aged >=55 years living at a large urban, independent living facility were surveyed with an anonymous, voluntary, paper-based, mailed questionnaire. Survey domains were advance care planning, driving, finances, and housing. For each domain, questions assessed confidence, openness to discussions, information sources, and prior and desired future role of the physician in decision-making by domain. Comparisons across and within domains were determined using Chi-square tests., RESULTS: The response rate was 56 % (N = 457; median age: 75 years; 74 % female). Among advance care planning, driving, and finances, respondents were more confident about what it means to have an advance directive (87 %, 95 % CI 84 - 90 %) than alternative transportation options (46 %, 95 % CI 42 - 51 %). Nearly two-thirds of respondents (64 %, 95 % CI 59 - 68 %) were open to discussing driving cessation, though only one-third (32 %, 95 % CI 28 - 37 %) were open to having a family member determine timing of driving cessation. More individuals (44 %, 95 % CI 39 - 49 %) were open to a physician deciding about when to stop driving. Past discussions with family or friends about advance care planning or finances were common, although past discussions about driving were less common. Respondents reported personal experience and family as key information sources, which were significantly more common than healthcare providers. While prior involvement by physicians in decision-making was rare across all domains, some respondents expressed desire for future physician involvement in all domains, with advance care planning (29 %, 95 % CI 25 - 33 %) and driving safety (24 %, 95 % CI 20 - 28 %) having highest levels of support for future physician involvement., CONCLUSIONS: Some older adults desired more physician involvement in future planning for life transitions, especially related to advance care planning and driving compared to finances and housing. Clinical implications include increased patient-centered care and anticipatory guidance by physicians for aging-related life transitions. DA - 2015/// PY - 2015 DO - 10.1186/s12875-015-0311-0 VL - 16 IS - 100967792 SP - 92 J2 - BMC Fam Pract SN - 1471-2296 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26219548 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - *Independent Living/sn [Statistics & Numerical Data] KW - Independent Living/px [Psychology] KW - Housing for the Elderly KW - *Life Change Events KW - Advance Care Planning KW - *Physician's Role KW - Physician-Patient Relations KW - Automobile Driving KW - Financing, Personal ER - TY - JOUR TI - Prevalence and Risk Factors for Low Habitual Walking Speed in Nursing Home Residents: An Observational Study. AU - Keogh, Justin William AU - Senior, Hugh AU - Beller, Elaine Margaret AU - Henwood, Timothy T2 - Archives of physical medicine and rehabilitation AB - OBJECTIVE: To quantify habitual walking speed and estimate the prevalence of low habitual walking speed (<0.8m/s and <0.5m/s) in nursing home residents; and secondarily to gain some insight into whether demographic, health, and functional outcomes could predict the nursing home residents' walking speed., DESIGN: Cross-sectional study., SETTING: Eleven nursing homes., PARTICIPANTS: Nursing home residents (N=102 [37%] of 273 eligible, randomly selected residents from 11 nursing homes consented to participate in this study)., INTERVENTIONS: Not applicable., MAIN OUTCOME MEASURES: The primary outcome was habitual walking speed assessed over a distance of 2.4m. Secondary outcomes including body composition, muscle strength, balance and physical performance as assessed via the Short Physical Performance Battery, and historical and current demographic and health measures were all assessed as potential predictors of walking speed., RESULTS: Mean walking speed was .37+/-.26 m/s, meaning that 97% and 75% of participants had walking speeds <0.8m/s and <0.5m/s, respectively. Multivariable linear regression identified physical activity status before 50 years of age and daily sitting time as independent predictors of walking speed (r(2)=.25, P<.05), although this regression only accounted for 25% of the variance in walking speed., CONCLUSIONS: Almost all participants in this study had below-normal walking speed, a known clinical predictor of physical performance. Because walking speed is a clinical marker of many age-related adverse outcomes in older age, efforts to increase or at least maintain walking speed in nursing home residents should be considered. Some evidence suggests that progressive resistance training may offset these declines in walking speed. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.apmr.2015.06.021 VL - 96 IS - 11 SP - 1993 EP - 9 J2 - Arch Phys Med Rehabil SN - 1532-821X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26210000 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Status KW - Prevalence KW - Cross-Sectional Studies KW - Exercise KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Mental Health KW - *Walking KW - Body Weights and Measures ER - TY - JOUR TI - Transitions in Care in a Nationally Representative Sample of Older Americans with Dementia. AU - Callahan, Christopher M AU - Tu, Wanzhu AU - Unroe, Kathleen T AU - LaMantia, Michael A AU - Stump, Timothy E AU - Clark, Daniel O T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To describe transitions in care for older adults with dementia identified from a nationally representative cohort and to describe transition rates in those with more-severe levels of cognitive and functional impairment., DESIGN: Longitudinal cohort study., SETTING: Health and Retirement Study (HRS)., PARTICIPANTS: HRS respondents aged 65 and older whose survey data were linked with Medicare claims from 1999 to 2008 (N = 16,186)., MEASUREMENTS: Transitions in care between home, home with formal services, hospital, and nursing facility care; cognitive function; activities of daily living; and mortality., RESULTS: The 3,447 (21.3%) HRS subjects who were ever diagnosed with dementia experienced frequent transitions. Of subjects transitioning from a hospital stay, 52.2% returned home without home care services, and 33.8% transitioned to a nursing facility. Of subjects transitioning from a nursing facility, 59.2% transitioned to the hospital, and 25.3% returned home without services. There were 2,139 transitions to death, and 58.7% of HRS subjects with dementia died at home. Even in persons with moderate to severe dementia, multiple transitions in care were documented, including transitions from the hospital to home and back to the hospital., CONCLUSION: In this nationally representative sample of older adults, subjects diagnosed with dementia experience frequent transitions. Persons with dementia who are cared for at home and who transition back to home often have moderate to severe impairments in function and cognition. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/jgs.13540 VL - 63 IS - 8 SP - 1495 EP - 502 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26200764 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Middle Aged KW - Retrospective Studies KW - Follow-Up Studies KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Health Services for the Aged/sn [Statistics & Numerical Data] KW - *Dementia/th [Therapy] ER - TY - JOUR TI - Performance on a test of rapid stepping in community-dwelling older adults: validity, relative and absolute reliability and minimum detectable change. AU - Goldberg, Allon AU - Talley, Susan Ann T2 - Physiotherapy theory and practice AB - Reduced stepping speed is associated with balance deficits and falls in older adults. We evaluated psychometric properties of a test of rapid stepping, the Thirty-Rapid-Step test (30-RST) in 37 community-dwelling older adults. Participants performed the 30-RST, dynamic (step execution time, five-times-sit-to-stand test, gait speed, maximum step length and four-square-step test) and static (single-leg-stance-time and postural sway) performance-based tests. Relationships between 30-RST and performance-based tests were evaluated with Spearman's rho. Intraclass correlation coefficient (ICC), standard error of measurement (SEM), 95% limits of agreement and minimum detectable change at the 95% confidence level (MDC95) were computed for the 30-RST. Relationships between 30-RST and dynamic measures were moderate to very good (r = -0.35-0.73, p < 0.05); however, relationships between 30-RST and static balance were weak (r = 0.04-0.19, p > 0.05). The ICC2,1 was 0.85 for 30-RST indicating excellent test-retest reliability. SEM expressed as a percent of mean 30-RST was 8.2%, indicating low measurement error. The MDC95 was 9.4 s, and MDC95 expressed as a percent of mean 30-RST was moderately low at 22.6%. The 30-RST is a valid measure of dynamic balance and mobility with excellent relative and absolute reliability, and may be a useful measure in geriatric clinical settings and studies investigating balance in healthy community-dwelling older adults. DA - 2015/// PY - 2015 DO - 10.3109/09593985.2015.1024805 VL - 31 IS - 7 SP - 483 EP - 8 J2 - PHYSIOTHER. THEORY PRACT. SN - 1532-5040 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26200437 KW - Humans KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Reproducibility of Results KW - Health Status KW - *Independent Living KW - Time Factors KW - *Geriatric Assessment/mt [Methods] KW - Cross-Sectional Studies KW - *Aging KW - Age Factors KW - *Postural Balance KW - Psychometrics KW - *Gait KW - Predictive Value of Tests KW - *Exercise Test/mt [Methods] ER - TY - JOUR TI - Relationships between perceived aspects of home and symptoms in a cohort aged 67-70. AU - Haak, Maria AU - Kylen, Maya AU - Ekstrom, Henrik AU - Schmidt, Steven M AU - Horstmann, Vibeke AU - Elmstahl, Solve AU - Iwarsson, Susanne T2 - Archives of gerontology and geriatrics AB - The importance of the home environment increases with age. Perceived aspects of home influence life satisfaction, perceived health, independence in daily activities and well-being among very old people. However, research on health and perceived aspects of home among senior citizens in earlier phases of the aging process is lacking. Therefore, the main aim was to explore whether perceived aspects of home are related to number of and specific domains of symptoms in a cohort of people aged 67-70. Interview and observation data on aspects of home and health, collected with 371 individuals living in ordinary housing in urban as well as rural areas in southern Sweden, were used. Descriptive statistics, correlations, multiple linear and logistic regression models were employed. The results showed that the median number of symptoms was 6.0. Reporting fewer reported symptoms was associated with a higher meaning of home (p=0.003) and lower external housing related control beliefs (p=0.001) but not with usability in the home. High external control beliefs were significantly associated with symptoms from head (p=0.014), gastrointestinal (p=0.014) and tension symptoms (p<=0.001). Low meaning of home was significantly associated with heart-lung symptoms (p=0.007), and low usability was associated with depressive symptoms (p=0.003). In conclusion, showing that perceived aspects of home are important for health in terms of physical and mental symptoms, this study contributes to the knowledge on the complex interplay of health and home in the third age. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.archger.2015.06.013 VL - 61 IS - 3 SP - 529 EP - 34 J2 - Arch Gerontol Geriatr SN - 1872-6976 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26199206 KW - Female KW - Humans KW - Male KW - Depression KW - Aged KW - Health Status KW - Health Surveys KW - *Independent Living/px [Psychology] KW - Interviews as Topic KW - Perception KW - *Aging/px [Psychology] KW - *Activities of Daily Living/px [Psychology] KW - *Housing for the Elderly KW - Sweden KW - Personal Satisfaction ER - TY - JOUR TI - Developing and piloting a multifactorial intervention to address participation and quality of life in nursing home residents with joint contractures (JointConImprove): study protocol. AU - Muller, Martin AU - Bartoszek, Gabriele AU - Beutner, Katrin AU - Klingshirn, Hanna AU - Saal, Susanne AU - Stephan, Anna-Janina AU - Strobl, Ralf AU - Grill, Eva AU - Meyer, Gabriele T2 - German medical science : GMS e-journal AB - BACKGROUND: Joint contractures are common problems in frail older people in nursing homes. Irrespective of the exact extent of older individuals in geriatric care settings living with joint contractures, they appear to be a relevant problem. Also, the new emphasis on the syndrome of joint contractures, e. g. by the German statutory long term care insurance, led to an increase in assessment and documentation efforts and preventive interventions in clinical care. However, more attention should be paid to the actual situation of older individuals in nursing homes with prevalent joint contractures, particularly their experience of related activity limitations and participation restrictions. Thus, the aim of this study is 1) to develop a tailored intervention to improve functioning, and especially participation and quality of life in older residents with joint contractures in nursing homes and 2) to test the feasibility of the intervention accompanied by a rigorous process evaluation., METHODS: The complex intervention, which will be developed in this project follows the UK Medical Research Council (MRC) framework and integrates the perspectives of all potentially relevant user groups, from the affected individuals to clinicians and researchers. The development process will comprise a systematic literature review, reanalysis of existing data and the integration of the knowledge of the affected individuals and experts. The developed intervention including a comprehensive process evaluation will be pilot tested with residents with joint contractures in three nursing homes., DISCUSSION: The projected study will provide a tailored intervention to improve functioning, participation and quality of life in older residents with joint contractures in nursing homes. With this focus, the intervention will support patient relevant outcomes. The pilot study including process evaluation will offer a first opportunity to indicate the size of the intervention's effect and prepare further studies. DA - 2015/// PY - 2015 DO - 10.3205/000217 VL - 13 IS - 101227686 SP - Doc13 J2 - Ger. med. sci. SN - 1612-3174 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26195926 KW - Humans KW - Aged KW - Research Design KW - Systematic Reviews as Topic KW - *Quality of Life KW - *Homes for the Aged KW - *Nursing Homes KW - *Frail Elderly KW - Frail Elderly/px [Psychology] KW - Pilot Projects KW - *Patient Participation KW - Goals KW - *Contracture/rh [Rehabilitation] KW - Biomedical Research/mt [Methods] KW - Contracture/px [Psychology] ER - TY - JOUR TI - Investigating the impact of a falls prevention community of practice in a residential aged-care setting: a mixed methods study protocol. AU - Francis-Coad, Jacqueline AU - Etherton-Beer, Christopher AU - Bulsara, Caroline AU - Nobre, Debbie AU - Hill, Anne-Marie T2 - Journal of advanced nursing AB - AIM: The aim of this study was to facilitate the implementation and operation of a falls prevention Community of Practice in a residential aged-care organization and evaluate its effect on falls outcomes., BACKGROUND: Falls are a substantial concern across the residential aged-care sector with half its older population falling annually. Preventing falls requires tailoring of current evidence for reducing falls and adoption into daily activity, which is challenging for diversely skilled staff caring for a frailer population. Forming a community of practice could provide staff with the opportunity to share and develop their expertise in falls prevention and innovate change., DESIGN: A mixed methods design based on a realist approach conducted across 13 residential care facilities (N = 779 beds)., METHOD: Staff will be invited to become a member of the community of practice with all sites represented. The community of practice will be supported to audit falls prevention activity and identify gaps in practice for intervention. The impact of the community of practice will be evaluated at three levels: individual member level, facility level and organizational level. A pre-post design using a range of standardized measures supported by audits, surveys, focus groups and interviews will determine its effect on falls prevention practice. Falls outcomes will be compared at five time intervals using negative binomial regression and logistic regression. The study is funded 2013-2017., CONCLUSION: Findings from this research will assist residential aged-care providers to understand how to effectively translate evidence about falls prevention into clinical practice. Copyright © 2015 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/jan.12725 VL - 71 IS - 12 SP - 2977 EP - 86 J2 - J Adv Nurs SN - 1365-2648 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26193777 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Accidental Falls/pc [Prevention & Control] KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - Western Australia KW - *Practice Guidelines as Topic KW - *Safety Management/mt [Methods] KW - *Evidence-Based Nursing/st [Standards] ER - TY - JOUR TI - Social differences associated with the use of psychotropic drugs among men and women aged 65 to 74 years living in the community: the International Mobility in Aging Study (IMIAS). AU - Nana, Gustave Noufou AU - Doulougou, Boukare AU - Gomez, Fernando AU - Ylli, Alban AU - Guralnik, Jack AU - Zunzunegui, Maria Victoria T2 - BMC geriatrics AB - BACKGROUND: Elderly persons make greater use of psychotropic drugs, but there are few international studies on social differences in the use of these medications. The aim of this study is to examine social differences in the use of psychotropic drugs among persons aged 65-74 years in the International Mobility in Aging Study (IMIAS)., METHODS: The sample consisted of 1,995 participants in the IMIAS 2012 baseline study in Saint-Hyacinthe (Canada), Kingston (Canada), Tirana (Albania), Manizales (Colombia), and Natal (Brazil). During home visits, all medication taken by the participants in the previous 15 days was recorded. We then used the Anatomical Therapeutic Chemical classification system to code psychotropic drugs as anxiolytics, sedatives, hypnotics (ASH); antidepressants (ADP); or analgesics, antiepileptics, or antiparkinsonians (AEP). Prevalence ratios for psychotropic drug use according to sex, education, income, and occupation were estimated by fitting a Poisson regression and controlling for demographic and health covariates., RESULTS: Psychotropic drug use was higher among Canadian participants than among those living outside Canada. Prevalence of AEP drug use was higher for women than men in the Canadian and Latin American sites. In Tirana, antidepressant drugs were rarely used. Socioeconomic differences varied among sites. In the Canadian cities, low socioeconomic standing was associated with higher frequency of psychotropic drug use. In the Latin American cities, elderly people with high education and income levels showed a higher level of antidepressant drug use, while people with manual occupations had a higher use of AEP drugs. In Tirana, ASH drug use was higher among those with low income., CONCLUSION: An inverse association was observed between socioeconomic standing and psychotropic drug use in Canada, while the opposite was true in Latin America. Albania was notable for an absence of antidepressant use and greater use of ASH drugs among low-income groups. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0083-3 VL - 15 IS - 100968548 SP - 85 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26188649 KW - Female KW - Humans KW - Male KW - Aged KW - Prevalence KW - *Independent Living KW - Demography KW - Sex Factors KW - *Psychotropic Drugs KW - Psychotropic Drugs/tu [Therapeutic Use] KW - Independent Living/sn [Statistics & Numerical Data] KW - Independent Living/px [Psychology] KW - Brazil/ep [Epidemiology] KW - *Social Class KW - Canada/ep [Epidemiology] KW - Colombia/ep [Epidemiology] KW - Psychotropic Drugs/cl [Classification] KW - Cross-Cultural Comparison KW - Albania/ep [Epidemiology] ER - TY - JOUR TI - Ongoing poor management of medicines in the older-aged living independently in a rental retirement village. AU - Doggrell, Sheila A T2 - International journal of clinical pharmacy AB - BACKGROUND: In a low socioeconomic status, small, rental retirement village, we have shown the older-aged managed their medicines poorly (Doggrell and Kairuz in J Pharm Pract Res 42:208-212, 2012)., OBJECTIVE: As the number of participants was only 25, and the population in the rental retirement village turns over regularly; our objective was to determine whether the findings were consistent and ongoing., METHODS: We returned to the rental retirement villages after 1 and 2 years, and reassessed the management of medicines, using the same semi-structured interview method. Main outcome measure The perception of present and ongoing adherence., RESULTS: Although similar numbers (23-25) participated in the studies in 2011-2013, the actual participants changed with only three being interviewed on three occasions. Nevertheless, the findings over the 3 years were similar: <50 % of the participants were adherent at the time of the study and unlikely to have problems in the next 6-12 months; only 50 % had a good knowledge of their illnesses., CONCLUSION: The management of medicines by the older-aged living in a low socioeconomic, rental retirement village is poor, and this finding is ongoing and consistent. This supports the need for extra assistance and resources for the older-aged, living in rental retirement villages, to manage their medicines. DA - 2015/// PY - 2015 DO - 10.1007/s11096-015-0162-8 VL - 37 IS - 6 SP - 1000 EP - 3 J2 - Int J Clin Pharm SN - 2210-7711 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26184409 KW - Female KW - Humans KW - Male KW - Health Knowledge, Attitudes, Practice KW - Aged KW - Aged, 80 and over KW - Quality of Health Care KW - Residence Characteristics KW - *Independent Living KW - *Homes for the Aged KW - Socioeconomic Factors KW - Poverty KW - Retirement KW - Patient Education as Topic KW - Queensland KW - *Medication Therapy Management KW - Medication Adherence ER - TY - JOUR TI - Individual music therapy for managing neuropsychiatric symptoms for people with dementia and their carers: a cluster randomised controlled feasibility study. AU - Hsu, Ming Hung AU - Flowerdew, Rosamund AU - Parker, Michael AU - Fachner, Jorg AU - Odell-Miller, Helen T2 - BMC geriatrics AB - BACKGROUND: Previous research highlights the importance of staff involvement in psychosocial interventions targeting neuropsychiatric symptoms of dementia. Music therapy has shown potential effects, but it is not clear how this intervention can be programmed to involve care staff within the delivery of patients' care. This study reports initial feasibility and outcomes from a five month music therapy programme including weekly individual active music therapy for people with dementia and weekly post-therapy video presentations for their carers in care homes., METHODS: 17 care home residents and 10 care staff were randomised to the music therapy intervention group or standard care control group. The cluster randomised, controlled trial included baseline, 3-month, 5-month and post-intervention 7-month measures of residents' symptoms and well-being. Carer-resident interactions were also assessed. Feasibility was based on carers' feedback through semi-structured interviews, programme evaluations and track records of the study., RESULTS: The music therapy programme appeared to be a practicable and acceptable intervention for care home residents and staff in managing dementia symptoms. Recruitment and retention data indicated feasibility but also challenges. Preliminary outcomes indicated differences in symptoms (13.42, 95 % CI: [4.78 to 22.07; p = 0.006]) and in levels of wellbeing (-0.74, 95 % CI: [-1.15 to -0.33; p = 0.003]) between the two groups, indicating that residents receiving music therapy improved. Staff in the intervention group reported enhanced caregiving techniques as a result of the programme., CONCLUSION: The data supports the value of developing a music therapy programme involving weekly active individual music therapy sessions and music therapist-carer communication. The intervention is feasible with modifications in a more rigorous evaluation of a larger sample size., TRIAL REGISTRATION: Clinicaltrials.gov, number NCT01744600. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0082-4 VL - 15 IS - 100968548 SP - 84 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26183582 KW - Adult KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Program Evaluation KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Caregivers/px [Psychology] KW - Cluster Analysis KW - Geriatric Assessment/mt [Methods] KW - *Dementia KW - Dementia/th [Therapy] KW - Dementia/px [Psychology] KW - Feasibility Studies KW - Dementia/pp [Physiopathology] KW - Behavioral Symptoms/di [Diagnosis] KW - *Music Therapy/mt [Methods] KW - Assisted Living Facilities/mt [Methods] KW - Behavioral Symptoms/th [Therapy] KW - Neuropsychology/mt [Methods] ER - TY - JOUR TI - What is the case for care home medicine? The geriatrician's perspective. AU - Gordon, A L T2 - The journal of the Royal College of Physicians of Edinburgh AB - This paper makes the case for a specific set of competencies required to adequately care for care home residents. It proposes that staff with these competencies need to work in an appropriate service context in order to achieve the best outcomes. These competencies and contextual factors are not currently recognised or championed by any single constituency within the existing healthcare infrastructure and there is a case that service delivery would be well served by recognition that 'care home medicine' is a distinct entity. DA - 2015/// PY - 2015 DO - 10.4997/JRCPE.2015.213 VL - 45 IS - 2 SP - 148 EP - 53 J2 - J R Coll Physicians Edinb SN - 2042-8189 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26181533 KW - Humans KW - Aged KW - United Kingdom KW - Models, Organizational KW - Frail Elderly KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Health Services for the Aged/og [Organization & Administration] KW - Geriatrics ER - TY - JOUR TI - Experience of self-management of medications among older people with multimorbidity. AU - Summer Meranius, Martina AU - Engstrom, Gabriella T2 - Journal of clinical nursing AB - AIMS AND OBJECTIVES: To explore the experience of self-managing medication among older people with multimorbidity., BACKGROUND: Older people with multimorbidity are now more likely to live at home and to self-medicate. Reduced assistance from professional caregivers is associated with medical errors., DESIGN: Face-to-face interviews were conducted with older people with multimorbidity., METHODS: Participants aged >=75 years with >=2 medical diagnoses and living at home or in special accommodation were interviewed. Twenty-eight men and women (mean age 84 years) participated. Interviews lasted from 45 minutes-2 hours and were transcribed verbatim. A lifeworld-based phenomenological method was used for analysis., RESULTS: Uncertainty among the participants increased with their experience of side effects and concern that the medication might be harmful. These uncertainties were reinforced by a fear of malpractice when several physicians were involved. This meant living with ambivalence when taking the medication, which required a trade-off between symptom relief and reducing side effects. A lack of continuity with physicians and nurses led to uncertainty in maintaining an overview of the medications. By contrast, when the relationships were supportive and caring, the uncertainties diminished. Four concepts were used to describe the various meanings of this experience: adapting to a new lifestyle; ambivalence towards medicine; experience of side effects and concerns about medical errors; and relationships as sources of feeling secure., CONCLUSIONS: Medications can cause side effects, and unclear benefits increase the uncertainty for older people with multimorbidity. Health care professionals need to develop an understanding of each patient's experience of such uncertainty., RELEVANCE TO CLINICAL PRACTICE: Health care professionals can give support and show understanding for older people's existential uncertainty by creating good relationships and continuity in care, and offering appropriate information. Regular visits should be scheduled to manage any problems patients might have when self-medicating. Copyright © 2015 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/jocn.12868 VL - 24 IS - 19-20 SP - 2757 EP - 64 J2 - J Clin Nurs SN - 1365-2702 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26179796 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Interviews as Topic KW - *Health Services for the Aged KW - Sweden KW - *Comorbidity KW - *Medication Adherence KW - *Self Medication ER - TY - JOUR TI - Setting up a clinical trial in care homes: challenges encountered and recommendations for future research practice. AU - Shepherd, Victoria AU - Nuttall, Jacqui AU - Hood, Kerenza AU - Butler, Christopher C T2 - BMC research notes AB - BACKGROUND: Older adults in care homes have increasingly complex health care needs, and care provision should be evidence-based whenever possible. However, recruitment of frail, older people to research is a complex process and often results in care home residents being excluded from research participation. This paper draws on the experience of setting up a randomised controlled trial to determine the effectiveness of probiotics on antibiotic-associated diarrhoea in care home residents [Probiotics for Antibiotic Associated Diarrhoea in Care Homes (PAAD) Study] in Wales., FINDINGS: Significant challenges were encountered setting up a clinical trial in care homes. There were a number of barriers and facilitative factors encountered that were unique to this research setting. The classification of the study intervention (a widely available food supplement with a low risk safety profile) as an investigational medicinal product, with the associated requirements including obtaining statutory approvals and research governance, had a major impact., CONCLUSION: The process for setting up a clinical trial of an investigational medicinal product in care homes has been more complex and time consuming than the process for setting up an observational study in the same setting, and clinical trials in other health care settings. We recommend regulatory changes to ensure approvals processes are more proportionate to risk and context, to ensure that care home residents have the opportunity to participate in research and are able to help generate much needed evidence to underpin care. Recommendations made may inform future research practice., TRIAL REGISTRATION: ISRCTN 25324586. DA - 2015/// PY - 2015 DO - 10.1186/s13104-015-1276-8 VL - 8 IS - 101462768 SP - 306 J2 - BMC Res Notes SN - 1756-0500 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26179284 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Research Design KW - *Homes for the Aged/es [Ethics] KW - *Nursing Homes/es [Ethics] KW - Wales KW - Anti-Bacterial Agents/ae [Adverse Effects] KW - *Diarrhea/dh [Diet Therapy] KW - *Drugs, Investigational/tu [Therapeutic Use] KW - *Patient Selection/es [Ethics] KW - *Probiotics/tu [Therapeutic Use] KW - Diarrhea/ci [Chemically Induced] ER - TY - JOUR TI - Nurses' knowledge of foot care in the context of home care: a cross-sectional correlational survey study. AU - Stolt, Minna AU - Suhonen, Riitta AU - Puukka, Pauli AU - Viitanen, Matti AU - Voutilainen, Paivi AU - Leino-Kilpi, Helena T2 - Journal of clinical nursing AB - AIMS AND OBJECTIVES: This study aimed to explore nurses' knowledge of foot care and related factors in home care nursing., BACKGROUND: Nurses caring for older people are increasingly confronted with clients who have multiple foot problems and need support with their foot health. The role of nurses in promoting foot health, caring for existing foot problems and supporting older people in foot self-care is especially important in the home care context. However, this entails up-to-date foot care knowledge and practices., DESIGN: A cross-sectional correlational survey study design., METHODS: Nurses' knowledge of foot care was evaluated using the Nurses' Foot Care Knowledge Test developed for this study. The data were analysed with descriptive and inferential statistics., RESULTS: Nurses (registered nurses, public health nurses and licensed practical nurses) from public home care (n = 322, response rate 50%) participated the study. Nurses' knowledge in foot care varied. The knowledge scores were highest for skin and nail care and lowest for the identification and care of foot structural deformities. Longer working experience in the current work place and participation in continuing education explained higher Nurses' Foot Care Knowledge Test scores., CONCLUSIONS: Nurses need more knowledge, and hence continuing education, in the foot care of older people to effectively prevent, recognise and care for foot problems and promote independent living in the community., RELEVANCE TO CLINICAL PRACTICE: Nurses' have clinically relevant knowledge gaps. Therefore, foot care knowledge of nurses needs to be improved by continuing education in clinical settings. Adequate foot care knowledge among nurses is important to identify, prevent and care foot problems especially in older people. Copyright © 2015 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/jocn.12922 VL - 24 IS - 19-20 SP - 2916 EP - 25 J2 - J Clin Nurs SN - 1365-2702 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26179162 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - *Home Care Services KW - *Clinical Competence KW - *Foot Diseases/nu [Nursing] KW - Skin Care ER - TY - JOUR TI - Back to the beginning: Perceptions of older Singaporean couples living alone. AU - Soon, Guo Yu Samuel AU - Tan, Khoon Kiat AU - Wang, Wenru AU - Lopez, Violeta T2 - Nursing & health sciences AB - Singapore has an aging population that is projected to increase by 32% in 2100. The majority of older couples live alone. "Aging in Place" is an initiative that is widely promoted by the government, in which older people are supported to live in their own homes. In this qualitative study, we explored the perceptions of older people living with their spouse in Singapore. Fifteen community-dwelling older participants were interviewed. Four themes emerged from the thematic analysis: (i) maintaining health and mobility; (2) maintaining relationships with spouse; (iii) maintaining relationship with others; and (iv) living the last leg of the race. The older people living on their own were generally content about maintaining their interdependence and complementary roles. Insights gathered from this study have relevance to implementation of the Aging-in-Place policy to ensure that older people receive the support they need to maintain their physical and psychosocial well-being while living on their own. Copyright © 2015 Wiley Publishing Asia Pty Ltd. DA - 2015/// PY - 2015 DO - 10.1111/nhs.12203 VL - 17 IS - 3 SP - 402 EP - 7 J2 - Nurs Health Sci SN - 1442-2018 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26173089 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Singapore KW - Interviews as Topic KW - *Aging/px [Psychology] KW - *Family Characteristics KW - *Perception ER - TY - JOUR TI - Effects of a vitamin D and leucine-enriched whey protein nutritional supplement on measures of sarcopenia in older adults, the PROVIDE study: a randomized, double-blind, placebo-controlled trial. AU - Bauer, Jurgen M AU - Verlaan, Sjors AU - Bautmans, Ivan AU - Brandt, Kirsten AU - Donini, Lorenzo M AU - Maggio, Marcello AU - McMurdo, Marion E T AU - Mets, Tony AU - Seal, Chris AU - Wijers, Sander L AU - Ceda, Gian Paolo AU - De Vito, Giuseppe AU - Donders, Gilbert AU - Drey, Michael AU - Greig, Carolyn AU - Holmback, Ulf AU - Narici, Marco AU - McPhee, Jamie AU - Poggiogalle, Eleonora AU - Power, Dermot AU - Scafoglieri, Aldo AU - Schultz, Ralf AU - Sieber, Cornel C AU - Cederholm, Tommy T2 - Journal of the American Medical Directors Association AB - BACKGROUND: Age-related losses of muscle mass, strength, and function (sarcopenia) pose significant threats to physical performance, independence, and quality of life. Nutritional supplementation could positively influence aspects of sarcopenia and thereby prevent mobility disability., OBJECTIVE: To test the hypothesis that a specific oral nutritional supplement can result in improvements in measures of sarcopenia., DESIGN: A multicenter, randomized, controlled, double-blind, 2 parallel-group trial among 380 sarcopenic primarily independent-living older adults with Short Physical Performance Battery (SPPB; 0-12) scores between 4 and 9, and a low skeletal muscle mass index. The active group (n = 184) received a vitamin D and leucine-enriched whey protein nutritional supplement to consume twice daily for 13 weeks. The control group (n = 196) received an iso-caloric control product to consume twice daily for 13 weeks. Primary outcomes of handgrip strength and SPPB score, and secondary outcomes of chair-stand test, gait speed, balance score, and appendicular muscle mass (by DXA) were measured at baseline, week 7, and week 13 of the intervention., RESULTS: Handgrip strength and SPPB improved in both groups without significant between-group differences. The active group improved more in the chair-stand test compared with the control group, between-group effect (95% confidence interval): -1.01 seconds (-1.77 to -0.19), P = .018. The active group gained more appendicular muscle mass than the control group, between-group effect: 0.17 kg (0.004-0.338), P = .045., CONCLUSIONS: This 13-week intervention of a vitamin D and leucine-enriched whey protein oral nutritional supplement resulted in improvements in muscle mass and lower-extremity function among sarcopenic older adults. This study shows proof-of-principle that specific nutritional supplementation alone might benefit geriatric patients, especially relevant for those who are unable to exercise. These results warrant further investigations into the role of a specific nutritional supplement as part of a multimodal approach to prevent adverse outcomes among older adults at risk for disability. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2015.05.021 VL - 16 IS - 9 SP - 740 EP - 7 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26170041 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Europe KW - Aged KW - Mobility Limitation KW - Geriatric Assessment KW - Hand Strength KW - Dietary Supplements KW - Sarcopenia/pp [Physiopathology] KW - *Vitamin D/tu [Therapeutic Use] KW - Double-Blind Method KW - *Leucine/tu [Therapeutic Use] KW - *Protein-Energy Malnutrition/dt [Drug Therapy] KW - *Sarcopenia/dt [Drug Therapy] KW - *Whey Proteins/tu [Therapeutic Use] KW - Protein-Energy Malnutrition/pp [Physiopathology] ER - TY - JOUR TI - Eight-Year Trends in the Use of Opioids, Other Analgesics, and Psychotropic Medications Among Institutionalized Older People in Finland. AU - Pitkala, Kaisu H AU - Juola, Anna-Liisa AU - Hosia, Helka AU - Teramura-Gronblad, Mariko AU - Soini, Helena AU - Savikko, Niina AU - Bell, J Simon T2 - Journal of the American Medical Directors Association AB - IMPORTANCE: It is recognized that pain has been undertreated and psychotropic medications overused in institutional settings., OBJECTIVE: To investigate the change in prevalence of opioids, other analgesics, and psychotropic medications in institutional settings over an 8-year period., SETTINGS: Institutional settings in Helsinki, Finland., PARTICIPANTS: Older residents in nursing homes in 2003 (n = 1987) and 2011 (n = 1576) and in assisted living facilities in 2007 (n = 1377) and 2011 (n = 1586)., OUTCOME MEASURES: Comparable audits of medication use were conducted among institutionalized residents at 3 time points over 8 years. The prevalence of regular opioid, other analgesic, and psychotropic medications was compared across the 3 time periods., RESULTS: Nursing home and assisted living facility residents were older; more disabled, had a higher prevalence of dementia, and greater comorbidity in the latter cohorts. The prevalence of regular opioid use was 11.8% and 22.9% in nursing homes in 2003 and 2011 (P < .001), and 8.6% and 17.3% in assisted living facilities in 2007 and 2011 (P < .001), respectively. The prevalence of regular acetaminophen and pregabalin/gabapentin increased and NSAIDs decreased in both nursing homes and assisted living facilities. The prevalence of regular antipsychotic use decreased from 42.6% to 27.8% in nursing homes (P < .001) but increased from 26.9% to 32.0% in assisted living facilities (P = .0017). The mean number of psychotropic medications (antipsychotics, antidepressants, anxiolytics, hypnotics) per resident decreased from 1.9 in 2003 to 1.0 in 2011 in nursing homes (P < .001) but increased from 1.1 to 1.2 in assisted living facilities (P = .040)., CONCLUSIONS: The prevalence of opioid use in institutional settings has doubled during the past decade. The prevalence of psychotropic medications has decreased in nursing homes but increased in assisted living facilities. The increase in opioid use may reflect improved recognition and treatment of pain. However, initiatives are needed to monitor opioid-related adverse drug events and ensure appropriate use of psychotropic medications, particularly in assisted living facilities. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2015.06.009 VL - 16 IS - 11 SP - 973 EP - 8 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26170037 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Assisted Living Facilities KW - *Nursing Homes KW - Finland KW - *Analgesics, Opioid/tu [Therapeutic Use] KW - *Psychotropic Drugs/tu [Therapeutic Use] KW - Drug Utilization Review KW - Statistics as Topic KW - *Drug Therapy/td [Trends] ER - TY - JOUR TI - The epidemiology of symptomatic midfoot osteoarthritis in community-dwelling older adults: cross-sectional findings from the Clinical Assessment Study of the Foot. AU - Thomas, Martin J AU - Peat, George AU - Rathod, Trishna AU - Marshall, Michelle AU - Moore, Andrew AU - Menz, Hylton B AU - Roddy, Edward T2 - Arthritis research & therapy AB - INTRODUCTION: The foot is largely overlooked in calls for better characterisation of clinical phenotypes in osteoarthritis (OA). Yet the midfoot complex in particular has the potential to provide important insights into OA pathogenesis given its central role in lower limb load transmission and alignment. Its recent inclusion in radiographic atlases has paved the way for international studies. In this UK study, we provide the first comprehensive account of the descriptive epidemiology of symptomatic midfoot OA., METHODS: Participants aged >=50 years registered with four general practices were recruited via a mailed health survey (n = 5109 responders) and research clinic (n = 560 responders). Symptomatic midfoot OA was defined as midfoot pain in the last 4 weeks, combined with radiographic OA in one or more joints (1st and 2nd cuneometatarsal, navicular first cuneiform and talonavicular joints) graded from weight-bearing dorso-plantar and lateral radiographs using a validated atlas. Prevalence estimates, overall and stratified by age, gender, and socio-economic class, were derived using multiple imputation and weighted logistic regression. Associations between symptomatic midfoot OA and current body mass index, previous injury, history of high-heeled footwear, nodal interphalangeal joint OA and patterns of comorbidity were estimated using binary logistic regression. Healthcare use was summarised., RESULTS: Symptomatic midfoot OA was present in 12.0% (95 % CI: 10.9, 13.2) of the population aged over 50 years. Higher occurrence was observed in females, adults aged over 75 years, and those in intermediate/routine occupational classes. Obesity, previous foot/ankle injury, and pain in other weight-loaded joints, but not high-heeled footwear or nodal interphalangeal joint OA, were associated with increased risk of symptomatic midfoot OA. Persons with symptomatic midfoot OA were also more likely to report multiple non-musculoskeletal comorbidities, including diabetes. In the previous 12 months, the proportions consulting a general practitioner, physiotherapist or podiatrist/chiropodist about foot pain were 46.2%, 18.5% and 47.9% respectively. A total of 64.7% had used oral analgesia in the past month for foot pain (36.1% paracetamol, 31.9% mild/moderate opioids, 27.7% NSAIDs)., CONCLUSIONS: Our study confirms that symptomatic OA frequently affects the midfoot. The patterns of associations are interpreted as being largely consistent with the role of mechanical factors in its pathogenesis. DA - 2015/// PY - 2015 DO - 10.1186/s13075-015-0693-3 VL - 17 IS - 101154438 SP - 178 J2 - Arthritis Res Ther SN - 1478-6362 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26166410 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - Cross-Sectional Studies KW - *Pain/ep [Epidemiology] KW - Weight-Bearing/ph [Physiology] KW - *Foot/dg [Diagnostic Imaging] KW - *Osteoarthritis/dg [Diagnostic Imaging] KW - *Osteoarthritis/ep [Epidemiology] KW - *Pain/dg [Diagnostic Imaging] KW - Radiography ER - TY - JOUR TI - Promoting self-transcendence and well-being in community-dwelling older adults: A pilot study of a psychoeducational intervention. AU - McCarthy, Valerie Lander AU - Ling, Jiying AU - Bowland, Sharon AU - Hall, Lynne A AU - Connelly, Jennifer T2 - Geriatric nursing (New York, N.Y.) AB - Self-transcendence changes how older adults perceive themselves, their relationships with others, the material world, and the metaphysical or spiritual dimension. It is associated with multiple indicators of well-being. The purpose of this pilot study (N = 20) was to examine the feasibility and effectiveness of a psychoeducational intervention to increase self-transcendence and well-being in older adults. Data were analyzed using generalized estimating equations. All variables trended in the directions hypothesized. Self-transcendence increased in the intervention group and decreased in the control group but not significantly. The group x time interaction for life satisfaction was significant (z = 2.89, p = .004). This feasibility study supports further investigation to assess the effectiveness of the intervention in a larger sample. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.gerinurse.2015.06.007 VL - 36 IS - 6 SP - 431 EP - 7 J2 - Geriatr Nurs SN - 1528-3984 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26166003 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Quality of Life KW - *Independent Living/px [Psychology] KW - *Adaptation, Psychological KW - Feasibility Studies KW - *Self Concept KW - *Health Promotion KW - Pilot Projects KW - *Patient Education as Topic ER - TY - JOUR TI - Purchasing and Using Personal Emergency Response Systems (PERS): how decisions are made by community-dwelling seniors in Canada. AU - McKenna, Alexandra C AU - Kloseck, Marita AU - Crilly, Richard AU - Polgar, Jan T2 - BMC geriatrics AB - BACKGROUND: As the demographic of older people continues to grow, health services that support independence among community-dwelling seniors have become increasingly important. Personal Emergency Response Systems (PERS) are medical alert systems, designed to serve as a safety net for seniors living alone. Health care professionals often recommend that seniors in danger of falls or other medical emergencies obtain a PERS. The purpose of the study was to investigate the experience of seniors living with and using a PERS in their daily lives, using a qualitative grounded theory approach., METHODS: Five focus groups and 10 semi-structured interviews, with a total of 30 participants, were completed using a grounded theory approach. All participants were PERS subscribers over the age of 80, living alone in a naturally occurring retirement community (NORC) with high health service utilization in a major urban centre in Ontario. Constant comparative analysis was used to develop themes and ultimately a model of why and how seniors obtain and use the PERS., RESULTS: Two core themes, unpredictability and decision-making around PERS activation, emerged as major features of the theoretical model. Being able to get help and the psychological value of PERS informed the context of living with a PERS., CONCLUSIONS: A number of theoretical conclusions related to unpredictability and the decision-making process around activating PERS were generated. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0079-z VL - 15 IS - 100968548 SP - 81 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26163142 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Focus Groups KW - Qualitative Research KW - *Accidental Falls/pc [Prevention & Control] KW - *Independent Living/px [Psychology] KW - *Decision Making KW - *Mental Competency KW - Ontario KW - Attitude to Health KW - *Emergency Medical Service Communication Systems/sn [Statistics & Numerical Data] ER - TY - JOUR TI - 'You don't show everyone your weakness': Older adults' views on using Family Group Conferencing to regain control and autonomy. AU - Metze, Rosalie N AU - Kwekkeboom, Rick H AU - Abma, Tineke A T2 - Journal of aging studies AB - AIM: Family Group Conferencing (FGC), a model in which a person and his or her social network make their own 'care' plan, is used in youth care and might also be useful in elderly care to support older persons living at home. In Amsterdam, the Netherlands, FGC was implemented for older adults but they showed resistance. Reasons for this resistance have been researched and are described in this article. We examine existing views and attitudes of older adults concerning the use of FGC, and report on how older adults see the possibility to regain control over their lives using FGC., METHOD: To do this, focus group sessions, duo interviews and individual interviews were held with older adults with varying characteristics: living at home, in sheltered housing, or in a home for the elderly; and living in urban, suburban or rural areas. Themes were: views on and contentment with the control and autonomy that they experience in their lives, and the willingness to use FGC to improve this., RESULTS: The main reasons for our respondents to resist FGC were: expecting people to be there for them without a FGC, not feeling ready yet for a FGC, feeling embarrassed when asking for help, being reluctant to open up about their problems, and having the fear of losing control when organizing a FGC. We conclude that, for this generation of older adults, FGC means losing control and autonomy rather than gaining it. To be appealing to older adults, a relational empowerment strengthening model should most likely be focused on reciprocity, peer-to-peer support, and solutions instead of problems. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jaging.2015.04.003 VL - 34 IS - 8916517 SP - 57 EP - 67 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26162726 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Focus Groups KW - Social Support KW - *Attitude to Health KW - Emotions KW - *Personal Autonomy KW - Fear/px [Psychology] KW - Motivation KW - *Family Relations/px [Psychology] KW - Disclosure KW - *Self-Control KW - Group Processes ER - TY - JOUR TI - Possession divestment by sales in later life. AU - Ekerdt, David J AU - Addington, Aislinn T2 - Journal of aging studies AB - Residential relocation in later life is almost always a downsizing, with many possessions to be divested in a short period of time. This article examines older movers' capacities for selling things, and ways that selling attenuates people's ties to those things, thus accomplishing the human dis-possession of the material convoy. In qualitative interviews in 79 households in the Midwestern United States, older adults reported their experience with possession sales associated with residential relocation. Among this group, three-quarters of the households downsized by selling some belongings. Informal sales seemed the least fraught of all strategies, estate sales had mixed reviews, and garage sales were recalled as laborious. Sellers' efforts were eased by social relations and social networks as helpers and buyers came forward. As selling proceeded, sentiment about possessions waned as their materiality and economic value came to the fore, easing their detachment from the household. Possession selling is challenging because older adults are limited in the knowledge, skills, and efforts that they can apply to the recommodification of their belongings. Selling can nonetheless be encouraged as a divestment strategy as long as the frustrations and drawbacks are transparent, and the goal of ridding is kept in view. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jaging.2015.03.006 VL - 34 IS - 8916517 SP - 21 EP - 8 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26162722 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Residence Characteristics KW - Family Characteristics KW - Midwestern United States KW - Personal Satisfaction KW - *Housing/ec [Economics] KW - Mental Competency KW - Narration KW - Life Change Events KW - *Commerce/ec [Economics] KW - *Household Articles/ec [Economics] KW - Delay Discounting KW - Gift Giving KW - Human Migration ER - TY - JOUR TI - Co-Designing Ambient Assisted Living (AAL) Environments: Unravelling the Situated Context of Informal Dementia Care. AU - Hwang, Amy S AU - Truong, Khai N AU - Cameron, Jill I AU - Lindqvist, Eva AU - Nygard, Louise AU - Mihailidis, Alex T2 - BioMed research international AB - Ambient assisted living (AAL) aims to help older persons "age-in-place" and manage everyday activities using intelligent and pervasive computing technology. AAL research, however, has yet to explore how AAL might support or collaborate with informal care partners (ICPs), such as relatives and friends, who play important roles in the lives and care of persons with dementia (PwDs). In a multiphase codesign process with six (6) ICPs, we envisioned how AAL could be situated to complement their care. We used our codesigned "caregiver interface" artefacts as triggers to facilitate envisioning of AAL support and unpack the situated, idiosyncratic context within which AAL aims to assist. Our findings suggest that AAL should be designed to support ICPs in fashioning "do-it-yourself" solutions that complement tacitly improvised care strategies and enable them to try, observe, and adapt to solutions over time. In this way, an ICP could decide which activities to entrust to AAL support, when (i.e., scheduled or spontaneous) and how a system should provide support (i.e., using personalized prompts based on care experience), and when adaptations to system support are needed (i.e., based alerting patterns and queried reports). Future longitudinal work employing participatory, design-oriented methods with care dyads is encouraged. DA - 2015/// PY - 2015 DO - 10.1155/2015/720483 VL - 2015 IS - 101600173 SP - 720483 J2 - Biomed Res Int SN - 2314-6141 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26161410 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - *Assisted Living Facilities KW - *Patient Care KW - Dementia/px [Psychology] KW - *Dementia/rh [Rehabilitation] ER - TY - JOUR TI - Institutional risk factors for outbreaks of acute gastroenteritis in homes for the elderly: a retrospective cohort analysis. AU - Tian, L W AU - Wong, W Y AU - Ho, S C AU - Ng, S AU - Chan, W M T2 - Hong Kong medical journal = Xianggang yi xue za zhi DA - 2015/// PY - 2015 VL - 21 Suppl 4 IS - dnz, 9512509 SP - 20 EP - 1 J2 - HONG KONG MED. J. SN - 1024-2708 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26157098 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Proportional Hazards Models KW - Multivariate Analysis KW - *Disease Outbreaks KW - Acute Disease KW - Hong Kong/ep [Epidemiology] KW - Gastroenteritis/vi [Virology] KW - *Caliciviridae Infections/ep [Epidemiology] KW - *Gastroenteritis/ep [Epidemiology] ER - TY - JOUR TI - Discordance between physician-rated health and an objective health measure among institutionalized older people. AU - Damian, Javier AU - Pastor-Barriuso, Roberto AU - Valderrama-Gama, Emiliana AU - de Pedro-Cuesta, Jesus T2 - BMC geriatrics AB - BACKGROUND: Although physician-rated health is emerging as a potentially useful variable in research, with implications in practice, it has not been analyzed. Moreover, one of its most important aspects, namely, concordance with patients' objective health state, has not been investigated. This study sought to measure concordance between physician-rated health and an objective health measure, and assess both measures' validity in predicting death., METHODS: The data for the study were drawn from a 1998-1999 survey and subsequent mortality follow-up of residential and nursing homes in Madrid (Spain). Study subjects were 630 residents aged >=65 years, and their respective facility physicians. Measures included agreement between physicians' rating of residents' overall health (good, intermediate or poor) and an objective measure of residents' health (good, intermediate or poor), based on functional capacity, cognitive status, and number of chronic conditions. Overrating was defined as any case where health, rated as good by a physician, was objectively rated as poor., RESULTS: Whereas 45% of physicians and 55% of residents rated their health as good, only 4% of such residents had good objective health. Of those who received a physician rating of good/very good health, 39.0% had poor objective health. There was evidence of clear overrating in 18% of the population, and clear to moderate overrating in 73% of the population. In terms of power to predict mortality, the pattern of behavior shown by the objective health measure was good, graded and congruent, and better than that shown by physician-rated health., CONCLUSION: Physician overrating of the overall health of older persons in residential and nursing homes, would appear to be very high. Although some degree of contextualization by physicians in this setting might be considered reasonable, the degree of overrating in our population seems nevertheless excessive. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0074-4 VL - 15 IS - 100968548 SP - 78 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26155790 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Surveys and Questionnaires KW - *Geriatric Assessment/mt [Methods] KW - *Diagnostic Self Evaluation KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Health Status Indicators KW - Spain/ep [Epidemiology] KW - Institutionalization/sn [Statistics & Numerical Data] KW - Physicians KW - Institutionalization/mt [Methods] ER - TY - JOUR TI - The association between objectively measured physical activity and life-space mobility among older people. AU - Tsai, L-T AU - Portegijs, E AU - Rantakokko, M AU - Viljanen, A AU - Saajanaho, M AU - Eronen, J AU - Rantanen, T T2 - Scandinavian journal of medicine & science in sports AB - The purpose of this cross-sectional study was to investigate the association between objectively measured physical activity and life-space mobility in community-dwelling older people. Life-space refers to the spatial area a person purposefully moves through in daily life (bedroom, home, yard, neighborhood, town, and beyond) and life-space mobility to the frequency of travel and the help needed when moving through different life-space areas. The study population comprised community-living 75- to 90-year-old people {n = 174; median age 79.7 [interquartile range (IQR) 7.1]}, participating in the accelerometer substudy of Life-Space Mobility in Old Age (LISPE) project. Step counts and activity time were measured by an accelerometer (Hookie "AM20 Activity Meter") for 7 days. Life-space mobility was assessed with Life-Space Assessment (LSA) questionnaire. Altogether, 16% had a life-space area restricted to the neighborhood when moving independently. Participants with a restricted life space were less physically active and about 70% of them had exceptionally low values in daily step counts (<= 615 steps) and moderate activity time (<= 6.8 min). Higher step counts and activity time correlated positively with life-space mobility. Prospective studies are needed to clarify the temporal order of low physical activity level and restriction in life-space mobility. Copyright © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/sms.12337 VL - 25 IS - 4 SP - e368 EP - 73 J2 - Scand J Med Sci Sports SN - 1600-0838 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26152855 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - *Independent Living KW - Cross-Sectional Studies KW - *Motor Activity KW - Accelerometry KW - *Walking ER - TY - JOUR TI - Geriatrician interventions on medication prescribing for frail older people in residential aged care facilities. AU - Poudel, Arjun AU - Peel, Nancye M AU - Mitchell, Charles A AU - Gray, Leonard C AU - Nissen, Lisa M AU - Hubbard, Ruth E T2 - Clinical interventions in aging AB - OBJECTIVE: In Australian residential aged care facilities (RACFs), the use of certain classes of high-risk medication such as antipsychotics, potent analgesics, and sedatives is high. Here, we examined the prescribed medications and subsequent changes recommended by geriatricians during comprehensive geriatric consultations provided to residents of RACFs via videoconference., DESIGN: This is a prospective observational study., SETTING: Four RACFs in Queensland, Australia, are included., PARTICIPANTS: A total of 153 residents referred by general practitioners for comprehensive assessment by geriatricians delivered by video-consultation., RESULTS: Residents' mean (standard deviation, SD) age was 83.0 (8.1) years and 64.1% were female. They had multiple comorbidities (mean 6), high levels of dependency, and were prescribed a mean (SD) of 9.6 (4.2) regular medications. Ninety-one percent of patients were taking five or more medications daily. Of total medications prescribed (n=1,469), geriatricians recommended withdrawal of 9.8% (n=145) and dose alteration of 3.5% (n=51). New medications were initiated in 47.7% (n=73) patients. Of the 10.3% (n=151) medications considered as high risk, 17.2% were stopped and dose altered in 2.6%., CONCLUSION: There was a moderate prevalence of potentially inappropriate high-risk medications. However, geriatricians made relatively few changes, suggesting either that, on balance, prescription of these medications was appropriate or, because of other factors, there was a reluctance to adjust medications. A structured medication review using an algorithm for withdrawing medications of high disutility might help optimize medications in frail patients. Further research, including a broader survey, is required to understand these dynamics. DA - 2015/// PY - 2015 DO - 10.2147/CIA.S84402 VL - 10 IS - 101273480 SP - 1043 EP - 51 J2 - Clin Interv Aging SN - 1178-1998 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26150708 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Australia KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment/mt [Methods] KW - Prospective Studies KW - Comorbidity KW - *Frail Elderly KW - *Geriatrics/mt [Methods] KW - Polypharmacy KW - *Medication Therapy Management/og [Organization & Administration] ER - TY - JOUR TI - Burden of gastroenteritis outbreaks: specific epidemiology in a cohort of institutions caring for dependent people. AU - Gaspard, P AU - Ambert-Balay, K AU - Mosnier, A AU - Aho-Glele, S AU - Roth, C AU - Larocca, S AU - Simon, L AU - Talon, D AU - Rabaud, C AU - Pothier, P T2 - The Journal of hospital infection AB - BACKGROUND: In institutions caring for dependent people, viral gastroenteritis occurs frequently and is highly contagious. In elderly persons, these episodes can lead to hospitalization and occasionally death., AIM: To study the impact of gastroenteritis outbreaks (GOs) in institutions caring for dependent people., METHODS: This study was conducted on 18 sites consisting of 35 units from four different disciplines (geriatric medicine and rehabilitation, psychogeriatrics, geriatric nursing homes, and specialized care homes for adults with physical and mental disabilities). Spatio-temporal analysis of GOs was performed during six winter seasons, and clinical and viral data were analysed with regard to structural parameters (size of the sites and dining-room organization), virus epidemiology and chronology of the outbreaks and type of activities., RESULTS: A total of 98 outbreaks were recorded in the 35 units. The risk of GO was high even outside national epidemic periods. Viruses were searched for in 86 outbreaks and were identified in 96.5% (83/86) of these outbreaks: norovirus genotype GII.4 (59.0%, 49/83), other viruses (41.0%, 34/83). There were variations between surveillance periods in terms of GO frequencies and attack rates and types of viruses. Dining-room organization could be a factor in cross-infection at a site., CONCLUSION: Specific surveillance that takes into account the precise epidemiology needs to be developed in institutions caring for dependent people in order to improve infectious disease control and information for healthcare workers. Copyright © 2015 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jhin.2015.05.012 VL - 91 IS - 1 SP - 19 EP - 27 J2 - J Hosp Infect SN - 1532-2939 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26149594 KW - Adult KW - Humans KW - Male KW - Aged KW - Cohort Studies KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Seasons KW - Cross Infection/ep [Epidemiology] KW - France/ep [Epidemiology] KW - *Disease Outbreaks KW - Gastroenteritis/vi [Virology] KW - Spatio-Temporal Analysis KW - *Gastroenteritis/ep [Epidemiology] KW - Caliciviridae Infections/ep [Epidemiology] KW - Caliciviridae Infections/vi [Virology] KW - Epidemiological Monitoring KW - Gastroenteritis/di [Diagnosis] KW - Gastroenteritis/mo [Mortality] KW - Molecular Epidemiology/mt [Methods] ER - TY - JOUR TI - [Bullying in Swiss nursing homes]. AU - Tong, Myriam AU - Zuniga, Franziska AU - Schwendimann, Rene T2 - Mobbing in Schweizer Pflegeheimen. DA - 2015/// PY - 2015 VL - 108 IS - 6 SP - 20 EP - 3 J2 - Krankenpfl Soins Infirm SN - 0253-0465 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26148411 KW - Humans KW - Aged KW - Aged, 80 and over KW - Cross-Sectional Studies KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Switzerland KW - Organizational Culture KW - *Homes for the Aged/es [Ethics] KW - *Nursing Homes/es [Ethics] KW - *Ethics, Nursing KW - *Bullying/es [Ethics] KW - *Interprofessional Relations/es [Ethics] KW - Bullying/px [Psychology] ER - TY - JOUR TI - Comparative study of quality of life of elderly living in condominiums versus community dwellers. AU - Ferraz Teston, Elen AU - Silva Marcon, Sonia T2 - Investigacion y educacion en enfermeria AB - OBJECTIVE: To compare the quality of life of elderly living at a geriatric institution with that of elderly living in the community., METHODOLOGY: Quantitative study in which the quality of life of 50 elderly living in condominiums was compared with that of 173 community dwellers. To assess the quality of life, the instruments WHOQOL-BREF and WHOQOL-OLD were applied. The data were collected between November 2011 and February 2012., RESULTS: The groups differed significantly with regard to the domains: physical, environment, functioning of the senses and participation, which were better in the condominium residents; while the community dwellers scored higher in the domain intimacy., CONCLUSION: Different factors can interfere in the elderly's quality of life, including the place of residence, which indicates the need for further monitoring by health professionals, especially nurses, with a view to outlining strategies to maintain the elderly's quality of life. DA - 2015/// PY - 2015 DO - 10.17533/udea.iee.v33n1a07 VL - 33 IS - 1 SP - 53 EP - 62 J2 - INVESTIGACION EDUC ENFERM SN - 2216-0280 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26148156 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Quality of Life KW - Brazil KW - Data Collection KW - *Housing for the Elderly/st [Standards] KW - *Residence Characteristics/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Risk Factors for new accidental falls in elderly patients at traumatology ambulatory center. AU - Porto Gauterio, Daiane AU - Zortea, Bruna AU - Costa Santos, Silvana Sidney AU - da Silva Tarouco, Barbara AU - Lopes, Manoel Jose AU - Joao Fonseca, Cesar T2 - Investigacion y educacion en enfermeria AB - OBJECTIVE: To identify the risks factors for new accidental falls in elderly patients attended in the Traumatology Ambulatory of a University hospital in Rio Grande do Sul, Brazil., METHODOLOGY: Quantitative study of the type of multiple cases. Performed at the traumatology ambulatory, amongst fifteen elders that attended the inclusion criteria: age of sixty or more; patient at the traumatology ambulatory because of a fall motivated by accident, oriented and in conditions of answer an interview of data collectors. The data collection was made between April and June, 2013, with the Elderly Nursing Core Set scale (Lopes & Fonseca). The data analysis was made by a descriptive structure, which helped identify the existence of relation patterns among the cases., RESULTS: The risk factors for new accidental falls identified with larger incidence amongst the elders studied were: impaired balance (15/15), age above 65 (11/15), use of antihypertensive drugs (9/15), absence of non-slip material at home environment (7/15), in seven cases; rugs scattered at the floor of the house (6/15)., CONCLUSION: The combination of intrinsic and extrinsic factors that include the environmental risks is considered a much more relevant cause to occur the new falls. The minimization of the home dangers, allied to the control of the elder intrinsic factors, may reduce the risks of causes. In that sense, is necessary that the nursing team make available more attention to the elderly assisted at the ambulatories, mainly those with sequelae due to fall accidents. DA - 2015/// PY - 2015 DO - 10.17533/udea.iee.v33n1a05 VL - 33 IS - 1 SP - 35 EP - 43 J2 - INVESTIGACION EDUC ENFERM SN - 2216-0280 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26148154 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Age Factors KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Incidence KW - Brazil KW - *Antihypertensive Agents/ae [Adverse Effects] KW - *Accidents, Home/sn [Statistics & Numerical Data] KW - Ambulatory Care Facilities KW - Antihypertensive Agents/ad [Administration & Dosage] KW - Hospitals, University KW - Traumatology ER - TY - JOUR TI - Information Sharing Preferences of Older Patients and Their Families. AU - Crotty, Bradley H AU - Walker, Jan AU - Dierks, Meghan AU - Lipsitz, Lewis AU - O'Brien, Jacqueline AU - Fischer, Shira AU - Slack, Warner V AU - Safran, Charles T2 - JAMA internal medicine T3 - [Comment in: JAMA Intern Med. 2015 Sep;175(9):1498-9; PMID: 26147128 [https://www.ncbi.nlm.nih.gov/pubmed/26147128]] AB - IMPORTANCE: Elderly patients often share control of their personal health information and decision making with family and friends when needed. Patient portals can help with information sharing, but concerns about privacy and autonomy of elderly patients remain. Health systems that implement patient portals would benefit from guidance about how best to implement access to portals for caregivers of elderly patients., OBJECTIVE: To identify how patients older than 75 years (hereinafter, elders) and family caregivers of such patients approach sharing of health information, with the hope of applying the results to collaborative patient portals., DESIGN, SETTING, AND PARTICIPANTS: A qualitative study was conducted from October 20, 2013, to February 16, 2014, inviting participants older than 75 years (n = 30) and participants who assist a family member older than 75 years (n = 23) to 1 of 10 discussion groups. Participants were drawn from the Information Sharing Across Generations (InfoSAGE) Living Laboratory, an ongoing study of information needs of elders and families based within an academically affiliated network of senior housing in metropolitan Boston, Massachusetts. Groups were separated into elders and caregivers to allow for more detailed discussion. A professional moderator led groups using a discussion guide. Group discussions were audiotaped, transcribed, and analyzed inductively using immersion/crystallization methods for central themes., MAIN OUTCOMES AND MEASURES: Central themes regarding sharing of health information between elderly patients and family caregivers., RESULTS: Seven lessons emerged from 2 main themes. First, sharing information has consequences: (1) elders and caregivers have different perspectives on what is seen as the "burden" of information, (2) access to medical information by families can have unintended consequences, and (3) elders do not want to feel "spied on" by family. Second, control of information sharing is dynamic: (4) elders wish to retain control of decision making as long as possible, (5) transfer of control occurs gradually depending on elders' health and functional status, (6) control of information sharing and decision making should be fluid to maximize elders' autonomy, and (7) no "one-size-fits-all" approach can satisfy individuals' different preferences., CONCLUSIONS AND RELEVANCE: Information sharing and control are complex issues even under the most well-meaning circumstances. While elders may delegate control and share information with family, they want to retain granular control of their information. When using patient portals, simple proxy access may not adequately address the needs and concerns of aging patients. DA - 2015/// PY - 2015 DO - 10.1001/jamainternmed.2015.2903 VL - 175 IS - 9 SP - 1492 EP - 7 J2 - JAMA Intern Med SN - 2168-6114 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26147401 KW - Female KW - Humans KW - Male KW - Aged KW - Focus Groups KW - Family Relations/px [Psychology] KW - *Patient Preference/px [Psychology] KW - *Aged, 80 and over/px [Psychology] KW - *Health Records, Personal/px [Psychology] KW - *Information Dissemination ER - TY - JOUR TI - Predicting risk of the fall among aged adult residents of a nursing home. AU - Sharifi, Farshad AU - Fakhrzadeh, Hossein AU - Memari, Alireza AU - Najafi, Baharak AU - Nazari, Neda AU - Khoee, Mahtab Alizadeh AU - Arzaghi, Seyed Masoud AU - Bakhtiari, Fariborz AU - Ghasemi, Siamak AU - Salavatian, Seyedeh Nahaleh AU - Mehrdad, Neda AU - Fadaayevatan, Reza AU - Alizad, Vida AU - Philp, Ian T2 - Archives of gerontology and geriatrics AB - BACKGROUND: Fall is one of the most important outcomes of geriatric medicine. The European Assessment System (EASY) Care Standard provides a tool for assessing the risk of the falls. We aimed to evaluate the validity of the Easy-Care risk of the falls (ECRF) sub-score among the residents of a large nursing home., METHOD: A longitudinal study was conducted within a maximum of 34 months following up for falling in Kahrizak Charity Foundation. At the baseline the demographic, mental status and the depression data of 194 subjects aged >=60 was collected. The Easy-Care standard tools and Performance-Oriented Mobility Assessment (POMA) were also used for data collecting. The time, location, and cause of the falls were recorded immediately after each fall incident. The Correlation between POMA and ECRF scores and the factor analysis of ECRF were considered as the concurrent and construct validity respectively. The Factor affecting the fall occurrence was assessed using the Cox-regression model., RESULT: The mean age of the participants was 76.02 (SD 8.82). Fifty two individuals (27.3%) fell at least once during the mean 756 (SD 187)-day follow up. The Spearman correlation coefficient between ECRF and POMA scores was -0.458 (P<0.01). Three components were detected in the factor analysis of the ECRF. In the univariate Cox-regression model, the hazard ratio was 1.04 (CI: 1.00-1.07) for each score increase of the ECRF. For the six-month follow-up, at the ECRF cut-off point two of eight, the sensitivity and specificity were calculated as 85.7% and 64.5% respectively., CONCLUSION: It seems that the ECRF is a valid tool for predicting the next 6 months' fall incidents in older adults. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.archger.2015.06.014 VL - 61 IS - 2 SP - 124 EP - 30 J2 - Arch Gerontol Geriatr SN - 1872-6976 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26139578 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Reproducibility of Results KW - *Accidental Falls/pc [Prevention & Control] KW - *Geriatric Assessment/mt [Methods] KW - Follow-Up Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Prospective Studies KW - Proportional Hazards Models KW - Predictive Value of Tests KW - Gait/ph [Physiology] KW - Sensitivity and Specificity KW - Postural Balance/ph [Physiology] ER - TY - JOUR TI - Comparing the Age-Friendliness of Different Neighbourhoods Using District Surveys: An Example from Hong Kong. AU - Wong, Moses AU - Chau, Pui Hing AU - Cheung, Francis AU - Phillips, David R AU - Woo, Jean T2 - PloS one AB - BACKGROUND: To address the age-friendliness of living environment in cities, the World Health Organization (WHO) launched the "Age-friendly cities" (AFC) initiative in 2005. To date, however, no universal standard tool for assessing age-friendliness of a community has been agreed., METHODOLOGY: Two quantitative studies on AFC conducted in two Hong Kong districts-Sha Tin and Tuen Mun-were compared. A total of 801 residents aged >=50 years were interviewed using structured questionnaires based on the WHO's AFC criteria. District-wide differences in age-friendliness were compared on the basis of eight domain scores. Multiple linear regression was used to examine associations with demographic and socio-economic characteristics. The provision of services and amenities was also compared to help explain the difference in domain scores., RESULTS: Variations in mean domain scores were observed in both districts. Sha Tin showed significantly lower scores in outdoor spaces and buildings, transportation, social participation, respect and social inclusion, civic participation and employment, communication and information, as compared with Tuen Mun. Although a significantly higher score on the housing domain was observed in Sha Tin, differences in community and health services domains were insignificant. Socio-demographic factors, such as age group, gender, area of residence, type of housing, experience of elderly care, employment status, self-rated health and income, were associated with domain scores. However, variations in services and amenities provision appeared not to be strongly associated with district-wide difference in domain scores., CONCLUSIONS: District differences in public opinions towards age-friendly characteristics were observed in this study. Except for two of the eight domains, Sha Tin had significantly lower scores than Tuen Mun. Some socio-demographic indicators seemed predictive to the differences. Paradoxically, Sha Tin had better services and infrastructure and higher socio-economic status, but lower age-friendliness. This warrants detailed research on psychosocial factors that may influence residents' perceptions of local environments. DA - 2015/// PY - 2015 DO - 10.1371/journal.pone.0131526 VL - 10 IS - 7 SP - e0131526 J2 - PLoS ONE SN - 1932-6203 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26132156 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Activities of Daily Living KW - *Aging KW - *Housing KW - Cities KW - *Residence Characteristics KW - Hong Kong KW - Data Collection KW - Linear Models KW - Social Class ER - TY - JOUR TI - Client Satisfaction with Telehealth in Assisted Living and Homecare. AU - Grant, Leslie A AU - Rockwood, Todd AU - Stennes, Leif T2 - Telemedicine journal and e-health : the official journal of the American Telemedicine Association AB - BACKGROUND: The Evangelical Lutheran Good Samaritan Society launched LivingWell@Home (LW@H) to provide telehealth services to clients in assisted living and home healthcare. LW@H assures client safety through remote monitoring of physiological parameters and assessment of nonbiometric parameters. Public policies increasingly support aging in place by allowing older adults with greater levels of impairment avoid or delay nursing home placement through alternative services offered in assisted living facilities and home healthcare agencies. Provider organizations face challenges caring for frail seniors with complex medical needs. Telehealth services may be helpful in supporting frail seniors living at home., MATERIALS AND METHODS: Seniors were recruited into a randomized trial. Telehealth services were provided to 820 experimental subjects. Control subjects (n=762) received usual care. Clients rated their satisfaction at three points in time postimplementation: baseline, 6 months, and 12 months. Fisher's exact test compared client ratings at each measurement interval., RESULTS: No statistically significant differences were found between experimental and control subjects at baseline. Statistically significant differences emerged at follow-up. Experimental subjects in home healthcare agencies reported higher levels of satisfaction relative to controls, whereas experimental subjects in assisted living facilities reported lower levels of satisfaction., CONCLUSIONS: Telehealth services increased the probability that clients will be more satisfied compared with those without telehealth in homecare agencies. The opposite effect resulted among assisted living residents. Value propositions among community-dwelling older adults may influence their satisfaction with telehealth services postimplementation. More research is needed to examine the clinical efficacy and cost-effectiveness of these services. DA - 2015/// PY - 2015 DO - 10.1089/tmj.2014.0218 VL - 21 IS - 12 SP - 987 EP - 91 J2 - Telemed J E Health SN - 1556-3669 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26126079 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Assisted Living Facilities KW - *Telemedicine KW - Home Care Services KW - *Patient Satisfaction ER - TY - JOUR TI - Variability in Antibiotic Use Across Nursing Homes and the Risk of Antibiotic-Related Adverse Outcomes for Individual Residents. AU - Daneman, Nick AU - Bronskill, Susan E AU - Gruneir, Andrea AU - Newman, Alice M AU - Fischer, Hadas D AU - Rochon, Paula A AU - Anderson, Geoffrey M AU - Bell, Chaim M T2 - JAMA internal medicine T3 - [Comment in: JAMA Intern Med. 2015 Aug;175(8):1339-41; PMID: 26121096 [https://www.ncbi.nlm.nih.gov/pubmed/26121096]] AB - IMPORTANCE: Antibiotics are frequently and often inappropriately prescribed to patients in nursing homes. These antibiotics pose direct risks to recipients and indirect risks to others residing in the home., OBJECTIVE: To examine whether living in a nursing home with high antibiotic use is associated with an increased risk of antibiotic-related adverse outcomes for individual residents., DESIGN, SETTING, AND PARTICIPANTS: In this longitudinal open-cohort study performed from January 1, 2010, through December 31, 2011, we studied 110,656 older adults residing in 607 nursing homes in Ontario, Canada., EXPOSURES: Nursing home-level antibiotic use was defined as use-days per 1000 resident-days, and facilities were classified as high, medium, and low use according to tertile of use. Multivariable logistic regression modeling was performed to assess the effect of nursing home-level antibiotic use on the individual risk of antibiotic-related adverse outcomes., MAIN OUTCOMES AND MEASURES: Antibiotic-related harms included Clostridium difficile, diarrhea or gastroenteritis, antibiotic-resistant organisms (which can directly affect recipients and indirectly affect nonrecipients), allergic reactions, and general medication adverse events (which can affect only recipients)., RESULTS: Antibiotics were provided on 2,783,000 of 50,953,000 resident-days in nursing homes (55 antibiotic-days per 1000 resident-days). Antibiotic use was highly variable across homes, ranging from 20.4 to 192.9 antibiotic-days per 1000 resident-days. Antibiotic-related adverse events were more common (13.3%) in residents of high-use homes than among residents of medium-use (12.4%) or low-use homes (11.4%) (P < .001); this trend persisted even among the residents who did not receive antibiotic treatments. The primary analysis indicated that residence in a high-use nursing home was associated with an increased risk of a resident experiencing an antibiotic-related adverse event (adjusted odds ratio, 1.24; 95% CI, 1.07-1.42; P = .003). A sensitivity analysis examining nursing home-level antibiotic use as a continuous variable confirmed an increased risk of resident-level antibiotic-related harms (adjusted odds ratio, 1.004 per additional day of nursing home antibiotic use; 95% CI, 1.001-1.006; P = .01)., CONCLUSIONS AND RELEVANCE: Antibiotic use is highly variable across nursing homes; residents of high-use homes are exposed to an increased risk of antibiotic-related harms even if they have not directly received these agents. Antibiotic stewardship is needed to improve the safety of all nursing home residents. DA - 2015/// PY - 2015 DO - 10.1001/jamainternmed.2015.2770 VL - 175 IS - 8 SP - 1331 EP - 9 J2 - JAMA Intern Med SN - 2168-6114 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26121537 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - Cohort Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Ontario/ep [Epidemiology] KW - Longitudinal Studies KW - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] KW - Multivariate Analysis KW - *Anti-Bacterial Agents/tu [Therapeutic Use] KW - Gastroenteritis/ep [Epidemiology] KW - Diarrhea/ep [Epidemiology] KW - Drug Resistance, Bacterial KW - Diarrhea/ci [Chemically Induced] KW - *Drug Hypersensitivity/ep [Epidemiology] KW - *Enterocolitis, Pseudomembranous/ep [Epidemiology] KW - Drug Hypersensitivity/et [Etiology] KW - Enterocolitis, Pseudomembranous/ci [Chemically Induced] KW - Gastroenteritis/ci [Chemically Induced] ER - TY - JOUR TI - Living Legends: Effectiveness of a Program to Enhance Sense of Purpose and Meaning in Life Among Community-Dwelling Older Adults. AU - Chippendale, Tracy AU - Boltz, Marie T2 - The American journal of occupational therapy : official publication of the American Occupational Therapy Association AB - OBJECTIVE: We investigated the therapeutic benefits (i.e., sense of purpose and meaning in life) of the Living Legends program, which includes life review writing and an intergenerational exchange, compared with life review writing alone, for community-dwelling older adults., METHOD: This study was a randomized controlled trial with a connected qualitative component. We analyzed quantitative data using independent-samples t tests and written descriptions of program experiences using Collaizi's qualitative methodology; we then used a triangulation protocol to integrate the qualitative and quantitative data., RESULTS: For participants in the writing workshop plus intergenerational exchange, sense of purpose and meaning in life increased significantly (p<.0001) compared with those in the writing workshop alone. Qualitative themes revealed additional program benefits., CONCLUSION: Living Legends enhanced participants' sense of purpose and meaning in life, a factor known to prevent cognitive loss and disability, compared with life review writing alone. Copyright © 2015 by the American Occupational Therapy Association, Inc. DA - 2015/// PY - 2015 DO - 10.5014/ajot.2015.014894 VL - 69 IS - 4 SP - 6904270010p1 EP - 11 J2 - Am J Occup Ther SN - 0272-9490 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26114464 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Qualitative Research KW - *Independent Living KW - *Health Promotion/mt [Methods] KW - *Aging/px [Psychology] KW - *Narration KW - *Intergenerational Relations KW - *Sense of Coherence KW - *Writing ER - TY - JOUR TI - Postcard intervention for depression in community-dwelling older adults: A randomised controlled trial. AU - Imai, Hissei AU - Furukawa, Toshiaki A AU - Okumiya, Kiyohito AU - Wada, Taizo AU - Fukutomi, Eriko AU - Sakamoto, Ryota AU - Fujisawa, Michiko AU - Ishimoto, Yasuko AU - Kimura, Yumi AU - Chen, Wen-ling AU - Tanaka, Mire AU - Matsubayashi, Kozo T2 - Psychiatry research AB - Depression in older adults erodes their health, quality of life and the economy. Existing interventions are not feasible for broad application at the community. Postcard intervention only requires a few resources, and previous studies have shown its effectiveness for patients following drug overdose, self-harm and hospitalisation for major depression. The purpose of the present study is to evaluate the effectiveness of a postcard intervention. Participants were community-dwelling individuals, aged 65 or older, who eat meals alone and with the score of 4 or higher on the 15-item Geriatric Depression Scale (GDS-15). We enrolled 184 eligible participants, with 93 in the intervention and 91 in the control arm. Postcards were sent to participants once a month for eight months. Primary outcome was the GDS-15 score at post-intervention. Secondary outcomes were quality of life and activities of daily living. There was no significant difference in primary and secondary outcomes between completers of the intervention and the control arm. However, most of the participants who received intervention thought the intervention was effective. The postcard intervention for depression in community-dwelling elderly people in Japan is neither feasible nor effective. However, the descriptive results suggest that the intervention may be effective given different parameters. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.psychres.2015.05.054 VL - 229 IS - 1-2 SP - 545 EP - 50 J2 - Psychiatry Res SN - 1872-7123 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26112449 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Japan/ep [Epidemiology] KW - *Independent Living/px [Psychology] KW - Depression/di [Diagnosis] KW - *Depression/ep [Epidemiology] KW - *Depression/px [Psychology] KW - Quality of Life/px [Psychology] KW - Activities of Daily Living/px [Psychology] KW - Early Medical Intervention/mt [Methods] KW - *Postal Service/mt [Methods] ER - TY - JOUR TI - Community-, Healthcare-, and Hospital-Acquired Severe Sepsis Hospitalizations in the University HealthSystem Consortium. AU - Page, David B AU - Donnelly, John P AU - Wang, Henry E T2 - Critical care medicine AB - OBJECTIVES: Severe sepsis poses a major burden on the U.S. healthcare system. Previous epidemiologic studies have not differentiated community-acquired severe sepsis from healthcare-associated severe sepsis or hospital-acquired severe sepsis hospitalizations. We sought to compare and contrast community-acquired severe sepsis, healthcare-associated severe sepsis, and hospital-acquired severe sepsis hospitalizations in a national hospital sample., DESIGN: Retrospective analysis of severe sepsis discharges from University HealthSystem Consortium hospitals in 2012., SETTING: United States., PATIENTS: We used the criteria from Angus et al (discharge diagnoses for both a serious infection and organ dysfunction) to identify severe sepsis hospitalizations. We defined healthcare-associated severe sepsis as severe sepsis hospitalizations with an infection present at admission, where the patient was a nursing home resident, was on hemodialysis, or was readmitted within 30 days of a prior hospitalization. We defined community-acquired severe sepsis as all other severe sepsis patients with an infection present at admission. We defined hospital-acquired severe sepsis as severe sepsis patients where the documented infection was not present at admission., INTERVENTIONS: None., MEASUREMENTS AND MAIN RESULTS: Prevalence of community-acquired severe sepsis, healthcare-associated severe sepsis, and hospital-acquired severe sepsis, adjusted hospital mortality, length of hospitalization, length of stay in an ICU, and hospital costs. Among 3,355,753 hospital discharges, there were 307,491 with severe sepsis, including 193,081 (62.8%) community-acquired severe sepsis, 79,581 (25.9%) healthcare-associated severe sepsis, and 34,829 (11.3%) hospital-acquired severe sepsis. Hospital-acquired severe sepsis and healthcare-associated severe sepsis exhibited higher in-hospital mortality than community-acquired severe sepsis (hospital acquired [19.2%] vs healthcare associated [12.8%] vs community acquired [8.6%]). Hospital-acquired severe sepsis had greater resource utilization than both healthcare-associated severe sepsis and community-acquired severe sepsis, with higher median length of hospital stay (hospital acquired [17 d] vs healthcare associated [7 d] vs community acquired [6 d]), median length of ICU stay (hospital acquired [8 d] vs healthcare associated [3 d] vs community acquired [3 d]), and median hospital costs (hospital acquired [$38,369] vs healthcare associated [$8,796] vs community acquired [$7,024])., CONCLUSIONS: In this series, severe sepsis hospitalizations included community-acquired severe sepsis (62.8%), healthcare-associated severe sepsis (25.9%), and hospital-acquired severe sepsis (11.3%) cases. Hospital-acquired severe sepsis was associated with both higher mortality and resource utilization than community-acquired severe sepsis and healthcare-associated severe sepsis. DA - 2015/// PY - 2015 DO - 10.1097/CCM.0000000000001164 VL - 43 IS - 9 SP - 1945 EP - 51 J2 - Crit Care Med SN - 1530-0293 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26110490 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - Retrospective Studies KW - United States/ep [Epidemiology] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Hospital Mortality KW - Intensive Care Units/sn [Statistics & Numerical Data] KW - Cross Infection/ep [Epidemiology] KW - *Hospitals/sn [Statistics & Numerical Data] KW - Cross Infection/ec [Economics] KW - Community-Acquired Infections/ep [Epidemiology] KW - *Sepsis/ec [Economics] KW - *Sepsis/ep [Epidemiology] KW - Community-Acquired Infections/ec [Economics] KW - Sepsis/mo [Mortality] ER - TY - JOUR TI - Antibiotic prescribing and associated diarrhoea: a prospective cohort study of care home residents. AU - Gillespie, David AU - Hood, Kerenza AU - Bayer, Antony AU - Carter, Ben AU - Duncan, Donna AU - Espinasse, Aude AU - Evans, Meirion AU - Nuttall, Jacqueline AU - Stanton, Helen AU - Acharjya, Arun AU - Allen, Stephen AU - Cohen, David AU - Groves, Sam AU - Francis, Nick AU - Howe, Robin AU - Johansen, Antony AU - Mantzourani, Efi AU - Thomas-Jones, Emma AU - Toghill, Alun AU - Wood, Fiona AU - Wigglesworth, Neil AU - Wootton, Mandy AU - Butler, Christopher C T2 - Age and ageing AB - BACKGROUND: the risk factors for and frequency of antibiotic prescription and antibiotic-associated diarrhoea (AAD) among care home residents are unknown., AIM: to prospectively study frequency and risks for antibiotic prescribing and AAD for care home residents., DESIGN AND SETTING: a 12-month prospective cohort study in care homes across South Wales., METHOD: antibiotic prescriptions and the development of AAD were recorded on case report forms. We defined AAD as three or more loose stools in a 24-h period occurring within 8 weeks of exposure to an antibiotic., RESULTS: we recruited 279 residents from 10 care homes. The incidence of antibiotic prescriptions was 2.16 prescriptions per resident year (95% CI: 1.90-2.46). Antibiotics were less likely to be prescribed to residents from dual-registered homes (OR compared with nursing homes: 0.38, 95% CI: 0.18-0.79). For those who were prescribed antibiotics, the incidence of AAD was 0.57 episodes per resident year (95% CI: 0.41-0.81 episodes). AAD was more likely in residents who were prescribed co-amoxiclav (hazards ratio, HR = 2.08, 95% confidence interval, CI: 1.18-3.66) or routinely used incontinence pads (HR = 2.54, 95% CI: 1.26-5.13) and less likely in residents from residential homes (HR compared with nursing homes: 0.14, 95% CI: 0.06-0.32)., CONCLUSION: residents of care homes, particularly of nursing homes, are frequently prescribed antibiotics and often experience diarrhoea following such prescriptions. Co-amoxiclav is associated with greater risk of AAD. Copyright © The Author 2015. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/ageing/afv072 VL - 44 IS - 5 SP - 853 EP - 60 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26104506 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - Time Factors KW - *Homes for the Aged KW - *Nursing Homes KW - Prospective Studies KW - Odds Ratio KW - Proportional Hazards Models KW - Multivariate Analysis KW - Drug Prescriptions KW - Drug Utilization Review KW - *Practice Patterns, Physicians' KW - Wales KW - Diarrhea/mi [Microbiology] KW - *Anti-Bacterial Agents/ae [Adverse Effects] KW - *Diarrhea/ci [Chemically Induced] KW - Amoxicillin-Potassium Clavulanate Combination/ae [Adverse Effects] KW - Diarrhea/di [Diagnosis] KW - Gastrointestinal Microbiome/de [Drug Effects] ER - TY - JOUR TI - The Norwegian General Practice--Nursing Home criteria (NORGEP-NH) for potentially inappropriate medication use: A web-based Delphi study. AU - Nyborg, Gunhild AU - Straand, Jorund AU - Klovning, Atle AU - Brekke, Mette T2 - Scandinavian journal of primary health care AB - OBJECTIVE: To develop a set of explicit criteria for pharmacologically inappropriate medication use in nursing homes., DESIGN: In an expert panel, a three-round Delphi consensus process was conducted via survey software., SETTING: Norway., SUBJECTS: Altogether 80 participants - specialists in geriatrics or clinical pharmacology, physicians in nursing homes and experienced pharmacists - agreed to participate in the survey. Of these, 62 completed the first round, and 49 panellists completed all three rounds (75.4% of those ultimately entering the survey)., MAIN OUTCOME MEASURES: The authors developed a list of 27 criteria based on the Norwegian General Practice (NORGEP) criteria, literature, and clinical experience. The main outcome measure was the panellists' evaluation of the clinical relevance of each suggested criterion on a digital Likert scale from 1 (no clinical relevance) to 10. In the first round panellists could also suggest new criteria to be included in the process. For each criterion, degree of consensus was based on the average Likert score and corresponding standard deviation (SD)., RESULTS: A list of 34 explicit criteria for potentially inappropriate medication use in nursing homes was developed through a three-round web-based Delphi consensus process. Degree of consensus increased with each round. No criterion was voted out. Suggestions from the panel led to the inclusion of seven additional criteria in round two., IMPLICATIONS: The NORGEP-NH list may serve as a tool in the prescribing process and in medication list reviews and may also be used in quality assessment and for research purposes. DA - 2015/// PY - 2015 DO - 10.3109/02813432.2015.1041833 VL - 33 IS - 2 SP - 134 EP - 41 J2 - Scand J Prim Health Care SN - 1502-7724 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26100966 KW - Humans KW - Norway KW - Aged KW - Surveys and Questionnaires KW - Delphi Technique KW - *Homes for the Aged KW - *Nursing Homes KW - Internet KW - *General Practice KW - *Drug Prescriptions KW - Physicians KW - *Practice Patterns, Physicians' KW - *Potentially Inappropriate Medication List KW - *Consensus KW - Pharmacists ER - TY - JOUR TI - [Old age: knowing what self-neglect is]. AU - Hazif-Thomas, Cyril T2 - Grand age: savoir de quoi l'incurie est le nom. AB - The issue of self-neglect in the elderly concerns society as well as caregivers who, in their practice, are ill at ease and frequently disorientated when faced with this behaviour which hampers the care approach. Here more than elsewhere, the choices of the people in question seem to collide with the care objectives, in such a way that it is important to remain curious in the face of what appears to be the height of incuriosity. DA - 2015/// PY - 2015 IS - 298 SP - 26 EP - 9 J2 - Soins Psychiatr SN - 0241-6972 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26100291 KW - Female KW - Humans KW - Male KW - Aged KW - *Independent Living/px [Psychology] KW - Dementia/px [Psychology] KW - *Self Care/px [Psychology] KW - *Self Concept KW - Nurse-Patient Relations KW - *Housekeeping KW - *Dementia/nu [Nursing] KW - Life Style KW - Motivation KW - Syndrome KW - Hygiene KW - *Hoarding/px [Psychology] KW - *Psychiatric Nursing KW - *Social Alienation/px [Psychology] KW - Depressive Disorder, Major/nu [Nursing] KW - Depressive Disorder, Major/px [Psychology] ER - TY - JOUR TI - [The care for institutionalized elderly perceived by the nursing team]. AU - de Araujo Leite Medeiros, Fabiola AU - Oliveira, Jullyana Marion Medeiros AU - de Lima, Raquel Janyne AU - da Nobrega, Maria Miriam Lima T2 - O cuidar de pessoas idosas institucionalizadas na percepcao da equipe de enfermagem. AB - This article aimed to analyze the perception of the nursing team about the care of institutionalized elderly. It consists of a qualitative and exploratory study developed in the six long-term care nursing homes for elderly in the city of Joao Pessoa/PB, Brazil, from January to June 2013. The sample was comprised 50% of the nurses from all the institutions, totaling 13 participants, whose data were collected through semi-structured questionnaires. Content analysis was used in the study, which enabled the construction of two thematic categories: I) Perceptions of the delivery of care by the nursing staff of the institutions; II) Perceptions of the care activity to be performed by the nursing staff in the institutions. We conclude that the participants are aware of the need for an individualized and systematized care by the nursing staff, aimed to the prevention of diseases, health promotion and active aging. DA - 2015/// PY - 2015 DO - 10.1590/1983-1447.2015.01.45636 VL - 36 IS - 1 SP - 56 EP - 61 J2 - Rev Gaucha Enferm SN - 0102-6933 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26098803 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - *Homes for the Aged KW - *Nursing Homes KW - *Attitude of Health Personnel KW - Institutionalization KW - *Nursing Staff KW - Nursing, Team ER - TY - JOUR TI - Hospice Care in Assisted Living Facilities Versus at Home: Results of a Multisite Cohort Study. AU - Dougherty, Meredith AU - Harris, Pamela S AU - Teno, Joan AU - Corcoran, Amy M AU - Douglas, Cindy AU - Nelson, Jackie AU - Way, Deborah AU - Harrold, Joan E AU - Casarett, David J T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To compare residents of assisted living facilities receiving hospice with people receiving hospice care at home., DESIGN: Electronic health record-based retrospective cohort study., SETTING: Nonprofit hospices in the Coalition of Hospices Organized to Investigate Comparative Effectiveness network., PARTICIPANTS: Individuals admitted to hospice between January 1, 2008, and May 15, 2012 (N = 85,581; 7,451 (8.7%) assisted living facility, 78,130 (91.3%) home)., MEASUREMENTS: Hospice length of stay, use of opioids for pain, and site of death., RESULTS: The assisted living population was more likely than the home hospice population to have a diagnosis of dementia (23.5% vs 4.7%; odds ratio (OR) = 13.3, 95% confidence interval (CI) = 12.3-14.4; P < .001) and enroll in hospice closer to death (median length of stay 24 vs 29 days). Assisted living residents were less likely to receive opioids for pain (18.1% vs 39.7%; OR = 0.33, 95% CI = 0.29-0.39, P < .001) and less likely to die in an inpatient hospice unit (9.3% vs 16.1%; OR = 0.53, 95% CI = 0.49-0.58, P < .001) or a hospital (1.3% vs 7.6%; OR = 0.16, 95% CI = 0.13-0.19, P < .001)., CONCLUSION: Three are several differences between residents of assisted living receiving hospice care and individuals living at home receiving hospice care. A better understanding of these differences could allow hospices to develop guidelines for better coordination of end-of-life care for the assisted living population. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/jgs.13429 VL - 63 IS - 6 SP - 1153 EP - 7 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26096389 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Health Status KW - Retrospective Studies KW - Cohort Studies KW - United States/ep [Epidemiology] KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Home Care Services/og [Organization & Administration] KW - *Assisted Living Facilities/og [Organization & Administration] KW - *Hospice Care/sn [Statistics & Numerical Data] KW - Length of Stay/sn [Statistics & Numerical Data] KW - *Hospice Care/st [Standards] KW - Hospices/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Trends in Tuberculosis Cases Among Nursing Home Residents, California, 2000 to 2009. AU - Chitnis, Amit S AU - Robsky, Katherine AU - Schecter, Gisela F AU - Westenhouse, Janice AU - Barry, Pennan M T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To examine trends in tuberculosis (TB) incidence and to compare demographic and clinical characteristics of nursing home (NH) residents and community-dwelling older adults., DESIGN: Prospective TB surveillance., SETTING: TB cases reported in California from 2000 to 2009., PARTICIPANTS: TB patients aged 65 and older., MEASUREMENTS: Trends in TB incidence per 100,000 population were assessed using Poisson regression. Demographic and clinical characteristics were compared using the chi-square or Wilcoxon rank-sum test. Among NH residents, risk factors for death during TB treatment were identified using logistic regression., RESULTS: From 2000 to 2009, TB incidence rates decreased significantly, from 15.9/100,000 to 8.4/100,000 (-44%, 95% confidence interval (CI) = -66% to -7%) for NH residents and from 21.2/100,000 to 15.0/100,000 (-27%, 95% CI = -29% to -24%) for community-dwelling older adults. Overall, 211 TB cases among NH residents and 6,518 cases among community-dwelling older adults were reported. NH residents were more likely than community-dwelling older adults to be older (median age 81 vs 75, P < .001), have a negative acid-fast bacilli sputum smear and positive culture (37% vs 28%, P < .001), and die while undergoing TB treatment (44% vs 14%, P < .001), and were less likely to have a positive tuberculin skin test (TST) (28% vs 44%, P < .001) and have TB care provided by a health department (20% vs 59%, P < .001). In multivariable analysis, NH residents who had a positive TST were less likely to die while undergoing TB treatment (odds ratio = 0.39, 95% CI = 0.16-0.96)., CONCLUSION: TB incidence rates were lower, and reductions in incidence were greater among NH residents; community-dwelling older adults had higher TB rates and smaller reductions in incidence. Interventions that promote timely detection and treatment of TB infection and disease may be needed to reduce morbidity and mortality among NH residents. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/jgs.13437 VL - 63 IS - 6 SP - 1098 EP - 104 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26096384 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Retrospective Studies KW - Analysis of Variance KW - *Geriatric Assessment/sn [Statistics & Numerical Data] KW - Incidence KW - *Homes for the Aged/td [Trends] KW - *Nursing Homes/td [Trends] KW - Tuberculosis/di [Diagnosis] KW - California/ep [Epidemiology] KW - Microbial Sensitivity Tests KW - *Tuberculosis/ep [Epidemiology] KW - Contact Tracing/sn [Statistics & Numerical Data] KW - Mycobacterium tuberculosis/ip [Isolation & Purification] ER - TY - JOUR TI - Resident transfers from aged care facilities to emergency departments: can they be avoided?. AU - Morphet, Julia AU - Innes, Kelli AU - Griffiths, Debra L AU - Crawford, Kimberley AU - Williams, Allison T2 - Emergency medicine Australasia : EMA AB - OBJECTIVE: Residents from aged care facilities make up a considerable proportion of ED presentations. There is evidence that many residents transferred from aged care facilities to EDs could be managed by primary care services. The present study aimed to describe the characteristics of residents transferred from residential aged care facilities to EDs, and to evaluate the appropriateness and cost of these presentations., METHODS: A retrospective review of ED records was undertaken for residents transferred from residential aged care facilities to two EDs in Melbourne, Victoria, in 2012. Data examined included residents' mode and time of arrival to ED, presenting complaint, triage category, procedures within ED, diagnosis, length of stay, and disposition. Data were examined against a previously established tool to identify resident transfers that might be 'potentially avoidable'., RESULTS: There were 2880 resident transfers included in the sample, of which 408 transfers were randomly selected for scrutiny of documentation. Seventy-one residents (17.4%) were identified as being potentially avoidable transfers., CONCLUSION: Many resident transfers might have been avoided with better primary care services in place. Future strategies to improve resident care might include aged care staff skill mix and the availability of outreach or primary care services. Copyright © 2015 The Authors. Emergency Medicine Australasia published by Wiley Publishing Asia Pty Ltd on behalf of Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine. DA - 2015/// PY - 2015 DO - 10.1111/1742-6723.12433 VL - 27 IS - 5 SP - 412 EP - 8 J2 - Emerg Med Australas SN - 1742-6723 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26095333 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Retrospective Studies KW - *Homes for the Aged KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - Hospitalization/sn [Statistics & Numerical Data] KW - *Emergency Service, Hospital KW - Length of Stay/sn [Statistics & Numerical Data] KW - Patient Discharge/sn [Statistics & Numerical Data] KW - Victoria/ep [Epidemiology] KW - *Patient Transfer/sn [Statistics & Numerical Data] KW - *Health Services Misuse/pc [Prevention & Control] KW - Unnecessary Procedures/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Postprandial hypotension in the elderly: Findings in a Mexican population. AU - Asensio, Enrique AU - Alvarez, Jose Benito AU - Lara, Susano AU - Alvarez de la Cadena, Jorge E AU - Juarez, Daniela T2 - Archivos de cardiologia de Mexico AB - OBJECTIVE: Postprandial hypotension is a known cause of syncope in the elderly. Its prevalence is unknown in our country., METHODS: A prospective cross-sectional study was performed to determine PPH's Prevalence in elderly adults of both an urban and a rural Community in the State of Queretaro. Blood pressure measurements included a basal pre-prandial record, minute 0 recording at the moment they finished the meal and every 10 min until a 90 min record was complete. We included a medical history, a mental state test for cognitive evaluation (Minimental) and Minnesota Quality of life score and a food macronutrient composition analysis., RESULTS: We included 256 subjects, 78.1 +/- 8.8 years old, 195 (76.2%) female. Two-hundred and five subjects (80.1%) had Postprandial hypotension after one or both analyzed meals, with non-significant differences in the studied items. Sixty-six (26.2%) patients had "significant postprandial hypotension". Patients living in a special care facility had more postprandial hypotension than people at the family home (87-3% vs 69.8% respectively, p<0.0001)., CONCLUSIONS: Post-prandial hypotension is a common finding in this elderly population. We did not find distinctive conditions or markers that allow identification of subjects at risk for postprandial hypotension and its complications. This should prompt for routine screenings in specialized facilities to prevent complications. Copyright © 2014 Instituto Nacional de Cardiologia Ignacio Chavez. Published by Masson Doyma Mexico S.A. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.acmx.2015.05.002 VL - 85 IS - 4 SP - 284 EP - 91 J2 - Arch Cardiol Mex SN - 1405-9940 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26095051 KW - Female KW - Humans KW - Male KW - Aged KW - Prevalence KW - Cross-Sectional Studies KW - Prospective Studies KW - Mexico/ep [Epidemiology] KW - *Hypotension/ep [Epidemiology] KW - *Postprandial Period ER - TY - JOUR TI - Hands-On Experiences in Deploying Cost-Effective Ambient-Assisted Living Systems. AU - Dasios, Athanasios AU - Gavalas, Damianos AU - Pantziou, Grammati AU - Konstantopoulos, Charalampos T2 - Sensors (Basel, Switzerland) AB - Older adults' preferences to remain independent in their own homes along with the high costs of nursing home care have motivated the development of Ambient Assisted Living (AAL) technologies which aim at improving the safety, health conditions and wellness of the elderly. This paper reports hands-on experiences in designing, implementing and operating UbiCare, an AAL based prototype system for elderly home care monitoring. The monitoring is based on the recording of environmental parameters like temperature and light intensity as well as micro-level incidents which allows one to infer daily activities like moving, sitting, sleeping, usage of electrical appliances and plumbing components. The prototype is built upon inexpensive, off-the-shelf hardware (e.g., various sensors, Arduino microcontrollers, ZigBee-compatible wireless communication modules) and license-free software, thereby ensuring low system deployment costs. The network comprises nodes placed in a house's main rooms or mounted on furniture, one wearable node, one actuator node and a centralized processing element (coordinator). Upon detecting significant deviations from the ordinary activity patterns of individuals and/or sudden falls, the system issues automated alarms which may be forwarded to authorized caregivers via a variety of communication channels. Furthermore, measured environmental parameters and activity incidents may be monitored through standard web interfaces. DA - 2015/// PY - 2015 DO - 10.3390/s150614487 VL - 15 IS - 6 SP - 14487 EP - 512 J2 - Sensors (Basel) SN - 1424-8220 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26094631 KW - Humans KW - *Assisted Living Facilities KW - Monitoring, Ambulatory/mt [Methods] KW - Equipment Design KW - Medical Informatics KW - Assisted Living Facilities/ec [Economics] KW - Monitoring, Ambulatory/is [Instrumentation] KW - *Monitoring, Ambulatory KW - *Wireless Technology KW - Radio Frequency Identification Device KW - Assisted Living Facilities/mt [Methods] KW - Monitoring, Ambulatory/ec [Economics] ER - TY - JOUR TI - [Clinical characteristics and social determinants in a sample of non-homebound elderly]. AU - Morsch, Patricia AU - Pereira, Gustavo Nunes AU - Navarro, Joel Hirtz do Nascimento AU - Trevisan, Margarete Diprat AU - Lopes, Diene Gomes Colvara AU - Bos, Angelo Jose Goncalves T2 - Caracteristicas clinicas e sociais determinantes para o idoso sair de casa. AB - This study aimed to assess social and clinical factors associated with the fact that older adults (>= 60 years) go out of their homes. The study interviewed 5,898 older adults identified through home visits, randomly selected in 59 cities in the State of Rio Grande do Sul, Brazil. Multivariate logistic regression was used to assess the association between the outcome and independent variables. Factors associated with going out were being men, younger and married, presence of arthrosis, ease in performing specific activities, and good self-rated health. Heart disease was a negative factor for going out. Given the importance of social activity for quality of life and the World Health Organization policy for active aging, it is extremely important to consider clinical conditions that allow the older adults to remain active in the community. Studies like this can help to adjust public policies for the elderly, especially acting on modifiable clinical and functional conditions. DA - 2015/// PY - 2015 DO - 10.1590/01021-311X00053014 VL - 31 IS - 5 SP - 1025 EP - 34 J2 - Cad Saude Publica SN - 1678-4464 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26083177 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Quality of Life KW - *Activities of Daily Living KW - *Independent Living/sn [Statistics & Numerical Data] KW - Sex Factors KW - Age Factors KW - Socioeconomic Factors KW - Brazil KW - Urban Population ER - TY - JOUR TI - A survey of solitary deaths in Japan for shortening postmortem interval until discover. AU - Morita, S AU - Nishi, K AU - Furukawa, F AU - Hitosugi, M T2 - Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki) AB - Recently in advanced nations, the number of solitary households is increasing. Data from Japanese population survey in 2010 showed that the percent of solitary households was 32.4% and that was the largest category of household types. The Japanese government regards solitary death as important problem, but a useful survey on solitary death has not been performed. We have focused on the postmortem interval until discovery of the death as a measure of solitary deaths. We conducted a survey of 582 forensic autopsy cases in the Osaka medical examiner's office over three years, from April in 2010 till March in 2012. We excluded suicide cases. We collected data on the, gender, age, postmortem interval (PMI) until discovery, family structure, situation of discovery of the body, cause of death, and the time interval from the last hospital visit. Here, we found that people who had high risk of solitary death ranged in, age from 60 to 69 which is the age of retirement for many people. In order to prevent solitary death, we suggest that people who live alone should take better care of themselves and participate in a community setting after their retirement. We can show that the recent efforts of the Japanese government for reducing solitary death had been working well. The government care givers take care of the person living alone almost like their own family. We also suggest that the people who unfortunately do not have any home care should subscribe to a newspaper for shortening the PMI. DA - 2015/// PY - 2015 VL - 36 IS - 1 SP - 47 EP - 51 J2 - Pril (Makedon Akad Nauk Umet Odd Med Nauki) SN - 1857-9345 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26076774 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Retrospective Studies KW - Time Factors KW - Japan KW - Cardiovascular Diseases/mo [Mortality] KW - Age Distribution KW - Sex Distribution KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - *Cause of Death KW - *Family Characteristics KW - Autopsy KW - Alcohol-Related Disorders/mo [Mortality] KW - Gastrointestinal Diseases/mo [Mortality] KW - Infection/mo [Mortality] ER - TY - JOUR TI - [Effects of an intervention program for community-dwelling elderly to improve frailty and dietary habits]. AU - Kawabata, Teruko AU - Takemi, Yukari AU - Murayama, Hiroshi AU - Nishi, Mariko AU - Shimizu, Yumiko AU - Narita, Miki AU - Kim, Mi-Ji AU - Shinkai, Shoji T2 - [Nihon koshu eisei zasshi] Japanese journal of public health AB - OBJECTIVES: The effects of a comprehensive intervention program for community-dwelling elderly on frailty and dietary habits were examined., METHODS: We conducted randomized control trials to examine the efficacy of the intervention. To examine lasting changes, we made paired comparisons between pre- and post- intervention and at a three-month follow-up. The subjects were recruited in Hatoyama town, Saitama prefecture. The program was composed of exercise, nutritional education, and social participation and was held from October to December 2011. The exercise program aimed at fall prevention and took place twice per week for 60 min. The nutritional education aimed at prevention of malnutrition, and the social participation program aimed at prevention of "homeboundness"; both were held once per week for 30 min. Questionnaires inquired about frailty and dietary variety. A blood test was conducted to ascertain nutritional state, and a brief self-administered diet history questionnaire was used to estimate food and nutrient intake. To examine the efficacy of the intervention, 22 control subjects (CR) and 21 subjects in the intervention group (IV) were analyzed with intention to treat. To examine lasting changes, 16 subjects in IV who correctly completed surveys at each of the three time points were analyzed, using repeated ANOVA and a multiple comparison procedure., RESULTS: 1. Men comprised 70-80% of subjects, and the average age was 75.7+/-5.4 and 74.7+/-5.4 years in IV and CR, respectively. 2. There was no significant difference in pre- and post-intervention changes between IV and CR in frailty, which was the main outcome of the study. 3. A significant difference in pre- and post-intervention values was noted in 1 "homeboundness", one of the components of frailty (median [25-75%tile]): IV 0 [0-0] and CR 0 [0-1] (P=0.023); 2 nutrient intake (mean+/-standard deviation [SD], energy ratio [%E]): protein, IV 2.3+/-0.7 and CR -0.3+/-2.0 (P=0.002); animal protein, IV 2.4+/-1.5 and CR -0.5+/-1.5 (P=0.002); and 3 food intake (mean+/-SD, g/1000 kcal): fish, IV 18.1+/-25.1 and CR -4.1+/-21.9 (P=0.004); egg, IV 5.0+/-11.2 and CR -2.1+/-11.3 (P=0.046). All variables improved in IV. 4. Lasting improvement was observed in "homeboundness" and protein intake [%E]., CONCLUSION: Although the intervention did not improve frailty, it may improve frailty and dietary habits by improving homeboundness and increasing protein intake. DA - 2015/// PY - 2015 DO - 10.11236/jph.62.4_169 VL - 62 IS - 4 SP - 169 EP - 81 J2 - Nippon Koshu Eisei Zasshi SN - 0546-1766 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26074053 KW - Female KW - Humans KW - Male KW - Health Education KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Frail Elderly KW - *Independent Living KW - Follow-Up Studies KW - *Feeding Behavior ER - TY - JOUR TI - Feasibility study of an attention training application for older adults. AU - Hill, Nikki L AU - Mogle, Jacqueline AU - Colancecco, Elise AU - Dick, Robert AU - Hannan, John AU - Lin, Feng Vankee T2 - International journal of older people nursing AB - BACKGROUND: Technology-based attention training has demonstrated promise in its potential to improve cognitive functioning in older people. Developing mobile applications, with older users specifically in mind, may support future dissemination of these interventions and integration into daily life., AIMS AND OBJECTIVES: The purpose of this pilot study was to test the feasibility of an Attention Training Application (ATA) for community-dwelling older adults using mobile technology., DESIGN: A descriptive, mixed-methods design was used to capture older adults' feedback on the usability and acceptability of the ATA., METHODS: A convenience sample of older adults (n = 9) from two independent living facilities participated in a 2-hour training and practice session with the ATA. Participants were given personally tailored instructions for using the mobile device and the ATA specifically. Following a practice session, participants provided ratings on multiple components of the ATA and completed an audio-recorded, semi-structured interview to provide detailed descriptions of their experience and perceptions. An iterative process of content analysis was used to characterise the open-ended responses., RESULTS: Participants rated the ATA favourably overall on several 0-10 scales including likeability [8.5 (1.6)], interest [8.8 (2.3)] and satisfaction [8.2 (1.9)]. The qualitative analyses revealed several issues relevant to the feasibility of the ATA among older people including the importance of the technological background of the user, limiting negative feedback, challenges with the touch screen interface, personal preferences for challenge, extending the practice period and the difficulty of the dual-task condition., CONCLUSIONS: The use of the ATA is feasible in the older adult population. Future development should specifically consider personal characteristics as well as preferences to maximise usability and acceptability among older people., IMPLICATIONS FOR PRACTICE: Older adults enjoyed the ATA. This opens doors to user-friendly technological interventions that may be effective in assisting older adults maintain and possibly even improve their cognitive function. Copyright © 2015 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/opn.12092 VL - 10 IS - 3 SP - 241 EP - 9 J2 - Int J Older People Nurs SN - 1748-3743 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26073545 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Attitude to Computers KW - Surveys and Questionnaires KW - *Independent Living KW - Interviews as Topic KW - Feasibility Studies KW - Pilot Projects KW - Pennsylvania KW - *Attention/ph [Physiology] KW - *Computers, Handheld ER - TY - JOUR TI - Evaluation of a mobile X-ray service for elderly residents of residential aged care facilities. AU - Montalto, Michael AU - Shay, Simon AU - Le, Andy T2 - Australian health review : a publication of the Australian Hospital Association AB - OBJECTIVE: The Royal Melbourne Hospital established a mobile X-ray service (MXS) in 2013. The goal of the MXS is to address the radiology needs of frail, elderly or demented residents of residential aged care facilities (RACFs) who would otherwise require transportation to attend for X-ray. The present study describes the activity of the MXS, and the impact of the MXS on emergency department (ED) attendances by residents of RACFs., METHODS: The study is a descriptive study and uses a before-and-after cohort approach. Activity for the first year of operation was collected and described. At the end of the first year of operation, the top 30 RACF users of the MXS were identified. The hospital Department of Radiology database was examined to find all plain X-rays performed on any patient presenting from the same 30 RACFs for the 1 year before commencement of the MXS (1 July 2012-30 June 2013) and for the 1 year period after the commencement of the MXS (1 July 2013-30 June 2014). Attendances were compared., RESULTS: The MXS delivered 1532 service attendances to 109 different RACFs. The mean age of patients receiving MXS services was 86 years (range 16-107 years). In all, 1124 services (73.4%) were delivered to patients in high-care RACFs. Most patients (n = 634; 41.4%) were bed or wheelchair bound, followed by those who required assistance to ambulate (n = 457; 29.8%). The most common X-ray examinations performed were chest, hip and pelvis, spine and abdomen. There were 919 service attendances to the top 30 RACFs using the MXS (60.0% of all attendances). There was an 11.5% reduction in ED presentations requiring plain X-ray in the year following the commencement of the MXS (95% confidence interval 0.62-3.98; P = 0.019)., CONCLUSION: The present study suggests a reduction in hospital ED attendances for high users of the MXS. This has benefits for hospitals, patients and nursing homes. It also allows the extension of other programs designed to treat patients in their RACFs. Special rebates for home-based radiology service provision should be considered. DA - 2015/// PY - 2015 DO - 10.1071/AH15059 VL - 39 IS - 5 SP - 517 EP - 521 J2 - Aust Health Rev SN - 0156-5788 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26072938 KW - Humans KW - Aged KW - Aged, 80 and over KW - Victoria KW - *Homes for the Aged KW - Databases, Factual KW - *Diagnostic Services KW - *Mobile Health Units KW - X-Rays ER - TY - JOUR TI - Quality of assistive technologies in the home care for elderly. AU - Hauer, Katharina T2 - Studies in health technology and informatics AB - Due to demographic changes, the number of elderly people who are in need of care is increasing. Assistive technologies make it possible for many elderly people to remain home despite their health conditions, which many prefer. Quality is an essential element of nursing care, and the elderly are becoming increasingly aware of this and are beginning to make high demands. The aims of this paper, which is based on a master's thesis, were to identify quality criteria in the field of assistive technologies and to present indicators for measuring quality. An extensive literature research was conducted for the theoretical part, and the empirical part employed a qualitative survey. The results show that the elderly's contentment and quality of life are the decisive factors for quality. A catalogue of quality indicators was developed by merging the results from literature with those from the expert consultation. To conclude, further research in this context, based on the results of this paper, is needed, in order to support the increasing use of assistive technologies. DA - 2015/// PY - 2015 VL - 212 IS - ck1, 9214582 SP - 134 EP - 40 J2 - Stud Health Technol Inform SN - 0926-9630 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26063268 KW - *Quality Indicators, Health Care/st [Standards] KW - *Practice Guidelines as Topic KW - Austria KW - *Assisted Living Facilities/st [Standards] KW - *Quality Assurance, Health Care/st [Standards] KW - *Self-Help Devices/st [Standards] KW - *Telemedicine/st [Standards] ER - TY - JOUR TI - The experience of older people living independently in Singapore. AU - Tan, K-K AU - He, H-G AU - Chan, S W-C AU - Vehvilainen-Julkunen, K T2 - International nursing review AB - BACKGROUND: Globally, older people are living independently either alone or with their spouse, population continues to age. In Singapore, some may live with an unrelated older person in a public rental apartment. In Asia, these older people are associated with increased risks of poor health and social isolation, have poorer social support and a poor quality of life. Few studies have explored why these older people choose such living arrangements, the challenges they encountered and what has helped or may help them overcome these challenges., AIM: To explore older people's experiences of living independently or with an unrelated older person., METHODS: This descriptive qualitative study involved face-to-face interviews with 25 informants, 65 years or older in Singapore. Thematic analysis was adopted., RESULTS: Five themes emerged: (1) making own choice--participants decided to live apart from their families, (2) contending with concerns--the availability of external resources for participants was shrinking, (3) coping with the available assistance--depending on available external resources from the community, (4) holding on to their values--participants rely on their internal resources to manage, and (5) preparing for the inevitable--participants were planning for their final years of life and for their death., CONCLUSION: Older people have such living arrangements for many reasons. They attain well-being and quality of life by devising strategies, tapping on their limited external resources and relying on their values to manage their diminishing resources and the foreseeable death., IMPLICATIONS FOR NURSING AND/OR HEALTH POLICY: Understanding older people's experiences may help nurses and health professionals to develop health promotion programmes that support older people's everyday needs and help them to stay healthy. Public health policy must support older people to live in a safe environment near their extended family to reduce their need to relocate. Copyright © 2015 International Council of Nurses. DA - 2015/// PY - 2015 DO - 10.1111/inr.12200 VL - 62 IS - 4 SP - 525 EP - 35 J2 - Int Nurs Rev SN - 1466-7657 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26058716 KW - Female KW - Humans KW - Male KW - Family KW - Aged KW - Aged, 80 and over KW - *Quality of Life KW - Singapore KW - *Social Support KW - *Independent Living/px [Psychology] KW - Adaptation, Psychological KW - Health Behavior KW - Choice Behavior ER - TY - JOUR TI - Effectiveness of a low-threshold physical activity intervention in residential aged care--results of a randomized controlled trial. AU - Cichocki, Martin AU - Quehenberger, Viktoria AU - Zeiler, Michael AU - Adamcik, Tanja AU - Manousek, Matthias AU - Stamm, Tanja AU - Krajic, Karl T2 - Clinical interventions in aging AB - PURPOSE: Research on effectiveness of low-threshold mobility interventions that are viable for users of residential aged care is scarce. Low-threshold is defined as keeping demands on organizations (staff skills, costs) and participants (health status, discipline) rather low. The study explored the effectiveness of a multi-faceted, low-threshold physical activity program in three residential aged-care facilities in Austria. Main goals were enhancement of mobility by conducting a multi-faceted training program to foster occupational performance and thus improve different aspects of health-related quality of life (QoL)., PARTICIPANTS AND METHODS: The program consisted of a weekly session of 60 minutes over a period of 20 weeks. A standardized assessment of mobility status and health-related QoL was applied before and after the intervention. A total of 222 of 276 participants completed the randomized controlled trial study (intervention group n=104, control group n=118; average age 84 years, 88% female)., RESULTS: Subjective health status (EuroQoL-5 dimensions: P=0.001, d=0.36) improved significantly in the intervention group, and there were also positive trends in occupational performance (Canadian Occupational Performance Measure). No clear effects were found concerning the functional and cognitive measures applied., CONCLUSION: Thus, the low-threshold approach turned out to be effective primarily on subjective health-related QoL. This outcome could be a useful asset for organizations offering low-threshold physical activity interventions. DA - 2015/// PY - 2015 DO - 10.2147/CIA.S79360 VL - 10 IS - 101273480 SP - 885 EP - 95 J2 - Clin Interv Aging SN - 1178-1998 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26056438 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Quality of Life KW - *Exercise KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Health Promotion/og [Organization & Administration] KW - *Health Status KW - Aging KW - Austria ER - TY - JOUR TI - The Interplay of Genetics, Behavior, and Pain with Depressive Symptoms in the Elderly. AU - Klinedinst, N Jennifer AU - Resnick, Barbara AU - Yerges-Armstrong, Laura M AU - Dorsey, Susan G T2 - The Gerontologist AB - PURPOSE OF STUDY: About 25% of older adults suffer from depressive symptoms. Commonly studied candidate genes associated with depression include those that influence serotonin (SLC6A4), dopamine (COMT), or neuroplasticity (BDNF, NTRK3). However, the majority of candidate gene studies do not consider the interplay of genetics, demographic, clinical, and behavioral factors and how they jointly contribute to depressive symptoms among older adults. The purpose of this study was to gain a more comprehensive understanding of depressive symptoms among older adults., DESIGN AND METHODS: In this descriptive study, demographic, behavioral, and clinical characteristics (age, gender, comorbidities, volunteering, physical activity, pain, and fear of falling) were obtained via interview of 114 residents in a continuing care retirement community. Peripheral whole blood was collected for DNA extraction. We examined common single nucleotide polymorphisms (SNPs) in the aforementioned genes using path analyses., RESULTS: SNPs in the NTRK3 gene, pain, physical activity, and fear of falling were directly associated with depressive symptoms in older adults. Those who had polymorphisms in the NTRK3 gene, pain, fear of falling, and were less physically active were more likely to exhibit depressive symptoms. None of the SNPs in SLC6A4, COMT, or BDNF genes were significantly associated with depressive symptoms., IMPLICATIONS: Our use of a path analysis to examine a biopsychosocial model of depressive symptoms provided the opportunity to describe a comprehensive clinical picture of older adults at risk for depressive symptoms. Thus, interventions could be implemented to identify older adults at risk for depressive symptoms. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/geront/gnv015 VL - 55 Suppl 1 IS - fp5, 0375327 SP - S67 EP - 77 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26055783 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - Assisted Living Facilities KW - Interviews as Topic KW - Depression/di [Diagnosis] KW - Fear KW - Genotype KW - *Pain/px [Psychology] KW - Accidental Falls KW - *Brain-Derived Neurotrophic Factor/ge [Genetics] KW - *Catechol O-Methyltransferase/ge [Genetics] KW - *Depression/ge [Genetics] KW - *Linkage Disequilibrium KW - *Receptor, trkC/ge [Genetics] KW - *Serotonin Plasma Membrane Transport Proteins/ge [Genetics] KW - Depression/bl [Blood] KW - Genetic Predisposition to Disease/ge [Genetics] KW - Polymorphism, Single Nucleotide/ge [Genetics] ER - TY - JOUR TI - Function Focused Care for Assisted Living Residents With Dementia. AU - Galik, Elizabeth AU - Resnick, Barbara AU - Lerner, Nancy AU - Hammersla, Margaret AU - Gruber-Baldini, Ann L T2 - The Gerontologist AB - PURPOSE OF THE STUDY: Assisted living (AL) residents with dementia require assistance with activities of daily living, encounter limited opportunities to engage in physical activity, and often exhibit challenging behavioral symptoms. The Function Focused Care Intervention for the Cognitively Impaired (FFC-CI) teaches and motivates direct care workers (DCWs) to engage residents with dementia in activities that optimize function and activity while minimizing behavioral symptoms. The purpose of this study was to test the impact of FFC-CI on function, physical activity, behavior, and falls., DESIGN AND METHODS: A cluster-randomized trial included 96 residents with dementia and 76 DCWs from 4 ALs. Generalized estimating equations were used to evaluate outcomes at 3 and 6 months., RESULTS: There were no treatment by time differences with regard to resident behavior, mood, counts of physical activity based on actigraphy, falls, and function. There were significant increases in physical activity based on kilocalories burned (p = .001), time spent in physical activity based on survey results (p = .001), and time spent in repetitive behaviors, such as wandering (p = .01) among the control group over time. There were no treatment by time differences with regard to DCW beliefs, knowledge, or performance of FFC, except for less decline in job satisfaction among the treatment group (p = .002). Treatment fidelity with regard to delivery and receipt were poor due to high staff attrition in the treatment group (46% vs. 16%) and limited site support., IMPLICATIONS: The findings from this study can be used to adapt future FFC intervention studies to improve treatment fidelity and optimize intervention efficacy. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/geront/gnu173 VL - 55 Suppl 1 IS - fp5, 0375327 SP - S13 EP - 26 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26055774 KW - Adult KW - Female KW - Humans KW - Male KW - Outcome Assessment (Health Care) KW - Aged, 80 and over KW - *Activities of Daily Living KW - *Assisted Living Facilities KW - *Geriatric Nursing KW - *Patient-Centered Care/mt [Methods] KW - *Motor Activity KW - Dementia KW - Health Personnel/px [Psychology] KW - Job Satisfaction KW - *Health Personnel/ed [Education] KW - Geriatric Nursing/mt [Methods] ER - TY - JOUR TI - Vision Impairment Among Older Adults Residing in Subsidized Housing Communities. AU - Elliott, Amanda F AU - McGwin, Gerald Jr AU - Kline, Lanning B AU - Owsley, Cynthia T2 - The Gerontologist AB - PURPOSE OF THE STUDY: To examine the rate of vision impairment and the relationship between vision impairment, cognitive impairment, and chronic comorbid conditions in residents of federally subsidized senior housing facilities., DESIGN: Cross-sectional, observational study., METHODS: Vision screening events were held at 14 subsidized senior housing facilities in Jefferson County, Alabama for residents aged 60 years and older. Visual function (distance vision, near vision, and contrast sensitivity) measured with habitual correction if worn, cognitive status, and chronic comorbid conditions (hypertension, heart problems, circulation problems, and diabetes) were assessed., RESULTS: A total of 238 residents participated in the vision screenings. Most residents (75%) were African American. Vision impairment was common, with 40% of participants failing the distance acuity screening and 58% failing the near acuity screening; failure was defined as vision worse than 20/40 in either eye. Additionally, 65% failed the contrast sensitivity screening. A total of 30.6% of seniors had cognitive impairment. Regarding comorbid chronic conditions, 31% had circulation problems, 39% had diabetes, 41% had heart problems, and 76% had hypertension (59% had 2 or more of these). Visual acuity differed significantly between cognitive status groups and with the presence of heart and circulation problems., IMPLICATIONS: This study is among the first to provide information about vision impairment in this socioeconomically disadvantaged group of older adults. Vision impairment was common. Cognitive impairment and comorbid chronic conditions accounted for a small to moderate percentage of the variance in distance vision, near vision, and contrast sensitivity. Future studies should focus on strategies to facilitate access to eye care in this vulnerable population. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/geront/gnv028 VL - 55 Suppl 1 IS - fp5, 0375327 SP - S108 EP - 17 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26055771 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Comorbidity KW - Geriatric Assessment KW - Socioeconomic Factors KW - *Cognition Disorders/ep [Epidemiology] KW - *Vision Disorders/ep [Epidemiology] KW - Vision Disorders/pp [Physiopathology] KW - Visual Acuity/ph [Physiology] KW - *Visually Impaired Persons/sn [Statistics & Numerical Data] KW - Vision Disorders/di [Diagnosis] KW - *Vision Screening/sn [Statistics & Numerical Data] KW - Alabama/ep [Epidemiology] KW - Contrast Sensitivity ER - TY - JOUR TI - In What Daily Activities Do Patients Achieve Independence after Stroke?. AU - Morone, Giovanni AU - Paolucci, Stefano AU - Iosa, Marco T2 - Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association AB - BACKGROUND: The aim of the study is to determine the probability of achieving independence and the related prognostic factors with regard to single activities of daily living after 3 months of rehabilitation following stroke., METHODS: This longitudinal observational study, conducted in a neurorehabilitation unit of a research and health care institute, involved 435 subjects who were affected by stroke (age, 68 +/- 14 years, 230 men). Barthel index (BI) scores were recorded at admission and dismissal 3 months later., RESULTS: The highest improvement after rehabilitation was observed for bowel and bladder function and transfer and mobility, whereas the lowest improvement was seen in bathing, grooming, dressing, and stair climbing., CONCLUSIONS: Severity of stroke, presence of unilateral neglect, age, gender, and onset-to-admission interval (OAI) were significant prognostic factors for 6 of 10 activities, as assessed by BI subscores. Feeding was influenced only by neglect and OAI, whereas OAI did not affect bowel or bladder function recovery., PRACTICE: Patients and their relatives could be informed about the specific activities in which patients will be expected to be independent after rehabilitation and the specific needs that they might have on returning home., IMPLICATION: Our results might help optimize the management of the rehabilitative process. Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jstrokecerebrovasdis.2015.05.006 VL - 24 IS - 8 SP - 1931 EP - 7 J2 - J STROKE CEREBROVASC DIS SN - 1532-8511 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26051663 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - Retrospective Studies KW - Longitudinal Studies KW - *Independent Living/px [Psychology] KW - Severity of Illness Index KW - *Activities of Daily Living/px [Psychology] KW - *Stroke/px [Psychology] KW - Functional Laterality KW - Stroke Rehabilitation ER - TY - JOUR TI - Health-social partnership intervention programme for community-dwelling older adults: a research protocol for a randomized controlled trial. AU - Wong, Kwan Ching AU - Wong, Frances Kam Yuet AU - Chang, Katherine Ka Pik T2 - Journal of advanced nursing AB - AIM: This paper aims to describe the research protocol that will be used to determine the effectiveness of a health-social partnership intervention programme among community-dwelling older adults., BACKGROUND: Ageing in place is a preferred option for overcoming challenges of the increasing prevalence of chronic diseases and the risk for hospitalization associated with the ageing population. Nevertheless, our knowledge of how to implement this concept is limited. The integrated efforts of health and social services may help to enable older adults to live with a sense of control over their daily life and to be independent to the fullest extent possible in the community., DESIGN: This is a randomized, controlled trial., METHODS: Participants are community-dwelling older adults referred from a community centre. Sample size calculation was based on power analysis. The intervention group will receive the programme with the standard protocols guided by a comprehensive assessment-intervention-evaluation framework. Home visits and telephones follow-up will be employed as means of conducting the interventions and monitoring their progress. The customary care group will receive placebo social calls. The duration of the interventions will be 3 months. The study was funded by the School of Nursing in Hong Kong. Research Ethics Committee approval was obtained in September 2014., DISCUSSION: The results of this research are expected to enable older adults to stay in the community with optimal health and well-being. Health and social sciences are integrated into the practice in this research protocol. The scarce literature on this topic means that this study can also provide an opportunity to bridge the caring gap among older adults. Copyright © 2015 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/jan.12700 VL - 71 IS - 11 SP - 2673 EP - 85 J2 - J Adv Nurs SN - 1365-2648 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26040946 KW - Humans KW - Treatment Outcome KW - Aged KW - Middle Aged KW - Activities of Daily Living KW - Nutritional Status KW - Self Efficacy KW - Hong Kong KW - *Health Services for the Aged/og [Organization & Administration] KW - Personal Satisfaction KW - Exercise/ph [Physiology] KW - *Community Health Services/og [Organization & Administration] KW - Medication Adherence KW - Health Promotion/og [Organization & Administration] KW - *Partnership Practice ER - TY - JOUR TI - First experiences with a two-step method for discussing goals with community-dwelling frail older people. AU - Robben, Sarah H M AU - Heinen, Maud M AU - Perry, Marieke AU - van Achterberg, Theo AU - Olde Rikkert, Marcel G M AU - Schers, Henk J AU - Melis, Rene J F T2 - Health expectations : an international journal of public participation in health care and health policy AB - BACKGROUND: Although frail older people can be more reluctant to become involved in clinical decision making, they do want professionals to take their concerns and wishes into account. Discussing goals can help professionals to achieve this., OBJECTIVE: To describe the development of a two-step method for discussing goals with frail older people in primary care and professionals' first experiences with it., METHODS: The method consisted of (i) an open-ended question: If there is one thing we can do for you to improve your situation, what would you like? if necessary, followed by (ii) a bubble diagram with goal subject categories. We reviewed the goals elaborated with the method and surveyed professionals' (primary care nurses and social workers) experiences, using questions concerning time investment, reasons for not formulating goals, and perceived value of the method., RESULTS: One hundred and thirty-seven community-dwelling frail older people described 173 goals. These most frequently concerned mobility (n = 43; 24.9%), well-being (n = 52; 30.1%) and social context (n = 57; 32.9%). Professionals (n = 18) were generally positive about the method, as it improved their knowledge about what the frail older person valued. Not all frail older people formulated goals; reasons for this included being perfectly comfortable, not being used to discussing goals or cognitive problems limiting their ability to formulate goals., CONCLUSIONS: This two-step method for discussing goals can assist professionals in gaining insight into what a frail older person values. This can guide professionals and frail older people in choosing the most appropriate treatment option, thus increasing frail older people's involvement in decision making. Copyright © 2013 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/hex.12145 VL - 18 IS - 5 SP - 1559 EP - 66 J2 - Health Expect SN - 1369-7625 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26037690 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - *Frail Elderly KW - *Decision Making KW - Netherlands KW - *Patient Care Planning KW - Primary Care Nursing/mt [Methods] KW - Social Theory ER - TY - JOUR TI - Effect of person-centred care on antipsychotic drug use in nursing homes (EPCentCare): study protocol for a cluster-randomised controlled trial. AU - Richter, Christin AU - Berg, Almuth AU - Fleischer, Steffen AU - Kopke, Sascha AU - Balzer, Katrin AU - Fick, Eva-Maria AU - Sonnichsen, Andreas AU - Loscher, Susanne AU - Vollmar, Horst Christian AU - Haastert, Burkhard AU - Icks, Andrea AU - Dintsios, Charalabos-Markos AU - Mann, Eva AU - Wolf, Ursula AU - Meyer, Gabriele T2 - Implementation science : IS AB - BACKGROUND: The majority of nursing home residents with dementia experience behavioural and psychological symptoms like apathy, agitation, and anxiety. According to analyses of prescription prevalence in Germany, antipsychotic drugs are regularly prescribed as first-line treatment of neuropsychiatric symptoms in persons with dementia, although guidelines clearly prioritise non-pharmacological interventions. Frequently, antipsychotic drugs are prescribed for inappropriate reasons and for too long without regular reviewing. The use of antipsychotics is associated with adverse events like increased risk of falling, stroke, and mortality. The aim of the study is to investigate whether a person-centred care approach, successfully evaluated in nursing homes in the United Kingdom, can be implemented in German nursing homes and, in comparison with a control group, can result in a clinically relevant reduction of the proportion of residents with antipsychotic prescriptions., METHODS/DESIGN: The study is a cluster-randomised controlled trial comparing an intervention group (two-day initial training on person-centred care and ongoing training and support programme) with a control group. Both study groups will receive, as optimised usual care, a medication review by an experienced psychiatrist/geriatrician providing feedback to the prescribing physician. Overall, 36 nursing homes in East, North, and West Germany will be randomised. The primary outcome is the proportion of residents receiving at least one antipsychotic prescription (long-term medication) after 12 months of follow-up. Secondary outcomes are residents' quality of life, agitated behaviour, as well as safety parameters like falls and fall-related medical attention. A health economic evaluation and a process evaluation will be performed alongside the study., DISCUSSION: To improve care, a reduction of the current high prescription rate of antipsychotics in nursing homes by the intervention programme is expected., TRIAL REGISTRATION: ClinicalTrials.gov: NCT02295462. DA - 2015/// PY - 2015 DO - 10.1186/s13012-015-0268-3 VL - 10 IS - 101258411 SP - 82 J2 - Implement Sci SN - 1748-5908 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26037324 KW - Humans KW - Research Design KW - Quality of Life KW - Accidental Falls/sn [Statistics & Numerical Data] KW - Germany KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Patient-Centered Care/og [Organization & Administration] KW - Costs and Cost Analysis KW - *Antipsychotic Agents/ad [Administration & Dosage] KW - Antipsychotic Agents/tu [Therapeutic Use] KW - *Mental Disorders/th [Therapy] KW - Mental Disorders/et [Etiology] KW - *Psychomotor Agitation/th [Therapy] KW - Inservice Training KW - Psychomotor Agitation/et [Etiology] KW - Dementia/co [Complications] KW - Drug Utilization ER - TY - JOUR TI - The Women Independently Living Alone with a Medical Alert Device (WILMA) trial. AU - Morgenstern, Lewis B AU - Adelman, Eric E AU - Hughes, Rebecca AU - Wing, Jeffrey J AU - Lisabeth, Lynda D T2 - Translational stroke research AB - Women are more likely to live alone compared with men, and therefore have more difficulty activating emergency medical systems for stroke. The goal of this study was to examine the benefit of wearing medical alert devices to activate emergency medical systems for elderly women living alone. This was a randomized, controlled pilot trial. Women over 60 with at least 1 stroke risk factor were recruited from Southeast Michigan. Subjects received either a medical alert device or control. The primary outcome was change in health-related quality of life (HRQOL) from baseline to 90 days of wearing the device or control. A planned sample size of 320 could not be reached, and the trial was stopped at 265 women randomized prior to data examination. On average, the treatment group was older, reported lower prevalence of high cholesterol, and was less likely to complete follow-up. There was a nonsignificant smaller loss of healthy days in the past month in the intervention group (0.46) compared with the control group (2.23) (p = 0.213). Similarly, the secondary outcomes of changes in anxiety, depression, and changes in perceived isolation did not differ by treatment and control groups. This study did not establish improvement in HRQOL among women who wore the device compared with those that did not, nor the feasibility of a trial to study the efficacy of medical alert devices in elderly women. Newer devices that use cellular technology may be more accepted than the landline-based system used in this study. DA - 2015/// PY - 2015 DO - 10.1007/s12975-015-0411-0 VL - 6 IS - 5 SP - 355 EP - 60 J2 - Transl. stroke res. SN - 1868-601X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26031786 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - *Quality of Life KW - *Stroke/pc [Prevention & Control] KW - Pilot Projects KW - *Women's Health KW - *Computers, Handheld ER - TY - JOUR TI - Individual and contextual determinants of resident-on-resident abuse in nursing homes: a random sample telephone survey of adults with an older family member in a nursing home. AU - Schiamberg, Lawrence B AU - von Heydrich, Levente AU - Chee, Grace AU - Post, Lori A T2 - Archives of gerontology and geriatrics AB - Few empirical investigations of elder abuse in nursing homes address the frequency and determinants of resident-on-resident abuse (RRA). A random sample of 452 adults with an older adult relative, >=65 years of age, in a nursing home completed a telephone survey regarding elder abuse experienced by that elder family member. Using a Linear Structural Relations (LISREL) modeling design, the study examined the association of nursing home resident demographic characteristics (e.g., age, gender), health and behavioral characteristics (e.g., diagnosis of Alzheimer's Disease, Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), types of staff abuse (e.g., physical, emotional), and factors beyond the immediate nursing home setting (e.g., emotional closeness of resident with family members) with RRA. Mplus statistical software was used for structural equation modeling. Main findings indicated that resident-on-resident mistreatment of elderly nursing home residents is associated with the age of the nursing home resident, all forms of staff abuse, all ADLs and IADLs, and emotional closeness of the older adult to the family. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.archger.2015.05.003 VL - 61 IS - 2 SP - 277 EP - 84 J2 - Arch Gerontol Geriatr SN - 1872-6976 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26026215 KW - Female KW - Humans KW - Male KW - Family KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - *Activities of Daily Living KW - *Homes for the Aged KW - *Nursing Homes KW - Nursing Homes/sn [Statistics & Numerical Data] KW - *Elder Abuse/sn [Statistics & Numerical Data] KW - Physicians KW - *Telephone KW - Alzheimer Disease ER - TY - JOUR TI - Dehydration risk very high in care home residents. AU - Anonymous T2 - Nursing times DA - 2015/// PY - 2015 VL - 111 IS - 4 SP - 5 J2 - Nurs Times SN - 0954-7762 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26016105 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Prevalence KW - *Homes for the Aged KW - *Nursing Homes KW - Incidence KW - *Dehydration/ep [Epidemiology] ER - TY - JOUR TI - Long-term use of benzodiazepines and related drugs among community-dwelling individuals with and without Alzheimer's disease. AU - Taipale, Heidi AU - Koponen, Marjaana AU - Tanskanen, Antti AU - Tolppanen, Anna-Maija AU - Tiihonen, Jari AU - Hartikainen, Sirpa T2 - International clinical psychopharmacology AB - The aim of this study was to investigate the prevalence of benzodiazepine and related drug (BZDR) use, especially long-term use, and associated factors among community-dwelling individuals with and without Alzheimer's disease (AD). We utilized data from the MEDALZ-2005 cohort, which includes all community-dwelling individuals diagnosed with AD in Finland at the end of 2005 and matched comparison individuals without AD. Register-based data included prescription drug purchases, comorbidities, and hospital discharge diagnoses. In this study, 24,966 individuals with AD and 24,985 individuals without AD were included. During the 4-year follow-up, we found that 45% (N = 11,312) of individuals with AD and 38% (N = 9534) of individuals without AD used BZDRs. The prevalence of long-term (>= 180 days) BZDR use was more common among individuals with AD (30%) than individuals without AD (26%). The median durations of the first long-term use periods of BZDRs were 1.5 and 2 years for individuals with and without AD, respectively. Factors associated with long-term BZDR use included female sex, AD, schizophrenia, bipolar disorder, depression, coronary artery disease, and asthma/chronic obstructive pulmonary disease. The high prevalence of long-term BZDR use among individuals with AD is especially a cause for concern because long-term use may further impair cognition and may be associated with serious adverse events. DA - 2015/// PY - 2015 DO - 10.1097/YIC.0000000000000080 VL - 30 IS - 4 SP - 202 EP - 8 J2 - Int Clin Psychopharmacol SN - 1473-5857 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26011780 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Registries KW - Prevalence KW - *Independent Living KW - Time Factors KW - Inappropriate Prescribing KW - Sex Factors KW - Age Factors KW - Comorbidity KW - Finland/ep [Epidemiology] KW - Case-Control Studies KW - *Cognition KW - Alzheimer Disease/di [Diagnosis] KW - *Alzheimer Disease/px [Psychology] KW - Alzheimer Disease/ep [Epidemiology] KW - Drug Prescriptions KW - Drug Utilization Review KW - *Practice Patterns, Physicians' KW - Drug Administration Schedule KW - *Benzodiazepines/ad [Administration & Dosage] KW - Cognition/de [Drug Effects] KW - Benzodiazepines/ae [Adverse Effects] ER - TY - JOUR TI - Impact of care settings on residents' functional and psychosocial status, physical activity and adverse events. AU - Resnick, Barbara AU - Galik, Elizabeth T2 - International journal of older people nursing AB - BACKGROUND: Internationally, as the number of older adults increases, different types of care settings are evolving to address the care needs of this growing group of individuals., AIMS AND OBJECTIVES: The purpose of this study was to describe and compare clinical outcomes of residents with moderate to severe cognitive impairment living in residential care facilities (RCFs) and nursing homes (NHs)., DESIGN: This was a secondary data analysis that included data from two studies testing a Function-Focused Care for Cognitively Impaired (FFC-CI) Intervention., METHODS: A total of 96 participants were from RCFs and 103 were from NHs. Change scores over a 6-month period in RCF and NH residents were evaluated using a multivariate analysis of variance., RESULTS: Residential care facilities residents had more agitation, better function and engaged in approximately twice as much physical activity as those in NH settings at baseline. Controlling for treatment status and baseline differences, over 6 months, RCF residents showed a decrease of -22.77 +/- 41.47 kilocalories used in 24 hours while those in NHs increased to a mean of 10.49 +/- 33.65 kilocalories used. With regard to function, residents in RCFs declined 10.97 +/- 18.35 points on the Barthel Index, while those in NHs increased 10.18 +/- 19.56 points., CONCLUSIONS: In this sample, NH residents were more likely to be African American, had more comorbidities, less cognitive impairment, engaged in less physical activity, were more impaired functionally and had less agitation than those in RCFs. Controlling for treatment group status and baseline differences in comorbidities, cognitive status and race, residents in RCFs declined more in terms of functional and physical activity over a 6-month period., IMPLICATIONS FOR PRACTICE: Ongoing research and clinical work is needed to understand the impact of care settings on clinical outcomes. Copyright © 2015 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/opn.12086 VL - 10 IS - 4 SP - 273 EP - 83 J2 - Int J Older People Nurs SN - 1748-3743 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26011088 KW - Female KW - Humans KW - Male KW - Risk Factors KW - United States KW - Aged KW - *Homes for the Aged KW - *Nursing Homes KW - Nursing Assessment KW - Comorbidity KW - Geriatric Assessment KW - *Cognition Disorders/px [Psychology] KW - Motor Activity KW - *Residence Characteristics KW - *Inpatients/px [Psychology] KW - Geriatric Nursing KW - *Cognition Disorders/nu [Nursing] ER - TY - JOUR TI - Completed suicide among nursing home residents: a systematic review. AU - Murphy, Briony J AU - Bugeja, Lyndal AU - Pilgrim, Jennifer AU - Ibrahim, Joseph E T2 - International journal of geriatric psychiatry AB - OBJECTIVE: The aim of this study is to systematically review published research describing the frequency, nature, and contributing factors of completed suicides among nursing home residents., METHODS: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement, this review examined all original, peer-reviewed literature published in English between 1 January 1949 and 31 December 2013 describing completed suicides among nursing home residents. Information extracted for analysis included: study and population characteristics, method of suicide, potential risk factors, and interventions., RESULTS: Eight studies were identified; the majority (n = 5) conducted in the United States of America. There were 113 suicides in nursing homes reported in the literature, 101 with detailed information available for aggregate analysis. The majority were male (n = 62, 61.4%), aged between 61 and 93 years. Suicide was most commonly by hanging (n = 27, 38.0%) or falling from a height (n = 27, 38.0%). Risk factors were considered in a proportion of studies. Depression was examined in 27 cases and present in 18 (67%). Duration of residence was examined in 25 cases, 13 (52%) of which had resided in the nursing home less than 12 months. Physical health was examined in 22 cases, 11 (50%) of whom were experiencing physical decline. Prior suicidal behaviour, cognitive function, and personal loss were also examined. Organizational risk factors and intervention strategies were rarely considered., CONCLUSIONS: There is a paucity of research describing completed suicide among nursing home residents. More large-scale research is required using standardized methods for reporting information to better understand and prevent completed suicides in this setting. Copyright © 2015 John Wiley & Sons, Ltd. DA - 2015/// PY - 2015 DO - 10.1002/gps.4299 VL - 30 IS - 8 SP - 802 EP - 14 J2 - Int J Geriatr Psychiatry SN - 1099-1166 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26010874 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Status KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Nursing Homes/st [Standards] KW - Incidence KW - *Suicide/sn [Statistics & Numerical Data] KW - Suicide/px [Psychology] KW - Depressive Disorder/co [Complications] ER - TY - JOUR TI - Evaluation of Three State-of-the-Art Classifiers for Recognition of Activities of Daily Living from Smart Home Ambient Data. AU - Nef, Tobias AU - Urwyler, Prabitha AU - Buchler, Marcel AU - Tarnanas, Ioannis AU - Stucki, Reto AU - Cazzoli, Dario AU - Muri, Rene AU - Mosimann, Urs T2 - Sensors (Basel, Switzerland) AB - Smart homes for the aging population have recently started attracting the attention of the research community. The "health state" of smart homes is comprised of many different levels; starting with the physical health of citizens, it also includes longer-term health norms and outcomes, as well as the arena of positive behavior changes. One of the problems of interest is to monitor the activities of daily living (ADL) of the elderly, aiming at their protection and well-being. For this purpose, we installed passive infrared (PIR) sensors to detect motion in a specific area inside a smart apartment and used them to collect a set of ADL. In a novel approach, we describe a technology that allows the ground truth collected in one smart home to train activity recognition systems for other smart homes. We asked the users to label all instances of all ADL only once and subsequently applied data mining techniques to cluster in-home sensor firings. Each cluster would therefore represent the instances of the same activity. Once the clusters were associated to their corresponding activities, our system was able to recognize future activities. To improve the activity recognition accuracy, our system preprocessed raw sensor data by identifying overlapping activities. To evaluate the recognition performance from a 200-day dataset, we implemented three different active learning classification algorithms and compared their performance: naive Bayesian (NB), support vector machine (SVM) and random forest (RF). Based on our results, the RF classifier recognized activities with an average specificity of 96.53%, a sensitivity of 68.49%, a precision of 74.41% and an F-measure of 71.33%, outperforming both the NB and SVM classifiers. Further clustering markedly improved the results of the RF classifier. An activity recognition system based on PIR sensors in conjunction with a clustering classification approach was able to detect ADL from datasets collected from different homes. Thus, our PIR-based smart home technology could improve care and provide valuable information to better understand the functioning of our societies, as well as to inform both individual and collective action in a smart city scenario. DA - 2015/// PY - 2015 DO - 10.3390/s150511725 VL - 15 IS - 5 SP - 11725 EP - 40 J2 - Sensors (Basel) SN - 1424-8220 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26007727 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Cluster Analysis KW - *Assisted Living Facilities KW - *Activities of Daily Living/cl [Classification] KW - *Monitoring, Ambulatory/mt [Methods] KW - *Pattern Recognition, Automated/mt [Methods] KW - Wireless Technology KW - *Data Mining KW - Support Vector Machine ER - TY - JOUR TI - Co-production in practice: how people with assisted living needs can help design and evolve technologies and services. AU - Wherton, Joseph AU - Sugarhood, Paul AU - Procter, Rob AU - Hinder, Sue AU - Greenhalgh, Trisha T2 - Implementation science : IS AB - BACKGROUND: The low uptake of telecare and telehealth services by older people may be explained by the limited involvement of users in the design. If the ambition of 'care closer to home' is to be realised, then industry, health and social care providers must evolve ways to work with older people to co-produce useful and useable solutions., METHOD: We conducted 10 co-design workshops with users of telehealth and telecare, their carers, service providers and technology suppliers. Using vignettes developed from in-depth ethnographic case studies, we explored participants' perspectives on the design features of technologies and services to enable and facilitate the co-production of new care solutions. Workshop discussions were audio recorded, transcribed and analysed thematically., RESULTS: Analysis revealed four main themes. First, there is a need to raise awareness and provide information to potential users of assisted living technologies (ALTs). Second, technologies must be highly customisable and adaptable to accommodate the multiple and changing needs of different users. Third, the service must align closely with the individual's wider social support network. Finally, the service must support a high degree of information sharing and coordination., CONCLUSIONS: The case vignettes within inclusive and democratic co-design workshops provided a powerful means for ALT users and their carers to contribute, along with other stakeholders, to technology and service design. The workshops identified a need to focus attention on supporting the social processes that facilitate the collective efforts of formal and informal care networks in ALT delivery and use. DA - 2015/// PY - 2015 DO - 10.1186/s13012-015-0271-8 VL - 10 IS - 101258411 SP - 75 J2 - Implement Sci SN - 1748-5908 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26004047 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Communication KW - *Independent Living KW - Social Support KW - *Home Care Services/og [Organization & Administration] KW - Anthropology, Cultural KW - Equipment Design KW - *Telemedicine/is [Instrumentation] KW - *Telemedicine/og [Organization & Administration] KW - Awareness KW - Cooperative Behavior ER - TY - JOUR TI - A randomised controlled trial investigating the effects of Mediterranean diet and aerobic exercise on cognition in cognitively healthy older people living independently within aged care facilities: the Lifestyle Intervention in Independent Living Aged Care (LIILAC) study protocol [ACTRN12614001133628]. AU - Hardman, Roy J AU - Kennedy, Greg AU - Macpherson, Helen AU - Scholey, Andrew B AU - Pipingas, Andrew T2 - Nutrition journal AB - BACKGROUND: The rapid ageing of the population is becoming an area of great concern, both globally and in Australia. On a societal level, the cost of supporting an ageing demographic, particularly with their associated medical requirements, is becoming an ever increasing burden that is only predicted to rise in the foreseeable future. The progressive decline in individuals' cognitive ability as they age, particularly with respect to the ever increasing incidence of Alzheimer's Disease (AD) and other cognitive complications, is in many respects one of the foundation stones of these concerns. There have been numerous observational studies reporting on the positive effects that aerobic exercise and the Mediterranean diet appear to have on improving cognitive ability. However, the ability of such interventions to improve cognitive ability, or even reduce the rate of cognitive ageing, has not been fully examined by substantial interventional studies within an ageing population., METHODS: The LIILAC trial will investigate the potential for cognitive change in a cohort of cognitively healthy individuals, between the ages of 60 and 90 years, living in independent accommodation within Australian aged care facilities. This four-arm trial will investigate the cognitive changes which may occur as a result of the introduction of aerobic exercise and/or Mediterranean diet into individuals' lifestyles, as well as the mechanisms by which these changes may be occurring. Participants will be tested at baseline and 6 months on a battery of computer based cognitive assessments, together with cardiovascular and blood biomarker assessments. The cardiovascular measures will assess changes in arterial stiffness and central pulse pressures, while the blood measures will examine changes in metabolic profiles, including brain derived neurotrophic factor (BDNF), inflammatory factors and insulin sensitivity., CONCLUSION: It is hypothesised that exercise and Mediterranean diet interventions, both individually and in combination, will result in improvements in cognitive performance compared with controls. Positive findings in this research will have potential implications for the management of aged care, particularly in respect to reducing the rate of cognitive decline and the associated impacts both on the individual and the broader community., TRIAL REGISTRATION: Australia New Zealand Clinical Trial Registry- ACTRN12614001133628. DA - 2015/// PY - 2015 DO - 10.1186/s12937-015-0042-z VL - 14 IS - 101152213 SP - 53 J2 - Nutr J SN - 1475-2891 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26003546 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Australia KW - Time Factors KW - *Exercise KW - *Independent Living/sn [Statistics & Numerical Data] KW - Sex Factors KW - *Aging/px [Psychology] KW - Biomarkers/bl [Blood] KW - *Cognition KW - *Diet, Mediterranean KW - Blood Pressure/de [Drug Effects] KW - Insulin Resistance KW - Brain-Derived Neurotrophic Factor/bl [Blood] KW - Inflammation/dh [Diet Therapy] KW - Vascular Stiffness/de [Drug Effects] ER - TY - JOUR TI - Self-Care Self-Efficacy Correlates with Independence in Basic Activities of Daily Living in Individuals with Chronic Stroke. AU - Frost, Yael AU - Weingarden, Harold AU - Zeilig, Gabi AU - Nota, Ayala AU - Rand, Debbie T2 - Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association AB - BACKGROUND: (1) To characterize the self-care self-efficacy (SCSE) of community dwelling individuals with chronic stroke and (2) to determine the contribution of SCSE to the independence in basic and instrumental activities of daily living (BADL and IADL) and the participation of individuals with chronic stroke. SCSE is the confidence in one's own ability to perform self-care activities., METHODS: This cross-sectional study included fifty community-dwelling individuals mean (SD) age 59.8 (9.3) years, mean (SD) 3.1 (1.7) years post-stroke who were able to walk at least 10 meters. SCSE was assessed using the Stroke Self-Efficacy Questionnaire (SSEQ), BADL was assessed by the Functional Independence Measure (FIM) (interview), the IADL questionnaire assessed IADL and the Physical Activity Scale for Individuals with Physical Disabilities (PASIPD) assessed participation. Correlation and regression analyses were performed after controlling for grip strength, executive functions and gait speed, factors known to influence independence in daily living., RESULTS: The mean SCSE level was moderate-high (70%). Significant moderate correlations were found between SCSE to independence in BADL (r = .596, P < .001), IADL (r = .567, P < .001) and participation (r = .340, P < .005). SCSE of our cohort explained 7.4% of the variance of the individual's independence in BADL after controlling for executive functions and gait speed, but did not contribute to their independence in IADL and participation., CONCLUSIONS: Higher SCSE of individuals with chronic stroke contributes to more independence in BADL. Additional questionnaires regarding self efficacy for IADL should be developed and investigated. Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jstrokecerebrovasdis.2015.03.054 VL - 24 IS - 7 SP - 1649 EP - 55 J2 - J STROKE CEREBROVASC DIS SN - 1532-8511 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25997978 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Chronic Disease KW - Health Status KW - *Independent Living KW - Time Factors KW - *Activities of Daily Living KW - Stroke/pp [Physiopathology] KW - Stroke/px [Psychology] KW - Cross-Sectional Studies KW - Depression/di [Diagnosis] KW - *Surveys and Questionnaires KW - Mental Health KW - Depression/px [Psychology] KW - *Self Care KW - *Disability Evaluation KW - Predictive Value of Tests KW - *Stroke/di [Diagnosis] KW - *Self Efficacy KW - Depression/pc [Prevention & Control] KW - Stroke Rehabilitation ER - TY - JOUR TI - Weight loss and undernutrition in community-dwelling patients with Alzheimer's dementia: From population based studies to clinical management. AU - Droogsma, E AU - van Asselt, D AU - De Deyn, P P T2 - Zeitschrift fur Gerontologie und Geriatrie AB - Weight loss and undernutrition are commonly described in patients with Alzheimer's disease (AD) and have been associated with various adverse outcomes. Therefore, it is important to know what the best approach is to community-dwelling AD patients with a risk of developing a poor nutritional status; however, there is currently no evidence on which to base nutritional recommendations. Expert based recommendations are that the nutritional status should be part of the work-up of all AD patients. If weight loss of 5% or more has occurred in 3-6 months or if the mini-nutritional assessment (MNA) classifies a patient as undernourished, a nutritional intervention should be started. The intervention should be multifactorial and encompass treatment of the underlying proposed causes and risk factors of weight loss and undernutrition as well as improvement of the nutritional status by increasing energy and protein intake combined with daily physical activity. DA - 2015/// PY - 2015 DO - 10.1007/s00391-015-0891-2 VL - 48 IS - 4 SP - 318 EP - 24 J2 - Z Gerontol Geriatr SN - 1435-1269 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25990006 KW - Humans KW - Risk Factors KW - Aged KW - *Independent Living KW - Comorbidity KW - Independent Living/sn [Statistics & Numerical Data] KW - Nutrition Assessment KW - Independent Living/px [Psychology] KW - *Alzheimer Disease/ep [Epidemiology] KW - Alzheimer Disease/di [Diagnosis] KW - Alzheimer Disease/px [Psychology] KW - Alzheimer Disease/th [Therapy] KW - Combined Modality Therapy KW - *Weight Loss KW - *Protein-Energy Malnutrition/ep [Epidemiology] KW - Protein-Energy Malnutrition/di [Diagnosis] KW - Protein-Energy Malnutrition/px [Psychology] KW - Protein-Energy Malnutrition/th [Therapy] ER - TY - JOUR TI - Re: Association between self-reported urinary incontinence and musculoskeletal conditions in community-dwelling elderly women: a cross-sectional study. AU - Griebling, Tomas L T2 - The Journal of urology T3 - [Comment on: Neurourol Urodyn. 2015 Apr;34(4):322-6; PMID: 24470339 [https://www.ncbi.nlm.nih.gov/pubmed/24470339]] DA - 2015/// PY - 2015 DO - 10.1016/j.juro.2015.03.050 VL - 193 IS - 6 SP - 2035 EP - 6 J2 - J Urol SN - 1527-3792 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25986817 KW - Female KW - Humans KW - *Independent Living KW - *Self Report KW - *Urinary Incontinence/ep [Epidemiology] KW - *Musculoskeletal Diseases/ep [Epidemiology] ER - TY - JOUR TI - Epidemiology of falls among older adults: A cross sectional study from Chandigarh, India. AU - Tripathy, Nalini K AU - Jagnoor, Jagnoor AU - Patro, Binod K AU - Dhillon, Mandeep S AU - Kumar, Rajesh T2 - Injury AB - BACKGROUND: Fall is an important cause of injury morbidity in older adults. However, epidemiological information on fall is limited in low- and middle-income countries. We investigated the extent, pattern, characteristics, and context of falls in Chandigarh., METHODS: A cross sectional survey was carried out among 300 persons (>=60 years), sampled from urban, rural and slums areas of Chandigarh, India from March 2011 to October 2012 using multistage cluster sampling. A pre-tested interview schedule was used and relevant medical examinations were conducted. Multivariable logistic regression was carried out to estimate Odds Ratio (OR) and 95% confidence interval (CI)., RESULTS: In the past one year, 31% (92/300) respondents reported one or more falls. On an average 0.67 fall episodes occurred/person/year (202/300). Most (68%; 63/92) falls occurred at home; 75% (47/63) occurred while carrying out activities such as toileting, bathing, sleeping and eating etc. Injuries due to falls were reported by 67% (62/92). In these cases, lower extremities, 37% (23/62) were the most common site of injury. Eight percent (5/62) reported fractures. A general physician was consulted by 44% (27/62), and 11% (7/62) utilized emergency services whilst another 11% (7/62) of fall injuries required hospital admission. Risk of fall was higher among females (OR 1.6, 95%CI 1.0-2.8, p 0.068), those taking four or more medicines (OR 2.1, 95%CI 1.2-3.5, p 0.009) and having poor body balance (OR 1.9, 95%CI 1.0-3.4, p 0.037)., CONCLUSION: Fall injuries were common in older adults of Chandigarh. Large cohort studies are needed to identify risk factors particularly those related to home environment. Copyright © 2015 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.injury.2015.04.037 VL - 46 IS - 9 SP - 1801 EP - 5 J2 - Injury SN - 1879-0267 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25986666 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Activities of Daily Living KW - Prevalence KW - Cross-Sectional Studies KW - Accidental Falls/pc [Prevention & Control] KW - *Hospitalization/sn [Statistics & Numerical Data] KW - Odds Ratio KW - India/ep [Epidemiology] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - *Wounds and Injuries/ep [Epidemiology] KW - Environment Design KW - *Chronic Disease/ep [Epidemiology] KW - Wounds and Injuries/pc [Prevention & Control] ER - TY - JOUR TI - Outcomes of burns in the elderly: revised estimates from the Birmingham Burn Centre. AU - Wearn, Christopher AU - Hardwicke, Joseph AU - Kitsios, Andreas AU - Siddons, Victoria AU - Nightingale, Peter AU - Moiemen, Naiem T2 - Burns : journal of the International Society for Burn Injuries T3 - [Comment in: Burns. 2015 Nov;41(7):1617-8; PMID: 26382825 [https://www.ncbi.nlm.nih.gov/pubmed/26382825]][Comment in: Burns. 2015 Nov;41(7):1616-7; PMID: 26385827 [https://www.ncbi.nlm.nih.gov/pubmed/26385827]] AB - Outcomes after burn have continued to improve over the last 70 years in all age groups including the elderly. However, concerns have been raised that survival gains have not been to the same magnitude in elderly patients compared to younger age groups. The aims of this study were to analyze the recent outcomes of elderly burn injured patients admitted to the Birmingham Burn Centre, compare data with a historical cohort and published data from other burn centres worldwide. A retrospective review was conducted of all patients >=65 years of age, admitted to our centre with cutaneous burns, between 2004 and 2012. Data was compared to a previously published historical cohort (1999-2003). 228 patients were included. The observed mortality for the study group was 14.9%. The median age of the study group was 79 years, the male to female ratio was 1:1 and median Total Body Surface Area (TBSA) burned was 5%. The incidence of inhalation injury was 13%. Median length of stay per TBSA burned for survivors was 2.4 days/% TBSA. Mortality has improved in all burn size groups, but differences were highly statistically significant in the medium burn size group (10-20% TBSA, p<=0.001). Burn outcomes in the elderly have improved over the last decade. This reduction has been impacted by a reduction in overall injury severity but is also likely due to general improvements in burn care, improved infrastructure, implementation of clinical guidelines and increased multi-disciplinary support, including Geriatric physicians. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.burns.2015.04.008 VL - 41 IS - 6 SP - 1161 EP - 8 J2 - Burns SN - 1879-1409 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25983286 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - Cohort Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Age Factors KW - Comorbidity KW - *Patient Discharge/sn [Statistics & Numerical Data] KW - Incidence KW - Diabetes Mellitus/ep [Epidemiology] KW - Hypertension/ep [Epidemiology] KW - *Burns/mo [Mortality] KW - United Kingdom/ep [Epidemiology] KW - Body Surface Area KW - Burn Units KW - Burns/ep [Epidemiology] KW - Smoke Inhalation Injury/ep [Epidemiology] KW - Smoke Inhalation Injury/mo [Mortality] KW - Trauma Severity Indices ER - TY - JOUR TI - A multi-organisation aged care emergency service for acute care management of older residents in aged care facilities. AU - Conway, Jane AU - Dilworth, Sophie AU - Hullick, Carolyn AU - Hewitt, Jacqueline AU - Turner, Catherine AU - Higgins, Isabel T2 - Australian health review : a publication of the Australian Hospital Association AB - This case study describes a multi-organisation aged care emergency (ACE) service. The service was designed to enable point-of-care assessment and management for older people in residential aged care facilities (RACFs). Design of the ACE service involved consultation and engagement of multiple key stakeholders. The ACE service was implemented in a large geographical region of a single Medicare Local (ML) in New South Wales, Australia. The service was developed over several phases. A case control pilot evaluation of one emergency department (ED) and four RACFs revealed a 16% reduction in presentations to the ED as well as reductions in admission to the hospital following ED presentation. Following initial pilot work, the ACE service transitioned across another five EDs and 85 RACFs in the local health district. The service has now been implemented in a further 10 sites (six metropolitan and four rural EDs) across New South Wales. Ongoing evaluation of the implementation continues to show positive outcomes. The ACE service offers a model shown to reduce ED presentations and admissions from RACFs, and provide quality care with a focus on the needs of the older person. DA - 2015/// PY - 2015 DO - 10.1071/AH15049 VL - 39 IS - 5 SP - 514 EP - 516 J2 - Aust Health Rev SN - 0156-5788 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25981903 KW - Humans KW - Aged KW - Models, Organizational KW - Focus Groups KW - Qualitative Research KW - *Homes for the Aged KW - Interviews as Topic KW - New South Wales KW - Pilot Projects KW - Organizational Case Studies KW - *Emergency Medical Services/og [Organization & Administration] KW - *Critical Care/og [Organization & Administration] ER - TY - JOUR TI - Construct validity of the Groningen Frailty Indicator established in a large sample of home-dwelling elderly persons: Evidence of stability across age and gender. AU - Peters, L L AU - Boter, H AU - Burgerhof, J G M AU - Slaets, J P J AU - Buskens, E T2 - Experimental gerontology AB - BACKGROUND: The primary objective of the present study was to evaluate the validity of the Groningen Frailty Indicator (GFI) in a sample of Dutch elderly persons participating in LifeLines, a large population-based cohort study. Additional aims were to assess differences between frail and non-frail elderly and examine which individual characteristics were associated with frailty., METHODS: By December 2012, 5712 elderly persons were enrolled in LifeLines and complied with the inclusion criteria of the present study. Mann-Whitney U or Kruskal-Wallis tests were used to assess the variability of GFI-scores among elderly subgroups that differed in demographic characteristics, morbidity, obesity, and healthcare utilization. Within subgroups Kruskal-Wallis tests were also used to examine differences in GFI-scores across age groups. Multivariate logistic regression analyses were performed to assess associations between individual characteristics and frailty., RESULTS: The GFI discriminated between subgroups: statistically significantly higher GFI-median scores (interquartile range) were found in e.g. males (1 [0-2]), the oldest old (2 [1-3]), in elderly who were single (1 [0-2]), with lower socio economic status (1 [0-3]), with increasing co-morbidity (2 [1-3]), who were obese (2 [1-3]), and used more healthcare (2 [1-4]). Overall age had an independent and statistically significant association with GFI scores. Compared with the non-frail, frail elderly persons experienced statistically significantly more chronic stress and more social/psychological related problems. In the multivariate logistic regression model, psychological morbidity had the strongest association with frailty., CONCLUSION: The present study supports the construct validity of the GFI and provides an insight in the characteristics of (non)frail community-dwelling elderly persons participating in LifeLines. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.exger.2015.05.006 VL - 69 IS - epq, 0047061 SP - 129 EP - 41 J2 - Exp Gerontol SN - 1873-6815 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25981741 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Research Design KW - Reproducibility of Results KW - Activities of Daily Living KW - *Independent Living KW - Cohort Studies KW - Patient Acceptance of Health Care/px [Psychology] KW - Geriatric Assessment/mt [Methods] KW - Sex Factors KW - Comorbidity KW - Independent Living/sn [Statistics & Numerical Data] KW - *Frail Elderly KW - Frail Elderly/sn [Statistics & Numerical Data] KW - Patient Acceptance of Health Care/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Independent Living/px [Psychology] KW - *Health Services for the Aged KW - Frail Elderly/px [Psychology] KW - *Patient Acceptance of Health Care KW - Netherlands/ep [Epidemiology] KW - Health Services for the Aged/sn [Statistics & Numerical Data] KW - Health Status Indicators ER - TY - JOUR TI - [Mapping of risks related to medication care in nursing homes: An overview in Alsace - France]. AU - Weber, K AU - Beck, M AU - Rybarczyk-Vigouret, M C AU - Michel, B T2 - Cartographie des risques lies a la prise en charge medicamenteuse en EHPAD : etat des lieux en region Alsace - France. AB - BACKGROUND: Medication care of patients in nursing homes involves a complex circuit whose related risks need to be identified. The aim of this study was first to map risks related to medication care in a representative panel of nursing homes under contract with community pharmacies in Alsace, then to propose improvement action plans to remedy the weaknesses identified., METHODS: This study was conducted on a representative sample of 23 nursing homes in Alsace in 2014. A self-assessment questionnaire (Interdiag EHPAD), divided into 7 fields and made up of 198 questions, was completed by each of the 23 nursing homes during multidisciplinary meetings that were organized by the OMEDIT (observatoire du medicament, des dispositifs medicaux et de l'innovation therapeutique of Alsace). The percentages of controlled risks were calculated for each of the 7 fields of the medication circuit, both at nursing home and regional levels. Similarly, the percentages of non-controlled risks were calculated for each of the 198 items., RESULTS: Considering the 7 fields, regional percentages of controlled risks varied from 63% to 85%. The field relative to drug supply was the best controlled, while that relative to prevention was the least controlled. Considering the 198 items, 30 important vulnerability points were identified, among which stand out: failure to report and to analyze adverse drug events, lack of involvement of general practitioner in nursing homes through collaborative approaches and transcription by nurse staff of oral or handwritten prescriptions in medical software. The analysis of those items led to the proposal of 13 improvement actions., CONCLUSION: The study pointed out mainly difficulties linked to the absence of suitable risk management policies and the lack of adjustment between nursing home staffs and general practitioners. In contrast, it revealed that the collaboration between nursing homes and community pharmacies was successful overall. Finally, we hope that this multi-center study, that led to identify concrete proposals, will help nursing homes to improve the quality of medication care for their residents. Copyright © 2015 Elsevier Masson SAS. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.respe.2015.03.123 VL - 63 IS - 3 SP - 163 EP - 72 J2 - Rev Epidemiol Sante Publique SN - 0398-7620 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25975776 KW - Humans KW - Aged KW - Risk Assessment KW - Surveys and Questionnaires KW - *Homes for the Aged KW - *Nursing Homes KW - France KW - *Drug Therapy/sn [Statistics & Numerical Data] KW - *Risk Management ER - TY - JOUR TI - "We Have to Work Within the System!": Staff Perceptions of Organizational Barriers to Decision Making for Older Adults With Dementia in Australian Aged Care Facilities. AU - Tarzia, Laura AU - Fetherstonhaugh, Deirdre AU - Bauer, Michael AU - Beattie, Elizabeth AU - Nay, Rhonda T2 - Research in gerontological nursing AB - The current study explored the perceptions of direct care staff working in Australian residential aged care facilities (RACFs) regarding the organizational barriers that they believe prevent them from facilitating decision making for individuals with dementia. Normalization process theory (NPT) was used to interpret the findings to understand these barriers in a broader context. The qualitative study involved semi-structured interviews (N = 41) and focus groups (N = 8) with 80 direct care staff members of all levels working in Australian RACFs. Data collection and analysis were conducted in parallel and followed a systematic, inductive approach in line with grounded theory. The perceptions of participants regarding the organizational barriers to facilitating decision making for individuals with dementia can be described by the core category, Working Within the System, and three sub-themes: (a) finding time, (b) competing rights, and (c) not knowing. Examining the views of direct care staff through the lens of NPT allows possible areas for improvement to be identified at an organizational level and the perceived barriers to be understood in the context of promoting normalization of decision making for individuals with dementia. Copyright 2015, SLACK Incorporated. DA - 2015/// PY - 2015 DO - 10.3928/19404921-20150413-01 VL - 8 IS - 6 SP - 286 EP - 92 J2 - Res. gerentol. nurs. SN - 1938-2464 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25975346 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Australia KW - Focus Groups KW - Qualitative Research KW - *Health Personnel/px [Psychology] KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Attitude of Health Personnel KW - *Decision Making KW - *Geriatric Nursing/mt [Methods] KW - Organizational Culture KW - *Dementia/nu [Nursing] ER - TY - JOUR TI - Health Outcomes of Obtaining Housing Among Older Homeless Adults. AU - Brown, Rebecca T AU - Miao, Yinghui AU - Mitchell, Susan L AU - Bharel, Monica AU - Patel, Mitkumar AU - Ard, Kevin L AU - Grande, Laura J AU - Blazey-Martin, Deborah AU - Floru, Daniella AU - Steinman, Michael A T2 - American journal of public health AB - OBJECTIVES: We determined the impact of obtaining housing on geriatric conditions and acute care utilization among older homeless adults., METHODS: We conducted a 12-month prospective cohort study of 250 older homeless adults recruited from shelters in Boston, Massachusetts, between January and June 2010. We determined housing status at follow-up, determined number of emergency department visits and hospitalizations over 12 months, and examined 4 measures of geriatric conditions at baseline and 12 months. Using multivariable regression models, we evaluated the association between obtaining housing and our outcomes of interest., RESULTS: At 12-month follow-up, 41% of participants had obtained housing. Compared with participants who remained homeless, those with housing had fewer depressive symptoms. Other measures of health status did not differ by housing status. Participants who obtained housing had a lower rate of acute care use, with an adjusted annualized rate of acute care visits of 2.5 per year among participants who obtained housing and 5.3 per year among participants who remained homeless., CONCLUSIONS: Older homeless adults who obtained housing experienced improved depressive symptoms and reduced acute care utilization compared with those who remained homeless. DA - 2015/// PY - 2015 DO - 10.2105/AJPH.2014.302539 VL - 105 IS - 7 SP - 1482 EP - 8 J2 - Am J Public Health SN - 1541-0048 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25973822 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Health Status KW - *Homeless Persons/sn [Statistics & Numerical Data] KW - *Housing/sn [Statistics & Numerical Data] KW - Depression/ep [Epidemiology] KW - Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - Hospitalization/sn [Statistics & Numerical Data] KW - Boston/ep [Epidemiology] KW - Homeless Persons/px [Psychology] ER - TY - JOUR TI - [Pain medication in nursing home residents with and without cancer. Most frequently with metamizole]. AU - Schulze, J AU - Freitag, M H AU - Glaeske, G AU - Schmiemann, G AU - Hoffmann, F T2 - Schmerzmittelversorgung von Pflegeheimbewohnern mit und ohne Krebserkrankung. Am haufigsten mit Metamizol. AB - BACKGROUND: Pain is a highly prevalent symptom in nursing home residents. The analgesic pharmacotherapy of older adults is associated with challenges; however, studies from Germany examining the prescription pattern of analgesics in nursing home residents are rare., OBJECTIVES: This study was carried out to examine the prescription of analgesics in nursing home residents with and without the diagnosis of cancer., MATERIAL AND METHODS: Using health insurance claims data persons aged >= 65 years who were newly admitted to a nursing home between 2004 and 2009 and who survived at least the first 90 days after admission were included in the study. Cancer was identified by outpatient diagnoses of malignant neoplasms (ICD-10: C00-C97). Prescription drugs within the first 90 days after admission to a nursing home were analyzed which means that aspirin and acetaminophen were not taken into account., RESULTS: A total of 5549 nursing home residents were included, who were on average 81.5 years old (56.8 % females). More than half (53.5 %) were assigned to care level I and 781 (14.1 %) were diagnosed with cancer. The study cohort received on average 7.8 different medications (with vs. without cancer: 8.6 vs. 7.6, respectively) and 43.8 % had prescriptions for analgesics (with vs. without cancer: 52.5 vs. 42.3 %, respectively). A total of 37.1 % were taking WHO step 1 analgesics (step 2: 11.4 % and step 3: 9.2 %). The proportion of persons receiving metamizole (dipyrone) was 28.3 % (with vs. without cancer: 35.6 vs. 27.1 %, respectively). Regarding all prescriptions, metamizole was by far the most frequently prescribed medication in nursing homes followed by melperone and omeprazole., CONCLUSION: Approximately one third of nursing home residents received metamizole and most were long-term prescriptions. Considering that metamizole is associated with potentially life-threatening adverse effects, caution is indicated particularly when prescribed over long periods. DA - 2015/// PY - 2015 DO - 10.1007/s00482-015-0003-7 VL - 29 IS - 3 SP - 276 EP - 84 J2 - Schmerz SN - 1432-2129 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25966865 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cohort Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Germany KW - *Analgesics/tu [Therapeutic Use] KW - Health Services Research KW - Pain Measurement KW - *Drug Utilization/sn [Statistics & Numerical Data] KW - Drug Therapy, Combination KW - *Cancer Pain/dt [Drug Therapy] KW - *Dipyrone/tu [Therapeutic Use] KW - *Pain, Intractable/dt [Drug Therapy] KW - Butyrophenones/tu [Therapeutic Use] KW - Cancer Pain/cl [Classification] KW - Omeprazole/tu [Therapeutic Use] KW - Pain, Intractable/cl [Classification] ER - TY - JOUR TI - Housing interventions and health: Quantifying the impact of indoor particles on mortality and morbidity with disease recovery. AU - Milner, James AU - Chalabi, Zaid AU - Vardoulakis, Sotiris AU - Wilkinson, Paul T2 - Environment international AB - Housing interventions for energy efficiency and greenhouse gas emission reduction have the potential to reduce exposure to indoor air pollution if they are implemented correctly. This work assessed the health impacts of home energy efficiency measures in England and Wales resulting in a reduction in average indoor PM2.5 exposures of 3 mug m(-3). The assessment was performed using a new multistate life table model which allows transition into and between multiple morbid states, including recovery to disease-free status and relapse, with transition rates informed by age- and cause-specific disease prevalence, incidence and mortality data. Such models have not previously included disease recovery. The results demonstrate that incorporation of recovery in the model is necessary for conditions such as asthma which have high incidence in early life but likelihood of recovery in adulthood. The impact assessment of the home energy efficiency intervention showed that the reduction in PM2.5 exposure would be associated with substantial benefits for mortality and morbidity from asthma, coronary heart disease and lung cancer. The overall impact would be an increase in life expectancy of two to three months and approximately 13 million QALYs gained over the 90 year follow-up period. Substantial quality-of-life benefits were also observed, with a decrease in asthma over all age groups and larger benefits due to reduced coronary heart disease and lung cancer, particularly in older age groups. The multistate model with recovery provides important additional information for assessing the impact on health of environmental policies and interventions compared with mortality-only life tables, allowing more realistic representation of diseases with substantial non-mortality burdens. Copyright © 2015 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.envint.2015.04.011 VL - 81 IS - du1, 7807270 SP - 73 EP - 9 J2 - Environ Int SN - 1873-6750 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25958127 KW - Humans KW - Prevalence KW - *Housing KW - Asthma/ep [Epidemiology] KW - Incidence KW - England/ep [Epidemiology] KW - Wales/ep [Epidemiology] KW - Morbidity KW - Life Expectancy KW - *Air Pollutants/an [Analysis] KW - *Particulate Matter/an [Analysis] KW - *Air Pollution, Indoor/an [Analysis] KW - *Life Tables KW - Conservation of Energy Resources ER - TY - JOUR TI - Survey of infection control and antimicrobial stewardship practices in Australian residential aged-care facilities. AU - Stuart, R L AU - Marshall, C AU - Orr, E AU - Bennett, N AU - Athan, E AU - Friedman, D AU - Reilly, M AU - Members of RACRIG (Residential Aged Care Research Interest Group) T2 - Internal medicine journal A2 - Barbosa D, Ferguson J, Forrest J, Chen L, Callard M, Richards M, Schousboe M, Berenger S, Pye D, Smith M, Wishart M, Buising K AB - This study assessed infection prevention and antimicrobial stewardship (AMS) practices in Australian residential aged-care facilities (RACF). Two hundred and sixty-five surveys (15.6%) were completed with all states represented and the majority (177 (67.3%)) privately run. Only 30.6% RACF had infection control trained staff on site. Few facilities had AMS policies, only 14% had antimicrobial prescribing restrictions. Most facilities offered vaccination to residents (influenza vaccination rates >75% in 73% of facilities), but pneumococcal vaccination was poor. Copyright © 2015 Royal Australasian College of Physicians. DA - 2015/// PY - 2015 DO - 10.1111/imj.12740 VL - 45 IS - 5 SP - 576 EP - 80 J2 - Intern Med J SN - 1445-5994 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25955463 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Practice Guidelines as Topic KW - Population Surveillance KW - Health Care Surveys KW - *Vaccination/sn [Statistics & Numerical Data] KW - *Homes for the Aged/st [Standards] KW - Quality Improvement KW - *Residential Facilities/st [Standards] KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Australia/ep [Epidemiology] KW - Vulnerable Populations KW - *Guideline Adherence KW - *Infection Control/st [Standards] KW - Influenza, Human/ep [Epidemiology] KW - Anti-Bacterial Agents/ad [Administration & Dosage] KW - *Influenza, Human/pc [Prevention & Control] KW - Guideline Adherence/sn [Statistics & Numerical Data] KW - Residential Facilities/sn [Statistics & Numerical Data] KW - Disease Outbreaks/pc [Prevention & Control] KW - Disease Outbreaks/sn [Statistics & Numerical Data] KW - *Pneumonia, Pneumococcal/pc [Prevention & Control] KW - Pneumonia, Pneumococcal/ep [Epidemiology] ER - TY - JOUR TI - A predictive model of apartment-living based on socio-economic and demographic factors with health-based approach in Iran. AU - Bagheri, Pezhman AU - Armanmehr, Vajihe AU - Moradi, Noorallah AU - Moshki, Mahdi T2 - Global journal of health science AB - OBJECTIVE: Due to importance and progressive growth of apartment-living phenomenon in the world today, it is essential to survey the different dimensions of this modern lifestyle. The aim of this study is to predict rate of apartment-living based on the different predicted variables of socio-economic and demographic factors with approach to different health aspects., METHODS: A descriptive- analytic study was carried out between 600 apartment and 800 non-apartment residents in the Shiraz (Southern Region of Iran) through multi-stage cluster sampling during the year 2011. The statistical analysis was performed on the obtained data using multi-variable logistic regression as well as ANOVA analysis., RESULT: the rate for apartment-living in above 30 years old age group was 8.31 times more than 15-30 years old, 9.6 times more in employed vs. unemployed; 6.57 and 9.49 times more in families with average and high monthly incomes, respectively, vs. family with low monthly income; 8.73 times more in owner sub-group vs. renter sub-group; and 1.30 times more in people living lonely than those living with family. People living in an apartment are in poor health status considering physical, mental and social aspects., CONCLUSION: Based on the results, it is very important that policy makers in urban areas consider the determinative role of socio-economic and demographic factors, which are involved in selecting apartment-living lifestyle by urban residents and also are effective on health. DA - 2015/// PY - 2015 DO - 10.5539/gjhs.v7n3p324 VL - 7 IS - 3 SP - 324 EP - 34 J2 - Glob J Health Sci SN - 1916-9736 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25948464 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Logistic Models KW - *Housing/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - *Health Status KW - *Urban Population/sn [Statistics & Numerical Data] KW - Iran KW - Life Style ER - TY - JOUR TI - [Optimizing potential at all levels]. AU - Camenzind, Martina T2 - Optimierungspotenzia auf allen Ebenen. DA - 2015/// PY - 2015 VL - 108 IS - 3 SP - 30 EP - 1 J2 - Krankenpfl Soins Infirm SN - 0253-0465 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25946809 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Forecasting KW - *Alzheimer Disease/nu [Nursing] KW - Switzerland KW - *Health Services Needs and Demand/td [Trends] KW - *Homes for the Aged/td [Trends] KW - *Nursing Homes/td [Trends] KW - *Alzheimer Disease/ep [Epidemiology] KW - *Homes for the Aged/sd [Supply & Distribution] KW - *Population Dynamics/td [Trends] KW - *Caregivers/sd [Supply & Distribution] KW - *Caregivers/td [Trends] KW - *Nursing Homes/sd [Supply & Distribution] ER - TY - JOUR TI - ["Often the reaction is too late"]. AU - Frey, Evelyne AU - Muller, Stefan T2 - "Oft wird zu spat reagiert". DA - 2015/// PY - 2015 VL - 108 IS - 3 SP - 14 EP - 5 J2 - Krankenpfl Soins Infirm SN - 0253-0465 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25946803 KW - Female KW - Humans KW - Male KW - Curriculum KW - Aged KW - Aged, 80 and over KW - Attitude of Health Personnel KW - *Homes for the Aged KW - *Nursing Homes KW - Switzerland KW - Nurse-Patient Relations KW - *Sexual Behavior KW - Inservice Training KW - Geriatric Nursing/ed [Education] KW - *Taboo ER - TY - JOUR TI - [Quality of life and health status in institutionalized elderly with dementian]. AU - Rodriguez-Blazquez, Carmen AU - Martin-Garcia, Salome AU - Frades-Payo, Belen AU - Paris, Maria Soledad AU - Martinez-Lopez, Iluminada AU - Forjaz, Maria Joao AU - Grupo Espanol de Investigacion en Envejecimiento y Calidad de Vida T2 - Calidad de vida y estado de salud en personas mayores de 60 anos con demencia institucionalizadas. A2 - Ayala A, Forjaz MJ, Martinez-Martin P, Rodriguez-Blazquez C, Fernandez-Mayoralas G, Rojo-Perez F, Frades-Payo B, Leon-Perez B, Avila M, Sofia R, Martin-Garcia S, Martinez I, Prieto-Flores ME AB - BACKGROUND: Studies that deepen in the aspects related to quality of life (QoL) of elderly with dementia living in nursing homes in Spain are needed. The aim of this study is to describe the QoL and related aspects in this population., METHODS: Sample of 525 people with dementia older than 60 years in 14 nursing homes. QoL was assessed with EQ-5D (both index and visual analogue Scale, EQ-VAS) and Quality of Life in Alzheimer's Disease(QoL-AD, resident and caregiver versions). Other scales were also applied: Clinical Dementia Rating Scale (CDR), Barthel Index, Cornell Scale for Depression in Dementia (CSDD), modified version of the Cumulative Illness Rating Scale for Geriatrics (CIRS-G), Short Portable Mental Status Questionnaire (SPMSQ) and Cognitive Mini-exam (MEC). To determine the relationship between the variables of interest, Pearson's correlation coefficient and the analysis of variance (Student's t test) were used., RESULTS: QoL scales displayed correlations from 0.17 to 0.50 between them. Qol-AD-caregiver scored higher in men with lower disability and depression 28.94 +/- 4.91, 29.91 +/- 4.74 and 28.44 +/- 4.94, respectively;(p < 0.01), and correlated 0.45 with Barthel Index and -0.36 with CSDD. Qol-AD-resident scored higher in absence of depression (29.29 +/- 6.03). EQ-5D Index scored higher in men (0.19 +/- 0.33) with less disability (0.42 +/- 0.32) and its coefficient of correlation with Barthel Index was 0.79., CONCLUSIONS: Functional state and depression are associated with quality of life in older people with dementia living in nursing homes. DA - 2015/// PY - 2015 DO - 10.4321/S1135-57272015000100006 VL - 89 IS - 1 SP - 51 EP - 60 J2 - Rev Esp Salud Publica SN - 2173-9110 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25946585 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Quality of Life KW - Cross-Sectional Studies KW - Spain KW - *Homes for the Aged KW - *Nursing Homes KW - Depression/di [Diagnosis] KW - Psychiatric Status Rating Scales KW - *Dementia/px [Psychology] KW - *Health Status KW - Disability Evaluation KW - Caregivers/px [Psychology] KW - Alzheimer Disease/px [Psychology] ER - TY - JOUR TI - Return to the ED and hospitalisation following minor injuries among older persons treated in the emergency department: predictors among independent seniors within 6 months. AU - Lee, Jacques AU - Sirois, Marie-Josee AU - Moore, Lynne AU - Perry, Jeffrey AU - Daoust, Raoul AU - Griffith, Lauren AU - Worster, Andrew AU - Lang, Eddy AU - Emond, Marcel T2 - Age and ageing AB - BACKGROUND: minor traumatic injuries among independent older people have received little attention to date, but increasingly the impact of such injuries is being recognised., OBJECTIVES: we assessed the frequency and predictors of acute health care use, defined as return to the emergency department (ED) or hospitalisation., STUDY DESIGN: national multicentre prospective observational study., SETTING: eight Canadian teaching EDs between April 2009 and April 2013., PARTICIPANTS: a total of 1,568 patients aged 65-100 years, independent in basic activities of daily living, discharged from ED following a minor traumatic injury., METHODS: trained assessors measured baseline data including demographics, functional status, cognition, comorbidities, frailty and injury severity. We then conducted follow-up telephone interviews at 6 months to assess subsequent acute health care use. We used log-binomial regression analyses to identify predictors of acute health care use, and reported relative risks and 95% CIs., RESULTS: participants' mean age was 77.0, 66.4% female, and their injuries included contusions (43.5%), lacerations (25.1%) and fractures (25.4%). The cumulative rate of acute health care use by 6 months post-injury was 21.5% (95% CI: 19.0-24.3%). The strongest predictors of acute health care use within 6 months were cognitive impairment, RR = 1.6 (95% IC: 1.2-2.1) and the mechanism of injury including pedestrian struck or recreational injuries, RR = 1.6 (95% CI 1.2-2.2)., CONCLUSIONS: among independent community living older persons with a minor injury, cognitive impairment and mechanism of injury were independent risk factors for acute healthcare use. Future studies should look at whether tailored discharge planning can reduce the need for acute health care use. Copyright © The Author 2015. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/ageing/afv054 VL - 44 IS - 4 SP - 624 EP - 9 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25944869 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - *Activities of Daily Living KW - *Geriatric Assessment/mt [Methods] KW - Follow-Up Studies KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - Prospective Studies KW - Hospitalization/sn [Statistics & Numerical Data] KW - *Risk Assessment/mt [Methods] KW - Canada/ep [Epidemiology] KW - Morbidity/td [Trends] KW - Wounds and Injuries/ep [Epidemiology] KW - *Patient Readmission/td [Trends] KW - *Wounds and Injuries/th [Therapy] KW - Patient Discharge/td [Trends] ER - TY - JOUR TI - A Comparison of Accelerometer Accuracy in Older Adults. AU - Phillips, Lorraine J AU - Petroski, Gregory F AU - Markis, Natalie E T2 - Research in gerontological nursing AB - Older adults' gait disorders present challenges for accurate activity monitoring. The current study compared the accuracy of accelerometer-detected to hand-tallied steps in 50 residential care/assisted living residents. Participants completed two walking trials wearing a Fitbit Tracker and waist-, wrist-, and ankle-mounted Actigraph GT1M. Agreement between accelerometer and observed counts was calculated using concordance correlation coefficients (CCC), accelerometer to observed count ratios, accelerometer and observed count differences, and Bland-Altman plots. Classification and Regression Tree analysis identified minimum gait speed thresholds to achieve accelerometer accuracy >=0.80. Participants ' mean age was 84.2 and gait speed was 0.64 m/s. All accelerometers underestimated true steps. Only the ankle-mounted GT1M demonstrated positive agreement with observed counts (CCC = 0.205). Thresholds for 0.80 accuracy were gait speeds >=0.56 m/s for the Fitbit and gait speeds >=0.71 m/s for the ankle-mounted GT1M. Gait speed and accelerometer placement affected activity monitor accuracy in older adults. Copyright 2015, SLACK Incorporated. DA - 2015/// PY - 2015 DO - 10.3928/19404921-20150429-03 VL - 8 IS - 5 SP - 213 EP - 9 J2 - Res. gerentol. nurs. SN - 1938-2464 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25942386 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Assisted Living Facilities KW - Residential Facilities KW - *Walking/ph [Physiology] KW - *Accelerometry/st [Standards] KW - *Accelerometry/is [Instrumentation] ER - TY - JOUR TI - Long-Term Services and Supports for Older Adults: A Review of Home and Community-Based Services Versus Institutional Care. AU - Wysocki, Andrea AU - Butler, Mary AU - Kane, Robert L AU - Kane, Rosalie A AU - Shippee, Tetyana AU - Sainfort, Francois T2 - Journal of aging & social policy AB - Despite a shift from institutional services toward more home and community-based services (HCBS) for older adults who need long-term services and supports (LTSS), the effects of HCBS have yet to be adequately synthesized in the literature. This review of literature from 1995 to 2012 compares the outcome trajectories of older adults served through HCBS (including assisted living [AL]) and in nursing homes (NHs) for physical function, cognition, mental health, mortality, use of acute care, and associated harms (e.g., accidents, abuse, and neglect) and costs. NH and AL residents did not differ in physical function, cognition, mental health, and mortality outcomes. The differences in harms between HCBS recipients and NH residents were mixed. Evidence was insufficient for cost comparisons. More and better research is needed to draw robust conclusions about how the service setting influences the outcomes and costs of LTSS for older adults. Future research should address the numerous methodological challenges present in this field of research and should emphasize studies evaluating the effectiveness of HCBS. DA - 2015/// PY - 2015 DO - 10.1080/08959420.2015.1024545 VL - 27 IS - 3 SP - 255 EP - 79 J2 - J Aging Soc Policy SN - 1545-0821 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25942005 KW - Humans KW - United States KW - Aged KW - *Long-Term Care/ec [Economics] KW - *Nursing Homes/ec [Economics] KW - *Home Care Services/ec [Economics] KW - Comparative Effectiveness Research KW - Assisted Living Facilities/ec [Economics] KW - *Community Health Services/ec [Economics] ER - TY - JOUR TI - Design, delivery, and outcomes from an interprofessional fall prevention course. AU - Dauenhauer, Jason A AU - Glose, Susan AU - Watt, Celia T2 - Gerontology & geriatrics education AB - This article describes the development, delivery, and outcomes from an interprofessional evidence-based falls management course for undergraduate and graduate students. The 3-credit elective course was developed by a gerontological social work and nursing faculty member in partnership with community-based housing and case management organizations. Creation of the course was in response to a mandate by the Health Resources and Services Administration, funding source for federal Geriatric Education Centers, to train interprofessional students using an evidence-based approach while tying the outcomes to improved health measures in the target population. Therefore, this article describes student competencies pre- and postcourse completion and outcomes of community-dwelling older adults completing a Matter of Balance (MOB) program delivered by these students. A total of 16 students completed the course which included delivery of the MOB program to 41 older adults. Results indicate statistically significant improvements in student outcomes from a pre/post falls knowledge test. For older adult participants, many screened positively for fall risk factors pre-post MOB participation showed statistically significant improvements in falls efficacy, control, management, and overall mobility. Opportunities and challenges associated with course delivery are also described. DA - 2015/// PY - 2015 DO - 10.1080/02701960.2015.1031891 VL - 36 IS - 3 SP - 278 EP - 301 J2 - Gerontol Geriatr Educ SN - 1545-3847 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25941927 KW - Adult KW - Female KW - Humans KW - Male KW - Program Evaluation KW - Curriculum KW - Aged KW - *Accidental Falls/pc [Prevention & Control] KW - *Independent Living KW - Independent Living/px [Psychology] KW - *Geriatric Nursing/ed [Education] KW - Geriatric Nursing/mt [Methods] KW - Geriatrics/mt [Methods] KW - *Geriatrics/ed [Education] KW - Social Work/mt [Methods] KW - *Social Work/ed [Education] KW - Educational Measurement/mt [Methods] KW - Independent Living/ed [Education] KW - Interdisciplinary Studies ER - TY - JOUR TI - Physical exercise and functional fitness in independently living vs institutionalized elderly women: a comparison of 60- to 79-year-old city dwellers. AU - Furtado, Helio L AU - Sousa, Nelson AU - Simao, Roberto AU - Pereira, Fabio Dutra AU - Vilaca-Alves, Jose T2 - Clinical interventions in aging AB - PURPOSE: To compare functional fitness (FF) levels among independent-living (IL) and day care (DC) elderly women of different age groups and to analyze changes in FF after 8 months of participation in an exercise program intervention for the IL elderly women., MATERIALS AND METHODS: A total of 674 elderly women were divided into four IL groups with age in the range of 60-64 years (IL60-64, n=149), 65-69 years (IL65-69, n=138), 70-74 years (IL70-74, n=135), and 75-79 years (IL75-79, n=83), and four DC groups with age in the range of 60-64 years (DC60-64, n=35), 65-69 years (DC65-69, n=34), 70-74 years (DC70-74, n=47), and 75-79 years (DC75-79, n=53). The intervention consisted of a multimodal exercise training, 3 days per week for 8 months. Senior Fitness Test battery performances were obtained at baseline and after 8-month intervention., RESULTS: Significant differences were identified between all IL groups and DC groups in all FF tests (P<0.001), except between IL70-74 and DC70-74 in the chair sit-and-reach. Analysis of covariance (ANCOVA) identified significant improvements in all FF tests between pre- and posttests in the IL groups (P<0.001), except in the chair sit-and-reach for the IL70-74. ANCOVA also showed a significant declining performance in all FF tests for DC groups (P<0.001), except in the chair sit-and-reach for the DC70-74 and DC75-79., CONCLUSION: IL women are more fit than institutionalized DC elderly women. The multimodal training was effective in improving all FF components related to daily living activities, in all age groups. In contrast, institutionalized elderly showed a clear tendency to worsen their FF over the time. DA - 2015/// PY - 2015 DO - 10.2147/CIA.S80895 VL - 10 IS - 101273480 SP - 795 EP - 801 J2 - Clin Interv Aging SN - 1178-1998 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25941443 KW - Female KW - Humans KW - Aged KW - Middle Aged KW - Activities of Daily Living KW - Cross-Sectional Studies KW - *Exercise KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Geriatric Assessment KW - *Physical Fitness KW - Exercise Therapy ER - TY - JOUR TI - Nature and extent of external-cause deaths of nursing home residents in Victoria, Australia. AU - Ibrahim, Joseph E AU - Murphy, Briony J AU - Bugeja, Lyndal AU - Ranson, David T2 - Journal of the American Geriatrics Society T3 - [Comment in: J Am Geriatr Soc. 2016 Jan;64(1):244; PMID: 26782903 [https://www.ncbi.nlm.nih.gov/pubmed/26782903]] AB - OBJECTIVES: To describe the nature and extent of external-cause deaths of residents of nursing homes in Victoria, Australia., DESIGN: A retrospective cohort study of all decedents using routinely collected data contained within the National Coronial Information System., SETTING: Accredited nursing homes in Victoria., PARTICIPANTS: Nursing home residents who had died from external causes and whose deaths were reported to the Coroners Court between July 1, 2000, and December 31, 2012., MEASUREMENTS: Basic descriptive analysis was conducted to measure frequencies and proportion of exposures within each outcome group, and rates were calculated using population data., RESULTS: One thousand two hundred ninety-six external cause deaths of nursing home residents were identified. Deaths were due to falls (n=1,155, 89.1%), choking (n=89, 6.9%), suicide (n=17, 1.3%), complications of clinical care (n=8, 0.6%) and resident-on-resident assault (n=7, 0.5%). Deaths occurred more frequently in women (n=814, 62.8%), in keeping with the sex distribution in nursing homes, and residents aged 85 and older (n=923, 71.2%). The number of inquests held to investigate a death as a matter of public interest was small (n=24, 1.9%)., CONCLUSION: A significant proportion of nursing home resident deaths are from external causes and are potentially preventable. A shift in community attitudes is required toward an understanding that premature death of a resident from injury is not a natural part of life. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/jgs.13377 VL - 63 IS - 5 SP - 954 EP - 62 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25940003 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - Cohort Studies KW - *Homes for the Aged KW - *Nursing Homes KW - *Cause of Death KW - Victoria/ep [Epidemiology] ER - TY - JOUR TI - What works to prevent falls in older adults dwelling in long term care facilities and hospitals? An umbrella review of meta-analyses of randomised controlled trials. AU - Stubbs, Brendon AU - Denkinger, Michael D AU - Brefka, Simone AU - Dallmeier, Dhayana T2 - Maturitas AB - Preventing falls in long term care facilities (LTCF) and hospitals is an international priority. Many interventions have been investigated and summarised in meta-analyses (MA) and there is a need to synthesise the top of the hierarchy of evidence in one place. Therefore we conducted an umbrella review of MA of randomised controlled trials (RCTs) of falls prevention interventions LTCF and hospitals. Two independent reviewers searched major electronic databases from inception till October 2014 for MA containing >=3 RCTs investigating any intervention to prevent falls in LTCF or hospitals in older adults aged >=60 years. Methodological quality was assessed by the AMSTAR tool and data were narratively synthesised. The methodological quality of the MA was moderate to high across the 10 included MA. Nine MA provided data for LTCF and only two considered hospital settings. Only one MA defined a fall and two reported adverse events (although minor). Consistent evidence suggests that multifactorial interventions reduce falls (including the rate, risk and odds of falling) in LTCF and hospitals. Inconsistent evidence exists for exercise and vitamin D as single interventions in LTCF, whilst no MA has investigated this in hospitals. No evidence exists for hip protectors and medication review on falls in LTCF. In conclusion, multifactorial interventions appear to be the most effective interventions to prevent falls in LTCF and hospital settings. This is not without limitations and more high quality RCTs are needed in hospital settings in particular. Future RCTs and MA should clearly report adverse events. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.maturitas.2015.03.026 VL - 81 IS - 3 SP - 335 EP - 42 J2 - Maturitas SN - 1873-4111 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25935294 KW - Humans KW - Randomized Controlled Trials as Topic KW - Aged KW - *Accidental Falls/pc [Prevention & Control] KW - Exercise KW - *Homes for the Aged KW - Long-Term Care KW - *Hospitals KW - Vitamin D/ad [Administration & Dosage] KW - Vitamins/ad [Administration & Dosage] ER - TY - JOUR TI - Blood transfusion and overall quality of life after hip fracture in frail elderly patients--the transfusion requirements in frail elderly randomized controlled trial. AU - Gregersen, Merete AU - Borris, Lars Carl AU - Damsgaard, Else Marie T2 - Journal of the American Medical Directors Association AB - BACKGROUND: We examined possible associations between different red blood cell (RBC) transfusion strategies, overall quality of life (OQoL), and recovery of activities of daily living (ADL) in operated frail elderly hip fracture patients, and the possibility that OQoL was related to ADL recovery., METHODS: A prospective, assessor-blinded, randomized controlled trial was carried out among 157 elderly residents (>=65 years) from nursing homes and sheltered housing facilities with Mini-Mental State Examination scores >=5 points. Patients were assigned to either a restrictive RBC transfusion strategy [hemoglobin (Hb) < 9.7 g/dL, 6 mmol/L] or a liberal strategy (Hb < 11.3 g/dL, 7 mmol/L) during the first 30 days after surgery. An interview-based questionnaire, the depression list (DL) assessing OQoL, and the modified Barthel Index (MBI) assessing ADL performance, were conducted on day 30 and 1 year after hip fracture surgery. Sum-scores of DL, MBI, and their changes from day 30 until 1 year (expressing recovery) were compared between RBC transfusion groups. Possible associations between changes of DL and MBI sum-scores were tested for across total patient population., RESULTS: There was no association between OQoL and RBC transfusion strategies on day 30 or at 1 year. The DL sum-score changes were similar for both groups, (ie, 1.06 points) [95% confidence interval (CI) -0.62, 2.76)] P = .21. The MBI sum-scores increased at 1 year following the liberal transfusion strategy (ie, by 6.86 points) (95% CI 0.41, 13.3) P = .03. Recoveries of OQoL and ADL were associated: beta = -0.06 (95% CI -0.11, -0.01) P = .02., CONCLUSIONS: According to our Hb threshold criteria, OQoL and RBC transfusion strategies for frail elderly hip fracture patients are not associated. However, for survivors with less severe dementia, ADL recovery after 1 year is greater following a liberal transfusion strategy than a restrictive strategy. OQoL progress and ADL recovery were associated. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2015.03.022 VL - 16 IS - 9 SP - 762 EP - 6 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25933728 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Activities of Daily Living KW - *Quality of Life KW - Prospective Studies KW - *Frail Elderly KW - *Hip Fractures/su [Surgery] KW - *Blood Transfusion/sn [Statistics & Numerical Data] ER - TY - JOUR TI - The healthy aged: Descriptive analysis by sex of cognitively functioning elderly patients 80 years and older living independently in the community. AU - Godwin, Marshall AU - Pike, Andrea AU - McCrate, Farah AU - Parsons, Karen AU - Parsons, Wanda AU - Pitcher, Heather AU - Buehler, Sharon AU - Gadag, Veeresh AU - Miller, Robert AU - Sclater, Anne T2 - Canadian family physician Medecin de famille canadien AB - OBJECTIVE: To describe a population of cognitively functioning seniors aged 80 years and older who are livingin dependently in the community., DESIGN: Descriptive cross-sectional study based on the enrolment cohort of a randomized controlled trial., SETTING: St John's, Nfld., PARTICIPANTS: A total of 236 cognitively functioning seniors aged 80 years and older living independently in the community., MAIN OUTCOME MEASURES: Demographic characteristics including age, sex, marital status, and education; health status and quality of life measured by the Short Form-36 and the CASP-19 (control, autonomy, self-realization,and pleasure); use of formal and informal community services;satisfaction with family physician care as measured by the Patient Satisfaction Questionnaire-18; and use of health care resources (family physician visits, emergency department visits,hospitalizations, and laboratory and diagnostic imaging tests)., RESULTS: Overall, 66.5% of those in the group were women and the average age was 85.5 years. A quarter had postsecondary diplomas or degrees; 54.7% were widowed (69.4% of women and 25.3% of men). The cohort scored well in terms of health status and quality of life, with a range of scores on the Short Form-36 from 57.5 to 93.5 out of 100, and a score of 44 out of 57 on the CASP-19; they were satisfied with the care received from family physicians, with scores between 3.8 and 4.3 out of 5 on the Patient Satisfaction Questionnaire-18; and use of health services was low-70% had no emergency department visits in the previous year and 80% had not used any laboratory or diagnostic services., CONCLUSION: Seniors aged 80 years and older living in dependently are involved in the social fabric of society. They are generally well educated, slightly more than half are widowed,and two-thirds are female. They score well on scales that measure well-being and quality of life, and they use few health services. They are the healthy aged., TRIAL REGISTRATION NUMBER: NCT00452465 (ClinicalTrials.gov). DA - 2015/// PY - 2015 VL - 61 IS - 3 SP - e142 EP - 7 J2 - Can Fam Physician SN - 1715-5258 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25932481 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Quality of Life KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Geriatric Assessment KW - Educational Status KW - Age Distribution KW - *Cognition KW - Personal Autonomy KW - Health Services for the Aged/sn [Statistics & Numerical Data] KW - Patient Satisfaction/sn [Statistics & Numerical Data] KW - Self Concept KW - *Healthy Volunteers/px [Psychology] KW - Family Practice/sn [Statistics & Numerical Data] KW - Healthy Volunteers/sn [Statistics & Numerical Data] KW - Pleasure KW - Sex Ratio KW - Social Welfare/sn [Statistics & Numerical Data] ER - TY - JOUR TI - The economic burden of exposure to secondhand smoke for child and adult never smokers residing in U.S. public housing. AU - Mason, Jacquelyn AU - Wheeler, William AU - Brown, Mary Jean T2 - Public health reports (Washington, D.C. : 1974) T3 - [Comment in: Public Health Rep. 2016 Jan-Feb;131(1):2-3; PMID: 26843660 [https://www.ncbi.nlm.nih.gov/pubmed/26843660]] AB - OBJECTIVE: The World Health Organization (WHO) reports that nonsmokers experience disease and death due to secondhand smoke (SHS) exposure in the home. We estimated the total excess burden and costs to society due to SHS exposure in U.S. public housing., METHODS: We quantified the public health burden for outcomes causally related to SHS exposure for nationally representative never-smoking residents in U.S. public housing using (1) WHO-recommended health outcomes and methodology, (2) publicly available and other large databases, and (3) published estimates of morbidity and mortality rates. We used published estimates of direct medical and nonmedical care costs and the value of productivity losses to estimate SHS-related societal costs for disease and death. We estimated the public health and economic burden for two serum cotinine limits of detection (LODs): 0.05 nanograms per milliliter (ng/mL) and 0.015 ng/mL., RESULTS: In 2011, an estimated 37,791 never-smoking child and adult U.S. public housing residents experienced illness and death due to SHS exposure at home based on an LOD=0.05 ng/mL (50,967 residents at LOD=0.015 ng/mL). Costs incurred by society for these illnesses and deaths totaled $183 million (LOD=0.05 ng/mL) and $267 million (LOD=0.015 ng/mL) annually. Of the total costs, direct costs (medical and nonmedical) accounted for $128 million and $176 million for LOD=0.05 ng/mL and LOD=0.015 ng/mL, respectively. Medical care accounted for the majority of direct costs-$110 million at LOD=0.05 ng/mL and $153 million at LOD=0.015 ng/mL. Adverse respiratory health outcomes accounted for approximately one-half (56% at LOD=0.05 ng/mL and 52% at LOD=0.015 ng/mL) of total societal costs., CONCLUSION: Implementing smoke-free policies in all U.S. public housing could save lives and decrease SHS-related morbidity and mortality in never-smoking residents, resulting in annual societal savings of $183 million at LOD=0.05 ng/mL and $267 million at LOD=0.015 ng/mL. DA - 2015/// PY - 2015 VL - 130 IS - 3 SP - 230 EP - 44 J2 - Public Health Rep SN - 1468-2877 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25931627 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - United States KW - Young Adult KW - Child KW - Aged KW - Aged, 80 and over KW - Child, Preschool KW - Middle Aged KW - Public Health KW - Costs and Cost Analysis KW - *Public Housing/sn [Statistics & Numerical Data] KW - Health Services/sn [Statistics & Numerical Data] KW - Infant KW - Infant, Newborn KW - Cost of Illness KW - Health Services/ec [Economics] KW - Respiratory Tract Diseases/ci [Chemically Induced] KW - *Cardiovascular Diseases/ec [Economics] KW - *Respiratory Tract Diseases/ec [Economics] KW - *Tobacco Smoke Pollution/ae [Adverse Effects] KW - *Tobacco Smoke Pollution/ec [Economics] KW - Cardiovascular Diseases/ci [Chemically Induced] KW - Cotinine/bl [Blood] KW - Infant, Low Birth Weight KW - Sudden Infant Death/ep [Epidemiology] ER - TY - JOUR TI - Housing choices and care home design for people with dementia. AU - Hadjri, Karim AU - Rooney, Cliona AU - Faith, Verity T2 - HERD AB - This article reviews the current state of housing for people with dementia by exploring housing choices available to this group, and identifying potential issues with design of care homes. Older people who wish to age in place are faced with the challenge of adapting their domestic environment to ensure independence, accessibility, and social connectivity. This is even more challenging for people with dementia who continue to live at home, given the risks of self-harm and getting lost. More imaginative and inclusive forms of collective housing are needed. For people with dementia, a move to a new environment is often a stressful experience that causes shock, withdrawal, and anger. Hence, more research is needed to develop more fitting long-term housing options for people with dementia. This article presents a brief review on housing choices and housing design for people with dementia. Interviews with managers of 22 care homes were conducted to explore housing choices and design issues. Results show that the main housing choices available to people with dementia offer different levels of care. The choice of care homes relates to the atmosphere of a home as some occupants favor a homely or relaxing environment and others prefer dynamic settings. A combination of appropriate level of care, a good atmosphere, and design quality within the care home are elements that lead to a more enabling environment. Design of a successful caring environment also requires appropriate care and a positive therapeutic and domestic-looking environment. Copyright © The Author(s) 2015. DA - 2015/// PY - 2015 DO - 10.1177/1937586715573740 VL - 8 IS - 3 SP - 80 EP - 95 J2 - HERD SN - 1937-5867 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25929473 KW - Humans KW - United Kingdom KW - Communication KW - Interpersonal Relations KW - *Independent Living KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Severity of Illness Index KW - *Dementia/ep [Epidemiology] KW - Health Facility Environment KW - Patient-Centered Care/og [Organization & Administration] KW - *Facility Design and Construction/mt [Methods] ER - TY - JOUR TI - Assessment of a Self-Reported Drinks Diary for the Estimation of Drinks Intake by Care Home Residents: Fluid Intake Study in the Elderly (FISE). AU - Jimoh, F O AU - Bunn, D AU - Hooper, L T2 - The journal of nutrition, health & aging AB - OBJECTIVES: We evaluated the accuracy of a newly developed self-completed Drinks Diary in care home residents and compared it with direct observation and fluid intake charts., DESIGN: Observational study., SETTING: Residential care homes in Norfolk, UK., PARTICIPANTS: 22 elderly people (18 women, mean age 86.6 years SD 8.6, 12 with MMSE scores <27)., MEASUREMENTS: Participants recorded their own drinks intake over 24 hours using the Drinks Diary while care staff used the homes' usual fluid intake chart to record drinks intake. These records were compared with drinks intake assessed by researcher direct observation (reference method), during waking hours (6am to 10pm), while drinks taken from 10pm to 6am were self-reported and checked with staff., RESULTS: Drinks intake assessed by the Drinks Diary was highly correlated with researcher direct observation (Pearson correlation coefficient r=0.93, p<0.001, mean difference -163ml/day) while few staff-completed fluid charts were returned and correlation was low (r=0.122, p=0.818, mean difference 702ml/day). The Drinks Diary classified 19 of 22 participants correctly as drinking enough or not using both the European Food Safety Authority and US recommendations., CONCLUSION: The Drinks Diary estimate of drinks intake was comparable with direct observation and more accurate (and reliably completed) than staff records. The Drinks Diary can provide a reliable estimate of drinks intake in elderly care home residents physically and cognitively able to complete it. It may be useful for researchers, care staff and practitioners needing to monitor drinks intake of elderly people, to help them avoid dehydration. DA - 2015/// PY - 2015 DO - 10.1007/s12603-015-0458-3 VL - 19 IS - 5 SP - 491 EP - 6 J2 - J Nutr Health Aging SN - 1760-4788 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25923476 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - United Kingdom KW - Reproducibility of Results KW - *Homes for the Aged KW - *Nursing Homes KW - *Drinking KW - *Diet Records KW - *Observation/mt [Methods] KW - *Self Report/st [Standards] KW - Dehydration/pc [Prevention & Control] ER - TY - JOUR TI - Stress and Spirituality on the Depressive Symptoms of Older Adults in Assisted Living: Gender Differences. AU - Jun, Jung Sim AU - Lee, Kyoung Hag AU - Bolin, Brien L T2 - Journal of evidence-informed social work AB - In this study the authors explore the effects of stress and spirituality on the depressive symptoms of 92 older adult men and 224 older adult women who reside in assisted living facilities. Hierarchical regression reveals that stress was related to increases in depressive symptoms. The stress of women was more strongly associated with depressive symptoms than found among men. In contrast, spiritual coping was associated with a decrease in depressive symptoms among all older adults in assisted living. The spiritual coping of older adult women was not a significant predictor of decreased depressive symptoms. Through this study the authors support the use of spiritual interventions to alleviate depressive symptoms experienced by older adults in assisted living. DA - 2015/// PY - 2015 DO - 10.1080/15433714.2014.966229 VL - 12 IS - 6 SP - 588 EP - 600 J2 - J Evid Inf Soc Work SN - 2376-1415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25922873 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Health Status KW - Cross-Sectional Studies KW - *Assisted Living Facilities KW - Sex Factors KW - Age Factors KW - Socioeconomic Factors KW - Interviews as Topic KW - *Adaptation, Psychological KW - *Depression/ep [Epidemiology] KW - *Stress, Psychological/ep [Epidemiology] KW - *Spirituality ER - TY - JOUR TI - Relocation at older age: results from the Cognitive Function and Ageing Study. AU - Wu, Yu-Tzu AU - Prina, A Matthew AU - Barnes, Linda E AU - Matthews, Fiona E AU - Brayne, Carol AU - MRC CFAS T2 - Journal of public health (Oxford, England) AB - BACKGROUND: Community environment might play an important role in supporting ageing in place. This paper aims to explore relocation at older age and its associations with individual and community level factors., METHODS: The postcodes of the 2424 people in the year-10 interview of the Cognitive Function and Ageing Study (CFAS) in England were mapped onto Enumeration Districts and linked to their corresponding Townsend deprivation score and the 2011 rural/urban categories. Multilevel logistic regression was conducted to examine the influence of the baseline individual (age, gender, education and social class) and community (rural/urban categories and area deprivation) level factors on relocation over 10 years., RESULTS: One-third of people moved residence after the age of 65 years and over. Older age, low education, low social class and living in rural areas at baseline were associated with higher probability of moving later in life. The likelihood of relocation in later life increased from least to most deprived areas (odds ratio: 2.0, 95% confidence interval: 1.4, 2.8)., CONCLUSIONS: Urban/rural contexts and area deprivation are associated with relocation at older age and indicate that community environment may be relevant to ageing in place. Copyright © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. DA - 2015/// PY - 2015 DO - 10.1093/pubmed/fdv050 VL - 37 IS - 3 SP - 480 EP - 7 J2 - J Public Health (Oxf) SN - 1741-3850 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25922369 KW - Humans KW - Logistic Models KW - *Independent Living/sn [Statistics & Numerical Data] KW - Residence Characteristics/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - *Aged/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Modifiable midlife risk factors, independent aging, and survival in older men: report on long-term follow-up of the Uppsala Longitudinal Study of Adult Men cohort. AU - Franzon, Kristin AU - Zethelius, Bjorn AU - Cederholm, Tommy AU - Kilander, Lena T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To examine relationships between modifiable midlife factors, aging, and physical and cognitive function (independent aging) and survival in very old age., DESIGN: Prospective cohort., SETTING: Uppsala Longitudinal Study of Adult Men, Uppsala, Sweden., PARTICIPANTS: Swedish men investigated in 1970-74 (aged 48.6-51.1) and followed up for four decades (N=2,293)., MEASUREMENTS: Conventional cardiovascular risk factors, body mass index (BMI), and dietary biomarkers were measured, and a questionnaire was used to gather information on lifestyle variables at age 50. Four hundred seventy-two men were reinvestigated in 2008-09 (aged 84.8-88.9). Independent aging was defined as survival to age 85, Mini-Mental State Examination score of 25 or greater, not living in an institution, independent in personal care and hygiene, able to walk outdoors without personal help, and no diagnosis of dementia. The National Swedish Death Registry provided survival data., RESULTS: Thirty-eight percent of the cohort survived to age 85. Seventy-four percent of the participants in 2008-09 were aging independently. In univariable analyses, high leisure-time physical activity predicted survival but not independent aging. Low work-time physical activity was associated more strongly with independent aging (odds ratio (OR)=1.84, 95% confidence interval (CI)=1.18-2.88) than with survival (OR=1.27, 95% CI=1.05-1.52). In multivariable analyses, midlife BMI was negatively associated (OR=0.80/SD, 95% CI=0.65-0.99/SD), and never or former smoking was positively associated (OR=1.66, 95% CI=1.07-2.59), with independent aging. As expected, conventional cardiovascular and lifestyle risk factors were associated with mortality., CONCLUSION: A normal midlife BMI and not smoking were associated with independent aging close to four decades later, indicating that normal weight at midlife has the potential not only to increase survival, but also to preserve independence with aging. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/jgs.13352 VL - 63 IS - 5 SP - 877 EP - 85 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25919442 KW - Humans KW - Male KW - Risk Factors KW - Middle Aged KW - *Independent Living KW - Time Factors KW - Follow-Up Studies KW - *Aging KW - Survival Rate KW - Longitudinal Studies KW - Prospective Studies KW - Sweden KW - Life Style ER - TY - JOUR TI - [Using the RAND-36 among community-dwelling older adults can lead to an underestimation of self-reported health]. AU - Aarts, Sil AU - Peek, Sebastiaan T M AU - Wouters, Eveline J M T2 - Gebruik van de RAND-36 bij zelfstandig wonende ouderen kan leiden tot een onderschatting van de ervaren gezondheidstoestand. AB - The overall health status of the population is often measured by RAND-36 item Health Survey. In 2012, Fontys and partners started a longitudinal field study in the Netherlands. This study is aimed at identifying factors that influence the use of technology by elderly individuals in order to increase independent living. A total of 50 participants aged 70 years or older, are interviewed every eight months, for a total of four years. In addition, participants are asked to fill in several questionnaires. One questionnaire that is (partly) included is the Dutch version of the RAND-36, which includes the statement; "I am as healthy as anybody I know". Some participants who find themselves healthier than other people they know (want to) fill in an answer that indicates that they find themselves less healthy than others (e.g. "I am not as healthy as anybody, I am healthier so I answer 'definitely false'"). Hence, the Dutch version of this RAND-36 statement can lead to an underestimation of the overall health status of Dutch elderly individuals. DA - 2015/// PY - 2015 DO - 10.1007/s12439-015-0124-6 VL - 46 IS - 3 SP - 174 EP - 7 J2 - Tijdschr Gerontol Geriatr SN - 0167-9228 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25910893 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Community Health Services KW - Aging/ph [Physiology] KW - *Aging/px [Psychology] KW - *Health Status KW - Frail Elderly/px [Psychology] KW - Netherlands KW - *Activities of Daily Living/px [Psychology] KW - Self Report ER - TY - JOUR TI - A systematic review of medication exposure assessment in prospective cohort studies of community dwelling older australians. AU - Poole, Susan G AU - Bell, J Simon AU - Jokanovic, Natali AU - Kirkpatrick, Carl M AU - Dooley, Michael J T2 - PloS one AB - INTRODUCTION: It is not known to what extent medication use has been comprehensively assessed in prospective cohort studies of older Australians. Understanding the varying methods to assess medication use is necessary to establish comparability and to understand the opportunities for pharmacoepidemiological analysis. The objective of this review was to compare and contrast how medication-related data have been collected in prospective cohorts of community-dwelling older Australians., METHODS: MEDLINE and EMBASE (1990-2014) were systematically searched to identify prospective cohorts of >=1000 older participants that commenced recruitment after 1990. The data collection tools used to assess medication use in each cohort were independently examined by two investigators using a structured approach., RESULTS: Thirteen eligible cohorts were included. Baseline medication use was assessed in participant self-completed surveys (n = 3), by an investigator inspecting medications brought to a clinic interview (n = 7), and by interviewing participants in their home (n = 3). Five cohorts sought participant consent to access administrative claims data. Six cohorts used multiple methods to assess medication use across one or more study waves. All cohorts assessed medication use at baseline and 12 cohorts in follow-up waves. Twelve cohorts recorded prescription medications by trade or generic name; 12 cohorts recorded medication strength; and 9 recorded the daily medication dose in at least one wave of the cohort. Seven cohorts asked participants about their "current" medication use without providing a definition of "current"; and nine cohorts asked participants to report medication use over recall periods ranging from 1-week to 3-months in at least one wave of the cohort. Sixty-five original publications, that reported the prevalence or outcomes of medication use, in the 13 cohorts were identified (median = 3, range 1-21)., CONCLUSION: There has been considerable variability in the assessment of medication use within and between cohorts. This may limit the comparability of medication data collected in these cohorts. DA - 2015/// PY - 2015 DO - 10.1371/journal.pone.0124247 VL - 10 IS - 4 SP - e0124247 J2 - PLoS ONE SN - 1932-6203 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25909191 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Australia KW - *Independent Living KW - *Frail Elderly KW - *Geriatric Assessment KW - *Medication Systems ER - TY - JOUR TI - Years of able life in older persons--the role of cardiovascular imaging and biomarkers: the Cardiovascular Health Study. AU - Alshawabkeh, Laith I AU - Yee, Laura M AU - Gardin, Julius M AU - Gottdiener, John S AU - Odden, Michelle C AU - Bartz, Traci M AU - Arnold, Alice M AU - Mukamal, Kenneth J AU - Wallace, Robert B T2 - Journal of the American Heart Association AB - BACKGROUND: As the U.S. population grows older, there is greater need to examine physical independence. Previous studies have assessed risk factors in relation to either disability or mortality, but an outcome that combines both is still needed., METHODS AND RESULTS: The Cardiovascular Health Study is a population-based, prospective study where participants underwent baseline echocardiogram, measurement of carotid intima-media thickness (IMT), and various biomarkers, then followed for up to 18 years. Years of able life (YAL) constituted the number of years the participant was able to perform all activities of daily living. Linear regression was used to model the relationship between selected measures and outcomes, adjusted for confounding variables. Among 4902 participants, mean age was 72.6 +/- 5.4 years, median YAL for males was 8.8 (interquartile range [IQR], 4.3 to 13.8) and 10.3 (IQR, 5.8 to 15.8) for females. Reductions in YAL in the fully adjusted model for females and males, respectively, were: -1.34 (95% confidence interval [CI], -2.18, -0.49) and -1.41 (95% CI, -2.03, -0.8) for abnormal left ventricular (LV) ejection fraction, -0.5 (95% CI, -0.78, -0.22) and -0.62 (95% CI, -0.87, -0.36) per SD increase in LV mass, -0.5 (95% CI, -0.7, -0.29) and -0.79 (95% CI, -0.99, -0.58) for IMT, -0.5 (95% CI, -0.64, -0.37) and -0.79 (95% CI, -0.94, -0.65) for N-terminal pro-brain natriuretic peptide, -1.08 (95% CI, -1.34, -0.83) and -0.73 (95% CI, -0.97, -0.5) for high-sensitivity troponin-T, and -0.26 (95% CI, -0.42, -0.09) and -0.23 (95% CI, -0.41, -0.05) for procollagen-III N-terminal propeptide. Most tested variables remained significant even after adjusting for incident cardiovascular (CV) disease., CONCLUSIONS: In this population-based cohort, variables obtained by CV imaging and biomarkers of inflammation, coagulation, atherosclerosis, myocardial injury and stress, and cardiac collagen turnover were associated with YAL, an important outcome that integrates physical ability and longevity in older persons. Copyright © 2015 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell. DA - 2015/// PY - 2015 DO - 10.1161/JAHA.114.001745 VL - 4 IS - 4 J2 - J Am Heart Assoc SN - 2047-9980 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25907126 KW - Female KW - Humans KW - Male KW - Aged KW - Activities of Daily Living KW - *Independent Living/sn [Statistics & Numerical Data] KW - Prospective Studies KW - Biomarkers/bl [Blood] KW - Cardiovascular Diseases/ep [Epidemiology] KW - Cardiovascular Diseases/di [Diagnosis] KW - Natriuretic Peptide, Brain/bl [Blood] KW - Peptide Fragments/bl [Blood] KW - *Carotid Intima-Media Thickness/sn [Statistics & Numerical Data] KW - *Echocardiography KW - Procollagen/bl [Blood] KW - Stroke Volume KW - Troponin I/bl [Blood] ER - TY - JOUR TI - Rebuild or Relocate? Resilience and Postdisaster Decision-Making After Hurricane Sandy. AU - Binder, Sherri Brokopp AU - Baker, Charlene K AU - Barile, John P T2 - American journal of community psychology AB - Hurricane Sandy struck the east coast of the United States on October 29, 2012, devastating communities in its path. In the aftermath, New York implemented a home buyout program designed to facilitate the permanent relocation of residents out of areas considered to be at risk for future hazards. While home buyout programs are becoming popular as policy tools for disaster mitigation, little is known about what factors influence homeowners to participate in or reject these programs. This study used mixed methods to assess the relationship between community resilience and the relocation decision in two heavily damaged communities in which the majority of residents made different decisions regarding whether or not to pursue a buyout. The sample was composed of residents from Oakwood Beach and Rockaway Park, both working-class communities in New York City, who participated via a community survey (N = 133) and/or in-depth interviews (N = 28). Results suggested that community resilience moderated the relationship between community of residence and the buyout decision, leading to opposite responses on the buyout decision. Contextual community factors, including the history of natural disasters, local cultural norms, and sense of place, were instrumental in explaining these different responses. Implications for disaster policy are discussed. DA - 2015/// PY - 2015 DO - 10.1007/s10464-015-9727-x VL - 56 IS - 1-2 SP - 180 EP - 96 J2 - Am J Community Psychol SN - 1573-2770 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25903679 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - *Housing KW - *Decision Making KW - *Residence Characteristics KW - *Cyclonic Storms KW - *Disasters KW - *Resilience, Psychological KW - New York City ER - TY - JOUR TI - Frail Elders in an Urban District Setting in Malaysia: Multidimensional Frailty and Its Correlates. AU - Sathasivam, Jeyanthini AU - Kamaruzzaman, Shahrul Bahyah AU - Hairi, Farizah AU - Ng, Chiu Wan AU - Chinna, Karuthan T2 - Asia-Pacific journal of public health AB - In the past decade, the population in Malaysia has been rapidly ageing. This poses new challenges and issues that threaten the ability of the elderly to independently age in place. A multistage cross-sectional study on 789 community-dwelling elderly individuals aged 60 years and above was conducted in an urban district in Malaysia to assess the geriatric syndrome of frailty. Using a multidimensional frailty index, we detected 67.7% prefrail and 5.7% frail elders. Cognitive status was a significant correlate for frailty status among the respondents as well as those who perceived their health status as very poor or quite poor; but self-rated health was no longer significant when controlled for sociodemographic variables. Lower-body weakness and history of falls were associated with increasing frailty levels, and this association persisted in the multivariate model. This study offers support that physical disability, falls, and cognition are important determinants for frailty. This initial work on frailty among urban elders in Malaysia provides important correlations and identifies potential risk factors that can form the basis of information for targeted preventive measures for this vulnerable group in their prefrail state. Copyright © 2015 APJPH. DA - 2015/// PY - 2015 DO - 10.1177/1010539515583332 VL - 27 IS - 8 Suppl SP - 52S EP - 61S J2 - Asia Pac J Public Health SN - 1941-2479 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25902935 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Middle Aged KW - *Independent Living KW - Cross-Sectional Studies KW - *Frail Elderly/px [Psychology] KW - Accidental Falls/sn [Statistics & Numerical Data] KW - Disabled Persons/sn [Statistics & Numerical Data] KW - Malaysia KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - *Urban Population/sn [Statistics & Numerical Data] KW - Multivariate Analysis KW - Cognition/ph [Physiology] KW - Diagnostic Self Evaluation ER - TY - JOUR TI - CARE-PACT: a new paradigm of care for acutely unwell residents in aged care facilities. AU - Burkett, Ellen AU - Scott, Ian T2 - Australian family physician AB - BACKGROUND: Ageing population trends create a strong imperative for healthcare systems to develop models of care that reduce dependence on hospital services. People living in residential aged care facilities (RACFs) currently have high rates of presentation to emergency departments. The care provided in these environments may not optimally satisfy the needs of frail older persons from RACFs., OBJECTIVE: To describe the Comprehensive Aged Residents Emergency and Partners in Assessment, Care and Treatment (CARE-PACT) program: a hospital substitutive care and demand management project that aims to improve, in a fiscally efficient manner, the quality of care received by residents of aged care facilities when their acute healthcare needs exceed the scope of the aged care facility staff and general practitioners to manage independently of the hospital system., DISCUSSION: The project delivers high-quality gerontic nursing and emergency specialist assessment, collaborative care planning, skills sharing across the care continuum and an individualised, resident-focused approach. DA - 2015/// PY - 2015 VL - 44 IS - 4 SP - 204 EP - 9 J2 - Aust Fam Physician SN - 0300-8495 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25901404 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged/st [Standards] KW - *Quality Improvement KW - *Program Evaluation/mt [Methods] KW - *Acute Disease/th [Therapy] KW - *Emergencies ER - TY - JOUR TI - Pain management in residential aged care facilities. AU - Savvas, Steven AU - Gibson, Stephen T2 - Australian family physician AB - BACKGROUND: Persistent pain is prevalent in aged care facilities and there are a number of barriers that make effective pain management more difficult to achieve in this setting., OBJECTIVE: The aim of this article is to provide an evidence-based approach to assessment and management of pain experienced by residents of aged care facilities., DISCUSSION: Barriers to effective pain management in residential aged care facilities include patient beliefs and attitudes towards pain, communication deficits and cognitive impairment, frailty and its effect on pharmacotherapy, and limited evidence of comprehensive pain management strategies for people with dementia. Education programs, developments in observational behaviour scales and stepwise pain management protocols have enabled good progress to be made in addressing these obstacles and improving patient outcomes. DA - 2015/// PY - 2015 VL - 44 IS - 4 SP - 198 EP - 203 J2 - Aust Fam Physician SN - 0300-8495 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25901403 KW - Humans KW - Prevalence KW - *Homes for the Aged KW - *Quality Improvement KW - Australia/ep [Epidemiology] KW - *Pain/ep [Epidemiology] KW - *Pain Management/mt [Methods] KW - Pain/pc [Prevention & Control] ER - TY - JOUR TI - Minimising psychotropic use for behavioural disturbance in residential aged care. AU - Loi, Samantha M AU - Westphal, Alissa AU - Ames, David AU - Lautenschlager, Nicola T T2 - Australian family physician AB - BACKGROUND: With the ageing population there will be an increasing number of older Australians who have dementia and require residential care. Up to 90% of people with dementia in residential care show behavioural and psychological symptoms of dementia (BPSD). General practitioners (GPs) have an important role in managing these challenging behaviours. Psychotropic medications, although useful in certain clinical situations, can have significant side effects including increased risk of falls, over-sedation and increased mortality. Non-pharmacological strategies are first-line treatment for BPSDs., OBJECTIVE: The aim of this article is to present the latest evidence in the management of BPSD in residential care., DISCUSSION: GPs can have a crucial role in managing the needs of people with dementia by providing regular reviews and supporting the implementation of simple, evidence-based, non-pharmacological strategies. DA - 2015/// PY - 2015 VL - 44 IS - 4 SP - 180 EP - 4 J2 - Aust Fam Physician SN - 0300-8495 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25901400 KW - Humans KW - Male KW - Aged, 80 and over KW - *Homes for the Aged KW - Dementia/px [Psychology] KW - *Dementia/dt [Drug Therapy] KW - *Psychotropic Drugs/tu [Therapeutic Use] KW - *Problem Behavior/px [Psychology] ER - TY - JOUR TI - Derivation and validation of the detection of indicators and vulnerabilities for emergency room trips scale for classifying the risk of emergency department use in frail community-dwelling older adults. AU - Costa, Andrew P AU - Hirdes, John P AU - Bell, Chaim M AU - Bronskill, Susan E AU - Heckman, George A AU - Mitchell, Lori AU - Poss, Jeffery W AU - Sinha, Samir K AU - Stolee, Paul T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To develop and validate a prognostic case finding tool that classifies the risk of emergency department (ED) use in an older home care population., DESIGN: Population-based retrospective cohort study using routinely collected data from home care clinical assessments linked prospectively to ED records., SETTING: Ontario and the Winnipeg Regional Health Authority, Canada., PARTICIPANTS: Older adults living at home and expected to receive in-home services for at least 60 days (N = 361,942)., MEASUREMENTS: One or more ED visits within 6 months after an in-home clinical assessment was used as the main dependent measure. Ninety-five person-level risk measures from a clinical assessment instrument were selected as potential independent variables. The Detection of Indicators and Vulnerabilities for Emergency Room Trips (DIVERT) Scale was derived using recursive partitioning analyses informed by a multinational clinical panel., RESULTS: Overall, 41.2% had one or more ED visits within 6 months of their in-home assessment. Previous ED use and cardiorespiratory symptoms, cardiac conditions, and specific geriatric syndromes were predictors within the six-level DIVERT Scale. The scale provided adequate risk differentiation for case finding, with an area under the receiver operating characteristic curve of 0.62 (95% confidence interval = 0.61-0.62) and distinct risk gradients between risk scores. The multilevel validation demonstrated consistent performance across geographic and participant clusters., CONCLUSION: The DIVERT Scale is a valid case-finding tool for ED use in older home care clients. It may be suitable for preemptively and systematically risk-stratifying individuals or groups for additional assessment, case management, and preventative interventions. It may also be suitable for the stratification and adjustment of performance metrics. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/jgs.13336 VL - 63 IS - 4 SP - 763 EP - 9 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25900490 KW - Female KW - Humans KW - Male KW - Aged KW - Reproducibility of Results KW - *Independent Living KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - *Frail Elderly KW - Models, Statistical KW - Ontario KW - Decision Support Techniques ER - TY - JOUR TI - Living Alone with Alzheimer's Disease and the Risk of Adverse Outcomes: Results from the Plan de Soin et d'Aide dans la maladie d'Alzheimer Study. AU - Soto, Maria AU - Andrieu, Sandrine AU - Gares, Valerie AU - Cesari, Matteo AU - Gillette-Guyonnet, Sophie AU - Cantet, Christelle AU - Vellas, Bruno AU - Nourhashemi, Fati T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To examine whether living alone predicted hospitalizations, nursing home admission, weight loss, and death in individuals with mild to moderate Alzheimer's disease (AD) over 2 years of follow-up., DESIGN: Data are from the Plan de Soin et d'Aide dans la maladie d'Alzheimer study, a 24-month trial with a cluster randomization of memory clinics in two arms: a multidomain intervention and usual care., SETTING: Memory clinics in France (N = 50)., PARTICIPANTS: Community-dwelling individuals with AD with a Mini-Mental State Examination score between 12 and 26 and an identified caregiver., MEASUREMENTS: A neurogeriatric evaluation was conducted twice a year in the intervention group and annually in the control group. Hospitalizations, nursing home admission, weight loss, and death occurring during the past year were recorded. Information on sociodemographic characteristics, clinical conditions, therapy, and physical and cognitive status was recorded., RESULTS: At inclusion, 348 (30.8%) of the 1,131 participants lived alone. Living alone did not increase the risk of mortality or weight loss in individuals with mild to moderate AD, but significant associations with risk of hospitalization (hazard ratio (HR) = 1.33, 95% confidence interval (CI) = 1.01-1.74) and institutionalization (HR = 2.53, 95% CI = 1.84-3.47) were reported. A protective effect of physical function on institutionalization and mortality was found., CONCLUSION: These results might support clinicians in making decisions about institutionalization of individuals with AD living alone or improving home health care, such as increasing screening and managing functional impairment in this complex population. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/jgs.13347 VL - 63 IS - 4 SP - 651 EP - 8 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25900483 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Nursing Homes KW - *Independent Living KW - Institutionalization KW - *Alzheimer Disease/nu [Nursing] KW - Hospitalization KW - Prognosis KW - Risk KW - Weight Loss KW - Alzheimer Disease/mo [Mortality] ER - TY - JOUR TI - Characteristics of and Barriers to Functional Status Assessment in Assisted Living. AU - Bowen, Mary Elizabeth AU - Rowe, Meredeth A AU - Hart-Hughes, Stephanie AU - Barnett, Scott AU - Ji, Ming T2 - Research in gerontological nursing AB - The most commonly used functional status (FS) instruments were examined to determine the validity, reliability, sensitivity, and specificity to change and feasibility in residents in an assisted living facility (ALF). Twenty-six ALF residents were assessed weekly for up to 8 months using six instruments. Group and single-subject analyses were used to examine associations between instruments and acute events. Two were problematic initially (Katz Index of Independence in Activities of Daily Living and hand grip) and were excluded early in the study. Of the remaining instruments, only the Barthel Index and Resident Assessment Instrument had acceptable psychometric profiles. However, these instruments were either not feasible in this environment or did not capture the full range of FS in this population. The current study's findings suggest that instruments commonly used to measure FS may be inadequate for this population and environment. These findings may be used to develop assessment methods for ALF residents that capture both the full range of FS in ALF settings as well as acute and long-term changes in functioning. Copyright 2015, SLACK Incorporated. DA - 2015/// PY - 2015 DO - 10.3928/19404921-20150406-01 VL - 8 IS - 5 SP - 220 EP - 30 J2 - Res. gerentol. nurs. SN - 1938-2464 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25893725 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Activities of Daily Living KW - *Assisted Living Facilities KW - Hand Strength KW - *Health Status Indicators KW - *Geriatric Assessment KW - Psychometrics/is [Instrumentation] ER - TY - JOUR TI - Barriers to dental care for older minority adults. AU - Davis, Demetress L AU - Reisine, Susan T2 - Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry AB - OBJECTIVES: To explore factors that motivate and/or discourage use of dental care among low-income minority older adults, METHODS: Participants were recruited from low-income senior housing in Hartford, CT. In-depth semistructured interviews were conducted to obtain data on demographics, oral health status, oral health knowledge, and factors that affected use of dental care., RESULTS: Seventeen participants completed interviews. The major perceived barriers to dental care were cost/lack of dental insurance, fear/mistrust of the dentist, and transportation problems. Other factors included having complex medical conditions, no perceived need for care, and lack of knowledge about the importance of dental care., CONCLUSIONS: Participants would like to have dental care provided on-site in the housing complexes. Improving communication between dentists and their older patients would help reduce fear and mistrust. Other health care providers could help educate older patients about oral health, conduct simple oral health screenings, and refer for acute and/or comprehensive care. Copyright © 2015 Special Care Dentistry Association and Wiley Periodicals, Inc. DA - 2015/// PY - 2015 DO - 10.1111/scd.12109 VL - 35 IS - 4 SP - 182 EP - 9 J2 - Spec Care Dentist SN - 1754-4505 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25891522 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Health Services Needs and Demand KW - Interviews as Topic KW - Housing for the Elderly KW - Poverty KW - Fear KW - Connecticut KW - Transportation KW - *Health Services Accessibility KW - *Dental Care for Aged KW - Dental Care for Aged/ec [Economics] KW - Insurance Coverage/ec [Economics] KW - Insurance, Dental/ec [Economics] ER - TY - JOUR TI - Effects of individual reminiscence therapy for older women living alone. AU - Sok, S R T2 - International nursing review AB - BACKGROUND: The loss of cognitive function and memory interrupts the independent activities of daily living of older women, and it eventually causes role loss, increased dependence, declining self-esteem and low quality of life., AIM: To examine the effects of the individual reminiscence therapy on memory self-efficacy, memory practice, Mini Mental State Examination and quality of life for older Korean women living alone., METHODS: A quasi-experimental pre-test-post-test control group design was employed. Seventy-eight older women aged 65 and older who were living alone in Seoul and Gyeong-gi-do, Korea, was recruited through convenient sampling. Individual reminiscence therapy was applied for 1 h/week in the experimental group (40 subjects) for 4 weeks. A study questionnaire was designed to measure general characteristics, memory self-efficacy, memory practice (immediate, delayed), Mini Mental State Examination (MMSE) and quality of life., RESULTS: There were significant differences in the effects of individual reminiscence therapy on memory self-efficacy, memory practice (immediate, delayed), and quality of life between experimental and control group., CONCLUSION: Individual reminiscence therapy was an effective intervention for improving memory self-efficacy, memory practice (immediate, delayed), cognitive function and quality of life of older Korean women living alone., IMPLICATIONS FOR NURSING AND HEALTH POLICY: Individual reminiscence therapy can be utilized as a nursing intervention for improving memory, cognition and quality of life of older women in the nursing practice. Health policy needs to give attention to health issues of older women living alone. Individual reminiscence therapy can be utilized as a nursing intervention for improving memory, cognition and the quality of life of older women. Health policy needs to give attention to health issues of older women living alone. Copyright © 2015 International Council of Nurses. DA - 2015/// PY - 2015 DO - 10.1111/inr.12190 VL - 62 IS - 4 SP - 517 EP - 24 J2 - Int Nurs Rev SN - 1466-7657 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25891307 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - *Independent Living KW - *Quality of Life KW - Sex Factors KW - Republic of Korea KW - *Self Efficacy KW - *Memory Disorders/pc [Prevention & Control] KW - *Memory/ph [Physiology] ER - TY - JOUR TI - Nursing staff interactions during the older residents' transition into long-term care facility in a nursing home in rural Norway: an ethnographic study. AU - Eika, Marianne AU - Dale, Bjorg AU - Espnes, Geir Arild AU - Hvalvik, Sigrun T2 - BMC health services research AB - BACKGROUND: Future challenges in many countries are the recruitment of competent staff in long-term care facilities, and the use of unlicensed staff. Our study describes and explores staff interactions in a long-term care facility, which may facilitate or impede healthy transition processes for older residents in transition., METHODS: An ethnographic study based on fieldwork following ten older residents admission day and their initial week in the long-term care facility, seventeen individual semi-structured interviews with different nursing staff categories and the leader of the institution, and reading of relevant documents., RESULTS: The interaction among all staff categories influenced the new residents' transition processes in various ways. We identified three main themes: The significance of formal and informal organization; interpersonal relationships and cultures of care; and professional hierarchy and different scopes of practice., CONCLUSIONS: The continuous and spontaneous staff collaborations were key activities in supporting quality care in the transition period. These interactions maintained the inclusion of all staff present, staff flexibility, information flow to some extent, and cognitive diversity, and the new resident's emerging needs appeared met. Organizational structures, staff's formal position, and informal staff alliances were complex and sometimes appeared contradictory. Not all the staff were necessarily included, and the new residents' needs not always noticed and dealt with. Paying attention to the playing out of power in staff interactions appears vital to secure a healthy transition process for the older residents. DA - 2015/// PY - 2015 DO - 10.1186/s12913-015-0818-z VL - 15 IS - 101088677 SP - 125 J2 - BMC Health Serv Res SN - 1472-6963 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25888843 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Norway KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Health Personnel/px [Psychology] KW - *Homes for the Aged KW - *Nursing Homes KW - *Long-Term Care/px [Psychology] KW - *Interpersonal Relations KW - Rural Population KW - *Patient Acceptance of Health Care/px [Psychology] KW - Anthropology, Cultural KW - *Patient Transfer ER - TY - JOUR TI - Effect of a multifaceted educational program for care staff concerning fecal incontinence in nursing home patients: study protocol of a cluster randomized controlled trial. AU - Blekken, Lene Elisabeth AU - Vinsnes, Anne Guttormsen AU - Gjeilo, Kari Hanne AU - Morkved, Siv AU - Salvesen, Oyvind AU - Norton, Christine AU - Nakrem, Sigrid T2 - Trials AB - BACKGROUND: Fecal incontinence has a high prevalence in the older population, which cannot be explained by comorbidity or the anatomical or psychological changes of aging alone. Fecal incontinence leads to a high economic burden to the healthcare system and is an important cause of institutionalization. In addition, fecal incontinence is associated with shame, social isolation and reduced quality of life. The importance of identifying treatable causes in the frail elderly is strongly emphasized. It is recommended that an assessment of fecal incontinence should be implemented as part of an evaluation of older patients. Although there is a substantial evidence base to guide choice of implementation activities targeting healthcare professionals, little implementation research has focused on the care of older people nor involved care processes or care personnel. This study is based on the assumption that fecal incontinence among nursing home patients can be prevented, cured or ameliorated by offering care staff knowledge of best practice through a multifaceted educational program. The primary objective is to test the hypothesis that a multifaceted educational program for nursing home care staff on assessment and treatment of fecal incontinence reduces patients' frequency of fecal incontinence., METHODS/DESIGN: The study is a two-armed, parallel cluster-randomized controlled trial. Primary outcome is the frequency of fecal incontinence among patients. Sample size calculations resulted in a need for a total sample of 240 patients. Twenty nursing home units in one city in Norway will be recruited and allocated to intervention or control by an independent statistician using computer-generated tables. The intervention is a multifaceted educational program. Units in the control arm will provide care as usual. The intervention period is 3 months. Data will be collected at baseline, 3, and 6 months. Data will be analyzed using mixed effect models with the cluster treated as a random effect., DISCUSSION: This study is the first randomized controlled trial specifically focusing on this neglected area. The result of the study will give evidence for best practice for continence care in nursing homes, and organizational advice concerning implementation strategies., TRIAL REGISTRATION: ClinicalTrials.gov: NCT02183740 , registered June 2014. DA - 2015/// PY - 2015 DO - 10.1186/s13063-015-0595-3 VL - 16 IS - 101263253 SP - 69 J2 - Trials SN - 1745-6215 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25887238 KW - Humans KW - Outcome Assessment (Health Care) KW - *Homes for the Aged KW - *Nursing Homes KW - *Nursing Staff/ed [Education] KW - Inservice Training KW - *Clinical Protocols KW - *Fecal Incontinence/th [Therapy] KW - Sample Size ER - TY - JOUR TI - MultiComponent Exercise and theRApeutic lifeStyle (CERgAS) intervention to improve physical performance and maintain independent living among urban poor older people--a cluster randomised controlled trial. AU - Loh, Debbie Ann AU - Hairi, Noran Naqiah AU - Choo, Wan Yuen AU - Mohd Hairi, Farizah AU - Peramalah, Devi AU - Kandiben, Shathanapriya AU - Lee, Pek Ling AU - Gani, Norlissa AU - Madzlan, Mohamed Faris AU - Abd Hamid, Mohd Alif Idham AU - Akram, Zohaib AU - Chu, Ai Sean AU - Bulgiba, Awang AU - Cumming, Robert G T2 - BMC geriatrics AB - BACKGROUND: The ability of older people to function independently is crucial as physical disability and functional limitation have profound impacts on health. Interventions that either delay the onset of frailty or attenuate its severity potentially have cascading benefits for older people, their families and society. This study aims to develop and evaluate the effectiveness of a multiComponent Exercise and theRApeutic lifeStyle (CERgAS) intervention program targeted at improving physical performance and maintaining independent living as compared to general health education among older people in an urban poor setting in Malaysia., METHODS: This cluster randomised controlled trial will be a 6-week community-based intervention programme for older people aged 60 years and above from urban poor settings. A minimum of 164 eligible participants will be recruited from 8 clusters (low-cost public subsidised flats) and randomised to the intervention and control arm. This study will be underpinned by the Health Belief Model with an emphasis towards self-efficacy. The intervention will comprise multicomponent group exercise sessions, nutrition education, oral care education and on-going support and counselling. These will be complemented with a kit containing practical tips on exercise, nutrition and oral care after each session. Data will be collected over four time points; at baseline, immediately post-intervention, 3-months and 6-months follow-up., DISCUSSION: Findings from this trial will potentially provide valuable evidence to improve physical function and maintain independence among older people from low-resource settings. This will inform health policies and identify locally acceptable strategies to promote healthy aging, prevent and delay functional decline among older Malaysian adults., TRIAL REGISTRATION: ISRCTN22749696. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0002-7 VL - 15 IS - 100968548 SP - 8 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25887235 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - *Independent Living KW - Cluster Analysis KW - Single-Blind Method KW - *Exercise KW - *Life Style KW - Malaysia KW - Poverty KW - *Behavior Therapy KW - Urban Health ER - TY - JOUR TI - "We are all one together": peer educators' views about falls prevention education for community-dwelling older adults--a qualitative study. AU - Khong, Linda AU - Farringdon, Fiona AU - Hill, Keith D AU - Hill, Anne-Marie T2 - BMC geriatrics AB - BACKGROUND: Falls are common in older people. Despite strong evidence for effective falls prevention strategies, there appears to be limited translation of these strategies from research to clinical practice. Use of peers in delivering falls prevention education messages has been proposed to improve uptake of falls prevention strategies and facilitate translation to practice. Volunteer peer educators often deliver educational presentations on falls prevention to community-dwelling older adults. However, research evaluating the effectiveness of peer-led education approaches in falls prevention has been limited and no known study has evaluated such a program from the perspective of peer educators involved in delivering the message. The purpose of this study was to explore peer educators' perspective about their role in delivering peer-led falls prevention education for community-dwelling older adults., METHODS: A two-stage qualitative inductive constant comparative design was used. In stage one (core component) focus group interviews involving a total of eleven participants were conducted. During stage two (supplementary component) semi-structured interviews with two participants were conducted. Data were analysed thematically by two researchers independently. Key themes were identified and findings were displayed in a conceptual framework., RESULTS: Peer educators were motivated to deliver educational presentations and importantly, to reach an optimal peer connection with their audience. Key themes identified included both personal and organisational factors that impact on educators' capacity to facilitate their peers' engagement with the message. Personal factors that facilitated message delivery and engagement included peer-to-peer connection and perceived credibility, while barriers included a reluctance to accept the message that they were at risk of falling by some members in the audience. Organisational factors, including ongoing training for peer educators and formative feedback following presentations, were perceived as essential because they affect successful message delivery., CONCLUSIONS: Peer educators have the potential to effectively deliver falls prevention education to older adults and influence acceptance of the message as they possess the peer-to-peer connection that facilitates optimal engagement. There is a need to consider incorporating learnings from this research into a formal large scale evaluation of the effectiveness of the peer education approach in reducing falls in older adults. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0030-3 VL - 15 IS - 100968548 SP - 28 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25887213 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Accidental Falls/pc [Prevention & Control] KW - *Independent Living/px [Psychology] KW - *Qualitative Research KW - *Patient Education as Topic/mt [Methods] KW - *Peer Group KW - Western Australia/ep [Epidemiology] ER - TY - JOUR TI - Polybrominated diphenyl ether serum concentrations in a Californian population of children, their parents, and older adults: an exposure assessment study. AU - Wu, Xiangmei May AU - Bennett, Deborah H AU - Moran, Rebecca E AU - Sjodin, Andreas AU - Jones, Richard S AU - Tancredi, Daniel J AU - Tulve, Nicolle S AU - Clifton, Matthew Scott AU - Colon, Maribel AU - Weathers, Walter AU - Hertz-Picciotto, Irva T2 - Environmental health : a global access science source AB - BACKGROUND: Polybrominated diphenyl ethers (PBDEs) are used as flame retardants in many household items. Given concerns over their potential adverse health effects, we identified predictors and evaluated temporal changes of PBDE serum concentrations., METHODS: PBDE serum concentrations were measured in young children (2-8 years old; N = 67), parents of young children (<55 years old; N = 90), and older adults (>=55 years old; N = 59) in California, with concurrent floor wipe samples collected in participants' homes in 2008-2009. We also measured serum concentrations one year later in a subset of children (N = 19) and parents (N = 42)., RESULTS: PBDE serum concentrations in children were significantly higher than in adults. Floor wipe concentration is a significant predictor of serum BDE-47, 99, 100 and 154. Positive associations were observed between the intake frequency of canned meat and serum concentrations of BDE-47, 99 and 154, between canned meat entrees and BDE-154 and 209, as well as between tuna and white fish and BDE-153. The model with the floor wipe concentration and food intake frequencies explained up to 40% of the mean square prediction error of some congeners. Lower home values and renting (vs. owning) a home were associated with higher serum concentrations of BDE-47, 99 and 100. Serum concentrations measured one year apart were strongly correlated as expected (r = 0.70-0.97) with a slight decreasing trend., CONCLUSIONS: Floor wipe concentration, food intake frequency, and housing characteristics can explain 12-40% of the prediction error of PBDE serum concentrations. Decreasing temporal trends should be considered when characterizing long-term exposure. DA - 2015/// PY - 2015 DO - 10.1186/s12940-015-0002-2 VL - 14 IS - 101147645 SP - 23 J2 - Environ Health SN - 1476-069X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25884939 KW - Adult KW - Female KW - Humans KW - Male KW - Child KW - Aged KW - Child, Preschool KW - Middle Aged KW - *Housing KW - Seasons KW - *Diet KW - California KW - *Environmental Exposure KW - Environmental Monitoring KW - *Environmental Pollutants/bl [Blood] KW - *Halogenated Diphenyl Ethers/bl [Blood] KW - Body Burden KW - Environmental Pollutants/an [Analysis] KW - Flame Retardants/an [Analysis] KW - Flame Retardants/to [Toxicity] KW - Halogenated Diphenyl Ethers/an [Analysis] ER - TY - JOUR TI - The impact of living in a care home on the health and wellbeing of spinal cord injured people. AU - Smith, Brett AU - Caddick, Nick T2 - International journal of environmental research and public health AB - In the UK, 20% of people with spinal cord injury (SCI) are discharged from rehabilitation into an elderly care home. Despite this, and knowledge that the home is central to health and wellbeing, little research has examined the impact of being in care homes on the health and wellbeing of people with SCI. The purpose of this study was to address this gap. Twenty adults who lived in care homes or had done so recently for over two years were interviewed in-depth. Qualitative data were analyzed using inductive thematic analysis. Analyses revealed that living in a care home environment severely damages quality of life, physical health and psychological wellbeing in the short and long-term. Reasons why quality of life, health, and wellbeing were damaged are identified. These included a lack of freedom, control, and flexibility, inability to participate in community life, inability to sustain relationships, safety problems, restricted participation in work and leisure time physical activity, lack of meaning, self-expression, and a future, loneliness, difficulties with the re-housing process, depression, and suicidal thoughts and actions. It is concluded that for people with SCI, the care home environment violates social dignity, is oppressive, and denies human rights. Implications for housing and health care policies are also offered. DA - 2015/// PY - 2015 DO - 10.3390/ijerph120404185 VL - 12 IS - 4 SP - 4185 EP - 202 J2 - Int J Environ Res Public Health SN - 1660-4601 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25884273 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - United Kingdom KW - Health Care Surveys KW - Qualitative Research KW - *Quality of Life/px [Psychology] KW - *Nursing Homes KW - Personhood KW - *Spinal Cord Injuries/px [Psychology] KW - Human Rights KW - Spinal Cord Injuries/rh [Rehabilitation] ER - TY - JOUR TI - Multimarker Analysis for New Biomarkers in Relation to Central Arterial Stiffness and Hemodynamics in a Chinese Community-Dwelling Population. AU - Fu, Shihui AU - Luo, Leiming AU - Ye, Ping AU - Xiao, Wenkai T2 - Angiology T3 - [Comment in: Angiology. 2015 Nov;66(10):901-3; PMID: 26162400 [https://www.ncbi.nlm.nih.gov/pubmed/26162400]][Comment in: Angiology. 2015 Nov;66(10):969-70; PMID: 26195560 [https://www.ncbi.nlm.nih.gov/pubmed/26195560]] AB - Central arterial stiffness and hemodynamics independently reflect the risk of cardiovascular events. This Chinese community-based analysis was performed to evaluate the relationships of new biomarkers with central arterial stiffness and hemodynamics by a multimarker method. This analysis consisted of 1540 participants who were fully tested for the new biomarkers including N-terminal prohormone of brain natriuretic peptide, lipid accumulation product, triglyceride-high-density lipoprotein cholesterol (TG-HDL-c) ratio, uric acid, high-sensitivity C-reactive protein, and homocysteine. Carotid-femoral pulse wave velocity (cfPWV), central pulse pressure (cPP), and central augmentation index (cAIx) were measured. The median (range) age of entire cohort was 62 years (21-96 years), and 40.5% were males. The median (interquartile range) of cfPWV, cPP, and cAIx was 11.0 m/s (9.6-13.0 m/s), 42 mm Hg (35-52 mm Hg), and 28% (21%-33%), respectively. In multivariate analysis, participants with higher cfPWV had significantly higher age, peripheral pulse pressure, TG, TG-HDL-c ratio, and homocysteine levels compared with others (P < .05 for all). Multimarker analysis in a Chinese community-dwelling population reinforced the potential clinical value of plasma TG-HDL-c ratio and homocysteine levels as the biomarkers of increased arterial stiffness. Copyright © The Author(s) 2015. DA - 2015/// PY - 2015 DO - 10.1177/0003319715573910 VL - 66 IS - 10 SP - 950 EP - 6 J2 - Angiology SN - 1940-1574 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25883364 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - *Independent Living KW - *Asian Continental Ancestry Group KW - China/ep [Epidemiology] KW - *Vascular Stiffness KW - Pulse Wave Analysis KW - Prognosis KW - Biomarkers/bl [Blood] KW - Multivariate Analysis KW - Predictive Value of Tests KW - Cardiovascular Diseases/eh [Ethnology] KW - Cardiovascular Diseases/pp [Physiopathology] KW - Chi-Square Distribution KW - *Cardiovascular Diseases/di [Diagnosis] KW - *Cholesterol, HDL/bl [Blood] KW - *Hemodynamics KW - *Homocysteine/bl [Blood] KW - *Triglycerides/bl [Blood] KW - Cardiovascular Diseases/bl [Blood] ER - TY - JOUR TI - Economic evaluation of a group-based exercise program for falls prevention among the older community-dwelling population. AU - McLean, Kendra AU - Day, Lesley AU - Dalton, Andrew T2 - BMC geriatrics AB - BACKGROUND: Falls among older people are of growing concern globally. Implementing cost-effective strategies for their prevention is of utmost importance given the ageing population and associated potential for increased costs of fall-related injury over the next decades. The purpose of this study was to undertake a cost-utility analysis and secondary cost-effectiveness analysis from a healthcare system perspective, of a group-based exercise program compared to routine care for falls prevention in an older community-dwelling population., METHODS: A decision analysis using a decision tree model was based on the results of a previously published randomised controlled trial with a community-dwelling population aged over 70. Measures of falls, fall-related injuries and resource use were directly obtained from trial data and supplemented by literature-based utility measures. A sub-group analysis was performed of women only. Cost estimates are reported in 2010 British Pound Sterling (GBP)., RESULTS: The ICER of GBP51,483 per QALY for the base case analysis was well above the accepted cost-effectiveness threshold of GBP20,000 to 30,000 per QALY, but in a sensitivity analysis with minimised program implementation the incremental cost reached GBP25,678 per QALY. The ICER value at 95% confidence in the base case analysis was GBP99,664 per QALY and GBP50,549 per QALY in the lower cost analysis. Males had a 44% lower injury rate if they fell, compared to females resulting in a more favourable ICER for the women only analysis. For women only the ICER was GBP22,986 per QALY in the base case and was below the cost-effectiveness threshold for all other variations of program implementation. The ICER value at 95% confidence was GBP48,212 in the women only base case analysis and GBP23,645 in the lower cost analysis. The base case incremental cost per fall averted was GBP652 (GBP616 for women only). A threshold analysis indicates that this exercise program cannot realistically break even., CONCLUSIONS: The results suggest that this exercise program is cost-effective for women only. There is no evidence to support its cost-effectiveness in a group of mixed gender unless the costs of program implementation are minimal. Conservative assumptions may have underestimated the true cost-effectiveness of the program. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0028-x VL - 15 IS - 100968548 SP - 33 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25879871 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - *Accidental Falls/pc [Prevention & Control] KW - *Independent Living/ec [Economics] KW - *Accidental Falls/ec [Economics] KW - Exercise/ph [Physiology] KW - *Population Surveillance KW - *Cost-Benefit Analysis KW - Cost-Benefit Analysis/mt [Methods] KW - Exercise Therapy/mt [Methods] KW - *Exercise Therapy/ec [Economics] ER - TY - JOUR TI - Social cohesion and belonging predict the well-being of community-dwelling older people. AU - Cramm, Jane M AU - Nieboer, Anna P T2 - BMC geriatrics AB - BACKGROUND: The neighborhood social environment has been identified as an important aspect of older people's well-being. Poor neighborhood conditions can pose difficulties in obtaining support, especially for older people who live alone. Although social environments have been found to be related to well-being among older people, the longitudinal relationship between the social environment and well-being remains poorly undestood. Research on the effects of changes in neighborhood characteristics, such as social cohesion and social belonging, on well-being is lacking. Therefore, the study aims are (i) describe social cohesion, social belonging, and instrumental goals to achieve well-being among community-dwelling older people, (ii) determine whether these factors varied according to neighborhood social deprivation and compare these findings to those from chronically ill/previously hospitalized older people, and (iii) identify longitudinal relationships between social cohesion and belonging and well-being., METHODS: Independently living Dutch older adults (aged >= 70 years) were asked to complete questionnaires in 2011 (T0) and 2013 (T1). Response rates at T0 and T1 were 66% (945/1440) and 62% (588/945), respectively. Descriptive statistics, paired sample t-tests, analysis of variance, univariate analyses and multilevel regression analyses controlling for background characteristics and baseline well-being were performed., RESULTS: Of 945 respondents [43% male; mean age, 77.5 +/- 5.8 (range, 70-101) years], 34.7% were married and 83.3% were Dutch natives. Social cohesion remained constant over time, whereas social belonging improved (p <= 0.05). Older people living in socially deprived neighborhoods report poorer overall well-being and instrumental goals to achieve well-being. Baseline social cohesion, changes therein (both p <= .001), baseline social belonging, and changes therein (both p <= .05) predicted well-being at T1., CONCLUSION: This study showed that social cohesion, belonging, and changes therein predict the social as well as physical well-being of community-dwelling older people in the Netherlands over time. The creation of stronger ties among neighbors and a sense of belonging is needed. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0027-y VL - 15 IS - 100968548 SP - 30 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25879773 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living/px [Psychology] KW - *Surveys and Questionnaires KW - *Residence Characteristics KW - *Social Environment KW - Netherlands/ep [Epidemiology] KW - Predictive Value of Tests ER - TY - JOUR TI - [Indicators for monitoring the integration of elderly migrants in the municipal infrastructure for elder-care]. AU - Habermann, Monika AU - Stagge, M T2 - Indikatoren fur ein Integrationsmonitoring der kommunalen Altenhilfe. AB - BACKGROUND: In the context of demographic ageing, municipalities are tasked with ensuring cross-sectoral care services for the elderly close to residential environments so that elderly people can remain in their own domestic environment as long as possible. A particular challenge is the inclusion of the migrant population, which is often still inadequate., OBJECTIVES: Indicators for the municipal monitoring of integration have been developed on the basis of surveys of experts . The interviews dealt with (a) the knowledge of available data and the data necessary for monitoring the integration of elderly with a migrant background and (b) the use of integration monitoring as an instrument in the planning of elderly care and, if available, the indicators used., MATERIAL AND METHODS: Guideline-based interviews with 76 members from community elder care and integration work in 16 German municipalities were conducted, transcribed and analysed. The results were discussed in two focus groups, each with nine experts., RESULTS: (a) Data deficits prevent the migrant-sensitive orientation of planning and control in elder care; (b) only the beginnings of community integration monitoring in elderly care are established in a few communities; (c) 18 indicators for integration monitoring of migrant sensitive elder care have been developed., CONCLUSIONS: Deficits in the integration of migrants into community care structures can be addressed by integration monitoring of elder care. The selection and use of some or all of the indicators developed requires that consent be sought in municipalities with the inclusion especially of migrant organisations. DA - 2015/// PY - 2015 DO - 10.1007/s00103-015-2142-5 VL - 58 IS - 6 SP - 601 EP - 8 J2 - Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz SN - 1437-1588 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25877228 KW - Germany KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - *Health Services for the Aged/st [Standards] KW - *Delivery of Health Care, Integrated/st [Standards] KW - *Quality Indicators, Health Care/st [Standards] KW - *Quality Assurance, Health Care/st [Standards] KW - Quality Assurance, Health Care/mt [Methods] ER - TY - JOUR TI - Action seniors! - secondary falls prevention in community-dwelling senior fallers: study protocol for a randomized controlled trial. AU - Liu-Ambrose, Teresa AU - Davis, Jennifer C AU - Hsu, Chun Liang AU - Gomez, Caitlin AU - Vertes, Kelly AU - Marra, Carlo AU - Brasher, Penelope M AU - Dao, Elizabeth AU - Khan, Karim M AU - Cook, Wendy AU - Donaldson, Meghan G AU - Rhodes, Ryan AU - Dian, Larry T2 - Trials AB - BACKGROUND: Falls are a 'geriatric giant' and are the third leading cause of chronic disability worldwide. About 30% of community-dwellers over the age of 65 experience one or more falls every year leading to significant risk for hospitalization, institutionalization, and even death. As the proportion of older adults increases, falls will place an increasing demand and cost on the health care system. Exercise can effectively and efficiently reduce falls. Specifically, the Otago Exercise Program has demonstrated benefit and cost-effectiveness for the primary prevention of falls in four randomized trials of community-dwelling seniors. Although evidence is mounting, few studies have evaluated exercise for secondary falls prevention (that is, preventing falls among those with a significant history of falls). Hence, we propose a randomized controlled trial powered for falls that will, for the first time, assess the efficacy and efficiency of the Otago Exercise Program for secondary falls prevention., METHODS/DESIGN: A randomized controlled trial among 344 community-dwelling seniors aged 70 years and older who attend a falls prevention clinic to assess the efficacy and the cost-effectiveness of a 12-month Otago Exercise Program intervention as a secondary falls prevention strategy. Participants randomized to the control group will continue to behave as they did prior to study enrolment. The economic evaluation will examine the incremental costs and benefits generated by using the Otago Exercise Program intervention versus the control., DISCUSSION: The burden of falls is significant. The challenge is to make a difference - to discover effective, ideally cost-effective, interventions that prevent injurious falls that can be readily translated to the population. Our proposal is very practical - the exercise program requires minimal equipment, the physical therapist expertise is widely available, and seniors in Canada and elsewhere have adopted the program and complied with it. Our innovation includes applying the intervention to a targeted high-risk population, aiming to provide the best value for money. Given society's limited financial resources and the known and increasing burden of falls, there is an urgent need to test this feasible intervention which would be eminently ready for roll out., TRIAL REGISTRATION: ClinicalTrials.gov Protocol Registration System: NCT01029171; registered 7 December 2009. DA - 2015/// PY - 2015 DO - 10.1186/s13063-015-0648-7 VL - 16 IS - 101263253 SP - 144 J2 - Trials SN - 1745-6215 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25873254 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged KW - Research Design KW - Surveys and Questionnaires KW - Activities of Daily Living KW - *Accidental Falls/pc [Prevention & Control] KW - *Independent Living KW - Quality of Life KW - Time Factors KW - Cognition KW - *Aging KW - Postural Balance KW - Age Factors KW - Geriatric Assessment KW - *Health Services for the Aged KW - Neuropsychological Tests KW - British Columbia KW - Executive Function KW - Aging/px [Psychology] KW - *Community Health Services KW - Biomechanical Phenomena KW - *Resistance Training KW - *Secondary Prevention/mt [Methods] ER - TY - JOUR TI - Effectiveness of dual-task functional power training for preventing falls in older people: study protocol for a cluster randomised controlled trial. AU - Daly, Robin M AU - Duckham, Rachel L AU - Tait, Jamie L AU - Rantalainen, Timo AU - Nowson, Caryl A AU - Taaffe, Dennis R AU - Sanders, Kerrie AU - Hill, Keith D AU - Kidgell, Dawson J AU - Busija, Lucy T2 - Trials AB - BACKGROUND: Falls are a major public health concern with at least one third of people aged 65 years and over falling at least once per year, and half of these will fall repeatedly, which can lead to injury, pain, loss of function and independence, reduced quality of life and even death. Although the causes of falls are varied and complex, the age-related loss in muscle power has emerged as a useful predictor of disability and falls in older people. In this population, the requirements to produce explosive and rapid movements often occurs whilst simultaneously performing other attention-demanding cognitive or motor tasks, such as walking while talking or carrying an object. The primary aim of this study is to determine whether dual-task functional power training (DT-FPT) can reduce the rate of falls in community-dwelling older people., METHODS/DESIGN: The study design is an 18-month cluster randomised controlled trial in which 280 adults aged >=65 years residing in retirement villages, who are at increased risk of falling, will be randomly allocated to: 1) an exercise programme involving DT-FPT, or 2) a usual care control group. The intervention is divided into 3 distinct phases: 6 months of supervised DT-FPT, a 6-month 'step down' maintenance programme, and a 6-month follow-up. The primary outcome will be the number of falls after 6, 12 and 18 months. Secondary outcomes will include: lower extremity muscle power and strength, grip strength, functional assessments of gait, reaction time and dynamic balance under single- and dual-task conditions, activities of daily living, quality of life, cognitive function and falls-related self-efficacy. We will also evaluate the cost-effectiveness of the programme for preventing falls., DISCUSSION: The study offers a novel approach that may guide the development and implementation of future community-based falls prevention programmes that specifically focus on optimising muscle power and dual-task performance to reduce falls risk under 'real life' conditions in older adults. In addition, the 'step down' programme will provide new information about the efficacy of a less intensive maintenance programme for reducing the risk of falls over an extended period., TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry: ACTRN12613001161718 . Date registered 23 October 2013. DA - 2015/// PY - 2015 DO - 10.1186/s13063-015-0652-y VL - 16 IS - 101263253 SP - 120 J2 - Trials SN - 1745-6215 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25872612 KW - Humans KW - Aged KW - Research Design KW - Activities of Daily Living KW - *Accidental Falls/pc [Prevention & Control] KW - Quality of Life KW - Cost-Benefit Analysis KW - *Exercise Therapy KW - Clinical Protocols KW - Exercise Therapy/ec [Economics] KW - *Resistance Training/mt [Methods] KW - Muscle Strength/ph [Physiology] KW - Postural Balance/ph [Physiology] ER - TY - JOUR TI - Living Alone and Patient Care Experiences: The Role of Gender in a National Sample of Medicare Beneficiaries. AU - Beckett, Megan K AU - Elliott, Marc N AU - Haviland, Amelia M AU - Burkhart, Q AU - Gaillot, Sarah AU - Montfort, Daisy AU - Saliba, Debra T2 - The journals of gerontology. Series A, Biological sciences and medical sciences AB - BACKGROUND: Seniors who live alone are a large, growing population with poorer health outcomes. We examine the little-studied health care experiences and immunizations of older adults who live alone., METHODS: We use regression-based case-mix adjustment to compare immunizations and health care experiences of 325,649 adults aged 65 and older who lived alone to those who did not, overall and by gender and health status, using nationally representative data from the Medicare Consumer Assessment of Healthcare Providers and Systems (MCAHPS) surveys. Outcomes were five global care ratings (health plan, drug plan, doctor, specialists, all care), six composite care measures (getting needed care, getting care quickly, doctor communication, customer service, getting needed drugs, getting information from drug plan), and two immunization measures (influenza, pneumonia)., RESULTS: About 30.3% of respondents lived alone. Women, older beneficiaries, and low income (Medicaid eligible) beneficiaries reported living alone at substantially higher rates than their counterparts. Care experiences for 8 of the 13 measures were significantly worse for those who lived alone than for others. The association differed significantly in magnitude by gender for 10 measures, with larger average differences for men. The largest disadvantages for those living alone were for immunization measures (eg, influenza -6 percentage points, for men living alone vs other men). The disadvantages of living alone were not consistently greater for those in worse health., CONCLUSIONS: Living alone is associated with worse care experiences and immunization, especially for men. Health plans should target quality improvement and outreach efforts to beneficiaries who live alone, especially men. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/gerona/glv037 VL - 70 IS - 10 SP - 1242 EP - 7 J2 - J Gerontol A Biol Sci Med Sci SN - 1758-535X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25869525 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Health Status KW - *Independent Living KW - Sex Factors KW - Medicare KW - Income/sn [Statistics & Numerical Data] KW - *Single Person KW - *Immunization/sn [Statistics & Numerical Data] KW - Diagnosis-Related Groups ER - TY - JOUR TI - Experiences of community-dwelling persons recovering from severe mental illness. AU - Mizuno, Eriko AU - Iwasaki, Misuzu AU - Sakai, Ikue AU - Kamizawa, Naotoshi T2 - Archives of psychiatric nursing AB - This qualitative study explored experiences of recovery from severe mental illness based on semi-structured interviews with sixteen persons diagnosed with schizophrenia spectrum disorders using psychiatric rehabilitation facilities. The participants' transcripts revealed two major themes: (1) ongoing efforts to live better and (2) inconsistent self-acceptance as a person living with a mental illness. The participants were aware of their responsibility to live with integrity. They all had hopes and goals, were able to respond to social cues, and considered what they could do independently. They wanted to be recognized as people who adapted successfully in society while inconsistently perceiving themselves as either sick or healthy. It is necessary to examine approaches that support the identities of persons who have been treated for schizophrenia and allow them to live comfortable within their communities. Copyright © 2014 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.apnu.2014.12.001 VL - 29 IS - 2 SP - 127 EP - 31 J2 - Arch Psychiatr Nurs SN - 1532-8228 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25858206 KW - Adult KW - Female KW - Humans KW - Male KW - Middle Aged KW - *Independent Living KW - Japan KW - Social Adjustment KW - Adaptation, Psychological KW - *Schizophrenic Psychology KW - Schizophrenia/di [Diagnosis] KW - Interview, Psychological KW - *Schizophrenia/nu [Nursing] KW - Community Mental Health Services KW - Schizophrenia/rh [Rehabilitation] ER - TY - JOUR TI - Living Legends: students' responses to an intergenerational life review writing program. AU - Chippendale, Tracy AU - Boltz, Marie T2 - Journal of the American Geriatrics Society AB - The purpose of the study was to examine the effects of participation in the Living Legends program upon health science students' image of older adults and interest in working with older people. A multisite quasi-experimental control group design with a connected qualitative component was used. Program sites included three Naturally Occurring Retirement Communities (NORCs) and one senior center. Health science students (n = 43) from two universities and two community colleges and community-dwelling seniors (n = 39) participated in the program. A baseline questionnaire was used to ascertain demographic characteristics and prior type and amount of contact with older adults. The Image of Aging Scale and Likert-style questions to measure interest in working with older adults were the primary outcome measures. Written responses to program experiences were also collected. Analysis of covariance was used to compare changes in Image of Aging subscale scores from pre- to posttest. Mean change in positive image of older adults subscale scores was 4.6 (SD = 4.4) for the intervention group and -0.6 (SD = 4.8) for the control group. The difference between groups was significant (F = 22.0, P < .001), and the effect size was large (Cohen's d = 1.07). Nine of the 22 students in the intervention group had a greater interest in working with seniors after the program. Qualitative themes that emerged included a positive and beneficial experience, life lessons, seeing the person beyond the visible, power of the written word, and shared lives. Living Legends is an effective program to enhance positive images of older adults in future healthcare professionals and may have a positive impact on some students with regard to interest in working with older adults. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/jgs.13236 VL - 63 IS - 4 SP - 782 EP - 8 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25851639 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Surveys and Questionnaires KW - Independent Living KW - *Attitude of Health Personnel KW - *Aging/px [Psychology] KW - Professional-Patient Relations KW - Retirement/px [Psychology] KW - *Students, Health Occupations/px [Psychology] ER - TY - JOUR TI - Effectiveness of a balance-training program provided by qualified care workers for community-based older adults: A preliminary study. AU - Hirase, Tatsuya AU - Inokuchi, Shigeru AU - Matsusaka, Nobuou AU - Okita, Minoru T2 - Geriatric nursing (New York, N.Y.) AB - The purpose of this study was to determine the effectiveness of a balance-training program provided by qualified care workers (QCWs) to community-based older adults attending day centers. Weekly balance training was conducted by QCWs working at day centers over a 6-month period. Fall risk factors, fear of falling, and physical function were compared between balance-training (n = 22) and control (n = 23) groups at baseline and after 6 months of intervention. Physical function assessments included the following: one-leg standing test, chair-standing test (CST), timed up-and-go test (TUGT), and a lower-extremity muscle strength test (LEST). Participants who underwent balance training significantly improved in the CST and LEST, and had reduced fear and risk of falling compared with the control group (p < 0.05). In the balance-training group, the TUGT was significantly better at 6 months than at baseline (p < 0.05). A balance-training program for community-dwelling older adults can be effectively implemented by QCWs. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.gerinurse.2015.02.005 VL - 36 IS - 3 SP - 219 EP - 23 J2 - Geriatr Nurs SN - 1528-3984 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25846053 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - *Exercise Therapy/mt [Methods] KW - *Independent Living KW - Accidental Falls/pc [Prevention & Control] KW - *Postural Balance/ph [Physiology] KW - Exercise Therapy/sn [Statistics & Numerical Data] KW - *Allied Health Personnel ER - TY - JOUR TI - "Careworkers don't have a voice:" epistemological violence in residential care for older people. AU - Banerjee, Albert AU - Armstrong, Pat AU - Daly, Tamara AU - Armstrong, Hugh AU - Braedley, Susan T2 - Journal of aging studies AB - Drawing on feminist epistemologies, this paper attends to the way the reductionist assumptions have shaped the organization of nursing home carework in manners that are insufficient to the needs of relational care. This paper is informed by a study involving nine focus groups and a survey of Canadian residential care workers (141 RNs, 139 LPNs and 415 frontline careworkers). Four major themes were identified. Reductionist assumptions contributed to routinized, task-based approaches to care, resulting in what careworkers termed "assembly line care." Insufficient time and emphasis on the relational dimensions of care made it difficult to "treat residents as human beings." Accountability, enacted as counting and documenting, led to an "avalanche of paperwork" that took time away from care. Finally, hierarchies of knowledge contributed to systemic exclusions and the perception that "careworkers' don't have a voice." Careworkers reported distress as a result of the tensions between the organization of work and the needs of relational care. We theorize these findings as examples of "epistemological violence," a concept coined by Vandana Shiva (1988) to name the harm that results from the hegemony of reductionist assumptions. While not acting alone, we argue that reductionism has played an important role in shaping the context of care both at a policy and organizational level, and it continues to shape the solutions to problems in nursing home care in ways that pose challenges for careworkers. We conclude by suggesting that improving the quality of both work and care will require respecting the specificities of care and its unique epistemological and ontological nature. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jaging.2015.02.005 VL - 33 IS - 8916517 SP - 28 EP - 36 J2 - J Aging Stud SN - 1879-193X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25841727 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Focus Groups KW - Qualitative Research KW - *Caregivers/px [Psychology] KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Long-Term Care KW - Workplace/st [Standards] KW - Canada KW - Homes for the Aged/es [Ethics] KW - Nursing Homes/es [Ethics] KW - Adaptation, Psychological KW - *Violence KW - Caregivers/es [Ethics] KW - Knowledge KW - Professional-Patient Relations/es [Ethics] KW - Workload/px [Psychology] KW - Workload/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Developing a Research Agenda on Resident-to-Resident Aggression: Recommendations From a Consensus Conference. AU - McDonald, Lynn AU - Hitzig, Sander L AU - Pillemer, Karl Andrew AU - Lachs, Mark S AU - Beaulieu, Marie AU - Brownell, Patricia AU - Burnes, David AU - Caspi, Eilon AU - Du Mont, Janice AU - Gadsby, Robert AU - Goergen, Thomas AU - Gutman, Gloria AU - Hirst, Sandra P AU - Holmes, Carol AU - Khattak, Shamal AU - Lowenstein, Ariela AU - Mirza, Raza M AU - McNeill, Susan AU - Moorhouse, Aynsley AU - Podnieks, Elizabeth AU - Rideout, Raeann AU - Robitaille, Annie AU - Rochon, Paula A AU - Rosenberg, Jarred AU - Sheppard, Christine AU - Tamblyn Watts, Laura AU - Thomas, Cynthia T2 - Journal of elder abuse & neglect AB - This article provides an overview of the development of a research agenda on resident-to-resident aggression (RRA) in long-term care facilities by an expert panel of researchers and practitioners. A 1-day consensus-building workshop using a modified Delphi approach was held to gain consensus on nomenclature and an operational definition for RRA, to identify RRA research priorities, and to develop a roadmap for future research on these priorities. Among the six identified terms in the literature, RRA was selected. The top five priorities were: (a) developing/assessing RRA environmental interventions; (b) identification of the environmental factors triggering RRA; (c) incidence/prevalence of RRA; (d) developing/assessing staff RRA education interventions; and (e) identification of RRA perpetrator and victim characteristics. Given the significant harm RRA poses for long-term care residents, this meeting is an important milestone, as it is the first organized effort to mobilize knowledge on this under-studied topic at the research, clinical, and policy levels. DA - 2015/// PY - 2015 DO - 10.1080/08946566.2014.995869 VL - 27 IS - 2 SP - 146 EP - 67 J2 - J ELDER ABUSE NEGL SN - 1540-4129 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25836385 KW - Humans KW - Aged KW - *Homes for the Aged KW - *Nursing Homes KW - Long-Term Care KW - *Health Services Research/mt [Methods] KW - *Aggression/px [Psychology] ER - TY - JOUR TI - The process of aging: A case study approach implementing an ergonomics evaluation of the built environment for the elderly in Brazil. AU - Paiva, Marie AU - Ferrer, Nicole AU - Villarouco, Vilma T2 - Work (Reading, Mass.) AB - BACKGROUND: The phenomenon of aging is increasing worldwide. Various problems accompany it since aging makes the elderly undergo a decline in their natural functions. As such, senility can present itself as a barrier for everyday activities., OBJECTIVE: This article presents a research that deals with the study of collective residences for the elderly. It seeks to identify configurations of these homes by seeking shortcomings and/or successful solutions., METHODS: The Ergonomic Methodology for the Built Environment was applied. The method of the approach is qualitative and consists of multi-case study., RESULTS: Through the methodological approach, conflicts in the environment created by missing or inadequate elements were identified. Also, the opinions and suggestions from the elderly were analyzed, which shows their perception of the environment in use., CONCLUSIONS: The situations detected in this study indicate the occurrence of problems, exacerbated by the multiple deficiencies found in the user population of the environments analyzed. Thus it highlights the importance of there being future studies that are better targeted on designing environments for the elderly. DA - 2015/// PY - 2015 DO - 10.3233/WOR-141967 VL - 50 IS - 4 SP - 595 EP - 606 J2 - WORK SN - 1875-9270 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25835962 KW - Humans KW - Aged KW - Housing KW - *Homes for the Aged KW - *Aging KW - Aging/ph [Physiology] KW - *Environment Design KW - Brazil KW - *Ergonomics ER - TY - JOUR TI - Factors affecting mobility in community-dwelling older Koreans with chronic illnesses. AU - Yeom, Hye-A AU - Baldwin, Carol M AU - Lee, Myung-Ah AU - Kim, Su-Jeong T2 - Asian nursing research T3 - [Erratum in: Asian Nurs Res (Korean Soc Nurs Sci). 2015 Jun;9(2):175] AB - PURPOSE: This descriptive study aims to describe the levels of mobility in community-dwelling older Koreans with chronic illnesses, and to examine the associations of their mobility with sleep patterns, physical activity and physical symptoms including fatigue and pain., METHODS: The participants were a total of 384 community-dwelling older adults recruited from three senior centers in Seoul, Korea. Measures included mobility assessed using 6-minute walk test (6MWT), physical activity behavior, sleep profiles, fatigue and pain. Data were collected from July to December 2012., RESULTS: The mean 6MWT distance was 212.68 meters. Over 90% of the study participants (n = 373) were classified as having impaired mobility using 400 meters as the cutoff point diagnostic criteria of normal mobility in 6MWT. The 6MWT distance was 246.68 meters for participants in their 60s, 212.32 meters for those in their 70s, and 175.54 meters for those in their 80s. Significant predictors of mobility included younger age, taking mediation, regular physical activity, female gender, higher income, higher fatigue and better perception on sleep duration, which explained 18% of the total variance of mobility., CONCLUSIONS: A high-risk group for mobility limitation includes low income, sedentary older men who are at risk for increased fatigue and sleep deficit. Further research should incorporate other psychological and lifestyle factors such as depression, smoking, drinking behavior, and/or obesity into the prediction model of mobility to generate specific intervention strategies for mobility enhancement recommendations for older adults. Copyright © 2015. Published by Elsevier B.V. DA - 2015/// PY - 2015 DO - 10.1016/j.anr.2014.09.005 VL - 9 IS - 1 SP - 7 EP - 13 J2 - Asian nurs. res. SN - 2093-7482 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25829204 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Motor Activity KW - *Mobility Limitation KW - Sleep KW - *Chronic Disease/ep [Epidemiology] KW - Pain/ep [Epidemiology] KW - Fatigue/ep [Epidemiology] KW - Seoul/ep [Epidemiology] ER - TY - JOUR TI - Staff perceptions of social work student contributions to home health care services at an independent living facility. AU - Galambos, Colleen AU - Starr, Julie AU - Musterman, Katy AU - Rantz, Marilyn T2 - Home healthcare now AB - This exploratory qualitative study examined staff perceptions of social work student contributions to client services, family and client communication, and staff workload in an independent living setting for older adults. Ten employees who had contact with the students, clients, and family were interviewed using a semistructured interview method. The findings suggest a positive response to the presence of social work students in the enhancement of home healthcare and in this independent living environment. In particular, their contributions were viewed as helpful in client quality of life, quality of care, communication with clients and families, and work performance. DA - 2015/// PY - 2015 DO - 10.1097/NHH.0000000000000215 VL - 33 IS - 4 SP - 206 EP - 14 J2 - Home healthc. now SN - 2374-4537 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25828612 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Middle Aged KW - Attitude of Health Personnel KW - *Home Care Services/og [Organization & Administration] KW - Interviews as Topic KW - Perception KW - *Quality of Health Care KW - *Assisted Living Facilities/og [Organization & Administration] KW - Patient Satisfaction/sn [Statistics & Numerical Data] KW - Patient Care Team/og [Organization & Administration] KW - Interprofessional Relations KW - *Social Work/ed [Education] KW - Students, Health Occupations ER - TY - JOUR TI - Micronutrient intakes and potential inadequacies of community-dwelling older adults: a systematic review. AU - ter Borg, Sovianne AU - Verlaan, Sjors AU - Hemsworth, Jaimie AU - Mijnarends, Donja M AU - Schols, Jos M G A AU - Luiking, Yvette C AU - de Groot, Lisette C P G M T2 - The British journal of nutrition T3 - [Comment in: Br J Nutr. 2016 Jul;116(1):188-9; PMID: 27170224 [https://www.ncbi.nlm.nih.gov/pubmed/27170224]] AB - Micronutrient deficiencies and low dietary intakes among community-dwelling older adults are associated with functional decline, frailty and difficulties with independent living. As such, studies that seek to understand the types and magnitude of potential dietary inadequacies might be beneficial for guiding future interventions. We carried out a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Observational cohort and longitudinal studies presenting the habitual dietary intakes of older adults (>=65 years) were included. Sex-specific mean (and standard deviation) habitual micronutrient intakes were extracted from each article to calculate the percentage of older people who were at risk for inadequate micronutrient intakes using the estimated average requirement (EAR) cut-point method. The percentage at risk for inadequate micronutrient intakes from habitual dietary intakes was calculated for twenty micronutrients. A total of thirty-seven articles were included in the pooled systematic analysis. Of the twenty nutrients analysed, six were considered a possible public health concern: vitamin D, thiamin, riboflavin, Ca, Mg and Se. The extent to which these apparent inadequacies are relevant depends on dynamic factors, including absorption and utilisation, vitamin and mineral supplement use, dietary assessment methods and the selection of the reference value. In light of these considerations, the present review provides insight into the type and magnitude of vitamin and mineral inadequacies. DA - 2015/// PY - 2015 DO - 10.1017/S0007114515000203 VL - 113 IS - 8 SP - 1195 EP - 206 J2 - Br J Nutr SN - 1475-2662 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25822905 KW - Female KW - Humans KW - Male KW - Aged KW - *Nutritional Status KW - Dietary Supplements KW - Diet KW - Nutritional Requirements KW - Diet Surveys KW - *Micronutrients/df [Deficiency] KW - Calcium/me [Metabolism] KW - Magnesium/me [Metabolism] KW - Riboflavin/me [Metabolism] KW - Selenium/me [Metabolism] KW - Thiamine/me [Metabolism] KW - Vitamin D/me [Metabolism] ER - TY - JOUR TI - The Impact of Genetics on Physical Resilience and Successful Aging. AU - Resnick, Barbara AU - Klinedinst, N Jennifer AU - Yerges-Armstrong, Laura AU - Choi, Eun Yong AU - Dorsey, Susan G T2 - Journal of aging and health AB - OBJECTIVE: To better understand the impact of genetics on resilience and successful aging, we tested a model of successful aging., METHOD: This was a descriptive study with a single interview and blood draw done with residents in a continuing care retirement community. Five genes associated with resilience were included in the model. The hypothesis was tested using structural equation modeling., RESULTS: A total of 116 participants completed the survey. Two SNPs from SLC6A4 (rs25533 and rs1042173) and age were the only variables associated with physical resilience and explained 9% of the variance. Cognitive status, age, and depression were directly associated with successful aging; variance in rs25532 or rs1042173, resilience, and pain were indirectly associated with successful aging through depression., DISCUSSION: Continued research to replicate these findings is needed so as to be able to recognize older adults at risk of low physical resilience and implement appropriate interventions. Copyright © The Author(s) 2015. DA - 2015/// PY - 2015 DO - 10.1177/0898264315577586 VL - 27 IS - 6 SP - 1084 EP - 104 J2 - J Aging Health SN - 1552-6887 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25818147 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Health Surveys KW - Age Factors KW - Aging/ph [Physiology] KW - Aging/px [Psychology] KW - Cognition/ph [Physiology] KW - *Aging/ge [Genetics] KW - *Polymorphism, Single Nucleotide/ph [Physiology] KW - Depression/ge [Genetics] KW - Models, Biological ER - TY - JOUR TI - Gender differences in the predictors of physical activity among assisted living residents. AU - Chen, Yuh-Min AU - Li, Yueh-Ping AU - Yen, Min-Ling T2 - Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing AB - PURPOSE: To explore gender differences in the predictors of physical activity (PA) among assisted living residents., DESIGN AND METHODS: A cross-sectional design was adopted. A convenience sample of 304 older adults was recruited from four assisted living facilities in Taiwan. Two separate simultaneous multiple regression analyses were conducted to identify the predictors of PA for older men and women. Independent variables entered into the regression models were age, marital status, educational level, past regular exercise participation, number of chronic diseases, functional status, self-rated health, depression, and self-efficacy expectations., FINDINGS: In older men, a junior high school or higher educational level, past regular exercise participation, better functional status, better self-rated health, and higher self-efficacy expectations predicted more PA, accounting for 61.3% of the total variance in PA. In older women, better self-rated health, lower depression, and higher self-efficacy expectations predicted more PA, accounting for 50% of the total variance in PA., CONCLUSIONS: Predictors of PA differed between the two genders. The results have crucial implications for developing gender-specific PA interventions., CLINICAL RELEVANCE: Through a clearer understanding of gender-specific predictors, healthcare providers can implement gender-sensitive PA-enhancing interventions to assist older residents in performing sufficient PA. Copyright © 2015 Sigma Theta Tau International. DA - 2015/// PY - 2015 DO - 10.1111/jnu.12132 VL - 47 IS - 3 SP - 211 EP - 8 J2 - J Nurs Scholarsh SN - 1547-5069 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25801588 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Health Status KW - Cross-Sectional Studies KW - Self Efficacy KW - Educational Status KW - Exercise/px [Psychology] KW - Regression Analysis KW - *Motor Activity KW - Taiwan KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - Marital Status KW - Depression/co [Complications] KW - *Sex Factors ER - TY - JOUR TI - RNs' Transitions into Director of Nursing Positions in Nursing Homes: Hiring Practices and Role Development. AU - Siegel, Elena O AU - Sikma, Suzanne T2 - Journal of gerontological nursing AB - The current paper discusses RNs' transitions into their first nursing home director of nursing (DON) position, including hiring practice and role development. A convenience sample of 29 current and previous DONs and nursing home administrators completed semistructured interviews for the current qualitative, descriptive study. Using thematic analysis, the finding revealed three primary themes: (a) DON hiring criteria are not necessarily matched to role demands; (b) various pathways to developing DON expertise suggest an undervaluing of the competencies needed to effectively enact this nursing leadership position; and (c) although limited formal training for the DON position was well-acknowledged, concerns or reports of the consequences varied, and there is no consensus as to the optimal route to preparation. Overall, the current study findings highlight gaps across practice, policy, and research, emphasizing the consequences of limited attention to gathering evidence of the breadth and depth of DON role demands and related role qualifications. Copyright 2015, SLACK Incorporated. DA - 2015/// PY - 2015 DO - 10.3928/00989134-20150309-02 VL - 41 IS - 6 SP - 32 EP - 8 J2 - J Gerontol Nurs SN - 0098-9134 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25800219 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Professional Competence KW - *Nurses KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Leadership KW - *Nurse Administrators/og [Organization & Administration] KW - *Personnel Selection/og [Organization & Administration] ER - TY - JOUR TI - [The influence of minority sociolinguistic context on home support for seniors in a rural devitalized area: the case of Acadieville New Brunswick]. AU - Simard, Majella AU - Dupuis-Blanchard, Suzanne AU - Villalon, Lita AU - Gould, Odette AU - Ethier, Sophie AU - Gibbons, Caroline T2 - L'influence du contexte sociolinguistique minoritaire sur le maintien a domicile des aines en milieu rural devitalise: le cas d'Acadieville au Nouveau-Brunswick. AB - New Brunswick is one of the provinces most affected by the aging of the population. Moreover, aging at home in Francophone minority communities is a major challenge in rural areas. The goal of this paper is to identify the main advantages and disadvantages of aging at home and to expose organizational strategies deployed by seniors and their families in order to promote aging in place. The case study is the method of analysis that we have recommended. Our methodology is based on content analysis of 13 semi-structured interviews with seniors and their children. The results show that family and community support, resourcefulness and resiliency, the practice of leisure activities as well as the living environment are among the principal means used by older adults to promote aging at home. DA - 2015/// PY - 2015 DO - 10.1017/S0714980815000069 VL - 34 IS - 2 SP - 194 EP - 206 J2 - Can J Aging SN - 1710-1107 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25792029 KW - Female KW - Humans KW - Male KW - Leisure Activities KW - Aged KW - Aged, 80 and over KW - Qualitative Research KW - *Independent Living KW - *Social Support KW - *Residence Characteristics KW - Rural Population KW - Adult Children KW - *Language KW - Resilience, Psychological KW - *Minority Groups KW - Pets KW - Bonding, Human-Pet KW - New Brunswick ER - TY - JOUR TI - [Contributory factors for the functional independence of oldest old]. AU - Ribeiro, Damarys Kohlbeck de Melo Neu AU - Lenardt, Maria Helena AU - Michel, Tatiane AU - Setoguchi, Larissa Sayuri AU - Grden, Cloris Regina Blanski AU - Oliveira, Edinaldo Silva de T2 - Fatores contributivos para a independencia funcional de idosos longevos. AB - OBJECTIVE: To investigate the socioeconomic and clinical factors that contribute to the functional independence of the oldest old of a community., METHOD: Cross-sectional quantitative study whose sample consisted of 214 elderly people registered in Basic Health Units. Data were collected through structured interviews and application of the Functional Independence Measure. We used descriptive statistics, and for association of the variables we used the Student t-test, ANOVA and Tukey's test for multiple comparisons., RESULTS: The significant variables that contributed to the functional independence were remaining economically active, practicing physical and leisure activities, having a social life, eating fruits, vegetables and meat. The orientation to conduct these practices reduces the demand for care and help needed in everyday activities., CONCLUSION: Maintaining independence is primordial to delay disability and presents itself as an excellent field of work for nursing. DA - 2015/// PY - 2015 DO - 10.1590/S0080-623420150000100012 VL - 49 IS - 1 SP - 89 EP - 96 J2 - Rev Esc Enferm USP SN - 0080-6234 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25789647 KW - Humans KW - *Independent Living KW - *Activities of Daily Living KW - Cross-Sectional Studies KW - Socioeconomic Factors KW - *Aged, 80 and over ER - TY - JOUR TI - [Five years after mortality of atrial fibrillation in community-dwelling Japanese aged 40 years or older in Japan]. AU - Sakai, Kenichiro AU - Kimura, Kazumi AU - Ighuchi, Yasuyuki AU - Yoshioka, Akihiko AU - Moriyasu, Fumiaki T2 - Rinsho shinkeigaku = Clinical neurology AB - A community-based study was conducted to estimate the prevalence of atrial fibrillation (AF) in Japanese adults aged >=40 years in Kurashiki-city at 2006. We investigated mortality of adult residents with AF in Kurashiki city after 5 years from the previous study. In 1,164 adult residents with AF, 279 persons (24.0%) were dead in this survey. The cause of death was summarized as follow; cancer was 24%, cardiac disease without hypertension was 24%, ischemic stroke 11%, stroke without ischemic stroke was 6%, pneumonia was 13%, and freak accident was 3%. Residents with AF were dead of many another courses than cardio-cerebrovascular disease. When atrial fibrillation was diagnosed, we should be evaluate the heart by a cardiovascular specialist and evaluate patient's general medical condition. DA - 2015/// PY - 2015 DO - 10.5692/clinicalneurol.55.178 VL - 55 IS - 3 SP - 178 EP - 81 J2 - Rinsho Shinkeigaku SN - 1882-0654 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25786756 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Time Factors KW - Japan/ep [Epidemiology] KW - Follow-Up Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Age Factors KW - Cause of Death KW - Mortality KW - Neoplasms/mo [Mortality] KW - Stroke/mo [Mortality] KW - *Atrial Fibrillation/mo [Mortality] KW - Cerebral Hemorrhage/ep [Epidemiology] KW - Heart Diseases/mo [Mortality] KW - Pneumonia/mo [Mortality] ER - TY - JOUR TI - The Geriatric ICF Core Set reflecting health-related problems in community-living older adults aged 75 years and older without dementia: development and validation. AU - Spoorenberg, Sophie L W AU - Reijneveld, Sijmen A AU - Middel, Berrie AU - Uittenbroek, Ronald J AU - Kremer, Hubertus P H AU - Wynia, Klaske T2 - Disability and rehabilitation AB - PURPOSE: The aim of the present study was to develop a valid Geriatric ICF Core Set reflecting relevant health-related problems of community-living older adults without dementia., METHODS: A Delphi study was performed in order to reach consensus (>=70% agreement) on second-level categories from the International Classification of Functioning, Disability and Health (ICF). The Delphi panel comprised 41 older adults, medical and non-medical experts. Content validity of the set was tested in a cross-sectional study including 267 older adults identified as frail or having complex care needs., RESULTS: Consensus was reached for 30 ICF categories in the Delphi study (fourteen Body functions, ten Activities and Participation and six Environmental Factors categories). Content validity of the set was high: the prevalence of all the problems was >10%, except for d530 Toileting. The most frequently reported problems were b710 Mobility of joint functions (70%), b152 Emotional functions (65%) and b455 Exercise tolerance functions (62%). No categories had missing values., CONCLUSION: The final Geriatric ICF Core Set is a comprehensive and valid set of 29 ICF categories, reflecting the most relevant health-related problems among community-living older adults without dementia. This Core Set may contribute to optimal care provision and support of the older population. Implications for Rehabilitation The Geriatric ICF Core Set may provide a practical tool for gaining an understanding of the relevant health-related problems of community-living older adults without dementia. The Geriatric ICF Core Set may be used in primary care practice as an assessment tool in order to tailor care and support to the needs of older adults. The Geriatric ICF Core Set may be suitable for use in multidisciplinary teams in integrated care settings, since it is based on a broad range of problems in functioning. Professionals should pay special attention to health problems related to mobility and emotional functioning since these are the most prevalent problems in community-living older adults. DA - 2015/// PY - 2015 DO - 10.3109/09638288.2015.1024337 VL - 37 IS - 25 SP - 2337 EP - 43 J2 - Disabil Rehabil SN - 1464-5165 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25784203 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Delphi Technique KW - *Independent Living KW - Quality of Life KW - *Activities of Daily Living KW - Cross-Sectional Studies KW - *Geriatric Assessment KW - *Disability Evaluation KW - *International Classification of Functioning, Disability and Health ER - TY - JOUR TI - Global Prevalence of Physical Frailty by Fried's Criteria in Community-Dwelling Elderly With National Population-Based Surveys. AU - Choi, Jaekyung AU - Ahn, Ahleum AU - Kim, Sunyoung AU - Won, Chang Won T2 - Journal of the American Medical Directors Association AB - This study presents a brief review of 6 articles published between 2001 and 2014 that examined the prevalence of frailty as defined by the Fried scale in community-dwelling adults representative of the national population, age 65 years and older. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2015.02.004 VL - 16 IS - 7 SP - 548 EP - 50 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25783624 KW - Female KW - Humans KW - Male KW - Aged KW - Health Care Surveys KW - Prevalence KW - *Homes for the Aged KW - *Frail Elderly KW - Frail Elderly/sn [Statistics & Numerical Data] KW - *Geriatric Assessment ER - TY - JOUR TI - A targeted infection prevention intervention in nursing home residents with indwelling devices: a randomized clinical trial. AU - Mody, Lona AU - Krein, Sarah L AU - Saint, Sanjay AU - Min, Lillian C AU - Montoya, Ana AU - Lansing, Bonnie AU - McNamara, Sara E AU - Symons, Kathleen AU - Fisch, Jay AU - Koo, Evonne AU - Rye, Ruth Anne AU - Galecki, Andrzej AU - Kabeto, Mohammed U AU - Fitzgerald, James T AU - Olmsted, Russell N AU - Kauffman, Carol A AU - Bradley, Suzanne F T2 - JAMA internal medicine T3 - [Comment in: JAMA Intern Med. 2015 May;175(5):723-4; PMID: 25774622 [https://www.ncbi.nlm.nih.gov/pubmed/25774622]][Erratum in: JAMA Intern Med. 2015 Jul;175(7):1247; PMID: 26146924 [https://www.ncbi.nlm.nih.gov/pubmed/26146924]] AB - IMPORTANCE: Indwelling devices (eg, urinary catheters and feeding tubes) are often used in nursing homes (NHs). Inadequate care of residents with these devices contributes to high rates of multidrug-resistant organisms (MDROs) and device-related infections in NHs., OBJECTIVE: To test whether a multimodal targeted infection program (TIP) reduces the prevalence of MDROs and incident device-related infections., DESIGN, SETTING, AND PARTICIPANTS: Randomized clinical trial at 12 community-based NHs from May 2010 to April 2013. Participants were high-risk NH residents with urinary catheters, feeding tubes, or both., INTERVENTIONS: Multimodal, including preemptive barrier precautions, active surveillance for MDROs and infections, and NH staff education., MAIN OUTCOMES AND MEASURES: The primary outcome was the prevalence density rate of MDROs, defined as the total number of MDROs isolated per visit averaged over the duration of a resident's participation. Secondary outcomes included new MDRO acquisitions and new clinically defined device-associated infections. Data were analyzed using a mixed-effects multilevel Poisson regression model (primary outcome) and a Cox proportional hazards model (secondary outcome), adjusting for facility-level clustering and resident-level variables., RESULTS: In total, 418 NH residents with indwelling devices were enrolled, with 34,174 device-days and 6557 anatomic sites sampled. Intervention NHs had a decrease in the overall MDRO prevalence density (rate ratio, 0.77; 95% CI, 0.62-0.94). The rate of new methicillin-resistant Staphylococcus aureus acquisitions was lower in the intervention group than in the control group (rate ratio, 0.78; 95% CI, 0.64-0.96). Hazard ratios for the first and all (including recurrent) clinically defined catheter-associated urinary tract infections were 0.54 (95% CI, 0.30-0.97) and 0.69 (95% CI, 0.49-0.99), respectively, in the intervention group and the control group. There were no reductions in new vancomycin-resistant enterococci or resistant gram-negative bacilli acquisitions or in new feeding tube-associated pneumonias or skin and soft-tissue infections., CONCLUSIONS AND RELEVANCE: Our multimodal TIP intervention reduced the overall MDRO prevalence density, new methicillin-resistant S aureus acquisitions, and clinically defined catheter-associated urinary tract infection rates in high-risk NH residents with indwelling devices. Further studies are needed to evaluate the cost-effectiveness of this approach as well as its effects on the reduction of MDRO transmission to other residents, on the environment, and on referring hospitals., TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT01062841. DA - 2015/// PY - 2015 DO - 10.1001/jamainternmed.2015.132 VL - 175 IS - 5 SP - 714 EP - 23 J2 - JAMA Intern Med SN - 2168-6114 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25775048 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Homes for the Aged KW - *Nursing Homes KW - *Anti-Bacterial Agents/tu [Therapeutic Use] KW - Combined Modality Therapy KW - Outcome and Process Assessment (Health Care) KW - Urinary Tract Infections/et [Etiology] KW - *Intubation, Gastrointestinal/ae [Adverse Effects] KW - *Methicillin-Resistant Staphylococcus aureus/ip [Isolation & Purification] KW - *Prosthesis-Related Infections KW - *Staff Development/mt [Methods] KW - *Staphylococcal Infections/pc [Prevention & Control] KW - *Universal Precautions/mt [Methods] KW - *Urinary Catheterization/ae [Adverse Effects] KW - *Urinary Tract Infections/pc [Prevention & Control] KW - Drug Resistance, Multiple, Bacterial KW - Intubation, Gastrointestinal/mt [Methods] KW - Methicillin-Resistant Staphylococcus aureus/de [Drug Effects] KW - Prosthesis-Related Infections/et [Etiology] KW - Prosthesis-Related Infections/pc [Prevention & Control] KW - Staphylococcal Infections/et [Etiology] KW - Urinary Catheterization/mt [Methods] ER - TY - JOUR TI - Acceptability of wristband activity trackers among community dwelling older adults. AU - O'Brien, Tara AU - Troutman-Jordan, Meredith AU - Hathaway, Donna AU - Armstrong, Shannon AU - Moore, Michael T2 - Geriatric nursing (New York, N.Y.) AB - Wristband activity trackers have become widely used among young adults. However, few studies have explored their use for monitoring and improving health outcomes among older adults. The purpose of this study was to evaluate the feasibility and utility of activity tracker use among older adults for monitoring activity, improving self-efficacy, and health outcomes. A 12-week pilot study was conducted to evaluate the feasibility and utility of mobile wristband activity trackers. The sample (N = 34) was 65% women 73.5 +/- 9.4 years of age who had a high school diploma or GED (38%) and reported an income <=$35,000 (58%). Participants completing the study (95%) experienced a decrease in waist circumference (p > 0.009), however no change in self-efficacy. Participants found activity trackers easy to use which contributed to minimal study withdrawals. It was concluded that activity trackers could be useful for monitoring and promoting physical activity and improving older adults' health. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.gerinurse.2015.02.019 VL - 36 IS - 2 Suppl SP - S21 EP - 5 J2 - Geriatr Nurs SN - 1528-3984 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25771957 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - *Monitoring, Ambulatory/is [Instrumentation] KW - *Patient Acceptance of Health Care KW - Pilot Projects KW - *Exercise/ph [Physiology] KW - *Accelerometry/is [Instrumentation] KW - Wrist ER - TY - JOUR TI - Metformin utilisation in Australian community and aged care settings. AU - Huang, Weiyi AU - Peterson, Gregory M AU - Zaidi, Syed Tabish R AU - Castelino, Ronald L T2 - Diabetes research and clinical practice AB - OBJECTIVE: The objective of this study was to: (i) evaluate the potentially inappropriate prescribing (PIP; defined as the use of metformin in the presence of contraindications and/or use in excessive dosage based on the renal function) of metformin in people receiving medication reviews in Australia and (ii) identify the predictors for PIP of metformin., METHOD: Retrospective study of patients taking metformin through a large medication review database, containing records between January 2010 and June 2012. Data, including demographics, medical conditions, medications and relevant pathology results, were extracted for analysis. Multivariate logistic regression analysis was used to detect risk factors for PIP of metformin., RESULTS: Medication reviews pertaining to 6386 patients who received Home Medicines Reviews (HMRs, n=5327) or Residential Medication Management Reviews (RMMRs, n=1059) were included in this study. Overall, there were 12.9% (n=685) of patients in the HMR group and 17.4% (n=184) of patients in the RMMR group who had PIP of metformin. Multivariate logistic regression showed age, gender and type of medication review service as the significant (p<0.05) independent risk factors for PIP of metformin., CONCLUSION: Metformin was often used in patients with contraindications, or in higher than recommended dosages in patients with renal impairment. Given the recent debate in the literature about the role of metformin in the presence of contraindications, a detailed prospective study in patients with contraindications and its association with lactic acidosis is warranted to establish the way in which metformin is to be used in these patients. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.diabres.2015.01.041 VL - 108 IS - 2 SP - 336 EP - 41 J2 - Diabetes Res Clin Pract SN - 1872-8227 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25771309 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Retrospective Studies KW - *Drug Prescriptions/sn [Statistics & Numerical Data] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Homes for the Aged/st [Standards] KW - Health Services for the Aged KW - Australia/ep [Epidemiology] KW - *Drug Utilization/sn [Statistics & Numerical Data] KW - Diabetes Mellitus, Type 2/ep [Epidemiology] KW - Contraindications KW - Hypoglycemic Agents/ad [Administration & Dosage] KW - *Hypoglycemic Agents/ae [Adverse Effects] KW - *Kidney/de [Drug Effects] KW - *Metformin/ae [Adverse Effects] KW - Acidosis, Lactic/ci [Chemically Induced] KW - Acidosis, Lactic/ep [Epidemiology] KW - Diabetes Mellitus, Type 2/dt [Drug Therapy] KW - Medication Systems/sn [Statistics & Numerical Data] KW - Medication Systems/st [Standards] KW - Metformin/ad [Administration & Dosage] ER - TY - JOUR TI - Relative and absolute risks of all-cause and cause-specific deaths attributable to atrial fibrillation in middle-aged and elderly community dwellers. AU - Ohsawa, Masaki AU - Okamura, Tomonori AU - Ogasawara, Kuniaki AU - Ogawa, Akira AU - Fujioka, Tomoaki AU - Tanno, Kozo AU - Yonekura, Yuki AU - Omama, Shinichi AU - Turin, Tanvir Chowdhury AU - Itai, Kazuyoshi AU - Ishibashi, Yasuhiro AU - Morino, Yoshihiro AU - Itoh, Tomonori AU - Miyamatsu, Naomi AU - Onoda, Toshiyuki AU - Kuribayashi, Toru AU - Makita, Shinji AU - Yoshida, Yuki AU - Nakamura, Motoyuki AU - Tanaka, Fumitaka AU - Ohta, Mutsuko AU - Sakata, Kiyomi AU - Okayama, Akira T2 - International journal of cardiology AB - BACKGROUND: The relative and absolute risks of outcomes other than all-cause death (ACD) attributable to atrial fibrillation (AF) stratified age have not been sufficiently investigated., METHODS: A prospective study of 23,634 community dwellers aged 40 years or older without organic cardiovascular disease (AF=335, non-AF=23,299) was conducted. Multivariate-adjusted rates, rate ratios (RRs) and excess deaths (EDs) for ACD, cardiovascular death (CVD) and non-cardiovascular death (non-CVD), and sex- and age-adjusted RR and ED in middle-aged (40 to 69) and elderly (70 years or older) for ACD, CVD, non-CVD, sudden cardiac death (SCD), stroke-related death (Str-D), neoplasm-related death (NPD), and infection-related death (IFD) attributable to AF were estimated using Poisson regression., RESULTS: Multivariate-adjusted analysis revealed that AF significantly increased the risk of ACD (RR [95% confidence interval]:1.70 [1.23-2.95]) and CVD (3.86 [2.38-6.27]), but not non-CVD. Age-stratified analysis revealed that AF increased the risk of Str-D in middle-aged (14.5 [4.77-44.3]) and elderly individuals (4.92 [1.91-12.7]), SCD in elderly individuals (3.21 [1.37-7.51]), and might increase the risk of IFD in elderly individuals (2.02 [0.80-4.65], p=0.098). The RR of CVD was higher in middle-aged versus elderly individuals (RRs, 6.19 vs. 3.57) but the absolute risk difference was larger in elderly individuals (EDs: 7.6 vs. 3.0 per 1000 person-years)., CONCLUSIONS: Larger absolute risk differences for ACD and CVD attributable to AF among elderly people indicate that the absolute burden of AF is higher in elderly versus middle-aged people despite the relatively small RR. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.ijcard.2015.03.068 VL - 184 IS - gqw, 8200291 SP - 692 EP - 8 J2 - Int J Cardiol SN - 1874-1754 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25771238 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Middle Aged KW - Cohort Studies KW - Japan/ep [Epidemiology] KW - Follow-Up Studies KW - *Independent Living/td [Trends] KW - Prospective Studies KW - *Cause of Death/td [Trends] KW - *Atrial Fibrillation/mo [Mortality] KW - *Atrial Fibrillation/di [Diagnosis] ER - TY - JOUR TI - Olfactory thresholds of the U.S. Population of home-dwelling older adults: development and validation of a short, reliable measure. AU - Kern, David W AU - Schumm, L Philip AU - Wroblewski, Kristen E AU - Pinto, Jayant M AU - Hummel, Thomas AU - McClintock, Martha K T2 - PloS one AB - Current methods of olfactory sensitivity testing are logistically challenging and therefore infeasible for use in in-home surveys and other field settings. We developed a fast, easy and reliable method of assessing olfactory thresholds, and used it in the first study of olfactory sensitivity in a nationally representative sample of U.S. home-dwelling older adults. We validated our method via computer simulation together with a model estimated from 590 normosmics. Simulated subjects were assigned n-butanol thresholds drawn from the estimated normosmic distribution and based on these and the model, we simulated administration of both the staircase and constant stimuli methods. Our results replicate both the correlation between the two methods and their reliability as previously reported by studies using human subjects. Further simulations evaluated the reliability of different constant stimuli protocols, varying both the range of dilutions and number of stimuli (6-16). Six appropriately chosen dilutions were sufficient for good reliability (0.67) in normosmic subjects. Finally, we applied our method to design a 5-minute, in-home assessment of older adults (National Social Life, Health and Aging Project, or NSHAP), which had comparable reliability (0.56), despite many subjects having estimated thresholds above the strongest dilution. Thus, testing with a fast, 6-item constant stimuli protocol is informative, and permits olfactory testing in previously inaccessible research settings. DA - 2015/// PY - 2015 DO - 10.1371/journal.pone.0118589 VL - 10 IS - 3 SP - e0118589 J2 - PLoS ONE SN - 1932-6203 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25768291 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Reproducibility of Results KW - *Housing KW - Databases, Factual KW - Aging/ph [Physiology] KW - Reaction Time KW - Software KW - Models, Biological KW - *Smell/ph [Physiology] KW - Physical Stimulation KW - Sensory Thresholds ER - TY - JOUR TI - Disability levels and correlates among older mobile home dwellers, an NHATS analysis. AU - Al-Rousan, Tala M AU - Rubenstein, Linda M AU - Wallace, Robert B T2 - Disability and health journal AB - BACKGROUND: Although remarkably understudied, manufactured or mobile homes are the housing choice for nearly 20 million Americans and little is known about the health of older persons living in mobile homes., OBJECTIVE: We sought to investigate disability levels and other health correlates among older adults living in mobile or manufactured homes compared to their counterparts living in other types of homes., METHODS: We sampled non-institutional adults aged 65 years or older (n = 7609), of whom 344 lived in mobile homes, from the 2011 National Health and Aging Trends Study (NHATS)., RESULTS: Respondents living in mobile homes (average age = 75.1 years; SD = 0.5) had lower education and income and medical insurance than older adults living in other types of community residence (average age = 77.5 years; SD = 0.2). They were more likely to smoke, have lung and heart disease, and report fair or poor general health status. Mobile home dwellers reported more difficulty or inability in performing the following activities of daily living when compared to their counterparts: stooping and kneeling (64.9% vs 60.8%, p = 0.007), walking 6 blocks (46.5% vs 41.5%, p = 0.001), walking 3 blocks (37.7% vs 33.5%, p = 0.002), and climbing up to 20 stairs (39.2% vs 34.8%, p = 0.02). Among those reporting disability, mobile home dwellers had fewer bathroom safety modifications., CONCLUSION: There is higher prevalence of chronic conditions, functional and cognitive impairment in older mobile home dwellers compared to older adults living in other types of housing. Copyright Published by Elsevier Inc. DA - 2015/// PY - 2015 DO - 10.1016/j.dhjo.2015.01.002 VL - 8 IS - 3 SP - 363 EP - 71 J2 - Disabil Health J SN - 1876-7583 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25766655 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Activities of Daily Living KW - *Disabled Persons KW - *Housing KW - Walking KW - *Health Status KW - Aging KW - Smoking KW - Social Class KW - Movement KW - Medically Uninsured ER - TY - JOUR TI - The prevalence of frailty and related factors in community-dwelling Turkish elderly according to modified Fried Frailty Index and FRAIL scales. AU - Akin, Sibel AU - Mazicioglu, Mumtaz M AU - Mucuk, Salime AU - Gocer, Semsinnur AU - Deniz Safak, Elif AU - Arguvanli, Sibel AU - Ozturk, Ahmet T2 - Aging clinical and experimental research AB - AIM: The purpose of this study is to determine the prevalence of frailty with the Fried Frailty Index (FFI) and FRAIL scales (Fatigue, Resistance, Ambulation, Illness, Low weight) and also its associated factors in the community-dwelling Turkish elderly., METHODS: This is a cross-sectional population-based study in an urban area with a population of over 1,200,000. We sampled 1/100 of the elderly population. Frailty prevalence was assessed with a modified version of the FFI and FRAIL scale. Nutritional status was assessed by Mini Nutritional Assessment. Cognitive function was assessed by Mini-Mental State Examination. Depressive mood was assessed by GDS. Functional capacity was assessed by the instrumental activities of daily living scale. Falls and fear of falling were noted. Uni- and multivariate analyses were done to determine associated factors for frailty., RESULTS: A total of 906 community-dwelling elderly were included, in whom the mean age and standard deviation (SD) of age were 71.5 (5.6) years (50.6 % female). We detected frailty (female 30.4 %, male 25.2 %), pre-frailty and non-frailty prevalence with FFI as 27.8, 34.8, and 37.4 %, respectively. The prevalence of frailty (female 14.5 %, male 5.4 %), pre-frailty and non-frailty with the FRAIL scale was detected as 10, 45.6, and 44.4 %. Coexisting associated factors related with frailty in both models were found as depressive mood, cognitive impairment, and malnutrition in multivariate analysis., CONCLUSIONS: According to both scales, frailty was strongly associated with cognitive impairment, depressive mood, and malnutrition in the community-dwelling Turkish elderly population. DA - 2015/// PY - 2015 DO - 10.1007/s40520-015-0337-0 VL - 27 IS - 5 SP - 703 EP - 9 J2 - Aging Clin Exp Res SN - 1720-8319 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25762157 KW - Female KW - Humans KW - Male KW - Aged KW - Activities of Daily Living KW - Prevalence KW - *Nutritional Status KW - Cross-Sectional Studies KW - Cognition KW - *Aging KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - *Independent Living/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - *Frail Elderly KW - Frail Elderly/sn [Statistics & Numerical Data] KW - Aging/ph [Physiology] KW - Frail Elderly/px [Psychology] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Cognition Disorders/di [Diagnosis] KW - Cognition Disorders/ep [Epidemiology] KW - Aging/px [Psychology] KW - *Cognition Disorders KW - Turkey/ep [Epidemiology] KW - Intelligence Tests ER - TY - JOUR TI - HIV-Risk Related Attitudes and Behaviors Among Older Impoverished Women Living in Puerto Rico. AU - Norman, Lisa R AU - Loue, Sana T2 - Journal of immigrant and minority health AB - HIV has increasingly impacted older adults regarding sero-prevalence and sero-incidence as long-term survivors of HIV/AIDS are living longer. This study examines the relationship between age and HIV-related attitudes and risk behaviors among female public housing residents in Puerto Rico. Using a self-administered survey instrument, 1,138 female public housing residents were surveyed between April and August 2006. Bivariate results showed that older women (aged 50+ years) were significantly less likely to report HIV testing and to discuss safer sex with their most recent "steady" sex partner than women under the age of 50 years. Older women were also more likely to express anxiety associated with condoms and more barriers to using condoms. The older versus younger groups did not significantly differ regarding condom use, which was extremely low across the groups. In the past three and 12 months, older women were less likely than younger women to report having (a) multiple sex partners and; (b) oral and anal sex with their most recent steady sex partner; (c) oral sex with their most recent non-steady sex partner and, (d) engaging in sexual activity in the previous three and 12 months. Age-specific messages concerning their increased risk of HIV among other interventions would likely curtail the increase in the number of new HIV cases being reported among members of this sub-population. DA - 2015/// PY - 2015 DO - 10.1007/s10903-014-0094-8 VL - 17 IS - 6 SP - 1791 EP - 802 J2 - J Immigr Minor Health SN - 1557-1920 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25762115 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Risk-Taking KW - Young Adult KW - Aged KW - Middle Aged KW - Age Factors KW - Socioeconomic Factors KW - *Public Housing KW - Sexual Behavior KW - Puerto Rico KW - *Health Knowledge, Attitudes, Practice/eh [Ethnology] KW - *HIV Infections/eh [Ethnology] KW - *Safe Sex/eh [Ethnology] KW - *Safe Sex/px [Psychology] KW - Condoms/sn [Statistics & Numerical Data] KW - HIV Infections/pc [Prevention & Control] ER - TY - JOUR TI - Pharmacist consultations: simplifying daily drug regimens and providing education on fall risk for older adults. AU - Bartlett, Donna AU - Pang, Nina AU - Massey, Colleen AU - Evans, Paula T2 - The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists AB - OBJECTIVE: To evaluate whether a medication review by a pharmacist in the community can simplify an older adult's daily drug regimen and improve awareness of medication-related fall risk., DESIGN: Pre- and posttest with follow-up design., SETTING: Senior centers, senior housing facilities, and community centers in Massachusetts., PARTICIPANTS: Older adults who attended a pharmacy outreach program at a community center., INTERVENTIONS: Participants engaged in a one-time, face-to-face, medication therapy management (MTM) session. The pharmacists made recommendations to simplify daily drug regimens for best therapeutic results. The participants were educated regarding the influence that medications may have on fall risk., RESULTS: For the 75 participants, daily dose regimens were significantly reduced. From the presurvey to the follow-up surveys, there was a significant increase of participants taking medication three times or fewer per day (73% to 85%) versus those participants taking medications more than three times per day (P = 0.041). Through MTM consultations, participants' awareness that medications may be a contributing factor to fall risk was increased from 28% in the presurvey to 56% in the postsurvey (P = 0.0018)., CONCLUSION: A pharmacist consultation can simplify the daily drug regimen. Furthermore, consultant pharmacists can educate patients regarding the risk that medications may have on falls. DA - 2015/// PY - 2015 DO - 10.4140/TCP.n.2015.141 VL - 30 IS - 3 SP - 141 EP - 52 J2 - Consult Pharm SN - 0888-5109 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25760664 KW - Humans KW - Aged KW - *Accidental Falls/pc [Prevention & Control] KW - *Patient Education as Topic KW - *Pharmacists KW - *Referral and Consultation KW - Medication Therapy Management ER - TY - JOUR TI - Effect of weight loss on mortality in overweight and obese nursing home residents during a 5-year follow-up. AU - Pizzato, S AU - Sergi, G AU - Bolzetta, F AU - De Rui, M AU - De Ronch, I AU - Carraro, S AU - Berton, L AU - Orr, E AU - Imoscopi, A AU - Perissinotto, E AU - Coin, A AU - Manzato, E AU - Veronese, N T2 - European journal of clinical nutrition AB - BACKGROUND/OBJECTIVES: The objective of this study was to ascertain the effect of weight loss over the course of 1 year on 5-year mortality in old nursing home (NH) residents in different classes of body mass index (BMI)., SUBJECTS/METHODS: A longitudinal study was conducted on 161 NH residents aged 70 years at the Istituto di Riposo per Anziani, Padova, Italy. Data were collected using a comprehensive geriatric assessment at baseline and at a 1-year follow-up visit. Mortality was recorded over a 5-year follow-up. We divided our sample into four groups using as cutoffs a BMI of 25 and a weight gain or loss of 5% at 1 year (BMI 25 and weight stable/gain, BMI 25 and weight loss, BMI<25 and weight stable/gain and BMI <25 and weight loss)., RESULTS: People with a BMI 25 and weight loss suffered the worst decline in activities of daily living, whereas those with a BMI <25 and weight loss had the most significant decline in nutritional status, which coincided with the worst decline in the Multidimensional Prognostic Index among the groups whose weight changed. Compared with those with a BMI 25 and weight stable/gain (reference group), those with a BMI <25 were at the highest risk of dying (in association with weight loss: hazard ratio HR=3.60, P=0.005; in association with weight stable/gain: HR=2.45, P=0.01), and the mortality risk was also increased in people with a BMI 25 and weight loss (HR=1.74, P=0.03)., CONCLUSIONS: In conclusion, weight loss increases the mortality risk in frail, disabled NH residents, even if they are overweight or obese. DA - 2015/// PY - 2015 DO - 10.1038/ejcn.2015.19 VL - 69 IS - 10 SP - 1113 EP - 8 J2 - Eur J Clin Nutr SN - 1476-5640 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25758838 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Nursing Homes KW - *Nutritional Status KW - *Activities of Daily Living KW - Follow-Up Studies KW - *Homes for the Aged KW - Longitudinal Studies KW - Proportional Hazards Models KW - *Obesity/mo [Mortality] KW - *Body Mass Index KW - Italy/ep [Epidemiology] KW - *Weight Loss/ph [Physiology] KW - Overweight/mo [Mortality] ER - TY - JOUR TI - Nutritional status of care-dependent people with dementia in shared-housing arrangements--a one-year follow-up. AU - Meyer, Saskia AU - Graske, Johannes AU - Worch, Andreas AU - Wolf-Ostermann, Karin T2 - Scandinavian journal of caring sciences AB - BACKGROUND: Malnutrition in the elderly is an important nursing challenge. Persons with dementia disease are often affected by malnutrition. During recent years, shared-housing arrangements (SHA) for older care-dependent people, frequently with dementia disease, have evolved in Germany. SHA can be an alternative to traditional residential care in nursing homes. The prevalence of malnutrition in SHA is compared to the prevalence in community dwellings and lower than the prevalence of malnutrition in nursing homes. There are no scientific data about the development of the nutritional status of older care-dependent people in SHA over one year. The aim of this study is to describe the nutritional status of care-dependent people with dementia disease living in SHA and to investigate changes over a period of one year., METHOD: A longitudinal study with a one-year follow-up was performed. Standardised interviews with nurses were conducted concerning nutritional status (Mini Nutritional Assessment--MNA), cognitive capacities (Mini Mental State Examination--MMSE), activities of daily living (Extended Barthel-Index--EBI) and socio-demographic characteristics. Nutritional data were available for 45 residents at baseline and 36 residents at follow-up., RESULTS: At baseline, 45 residents with an average age of 78.4 years living in SHA in the state of Berlin, Germany, were included in the study. Predominantly, residents were female (73.3%) and diagnosed with dementia (88.9%), with a moderate to severe cognitive impairment (MMSE: 10.8) and low daily living abilities (EBI: 33.7). Most residents (80.6%) have a risk of malnutrition regarding the MNA. The average MNA score did decline slightly within one year (t0 = 20.8 vs. t1 = 19.7)., CONCLUSION: Regular screenings for malnutrition using validated standardised assessments, which are easy to apply, should be implemented in SHA to avoid nutritional and health-related problems arising from malnutrition. Flexible structures for care, as in SHA, can facilitate coping with nutritional problems. Copyright © 2015 Nordic College of Caring Science. DA - 2015/// PY - 2015 DO - 10.1111/scs.12210 VL - 29 IS - 4 SP - 785 EP - 92 J2 - Scand J Caring Sci SN - 1471-6712 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25756829 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - *Nutritional Status KW - Follow-Up Studies KW - Germany KW - Longitudinal Studies KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Dementia/nu [Nursing] KW - *Assisted Living Facilities/og [Organization & Administration] KW - *Malnutrition/pc [Prevention & Control] ER - TY - JOUR TI - Age and sex-dependent trends in pulmonary embolism testing and derivation of a clinical decision rule for young patients. AU - Mongan, John AU - Kline, Jeffrey AU - Smith-Bindman, Rebecca T2 - Emergency medicine journal : EMJ AB - IMPORTANCE: Despite low prevalence of pulmonary embolism (PE) in young adults, they are frequently imaged for PE, which involves radiation exposure and substantial financial cost., OBJECTIVE: Determine the use and positive proportions for PE imaging by age, differences in clinical presentation of PE by age and the projected impact of an age-targeted decision rule., DESIGN: Analysis of two national population-based datasets: the 2009 Nationwide Emergency Department Sample, a 20% sample of US emergency departments (EDs) and the 2003-2006 Pulmonary Embolism Rule-out Criteria (PERC) dataset, a multisite cohort of ED patients with suspected PE from 12 US EDs., RESULTS: Prevalence of PE was 10 times lower in young patients (18-35 years) than in older patients (>65 years) (0.06% vs 0.60%, p<0.001), but young patients were imaged for PE almost as frequently as older patients (2.3% vs 3.2%). This resulted in a lower proportion of positive examinations in young adults than older adults (2.3% vs 17.4%, p<0.001 in women; 4.0% vs 21.4%, p<0.001 in men). Clinical predictors of PE varied by age. Tachycardia was a significant predictor of PE in older patients (OR: 1.2-1.9, p<0.001), but not young patients. Fever was a significant predictor only in young patients (OR: 1.4-7.2, p<0.01). A modification of the previously described PERC rule to include age-specific risk factors could reduce PE imaging by 51% in young patients, with a missed PE rate of 0.6% in those excluded from imaging., CONCLUSIONS AND RELEVANCE: Young patients are frequently imaged for PE and have lower positive imaging rates than older patients. After further validation, application of our proposed rule for excluding young patients from PE imaging could reduce imaging, increase the positive rate of imaging and result in a low rate of missed PE among those excluded from imaging. Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. DA - 2015/// PY - 2015 DO - 10.1136/emermed-2014-204531 VL - 32 IS - 11 SP - 840 EP - 5 J2 - Emerg Med J SN - 1472-0213 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25755270 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - Age Distribution KW - Sex Distribution KW - Tomography, X-Ray Computed KW - *Pulmonary Embolism/di [Diagnosis] KW - *Decision Support Techniques KW - *Pulmonary Embolism/ep [Epidemiology] ER - TY - JOUR TI - Prevalence of Moderate to Severe Obesity Among U.S. Nursing Home Residents, 2000-2010. AU - Felix, Holly C AU - Bradway, Christine AU - Chisholm, Latarsha AU - Pradhan, Rohit AU - Weech-Maldonado, Robert T2 - Research in gerontological nursing AB - Obesity rates are high among all age groups, including older adults. Obesity negatively affects health and functional ability, increasing the risk for nursing home (NH) admission. The current study examines trends over 11 years in moderate to severe obesity rates among NH residents. A generalized least squares regression model for panel data was used to test the effect of time (years) on the rates. A significant increase in rates and significant variation in rates were observed. Little research has focused on the issue of obesity in NHs. High and increasing rates and variation in rates raise questions on demand and access to NH care for obese older adults. Additional research is needed to consider factors other than time that may affect NHs' ability to admit moderate to severely obese individuals. Understanding these trends will help NHs prepare for future demand, ensure equal access, quality care, and financing of services. Copyright 2015, SLACK Incorporated. DA - 2015/// PY - 2015 DO - 10.3928/19404921-20150223-01 VL - 8 IS - 4 SP - 173 EP - 8 J2 - Res. gerentol. nurs. SN - 1940-4921 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25751850 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - United States/ep [Epidemiology] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Forecasting KW - Body Mass Index KW - *Homes for the Aged/td [Trends] KW - *Nursing Homes/td [Trends] KW - *Obesity/ep [Epidemiology] ER - TY - JOUR TI - Factors associating with shuttle walking test results in community-dwelling elderly people. AU - Adachi, Daiki AU - Nishiguchi, Shu AU - Fukutani, Naoto AU - Kayama, Hiroki AU - Tanigawa, Takanori AU - Yukutake, Taiki AU - Hotta, Takayuki AU - Tashiro, Yuto AU - Morino, Saori AU - Yamada, Minoru AU - Aoyama, Tomoki T2 - Aging clinical and experimental research AB - BACKGROUND: The shuttle walking test (SWT) is a simple, widely used method for assessing endurance performance in the elderly. Despite widespread community use, its associated factors are unclear., AIMS: We aim to identify previously undefined SWT association factors in community-dwelling elderly people., METHODS: Herein, 149 healthy elderly Japanese subjects performed the SWT, and were assessed for height, weight, smoking history, 10-m walk time, Timed Up and Go (TUG) scores, handgrip strength, skeletal mass index (SMI), forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), cardio-ankle vascular index, and ankle brachial index. We divided men and women into higher and lower SWT score groups, compared between-group parameters, and performed stepwise multivariate logistic regression analysis to identify factors independently associated with SWT scores., RESULTS: Age, BMI, 10-m walk time, TUG score, SMI, FVC (L; %-predicted), and FEV1 (L; %-predicted) were significantly different between SWT score groups for men, while in women, significant differences were observed in age, TUG score, handgrip strength, FVC (L; %-predicted), and FEV1 (L; %-predicted) (p < 0.05). In the multivariate logistic regression model, 10-m walk time, and FEV1 showed significant associations with SWT results in men; among women, age was the only significantly associated factor (p < 0.05)., CONCLUSIONS: Results indicate that better lung function and shorter walk time independently associate with SWT results in community-dwelling men; in women, age is the only association. Our findings may offer insight when considering the focus of community exercise programs among the elderly. DA - 2015/// PY - 2015 DO - 10.1007/s40520-015-0342-3 VL - 27 IS - 6 SP - 829 EP - 34 J2 - Aging Clin Exp Res SN - 1720-8319 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25749887 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Aging/ph [Physiology] KW - Japan/ep [Epidemiology] KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - Hand Strength/ph [Physiology] KW - *Walking/ph [Physiology] KW - *Exercise Test/mt [Methods] KW - Physical Fitness/ph [Physiology] KW - *Forced Expiratory Volume/ph [Physiology] KW - *Physical Endurance/ph [Physiology] ER - TY - JOUR TI - The effect of six months of elastic band resistance training, nutritional supplementation or cognitive training on chromosomal damage in institutionalized elderly. AU - Franzke, Bernhard AU - Halper, Barbara AU - Hofmann, Marlene AU - Oesen, Stefan AU - Pierson, Beatrice AU - Cremer, Ariane AU - Bacher, Evelyn AU - Fuchs, Birgit AU - Baierl, Andreas AU - Tosevska, Anela AU - Strasser, Eva-Maria AU - Wessner, Barbara AU - Wagner, Karl-Heinz AU - Vienna Active Ageing Study Group (VAAS) T2 - Experimental gerontology AB - Increased DNA and chromosomal damage are linked to aging and age-related diseases like cardiovascular diseases, diabetes or cancer. Physical activity and an optimal status of micro- and macronutrients are known to reduce the incidence of MN, a marker for chromosomal instability and mutagenicity. Once older people reach a certain age they change from a home-living situation to an institutionalized situation, which is often accompanied by malnutrition, depression and inactivity. We conducted the current study to investigate the effect of a six month progressive resistance training (RT), with or without protein and vitamin supplementation (RTS) or cognitive training (CT) only, on chromosomal damage measured by the cytokinesis block micronucleus cytome assay in 97 Austrian institutionalized women and men (65-98years). All three intervention groups demonstrated a tendency of a reduced frequency of cells with MN (-15%) as well as for the total number of MN (-20%), however no significant time-effect was observed. Besides a significant increase in plasma B12 and red blood cell folate status, the six month change of B12 was negatively correlated with the six month change of the MN frequency in the RTS group (r=-0.584, p=0.009). Our results suggest that in this age group either physical or cognitive training may result in similar biochemical changes and therefore enhance resistance against genomic instability. Supplementation with the vitamins B12 and folic acid could contribute to reduced chromosomal damage in institutionalized elderly. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.exger.2015.03.001 VL - 65 IS - epq, 0047061 SP - 16 EP - 22 J2 - Exp Gerontol SN - 1873-6815 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25747997 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - *Aging KW - Geriatric Assessment/mt [Methods] KW - Aging/ph [Physiology] KW - Dietary Supplements KW - Aging/px [Psychology] KW - Cognition/ph [Physiology] KW - Nutritive Value KW - *Resistance Training/mt [Methods] KW - *Vitamins/ad [Administration & Dosage] KW - *Chromosomal Instability/ph [Physiology] KW - *Diet Therapy/mt [Methods] KW - Compression Bandages KW - Lymphocytes/pa [Pathology] KW - Lymphocytes/ph [Physiology] ER - TY - JOUR TI - Evaluation of the pulmonary embolism rule-out criteria in a retrospective cohort at an urban academic hospital. AU - Bozarth, Andrew L AU - Bajaj, Navin AU - Wessling, Margaret R AU - Keffer, Dustin AU - Jallu, Shais AU - Salzman, Gary A T2 - The American journal of emergency medicine T3 - [Comment in: Am J Emerg Med. 2014 Oct;32(10):1278; PMID: 25154347 [https://www.ncbi.nlm.nih.gov/pubmed/25154347]][Comment in: Am J Emerg Med. 2014 Oct;32(10):1279; PMID: 25171798 [https://www.ncbi.nlm.nih.gov/pubmed/25171798]] AB - BACKGROUND: The pulmonary embolism rule-out criteria (PERC) is an 8-variable clinical decision rule that identifies patients at low risk for pulmonary embolism (PE) to prevent unnecessary diagnostic testing in the evaluation of suspected PE in the emergency department (ED). The objective of this study was to determine PERC's safety and diagnostic use in our institution's ED population., METHODS: We performed a retrospective analysis on consecutive adult patients evaluated with computed tomographic angiography (CTA) for suspicion of PE at our ED during the dates January 1, 2011, to December 31, 2011. Patients negative for all 8 PERC criteria (ie, "PERC [-]") were considered to be at low risk for PE. All data were analyzed using SPSS-20 (SPSS Inc, Chicago, IL) to calculate the variables of interest and their respective 95% confidence intervals (95% CIs)., RESULTS: During the 12-month study period, 729 subjects were evaluated with CTA for suspicion of PE. Ten subjects were excluded because of nondiagnostic imaging studies. After exclusion, 719 subjects were available for analysis. Prevalence of PE was 4.5%. PERC (-) had a sensitivity of 96.9% (95% CI, 84.3%-99.4%), a negative predictive value of 98.8% (95% CI, 93.5%-99.8%), and a negative likelihood ratio of 0.26 (95% CI, 0.04-1.82) when used as an independent diagnostic test to exclude PE., CONCLUSIONS: Use of PERC could have safely avoided 11.5% of CTAs, reducing potential patient harm, health care costs, and unnecessary diagnostic testing. Consistent with prior studies, PERC can be safely used to identify low-risk patients for whom further testing can be deferred. Copyright © 2013 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.ajem.2013.10.010 VL - 33 IS - 4 SP - 483 EP - 7 J2 - Am J Emerg Med SN - 1532-8171 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25745794 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Risk Assessment KW - Retrospective Studies KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - Predictive Value of Tests KW - Sensitivity and Specificity KW - Tomography, X-Ray Computed KW - *Pulmonary Embolism/di [Diagnosis] KW - *Decision Support Techniques KW - Academic Medical Centers/sn [Statistics & Numerical Data] KW - Diagnosis, Differential KW - Hospitals, Urban/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Association of serum eicosapentaenoic acid to arachidonic acid ratio with microalbuminuria in a population of community-dwelling Japanese. AU - Fukami, Ako AU - Adachi, Hisashi AU - Hirai, Yuji AU - Enomoto, Mika AU - Otsuka, Maki AU - Kumagai, Eita AU - Nakamura, Sachiko AU - Yoshimura, Ayako AU - Obuchi, Aya AU - Nohara, Yume AU - Nakao, Erika AU - Hori, Kensuke AU - Fukumoto, Yoshihiro T2 - Atherosclerosis AB - BACKGROUND: Epidemiological evidence suggests that the increased intake of omega-3 polyunsaturated fatty acids can prevent atherosclerosis-related cardiovascular diseases. Recently, serum eicosapentaenoic acid to arachidonic acid (EPA/AA) ratio has been reported to be a predictive marker of cardiovascular events. Accordingly, we examined the relationship between serum EPA/AA ratio and microalbuminuria., METHODS: We enrolled 444 residents (174 males and 270 females, mean age 66.6 +/- 9.3 years) who underwent a physical examination in Uku town (fishing area) in Japan. They received blood tests including serum levels of EPA and AA, and urine test to examine microalbuminuria. Eating and drinking patterns were evaluated by a brief self-administered diet history questionnaire. Microalbuminuria was defined as a urinary albumin-to-creatinine ratio (UACR) >=30 mg/g Cr., RESULTS: The mean EPA/AA ratio was 0.66 +/- 0.3 in males and 0.51 +/- 0.2 in females. Multiple stepwise regression analyses revealed that systolic blood pressure (p < 0.0001), high sensitive C-reactive protein (p < 0.01), serum EPA/AA ratio (p < 0.01, inversely), and hemoglobin A1c (p < 0.05) were significantly associated with microalbuminuria. In the group with low serum EPA/AA ratio, the prevalence of microalbuminuria was significantly higher than the other, after the adjustments for confounding factors (odds ratio, 3.45; 95% confidence interval, 1.47-8.13; p < 0.01)., CONCLUSION: The present study demonstrated that serum EPA/AA ratio was strongly associated with microalbuminuria. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.atherosclerosis.2015.02.033 VL - 239 IS - 2 SP - 577 EP - 82 J2 - Atherosclerosis SN - 1879-1484 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25734981 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Middle Aged KW - Prevalence KW - *Independent Living KW - Japan/ep [Epidemiology] KW - *Asian Continental Ancestry Group KW - Biomarkers/bl [Blood] KW - Albuminuria/di [Diagnosis] KW - Albuminuria/ur [Urine] KW - Biomarkers/ur [Urine] KW - Creatinine/ur [Urine] KW - *Albuminuria/bl [Blood] KW - *Eicosapentaenoic Acid/bl [Blood] KW - *Arachidonic Acid/bl [Blood] KW - Albuminuria/eh [Ethnology] KW - Diet/eh [Ethnology] ER - TY - JOUR TI - Characterizing Older Adults' Involvement in Naturally Occurring Retirement Community (NORC) Supportive Service Programs. AU - Greenfield, Emily A AU - Fedor, James P T2 - Journal of gerontological social work AB - Naturally Occurring Retirement Community (NORC) Supportive Service Programs constitute one of the longest-standing models for age-friendly community initiatives. As a support-focused model, NORC programs typically offer a range of benefits--including direct services, group activities, and broader community development activities--that are intended to engage older adults with diverse needs, preferences, and interests. Moreover, NORC programs are designed to be used according to the needs of the particular participant engaging with them at a particular point in time. This range and flexibility of benefits indicate the importance of more systematically characterizing the ways in which older adults are involved with NORC programs. For this purpose, we used data from in-depth interviews with 35 residents across 6 NORC programs in New York City. Qualitative analysis revealed 6 ordered categories of involvement: (a) consciously no involvement; (b) involved, but not consciously; (c) relationship with staff only; (d) selectively involved with a strong sense of security; (e) NORC program leaders; and (f) dependence on the NORC program. Overall, results indicate how older adults' involvement in NORC programs can be characterized beyond their utilization of specific types of services and by their relationship with the program as a whole. Findings suggest the importance for outcomes research on NORC programs and related models to consider subgroup differences by involvement. Results also provide directions for theory development on engagement in voluntary programs, as well as for practice to enhance older adults' involvement in supportive service programs. DA - 2015/// PY - 2015 DO - 10.1080/01634372.2015.1008168 VL - 58 IS - 5 SP - 449 EP - 68 J2 - J Gerontol Soc Work SN - 1540-4048 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25734969 KW - Humans KW - Program Evaluation KW - Aged KW - Aged, 80 and over KW - Demography KW - *Independent Living/px [Psychology] KW - Socioeconomic Factors KW - New York City KW - *Retirement/px [Psychology] KW - Community-Based Participatory Research/mt [Methods] KW - Psychosocial Support Systems ER - TY - JOUR TI - Low-grade inflammation differentiates between symptoms of apathy and depression in community-dwelling older individuals. AU - Eurelings, Lisa S M AU - Richard, Edo AU - Eikelenboom, Piet AU - van Gool, Willem A AU - Moll van Charante, Eric P T2 - International psychogeriatrics AB - BACKGROUND: Systemic low-grade inflammation has repeatedly been associated with depression in old age, but the relationship with apathy is less clear. The present study assessed whether C-reactive protein (CRP) is differentially associated with symptoms of apathy and depression., METHODS: A population-based cohort study was carried-out. At baseline and after two and four years of follow-up, CRP levels were assessed and symptoms of apathy and depression were measured using the 15-item Geriatric Depression Scale. Logistic regression analysis was used to investigate the cross-sectional and longitudinal associations of CRP with symptoms of apathy and depression., RESULTS: Two thousand forty-seven community-dwelling participants (70-78 years) without a history of cardiovascular disease or stroke were studied. A cross-sectional association was found between CRP and apathy symptoms at three time points (odds ratio (OR) per natural log unit increase in CRP: baseline visit = 1.40, 95% CI = 1.12-1.75; two-year follow-up visit = 1.62, 95% CI = 1.17-2.25; four-year follow-up visit = 1.51, 95% CI = 1.03-2.21). This did not change after adjustment for demographics and depressive symptoms, and was slightly attenuated after adjustment for cardiovascular risk factors. No cross-sectional association was found with depressive symptoms. Baseline CRP did not predict incident apathy or depressive symptoms during four years of follow-up., CONCLUSIONS: Increased CRP levels are associated with apathy symptoms but not with depressive symptoms. This suggests a differential effect of inflammation on apathy and depression. In older persons, symptoms of apathy may be a behavioral manifestation of concurrent low-grade inflammation. DA - 2015/// PY - 2015 DO - 10.1017/S1041610214002683 VL - 27 IS - 4 SP - 639 EP - 47 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25729001 KW - Female KW - Humans KW - Male KW - Logistic Models KW - Cross-Sectional Studies KW - Longitudinal Studies KW - *Independent Living/px [Psychology] KW - Independent Living/sn [Statistics & Numerical Data] KW - Psychiatric Status Rating Scales KW - *Apathy KW - C-Reactive Protein/an [Analysis] KW - Aged/px [Psychology] KW - *Depression/pp [Physiopathology] KW - *Inflammation/px [Psychology] KW - Apathy/ph [Physiology] ER - TY - JOUR TI - Osteoporosis prevalence and characteristics of treated and untreated nursing home residents with osteoporosis. AU - Zarowitz, Barbara J AU - Cheng, Lung-I AU - Allen, Carrie AU - O'Shea, Terrence AU - Stolshek, Bradley T2 - Journal of the American Medical Directors Association T3 - [Comment in: J Am Med Dir Assoc. 2015 Apr;16(4):265-7; PMID: 25818927 [https://www.ncbi.nlm.nih.gov/pubmed/25818927]] AB - OBJECTIVES: Our primary objective was to describe the prevalence of osteoporosis (OP) diagnosis in nursing home residents (NHRs). Secondary objectives included assessment of pharmacologic therapies and risk of fracture in NHRs with OP, as well as differentiating clinical characteristics of treated versus untreated male and female NHR with OP. Finally, we sought to evaluate persistence and compliance rates in NHRs treated with OP and determine the prevalence of severe renal impairment in NHRs with OP treated with a bisphosphonate., DESIGN: Retrospective cohort analysis., SETTING: US NH., PARTICIPANTS: NHRs with a Minimum Data Set (MDS) 3.0 record in the Omnicare Senior Health Outcomes (OSHO) data repository during the time period of October 1, 2011, to September 30, 2012., MEASUREMENTS: A patient was considered to have an OP diagnosis if MDS item I3800 indicated the NHR had OP or if the MDS record contained ICD-9-CM codes 733.0x. An expanded definition of OP diagnosis was explored, in which an NHR with a previous fracture (MDS items I3900, I4000, J1700C=1) was also considered to have OP. OP pharmacologic therapies were extracted from the pharmacy claims data and included alendronate, calcitonin salmon, denosumab, ibandronate, raloxifene, risedronate, and teriparatide. Using MDS items, cognitive impairment (Brief Instrument for Mental Status, Cognitive Performance Scale) and functional impairment (composite activities of daily living) were assessed. Using MDS and prescription claims data, high risk of fracture (at least 2 of the following: age >=75 years, female gender, previous fracture, history of falls, and use of a bisphosphonate) was assessed. Persistence was indicated by continuous use of therapy without a gap of more than 60 days, compliance was calculated using the medication possession ratio, and creatinine clearance (Clcr) was calculated using a modified Cockcroft-Gault equation., RESULTS: The prevalence of OP in NHRs was 13.5%. Using the expanded OP definition, the prevalence of OP increased to 24.2%. Among NHRs with OP (n = 23,666), the mean age was 82.5 and 85.1% were female; 36.8% had gastroesophageal reflux disease or ulcer. Per the definition of high risk for fracture based on older age, female gender, prior fracture, fall history, and use of bisphosphonates, 89.0% of NHRs with OP met the criteria. Additionally, 10.8% had hip fracture, and 15.8% had other fracture. Overall, few NHRs with OP received active treatment: one-third received pharmacologic therapy, of which 73.5% received an oral bisphosphonate. Those with a history of hip fracture had similar treatment rates (31.7%) to those without (32.0%) (P = .804), whereas those with a history of other fracture were more likely to be treated (35.9%) than those without (31.2%) (P = .001). Two-thirds of residents with OP had moderate/severe cognitive impairment, and these residents were less likely to receive OP therapy than those without (P = .001). Persistence with pharmacologic therapy in NHR with a full year of pharmacy data (n = 1399) was higher for raloxifene (82.9%), with calcitonin salmon and bisphosphonates being similar, and the few NHRs who received teriparatide and denosumab were lower. Of the NHRs who received bisphosphonates for whom there was creatinine clearance data, 57% had a Clcr lower than 35 mL/min., CONCLUSION: The recognized prevalence of OP in NHRs using MDS records was low, but consistent with previous reports. Among those with a documented diagnosis of OP, approximately 89% of NHRs with OP were at high risk of fracture and only one-third were treated with active pharmacologic therapy. For those treated, persistence and compliance was suboptimal, but higher with oral therapies. More than half of NHRs with OP treated with bisphosphonates had Clcr of less than 35 mL/min, suggesting alternative forms of therapy should be considered. For all of these reasons, the opportunity exists to improve the care and medication use of residents with OP who are at high risk of fracture. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2015.01.073 VL - 16 IS - 4 SP - 341 EP - 8 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25726417 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Risk Assessment KW - Prevalence KW - Retrospective Studies KW - Cohort Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment KW - Analysis of Variance KW - Severity of Illness Index KW - Age Distribution KW - Sex Distribution KW - Prognosis KW - Statistics, Nonparametric KW - Osteoporosis/di [Diagnosis] KW - Reference Values KW - *Osteoporotic Fractures/ep [Epidemiology] KW - *Osteoporosis/dt [Drug Therapy] KW - Absorptiometry, Photon/mt [Methods] KW - *Osteoporosis/ep [Epidemiology] KW - Bone Density Conservation Agents/pd [Pharmacology] KW - *Bone Density Conservation Agents/tu [Therapeutic Use] KW - Osteoporotic Fractures/dg [Diagnostic Imaging] ER - TY - JOUR TI - Outdoor areas of Australian residential aged care facilities do not facilitate appropriate sun exposure. AU - Durvasula, Seeta AU - Mason, Rebecca S AU - Kok, Cindy AU - Macara, Monique AU - Parmenter, Trevor R AU - Cameron, Ian D T2 - Australian health review : a publication of the Australian Hospital Association AB - OBJECTIVE: The aim of the present study was to assess whether the outdoor areas of residential aged care facilities used for a sunlight intervention trial had the design features that encouraged participants' use of these spaces., METHODS: The design principles recommended in the 'Vitamin D and the Built Environment in Victoria' guidelines were used to assess the outdoor spaces of residential aged care facilities that were used in a randomised controlled trial (RCT) of sunlight exposure. Attendance rates in the sunlight RCT were analysed in relation to global impression scores of the facilities using one-way analysis of variance., RESULTS: Thirty-six outdoor areas of 31 facilities were assessed. The facilities met the guidelines for sun exposure, and were generally safe and accessible. However, many lacked privacy, security and aesthetic appeal. Most of the outdoor spaces were not used for regularly scheduled activities. Attendance rates were higher in those facilities with the highest global impression scores compared with those with the lowest scores (F(2,367) = 3.262, P = 0.039)., CONCLUSIONS: The physical environment of the outdoor areas of residential aged care facilities was associated with their use for sunlight exposure. Suitably designed or modified spaces have the potential to encourage their greater use, and residential aged care facilities should also plan regular activities in those areas. These measures can facilitate safe sun exposure, as well as physical activity and social interaction in older people. DA - 2015/// PY - 2015 DO - 10.1071/AH14035 VL - 39 IS - 4 SP - 406 EP - 410 J2 - Aust Health Rev SN - 0156-5788 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25725502 KW - Female KW - Humans KW - Male KW - Aged KW - *Homes for the Aged KW - New South Wales KW - *Facility Design and Construction KW - *Sunlight KW - *Vitamin D Deficiency/pc [Prevention & Control] ER - TY - JOUR TI - Norovirus genotype diversity associated with gastroenteritis outbreaks in aged-care facilities. AU - Bruggink, L D AU - Dunbar, N L AU - Marshall, J A T2 - Epidemiology and infection AB - Noroviruses are a major cause of gastroenteritis. Vaccine strategies against norovirus are currently under consideration but depend on a detailed knowledge of the capsid genotypes. This study examined the incidence of norovirus outbreaks in residential aged-care facilities in Victoria, Australia over one year (2013) and documented the (capsid) norovirus genotypes associated with these outbreaks. It was found that 65.0% of 206 outbreaks tested were associated with norovirus infection, thereby showing norovirus to be the major cause of viral gastroenteritis in residential aged-care facilities. Fifteen capsid (open reading frame 2) genotypes were identified as follows: GI.2 (0.9%), GI.3 (1.8%), GI.4 (3.7%), GI.6 (0.9%), GI.7 (0.9%), GI.8 (0.9%), GII.1 (0.9%), GII.2 (0.9%), GII.3 (1.8%), GII.4 (2009-like) (0.9%), GII.4 (2012) (48.6%), GII.4 (2012-like) (16.5%), GII.4 (unknown) (9.2%), GII.5 (2.8%), GII.6 (0.9%), GII.7 (0.9%), GII.13 (6.4%) and an as yet unclassified GII genotype (0.9%). Although GII.4 was the most common norovirus capsid genotype detected, the great diversity of norovirus genotypes in the elderly indicates vaccination strategies for this demographic are not straightforward. DA - 2015/// PY - 2015 DO - 10.1017/S095026881500031X VL - 143 IS - 14 SP - 3064 EP - 8 J2 - Epidemiol Infect SN - 1469-4409 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25721658 KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cluster Analysis KW - *Homes for the Aged KW - Phylogeny KW - Sequence Analysis, DNA KW - *Disease Outbreaks KW - Genotype KW - RNA, Viral/ge [Genetics] KW - Victoria/ep [Epidemiology] KW - Norovirus/ip [Isolation & Purification] KW - *Caliciviridae Infections/ep [Epidemiology] KW - *Gastroenteritis/ep [Epidemiology] KW - *Caliciviridae Infections/vi [Virology] KW - *Gastroenteritis/vi [Virology] KW - *Norovirus/cl [Classification] KW - Capsid Proteins/ge [Genetics] KW - Molecular Sequence Data KW - Norovirus/ge [Genetics] KW - Sequence Homology ER - TY - JOUR TI - Elevated Hospitalization Risk of Assisted Living Residents With Dementia in Alberta, Canada. AU - Maxwell, Colleen J AU - Amuah, Joseph E AU - Hogan, David B AU - Cepoiu-Martin, Monica AU - Gruneir, Andrea AU - Patten, Scott B AU - Soo, Andrea AU - Le Clair, Kenneth AU - Wilson, Kimberley AU - Hagen, Brad AU - Strain, Laurel A T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: Assisted living (AL) is an increasingly used residential option for older adults with dementia; however, lower staffing rates and service availability raise concerns that such residents may be at increased risk for adverse outcomes. Our objectives were to determine the incidence of hospitalization over 1 year for dementia residents of designated AL (DAL) facilities, compared with long-term care (LTC) facilities, and identify resident- and facility-level predictors of hospitalization among DAL residents., METHODS: Participants were 609 DAL (mean age 85.7 +/- 6.6 years) and 691 LTC (86.4 +/- 6.9 years) residents with dementia enrolled in the Alberta Continuing Care Epidemiological Studies. Research nurses completed a standardized comprehensive assessment of residents and interviewed family caregivers at baseline (2006-2008) and 1 year later. Standardized administrator interviews provided facility level data. Hospitalization was determined via linkage with the provincial Inpatient Discharge Abstract Database. Multivariable Cox proportional hazards models were used to identify predictors of hospitalization., RESULTS: The cumulative annual incidence of hospitalization was 38.6% (34.5%-42.7%) for DAL and 10.3% (8.0%-12.6%) for LTC residents with dementia. A significantly increased risk for hospitalization was observed for DAL residents aged 90+ years, with poor social relationships, less severe cognitive impairment, greater health instability, fatigue, high medication use (11+ medications), and 2+ hospitalizations in the preceding year. Residents from DAL facilities with a smaller number of spaces, no chain affiliation, and from specific health regions showed a higher risk of hospitalization., CONCLUSIONS: DAL residents with dementia had a hospitalization rate almost 4-fold higher than LTC residents with dementia. Our findings raise questions about the ability of some AL facilities to adequately address the needs of cognitively impaired residents and highlight potential clinical, social, and policy areas for targeted interventions to reduce hospitalization risk. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2015.01.079 VL - 16 IS - 7 SP - 568 EP - 77 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25717011 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Qualitative Research KW - *Assisted Living Facilities KW - *Dementia KW - Interviews as Topic KW - Dementia/px [Psychology] KW - *Hospitalization KW - *Patient Transfer ER - TY - JOUR TI - Reduction in the use of potentially inappropriate drugs among old people living in geriatric care units between 2007 and 2013. AU - Gustafsson, Maria AU - Sandman, Per-Olof AU - Karlsson, Stig AU - Isaksson, Ulf AU - Schneede, Jorn AU - Sjolander, Maria AU - Lovheim, Hugo T2 - European journal of clinical pharmacology AB - PURPOSE: The aims of this study were to investigate trends in the prevalence of potentially inappropriate drug use among old people living in geriatric care units in the county of Vasterbotten between 2007 and 2013 using six national quality indicators and to assess the impact of medication reviews on those quality indicators., METHODS: Data were collected concerning potentially inappropriate drug use, function in the activities of daily living (ADL) and cognitive function, using the Multi-Dimensional Dementia Assessment Scale (MDDAS). A comparison was made between the years 2007 and 2013, comprising 2772 and 1902 people, respectively, living in geriatric care in the county of Vasterbotten, Sweden. We conducted a parallel investigation of a separate corresponding population in Vasterbotten County from 2012, where potentially inappropriate drug use was measured before and after 895 medication reviews which involved a clinical pharmacist., RESULTS: After controlling for age, sex, ADL and cognitive impairment, there was a significant improvement in five out of six quality indicators between 2007 and 2013. While 44% of the people were exposed to one or more potentially inappropriate medications in 2007, this number had declined to 26% by 2013. In the separate population from 2012, the frequency of potentially inappropriate drug use was significantly reduced amongst the people who had a medication review performed., CONCLUSION: The extent of potentially inappropriate drug use declined between 2007 and 2013 according to the quality indicators used. Medication reviews involving clinical pharmacists might be an important factor in reducing potentially inappropriate drug use and improving drug treatment among old people. DA - 2015/// PY - 2015 DO - 10.1007/s00228-015-1825-z VL - 71 IS - 4 SP - 507 EP - 15 J2 - Eur J Clin Pharmacol SN - 1432-1041 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25716889 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Activities of Daily Living KW - Prevalence KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Drug Utilization/td [Trends] KW - Sweden KW - Dementia/pp [Physiopathology] KW - Cognition/ph [Physiology] KW - Potentially Inappropriate Medication List/sn [Statistics & Numerical Data] KW - *Potentially Inappropriate Medication List/td [Trends] KW - Homes for the Aged/td [Trends] KW - *Drug Utilization/sn [Statistics & Numerical Data] KW - Prescription Drugs/ae [Adverse Effects] KW - Cognition/de [Drug Effects] KW - *Prescription Drugs/ad [Administration & Dosage] ER - TY - JOUR TI - Ongoing challenges responding to behavioural and psychological symptoms of dementia. AU - Ostaszkiewicz, J AU - Lakhan, P AU - O'Connell, B AU - Hawkins, M T2 - International nursing review AB - BACKGROUND: Mid- to late-stage dementia is often characterized by behavioural and psychological symptoms, including, but not limited to physical and verbal aggression., INTRODUCTION: Although there is a considerable research about the prevalence, aetiology, and management of behavioural and psychological symptoms of dementia, there is limited research about the experience of caring for people with such symptoms in long-term aged care facilities., AIM: The aims of the study were to describe: (i) nurses' experiences of caring for people with behavioural and psychological symptoms of dementia in long-term aged care facilities, and (ii) strategies nurses used to deal with these symptoms., METHODS: A qualitative exploratory and descriptive design, involving focus group interviews with 30 nurses from three long-term aged care units in Australia. The transcripts were analysed using inductive content analysis., RESULTS: The findings revealed five interrelated themes: (i) working under difficult conditions, (ii) behavioural and psychological symptoms of dementia: an everyday encounter, (iii) making sense of behavioural and psychological symptoms of dementia, (iv) attempting to manage behavioural and psychological symptoms of dementia, and (v) feeling undervalued., CONCLUSION: This study highlighted the difficult conditions under which nurses worked and the complexity of caring for individuals who have behavioural and psychological symptoms of dementia., IMPLICATIONS FOR NURSING AND HEALTH POLICY: Organizational efforts to enhance the quality of care for individuals with behavioural and psychological symptoms of dementia in long-term aged care facilities should extend beyond staff education to heed nurses' concerns about organizational barriers to interpersonal care. Copyright © 2015 International Council of Nurses. DA - 2015/// PY - 2015 DO - 10.1111/inr.12180 VL - 62 IS - 4 SP - 506 EP - 16 J2 - Int Nurs Rev SN - 1466-7657 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25711925 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Australia KW - Focus Groups KW - *Homes for the Aged KW - Long-Term Care KW - *Attitude of Health Personnel KW - *Dementia/px [Psychology] KW - *Nursing Staff KW - *Dementia/th [Therapy] KW - *Practice Patterns, Nurses' ER - TY - JOUR TI - [Palliative Care in Nursing Homes: Characteristics and Specificities]. AU - Gremaud, Gregoire AU - Mazzocato, Claudia T2 - Soins palliatifs en etablissements medico-sociaux: Caracteristiques et specificites. AB - Elderly patients in palliative situations residing in a nursing home present characteristics and specificities that clearly distinguish them from patients with advanced cancer. Besides the difficulty to define a precise prognosis, their many comorbidities, their communication difficulties because of cognitive disorders, their high sensitivity to primary and secondary effects of drugs render their management a real challenge for physician and caregivers. Accompanying these patients at the end of their life also raises many ethical problems, especially when they are no longer able to express their wishes and have not previously expressed advance directives. DA - 2015/// PY - 2015 DO - 10.1024/1661-8157/a001944 VL - 104 IS - 5 SP - 245 EP - 50 J2 - Praxis (Bern 1994) SN - 1661-8157 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25711788 KW - Humans KW - Interdisciplinary Communication KW - Algorithms KW - *Homes for the Aged KW - *Nursing Homes KW - Homes for the Aged/es [Ethics] KW - Nursing Homes/es [Ethics] KW - Switzerland KW - *Palliative Care/mt [Methods] KW - Cooperative Behavior KW - Anti-Bacterial Agents/tu [Therapeutic Use] KW - Pain Management/mt [Methods] KW - Ethics, Medical KW - Family Practice/es [Ethics] KW - Pain Management/es [Ethics] KW - Palliative Care/es [Ethics] ER - TY - JOUR TI - Caregiver Burden: Looking Beyond the Unidimensional Total Score. AU - Lau, Sabrina AU - Chong, Mei Sian AU - Ali, Noorhazlina AU - Chan, Mark AU - Chua, Kia Chong AU - Lim, Wee Shiong T2 - Alzheimer disease and associated disorders AB - The Zarit Burden Interview allows caregiver burden to be interpreted from a total score. However, recent studies propose a multidimensional Zarit Burden Interview model. This study aims to determine the agreement between unidimensional (UD) and multidimensional (MD) classification of burden, and differences in predictors among identified groups. We studied 165 dyads of dementia patients and primary caregivers. Caregivers were dichotomized into low-burden and high-burden groups based upon: (1) UD score using quartile cutoffs; and (2) MD model via exploratory cluster analysis. We compared UD versus MD 2x2 classification of burden using kappa statistics. Caregivers not showing agreement by either definition were classified as "intermediate" burden. We performed binary logistic regression to ascertain differences in predictive factors. The 2 models showed moderate agreement (kappa=0.72, P<0.01), yielding 104 low, 20 intermediate (UD "low burden"/MD "high burden"), and 41 high-burden caregivers. Neuropsychiatric symptoms [odds ratio (OR)=1.27, P=0.003], coresidence (OR=6.32, P=0.040), and decreased caregiving hours (OR=0.99, P=0.018) were associated with intermediate burden, whereas neuropsychiatric symptoms (OR=1.21, P=0.001) and adult children caregivers (OR=2.80, P=0.055) were associated with high burden. Our results highlight the differences between UD and MD classification of caregiver burden. Future studies should explore the significance of the noncongruent intermediate group and its predictors. DA - 2015/// PY - 2015 DO - 10.1097/WAD.0000000000000085 VL - 29 IS - 4 SP - 338 EP - 46 J2 - Alzheimer Dis Assoc Disord SN - 1546-4156 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25710249 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Caregivers/px [Psychology] KW - Cross-Sectional Studies KW - *Independent Living/px [Psychology] KW - Dementia/th [Therapy] KW - *Cost of Illness KW - *Dementia/px [Psychology] KW - *Dementia/di [Diagnosis] KW - *Neuropsychological Tests/st [Standards] ER - TY - JOUR TI - Identifying Potentially Preventable Emergency Department Visits by Nursing Home Residents in the United States. AU - Burke, Robert E AU - Rooks, Sean P AU - Levy, Cari AU - Schwartz, Robert AU - Ginde, Adit A T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: To identify and describe potentially preventable emergency department (ED) visits by nursing home (NH) residents in the United States. These visits are important because they are common, frequently lead to hospitalization, and can be associated with significant cost to the patient and the health care system., DESIGN: Retrospective analysis of the 2005-2010 National Hospital Ambulatory Care Survey (NHAMCS), comparing ED visits by nursing home residents that did not lead to hospital admission (potentially preventable) with those that led to admission (less likely preventable)., SETTING: Nationally representative sample of US EDs; federal hospitals and hospitals with fewer than 6 beds were excluded., PARTICIPANTS: Older (age >=65 years) NH residents with an ED visit during this time period., MEASUREMENTS: Patient demographics, ED visit information including testing performed, interventions (both procedures and medications) provided, and diagnoses treated., RESULTS: Older NH residents accounted for 3857 of 208,956 ED visits during the time period of interest (1.8%). When weighted to be nationally representative, these represent 13.97 million ED visits, equivalent to 1.8 ED visits annually per NH resident in the United States. More than half of visits (53.5%) did not lead to hospital admission; of those discharged from the ED, 62.8% had normal vital signs on presentation and 18.9% did not have any diagnostic testing before ED discharge. Injuries were 1.78 times more likely to be discharged than admitted (44.8% versus 25.3%, respectively, P < .001), whereas infections were 2.06 times as likely to be admitted as discharged (22.9% versus 11.1%, respectively). Computed tomography (CT) scans were performed in 25.4% and 30.1% of older NH residents who were discharged from the ED and admitted to the hospital, respectively, and more than 70% of these were CTs of the head. NH residents received centrally acting, sedating medications before ED discharge in 9.4% of visits., CONCLUSION: This nationally representative sample of older NH residents suggests ED visits for injury, those that are associated with normal triage vital signs, and those that are not associated with any diagnostic testing are potentially preventable. Those discharged from the ED often undergo important testing and receive medications that may alter their physical examination on return to the nursing facility, highlighting the need for seamless communication of the ED course to NHs. Copyright Published by Elsevier Inc. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2015.01.076 VL - 16 IS - 5 SP - 395 EP - 9 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25703449 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Retrospective Studies KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Patient Admission/sn [Statistics & Numerical Data] KW - Frail Elderly/sn [Statistics & Numerical Data] KW - *Patient Transfer/sn [Statistics & Numerical Data] KW - *Emergencies/ep [Epidemiology] ER - TY - JOUR TI - [Pain in nursing homes]. AU - Nestler, N AU - Gnass, I AU - Schuler, M T2 - Schmerz in Einrichtungen der stationaren Altenhilfe. AB - Elderly live in nursing homes if the necessary need for care cannot be realized in the home care setting. Dementia syndrome (60 % of nursing home residents) has a prominent role. Pain is a frequent problem in nursing homes, affecting functionality and quality of life. Studies often show inadequate pain therapy. Not only is the presentation of pain often atypical, but pharmacological and invasive pain therapy is limited by multimorbidity and increased risk of side effects. Nonpharmacological pain therapy is part of nursing therapy; however, the effect on nursing home residents has been insufficiently studied. This situation necessitates interprofessional coordination of all team members, in which the nursing pain assessment and the realization of both pharmacological and nonpharmacological pain therapy are very important. DA - 2015/// PY - 2015 DO - 10.1007/s00482-014-1484-5 VL - 29 IS - 1 SP - 131 EP - 1 J2 - Schmerz SN - 1432-2129 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25701275 KW - Humans KW - Aged KW - Aged, 80 and over KW - Interdisciplinary Communication KW - *Homes for the Aged KW - *Nursing Homes KW - Germany KW - Comorbidity KW - Analgesics/tu [Therapeutic Use] KW - Pain Measurement KW - Combined Modality Therapy KW - Palliative Care KW - Intersectoral Collaboration KW - Analgesics/ae [Adverse Effects] KW - *Chronic Pain/th [Therapy] KW - Chronic Pain/dt [Drug Therapy] ER - TY - JOUR TI - The benefit of revascularization in nonagenarians with lower limb ischemia is limited by high mortality. AU - Saarinen, E AU - Vuorisalo, S AU - Kauhanen, P AU - Alback, A AU - Venermo, M T2 - European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery T3 - [Comment in: Eur J Vasc Endovasc Surg. 2015 Oct;50(4):538-9; PMID: 26170214 [https://www.ncbi.nlm.nih.gov/pubmed/26170214]][Comment in: Eur J Vasc Endovasc Surg. 2015 Oct;50(4):539; PMID: 26145725 [https://www.ncbi.nlm.nih.gov/pubmed/26145725]] AB - OBJECTIVE/BACKGROUND: Owing to the increased life expectancy of the population the number of very old patients referred to vascular surgical units has increased. Advanced age is a well known risk factor in patients undergoing surgical interventions for lower limb ischemia. However, amputation performed on an elderly person living independently will lead to permanent institutional care. The aim of this study was to evaluate the outcome of patients aged 90 years and older with lower limb ischemia undergoing surgical or endovascular revascularization., METHODS: Two hundred and thirty-three nonagenarians with either chronic critical limb ischemia (CLI) or acute limb ischemia (ALI) who underwent revascularization at the authors' institution between 2002 and 2013 were included in this retrospective study. Risk factors were evaluated and survival, limb salvage, and amputation free survival (AFS) assessed., RESULTS: The median age of the study population was 92 years (range 90-100 years). The majority (81.1%) of the patients were female. One in four (24.5%) patients had diabetes, and the incidence of coronary artery disease was 79.8%. Seventy-three percent of the patients had CLI and 27% of had ALI. Seventy percent of the patients underwent surgical revascularization and 30% were treated endovascularly. The majority (72.5%) of the patients maintained their independent living status; 27.5% ended up in institutional care post-operatively. Similarly, the majority (82.0%) of the patients maintained their walking ability, while 18% were not able to ambulate independently after revascularization. One year survival, limb salvage, and AFS rates were 50.9% versus 48.6% (p = .505), 85.1% versus 87.0% (p = .259), and 45.7% versus 44.4% (p = .309) in the surgical versus endovascular group, respectively. Dementia was an independent risk factor of poor AFS (odds ratio: 1.56; 95% confidence interval: 1.077-2.272; p = .019)., CONCLUSION: Good limb salvage can be achieved by both surgical and endovascular revascularization, and independent living can be maintained in the majority of the patients. However, the benefit of revascularization is limited owing to high mortality, especially in patients with dementia. Copyright © 2015 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.ejvs.2014.12.027 VL - 49 IS - 4 SP - 420 EP - 5 J2 - Eur J Vasc Endovasc Surg SN - 1532-2165 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25698087 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged, 80 and over KW - Risk Assessment KW - Retrospective Studies KW - Lower Extremity/bs [Blood Supply] KW - *Lower Extremity/su [Surgery] KW - *Ischemia/mo [Mortality] KW - *Ischemia/su [Surgery] KW - *Limb Salvage/mo [Mortality] KW - *Vascular Grafting KW - Endovascular Procedures ER - TY - JOUR TI - Blood transfusion and risk of infection in frail elderly after hip fracture surgery: the TRIFE randomized controlled trial. AU - Gregersen, Merete AU - Damsgaard, Else Marie AU - Borris, Lars Carl T2 - European journal of orthopaedic surgery & traumatology : orthopedie traumatologie AB - OBJECTIVES: It is still under debate that red blood cell (RBC) transfusions might increase the risk of healthcare-associated infections after hip fracture surgery. Previously, we found that a liberal RBC transfusion strategy improved survival in nursing home residents. Our aim, therefore, was to investigate whether a more liberal RBC transfusion strategy was associated with a higher infection risk in frail elderly hip fracture patients., DESIGN: Prospective, assessor-blinded, randomized and controlled trial., SETTINGS: Orthopedic ward, Geriatric ward, and Hospital-at-home., PATIENTS: 284 consecutively hospital-admitted elderly with hip fracture from nursing homes or sheltered housing facilities were included., INTERVENTION: A restrictive RBC transfusion strategy (hemoglobin <9.7 g/dL; 6 mmol/L) compared with a liberal strategy (hemoglobin <11.3 g/dL; 7 mmol/L) administered within 30 days after surgery., MAIN OUTCOME MEASUREMENTS: Leukocytes and C-reactive protein (CRP) in repeated blood samples within 30 days, and number of all infections (pneumonia, urinary tract infection, and other infections) within 10 days., RESULTS: 88 % of the patients received a RBC transfusion. A median of 1 RBC unit (interquartile range (IQR): 1-2) was transfused for the restrictive strategy group versus 3 RBC units (IQR: 2-5) for the liberal group. Leukocytes and CRP measurements were similar for both groups. Rates of infection were 72 % for the restrictive group compared to 66 % for the liberal group (risk ratio 1.08; 95 % confidence interval 0.93-1.27, p value 0.29)., CONCLUSIONS: A more liberal RBC transfusion strategy was not associated with higher risk of infection among residents from nursing homes or sheltered housing undergoing hip fracture surgery. DA - 2015/// PY - 2015 DO - 10.1007/s00590-015-1609-2 VL - 25 IS - 6 SP - 1031 EP - 8 J2 - Eur. j. orthop. surg. traumatol. SN - 1633-8065 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25690514 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Nursing Homes KW - Prospective Studies KW - *Frail Elderly KW - Hospitalization KW - C-Reactive Protein/me [Metabolism] KW - Homes for the Aged KW - Leukocyte Count KW - Urinary Tract Infections/et [Etiology] KW - *Hip Fractures/su [Surgery] KW - *Postoperative Complications/et [Etiology] KW - *Cross Infection/et [Etiology] KW - *Erythrocyte Transfusion/ae [Adverse Effects] KW - Pneumonia, Bacterial/et [Etiology] KW - Surgical Wound Infection/et [Etiology] ER - TY - JOUR TI - Interventions to address deficits of pharmacological pain management in nursing home residents--A cluster-randomized trial. AU - Konner, F AU - Budnick, A AU - Kuhnert, R AU - Wulff, I AU - Kalinowski, S AU - Martus, P AU - Drager, D AU - Kreutz, R T2 - European journal of pain (London, England) AB - BACKGROUND: To evaluate the effect of interventions for general practitioners and nursing home staff to improve pain severity and appropriateness of pain medication in nursing home residents (NHR)., METHODS: This cluster-randomized controlled trial was conducted in six nursing homes in the intervention and control group, respectively. Pain management was analysed before (T0) and after (T1, T2) an educational intervention in 239 NHR, aged >=65 years, without moderate or severe cognitive impairment. Primary and secondary outcomes were average pain severity and appropriateness of pain medication as determined with the Numeric Rating Scale and Pain Medication Appropriateness Scale (PMASD ), respectively., RESULTS: At T0, 72.2% and 73.7% of NHR (mean age 83 years) reported pain (average pain severity 2.4) in the intervention and control group, respectively. The PMASD at T0 was 53.9 in the intervention group and 60.8 in the control group (p = 0.12), while 20.6% compared to 6.9% (p = 0.009) received no pain medication in the two groups. At T2, non-significant improvements in the average pain severity (1.59) and PMASD (61.07) were observed in the intervention group. Moreover, the mean individual PMASD increased by 8.09 (p = 0.03) and the proportion of NHR without pain medication decreased by 50% (p = 0.03) in the intervention group. No appreciable changes were found in the control group at T2., CONCLUSIONS: NHR exhibited a high prevalence of pain with overall low severity, while a high proportion of individuals received inappropriate pain medications. Both findings were not significantly improved by the intervention, although some aspects of drug treatment were meaningful improved. Copyright © 2015 European Pain Federation - EFIC DA - 2015/// PY - 2015 DO - 10.1002/ejp.663 VL - 19 IS - 9 SP - 1331 EP - 41 J2 - Eur J Pain SN - 1532-2149 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25690438 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Severity of Illness Index KW - *Analgesics/tu [Therapeutic Use] KW - *Pain/dt [Drug Therapy] KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Germany/ep [Epidemiology] KW - *Pain Management/mt [Methods] KW - Pain/ep [Epidemiology] KW - Pain Management/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Apolipoprotein E, carbon dioxide vasoreactivity, and cognition in older adults: effect of hypertension. AU - Hajjar, Ihab AU - Sorond, Farzaneh AU - Lipsitz, Lewis A T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To investigate the associations between the apolipoprotein E (APOE) epsilon4 allele, carbon dioxide (CO2 ) vasoreactivity, and cognitive performance and to explore the effect of CO2 vasoreactivity and hypertension on the associations between APOE and cognition., DESIGN: Observational., SETTING: Community., PARTICIPANTS: Older adults (N = 625) enrolled in the Maintenance of Balance, Independent Living, Intellect and Zest in the Elderly of Boston Study., MEASUREMENTS: Change in cerebral blood flow velocity in response to CO2 challenge (CO2 ), measured using transcranial Doppler ultrasonography, Trail-Making Test Part B - A (TMT), Hopkins Verbal Learning Test delayed recall (HVLT)., RESULTS: APOE-epsilon4 was associated with lower CO2 vasoreactivity (P = .009) and poorer performance on the TMT (P < .001) and HVLT (P < .001). Having hypertension and APOE-epsilon4 was associated with worse cognitive and CO2 vasoreactivity measures than having neither or either alone (P < .001 for TMT and HVLT, P = .01 for CO2 vasoreactivity). The association between APOE-epsilon4 and cognition was only significant if it was present concurrent with low CO2 vasoreactivity, defined as below the median of the sample (APOE by CO2 vasoreactivity interaction: P = .04 for TMT, P = .04 for HVLT). In hypertension, the association between APOE-epsilon4 and executive function was also only significant in participants with lower CO2 vasoreactivity (P = .005 for APOE by CO2 vasoreactivity)., CONCLUSION: Individuals at risk of Alzheimer's disease (AD) because they have APOE-epsilon4 may have lower CO2 vasoreactivity, which in turn may be contributing to the observed lower cognitive performance associated with this allele. The cognitive effect of APOE-epsilon4 is magnified in hypertension and low CO2 vasoreactivity. This study offers evidence that APOE-epsilon4 may be associated with microvascular brain injury even in the absence of clinical AD. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/jgs.13235 VL - 63 IS - 2 SP - 276 EP - 81 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25688603 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Cognition/ph [Physiology] KW - Age Factors KW - Prospective Studies KW - Hypertension/pp [Physiopathology] KW - Genotype KW - *Cerebrovascular Circulation/ph [Physiology] KW - *Apolipoprotein E4/ph [Physiology] KW - *Hypertension/ge [Genetics] KW - *Hypertension/px [Psychology] KW - Blood Flow Velocity/ph [Physiology] KW - Carbon Dioxide KW - Pulmonary Gas Exchange/ph [Physiology] KW - Tidal Volume/ph [Physiology] ER - TY - JOUR TI - Relationships, expertise, incentives, and governance: supporting care home residents' access to health care. An interview study from England. AU - Goodman, Claire AU - Davies, Sue L AU - Gordon, Adam L AU - Meyer, Julienne AU - Dening, Tom AU - Gladman, John R F AU - Iliffe, Steve AU - Zubair, Maria AU - Bowman, Clive AU - Victor, Christina AU - Martin, Finbarr C T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: To explore what commissioners of care, regulators, providers, and care home residents in England identify as the key mechanisms or components of different service delivery models that support the provision of National Health Service (NHS) provision to independent care homes., METHODS: Qualitative, semistructured interviews with a purposive sample of people with direct experience of commissioning, providing, and regulating health care provision in care homes and care home residents. Data from interviews were augmented by a secondary analysis of previous interviews with care home residents on their personal experience of and priorities for access to health care. Analysis was framed by the assumptions of realist evaluation and drew on the constant comparative method to identify key themes about what is required to achieve quality health care provision to care homes and resident health., RESULTS: Participants identified 3 overlapping approaches to the provision of NHS that they believed supported access to health care for older people in care homes: (1) Investment in relational working that fostered continuity and shared learning between visiting NHS staff and care home staff, (2) the provision of age-appropriate clinical services, and (3) governance arrangements that used contractual and financial incentives to specify a minimum service that care homes should receive., CONCLUSION: The 3 approaches, and how they were typified as working, provide a rich picture of the stakeholder perspectives and the underlying assumptions about how service delivery models should work with care homes. The findings inform how evidence on effective working in care homes will be interrogated to identify how different approaches, or specifically key elements of those approaches, achieve different health-related outcomes in different situations for residents and associated health and social care organizations. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2015.01.072 VL - 16 IS - 5 SP - 427 EP - 32 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25687930 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Services Needs and Demand KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - State Medicine/og [Organization & Administration] KW - *Health Services Accessibility/og [Organization & Administration] KW - *Health Services for the Aged/og [Organization & Administration] KW - Health Services Research KW - England KW - *Patient Care Team/og [Organization & Administration] KW - *Delivery of Health Care, Integrated/og [Organization & Administration] ER - TY - JOUR TI - Eating Alone as Social Disengagement is Strongly Associated With Depressive Symptoms in Japanese Community-Dwelling Older Adults. AU - Kuroda, Aki AU - Tanaka, Tomoki AU - Hirano, Hirohiko AU - Ohara, Yuki AU - Kikutani, Takeshi AU - Furuya, Hiroyasu AU - Obuchi, Shuichi P AU - Kawai, Hisashi AU - Ishii, Shinya AU - Akishita, Masahiro AU - Tsuji, Tetsuo AU - Iijima, Katsuya T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: Depression in later life poses a grave challenge for the aging countries. The reported key risk factors include social disengagement, but the lack of social companionship during mealtimes, namely eating alone, has not been examined extensively, especially in relation to living arrangement. Past studies on changes along geriatric trajectories in the association between social engagement and depression also remain inadequate. This study aims to examine the association between social engagement and depressive symptoms with a particular focus on eating alone and how the association changes along the aging and mental frailty trajectories., DESIGN: A cross-sectional study., SETTING: Kashiwa-city, Chiba-prefecture in Japan., PARTICIPANTS: A total of 1856 community-dwelling older adults., MEASUREMENTS: The 15-item Geriatric Depression Scale was used to measure depressive symptoms. The indicators used to assess social engagement included eating alone, living arrangement, reciprocity of social support, social participation, social stressors and social ties., RESULTS: Social engagement was significantly associated with depressive symptoms. Those who live with their families yet eat alone were found to be at particular risk (odds ratio = 5.02, 95% confidence interval 2.5-9.9 for young-old; odds ratio = 2.41, 95% confidence interval 1.2-4.8 for old-old). Younger and less mentally frail populations showed stronger associations., CONCLUSIONS: Eating alone was a key risk factor for depressive symptoms in community-dwelling older adults. The living arrangement in which they eat alone is important in identifying those with the greatest risk. Mental health management for older adults requires comprehensive assessment of their social relations that takes into account their companionship during mealtimes. Social preventive measures need to involve early interventions in order to augment their effectiveness against mental frailty. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2015.01.078 VL - 16 IS - 7 SP - 578 EP - 85 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25687929 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - Japan KW - *Homes for the Aged KW - *Depression KW - *Geriatric Assessment KW - *Feeding Behavior KW - *Social Behavior ER - TY - JOUR TI - Preventing sight loss in older people. A qualitative study exploring barriers to the uptake of regular sight tests of older people living in socially deprived communities in South Wales. AU - Biddyr, S AU - Jones, A T2 - Public health AB - OBJECTIVES: This paper describes research findings that try to understand some of the reasons that prevent older people in deprived communities in South Wales from accessing NHS funded sight tests and leads to a discussion of suitable interventions that seek to improve access to primary eye care services and prevent avoidable sight loss., STUDY DESIGN: Data were collected from eight focus groups (n = 63) of mixed gender and ages (60-80+ years), of white origin living in deprived communities in South Wales. Individuals were recruited for the focus groups by extensively publicizing the project, with a range of health and older people's community services and groups such as sheltered housing complexes, stroke support groups and coffee morning groups. The study included people who attended optometry services and people not engaged with services. A purposive sampling technique summarizes the sampling approach taken, an approach which the team utilized to recruit 'information rich' cases, namely individuals, groups and organizations that provided the greatest insight into the research question., METHODS: Focus groups were recorded and transcribed verbatim. Data underwent thematic content analysis and subsequent interpretations were corroborated by expert advisors and a project steering group., RESULTS: Cost was perceived as a significant barrier to accessing sight tests, particularly in relation to purchasing glasses. Other barriers included the perceived pressure to buy glasses associated with visits to the optometrists; poor understanding of the purpose of a sight test in a health prevention context and acceptance of deteriorating sight loss due to the ageing process., CONCLUSION: Areas of improvement for the delivery of preventative eye health services to older people are identified, as are areas for reflection on the part of those who work within the eye health industry. Copyright © 2014 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.puhe.2014.10.013 VL - 129 IS - 2 SP - 110 EP - 6 J2 - Public Health SN - 1476-5616 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25687709 KW - Female KW - Humans KW - Male KW - Primary Health Care KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - State Medicine KW - Focus Groups KW - Qualitative Research KW - *Poverty Areas KW - *Health Services Accessibility KW - Wales KW - *Blindness/pc [Prevention & Control] KW - *Vision Tests/sn [Statistics & Numerical Data] KW - Financing, Government KW - Vision Tests/ec [Economics] ER - TY - JOUR TI - [Prevalence of diabetes as well as general health status of Icelandic nursing home residents 2003-2012]. AU - Hjaltadottir, Ingibjorg AU - Sigurardottir, Arun Kristin T2 - Algengi sykursyki og heilsufar ibua a islenskum hjukrunarheimilum 2003-2012. AB - INTRODUCTION: Diabetes is an increasing problem among old people as well as being a contributing factor in their need for institutional care. Comorbidity and use of medication is often greater among people with than without diabetes. The aim of this study was to investigate the prevalence of diabetes in Icelandic nursing homes over the period 2003-2012. Additionally we compared health, functioning, medication use and medical diagnoses of residents with diabetes to those without diabetes, living in nursing homes in 2012., MATERIAL: Retrospective study of 16.169 Minimum Data Set 2.0 assessments, further analysis conducted for data from the year 2012 (n=2337)., RESULTS: Mean age from 82.3 (SD 9.1) to 85.0 years (SD 8.4) and women were 65.5% to 68.0%. Number of residents with diabetes increased from 10.3% in the year 2003 to 14.2% in 2012 (p<=0,001). Mean age of residents with diabetes in the year 2012 was 82.7 compared to 85 years for others. Residents with diabetes had more skin problems, used more medication, their cognitive performance was better and their involvement in activities greater. They were more likely to have hypertension, arteriosclerotic heart disease, stroke, renal failure, manic depressive disorder, diabetic retinopathy or amputation. They were however, less likely to have an anxiety disorder, Alzheimer's disease or osteoporosis., CONCLUSION: Residents with diabetes are younger than other residents and their cognitive performance is better, their care and treatment may however be complicated and needs to be adapted to each individual. Diabetes is an increasing problem in nursing homes and therefore an area where more knowledge among staff is needed. DA - 2015/// PY - 2015 VL - 101 IS - 2 SP - 79 EP - 84 J2 - Laeknabladid SN - 0023-7213 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25682811 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Prevalence KW - Retrospective Studies KW - Time Factors KW - Cognition KW - *Homes for the Aged KW - *Nursing Homes KW - Age Factors KW - Comorbidity KW - Geriatric Assessment KW - *Health Status KW - Cognition Disorders/di [Diagnosis] KW - Cognition Disorders/ep [Epidemiology] KW - *Diabetes Mellitus/ep [Epidemiology] KW - Aging/px [Psychology] KW - Geriatric Nursing KW - Cognition Disorders/px [Psychology] KW - Diabetes Mellitus/di [Diagnosis] KW - Diabetes Mellitus/th [Therapy] KW - Iceland/ep [Epidemiology] ER - TY - JOUR TI - Aging in community: mobilizing a new paradigm of older adults as a core social resource. AU - Black, Kathy AU - Dobbs, Debra AU - Young, Tiffany L T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - Dignity and independence are widely considered as core concepts to aging well, yet little research has explored how older adults perceive these issues in the context of community life. Moreover, little is known regarding the ways in which the broader public views and enhances aging with dignity and independence with their older residents. Using participatory action research, multiple methods of qualitative inquiry, and tenets of appreciative inquiry, this article reports on a community-based initiative aimed to better understand the positive aspects of aging with dignity and independence. Synthesized findings yielded 6 "actionable themes": (1) meaningful involvement, (2) aging in place, (3) respect and inclusion, (4) communication and information, (5) transportation and mobility, and (6) health and well-being. The findings invoke a new paradigm for community aging that highlights the unique contributions of older adults as a core social resource. Implications for mobilizing community action to promote aging with dignity and independence are discussed. Copyright © The Author(s) 2012. DA - 2015/// PY - 2015 DO - 10.1177/0733464812463984 VL - 34 IS - 2 SP - 219 EP - 43 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25681387 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Child KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Communication KW - Focus Groups KW - Health Status KW - Qualitative Research KW - *Independent Living KW - Community-Based Participatory Research KW - *Aging KW - Personhood KW - *Residence Characteristics KW - Health Resources KW - Transportation KW - Value of Life ER - TY - JOUR TI - Self-reported health outcomes associated with green-renovated public housing among primarily elderly residents. AU - Breysse, Jill AU - Dixon, Sherry L AU - Jacobs, David E AU - Lopez, Jorge AU - Weber, William T2 - Journal of public health management and practice : JPHMP AB - OBJECTIVES: Assess the benefits of green renovation on self-reported health of primarily elderly residents of a low-income public housing apartment building., DESIGN AND SETTING: Using questions from the Medicare Health Outcomes Survey, we interviewed residents at baseline and 1 year after green renovation of their 101-unit building in Mankato, Minnesota, comparing self-reported mental and physical health outcomes of 2 sets of residents (all-ages: median, 66 years, n = 40; elder: median, 72 years, n = 22) with outcomes for 2 same-aged low-income Minnesota comparison groups taken from Medicare Health Outcomes Survey participants (n = 40 and 572, respectively)., PARTICIPANTS:, STUDY GROUP: Mankato apartment building residents., INTERVENTIONS: Green renovation including building envelope restoration; new heating, electrical, and ventilation systems; air sealing; new insulation and exterior cladding; window replacement; Energy-Star fixtures and appliances; asbestos and mold abatement; apartment gut retrofits; low volatile organic chemical and moisture-resistant materials; exercise enhancements; and indoor no-smoking policy., MAIN OUTCOME MEASURES: Self-reported health status including Activities of Daily Living and Veteran's Rand 12 (VR-12) survey results; housing condition visual assessment; indoor environmental sampling; and building performance testing., RESULTS: The all-ages study group's mental health improved significantly more than the comparison group's mental health on the basis of mean number of good mental health days in the past month (P = .026) and mean VR-12 mental component score (P = .023). Sixteen percent fewer all-ages study group people versus 8% more comparison group people reported falls (P = .055). The elder study group's 9% improvement in general physical health was not statistically significantly better than the elder comparison group's decline (6%) (P = 0.094). Significantly fewer people in the all-ages group reported smoke in their apartments because of tobacco products (20% vs 0%, P = .005), likely reflecting the new no-smoking policy., CONCLUSIONS: Green healthy housing renovation may result in improved mental and general physical health, prevented falls, and reduced exposure to tobacco smoke. DA - 2015/// PY - 2015 DO - 10.1097/PHH.0000000000000199 VL - 21 IS - 4 SP - 355 EP - 67 J2 - J Public Health Manag Pract SN - 1550-5022 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25679773 KW - Female KW - Humans KW - Male KW - Outcome Assessment (Health Care) KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Minnesota KW - *Self Report KW - *Health Status KW - *Public Housing/st [Standards] KW - Mental Health/sn [Statistics & Numerical Data] KW - Mental Health/st [Standards] KW - Public Housing/sn [Statistics & Numerical Data] KW - Poverty/sn [Statistics & Numerical Data] KW - *Conservation of Energy Resources/td [Trends] KW - Health Impact Assessment ER - TY - JOUR TI - Informal support needs of cancer patients who are living alone: a qualitative insight. AU - Benoot, Charlotte AU - Deschepper, Reginald AU - Saelaert, Marlies AU - Grypdonck, Maria AU - Bilsen, Johan T2 - Psycho-oncology AB - OBJECTIVE: Staying independent is an important need for cancer patients living alone. Such patients might have specific informal support needs in order to stay independent. We want to explore which informal support patients living alone perceive as helpful along the cancer care continuum., METHODS: A purposeful sample of 32 patients living alone and undergoing cancer treatment were interviewed, using a semi-structured interview guide. Seventeen of them were interviewed a second time, 8 months to 1 year later. Analysis was conducted using grounded theory techniques., RESULTS: The informal support patients received was not experienced unconditionally positive. We found that an equilibrium was necessary between reducing the disadvantages of living alone while not endangering the advantages of living alone, resulting in a need for an equilibrium between distance and proximity with their informal network. The needed equilibrium was influenced by the patients' history of living alone, the perception of helpfulness of the informal network, the acuteness of side-effects and prognosis of the disease. We found that, as treatment progressed, patients tended to favor proximity and needed a greater share of the support to be provided by professionals., CONCLUSIONS: Cancer patients living alone experience informal support as an ambiguous blessing. Such support has to be given in a fine balance in order to be perceived as helpful. Health care providers should educate the informal network of the patient about which support is helpful, and under what circumstances. Copyright © 2015 John Wiley & Sons, Ltd. DA - 2015/// PY - 2015 DO - 10.1002/pon.3766 VL - 24 IS - 9 SP - 1066 EP - 72 J2 - Psychooncology SN - 1099-1611 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25676614 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Continuity of Patient Care KW - Qualitative Research KW - *Independent Living KW - *Social Support KW - *Health Services Needs and Demand KW - *Neoplasms/px [Psychology] KW - Neoplasms/th [Therapy] ER - TY - JOUR TI - Comparative analysis of the expected demands for nursing care services among older people from urban, rural, and institutional environments. AU - Borowiak, Ewa AU - Kostka, Joanna AU - Kostka, Tomasz T2 - Clinical interventions in aging AB - BACKGROUND: Demand for nursing and social services may vary depending on the socio-demographic variables, health status, receipt of formal and informal care provided, and place of residence., OBJECTIVES: To conduct a comparative analysis of the expectations of older people from urban, rural, and institutional environments concerning nursing care with respect to the care provided and elements of a comprehensive geriatric assessment., MATERIAL AND METHODS: The study comprised 2,627 individuals above the age of 65 years living in urban (n=935) and rural (n=812) areas as well as nursing homes (n=880)., RESULTS: Family care was most often expected both in urban (56.6%) and rural (54.7%) environments, followed by care provided simultaneously by a family and nurse (urban - 18.8%; rural - 26.1%) and realized only by a nurse (urban - 24.6%; rural - 19.2%). Not surprisingly, nursing home residents most commonly expected nursing care (57.5%) but 33.1% preferred care provided by family or friends and neighbors. In the whole cohort of people living in the home environment (n=1,718), those living with family demonstrated willingness to use primarily care implemented by the family (62.0%), while respondents living alone more often expected nursing services (30.3%). In the logistic regression model, among the respondents living in the city, only the form of care already received determined the expectations for nursing care. Among the respondents living in the county, the presence of musculoskeletal disorders, better nutritional status, and current care provided by family decreased expectations for nursing care. Higher cognitive functioning, symptoms of depression, and living alone increased the willingness to obtain nursing care., CONCLUSION: Older inhabitants of urban areas, rural areas, and those residing in institutions have different expectations for individual nursing care. Nearly 45% of seniors living in the community expect to obtain nursing care, while only 1.6% do not expect any social or nursing help. While the expectations for the provision of nursing care are significantly increased by living alone, they are decreased by having access to care provided by family. Support for families to take care of elderly relatives would appear to be essential for an effective nursing and social care system. DA - 2015/// PY - 2015 DO - 10.2147/CIA.S72534 VL - 10 IS - 101273480 SP - 405 EP - 12 J2 - Clin Interv Aging SN - 1178-1998 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25673980 KW - Female KW - Humans KW - Male KW - Family KW - Aged KW - Aged, 80 and over KW - *Home Care Services/og [Organization & Administration] KW - Nursing Homes/og [Organization & Administration] KW - *Social Work/og [Organization & Administration] KW - Homes for the Aged/og [Organization & Administration] KW - *Health Services for the Aged/og [Organization & Administration] KW - Rural Population KW - Urban Population KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - *Nursing Care/og [Organization & Administration] ER - TY - JOUR TI - The development and psychometric testing of the geriatric health promotion scale. AU - Wang, Jeng AU - Lee, Chia-Mou AU - Chang, Chong-Fang AU - Jane, Sui-Whi AU - Chen, Mei-Yen T2 - The journal of nursing research : JNR AB - BACKGROUND: As life expectancy increases, being old is no longer synonymous with frailty, weakness, or poor health. Today, most people expect to maintain or promote their health by adopting healthy lifestyle habits., PURPOSE: This study developed and tested the psychometric Geriatric Health Promotion (GHP) scale. The GHP scale is a multidimensional instrument that attempts to evaluate lifestyle patterns prevalent among senior citizens in Taiwan., METHODS: Data used in this study were acquired from a large health-promotion study that targeted elderly residents of rural areas in Taiwan. All subjects were aged 65 years or older and resided in the four communities with the highest mean age ratios in the nation. Trained research assistants assisted the participants to answer the research instrument questions., RESULTS: A total of 520 participants over 65 years of age (mean = 75.02 +/- 6.04) were enrolled in this study. The initial draft of the GHP scale included 33 items. After conducting the item analysis, correlation analysis, and factor analysis, the final draft of the GHP was reduced to 22 items. A six-factor solution with Varimax rotation offered the most parsimonious model, with health habits, community participation, health responsibilities, healthy diet, regular exercise, and oral health, explaining 68% of the total variance. The Cronbach's alpha for the developed model scored as high as .94, with a test-retest reliability of .72 (p < .001)., CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The GHP scale is a valid self-report instrument for community-dwelling older adults. The GHP scale is easily administered in less than 10 minutes. We recommend that healthcare providers use the GHP scale to evaluate the effectiveness of health promotion programs targeting older adults. DA - 2015/// PY - 2015 DO - 10.1097/jnr.0000000000000077 VL - 23 IS - 1 SP - 56 EP - 64 J2 - J Nurs Res SN - 1948-965X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25668736 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Surveys and Questionnaires KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Life Style KW - Self Report KW - Taiwan KW - *Psychometrics/mt [Methods] KW - Factor Analysis, Statistical KW - *Health Promotion/sn [Statistics & Numerical Data] KW - *Psychometrics/is [Instrumentation] ER - TY - JOUR TI - Risk and protective factors associated with intentional self-harm among older community-residing home care clients in Ontario, Canada. AU - Neufeld, Eva AU - Hirdes, John P AU - Perlman, Christopher M AU - Rabinowitz, Terry T2 - International journal of geriatric psychiatry AB - OBJECTIVE: We aim to concurrently examine risk and protective factors associated with intentional self-harm among community-residing older adults receiving home care services in Ontario, Canada., METHODS: Administrative health data from the home care sector were linked to hospital administrative data to carry out the analyses. Home care data are collected in Ontario using the Resident Assessment Instrument-Home Care (RAI-HC), an assessment tool that identifies strengths, preferences and needs of long-stay home care clients. The sample included Ontario home care clients aged 60 years or older assessed with the RAI-HC between 2007 and 2010 (N = 222,149). Multivariable analyses were performed using SAS., RESULTS: Hospital records of intentional self-harm (ISH) were present in 9.3 cases per 1000 home care clients. Risks of ISH included younger age (60-74 years; OR = 3.14, CI: 2.75-3.59), psychiatric diagnosis (OR = 2.29, CI: 2.06-2.54), alcohol use and dependence (OR = 1.69, CI: 1.34-2.14), psychotropic medication (OR = 1.94, CI: 1.75-2.15) and depressive symptoms (OR = 1.58, CI: 1.40-1.78). Protective effects were found for marital status and positive social relationships, yet these effects were more pronounced for men. Cognitive performance measures showed the odds of ISH 1.86 times higher for older adults with moderate to severe cognitive impairment., CONCLUSIONS: This study based on provincial data points to tangible areas for preventative assessment by frontline home care professionals. Of interest were the risk and protective factors that differed by sex. As demand for home care in Canada is expected to increase, these findings may inform home care professionals' appraisal and approach to suicide prevention among community-residing older adults. Copyright © 2015 John Wiley & Sons, Ltd. DA - 2015/// PY - 2015 DO - 10.1002/gps.4259 VL - 30 IS - 10 SP - 1032 EP - 40 J2 - Int J Geriatr Psychiatry SN - 1099-1166 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25663535 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Protective Factors KW - Activities of Daily Living KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Ontario/ep [Epidemiology] KW - Multivariate Analysis KW - Life Style KW - Depression/co [Complications] KW - *Self-Injurious Behavior/et [Etiology] KW - Self-Injurious Behavior/ep [Epidemiology] ER - TY - JOUR TI - Important features of home-based support services for older Australians and their informal carers. AU - McCaffrey, Nikki AU - Gill, Liz AU - Kaambwa, Billingsley AU - Cameron, Ian D AU - Patterson, Jan AU - Crotty, Maria AU - Ratcliffe, Julie T2 - Health & social care in the community AB - In Australia, newly initiated, publicly subsidised 'Home-Care Packages' designed to assist older people (>= 65 years of age) living in their own home must now be offered on a 'consumer-directed care' (CDC) basis by service providers. However, CDC models have largely developed in the absence of evidence on users' views and preferences. The aim of this study was to determine what features (attributes) of consumer-directed, home-based support services are important to older people and their informal carers to inform the design of a discrete choice experiment (DCE). Semi-structured, face-to-face interviews were conducted in December 2012-November 2013 with 17 older people receiving home-based support services and 10 informal carers from 5 providers located in South Australia and New South Wales. Salient service characteristics important to participants were determined using thematic and constant comparative analysis and formulated into attributes and attribute levels for presentation within a DCE. Initially, eight broad themes were identified: information and knowledge, choice and control, self-managed continuum, effective co-ordination, effective communication, responsiveness and flexibility, continuity and planning. Attributes were formulated for the DCE by combining overlapping themes such as effective communication and co-ordination, and the self-managed continuum and planning into single attributes. Six salient service features that characterise consumer preferences for the provision of home-based support service models were identified: choice of provider, choice of support worker, flexibility in care activities provided, contact with the service co-ordinator, managing the budget and saving unspent funds. Best practice indicates that qualitative research with individuals who represent the population of interest should guide attribute selection for a DCE and this is the first study to employ such methods in aged care service provision. Further development of services could incorporate methods of consumer engagement such as DCEs which facilitate the identification and quantification of users' views and preferences on alternative models of delivery. Copyright © 2015 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/hsc.12185 VL - 23 IS - 6 SP - 654 EP - 64 J2 - Health Soc Care Community SN - 1365-2524 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25660237 KW - Female KW - Humans KW - Male KW - Health Knowledge, Attitudes, Practice KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Australia KW - Communication KW - Qualitative Research KW - *Independent Living KW - Caregivers KW - *Home Care Services/og [Organization & Administration] KW - Socioeconomic Factors KW - Interviews as Topic KW - *Patient Preference KW - Choice Behavior KW - Cooperative Behavior KW - Decision Support Techniques ER - TY - JOUR TI - What Works to Prevent Falls in Community-Dwelling Older Adults? Umbrella Review of Meta-analyses of Randomized Controlled Trials. AU - Stubbs, Brendon AU - Brefka, Simone AU - Denkinger, Michael D T2 - Physical therapy AB - BACKGROUND: Preventing falls is an international priority. There is a need to synthesize the highest-quality falls prevention evidence in one place for clinicians., PURPOSE: The aim of this study was to conduct an umbrella review of meta-analyses of randomized controlled trials (RCTs) of falls prevention interventions in community-dwelling older adults., DATA SOURCES: The MEDLINE, EMBASE, CINAHL, AMED, BNI, PsycINFO, Cochrane Library, PubMed, and PEDro databases were searched., STUDY SELECTION: Meta-analyses with one pooled analysis containing >=3 RCTs that investigated any intervention to prevent falls in community-dwelling older adults aged >=60 years were eligible. Sixteen meta-analyses, representing 47 pooled analyses, were included., DATA EXTRACTION: Two authors independently extracted data., DATA SYNTHESIS: Data were narratively synthesized. The methodological quality of the meta-analyses was moderate. Three meta-analyses defined a fall, and 3 reported adverse events (although minor). There is consistent evidence that exercise reduces falls (including the rate, risk, and odds of falling), with 13/14 pooled analyses (93%) from 7 meta-analyses demonstrating a significant reduction. The methodological quality of meta-analyses investigating exercise were medium/high, and effect sizes ranged from 0.87 (relative risk 95% confidence interval=0.81, 0.94; number of studies=18; number of participants=3,568) to 0.39 (rate ratio 95% confidence interval=0.23, 0.66; number of meta-analyses=6). There is consistent evidence that multifactorial interventions reduce falls (5/6, 83% reported significant reduction). There is conflicting evidence regarding the influence of vitamin D supplementation (7/12, 58.3% reported significant reduction)., LIMITATIONS: Meta-analyses often used different methods of analysis, and reporting of key characteristics (eg, participants, heterogeneity, publication bias) was often lacking. There may be some overlap among included meta-analyses., CONCLUSIONS: There is consistent evidence that exercise and individually tailored multifactorial interventions are effective in reducing falls in community-dwelling older adults. Copyright © 2015 American Physical Therapy Association. DA - 2015/// PY - 2015 DO - 10.2522/ptj.20140461 VL - 95 IS - 8 SP - 1095 EP - 110 J2 - Phys Ther SN - 1538-6724 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25655877 KW - Humans KW - Aged KW - Middle Aged KW - *Accidental Falls/pc [Prevention & Control] KW - *Independent Living KW - *Accident Prevention KW - *Meta-Analysis as Topic KW - *Randomized Controlled Trials as Topic ER - TY - JOUR TI - Prevalence of metabolic syndrome and its association with physical capacity, disability, and self-rated health in Lifestyle Interventions and Independence for Elders Study participants. AU - Botoseneanu, Anda AU - Ambrosius, Walter T AU - Beavers, Daniel P AU - de Rekeneire, Nathalie AU - Anton, Stephen AU - Church, Timothy AU - Folta, Sara C AU - Goodpaster, Bret H AU - King, Abby C AU - Nicklas, Barbara J AU - Spring, Bonnie AU - Wang, Xuewen AU - Gill, Thomas M AU - LIFE Study Groups T2 - Journal of the American Geriatrics Society A2 - Pahor M, Guralnik JM, Leeuwenburgh C, Caudle C, Crump L, Holmes L, Lee J, Lu CJ, Miller ME, Espeland MA, Ambrosius WT, Applegate W, Beavers DP, Byington RP, Cook D, Furberg CD, Harvin LN, Henkin L, Hepler J, Hsu FC, Lovato L, Roberson W, Rushing J, Rushing S, Stowe CL, Walkup MP, Hire D, Rejeski WJ, Katula JA, Brubaker PH, Mihalko SL, Jennings JM, Hadley EC, Romashkan S, Bonds DE, Patel KV, McDermott MM, Spring B, Hauser J, Kerwin D, Domanchuk K, Graff R, Rego A, Church TS, Blair SN, Myers VH, Monce R, Britt NE, Harris MN, McGucken AP, Rodarte R, Millet HK, Tudor-Locke C, Butitta BP, Donatto SG, Cocreham SH, King AC, Castro CM, Haskell WL, Stafford RS, Pruitt LA, Berra K, Yank V, Fielding RA, Nelson ME, Folta SC, Phillips EM, Liu CK, McDavitt EC, Reid KF, Kim WS, Beard VE, Manini TM, Pahor M, Anton SD, Nayfield S, Buford TW, Marsiske M, Sandesara BD, Knaggs JD, Lorow MS, Marena WC, Korytov I, Morris HL, Fitch M, Singletary FF, Causer J, Radcliff KA, Newman AB, Studenski SA, Goodpaster BH, Glynn NW, Lopez O, Nadkarni NK, Williams K, Newman MA, Grove G, Bonk JT, Rush J, Kost P, Ives DG, Kritchevsky SB, Marsh AP, Brinkley TE, Demons JS, Sink KM, Kennedy K, Shertzer-Skinner R, Wrights A, Fries R, Barr D, Gill TM, Axtell RS, Kashaf SS, de Rekeneire N, McGloin JM, Wu KC, Shepard DM, Fennelly B, Iannone LP, Mautner R, Barnett TS, Halpin SN, Brennan MJ, Bugaj JA, Zenoni MA, Mignosa BM, Williamson J, Sink KM, Hendrie HC, Rapp SR, Verghese J, Woolard N, Espeland M, Jennings J, Pepine CJ, Ariet M, Handberg E, Deluca D, Hill J, Szady A, Chupp GL, Flynn GM, Gill TM, Hankinson JL, Fragoso CA, Groessl EJ, Kaplan RM AB - OBJECTIVES: To evaluate the prevalence of metabolic syndrome (MetS) and its association with physical capacity, disability, and self-rated health in older adults at high risk of mobility disability, including those with and without diabetes mellitus., DESIGN: Cross-sectional analysis., SETTING: Lifestyle Interventions and Independence for Elders (LIFE) Study., PARTICIPANTS: Community-dwelling sedentary adults aged 70 to 89 at high risk of mobility disability (Short Physical Performance Battery (SPPB) score <=9; mean 7.4 +/- 1.6) (N = 1,535)., MEASUREMENTS: Metabolic syndrome was defined according to the 2009 multiagency harmonized criteria; outcomes were physical capacity (400-m walk time, grip strength, SPPB score), disability (composite 19-item score), and self-rated health (5-point scale ranging from excellent to poor)., RESULTS: The prevalence of MetS was 49.8% in the overall sample (83.2% of those with diabetes mellitus, 38.1% of those without). MetS was associated with stronger grip strength (mean difference (DELTA) = 1.2 kg, P = .01) in the overall sample and in participants without diabetes mellitus and with poorer self-rated health (DELTA = 0.1 kg, P < .001) in the overall sample only. No significant differences were found in 400-m walk time, SPPB score, or disability score between participants with and without MetS, in the overall sample or diabetes mellitus subgroups., CONCLUSION: Metabolic dysfunction is highly prevalent in older adults at risk of mobility disability, yet consistent associations were not observed between MetS and walking speed, lower extremity function, or self-reported disability after adjusting for known and potential confounders. Longitudinal studies are needed to investigate whether MetS accelerates declines in functional status in high-risk older adults and to inform clinical and public health interventions aimed at preventing or delaying disability in this group. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/jgs.13205 VL - 63 IS - 2 SP - 222 EP - 32 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25645664 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Health Status KW - Mobility Limitation KW - Prevalence KW - *Independent Living KW - Cross-Sectional Studies KW - Hand Strength/ph [Physiology] KW - *Life Style KW - *Metabolic Syndrome/ep [Epidemiology] KW - *Metabolic Syndrome/pp [Physiopathology] KW - *Self-Assessment KW - Diabetes Complications/co [Complications] KW - Diabetes Complications/pp [Physiopathology] KW - Diabetes Complications/th [Therapy] KW - Exercise Tolerance/ph [Physiology] KW - Metabolic Syndrome/px [Psychology] ER - TY - JOUR TI - Preliminary data from community aging in place, advancing better living for elders, a patient-directed, team-based intervention to improve physical function and decrease nursing home utilization: the first 100 individuals to complete a centers for medicare and medicaid services innovation project. AU - Szanton, Sarah L AU - Wolff, Jennifer L AU - Leff, Bruce AU - Roberts, Laken AU - Thorpe, Roland J AU - Tanner, Elizabeth K AU - Boyd, Cynthia M AU - Xue, Qian-Li AU - Guralnik, Jack AU - Bishai, David AU - Gitlin, Laura N T2 - Journal of the American Geriatrics Society AB - Current medical models frequently overlook functional limitations and the home environment even though they partially determine healthcare usage and quality of life. The Centers for Medicare and Medicaid Services (CMS) Innovation Center funds projects that have potential to affect the "triple aim," a framework for decreasing costs while improving health and quality of life. This article presents preliminary data from Community Aging in Place, Advancing Better Living for Elders (CAPABLE), a model funded by the CMS Innovation Center and designed to overcome the functional and home environmental barriers of older adults. CAPABLE is a patient-directed, team-based intervention comprising an occupational therapist, a registered nurse, and a handyman to decrease hospitalization and nursing home usage of community-dwelling older adults with functional limitations who are dually eligible for Medicare and Medicaid. Activity of daily living limitations improved in 79% of the first 100 people who completed the intervention. Preliminary findings of this novel intervention may have implications for other older adults with functional limitations. Copyright © 2015 The Authors. The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/jgs.13245 VL - 63 IS - 2 SP - 371 EP - 4 J2 - J Am Geriatr Soc SN - 1532-5415 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25644085 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Quality of Life KW - Cohort Studies KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Patient-Centered Care/og [Organization & Administration] KW - *Patient Care Team/og [Organization & Administration] KW - Centers for Medicare and Medicaid Services (U.S.) ER - TY - JOUR TI - A Medicare current beneficiary survey-based investigation of alternative primary care models in nursing homes: functional ability and health status outcomes. AU - Abdallah, Lisa M AU - Van Etten, Deborah AU - Lee, A James AU - Melillo, Karen Devereaux AU - Remington, Ruth AU - Gautam, Ramraj AU - Gore, Rebecca J T2 - Research in gerontological nursing AB - This study assessed how the health status and functioning of Medicare beneficiaries residing in nursing homes varies systematically with nurse practitioners (NPs) and physician assistants (PAs) providing primary care services. A secondary analysis was conducted using data from the 2006, 2007, and 2008 Medicare Current Beneficiary Surveys. The study sample included 433 participant-year observations within one of three cohorts: (a) medical doctor (MD)-only, those who received primary care services exclusively from a physician; (b) MD-dominant, those who received some primary care services from an NP or PA, but those visits accounted for less than one half of total primary care visits; and (c) NP/PA-dominant, those who received more than one half of their primary care visits from an NP or PA. Participants in the MD-only cohort had significantly less orientation and independence in activities of daily living compared to participants in the NP/PA-dominant cohort. Other study variables did not vary significantly by practice model. Although the study provides some evidence that NP/PA involvement is associated with improved functioning, it is premature to draw strong inferences. Copyright 2015, SLACK Incorporated. DA - 2015/// PY - 2015 DO - 10.3928/19404921-20150121-01 VL - 8 IS - 2 SP - 85 EP - 93 J2 - Res. gerentol. nurs. SN - 1940-4921 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25643375 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Quality of Health Care KW - Cohort Studies KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Models, Organizational KW - Health Services Research KW - *Medicare/sn [Statistics & Numerical Data] KW - *Primary Health Care/og [Organization & Administration] KW - *Outcome and Process Assessment (Health Care)/og [Organization & Administration] KW - Nurse Practitioners/og [Organization & Administration] KW - Physician Assistants/og [Organization & Administration] KW - Physicians/og [Organization & Administration] ER - TY - JOUR TI - CircleRides: developing an older adult transportation application and evaluating feedback. AU - Heinz, Melinda AU - Kelly, Norene T2 - Journal of gerontological nursing AB - The purpose of the current study was to assess perceptions of CircleRides, a paper prototype of a service website designed to meet older adult transportation needs. Researchers used purposive sampling to conduct two focus groups comprised of older adults to obtain feedback on the CircleRides prototype at the beginning of its iterative design process. One focus group was conducted in a continuing care retirement community (n = 13) and the other in an independent living community for older adults (n = 11). The study assessed perceptions of the CircleRides prototype as well as self-reported older adult transportation preferences and needs. Three themes emerged from the data: (a) trust and concern, (b) socialization, and (c) flexibility and options. Researchers found that participants are interested in transportation options; however, concern exists about trusting a new system or prototype that has not established a reputation. Findings from the current study offer lessons learned for future iterations and for creating transportation prototypes for older adults. Copyright 2015, SLACK Incorporated. DA - 2015/// PY - 2015 DO - 10.3928/00989134-20150113-01 VL - 41 IS - 5 SP - 34 EP - 47 J2 - J Gerontol Nurs SN - 0098-9134 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25643351 KW - Humans KW - Aged KW - Middle Aged KW - Focus Groups KW - Health Services Needs and Demand KW - Program Development KW - Social Networking KW - *Internet KW - *Transplantation ER - TY - JOUR TI - [What are the reasons for patient dropout in nursing home residents in an intervention study. An analysis of unit nonresponders in 12 German nursing homes]. AU - Budnick, Andrea AU - Jordan, Laura-Maria AU - Konner, Franziska AU - Hannemann, Bianca AU - Wulff, Ines AU - Kalinowski, Sonja AU - Kreutz, Reinhold AU - Drager, Dagmar T2 - Welche Ausfallursachen liegen bei Pflegeheimbewohner(inne)n in einer Interventionsstudie vor? Eine Analyse der Unit-Nonresponder in zwolf deutschen Pflegeheimen. AB - BACKGROUND: Non-response bias is a major problem for the validity of survey answers. Analyses of reasons for non-response in surveys with nursing home residents (NHR) are scarce., AIM AND METHOD: The aim of this study was to develop reliable and valid categories which represent reasons for non-response in nursing homes using the "Prozessmodell induktiver Kategorienbildung" following Mayring (2010). Furthermore, characteristics of unit non-responder and responder were compared., RESULTS: Forming of categories of reasons for non-response was conducted with 522 NHR, longitudinally. Four major categories were identified (general refusal, health reasons, accessibility, excessive demand) and further 17 subcategories. Unit-non-responder and responder did not differ in age and sex; however follow-up non-responder showed differences in marital status, training qualification, and cognitive status., CONCLUSIONS: The presented scheme of categories can be used to assess reasons for non-response in nursing homes. Standardised assessment of reasons for non-response may contribute to higher response rates in this setting. DA - 2015/// PY - 2015 DO - 10.1024/1012-5302/a000402 VL - 28 IS - 1 SP - 33 EP - 45 J2 - Pflege SN - 1012-5302 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25631957 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Bias KW - Cluster Analysis KW - *Homes for the Aged KW - *Nursing Homes KW - Germany KW - Observer Variation KW - Chronic Disease/px [Psychology] KW - *Chronic Disease/nu [Nursing] KW - *Pain Management/nu [Nursing] KW - *Data Collection/sn [Statistics & Numerical Data] KW - *Pain Management/sn [Statistics & Numerical Data] KW - *Patient Dropouts/px [Psychology] KW - *Patient Dropouts/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Bridging the digital divide in older adults: a study from an initiative to inform older adults about new technologies. AU - Wu, Ya-Huei AU - Damnee, Souad AU - Kerherve, Helene AU - Ware, Caitlin AU - Rigaud, Anne-Sophie T2 - Clinical interventions in aging AB - PURPOSE: In a society where technology progresses at an exponential rate, older adults are often unaware of the existence of different kinds of information and communication technologies (ICTs). To bridge the gap, we launched a 2-year project, during which we conducted focus groups (FGs) with demonstrations of ICTs, allowing older adults to try them out and to share their opinions. This study aimed at investigating how participants perceived this kind of initiative and how they reacted to different kinds of ICTs., PATIENTS AND METHODS: In total, 14 FGs were conducted with community-dwelling older adults, with a frequency of two FGs on the same topic once per trimester. Twenty-three older adults (four men and 19 women) attended at least one FG but only nearly half of them were regular attendants (ten participating in at least five sessions). Age of participants ranged from 63 years to 88 years, with a mean of 77.1 years. All of them had completed secondary education. The analyses of the data were performed according to inductive thematic analysis., RESULTS: Four overarching themes emerged from the analysis. The first concerned participants' motivation for and assessment of the project. The second theme identified the underlying factors of the "digital divide" between the younger and the older generations. The third theme concerned the factors of technology adoption among older adults. The fourth one identified participants' attitudes toward assistive ICTs, designed specifically for older adults ("gerontechnologies")., DISCUSSIONS AND CONCLUSION: This project encouraging older adults to be informed about different kinds of ICTs was positively rated. With regard to ICTs, participants perceived a digital divide. The underlying factors are generation/cohort effects, cognitive and physical decline related to aging, and negative attitudes toward technologies. However, more and more older adults adopt different kinds of ICTs in order to fit in with the society. Concerning assistive ICTs, they manifested a lack of perceived need and usefulness. Also, there was a negative image of end users of this kind of technologies. The so-called gerontechnologies specifically targeting older adults contain stigmatizing symbolism that might prevent them from adopting them. DA - 2015/// PY - 2015 DO - 10.2147/CIA.S72399 VL - 10 IS - 101273480 SP - 193 EP - 200 J2 - Clin Interv Aging SN - 1178-1998 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25624752 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Attitude to Computers KW - *Independent Living KW - Age Factors KW - Independent Living/px [Psychology] KW - *Aging/px [Psychology] KW - *Ageism/pc [Prevention & Control] KW - Ageism/px [Psychology] KW - *Self-Help Devices/px [Psychology] KW - Independent Living/ed [Education] KW - Information Seeking Behavior ER - TY - JOUR TI - Arizona Study of Aging and Neurodegenerative Disorders and Brain and Body Donation Program. AU - Beach, Thomas G AU - Adler, Charles H AU - Sue, Lucia I AU - Serrano, Geidy AU - Shill, Holly A AU - Walker, Douglas G AU - Lue, LihFen AU - Roher, Alex E AU - Dugger, Brittany N AU - Maarouf, Chera AU - Birdsill, Alex C AU - Intorcia, Anthony AU - Saxon-Labelle, Megan AU - Pullen, Joel AU - Scroggins, Alexander AU - Filon, Jessica AU - Scott, Sarah AU - Hoffman, Brittany AU - Garcia, Angelica AU - Caviness, John N AU - Hentz, Joseph G AU - Driver-Dunckley, Erika AU - Jacobson, Sandra A AU - Davis, Kathryn J AU - Belden, Christine M AU - Long, Kathy E AU - Malek-Ahmadi, Michael AU - Powell, Jessica J AU - Gale, Lisa D AU - Nicholson, Lisa R AU - Caselli, Richard J AU - Woodruff, Bryan K AU - Rapscak, Steven Z AU - Ahern, Geoffrey L AU - Shi, Jiong AU - Burke, Anna D AU - Reiman, Eric M AU - Sabbagh, Marwan N T2 - Neuropathology : official journal of the Japanese Society of Neuropathology AB - The Brain and Body Donation Program (BBDP) at Banner Sun Health Research Institute (http://www.brainandbodydonationprogram.org) started in 1987 with brain-only donations and currently has banked more than 1600 brains. More than 430 whole-body donations have been received since this service was commenced in 2005. The collective academic output of the BBDP is now described as the Arizona Study of Aging and Neurodegenerative Disorders (AZSAND). Most BBDP subjects are enrolled as cognitively normal volunteers residing in the retirement communities of metropolitan Phoenix, Arizona. Specific recruitment efforts are also directed at subjects with Alzheimer's disease, Parkinson's disease and cancer. The median age at death is 82. Subjects receive standardized general medical, neurological, neuropsychological and movement disorders assessments during life and more than 90% receive full pathological examinations by medically licensed pathologists after death. The Program has been funded through a combination of internal, federal and state of Arizona grants as well as user fees and pharmaceutical industry collaborations. Subsets of the Program are utilized by the US National Institute on Aging Arizona Alzheimer's Disease Core Center and the US National Institute of Neurological Disorders and Stroke National Brain and Tissue Resource for Parkinson's Disease and Related Disorders. Substantial funding has also been received from the Michael J. Fox Foundation for Parkinson's Research. The Program has made rapid autopsy a priority, with a 3.0-hour median post-mortem interval for the entire collection. The median RNA Integrity Number (RIN) for frozen brain and body tissue is 8.9 and 7.4, respectively. More than 2500 tissue requests have been served and currently about 200 are served annually. These requests have been made by more than 400 investigators located in 32 US states and 15 countries. Tissue from the BBDP has contributed to more than 350 publications and more than 200 grant-funded projects. Copyright © 2015 Japanese Society of Neuropathology. DA - 2015/// PY - 2015 DO - 10.1111/neup.12189 VL - 35 IS - 4 SP - 354 EP - 89 J2 - Neuropathology SN - 1440-1789 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25619230 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - *Aging/pa [Pathology] KW - Biomarkers KW - *Neurodegenerative Diseases/pa [Pathology] KW - Autopsy KW - *Brain/pa [Pathology] KW - *Tissue and Organ Procurement KW - *Tissue Banks KW - Arizona KW - Organ Preservation KW - Postmortem Changes KW - Tissue Donors KW - Tissue Survival ER - TY - JOUR TI - Exploring opportunities for healthy aging among older persons with a history of homelessness in Toronto, Canada. AU - Waldbrook, Natalie T2 - Social science & medicine (1982) AB - Within the areas of literature on both population aging and health and homelessness, little attention has been given to the opportunities and barriers to healthy aging among older persons with a history of homelessness. Set in the context of inner-city Toronto, Canada, this article reports on the findings from qualitative interviews with 29 formerly homeless older persons. The findings illustrate participants' experiences of positive health change since moving into a stable housing environment and the aspects of housing they perceive to have improved their health and wellbeing. The qualitative findings also draw attention to the ongoing barriers to healthy aging that can be experienced among older persons with a history of homelessness. Overall, this study draws on the lived experiences of formerly homeless older persons to offer a better understanding of the long-term effects of homelessness on health, wellbeing, and aging. Copyright © 2015 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.socscimed.2015.01.015 VL - 128 IS - ut9, 8303205 SP - 126 EP - 33 J2 - Soc Sci Med SN - 1873-5347 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25616194 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Quality of Life KW - *Aging/ph [Physiology] KW - *Homes for the Aged KW - Interviews as Topic KW - *Homeless Persons KW - Urban Population KW - Ontario KW - Health Services Accessibility KW - Self Care KW - Public Policy ER - TY - JOUR TI - A time series based sequence prediction algorithm to detect activities of daily living in smart home. AU - Marufuzzaman, M AU - Reaz, M B I AU - Ali, M A M AU - Rahman, L F T2 - Methods of information in medicine AB - OBJECTIVES: The goal of smart homes is to create an intelligent environment adapting the inhabitants need and assisting the person who needs special care and safety in their daily life. This can be reached by collecting the ADL (activities of daily living) data and further analysis within existing computing elements. In this research, a very recent algorithm named sequence prediction via enhanced episode discovery (SPEED) is modified and in order to improve accuracy time component is included., METHODS: The modified SPEED or M-SPEED is a sequence prediction algorithm, which modified the previous SPEED algorithm by using time duration of appliance's ON-OFF states to decide the next state. M-SPEED discovered periodic episodes of inhabitant behavior, trained it with learned episodes, and made decisions based on the obtained knowledge., RESULTS: The results showed that M-SPEED achieves 96.8% prediction accuracy, which is better than other time prediction algorithms like PUBS, ALZ with temporal rules and the previous SPEED., CONCLUSIONS: Since human behavior shows natural temporal patterns, duration times can be used to predict future events more accurately. This inhabitant activity prediction system will certainly improve the smart homes by ensuring safety and better care for elderly and handicapped people. DA - 2015/// PY - 2015 DO - 10.3414/ME14-01-0061 VL - 54 IS - 3 SP - 262 EP - 70 J2 - Methods Inf Med SN - 2511-705X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25604028 KW - Humans KW - *Activities of Daily Living KW - *Housing KW - Forecasting KW - *Monitoring, Ambulatory/is [Instrumentation] KW - *Algorithms KW - Software Design ER - TY - JOUR TI - Trends in prevalence, incidence and pharmacologic management of diabetes mellitus among seniors newly admitted to long-term care facilities in Saskatchewan between 2003 and 2011. AU - Alsabbagh, Mhd Wasem AU - Mansell, Kerry AU - Lix, Lisa M AU - Teare, Gary AU - Shevchuk, Yvonne AU - Lu, Xinya AU - Champagne, Anne AU - Blackburn, David F T2 - Canadian journal of diabetes AB - OBJECTIVE: We aimed to describe trends in the prevalence and incidence of diabetes mellitus and also report the overall use of diabetes medications among patients newly admitted to a long-term care facility (LTCF)., METHODS: A retrospective cohort study was done using health administrative databases in Saskatchewan. Eligible patients were newly admitted to LTCF in Saskatchewan between 2003 and 2011 and maintained LTCF residency for at least 6 months. Prevalence of diabetes was defined with physician or hospital claims in the 2 years preceding admission. Antihyperglycemic medication use was estimated from prescription claims data during the first 6 months after LTCF admission. All data were descriptively analyzed., RESULTS: The validated case definition for diabetes (>=2 diagnostic claims) in the 2 years before or 6 months after admission was met by 16.9% of patients (2471 of 14,624). An additional 965 patients (6.6%) had a single diabetes diagnostic claim or antihyperglycemic prescriptions only. Among patients receiving antihyperglycemic therapies, 64.9% (1518 of 2338) were exclusively managed with oral medications, and metformin was the most commonly used medication. Glyburide was commonly withdrawn after LTCF admission. Insulin use was observed in 23.9% of diabetes patients, with a mean daily average consumption of 54.7 units per day., CONCLUSIONS: Use of diabetes medications appear to generally align with Canadian practice recommendations as evidenced by declining use of glyburide and frequent use of metformin. Future studies should examine clinical benefits and safety of hypoglycemic agent use in LTCFs. Copyright © 2015 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jcjd.2014.10.002 VL - 39 IS - 2 SP - 138 EP - 45 J2 - Can. j. diabetes SN - 2352-3840 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25599902 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - Retrospective Studies KW - *Homes for the Aged KW - Long-Term Care KW - Incidence KW - *Diabetes Mellitus/ep [Epidemiology] KW - *Diabetes Mellitus/dt [Drug Therapy] KW - *Hypoglycemic Agents/tu [Therapeutic Use] KW - Glyburide/tu [Therapeutic Use] KW - Insulin/tu [Therapeutic Use] KW - Metformin/tu [Therapeutic Use] KW - Saskatchewan/ep [Epidemiology] ER - TY - JOUR TI - Age of dementia diagnosis in community dwelling bilingual and monolingual Hispanic Americans. AU - Lawton, Deborah M AU - Gasquoine, Philip G AU - Weimer, Amy A T2 - Cortex; a journal devoted to the study of the nervous system and behavior T3 - [Comment in: Cortex. 2016 Jan;74:315-7; PMID: 26537794 [https://www.ncbi.nlm.nih.gov/pubmed/26537794]][Comment in: Cortex. 2015 May;66:170-2; PMID: 25752980 [https://www.ncbi.nlm.nih.gov/pubmed/25752980]][Comment in: Cortex. 2016 Jan;74:318-9; PMID: 26078195 [https://www.ncbi.nlm.nih.gov/pubmed/26078195]] AB - Bilingualism has been reported to delay the age of retrospective report of first symptom in dementia. This study determined if the age of clinically diagnosed Alzheimer's disease and vascular dementia occurred later for bilingual than monolingual, immigrant and U.S. born, Hispanic Americans. It involved a secondary analysis of the subset of 81 bi/monolingual dementia cases identified at yearly follow-up (1998 through 2008) using neuropsychological test results and objective diagnostic criteria from the Sacramento Area Latino Study on Aging that involved a random sampling of community dwelling Hispanic Americans (N = 1789). Age of dementia diagnosis was analyzed in a 2 x 2 (bi/monolingualism x immigrant/U.S. born) ANOVA that space revealed both main effects and the interaction were non-significant. Mean age of dementia diagnosis was descriptively (but not significantly) higher in the monolingual (M = 81.10 years) than the bilingual (M = 79.31) group. Overall, bilingual dementia cases were significantly better educated than monolinguals, but U.S. born bilinguals and monolinguals did not differ significantly in education. Delays in dementia symptomatology pertaining to bilingualism are less likely to be found in studies: (a) that use age of clinical diagnosis vs. retrospective report of first dementia symptom as the dependent variable; and (b) involve clinical cases derived from community samples rather than referrals to specialist memory clinics. Copyright © 2014 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.cortex.2014.11.017 VL - 66 IS - dsp, 0100725 SP - 141 EP - 5 J2 - Cortex SN - 1973-8102 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25598395 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - Cohort Studies KW - Age Factors KW - Alzheimer Disease/ep [Epidemiology] KW - *Alzheimer Disease/di [Diagnosis] KW - *Hispanic Americans KW - *Dementia, Vascular/di [Diagnosis] KW - *Multilingualism KW - Age of Onset KW - Cognitive Reserve KW - Dementia, Vascular/ep [Epidemiology] ER - TY - JOUR TI - Socio-economic factors related with the subjective well-being of the rural elderly people living independently in China. AU - Zhou, Yicheng AU - Zhou, Linyi AU - Fu, Changluan AU - Wang, You AU - Liu, Qingle AU - Wu, Hongtao AU - Zhang, Rongjun AU - Zheng, Linfeng T2 - International journal for equity in health AB - BACKGROUND: Many Chinese elderly increasingly face the serious problem of the "empty nest" phenomenon. The elderly living independently, also called empty-nest elderly, refers to elderly people living alone whose children left home. However few studies concerned about the subjective well-being (SWB) of the elderly living independently., METHODS: This study employs The Memorial University of Newfoundland Scale of Happiness (MUNSH) to explore the SWB of the elderly living independently in rural areas of Wenzhou, a relatively developed region in China. 536 sampled are randomly selected., RESULTS: The results indicate that participants obtained low scores in positive affect, positive experience, and the total SWB score, but high scores in negative affect and negative experience. Age, low education, poor health condition and little income were found to be negatively correlated with SWB. The SWB score of the elderly living with a spouse is higher than those who divorced or lost their spouse and the score of women is lower than that of men. In addition, the survey revealed that children's support has a positive influence on the SWB of the rural elderly living independently., CONCLUSIONS: The elderly living independently in rural Wenzhou, China have unfavorable SWB. Poor socio-economic statuses are negative impact factors. But the children's support can help to improve. Special attention is needed to those with lower socio-economic status and less children's support. DA - 2015/// PY - 2015 DO - 10.1186/s12939-015-0136-4 VL - 14 IS - 101147692 SP - 5 J2 - Intern. j. equity health SN - 1475-9276 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25595196 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - *Independent Living/ec [Economics] KW - *Diagnostic Self Evaluation KW - *Rural Population KW - *Socioeconomic Factors KW - China/ep [Epidemiology] ER - TY - JOUR TI - Household and neighborhood conditions partially account for associations between education and physical capacity in the National Health and Aging Trends Study. AU - Samuel, Laura J AU - Glass, Thomas A AU - Thorpe, Roland J Jr AU - Szanton, Sarah L AU - Roth, David L T2 - Social science & medicine (1982) AB - Socioeconomic resources, such as education, prevent disability but are not readily modifiable. We tested the hypothesis that household and neighborhood conditions, which may be modifiable, partially account for associations between education and physical capacity in a population-based sample of older adults. The National Health and Aging Trends Study measured education (=Bachelor's), household and neighborhood conditions, using a 16-item environmental checklist and a 3-item social cohesion scale, and physical capacity with the Short Physical Performance Battery (SPPB), grip strength and peak expiratory flow. Structural equation models were used to decompose total educational effects into direct effects and indirect effects via household and neighborhood conditions, using sample weights and adjusting for age, sex, race/ethnicity, marital status, household size, BMI, self-reported health, and number of medical conditions in 6874 community-dwelling participants. Education was directly associated with SPPB scores (beta = 0.055, p < 0.05) and peak flow (beta = 0.095, p < 0.05), but not grip strength. Also, indirect effects were found for household disorder with SPPB scores (beta = 0.013, p < 0.05), grip strength (beta = 0.007, p < 0.05), and peak flow (beta = 0.010, p < 0.05). Indirect effects were also found for street disorder with SPPB scores (beta = 0.012, p < 0.05). Indirect effects of household and neighborhood conditions accounted for approximately 35%, 27% and 14% of the total association between education and SPPB scores, grip strength level, and peak expiratory flow level, respectively. Household disorder and street disorder partially accounted for educational disparities in physical capacity. However, educational disparities in SPPB scores and peak expiratory flow persisted after accounting for household and neighborhood conditions and chronic conditions, suggesting additional pathways. Interventions and policies aiming to support aging in place should consider addressing household-level and street-level disorder. Copyright © 2015 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.socscimed.2015.01.009 VL - 128 IS - ut9, 8303205 SP - 67 EP - 75 J2 - Soc Sci Med SN - 1873-5347 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25594954 KW - Female KW - Humans KW - Male KW - United States KW - Social Environment KW - Aged KW - Aged, 80 and over KW - Interpersonal Relations KW - Health Surveys KW - *Housing KW - *Educational Status KW - *Residence Characteristics KW - *Geriatric Assessment KW - *Disability Evaluation KW - Medicare KW - Sampling Studies ER - TY - JOUR TI - Risk factors of indoor fall injuries in community-dwelling older women: a prospective cohort study. AU - Hu, Jia AU - Xia, Qinghua AU - Jiang, Yu AU - Zhou, Peng AU - Li, Yuhua T2 - Archives of gerontology and geriatrics AB - The aims of the study were to explore the characteristics and the potential risk factors of indoor fall injuries in community-dwelling older women, and to provide evidence for the future intervention strategy. A prospective cohort of 3043 women aged 60 years old and above from 3 selected counties in Shanghai was followed up on the outcomes of indoor fall injuries for up to 1 year. Demographic and health data were collected during admission; the physical function, balance ability and home-living environment were examined by a structured questionnaire when admitted. The outcome of indoor fall injury was investigated by a visit in month 3, month 6 and month 12 after baseline survey. Univariate analysis and Multiple Logistic Regression Model were used to examine the associations between potential risk factors and outcomes of indoor fall injuries. Two hundred and thirty-one of the 3043 women (7.6%) eventually suffered indoor fall injuries at least once during the 1-year follow-up. The injurious falls of women were significantly associated with age, educational level, marital status, health status, balance ability, physical activity and home-living environment in the univariate analyses. Women who worried about falls and restrained activities for it were more likely to suffer fall injury. Younger women, with less chronic disease, with good balance ability and living in good corridor environment, were less likely to receive fall injury in multiple logistic regression analyses. Multidimensional factors were associated with indoor fall injuries for community-dwelling older women. Proper clinical treatment of chronic disease and improvement of women's balance ability, as well as reducing the risk factor of indoor environment, which will play vital roles in preventing indoor fall injuries, should be prioritized for the intervention strategy. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.archger.2014.12.006 VL - 60 IS - 2 SP - 259 EP - 64 J2 - Arch Gerontol Geriatr SN - 1872-6976 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25591845 KW - Female KW - Humans KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Logistic Models KW - Residence Characteristics KW - Cohort Studies KW - Age Factors KW - Prospective Studies KW - Socioeconomic Factors KW - *Postural Balance KW - China/ep [Epidemiology] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Incidence KW - *Accidents, Home/sn [Statistics & Numerical Data] ER - TY - JOUR TI - A systematic review of intervention studies to prevent hospitalizations of community-dwelling older adults with dementia. AU - Phelan, Elizabeth A AU - Debnam, Katrina J AU - Anderson, Lynda A AU - Owens, Steven B T2 - Medical care AB - OBJECTIVES: To conduct a systematic literature review to determine if there were any intervention strategies that had any measurable effect on acute-care hospitalizations among community-dwelling adults with dementia., DESIGN: Studies were identified by a professional research librarian and content experts., SETTING: Community dwelling., PARTICIPANTS: Participants were diagnosed with dementia, severity ranging from mild to severe, and were recruited from health care and community agencies., MEASUREMENTS: A study met the inclusion criteria if it: (a) was published in English; (b) included a control or comparison group; (c) published outcome data from the intervention under study; (d) reported hospitalization as one of the outcomes; (e) included community-dwelling older adults; and (f) enrolled participants with dementia. Ten studies met all inclusion criteria., RESULTS: Of the 10 studies included, most assessed health services use (ie, hospitalizations) as a secondary outcome. Participants were recruited from a range of health care and community agencies, and most were diagnosed with dementia with severity ratings ranging from mild to severe. Most intervention strategies consisted of face-to-face assessments of the persons living with dementia, their caregivers, and the development and implementation of a care plan. A significant reduction in hospital admissions was not found in any of the included studies, although 1 study did observe a reduction in hospital days., CONCLUSIONS: The majority of studies included hospitalizations as a secondary outcome. Only 1 intervention was found to have an effect on hospitalizations. Future work would benefit from strategies specifically designed to reduce and prevent acute hospitalizations in persons with dementia. DA - 2015/// PY - 2015 DO - 10.1097/MLR.0000000000000294 VL - 53 IS - 2 SP - 207 EP - 13 J2 - Med Care SN - 1537-1948 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25588136 KW - Adult KW - Female KW - Humans KW - Male KW - Outcome Assessment (Health Care) KW - Aged KW - Aged, 80 and over KW - *Hospitalization/sn [Statistics & Numerical Data] KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Dementia/rh [Rehabilitation] KW - *Patient Care Management/og [Organization & Administration] ER - TY - JOUR TI - "As needed" case management across aging services in response to depression. AU - Hasche, Leslie K AU - Lavery, Angela T2 - Journal of gerontological social work AB - A lack of clarity on how and where case management for older adults is delivered persists, even as evidence supports its use to respond to depression. We used in-depth interviews with managers (n = 20) and staff surveys (n = 142) from 17 service agencies to explore the provision of case management services in adult day services, homecare, senior centers, and supportive housing. Limited case management services were found. Barriers included limited time and resources, especially for senior centers and supportive housing. Results revealed a concern about the role, feasibility, and availability of case management for older adults within these settings. DA - 2015/// PY - 2015 DO - 10.1080/01634372.2014.1001931 VL - 58 IS - 3 SP - 272 EP - 88 J2 - J Gerontol Soc Work SN - 1540-4048 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25587880 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - *Aging/px [Psychology] KW - *Depression/th [Therapy] KW - Depression/px [Psychology] KW - Continuity of Patient Care/st [Standards] KW - *Case Management KW - *Health Services Accessibility/st [Standards] ER - TY - JOUR TI - Postoperative blood transfusion strategy in frail, anemic elderly patients with hip fracture: the TRIFE randomized controlled trial. AU - Gregersen, Merete AU - Borris, Lars C AU - Damsgaard, Else Marie T2 - Acta orthopaedica AB - BACKGROUND AND PURPOSE: Hip fracture (HF) in frail elderly patients is associated with poor physical recovery and death. There is often postoperative blood loss and the hemoglobin (Hb) threshold for red blood cell (RBC) transfusions in these patients is unknown. We investigated whether RBC transfusion strategies were associated with the degree of physical recovery or with reduced mortality after HF surgery., PATIENTS AND METHODS: We enrolled 284 consecutive post-surgical HF patients (aged >= 65 years) with Hb levels < 11.3 g/dL (7 mmol/L) who had been admitted from nursing homes or sheltered housing. Allocation was stratified by residence. The patients were randomly assigned to either restrictive (Hb < 9.7 g/dL; < 6 mmol/L) or liberal (Hb < 11.3 g/dL; < 7 mmol/L) RBC transfusions given within the first 30 days postoperatively. Follow-up was at 90 days., RESULTS: No statistically significant differences were found in repeated measures of daily living activities or in 90-day mortality rate between the restrictive group (where 27% died) and the liberal group (where 21% died). Per-protocol 30-day mortality was higher with the restrictive strategy (hazard ratio (HR) = 2.4, 95% CI: 1.1-5.2; p = 0.03). The 90-day mortality rate was higher for nursing home residents in the restrictive transfusion group (36%) than for those in the liberal group (20%) (HR = 2.0, 95% CI: 1.1-3.6; p = 0.01)., INTERPRETATION: According to our Hb thresholds, recovery from physical disabilities in frail elderly hip fracture patients was similar after a restrictive RBC transfusion strategy and after a liberal strategy. Implementation of a liberal RBC transfusion strategy in nursing home residents has the potential to increase survival. DA - 2015/// PY - 2015 DO - 10.3109/17453674.2015.1006980 VL - 86 IS - 3 SP - 363 EP - 72 J2 - Acta Orthop SN - 1745-3682 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25586270 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Nursing Homes KW - Survival Rate KW - Prospective Studies KW - *Frail Elderly KW - Incidence KW - *Arthroplasty, Replacement, Hip KW - Hip Fractures/mo [Mortality] KW - *Fracture Fixation, Internal KW - Anemia/bl [Blood] KW - *Anemia/th [Therapy] KW - *Hip Fractures/su [Surgery] KW - Hemoglobins/me [Metabolism] KW - *Erythrocyte Transfusion/mt [Methods] KW - *Postoperative Care/mt [Methods] KW - Postoperative Hemorrhage/ep [Epidemiology] ER - TY - JOUR TI - Longitudinal psychological outcomes of the small-scale nursing home model: a latent growth curve zero-inflated Poisson model. AU - Yoon, Ju Young AU - Brown, Roger L AU - Bowers, Barbara J AU - Sharkey, Siobhan S AU - Horn, Susan D T2 - International psychogeriatrics AB - BACKGROUND: This study aims to examine the longitudinal effects of a small-scale nursing home model on the change rates of psychological outcomes by comparing green house (GH) and traditional nursing home residents., METHODS: A total of 242 residents (93 GH and 149 traditional home residents) who resided at the home least 6 months from admission. Four minimum dataset assessments every six months from admission were included. The main psychological outcomes were depressive mood, and social engagement. The main independent variable was the facility type that the resident resided in: a GH or traditional unit. Age, gender, ADL function, and cognitive function at admission were controlled in the model. A zero-inflated Poisson (ZIP) growth curve model was utilized to compare change rates of two psychological outcomes between the two groups taking into account many zero counts of two outcome measures., RESULTS: A rate of increase in depressive symptoms for GH home residents was higher than that of traditional home residents (beta = 0.135, p-value = 0.025). GH home residents had a lower rate of increase of the probability of "not being socially engaged" over time compared to traditional home residents (beta = -0.274, p-value = 0.010)., CONCLUSION: The GH nursing home model had a longitudinal effect on increasing the probability of residents' social engagement over time, but also increasing the recognition of depressive symptoms compared to traditional nursing homes. DA - 2015/// PY - 2015 DO - 10.1017/S1041610214002865 VL - 27 IS - 6 SP - 1009 EP - 16 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25583275 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Models, Organizational KW - Interpersonal Relations KW - Longitudinal Studies KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Homes for the Aged/st [Standards] KW - Nursing Homes/st [Standards] KW - Depression/ep [Epidemiology] KW - Depression/et [Etiology] KW - Institutionalization/sn [Statistics & Numerical Data] KW - *Institutionalization KW - Poisson Distribution ER - TY - JOUR TI - Descriptive study of the role of household type and household composition on women's reproductive health outcomes in urban Uttar Pradesh, India. AU - Speizer, Ilene S AU - Lance, Peter AU - Verma, Ravi AU - Benson, Aimee T2 - Reproductive health AB - BACKGROUND: More needs to be known about the role intra-familial power dynamics play in women's reproductive health outcomes, particularly in societies like Northern India characterized by patriarchy and extended families. The key research question we explore is: how important are living arrangements (e.g., presence of the mother-in-law, presence of an elder sister-in-law, and living in the husband's natal home) on contraceptive use behaviors and decision to deliver at an institution?, METHODS: Representative data collected in 2010 from six cities in Uttar Pradesh are used to examine the above research question. This study uses multivariable logistic regression methods to examine the association between women's household type (husband's natal home vs. not husband's natal home) and household composition (lives with mother-in-law; and lives with elder sister-in-law) and modern family planning use and institutional delivery., RESULTS: More than sixty percent of women in the sample live in their husband's natal home, one-third live with their mother-in-law, and only three percent live with an elder sister-in-law. Findings demonstrate that women who live either with the mother-in-law or in the husband's natal home are more likely to use modern family planning than those women living neither with the mother-in-law nor in the husband's natal home. In addition, living with an elder sister-in-law is associated with less family planning use. For institutional delivery, women who live with the mother-in-law have higher institutional delivery than those not living with the mother-in-law. Multivariable analyses demonstrate that, controlling for other factors associated with modern family planning use, women living with neither the mother-in-law nor in the husband's natal home are the least likely to use modern family planning. Similar findings are found for institutional delivery such that those women living with neither the mother-in-law nor in the husband's natal home are the least likely to have an institutional delivery, controlling for demographic factors associated with institutional delivery., CONCLUSIONS: Where women live and who they live with matters. Future reproductive health programs for urban India should consider these context specific factors in programs seeking to improve women's reproductive health outcomes. DA - 2015/// PY - 2015 DO - 10.1186/1742-4755-12-4 VL - 12 IS - 101224380 SP - 4 J2 - Reprod Health SN - 1742-4755 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25582429 KW - Adult KW - Female KW - Humans KW - Young Adult KW - Middle Aged KW - Socioeconomic Factors KW - Pregnancy KW - *Family Characteristics KW - Marital Status KW - India KW - *Reproductive Health KW - *Women's Health/sn [Statistics & Numerical Data] KW - Contraception Behavior/sn [Statistics & Numerical Data] KW - Delivery, Obstetric/sn [Statistics & Numerical Data] KW - Parity ER - TY - JOUR TI - Low-Magnitude Mechanical Stimulation to Improve Bone Density in Persons of Advanced Age: A Randomized, Placebo-Controlled Trial. AU - Kiel, Douglas P AU - Hannan, Marian T AU - Barton, Bruce A AU - Bouxsein, Mary L AU - Sisson, Emily AU - Lang, Thomas AU - Allaire, Brett AU - Dewkett, Dawn AU - Carroll, Danette AU - Magaziner, Jay AU - Shane, Elizabeth AU - Leary, Elizabeth Teng AU - Zimmerman, Sheryl AU - Rubin, Clinton T T2 - Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research AB - Nonpharmacologic approaches to preserve or increase bone mineral density (BMD) include whole-body vibration (WBV), but its efficacy in elderly persons is not clear. Therefore, we conducted the Vibration to Improve Bone in Elderly Subjects (VIBES) trial, a randomized, placebo-controlled trial of 10 minutes of daily WBV (0.3g at 37 Hz) in seniors recruited from 16 independent living communities. The primary outcomes were volumetric BMD of the hip and spine measured by quantitative computed tomography (QCT) and biochemical markers of bone turnover. We randomized 174 men and women (89 active, 85 placebo) with T-scores -1 to -2.5 who were not taking bone active drugs and had no diseases affecting the skeleton (mean age 82 +/- 7 years, range 65 to 102). Participants received daily calcium (1000 mg) and vitamin D (800 IU). Study platforms were activated using radio frequency ID cards providing electronic adherence monitoring; placebo platforms resembled the active platforms. In total, 61% of participants in the active arm and 73% in the placebo arm completed 24 months. The primary outcomes, median percent changes (interquartile range [IQR]) in total volumetric femoral trabecular BMD (active group (2.2% [-0.8%, 5.2%]) versus placebo 0.4% [-4.8%, 5.0%]) and in mid-vertebral trabecular BMD of L1 and L2 (active group (5.3% [-6.9%, 13.3%]) versus placebo (2.4% [-4.4%, 11.1%]), did not differ between groups (all p values > 0.1). Changes in biochemical markers of bone turnover (P1NP and sCTX) also were not different between groups (p = 0.19 and p = 0.97, respectively). In conclusion, this placebo-controlled randomized trial of daily WBV in older adults did not demonstrate evidence of significant beneficial effects on volumetric BMD or bone biomarkers; however, the high variability in vBMD changes limited our power to detect small treatment effects. The beneficial effects of WBV observed in previous studies of younger women may not occur to the same extent in elderly individuals. Copyright © 2015 American Society for Bone and Mineral Research. DA - 2015/// PY - 2015 DO - 10.1002/jbmr.2448 VL - 30 IS - 7 SP - 1319 EP - 28 J2 - J Bone Miner Res SN - 1523-4681 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25581217 KW - Female KW - Humans KW - Male KW - Aged KW - Peptide Fragments/bl [Blood] KW - Procollagen/bl [Blood] KW - *Bone Density KW - *Vibration KW - Collagen Type I/bl [Blood] KW - Femur/ph [Physiology] KW - Peptides/bl [Blood] KW - Placebos KW - Spine/ph [Physiology] ER - TY - JOUR TI - Older persons' narrations on falls and falling-stories of courage and endurance. AU - Clancy, Anne AU - Balteskard, Bjorg AU - Perander, Bente AU - Mahler, Marianne T2 - International journal of qualitative studies on health and well-being AB - Fall related injuries in nursing homes have a major impact on the quality of life in later adulthood and there is a dearth of studies on falling and fall prevention from the older person's perspective. The aim of the study was to identify how older persons perceive falling, fall prevention, and fall accidents. Six in-depth interviews were carried out and a hermeneutic phenomenological method was used to describe and interpret the older persons' accounts. Interpretations of Levinasian and Heidegarian philosophy related to dwelling and mobility helped cultivate important insights. Symbolic and physical environments are important for the participants' well-being. The older persons in the study did not wish to dwell on the subject of falling and spoke of past and present coping strategies and the importance of staying on their feet. The women spoke about endurance in their daily lives. The men's narrations were more dramatic; they became animated when they spoke of their active past lives. As the scope of the study is small, these gender differences require further investigation. However, their stories give specific knowledge about the individual and their symbolic environmental circumstances and universal knowledge about the importance of integrating cultural environmental knowledge in health promotion and care work. Traditional fall prevention interventions are often risk oriented and based on generalized knowledge applied to particular cases. The findings indicate a need for contextual life-world knowledge and an understanding of fall prevention as a piece in a larger puzzle within a broader framework of culture, health, and well-being. Showing an interest in the older persons' stories can help safeguard their integrity and promote their well-being. This can ignite a spark that kindles their desire to participate in meaningful exercises and activities. DA - 2015/// PY - 2015 DO - 10.3402/qhw.v10.26123 VL - 10 IS - 101256506 SP - 26123 J2 - Int J Qual Stud Health Well-being SN - 1748-2631 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25575686 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Quality of Life KW - *Homes for the Aged KW - *Nursing Homes KW - Interviews as Topic KW - *Accidental Falls KW - *Narration KW - Culture KW - Courage ER - TY - JOUR TI - Management of falls in community-dwelling older adults: clinical guidance statement from the Academy of Geriatric Physical Therapy of the American Physical Therapy Association. AU - Avin, Keith G AU - Hanke, Timothy A AU - Kirk-Sanchez, Neva AU - McDonough, Christine M AU - Shubert, Tiffany E AU - Hardage, Jason AU - Hartley, Greg AU - Academy of Geriatric Physical Therapy of the American Physical Therapy Association T2 - Physical therapy AB - BACKGROUND: Falls in older adults are a major public health concern due to high prevalence, impact on health outcomes and quality of life, and treatment costs. Physical therapists can play a major role in reducing fall risk for older adults; however, existing clinical practice guidelines (CPGs) related to fall prevention and management are not targeted to physical therapists., OBJECTIVE: The purpose of this clinical guidance statement (CGS) is to provide recommendations to physical therapists to help improve outcomes in the identification and management of fall risk in community-dwelling older adults., DESIGN AND METHODS: The Subcommittee on Evidence-Based Documents of the Practice Committee of the Academy of Geriatric Physical Therapy developed this CGS. Existing CPGs were identified by systematic search and critically appraised using the Appraisal of Guidelines, Research, and Evaluation in Europe II (AGREE II) tool. Through this process, 3 CPGs were recommended for inclusion in the CGS and were synthesized and summarized., RESULTS: Screening recommendations include asking all older adults in contact with a health care provider whether they have fallen in the previous year or have concerns about balance or walking. Follow-up should include screening for balance and mobility impairments. Older adults who screen positive should have a targeted multifactorial assessment and targeted intervention. The components of this assessment and intervention are reviewed in this CGS, and barriers and issues related to implementation are discussed., LIMITATIONS: A gap analysis supports the need for the development of a physical therapy-specific CPG to provide more precise recommendations for screening and assessment measures, exercise parameters, and delivery models., CONCLUSION: This CGS provides recommendations to assist physical therapists in the identification and management of fall risk in older community-dwelling adults. Copyright © 2015 American Physical Therapy Association. DA - 2015/// PY - 2015 DO - 10.2522/ptj.20140415 VL - 95 IS - 6 SP - 815 EP - 34 J2 - Phys Ther SN - 1538-6724 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25573760 KW - Humans KW - Aged KW - Risk Assessment KW - *Accidental Falls/pc [Prevention & Control] KW - *Independent Living KW - Walking/ph [Physiology] KW - Postural Balance/ph [Physiology] KW - *Mass Screening KW - *Physical Therapy Specialty/mt [Methods] ER - TY - JOUR TI - Previous Homelessness as a Risk Factor for Recovery from Serious Mental Illnesses. AU - Castellow, Jennifer AU - Kloos, Bret AU - Townley, Greg T2 - Community mental health journal AB - This paper argues that the experience of homelessness is inherently traumatic and thus has the potential to affect the manifestation of mental illness. The experiences related to being homeless might act as specific and unique sources of vulnerability. This study included 424 people diagnosed with serious mental illnesses living in supported housing programs in South Carolina. Three hierarchical regression analyses measuring the impact of homelessness on three types of outcomes revealed the following: (1) ever experiencing homelessness as well as the amount of time spent homeless were related to higher levels of psychiatric distress, (2) ever experiencing homelessness was related to higher levels of reported alcohol use, and (3) total amount of time spent homeless was related to lower perceived recovery from mental illness. These findings suggest that experiencing homelessness might contribute to psychosocial vulnerability to negative mental health outcomes. Future investigations examining this concept of risk and vulnerability as a result of homelessness are in order. DA - 2015/// PY - 2015 DO - 10.1007/s10597-014-9805-9 VL - 51 IS - 6 SP - 674 EP - 84 J2 - Community Ment Health J SN - 1573-2789 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25566947 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Retrospective Studies KW - Cross-Sectional Studies KW - Severity of Illness Index KW - Self Report KW - Regression Analysis KW - *Mental Disorders/px [Psychology] KW - *Homeless Persons/px [Psychology] KW - Public Housing KW - South Carolina ER - TY - JOUR TI - Assessing the physical environment of older people's residential care facilities: development of the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM). AU - Nordin, Susanna AU - Elf, Marie AU - McKee, Kevin AU - Wijk, Helle T2 - BMC geriatrics AB - BACKGROUND: There is emerging evidence that the physical environment is important for health, quality of life and care, but there is a lack of valid instruments to assess health care environments. The Sheffield Care Environment Assessment Matrix (SCEAM), developed in the United Kingdom, provides a comprehensive assessment of the physical environment of residential care facilities for older people. This paper reports on the translation and adaptation of SCEAM for use in Swedish residential care facilities for older people, including information on its validity and reliability., METHODS: SCEAM was translated into Swedish and back-translated into English, and assessed for its relevance by experts using content validity index (CVI) together with qualitative data. After modification, the validity assessments were repeated and followed by test-retest and inter-rater reliability tests in six units within a Swedish residential care facility that varied in terms of their environmental characteristics., RESULTS: Translation and back translation identified linguistic and semantic related issues. The results of the first content validity analysis showed that more than one third of the items had item-CVI (I-CVI) values less than the critical value of 0.78. After modifying the instrument, the second content validation analysis resulted in I-CVI scores above 0.78, the suggested criteria for excellent content validity. Test-retest reliability showed high stability (96% and 95% for two independent raters respectively), and inter-rater reliability demonstrated high levels of agreement (95% and 94% on two separate rating occasions). Kappa values were very good for test-retest (kappa = 0.903 and 0.869) and inter-rater reliability (kappa = 0.851 and 0.832)., CONCLUSIONS: Adapting an instrument to a domestic context is a complex and time-consuming process, requiring an understanding of the culture where the instrument was developed and where it is to be used. A team, including the instrument's developers, translators, and researchers is necessary to ensure a valid translation and adaption. This study showed preliminary validity and reliability evidence for the Swedish version (S-SCEAM) when used in a Swedish context. Further, we believe that the S-SCEAM has improved compared to the original instrument and suggest that it can be used as a foundation for future developments of the SCEAM model. DA - 2015/// PY - 2015 DO - 10.1186/1471-2318-15-3 VL - 15 IS - 100968548 SP - 3 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25563507 KW - Female KW - Humans KW - Male KW - Aged KW - Reproducibility of Results KW - Quality of Life KW - *Homes for the Aged KW - Sweden KW - *Health Facility Environment KW - Environment Design KW - Observer Variation KW - Translations ER - TY - JOUR TI - Symptom burden in community-dwelling older people with multimorbidity: a cross-sectional study. AU - Eckerblad, Jeanette AU - Theander, Kersti AU - Ekdahl, Anne AU - Unosson, Mitra AU - Wirehn, Ann-Britt AU - Milberg, Anna AU - Krevers, Barbro AU - Jaarsma, Tiny T2 - BMC geriatrics AB - BACKGROUND: Globally, the population is ageing and lives with several chronic diseases for decades. A high symptom burden is associated with a high use of healthcare, admissions to nursing homes, and reduced quality of life. The aims of this study were to describe the multidimensional symptom profile and symptom burden in community-dwelling older people with multimorbidity, and to describe factors related to symptom burden., METHODS: A cross-sectional study including 378 community-dwelling people >= 75 years, who had been hospitalized >= 3 times during the previous year, had >= 3 diagnoses in their medical records. The Memorial Symptom Assessment Scale was used to assess the prevalence, frequency, severity, distress and symptom burden of 31 symptoms. A multiple linear regression was performed to identify factors related to total symptom burden., RESULTS: The mean number of symptoms per participant was 8.5 (4.6), and the mean total symptom burden score was 0.62 (0.41). Pain was the symptom with the highest prevalence, frequency, severity and distress. Half of the study group reported the prevalence of lack of energy and a dry mouth. Poor vision, likelihood of depression, and diagnoses of the digestive system were independently related to the total symptom burden score., CONCLUSION: The older community-dwelling people with multimorbidity in this study suffered from a high symptom burden with a high prevalence of pain. Persons with poor vision, likelihood of depression, and diseases of the digestive system are at risk of a higher total symptom burden and might need age-specific standardized guidelines for appropriate management. DA - 2015/// PY - 2015 DO - 10.1186/1471-2318-15-1 VL - 15 IS - 100968548 SP - 1 J2 - BMC geriatr. SN - 1471-2318 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25559550 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - *Independent Living KW - Cross-Sectional Studies KW - *Cost of Illness KW - Multivariate Analysis KW - *Comorbidity KW - Symptom Assessment ER - TY - JOUR TI - Feasibility study of dual-task-managing training to improve gait performance of older adults. AU - Wollesen, Bettina AU - Voelcker-Rehage, Claudia AU - Willer, Jasmin AU - Zech, Astrid AU - Mattes, Klaus T2 - Aging clinical and experimental research AB - INTRODUCTION: Dual task (DT) training is becoming prominent in fall prevention. However, DT training should include task-managing strategies like task switching or task prioritization to be beneficial to improve gait performance under DT conditions. The aim of this pilot study was to evaluate the effect of a task managing training on gait stability., METHODS: A DT training (12 sessions; 60 min each; 12 weeks) was compared to a non-training control group within a RCT (38 independent living participants; 72.7 +/- 4.7 years). Single Task (ST) and DT walking (visual verbal Stroop task) were measured on a treadmill (FDM-T, 3.5 km/h, 100 HZ). Gait parameters like step length, step width, gait line, maximum forces and gait variability were compared., RESULTS: The training group improved their gait performance under ST and DT conditions as revealed by significant group x time interaction effects., DISCUSSION AND CONCLUSIONS: The training successfully improved gait performance and therefore might be a promising approach to prevent falls. Additional fall prevention studies should focus on motor-cognitive performance and reinforce outcomes of task managing strategies. DA - 2015/// PY - 2015 DO - 10.1007/s40520-014-0301-4 VL - 27 IS - 4 SP - 447 EP - 55 J2 - Aging Clin Exp Res SN - 1720-8319 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25556156 KW - Female KW - Humans KW - Male KW - Outcome Assessment (Health Care) KW - Aged KW - Task Performance and Analysis KW - Independent Living KW - Activities of Daily Living KW - *Accidental Falls/pc [Prevention & Control] KW - *Exercise Therapy/mt [Methods] KW - *Aging KW - Postural Balance KW - Aging/ph [Physiology] KW - Feasibility Studies KW - *Gait KW - Pilot Projects KW - Aging/px [Psychology] KW - Exercise Test/mt [Methods] KW - *Walking ER - TY - JOUR TI - Long-term care facilities--just the facts: part two. AU - Somes, Joan AU - Donatelli, Nancy Stephens T2 - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association DA - 2015/// PY - 2015 DO - 10.1016/j.jen.2014.10.008 VL - 41 IS - 1 SP - 76 EP - 9 J2 - J Emerg Nurs SN - 1527-2966 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25555698 KW - Humans KW - Male KW - Aged, 80 and over KW - Decision Making KW - Risk Assessment KW - Activities of Daily Living KW - *Quality of Life KW - Long-Term Care KW - *Accidental Falls KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - Emergency Service, Hospital KW - *Continuity of Patient Care KW - Injury Severity Score ER - TY - JOUR TI - Geographical analysis of socioeconomic factors in risk of domestic burn injury in London 2007-2013. AU - Heng, Jacob S AU - Atkins, Joanne AU - Clancy, Olivia AU - Takata, Masao AU - Dunn, Ken W AU - Jones, Isabel AU - Vizcaychipi, Marcela P T2 - Burns : journal of the International Society for Burn Injuries AB - PURPOSE: This study aims to explore the geographical distribution of burn injuries in Greater London and the association of socioeconomic factors in areas at risk., METHODS: Data on burn injury cases classified as occurring in patients' own homes in Greater London and admitted to a specialised burns service for >=1 day during a 7-year period were obtained from the International Burn Injury Database (iBID). Age- and gender-adjusted standardised incidence ratios (SIRs) were calculated for each Lower Layer Super Output Area (LSOA) in Greater London. Bayesian methods were used to calculate relative risks as best estimates of spatially-smoothed SIRs., RESULTS: Of a total of 2911 admissions to specialised burns services in Greater London in the study period, 2100 (72.1%) cases occurred in patients' own homes. Percentage of ethnic minorities (p=0.005), Income Deprivation Affecting Children Index (p<0.001), Health Deprivation and Disability Score (p=0.031), percentage of families with 3 or more children (p=0.004) and Barriers to Housing and Services Score (p=0.001) remained independently associated with the relative risk of paediatric domestic burn injury in a multivariate linear regression model. Percentage of ethnic minorities (p<0.001), Health Deprivation and Disability Score (p<0.001) and Barriers to Housing and Services Score (p=0.036) remained independently associated with the relative risk of adult domestic burn injury in a multivariate linear regression model., CONCLUSIONS: Socioeconomic factors are associated with an increased risk of burn injury in Greater London, but may be more important in children than adults. The specific factors identified are ethnicity, poor general health, household structure, housing issues and income deprivation affecting children. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.burns.2014.12.001 VL - 41 IS - 3 SP - 437 EP - 45 J2 - Burns SN - 1879-1409 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25554260 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Child KW - Aged KW - Aged, 80 and over KW - Child, Preschool KW - Middle Aged KW - Residence Characteristics/sn [Statistics & Numerical Data] KW - *Housing/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Linear Models KW - Risk KW - Infant KW - Infant, Newborn KW - Ethnic Groups/sn [Statistics & Numerical Data] KW - Spatial Analysis KW - London/ep [Epidemiology] KW - *Accidents, Home/sn [Statistics & Numerical Data] KW - *Income/sn [Statistics & Numerical Data] KW - Geographic Mapping KW - Bayes Theorem KW - *Burns/ep [Epidemiology] ER - TY - JOUR TI - The effect of a "surveillance nurse" telephone support intervention in a home care program. AU - Kelly, Ronald AU - Godin, Lori T2 - Geriatric nursing (New York, N.Y.) AB - This study is an evaluation of a unique "surveillance nurse" telephone support intervention for community-dwelling elderly individuals in a home care program. A combined propensity-based covariate-matching procedure was used to pair each individual who received the intervention ("treatment" condition, nT = 930) to a similar individual who did not receive the intervention ("control" condition, nC1 = 930) from among a large pool of potential control individuals (nC0 = 4656). The intervention consisted of regularly scheduled telephone calls from a surveillance nurse to proactively assess the individual's well-being, care plan status, use of and need for services (home support, adult day program, physiotherapy, etc.) and home environment (e.g., informal caregiver support). Treatment and control conditions were compared with respect to four service utilization outcomes: (1) rate of survival in the community before institutionalization in an assisted living or nursing home facility or death, (2) rate of emergency room registrations, (3) rate of acute care hospitalizations, and (4) rate of days in hospital, during home care enrollment. Results indicated a beneficial effect of the surveillance nurse intervention on reducing rate of service utilization by increasing the duration of the home care episode. Crown Copyright © 2015. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.gerinurse.2014.11.004 VL - 36 IS - 2 SP - 111 EP - 9 J2 - Geriatr Nurs SN - 1528-3984 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25547863 KW - Female KW - Humans KW - Male KW - Aged KW - Telemedicine KW - Residence Characteristics KW - *Home Care Services KW - *Geriatric Nursing KW - *Population Surveillance KW - *Telephone ER - TY - JOUR TI - The characteristics of diabetic residents in European nursing homes: results from the SHELTER study. AU - Szczerbinska, Katarzyna AU - Topinkova, Eva AU - Brzyski, Piotr AU - van der Roest, Henriette G AU - Richter, Tomas AU - Finne-Soveri, Harriet AU - Denkinger, Michael D AU - Gindin, Jacob AU - Onder, Graziano AU - Bernabei, Roberto T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: The objectives of this study were to describe the prevalence of diabetes mellitus (DM) in European nursing homes (NHs), and the health and functional characteristics of diabetic residents (DMR) aged 60 years and older., DESIGN: Between 2009 and 2011, the Services and Health for Elderly in Long TERm care (SHELTER) project, a 12-month prospective cohort study, was conducted to assess NH residents across different health care systems in 7 European countries and Israel., METHODS: The study included 59 NHs in 8 countries with a total of 4037 residents living in or admitted to a NH during the 3-month enrollment period. The multidimensional InterRAI instrument for Long-Term Care Facilities (InterRAI-LTCF) was used to assess health and functional status among residents. Descriptive statistics and linear, ordinal, and logistic regression were used to perform the analyses., RESULTS: We found a 21.8% prevalence of DM among NH residents. Residents with DM (DMRs) were significantly younger compared with non-DMRs (82.3, SD +/- 7.7; 84.6, SD +/- 8.4; P < .001). DMRs were more frequently overweight or obese, and presented more often with ischemic heart disease, congestive heart failure, hypertension, and stroke than residents without DM. DMRs also took more drugs, had pressure ulcers (PU) or other wounds more often, and more frequently had urinary incontinence (UI); they also reported worse self-perceived health. DM independently of other factors increased risk of PU occurrence (odds ratio 1.38; 95% confidence interval [CI] 1.02-1.86; P = .036) and decreased probability of higher pain scores (B = -0.28; 95% CI -0.41 to -0.14; P < .001). DM was not associated with ADL dependency, cognitive impairment, and depression in NH residents., CONCLUSION: Prevalence of DM in European NH residents is comparable to US national NH surveys, and to UK and German NH data based on glucose-level testing. DMRs compared with non-DMRs have more comorbid conditions, and a particularly higher incidence of cardiovascular diseases and obesity, PU, and severe UI. DMRs should be regarded as a specific group of residents who require an interdisciplinary approach in medical and nursing care. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2014.11.009 VL - 16 IS - 4 SP - 334 EP - 40 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25533147 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - Prevalence KW - Cohort Studies KW - *Quality of Life KW - *Homes for the Aged KW - *Nursing Homes KW - Survival Rate KW - Prospective Studies KW - Geriatric Assessment KW - Long-Term Care KW - Severity of Illness Index KW - Age Distribution KW - Sex Distribution KW - Prognosis KW - Linear Models KW - Multivariate Analysis KW - *Diabetes Mellitus/ep [Epidemiology] KW - Europe/ep [Epidemiology] KW - Statistics, Nonparametric KW - Diabetes Complications/ep [Epidemiology] KW - *Diabetes Mellitus/di [Diagnosis] KW - Diabetes Complications/di [Diagnosis] ER - TY - JOUR TI - The drug prescription network: a system-level view of drug co-prescription in community-dwelling elderly people. AU - Bazzoni, Gianfranco AU - Marengoni, Alessandra AU - Tettamanti, Mauro AU - Franchi, Carlotta AU - Pasina, Luca AU - Djade, Codjo Djignefa AU - Fortino, Ida AU - Bortolotti, Angela AU - Merlino, Luca AU - Nobili, Alessandro T2 - Rejuvenation research AB - Networks are well suited to display and analyze complex systems that consist of numerous and interlinked elements. This study aimed at: (1) generating a series of drug prescription networks (DPNs) displaying co-prescription in community-dwelling elderly people; (2) analyzing DPN structure and organization; and (3) comparing various DPNs to unveil possible differences in drug co-prescription patterns across time and space. Data were extracted from the administrative prescription database of the Lombardy Region in northern Italy in 2000 and 2010. DPNs were generated, in which each node represents a drug chemical subclass, whereas each edge linking two nodes represents the co-prescription of the corresponding drugs to the same patient. At a global level, the DPN was a very dense and highly clustered network, whereas at the local level it was organized into anatomically homogeneous modules. In addition, the DPN was assortative by class, because similar nodes (representing drugs with the same anatomic, therapeutic, and pharmacologic annotation) connected to each other more frequently than expected, indicating that similar drugs are often co-prescribed. Finally, temporal changes in the co-prescription of specific drug sub-groups (for instance, proton pump inhibitors) translated into topological changes of the DPN and its modules. In conclusion, complementing more traditional pharmaco-epidemiology methods, the DPN-based method allows appreciatiation (and representation) of general trends in the co-prescription of a specific drug (e.g., its emergence as a heavily co-prescribed hub) in comparison with other drugs. DA - 2015/// PY - 2015 DO - 10.1089/rej.2014.1628 VL - 18 IS - 2 SP - 153 EP - 61 J2 - Rejuvenation Res SN - 1557-8577 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25531938 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Time Factors KW - Cluster Analysis KW - Age Factors KW - *Practice Patterns, Physicians'/td [Trends] KW - Polypharmacy KW - Pharmacoepidemiology KW - Italy KW - *Drug Prescriptions KW - *Neural Networks (Computer) KW - Data Mining KW - *Community Pharmacy Services/td [Trends] KW - *Drug Information Services/td [Trends] KW - Community Pharmacy Services/og [Organization & Administration] KW - Databases, Pharmaceutical KW - Drug Information Services/og [Organization & Administration] KW - National Health Programs/td [Trends] KW - Pattern Recognition, Automated KW - Practice Patterns, Physicians'/og [Organization & Administration] ER - TY - JOUR TI - Instruments to assess sarcopenia and physical frailty in older people living in a community (care) setting: similarities and discrepancies. AU - Mijnarends, Donja M AU - Schols, Jos M G A AU - Meijers, Judith M M AU - Tan, Frans E S AU - Verlaan, Sjors AU - Luiking, Yvette C AU - Morley, John E AU - Halfens, Ruud J G T2 - Journal of the American Medical Directors Association T3 - [Comment in: J Am Med Dir Assoc. 2015 Apr;16(4):270-1; PMID: 25717014 [https://www.ncbi.nlm.nih.gov/pubmed/25717014]] AB - OBJECTIVES: Both sarcopenia and physical frailty are geriatric syndromes causing loss of functionality and independence. This study explored the association between sarcopenia and physical frailty and the overlap of their criteria in older people living in different community (care) settings. Moreover, it investigated the concurrent validity of the FRAIL scale to assess physical frailty, by comparison with the widely used Fried criteria., DESIGN: Data were retrieved from the cross-sectional Maastricht Sarcopenia Study (MaSS)., SETTING: The study was undertaken in different community care settings in an urban area (Maastricht) in the south of the Netherlands., PARTICIPANTS: Participants were 65 years or older, gave written informed consent, were able to understand Dutch language, and were not wheelchair bound or bedridden., INTERVENTION: Not applicable., MEASUREMENTS: Sarcopenia was identified using the algorithm of the European Working Group on Sarcopenia in Older People. Physical frailty was assessed by the Fried criteria and by the FRAIL scale. Logistic regression was performed to assess the association between sarcopenia and physical frailty measured by the Fried criteria. Spearman correlation was performed to assess the concurrent validity of the FRAIL scale compared with the Fried criteria., RESULTS: Data from 227 participants, mean age 74.9 years, were analyzed. Sarcopenia was identified in 23.3% of the participants, when using the cutoff levels for moderate sarcopenia. Physical frailty was identified in 8.4% (>=3 Fried criteria) and 9.3% (>=3 FRAIL scale criteria) of the study population. Sarcopenia and physical frailty were significantly associated (P = .022). Frail older people were more likely to be sarcopenic than those who were not frail. In older people who were not frail, the risk of having sarcopenia increased with age. Next to poor grip strength (78.9%) and slow gait speed (89.5%), poor performance in other functional tests was common in frail older people. The 2 physical frailty scales were significantly correlated (r = 0.617, P < .001)., CONCLUSION: Sarcopenia and physical frailty were associated and partly overlap, especially on parameters of impaired physical function. Some evidence for concurrent validity between the FRAIL scale and Fried criteria was found. Future research should elicit the value of combining sarcopenia and frailty measures in preventing disability and other negative health outcomes. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2014.11.011 VL - 16 IS - 4 SP - 301 EP - 8 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25530211 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Reproducibility of Results KW - *Activities of Daily Living KW - *Geriatric Assessment/mt [Methods] KW - Cross-Sectional Studies KW - Independent Living/sn [Statistics & Numerical Data] KW - Severity of Illness Index KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - Netherlands KW - Incidence KW - Age Distribution KW - Sex Distribution KW - *Sarcopenia/di [Diagnosis] KW - Assisted Living Facilities/sn [Statistics & Numerical Data] KW - Sarcopenia/ep [Epidemiology] KW - Chi-Square Distribution ER - TY - JOUR TI - The impact of six months strength training, nutritional supplementation or cognitive training on DNA damage in institutionalised elderly. AU - Franzke, Bernhard AU - Halper, Barbara AU - Hofmann, Marlene AU - Oesen, Stefan AU - Jandrasits, Waltraud AU - Baierl, Andreas AU - Tosevska, Anela AU - Strasser, Eva-Maria AU - Wessner, Barbara AU - Wagner, Karl-Heinz AU - Vienna Active Ageing Study Group T2 - Mutagenesis AB - Aging and its aligned loss of muscle mass are associated with higher levels of DNA damage and deteriorated antioxidant defence. To improve the body's overall resistance against DNA damage, maintaining a healthy and active lifestyle is desirable, especially in the elderly. As people age, many have to change their residence from home living to an institution, which is often accompanied by malnutrition, depression and inactivity. The current study aimed at investigating the effect of a 6-month progressive resistance training (RT), with or without protein and vitamin supplementation (RTS), or cognitive training (CT), on DNA strand breaks in 105 Austrian institutionalised women and men (65-98 years). DNA damage was detected by performing the single cell gel electrophoresis (comet) assay. Physical fitness was assessed using the chair rise, the 6-min-walking and the handgrip strength test. In addition, antioxidant enzyme activities of superoxide dismutase (SOD), glutathione peroxidase (GSH-Px) and catalase (CAT) were analysed. Basal DNA damage (lysis) increased significantly after 3 months of intervention in the RT group (T1 - T2 + 20%, P = 0.001) and the RTS group (T1 - T2 + 17%, P = 0.002) and showed a similar tendency in the CT group (T1 - T2 + 21%, P = 0.059). %DNA in tail decreased in cells exposed to H2O2 significantly in the RT (T1 - T2 - 24%, P = 0.030; T1 - T3 - 18%, P = 0.019) and CT (T1 - T2 - 21%, P = 0.004; T1 - T3 - 13%, P = 0.038) groups. Only RT and RTS groups showed significant differences overtime in enzyme activity (RT + 22% CAT-activity T1 - T3, P = 0.013; RTS + 6% SOD-activity T2 - T3, P = 0.005). Contrary to the time effects, no difference between groups was detected for any parameter at any time point. Our results suggest that both CT and RT improve resistance against H2O2 induced DNA damage and that a nutritional supplement has no further protective effect in institutionalised elderly. Copyright © The Author 2014. Published by Oxford University Press on behalf of the UK Environmental Mutagen Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/mutage/geu074 VL - 30 IS - 1 SP - 147 EP - 53 J2 - Mutagenesis SN - 1464-3804 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25527737 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Aging/ph [Physiology] KW - Institutionalization KW - Statistics, Nonparametric KW - *Dietary Supplements KW - *Cognitive Behavioral Therapy KW - Austria KW - *Resistance Training KW - *DNA Damage/ge [Genetics] KW - *Nutritional Physiological Phenomena/ph [Physiology] KW - Catalase/me [Metabolism] KW - Comet Assay KW - Dietary Proteins/pd [Pharmacology] KW - Glutathione Peroxidase/me [Metabolism] KW - Hydrogen Peroxide KW - Superoxide Dismutase/me [Metabolism] KW - Vitamins/pd [Pharmacology] ER - TY - JOUR TI - [Tablet computers and their benefits for nursing home residents with dementia: Results of a qualitative pilot study]. AU - Nordheim, Johanna AU - Hamm, Sabine AU - Kuhlmey, Adelheid AU - Suhr, Ralf T2 - Tablet-PC und ihr Nutzen fur demenzerkrankte Heimbewohner : Ergebnisse einer qualitativen Pilotstudie. AB - BACKGROUND: Initial sporadic experiences in a Berlin nursing home showed that residents with dementia responded well to activating therapy with tablet computers. This innovative technology seemed to provide a differentiated and individual therapeutic access. These observations encouraged the nursing home management to contact the Institute of Medical Sociology and Rehabilitation Science at the Charite Universitatsmedizin Berlin with the aim to examine the practical experiences. The Centre for Quality in Care (ZQP) sponsored the 1 year pilot study., OBJECTIVE: An examination of the feasibility and usability of tablet computers in the daily care of nursing home residents with dementia was carried out., MATERIALS AND METHODS: In this study 14 residents (12 women and 2 men) of a special care unit for dementia patients were included in a 3-month intervention of tablet activation 3 times a week. Qualitative and quantitative methods were used to analyze data (e.g. observation protocols and videos, staff interviews, document analysis of nursing records and standardized resident interviews/proxy interviews)., RESULTS: Nursing home residents suffering from dementia showed a high degree of acceptance of tablet computers. Most notable benefits were easy handling and the variety of multifunctional applications. Sustainable therapeutic effects resulted in stimulation of communication and interaction, improvement of well-being, memory training and reduction of neuropsychiatric symptoms. Furthermore, contact to family members of several residents was improved., CONCLUSIONS: The use of tablet computers was convincing as an activation therapy for nursing home residents with dementia. Further research and development of specially adapted software are required. DA - 2015/// PY - 2015 DO - 10.1007/s00391-014-0832-5 VL - 48 IS - 6 SP - 543 EP - 9 J2 - Z Gerontol Geriatr SN - 1435-1269 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25524141 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Homes for the Aged KW - *Nursing Homes KW - Germany KW - Social Behavior KW - *Patient Acceptance of Health Care KW - Pilot Projects KW - *Communication Aids for Disabled KW - Dementia/di [Diagnosis] KW - Occupational Therapy/mt [Methods] KW - *Dementia/rh [Rehabilitation] KW - *Computers, Handheld KW - Therapy, Computer-Assisted/mt [Methods] ER - TY - JOUR TI - The relationship between housing and heat wave resilience in older people. AU - Loughnan, Margaret AU - Carroll, Matthew AU - Tapper, Nigel J T2 - International journal of biometeorology AB - Older people have justifiably been highlighted as a high-risk group with respect to heat wave mortality and morbidity. However, there are older people living within the community who have developed adaptive and resilient environments around their home that provide some protection during periods of extreme heat. This study investigated the housing stock and self-reported thermal comfort of a group of older people living in a regional town in Australia during the summer of 2012. The results indicated that daily maximum living room temperature was not significantly correlated with outdoor temperature, and daily minimum living room temperature was very weakly correlated with outdoor temperature. Residents reported feeling comfortable when indoor temperature approximated 26 degreeC. As living room temperature increased, indoor thermal comfort decreased. Significant differences between indoor temperatures were noted for homes that were related to house characteristics such as the age of the house, the number of air-conditioning units, the pitch of the roof, home insulation and the number of heat-mitigation modifications made to the home. Brick veneer homes showed smaller diurnal changes in temperature than other building materials. With population ageing and the increasing focus on older people living in the community, the quality of the housing stock available to them will influence their risk of heat exposure during extreme weather. DA - 2015/// PY - 2015 DO - 10.1007/s00484-014-0939-9 VL - 59 IS - 9 SP - 1291 EP - 8 J2 - Int J Biometeorol SN - 1432-1254 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25523613 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Australia KW - *Housing KW - Aging/ph [Physiology] KW - *Temperature KW - Seasons KW - Construction Materials KW - Thermosensing ER - TY - JOUR TI - Impact of dual sensory impairment on onset of behavioral symptoms in European nursing homes: results from the Services and Health for Elderly in Long-Term Care study. AU - Yamada, Yukari AU - Denkinger, Michael D AU - Onder, Graziano AU - Finne-Soveri, Harriet AU - van der Roest, Henriette AU - Vlachova, Martina AU - Richter, Tomas AU - Gindin, Jacob AU - Bernabei, Roberto AU - Topinkova, Eva T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: To investigate if dual sensory impairment (DSI) in the form of a combined visual and hearing impairment is associated with the onset of behavioral symptoms in nursing homes., METHODS: A total of 1524 nursing home residents without behavioral symptoms at baseline followed for 12 months in 59 nursing homes from the Czech Republic, England, Finland, France, Germany, Israel, Italy, and The Netherlands. The interRAI instrument for long-term care facilities was assessed by trained staff at baseline and 12 months later., RESULTS: Altogether, 11% of residents had a new onset of behavioral symptoms (wandering, verbal abuse, physical abuse, socially inappropriate behavior, public disrobing, and resisting care) at 12-month follow-up. In multivariate analyses adjusted for potential confounders, DSI residents had significantly higher incidence of new behavioral symptoms at 12-month follow-up, irrespective of the severity of vision and hearing impairments [odds ratio (OR) = 2.1, 95% confidence interval (CI) = 1.3:3.4 for mild DSI, OR = 2.5, 95% CI = 1.6:4.0 for moderate DSI, and OR = 2.1, 95% CI = 1.2:3.7 for severe DSI] compared with residents without sensory impairment. Among the different types of symptoms, only abusive behaviors were less likely to be associated with DSI., CONCLUSIONS: This study provides evidence that DSI could play a significant role in the development of behavioral symptoms in nursing home residents. More attention should be paid to DSI even when each of vision and hearing function is only minimally impaired. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2014.11.006 VL - 16 IS - 4 SP - 329 EP - 33 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25523284 KW - Female KW - Humans KW - Male KW - Europe KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Retrospective Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment/mt [Methods] KW - Longitudinal Studies KW - Long-Term Care KW - Aging/ph [Physiology] KW - Odds Ratio KW - Health Services for the Aged KW - Multivariate Analysis KW - Confidence Intervals KW - Sensation Disorders/di [Diagnosis] KW - Vision Disorders/di [Diagnosis] KW - *Behavioral Symptoms/ep [Epidemiology] KW - Sensation Disorders/ep [Epidemiology] KW - Monitoring, Physiologic/mt [Methods] KW - *Behavioral Symptoms/et [Etiology] KW - *Hearing Disorders/co [Complications] KW - *Vision Disorders/co [Complications] KW - Behavioral Symptoms/pp [Physiopathology] KW - Hearing Disorders/di [Diagnosis] ER - TY - JOUR TI - A cluster-randomized controlled trial of a multicomponent intervention protocol for pneumonia prevention among nursing home elders. AU - Juthani-Mehta, Manisha AU - Van Ness, Peter H AU - McGloin, Joanne AU - Argraves, Stephanie AU - Chen, Shu AU - Charpentier, Peter AU - Miller, Laura AU - Williams, Kathleen AU - Wall, Diane AU - Baker, Dorothy AU - Tinetti, Mary AU - Peduzzi, Peter AU - Quagliarello, Vincent J T2 - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America T3 - [Comment in: Clin Infect Dis. 2015 Mar 15;60(6):858-9; PMID: 25520334 [https://www.ncbi.nlm.nih.gov/pubmed/25520334]] AB - BACKGROUND: Pneumonia remains an important public health problem among elderly nursing home residents. This clinical trial sought to determine if a multicomponent intervention protocol, including manual tooth/gum brushing plus 0.12% chlorhexidine oral rinse, twice per day, plus upright positioning during feeding, could reduce the incidence of radiographically documented pneumonia among nursing home residents, compared with usual care., METHODS: This cluster-randomized clinical trial was conducted in 36 nursing homes in Connecticut. Eligible residents >65 years with at least 1 of 2 modifiable risk factors for pneumonia (ie, impaired oral hygiene, swallowing difficulty) were enrolled. Nursing homes were randomized to the multicomponent intervention protocol or usual care. Participants were followed for up to 2.5 years for development of the primary outcome, a radiographically documented pneumonia, and secondary outcome, a lower respiratory tract infection (LRTI) without radiographic documentation., RESULTS: A total of 834 participants were enrolled: 434 to intervention and 400 to usual care. The trial was terminated for futility. The number of participants in the intervention vs control arms with first pneumonia was 119 (27.4%) vs 94 (23.5%), respectively, and with first LRTI, 125 (28.8%) vs 100 (25.0%), respectively. In a multivariable Cox regression model, the hazard ratio in the intervention vs control arms, respectively, was 1.12 (95% confidence interval [CI], .84-1.50; P = .44) for first pneumonia and 1.07 (95% CI, .79-1.46, P = .65) for first LRTI., CONCLUSIONS: The multicomponent intervention protocol did not significantly reduce the incidence of first radiographically confirmed pneumonia or LRTI compared with usual care in nursing home residents., CLINICAL TRIALS REGISTRATION: NCT00975780. Copyright © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/cid/ciu935 VL - 60 IS - 6 SP - 849 EP - 57 J2 - Clin Infect Dis SN - 1537-6591 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25520333 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Follow-Up Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Incidence KW - Pneumonia/ep [Epidemiology] KW - Radiography KW - Pneumonia/mo [Mortality] KW - *Chlorhexidine KW - *Mouthwashes KW - *Pneumonia/pc [Prevention & Control] KW - *Toothbrushing KW - Connecticut/ep [Epidemiology] KW - Pneumonia/dg [Diagnostic Imaging] ER - TY - JOUR TI - Accuracy of influenza vaccination rate estimates in United States nursing home residents. AU - Grosholz, J M AU - Blake, S AU - Daugherty, J D AU - Ayers, E AU - Omer, S B AU - Polivka-West, L AU - Howard, D H T2 - Epidemiology and infection AB - The US Center for Medicare and Medicaid Services (CMS) requires nursing homes and long-term-care facilities to document residents' vaccination status on the Resident Assessment Instrument (RAI). Vaccinating residents can prevent costly hospital admissions and deaths. CMS and public health officials use RAI data to measure vaccination rates in long-term-care residents and assess the quality of care in nursing homes. We assessed the accuracy of RAI data against medical records in 39 nursing homes in Florida, Georgia, and Wisconsin. We randomly sampled residents in each home during the 2010-2011 and 2011-2012 influenza seasons. We collected data on receipt of influenza vaccination from charts and RAI data. Our final sample included 840 medical charts with matched RAI records. The agreement rate was 0.86. Using the chart as a gold standard, the sensitivity of the RAI with respect to influenza vaccination was 85% and the specificity was 77%. Agreement rates varied within facilities from 55% to 100%. Monitoring vaccination rates in the population is important for gauging the impact of programmes and policies to promote adherence to vaccination recommendations. Use of data from RAIs is a reasonable approach for gauging influenza vaccination rates in nursing-home residents. DA - 2015/// PY - 2015 DO - 10.1017/S0950268814003434 VL - 143 IS - 12 SP - 2588 EP - 95 J2 - Epidemiol Infect SN - 1469-4409 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25519437 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Vaccination/sn [Statistics & Numerical Data] KW - Sensitivity and Specificity KW - Wisconsin KW - *Influenza, Human/pc [Prevention & Control] KW - Florida KW - Medical Records KW - Georgia KW - *Records/st [Standards] KW - Centers for Medicare and Medicaid Services (U.S.)/lj [Legislation & Jurisprudence] KW - Records/lj [Legislation & Jurisprudence] ER - TY - JOUR TI - Assessing physical and cognitive function of older adults in continuing care retirement communities: who are we recruiting?. AU - Wrights, Abbie P AU - Fain, Christie W AU - Miller, Michael E AU - Rejeski, W Jack AU - Williamson, Jeff D AU - Marsh, Anthony P T2 - Contemporary clinical trials AB - PURPOSE: In partnership with six Continuing Care Retirement Communities (CCRCs), the current study focused on the feasibility of recruiting a representative sample of residents and then assessing their functional health., MATERIAL AND METHODS: With our guidance, each of the six CCRCs recruited a volunteer (V-Group) and random (R-Group) sample of independent living residents. We provided face-to-face training and ongoing remote electronic support to the CCRC staff on the testing battery and the Web-based data entry system. The testing battery was consisted of demographic, physical function, and psychosocial assessments., RESULTS: After training, CCRC staff were receptive to the study goals and successfully used the data entry Website. In the V-Group (N=189), 76% were already participating in CCRC wellness programs. We attempted to recruit a random, unbiased (R-Group) sample of 20% (n=105) of eligible residents; however, only 30 consented to be tested and 70% of this group (21/30) were also already participating in a wellness program. Mean age of all participants was 82.9 years. The V-Group had a higher Short Physical Performance Battery (SPPB) total score (least squares mean [SE], 9.4 [0.2] vs 8.2 [0.4], p=0.014) and SPPB gait speed component score (3.5 [0.1] vs 3.0 [0.2], p=0.007) and spent more time doing moderate-to-vigorous physical activity (300 [21] vs 163 [49] min/week, p=0.013) compared to the R-Group., IMPLICATIONS: While it is feasible to recruit, assess and transmit data on residents' functional health in partnership with CCRCs, population validity was severely compromised. Attention needs to be given to the development of more effective methods to recruit less interested residents. Copyright © 2014 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.cct.2014.12.003 VL - 40 IS - 101242342 SP - 159 EP - 65 J2 - Contemp Clin Trials SN - 1559-2030 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25510892 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Research Design KW - Health Status KW - Mobility Limitation KW - *Independent Living KW - *Geriatric Assessment/mt [Methods] KW - Cognition KW - Socioeconomic Factors KW - *Patient Selection KW - *Randomized Controlled Trials as Topic/mt [Methods] ER - TY - JOUR TI - Dysphonia in nursing home and assisted living residents: prevalence and association with frailty. AU - G Nichols, Brent AU - Varadarajan, Varun AU - Bock, Jonathan M AU - Blumin, Joel H T2 - Journal of voice : official journal of the Voice Foundation AB - OBJECTIVE: Previous studies of geriatric dysphonia prevalence have been limited to ambulatory outpatient and senior communities. Our goal was to identify prevalence of dysphonia in nursing home residents and assisted living residents and search for correlations between indices of dysphonia and indices of frailty., STUDY DESIGN: Prospective epidemiological survey., METHODS: Residents of a vertically integrated senior care organization who were 65 or older and able to understand and complete the questionnaire were recruited to complete the voice handicap index 10 (VHI-10) to assess for dysphonia (VHI-10 > 10 = dysphonia) and Vulnerable Elders Survey 13 (VES-13), a validated instrument to assess for frailty (VES > 3 = frailty)., RESULTS: A total of 119 residents were surveyed. Thirty-three percent of nursing home residents, and 25% of assisted living residents reported dysphonia with 29% of all respondents reporting dysphonia. The mean VHI-10 was 7.4, the median was 5, and the interquartile range was 2-12.5. There was a significant relationship between VHI-10 and VES-13 score (P = 0.029). There were no statistically significant relationships between frailty, age, or type of living and dysphonia or VHI-10., CONCLUSION: There is a high prevalence of voice dysfunction in assisted living and nursing home residents. The correlation between VHI-10 and VES-13 suggests that voice declines as frailty increases. Copyright © 2015 The Voice Foundation. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jvoice.2014.06.006 VL - 29 IS - 1 SP - 79 EP - 82 J2 - J Voice SN - 1873-4588 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25499517 KW - Humans KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - *Dysphonia/ep [Epidemiology] KW - Wisconsin/ep [Epidemiology] ER - TY - JOUR TI - Plasma Renin Activity and Resting Heart Rate in a Population of Community-Dwelling Japanese: The Tanushimaru Study. AU - Adachi, Hisashi AU - Enomoto, Mika AU - Fukami, Ako AU - Kumagai, Eita AU - Nakamura, Sachiko AU - Yoshimura, Ayako AU - Obuchi, Aya AU - Hori, Kensuke AU - Nohara, Yume AU - Nakao, Erika AU - Fukumoto, Yoshihiro T2 - American journal of hypertension AB - BACKGROUND: Heart rate is a strong predictor of mortality and development of obesity and diabetes. The renin-angiotensin-aldosterone system plays an important role in blood pressure control and volume homeostasis. Although many studies have indicated the association between aldosterone and hypertension or insulin resistance, epidemiological evidence of the association of heart rate with plasma renin activity (PRA) remains scant. Therefore, we investigated whether heart rate is associated with PRA., METHODS: A total of 1,943 subjects were enrolled, who underwent a health examination in Tanushimaru in 2009. Plasma renin and aldosterone concentrations were measured by radioimmunoassay. PRA and the homeostasis model assessment (HOMA) were used by natural-log transformed. Resting heart rate was measured using electrocardiography., RESULTS: We divided the subjects into four groups by heart rate (<60/min, 60-69/min, 70-79/min, >=80/ min), and analyzed an association between PRA and heart rate by analysis of covariance after adjustments for age and sex. The adjusted mean PRA and HOMA index showed a significant trend (P < 0.01) as higher heart rate, although there was no significant trend between aldosterone and heart rate (P = 0.26). In multiple linear regression analysis adjusted for age, sex, systolic blood pressure, HOMA index, and hypertensive medication, PRA was positively and strongly associated with elevated heart rate (P < 0.01)., CONCLUSIONS: This epidemiological study demonstrated that PRA, but not aldosterone, is significantly and positively associated with higher resting heart rate in a general population. Copyright © American Journal of Hypertension, Ltd 2014. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/ajh/hpu235 VL - 28 IS - 7 SP - 894 EP - 9 J2 - Am J Hypertens SN - 1941-7225 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25498999 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Health Status KW - Logistic Models KW - *Independent Living KW - Cross-Sectional Studies KW - Health Surveys KW - Japan KW - Odds Ratio KW - Linear Models KW - Biomarkers/bl [Blood] KW - Chi-Square Distribution KW - Electrocardiography KW - *Heart Rate KW - *Renin/bl [Blood] KW - *Rest KW - Aldosterone/bl [Blood] KW - Radioimmunoassay ER - TY - JOUR TI - Higher energy efficient homes are associated with increased risk of doctor diagnosed asthma in a UK subpopulation. AU - Sharpe, Richard A AU - Thornton, Christopher R AU - Nikolaou, Vasilis AU - Osborne, Nicholas J T2 - Environment international AB - INTRODUCTION: The United Kingdom (UK) has one of the highest prevalence of asthma in the world, which represents a significant economic and societal burden. Reduced ventilation resulting from increased energy efficiency measures acts as a modifier for mould contamination and risk of allergic diseases. To our knowledge no previous study has combined detailed asset management property and health data together to assess the impact of household energy efficiency (using the UK Government's Standard Assessment Procedure) on asthma outcomes in an adult population residing in social housing., METHODS: Postal questionnaires were sent to 3867 social housing properties to collect demographic, health and environmental information on all occupants. Detailed property data, residency periods, indices of multiple deprivation (IMD) and household energy efficiency ratings were also investigated. Logistic regression was used to calculate odds ratios and confidence intervals while allowing for clustering of individuals coming from the same location., RESULTS: Eighteen percent of our target social housing population were recruited into our study. Adults had a mean age of 59 (SD+/-17.3) years and there was a higher percentage of female (59%) and single occupancy (58%) respondents. Housing demographic characteristics were representative of the target homes. A unit increase in household Standard Assessment Procedure (SAP) rating was associated with a 2% increased risk of current asthma, with the greatest risk in homes with SAP >71. We assessed exposure to mould and found that the presence of a mouldy/musty odour was associated with a two-fold increased risk of asthma (OR 2.2 95%; CI 1.3-3.8). A unit increase in SAP led to a 4-5% reduction in the risk of visible mould growth and a mouldy/musty odour., DISCUSSION: In contrast to previous research, we report that residing in energy efficient homes may increase the risk of adult asthma. We report that mould contamination increased the risk of asthma, which is in agreement with existing knowledge. Exposure to mould contamination could not fully explain the association between increased energy efficiency and asthma. Our findings may be explained by increased energy efficiency combined with the provision of inadequate heating, ventilation, and increased concentrations of other biological, chemical and physical contaminants. This is likely to be modified by a complex interaction between occupant behaviours and changes to the built environment. Our findings may also be confounded by our response rate, demographic and behavioural differences between those residing in low versus high energy efficient homes, and use of self-reported exposures and outcomes., CONCLUSION: Energy efficiency may increase the risk of current adult asthma in a population residing in social housing. This association was not significantly modified by the presence of visible mould growth, although further research is needed to investigate the interaction between other demographic and housing characteristic risk factors, especially the impact of fuel poverty on indoor exposures and health outcomes., STUDY IMPLICATIONS: A multidisciplinary approach is required to assess the interaction between energy efficiency measures and fuel poverty behaviours on health outcomes prior to the delivery of physical interventions aimed at improving the built environment. Policy incentives are required to address fuel poverty issues alongside measures to achieve SAP ratings of 71 or greater, which must be delivered with the provision of adequate heating and ventilation strategies to minimise indoor dampness. Changes in the built environment without changes in behaviour of domicile residents may lead to negative health outcomes. Copyright © 2014 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.envint.2014.11.017 VL - 75 IS - du1, 7807270 SP - 234 EP - 44 J2 - Environ Int SN - 1873-6750 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25498485 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Logistic Models KW - *Housing KW - Odds Ratio KW - Physicians KW - *Asthma/ep [Epidemiology] KW - United Kingdom/ep [Epidemiology] KW - Fungi KW - Ventilation KW - *Conservation of Energy Resources KW - Asthma/di [Diagnosis] KW - Odorants ER - TY - JOUR TI - Is knee extension strength a better predictor of functional performance than handgrip strength among older adults in three different settings?. AU - Martien, Sofie AU - Delecluse, Christophe AU - Boen, Filip AU - Seghers, Jan AU - Pelssers, Johan AU - Van Hoecke, Ann-Sophie AU - Van Roie, Evelien T2 - Archives of gerontology and geriatrics AB - BACKGROUND: The first purpose was to examine whether knee extension strength is a better predictor of functional performance than handgrip strength among older adults (>=60 years). The second purpose was to identify functionally relevant cut-off values for muscle strength., METHODS: 770 community-dwelling older adults, 104 older adults living in assisted living facilities and 73 nursing home residents were included. Static strength, expressed in kg/kg body weight (BW), was measured using two field tests: handgrip (GRIP/BW) and knee extension (KNEE/BW) test. Functional performance was assessed with 6-Minute Walk Distance (6MWD, N=947) and modified Physical Performance Test (mPPT, N=152)., RESULTS: Both GRIP/BW and KNEE/BW were positively correlated with functional performance in all settings (p<0.05). In the community and nursing homes, both strength variables equally contributed to functional performance. In assisted living facilities, KNEE/BW (R(2)6MWD=0.39 and R2mPPT=0.35) was clearly a better predictor of functional performance than GRIP/BW (R(2)6MWD=0.15 and R2mPPT=0.12). GRIP/BW had no added value to KNEE/BW in order to explain the variance in functional performance. Functionally relevant cut-off values for static strength, for men and women respectively, were set at 0.40 and 0.31 for KNEE/BW and at 0.43 and 0.31 for GRIP/BW., CONCLUSIONS: Handgrip and knee extension strength are both important predictors of functional performance in older adults. In assisted living facilities only, knee extension strength was clearly more predictive than handgrip strength. Both cut-off values appear to be highly sensitive to screen for functionally relevant muscle weakness in older adults. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.archger.2014.11.010 VL - 60 IS - 2 SP - 252 EP - 8 J2 - Arch Gerontol Geriatr SN - 1872-6976 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25496605 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Nursing Homes KW - Body Weight KW - *Geriatric Assessment/mt [Methods] KW - Assisted Living Facilities KW - *Muscle Strength/ph [Physiology] KW - *Psychomotor Performance/ph [Physiology] KW - *Hand Strength KW - *Knee Joint/ph [Physiology] ER - TY - JOUR TI - An adapted mindfulness-based stress reduction program for elders in a continuing care retirement community: quantitative and qualitative results from a pilot randomized controlled trial. AU - Moss, Aleeze S AU - Reibel, Diane K AU - Greeson, Jeffrey M AU - Thapar, Anjali AU - Bubb, Rebecca AU - Salmon, Jacqueline AU - Newberg, Andrew B T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - The purpose of this study was to test the feasibility and effectiveness of an adapted 8-week Mindfulness-Based Stress Reduction (MBSR) program for elders in a continuing care community. This mixed-methods study used both quantitative and qualitative measures. A randomized waitlist control design was used for the quantitative aspect of the study. Thirty-nine elderly were randomized to MBSR (n = 20) or a waitlist control group (n = 19), mean age was 82 years. Both groups completed pre-post measures of health-related quality of life, acceptance and psychological flexibility, facets of mindfulness, self-compassion, and psychological distress. A subset of MBSR participants completed qualitative interviews. MBSR participants showed significantly greater improvement in acceptance and psychological flexibility and in role limitations due to physical health. In the qualitative interviews, MBSR participants reported increased awareness, less judgment, and greater self-compassion. Study results demonstrate the feasibility and potential effectiveness of an adapted MBSR program in promoting mind-body health for elders. Copyright © The Author(s) 2014. DA - 2015/// PY - 2015 DO - 10.1177/0733464814559411 VL - 34 IS - 4 SP - 518 EP - 38 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25492049 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Qualitative Research KW - Quality of Life KW - Interviews as Topic KW - *Depression/th [Therapy] KW - *Housing for the Elderly KW - Pilot Projects KW - *Mindfulness KW - *Stress, Psychological/th [Therapy] ER - TY - JOUR TI - The relationship of body mass index and the functional status of community-dwelling female older people admitting to a geriatric outpatient clinic. AU - Bahat, Gulistan AU - Tufan, Asli AU - Aydin, Yucel AU - Tufan, Fatih AU - Bahat, Zumrut AU - Akpinar, Timur Selcuk AU - Soyluk, Ozlem AU - Erten, Nilgun AU - Karan, Mehmet Akif T2 - Aging clinical and experimental research AB - OBJECTIVES: The relationship of body mass index (BMI) with functional status differs in diversified geriatric population and various settings. In this study, we aimed to investigate whether BMI is related to functional status independent of age, nutritional status, multimorbidity, and polypharmacy in a group of Turkish community-dwelling female elderly., DESIGN: This study was conducted using a cross-sectional study design., SETTING: Geriatric outpatient clinic of a university hospital., PARTICIPANTS: There were 438 female patients aged 60 years or older included in the analysis., MEASUREMENTS: Body mass indexes were calculated from weight (kg) divided by the square of height (m). Functional status was assessed with the evaluation of activities of daily living (ADL) and instrumental activities of daily living (IADL) scales. Diseases and drugs were determined after the evaluation of the patients with comprehensive geriatric assessment, physical examination, first-line biochemical tests, and using the patients' self-report and current medication lists., RESULTS: In total, 438 subjects comprised our study cohort. Mean age was 73.3 +/- 6.9 years. Mean BMI was 27.8 +/- 5.2 kg/m(2). Linear regression analysis revealed significant and independent association of lower BMI with higher ADL and IADL scores (p = 0.02, B = -0.10; p < 0.001, B = -0.17, respectively). ADL and IADL were significantly negatively correlated with BMI in subjects with normal nutrition (p = 0.03, r = -0.122; p = 0.001, r = -0.183) but not in subjects with malnutrition risk or malnutrition. We suggest that lower BMI is associated with better functional status in Turkish community-dwelling female older people. This association is prominent in the subjects with normal nutritional status., CONCLUSIONS: Our study recommends the need for further studies accounting for the nutritional status on the relationship between BMI and functionality in different populations and in different settings. It represents an important example for diversity in BMI-functionality relationship. DA - 2015/// PY - 2015 DO - 10.1007/s40520-014-0291-2 VL - 27 IS - 3 SP - 303 EP - 8 J2 - Aging Clin Exp Res SN - 1720-8319 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25476106 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Cohort Studies KW - *Activities of Daily Living KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - *Polypharmacy KW - Regression Analysis KW - *Body Mass Index KW - *Nutritional Status/ph [Physiology] KW - Turkey/ep [Epidemiology] KW - Physical Examination/mt [Methods] KW - Ambulatory Care Facilities/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Savoring, resilience, and psychological well-being in older adults. AU - Smith, Jennifer L AU - Hollinger-Smith, Linda T2 - Aging & mental health AB - OBJECTIVES: Guided by Fredrickson's broaden and build theory of positive emotions and Zautra's dynamic model of affect, the current study examines the relation between savoring positive experiences (i.e., the ability to notice and regulate positive feelings) and psychological well-being for older adults with higher and lower levels of resilience., METHOD: A sample of 164 (74% female) older adults living in a large metropolitan area participated in this study. Participants were recruited from a continuing care retirement community and community centers in the surrounding area. Participants completed a survey measuring savoring, resilience, happiness, depression, and satisfaction with life., RESULTS: In older adults, greater ability to savor positive experiences and higher resilience both predicted greater happiness, lower depression, and greater satisfaction with life (i.e., greater psychological well-being). Savoring is associated with positive outcomes for people with higher and lower levels of resilience. However, the relationship between savoring and psychological well-being is stronger for people with lower resilience., CONCLUSION: These findings have implications for the development of positive psychological interventions to enhance resilience and well-being in older adults. From a practical standpoint, adaptable interventions to enhance savoring and boost positive emotions in older adults may improve well-being and resilience to life's stressors. DA - 2015/// PY - 2015 DO - 10.1080/13607863.2014.986647 VL - 19 IS - 3 SP - 192 EP - 200 J2 - Aging Ment Health SN - 1364-6915 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25471325 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Personal Satisfaction KW - *Aging/px [Psychology] KW - *Depression/px [Psychology] KW - *Resilience, Psychological KW - *Happiness KW - *Emotions/ph [Physiology] ER - TY - JOUR TI - The nutritional situation in Swedish nursing homes - a longitudinal study. AU - Borgstrom Bolmsjo, Beata AU - Jakobsson, Ulf AU - Molstad, Sigvard AU - Ostgren, Carl Johan AU - Midlov, Patrik T2 - Archives of gerontology and geriatrics AB - Poor nutritional status is widespread among the elderly and is associated with increased morbidity and mortality. The aim of this study was to longitudinally describe the nutritional status in elderly people living in nursing homes. Nutritional status was recorded longitudinally in elderly people living in 11 different nursing homes in Sweden. Participants were examined at baseline by specially trained nurses who also assisted with questionnaires and collected data for current medical treatment from patient records. Nutritional status was evaluated at baseline and after 24 months with the mini nutritional assessment (MNA). The study included 318 subjects. The mean age of the participants was 85.0 years (range 65-101). At baseline, 41.6% were well nourished, 40.3% at risk of malnutrition, and 17.7% malnourished according to the MNA. Survival was significantly lower in the malnourished group. After 24 months, almost half of the population had died. The group of participants who survived at 24 months represents a population of better nutritional state, where 10.6% were malnourished at baseline increasing to 24.6% after 24 months. After 24 months, 38.7% of the participants showed a decline in nutritional state. The group with deteriorating MNA scores had higher weight, BMI values, and a higher hospitalization rate. The prevalence of malnutrition in nursing home residents increased over time and it is important to evaluate nutritional state regularly. Nutritional interventions should be considered in better nourished groups, as well as in malnourished individuals, to prevent a decline in nutritional state. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.archger.2014.10.021 VL - 60 IS - 1 SP - 128 EP - 33 J2 - Arch Gerontol Geriatr SN - 1872-6976 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25465507 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Prevalence KW - *Nutritional Status KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Hospitalization/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Longitudinal Studies KW - Nutrition Assessment KW - Sweden/ep [Epidemiology] KW - Nutritional Requirements KW - *Body Mass Index KW - Homes for the Aged/td [Trends] KW - Nursing Homes/td [Trends] KW - Nutrition Disorders/ep [Epidemiology] ER - TY - JOUR TI - Association between subjective memory complaints and impaired higher-level functional capacity in people aged 60 years or older. AU - Ogata, Soshiro AU - Hayashi, Chisato AU - Sugiura, Keiko AU - Hayakawa, Kazuo T2 - Archives of gerontology and geriatrics T3 - [Erratum in: Arch Gerontol Geriatr. 2015 Sep-Oct;61(2):307] AB - OBJECTIVE: We aimed to investigate the association between subjective memory complaints and higher-level functional capacity in either people with long-term care needs or those who require help to maintain functional capacity., METHODS: We conducted a cross-sectional study among participants aged 60 years or older. We measured subjective memory complaints, higher-level functional capacity, and depressive symptoms, and then estimated odds ratios (ORs) by multiple logistic analysis. Subjective memory complaints were used as the predictor variable, higher-level functional capacity as the outcome variable, and age, depressive symptoms, medical history of diabetes and hypertension, frequency of going out, falling within a year, and body mass index as possible confounders. We assessed higher-level functional capacity using the Tokyo Metropolitan Institute of Gerontology (TMIG) index of competence score <=5 as a cut-off (which is associated with higher one-year mortality rates)., RESULTS: We conducted analyses using 501 people aged 60 years or older. Among women, subjective memory complaints were associated with impaired higher-level functional capacity after adjustment for age and depressive symptoms (OR=3.36; 95% confidence interval [CI], 1.59-7.08). Among the men, subjective memory complaints were not significantly associated with impaired higher-level functional capacity after adjustment for age and depressive symptoms (OR=1.91; 95% CI, 0.88-4.12)., CONCLUSIONS: Subjective memory complaints among women can indicate impaired higher-level functional capacity and may suggest higher one-year mortality rates. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.archger.2014.10.015 VL - 60 IS - 1 SP - 201 EP - 5 J2 - Arch Gerontol Geriatr SN - 1872-6976 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25465503 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Cross-Sectional Studies KW - Geriatric Assessment KW - *Long-Term Care KW - *Memory KW - *Depression/px [Psychology] KW - Executive Function KW - Cognition/ph [Physiology] KW - Tokyo KW - *Memory Disorders/di [Diagnosis] ER - TY - JOUR TI - Predictors of self- and caregiver-rated quality of life for people with dementia living in the community and in nursing homes in northern Taiwan. AU - Huang, Hsiu-Li AU - Weng, Li-Chueh AU - Tsai, Yu-Hsia AU - Chiu, Yi-Chen Yulanda AU - Chen, Kang-Hua AU - Huang, Chin-Chang AU - Tang, John Sai-Hung AU - Wang, Woan-Shyuan T2 - International psychogeriatrics AB - BACKGROUND: Factors affecting quality of life (QOL) ratings for people with dementia (PWD) have been well studied, but few studies have examined the effect of residence on PWD- and caregiver-rated QOL for PWDs. We designed this study to determine the factors related to PWD- and caregiver-rated QOL in dementia as well as factors related to the discrepancy in these ratings., METHODS: For this cross-sectional study, we analyzed data from a convenience sample of 106 PWD-family caregiver dyads (58 community-dwelling dyads and 48 nursing-home dyads). PWDs' data included socio-demographic variables, QOL (assessed by the Quality of Life-Alzheimer's Disease [QOL-AD] scale), cognition, dementia severity, depression, comorbidities, and quality of the dyadic relationship. Caregivers' data included socio-demographic variables, depressive symptoms, and mutuality of the dyadic relationship., RESULTS: QOL-AD scores were lower when rated by caregivers than by PWDs. The key factors positively related to both PWD- and caregiver-rated QOL for PWDs were fewer PWD depressive symptoms and higher quality of the PWD-caregiver relationship. The key factors related to the discrepancy in PWD- and caregiver-rated QOL in dementia were PWD residence in a nursing home and lower dementia severity, as well as higher caregiver depression, being an adult child caregiver, and lower caregiver-PWD mutuality., CONCLUSION: Caregiver-rated QOL for PWDs and the discrepancy in rated QOL were significantly associated with PWD residence. If caregiver-rated QOL is needed, the effect of residence of PWD should be taken into consideration. Caregivers' depressive status and mutuality with PWD must be also carefully assessed. DA - 2015/// PY - 2015 DO - 10.1017/S1041610214002506 VL - 27 IS - 5 SP - 825 EP - 36 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25465381 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Quality of Life KW - Cross-Sectional Studies KW - *Nursing Homes KW - *Independent Living/px [Psychology] KW - Independent Living/sn [Statistics & Numerical Data] KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Dementia/th [Therapy] KW - Severity of Illness Index KW - Neuropsychological Tests KW - *Dementia/px [Psychology] KW - Caregivers/px [Psychology] KW - Taiwan KW - Quality of Life/px [Psychology] KW - Self-Assessment KW - Psychological Tests ER - TY - JOUR TI - Alcohol outlet density and related use in an urban Black population in Philadelphia public housing communities. AU - Cederbaum, Julie A AU - Petering, Robin AU - Hutchinson, M Katherine AU - He, Amy S AU - Wilson, John P AU - Jemmott, John B 3rd AU - Jemmott, Loretta Sweet T2 - Health & place AB - Adolescent alcohol use behaviors are influenced by familial patterns and neighborhood factors. This work explored the influence of individual, family, and environment on alcohol use. Baseline data from a randomized controlled trial with Black mothers son dyads (n=382) were paired with census tract and alcohol control board data. Among mothers, younger age, along with neighborhood factors of alcohol outlet density, race, and education were significantly associated with use. Among sons, older age and alcohol outlet density in the neighborhood predicted use. Findings highlight neighborhood influence, beyond family qualities, as a significant determinant of disadvantaged Black mothers' alcohol use. Implications for public health policy are discussed. Copyright © 2014 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.healthplace.2014.10.007 VL - 31 IS - din, 9510067 SP - 31 EP - 8 J2 - Health Place SN - 1873-2054 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25463915 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Social Environment KW - Commerce KW - *Public Housing KW - Urban Population KW - *African Americans KW - *Alcohol Drinking/eh [Ethnology] KW - *Alcoholic Beverages/sd [Supply & Distribution] KW - Philadelphia/ep [Epidemiology] ER - TY - JOUR TI - Willingness to pay for telecare programmes to support independent living: results from a contingent valuation study. AU - Callan, Aoife AU - O'Shea, Eamon T2 - Social science & medicine (1982) AB - An ageing population provokes an economic interest in the resource allocation questions posed by long-term care and critically, the development of sustainable community-based health and social care models that support independent living. This paper explores Irish citizens preferences and willingness to pay (WTP) for a range of community-based care programmes, including different telecare programmes that support older people to continue living at home. The paper reports on a cross-sectional multi-good contingent valuation survey conducted between April and September 2009 with three representative samples of the Irish population (N = 1214) to identify rankings and preferences for different community care programmes including: family care programme, a state-provided care programme and three different telecare programmes. The survey design permits the identification of strength, direction and relative preferences of different forms of community care provision. We also investigate convergent validity between ranking and willingness to pay results. We find that while people place significant value on formal state care provision and on telecare programmes, willingness to pay (WTP) estimates continue to highlight the importance of family care, which remains the strongest preference of the Irish population for the provision of community-based care for older people in the country. Respondents weakened their ranking preferences in the WTP exercise. However, both the direction of ranking and WTP estimates confirm the importance of family care. While all telecare programmes generated some economic value, telecare associated with social connection had much stronger support than telecare used to support physical or cognitive care needs. This paper offers unique information on societal values for different forms of community care provision, and in particular, the direction of preferences for technology-based approaches. Copyright © 2014 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.socscimed.2014.11.002 VL - 124 IS - ut9, 8303205 SP - 94 EP - 102 J2 - Soc Sci Med SN - 1873-5347 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25461866 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Ireland KW - Aged KW - Middle Aged KW - *Independent Living/ec [Economics] KW - Cross-Sectional Studies KW - Independent Living/px [Psychology] KW - *Telemedicine/ec [Economics] KW - Community Networks/ec [Economics] ER - TY - JOUR TI - Overall Quality of Life (OQoL) questionnaire in frail elderly: a study of reproducibility and responsiveness of the Depression List (DL). AU - Gregersen, Merete AU - Jordansen, Mette M AU - Gerritsen, Debby L T2 - Archives of gerontology and geriatrics AB - INTRODUCTION: The DL is a generic interview-based questionnaire and previously validated in measuring OQoL in nursing home residents. Our aim was to examine its reproducibility and responsiveness in the frail elderly., MATERIALS AND METHODS: The design was three repeated DL-measures 10, 30 and 365 days on consecutively recruited hip fracture patients with residence in nursing homes and sheltered housing facilities and with a Mini Mental State Examination (MMSE) score of 5 or more. The DL-questionnaire consists of 15 questions covering emotional well-being, social relationship, life-satisfaction, comfort, functional competence and autonomy. The scale ranges from 0 (=best OQoL) to score 30 (=worst OQoL). A trained occupational therapist did face-to-face interviews for measuring intra-rater reliability with 20 days interval, and 365 days after hip fracture surgery measuring responsiveness after recovery. Inter-rater reliability was evaluated by two raters in a subgroup., RESULTS: 130 residents were eligible and completed the test-retest (86%). The systematic difference was 0.49 points (95% confidence interval: -0.25; 1.23). Standard Error of Measurement (SEM) was 3.02 points, and the Minimal Detectable Change (MDC) was 8.37 points. Intra-class Correlation Coefficient (ICC) was 70%. Evaluating responsiveness, 89 patients (87%) were alive and completed the third interview. The DL improved over time (p<0.001) and was associated with improved physical recovery after hip fracture. The inter-rater reliability was high (ICC=97%)., CONCLUSIONS: The DL-questionnaire is easy to use in the frail elderly. It has an acceptable reproducibility, and is able to detect a clinically relevant change over time. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.archger.2014.10.012 VL - 60 IS - 1 SP - 22 EP - 7 J2 - Arch Gerontol Geriatr SN - 1872-6976 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25459916 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Nursing Homes KW - *Quality of Life KW - *Frail Elderly/px [Psychology] KW - *Surveys and Questionnaires/st [Standards] KW - *Depression/px [Psychology] KW - Hip Fractures ER - TY - JOUR TI - The role of bluespaces in experiencing place, aging and wellbeing: Insights from Waiheke Island, New Zealand. AU - Coleman, Tara AU - Kearns, Robin T2 - Health & place AB - This paper examines how bluespaces inform experiences of place, being aged, and wellbeing among seniors on Waiheke, an island within the greater Auckland area in northern New Zealand. We draw on photo-elicitation interviews with seniors aged 65-94 to argue that bluespaces shape metaphors of 'islandness' that, in turn, help maintain wellbeing. We conclude that, although island settings pose unique challenges for seniors, (e.g. potential isolation, and a lack of advanced care), drawing on the qualities of bluespaces helps maintain a secure sense of self anchored in strong affective ties to place. Copyright © 2014 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.healthplace.2014.09.016 VL - 35 IS - din, 9510067 SP - 206 EP - 17 J2 - Health Place SN - 1873-2054 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25456013 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - *Aging KW - *Environment KW - New Zealand KW - *Mental Health KW - *Islands ER - TY - JOUR TI - Geriatric and physically oriented rehabilitation improves the ability of independent living and physical rehabilitation reduces mortality: a randomised comparison of 538 patients. AU - Lahtinen, Antti AU - Leppilahti, Juhana AU - Harmainen, Samppa AU - Sipila, Jaakko AU - Antikainen, Riitta AU - Seppanen, Maija-Liisa AU - Willig, Reeta AU - Vahanikkila, Hannu AU - Ristiniemi, Jukka AU - Rissanen, Pekka AU - Jalovaara, Pekka T2 - Clinical rehabilitation AB - OBJECTIVE: To examine effects of physical and geriatric rehabilitation on institutionalisation and mortality after hip fracture., DESIGN: Prospective randomised study., SETTING: Physically oriented (187 patients), geriatrically oriented (171 patients), and health centre hospital rehabilitation (180 patients, control group)., SUBJECTS: A total of 538 consecutively, independently living patients with non-pathological hip fracture., MAIN MEASURES: Patients were evaluated on admission, at 4 and 12 months for social status, residential status, walking ability, use of walking aids, pain in the hip, activities of daily living (ADL) and mortality., RESULTS: Mortality was significantly lower at 4 and 12 months in physical rehabilitation (3.2%, 8.6%) than in geriatric rehabilitation group (9.6%, 18.7%, P=0.026, P=0.005, respectively) or control group (10.6%, 19.4%, P=0.006, P=0.004, respectively). At 4 months more patients in physical (84.4%) and geriatric rehabilitation group (78.0%) were able to live at home or sheltered housing than in control group (71.9%, P=0.0012 and P<0.001, respectively). No significant difference was found between physical rehabilitation and geriatric rehabilitation (P=0.278). Analysis of femoral neck and trochanteric fractures showed that significant difference was true only for femoral neck fractures (physical rehabilitation vs geriatric rehabilitation P=0.308, physical rehabilitation vs control group P<0,001 and geriatric rehabilitation vs control group P<0.001). Effects of intensified rehabilitations disappeared at 12 months. No impact on walking ability or ADL functions was observed., CONCLUSIONS: Physical rehabilitation reduced mortality. Physical and geriatric rehabilitation significantly improved the ability of independent living after 4 months especially among the femoral neck fracture patients but this effect could not be seen after 12 months. Copyright © The Author(s) 2014. DA - 2015/// PY - 2015 DO - 10.1177/0269215514559423 VL - 29 IS - 9 SP - 892 EP - 906 J2 - Clin Rehabil SN - 1477-0873 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25452632 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - *Activities of Daily Living KW - Prospective Studies KW - Finland KW - Walking/ph [Physiology] KW - *Hip Fractures/rh [Rehabilitation] KW - *Physical Therapy Modalities KW - Hip Fractures/su [Surgery] KW - Hip Fractures/mo [Mortality] KW - Recovery of Function/ph [Physiology] ER - TY - JOUR TI - Generalized anxiety in community-dwelling elderly: Prevalence and clinical characteristics. AU - Zhang, Xiaobin AU - Norton, Joanna AU - Carriere, Isabelle AU - Ritchie, Karen AU - Chaudieu, Isabelle AU - Ancelin, Marie-Laure T2 - Journal of affective disorders AB - BACKGROUND: Generalized anxiety disorder (GAD) is a chronic and disabling disorder with a low rate of full remission. As it is commonly assumed that cases in the elderly principally represent the continuing chronic course of early onset illness, there has been little research into the clinical characteristics, including comorbid psychiatric and physical conditions, which may be specific to older people., METHODS: Lifetime GAD and psychiatric comorbidity were diagnosed in 1974 community-dwelling elderly people aged 65 or over using a standardized psychiatric examination, the MINI, based on DSM-IV criteria. Multivariate regression analyses were adjusted for socio-demographic, lifestyle, biological, and clinical variables, as well as adverse life events., RESULTS: The lifetime prevalence of GAD was 11% (95% CI=9.6-12.4%) of whom 24.6% reported a late onset with a first episode after 50 years of age. The 6-month current prevalence was 4.6% (95% CI=3.7-5.5%). Most of the prevalent cases were recurrent but only 36.3% were receiving treatment. Fourteen percent were comorbid with major depression and 34% with phobia but their associated factors differed. The factors associated with pure GAD were being female, having cognitive impairment, lower body mass index, reporting low affective support during childhood, taking a high number of somatic medications independently of other mental health factors, e.g. psychotropic medication use, major depression, and phobia., LIMITATIONS: The study is limited by cross-sectional design., CONCLUSIONS: Our data indicate that GAD prevalence is high in elderly people with a late-life onset of GAD in 25% of cases. GAD in the elderly is not just a severity marker of depression and is clinically distinct from phobia, the other major anxiety disorder of the elderly. Copyright © 2014 Elsevier B.V. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jad.2014.09.036 VL - 172 IS - h3v, 7906073 SP - 24 EP - 9 J2 - J Affect Disord SN - 1573-2517 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25451391 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - *Independent Living KW - Cross-Sectional Studies KW - Comorbidity KW - Anxiety Disorders/px [Psychology] KW - Anxiety/px [Psychology] KW - Diagnostic and Statistical Manual of Mental Disorders KW - *Anxiety Disorders/ep [Epidemiology] KW - *Anxiety/ep [Epidemiology] KW - Remission Induction KW - Depressive Disorder, Major/ep [Epidemiology] KW - Phobic Disorders/ep [Epidemiology] KW - Stress Disorders, Traumatic, Acute/ep [Epidemiology] ER - TY - JOUR TI - An outbreak of acute gastroenteritis associated with group A Rotavirus in long-term care facility in Slovenia. AU - Subelj, Maja AU - Ucakar, Veronika T2 - Wiener klinische Wochenschrift AB - BACKGROUND: In April 2013, an outbreak of acute gastroenteritis was reported in a residential long-term care facility (LTCF) in Ljubljana. We carried out an outbreak investigation to describe the outbreak, identify factors associated with contracting infection and to recommend control measures., METHODS: We conducted descriptive epidemiology of the outbreak and a case-control study among residents; a case was a resident or staff member of the LTCF with acute diarrhoea and at least one of the following symptoms: fever, vomiting, nausea, fatigue, headache and abdominal pain between 11 and 23 April 2013. Controls had no gastrointestinal symptoms during the outbreak period. Stool specimens were tested for enteric pathogens, including Rotavirus., RESULTS: Of 244, 33 (13.5 %) and 4 of 106 staff (3.8 %) were affected. Twenty-eight (84.8 %; median age 85 years; range 71-95 years) among affected residents and four (100 %; median age 35 years; range 30-45 years) among affected staff were women. The main symptoms besides acute diarrhoea were fatigue (54.1 %) and nausea (45.9 %). The average duration of gastroenteritis symptoms was 3.6 days in residents and 1.3 days in staff. None of the affected persons was hospitalized. Rotavirus group A was detected in a single stool specimen. In the multivariable analysis, being ambulant (aOR = 12.3; 95 % CI: 1.14-133.1), and having more than two comorbidities (aOR = 4.7; 95 % CI: 1.14-19.0) were significantly associated with acute gastroenterocolitis., CONCLUSIONS: Contact precautions of affected persons and controlled staff interactions between outbreak ward and unaffected ward are recommended in times of outbreak, with additional effort in targeting mobile residents and those with comorbidities. DA - 2015/// PY - 2015 DO - 10.1007/s00508-014-0672-8 VL - 127 IS - 11-12 SP - 415 EP - 20 J2 - Wien Klin Wochenschr SN - 1613-7671 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25447968 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Incidence KW - *Disease Outbreaks/sn [Statistics & Numerical Data] KW - *Cross Infection/ep [Epidemiology] KW - Long-Term Care/sn [Statistics & Numerical Data] KW - *Rotavirus Infections/ep [Epidemiology] KW - Cross Infection/di [Diagnosis] KW - Gastroenteritis/vi [Virology] KW - Rotavirus Infections/vi [Virology] KW - *Gastroenteritis/ep [Epidemiology] KW - Gastroenteritis/di [Diagnosis] KW - Cross Infection/vi [Virology] KW - Rotavirus Infections/di [Diagnosis] KW - Slovenia/ep [Epidemiology] ER - TY - JOUR TI - Improving meal context in nursing homes. Impact of four strategies on food intake and meal pleasure. AU - Divert, Camille AU - Laghmaoui, Rachid AU - Crema, Celia AU - Issanchou, Sylvie AU - Wymelbeke, Virginie Van AU - Sulmont-Rosse, Claire T2 - Appetite AB - In France, in most nursing homes, the composition of menus, the time and the place at which meals are served, the choice of one's place at the table are imposed on residents. Yet, the act of eating cannot be restricted to nutritional and sensory aspects alone. It also includes a psycho-affective dimension, which relates to the context in which the meal is served. We tested the impact of four contextual factors, considered individually, on food intake and meal pleasure in elderly people living in nursing homes: the way the main course was named on the menu, the size and the variety of portions of vegetables served to residents, the presence or not of condiments in the middle of the table and the presence or not of elements to modify the surroundings such as a decorative object on the table or background music. Twelve experimental meals were served to 42 nursing home residents. For each factor, we compared a control condition with two experimental conditions. Our study showed that changing a single contextual element of the meal in nursing homes could be sufficient to improve residents' satisfaction with their meals and increase the quantities of meat or vegetables consumed, as long as this factor had a direct impact on what was going to be consumed (increased variety on the plate, condiments on the table). Factors affecting the context of the meal (names of dishes, decor) proved to be ineffective. Given the budgetary constraints faced by nursing homes, this study proposes interesting and inexpensive ideas to increase satisfaction with meals and food intake in elderly people who are dependent on others for their meals. Copyright © 2014 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.appet.2014.09.027 VL - 84 IS - 6jw, 8006808 SP - 139 EP - 47 J2 - Appetite SN - 1095-8304 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25445198 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Meals KW - *Homes for the Aged KW - *Nursing Homes KW - *Diet KW - Energy Intake KW - France KW - *Pleasure KW - *Eating KW - *Food Services ER - TY - JOUR TI - Advance care planning for older people in Australia presenting to the emergency department from the community or residential aged care facilities. AU - Street, Maryann AU - Ottmann, Goetz AU - Johnstone, Megan-Jane AU - Considine, Julie AU - Livingston, Patricia M T2 - Health & social care in the community AB - The purpose of this retrospective, cross-sectional study was to determine the prevalence of advance care planning (ACP) among older people presenting to an Emergency Department (ED) from the community or a residential aged care facility. The study sample comprised 300 older people (aged 65+ years) presenting to three Victorian EDs in 2011. A total of 150 patients transferred from residential aged care to ED were randomly selected and then matched to 150 people who lived in the community and attended the ED by age, gender, reason for ED attendance and triage category on arrival. Overall prevalence of ACP was 13.3% (n = 40/300); over one-quarter (26.6%, n = 40/150) of those presenting to the ED from residential aged care had a documented Advance Care Plan, compared to none (0%, n = 0/150) of the people from the community. There were no significant differences in the median ED length of stay, number of investigations and interventions undertaken in ED, time seen by a doctor or rate of hospital admission for those with an Advance Care Plan compared to those without. Those with a comorbidity of cerebrovascular disease or dementia and those assessed with impaired brain function were more likely to have a documented Advance Care Plan on arrival at ED. Length of hospital stay was shorter for those with an Advance Care Plan [median (IQR) = 3 days (2-6) vs. 6 days (2-10), P = 0.027] and readmission lower (0% vs. 13.7%). In conclusion, older people from the community transferred to ED were unlikely to have a documented Advance Care Plan. Those from residential aged care who were cognitively impaired more frequently had an Advance Care Plan. In the ED, decisions of care did not appear to be influenced by the presence or absence of Advance Care Plans, but length of hospital admission was shorter for those with an Advance Care Plan. Copyright © 2014 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/hsc.12162 VL - 23 IS - 5 SP - 513 EP - 22 J2 - Health Soc Care Community SN - 1365-2524 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25443161 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Australia KW - *Independent Living KW - Length of Stay KW - Retrospective Studies KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Advance Care Planning/sn [Statistics & Numerical Data] KW - Hospitalization KW - *Emergency Service, Hospital ER - TY - JOUR TI - Formal home-care utilisation by older adults in Ireland: evidence from the Irish Longitudinal Study on Ageing (TILDA). AU - Murphy, Catriona M AU - Whelan, Brendan J AU - Normand, Charles T2 - Health & social care in the community AB - The aim of this study was to provide a population-based estimate of the utilisation of publicly financed formal home care by older adults in Ireland and to identify the principal characteristics of those utilising formal home care. Data were collected through computer-aided personal interviews from a representative sample of community living older adults in Ireland. The interviews were conducted between 2009 and 2011 as part of the first wave of the Irish Longitudinal Study on Ageing (TILDA). The study is cross-sectional in design and limited to participants aged 65 years and older (n = 3507). Results reveal that 8.2% (95% CI 7.1%-9.3%) of participants utilised publicly financed formal home care in the form of home help and/or personal care. Key determinants of formal home-care utilisation were Instrumental Activity of Daily Living (IADL) difficulty (Adj OR 3.8, 95% CI 2.7-5.3), older age (Adj OR 3.4, 95% CI 2.4-4.8) and living alone (Adj OR 2.6, 95% CI 1.9-3.8). Almost half of those utilising formal care did not self-report an Activity of Daily Living (ADL) difficulty or an IADL difficulty. Government policy aims to reduce the need for long-term residential care by providing formal home care for older adults with low to moderate levels of dependency. This requires an increasing emphasis on personal care provision in the home. No evidence was found in this study to suggest that a shift in emphasis from formal domestic to personal care is taking place in Ireland. The absence of standardised assessment and eligibility criteria are deemed to be barriers to reorientation of the system. From a health services perspective, the current situation is not sustainable into the future and requires a focused policy response. Copyright © 2014 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/hsc.12157 VL - 23 IS - 4 SP - 408 EP - 18 J2 - Health Soc Care Community SN - 1365-2524 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25442330 KW - Female KW - Humans KW - Male KW - Ireland KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - *Independent Living KW - Cross-Sectional Studies KW - Longitudinal Studies KW - *Home Care Services/sn [Statistics & Numerical Data] KW - *Self Care/mt [Methods] ER - TY - JOUR TI - Diet and its relationship to sarcopenia in community dwelling Iranian elderly: a cross sectional study. AU - Hashemi, Rezvan AU - Motlagh, Ahmadreza Dorosty AU - Heshmat, Ramin AU - Esmaillzadeh, Ahmad AU - Payab, Moloud AU - Yousefinia, Mahsa AU - Siassi, Fereydoun AU - Pasalar, Parvin AU - Baygi, Fereshteh T2 - Nutrition (Burbank, Los Angeles County, Calif.) AB - OBJECTIVES: Sarcopenia is associated with frailty and disability among the elderly and imposes significant costs on health care systems. We tested whether adherence to a particular dietary pattern was associated with sarcopenia among the elderly in a district of Tehran, Iran., METHODS: We used a semiquantitative Food Frequency Questionnaire to assess the dietary intake of 300 randomly-selected elderly men and women (at least 55 y old) living in the sixth district of Tehran; and the dietary patterns of the subjects were obtained using principal component analysis. We performed a logistic regression to measure the effect of adherence to each dietary pattern on the odds of sarcopenia., RESULTS: Subjects in the highest tertile of the Mediterranean dietary pattern, characterized by a higher consumption of olive oil, fruits, vegetables, fish, and nuts, had a lower odds ratio for sarcopenia than those in the lowest tertile (OR = 0.42; 95% CI = 0.18-0.97; P for trend = 0.04). In contrast, adherence to the Western dietary pattern, characterized by a high consumption of sugar, soy, and fast foods, was not associated with sarcopenia (OR = 0.51; 95% CI = 0.21-1.24; P for trend = 0.13). Similarly, adherence to the Mixed dietary pattern, characterized by a high consumption of animal proteins, potatoes, and refined grains, did not affect the odds of sarcopenia (OR = 1.45; 95% CI = 0.66-3.19; P for trend = 0.95)., CONCLUSIONS: This study suggests that adherence to the Mediterranean diet is associated with lower odds of sarcopenia among the Iranian elderly. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.nut.2014.05.003 VL - 31 IS - 1 SP - 97 EP - 104 J2 - Nutrition SN - 1873-1244 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25441592 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Middle Aged KW - Surveys and Questionnaires KW - Logistic Models KW - *Independent Living KW - Cross-Sectional Studies KW - *Sarcopenia/ep [Epidemiology] KW - Body Mass Index KW - Principal Component Analysis KW - Motor Activity KW - Fruit KW - Vegetables KW - Muscle, Skeletal KW - Patient Compliance KW - Multivariate Analysis KW - Energy Intake KW - *Diet, Mediterranean KW - Iran/ep [Epidemiology] KW - Fast Foods KW - *Diet, Western KW - Carbohydrates/ad [Administration & Dosage] KW - Nuts KW - Olive Oil/ad [Administration & Dosage] KW - Soy Foods ER - TY - JOUR TI - Improving student nurses' aged care understandings through a supported placement. AU - Lea, E AU - Marlow, A AU - Bramble, M AU - Andrews, S AU - Eccleston, C AU - McInerney, F AU - Robinson, A T2 - International nursing review AB - AIM: The study aimed to identify the potential for aged care placements to deliver benefits for second year nursing students when conducted within a supportive framework with debriefing and critical reflection opportunities., BACKGROUND: Given the ageing population and complex care needs of aged care facility residents, exacerbated by the high prevalence of dementia, the healthcare workforce's ability to meet older people's care needs is paramount. Yet research shows that nursing students are disengaged from aged care., METHODS: Using a quasi-experimental mixed method design within an action research framework, 40 students were allocated a 3-week supported placement in 2011-2012 at one of the two intervention residential aged care facilities in Tasmania, Australia. Staff formed mentor action research groups in each facility and participated in a pre-placement capacity-building programme. Thirty-nine students were placed across 14 control facilities. Data were collected via meetings with students and pre-post placement questionnaires on placement experiences, attitudes and dementia knowledge., RESULTS: The intervention facility placement programme led to mentors and students being well prepared for the placement and to students experiencing enhanced teaching and learning derived from high levels of mentor support and increased autonomy. Students' knowledge, understanding and attitudes around aged care and dementia improved., DISCUSSION: Mentors working together within an action research framework can provide a supported residential aged care placement for nursing students that improves students' aged care attitudes and understandings., CONCLUSION AND IMPLICATIONS FOR NURSING AND HEALTH POLICY: Provision of quality, supported aged care student placements is vital to prepare a new generation of nurses who will have to deal with the complex chronic healthcare needs associated with an ageing population. Copyright © 2014 International Council of Nurses. DA - 2015/// PY - 2015 DO - 10.1111/inr.12156 VL - 62 IS - 1 SP - 28 EP - 35 J2 - Int Nurs Rev SN - 1466-7657 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25440317 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Health Knowledge, Attitudes, Practice KW - Aged KW - Aged, 80 and over KW - Cohort Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Clinical Competence KW - *Dementia/nu [Nursing] KW - Nursing Evaluation Research KW - *Geriatric Nursing/ed [Education] KW - Tasmania KW - *Preceptorship/og [Organization & Administration] KW - *Education, Nursing, Baccalaureate/og [Organization & Administration] KW - *Students, Nursing KW - Mentors KW - Nursing Methodology Research ER - TY - JOUR TI - [Analysis of how elderly internet users react to unexpected situations]. AU - Haesner, Marten AU - Steinert, Anika AU - O'Sullivan, Julie Lorraine AU - Steinhagen-Thiessen, Elisabeth T2 - Analyse des Umgangs alterer Internetnutzer mit unerwarteten Situationen. AB - BACKGROUND: Although internet usage among older adults is steadily increasing, there is still a digital divide between generations. Younger internet users seem to be more open towards new media. Recent studies showed the negative influence of computer anxiety on internet usage. It is not known how older adults deal with computer and internet issues in their home environment and which problem-solving strategies they apply., AIM: The behavior of elderly people in unexpected situations when using an internet portal was analyzed to establish whether older users can solve the problems without assistance and what individual reactions (e.g. facial expressions and gesticulations) they show during the interaction., MATERIAL AND METHODS: In a clinical trial with 50 older adults aged 60 years and older various typical problems which may occur while using web platforms were simulated and user behavior was analyzed using logging data, videography and with questionnaires to measure the subjective opinion of the study participants., RESULTS: The study participants had severe problems in solving the tasks on their own and many of them could not find a suitable solution at all. Overall, the videography data indicated an increased concentration of the participants during the whole session, which is in contrast to the low levels of perceived mental workload reported by the participants. Regarding task completion, no differences were found between seniors with and without cognitive impairment., CONCLUSION: The results showed the serious difficulties of older adults when dealing with unexpected events while using a web platform. For developers of internet platforms for inexperienced seniors, it seems to be crucial to incorporate a simple integration of all available features within the platform, without including features requiring high multi-tasking skills. DA - 2015/// PY - 2015 DO - 10.1007/s00391-014-0838-z VL - 48 IS - 8 SP - 715 EP - 21 J2 - Z Gerontol Geriatr SN - 1435-1269 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25433420 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Geriatric Assessment KW - *User-Computer Interface KW - *Attitude to Computers KW - *Task Performance and Analysis KW - Man-Machine Systems KW - *Internet/sn [Statistics & Numerical Data] KW - *Computer Literacy/sn [Statistics & Numerical Data] KW - *Information Storage and Retrieval/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Self-rated health and health-strengthening factors in community-living frail older people. AU - Ebrahimi, Zahra AU - Dahlin-Ivanoff, Synneve AU - Eklund, Kajsa AU - Jakobsson, Annika AU - Wilhelmson, Katarina T2 - Journal of advanced nursing AB - AIM: The aim of this study was to analyse the explanatory power of variables measuring health-strengthening factors for self-rated health among community-living frail older people., BACKGROUND: Frailty is commonly constructed as a multi-dimensional geriatric syndrome ascribed to the multi-system deterioration of the reserve capacity in older age. Frailty in older people is associated with decreased physical and psychological well-being. However, knowledge about the experiences of health in frail older people is still limited., DESIGN: The design of the study was cross-sectional., METHOD: The data were collected between October 2008 and November 2010 through face-to-face structured interviews with older people aged 65-96 years (N = 161). Binary logistic regression was used to analyse whether a set of explanatory relevant variables is associated with self-rated health., RESULTS: The results from the final model showed that satisfaction with one's ability to take care of oneself, having 10 or fewer symptoms and not feeling lonely had the best explanatory power for community-living frail older peoples' experiences of good health., CONCLUSION: The results indicate that a multi-disciplinary approach is desirable, where the focus should not only be on medical problems but also on providing supportive services to older people to maintain their independence and experiences of health despite frailty. Copyright © 2014 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/jan.12579 VL - 71 IS - 4 SP - 825 EP - 36 J2 - J Adv Nurs SN - 1365-2648 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25430563 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Geriatric Assessment/sn [Statistics & Numerical Data] KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - *Health Status KW - Self Report KW - *Self Care/px [Psychology] KW - *Patient Satisfaction/sn [Statistics & Numerical Data] KW - Housing for the Elderly/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Sense of coherence and health of community-dwelling older adults in Spain. AU - Giglio, Rebecca E AU - Rodriguez-Blazquez, Carmen AU - de Pedro-Cuesta, Jesus AU - Forjaz, Maria Joao T2 - International psychogeriatrics AB - BACKGROUND: In light of the demographic aging trend in Europe, investigation into successful aging is a public health priority. This paper describes the sense of coherence (SOC) of a sample of community-dwelling older adults in Spain and analyzes the relationship between SOC and both health and sociodemographic variables. SOC measures the extent to which an individual conceptualizes the world as comprehensible, manageable, and meaningful. Strong SOC may promote good health., METHODS: The study followed a cross-sectional design involving a nationally representative sample of 1,106 community-dwelling adults aged 60 years and older in Spain. The sample was collected by geographically based proportional stratified sampling. RESULTS are based on responses to a questionnaire requesting sociodemographic information and including the following validated scales: SOC, Barthel index (BI), functional independence scale (FIS), personal wellbeing index (PWI), EQ-5D dimensions (mobility, personal care, daily activities, pain/discomfort, anxiety/depression), and the depression subscale of the hospital anxiety and depression scale (HADS-D). A multivariate linear regression model analyzed determinants of SOC., RESULTS: Personal wellbeing (b = -0.32), depression (b = 0.26), and educational level (b = -0.06) were significant determinants of SOC. Lower SOC was associated with problems in all EQ-5D dimensions and moderate/severe disability as measured by the BI., CONCLUSIONS: SOC in older adults is related to functional status, mental health status, personal wellbeing, and educational level. Public health initiatives should work to reduce the psychological and physiological impact of aging by focusing on the conditions that facilitate the coping of older adults. DA - 2015/// PY - 2015 DO - 10.1017/S1041610214002440 VL - 27 IS - 4 SP - 621 EP - 8 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25420753 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Surveys and Questionnaires KW - Health Status KW - Cross-Sectional Studies KW - *Independent Living/px [Psychology] KW - Independent Living/sn [Statistics & Numerical Data] KW - Psychiatric Status Rating Scales KW - Educational Status KW - Depression/px [Psychology] KW - Spain/ep [Epidemiology] KW - Activities of Daily Living/px [Psychology] KW - Mental Health/sn [Statistics & Numerical Data] KW - *Sense of Coherence ER - TY - JOUR TI - To what extent is the work environment of staff related to person-centred care? A cross-sectional study of residential aged care. AU - Sjogren, Karin AU - Lindkvist, Marie AU - Sandman, Per-Olof AU - Zingmark, Karin AU - Edvardsson, David T2 - Journal of clinical nursing AB - AIMS AND OBJECTIVES: To explore the relationship between staff characteristics, perceived work environment and person-centred care in residential aged care units., BACKGROUND: Person-centred care is often described as the model of choice in residential aged care and in the care of persons with dementia. Few empirical studies have reported on the relationship between how staff experience different aspects of their work and person-centred care., DESIGN: The study had a cross-sectional quantitative design., METHODS: Staff in 151 residential aged care units in Sweden (n = 1169) completed surveys which included questions about staff characteristics, valid and reliable measures of person-centred care, satisfaction with work and care, job strain, stress of conscience and psychosocial unit climate. Statistical analyses of correlations, group differences and multiple linear regression analysis estimated with generalised estimating equation were conducted., RESULTS: Higher levels of staff satisfaction, lower levels of job strain, lower levels of stress of conscience, higher levels of a supportive psychosocial unit climate and a higher proportion of staff with continuing education in dementia care were associated with higher levels of person-centred care. Job strain and a supportive psychosocial climate, explained most of the variation in person-centred care., CONCLUSIONS: This study shows that the work environment as perceived by staff is associated with the extent to which staff perceive the care as being person-centred in residential aged care. These empirical findings support the theoretical postulation that the work environment is an important aspect of person-centred care., RELEVANCE TO CLINICAL PRACTICE: Promoting a positive and supportive psychosocial climate and a work environment where staff experience balance between demands and control in their work, to enable person-centred care practice, seems to be important implications for managers and leaders in residential aged care. Copyright © 2014 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/jocn.12734 VL - 24 IS - 9-10 SP - 1310 EP - 9 J2 - J Clin Nurs SN - 1365-2702 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25420415 KW - Adult KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Middle Aged KW - Cross-Sectional Studies KW - *Homes for the Aged KW - Dementia/th [Therapy] KW - *Attitude of Health Personnel KW - Linear Models KW - Sweden KW - Job Satisfaction KW - *Patient-Centered Care KW - Workload KW - Workplace ER - TY - JOUR TI - A mobile user-interface for elderly care from the perspective of relatives. AU - Warpenius, Erika AU - Alasaarela, Esko AU - Sorvoja, Hannu AU - Kinnunen, Matti T2 - Informatics for health & social care AB - As the number of elderly people rises, relatives' care-taking responsibilities increase accordingly. This creates a need for developing new systems that enable relatives to keep track of aged family members. To develop new mobile services for elderly healthcare we tried to identify the most wanted features of a mobile user-interface from the perspective of relatives. Feature mapping was based on two online surveys: one administered to the relatives (N = 32) and nurses (N = 3) of senior citizens and the other to nursing students (N = 18). Results of the surveys, confirmed by face-to-face interviews of the relatives (N = 8), indicated that the most valued features of the mobile user-interface are Accident Reporting (e.g. falling), Alarms (e.g. fire-alarm), Doctor Visits and evaluation of the General Condition of the Senior. The averaged importance ratings of these features were 9.2, 9.0, 8.6 and 8.5, respectively (on a scale from 0 to 10). Other important considerations for the user-interface development are aspiration to simplicity and ease-of-use. We recommend that the results are taken into account, when designing and implementing mobile services for elderly healthcare. DA - 2015/// PY - 2015 DO - 10.3109/17538157.2013.879148 VL - 40 IS - 2 SP - 113 EP - 24 J2 - Inform Health Soc Care SN - 1753-8165 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25418754 KW - Humans KW - *Independent Living KW - Loneliness KW - *Family KW - *Caregivers KW - *Health Status KW - *Mobile Applications KW - Nurses KW - Geographic Information Systems KW - Sleep KW - Students, Nursing KW - Accidents KW - Reminder Systems ER - TY - JOUR TI - Factors associated with the quality of life of nursing home residents in Hong Kong. AU - Lai, C K Y AU - Leung, D D M AU - Kwong, E W Y AU - Lee, R L P T2 - International nursing review AB - BACKGROUND: The quality of life of nursing home residents has increasingly become an important dimension when evaluating care in a nursing home. Not a lot is known about the quality of life of nursing home residents in Hong Kong., AIM: To investigate factors associated with the quality of life of nursing home residents to inform care management policies and service delivery., METHODS: This study reports data from 125 nursing home residents. The Hong Kong Chinese version of the World Health Organization's Quality of Life-Brief version was used. Other measures used include the Mini-Mental State Examination, the Mini-Nutritional Assessment, the Geriatric Depression Scale, the Modified STRATIFY Falls Prediction Tool and the Modified Barthel Index. A univariate analysis and a multiple regression analysis were then performed to identify the influencing factors., RESULTS: The participants reported a moderate level of quality of life, with the exception in the domain of social relationships. A univariate analysis found some associations between demographic and clinical characteristics and quality of life. A multiple regression analysis indicated that pain, being younger (65-74 years), having son(s) or daughter(s), and cognitive impairment were negatively associated factors., LIMITATIONS: The smallness of the sample from a single study site limits the generalizability of the findings., CONCLUSION: This study provides information that has hitherto been lacking on the quality of life and associated factors among local nursing home residents in Hong Kong. The preliminary findings can help healthcare staff to identify those at risk of suffering from a low quality of life and to design appropriate care interventions to improve the quality of life of such residents., IMPLICATIONS: Adequate pain relief, family connectedness and special attention to the needs of those with cognitive impairment are important considerations in ensuring a better quality of life for older people in long-term residential care. Copyright © 2014 International Council of Nurses. DA - 2015/// PY - 2015 DO - 10.1111/inr.12152 VL - 62 IS - 1 SP - 120 EP - 9 J2 - Int Nurs Rev SN - 1466-7657 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25418050 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Quality of Life/px [Psychology] KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Aging/px [Psychology] KW - *Activities of Daily Living/px [Psychology] KW - Hong Kong KW - Family Relations KW - *Quality of Health Care/og [Organization & Administration] KW - *Patient Satisfaction/sn [Statistics & Numerical Data] KW - Pain Management ER - TY - JOUR TI - An evaluation of wellness assessment visualizations for older adults. AU - Le, Thai AU - Reeder, Blaine AU - Yoo, Daisy AU - Aziz, Rafae AU - Thompson, Hilaire J AU - Demiris, George T2 - Telemedicine journal and e-health : the official journal of the American Telemedicine Association AB - BACKGROUND: Smart home technologies provide a valuable resource to unobtrusively monitor health and wellness within an older adult population. However, the breadth and density of data available along with aging associated decreases in working memory, prospective memory, spatial cognition, and processing speed can make it challenging to comprehend for older adults. We developed visualizations of smart home health data integrated into a framework of wellness. We evaluated the visualizations through focus groups with older adults and identified recommendations to guide the future development of visualizations., MATERIALS AND METHODS: We conducted four focus groups with older adult participants (n=31) at an independent retirement community. Participants were presented with three different visualizations from a wellness pilot study. A qualitative descriptive analysis was conducted to identify thematic content., RESULTS: We identified three themes related to processing and application of visualizations: (1) values of visualizations for wellness assessment, (2) cognitive processing approaches to visualizations, and (3) integration of health data for visualization. In addition, the focus groups highlighted key design considerations of visualizations important towards supporting decision-making and evaluation assessments within integrated health displays., CONCLUSIONS: Participants found inherent value in having visualizations available to proactively engage with their healthcare provider. Integrating the visualizations into a wellness framework helped reduce the complexity of raw smart home data. There has been limited work on health visualizations from a consumer perspective, in particular for an older adult population. Creating appropriately designed visualizations is valuable towards promoting consumer involvement within the shared decision-making process of care. DA - 2015/// PY - 2015 DO - 10.1089/tmj.2014.0012 VL - 21 IS - 1 SP - 9 EP - 15 J2 - Telemed J E Health SN - 1556-3669 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25401414 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Decision Making KW - Focus Groups KW - Qualitative Research KW - Cognition KW - *Aging KW - Geriatric Assessment/mt [Methods] KW - *Health Status KW - *Mental Health KW - *User-Computer Interface KW - *Telemetry/is [Instrumentation] KW - Decision Support Techniques KW - Telemetry/mt [Methods] ER - TY - JOUR TI - Satisfaction with housing and housing support for people with psychiatric disabilities. AU - Brolin, Rosita AU - Rask, Mikael AU - Syren, Susanne AU - Baigi, Amir AU - Brunt, David Arthur T2 - Issues in mental health nursing AB - The aim of this study was to investigate the degree of satisfaction with housing and housing support for people with psychiatric disabilities in Sweden. A total of 370 residents, in supported housing and in ordinary housing with housing support, completed a new questionnaire and reported a high degree of overall satisfaction, but many of them wanted to move somewhere else. Differences were found between the two different types of housing concerning satisfaction with housing support, social life and available choices. Security and privacy, as well as other's influence on the choice of residential area and dwelling proved to be important predictors for satisfaction. DA - 2015/// PY - 2015 DO - 10.3109/01612840.2014.930216 VL - 36 IS - 1 SP - 21 EP - 8 J2 - Issues Ment Health Nurs SN - 1096-4673 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25397858 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Social Support KW - *Housing KW - Socioeconomic Factors KW - *Personal Satisfaction KW - Sweden KW - *Mental Disorders/px [Psychology] ER - TY - JOUR TI - Use of a mobile device by nursing home residents for long-term care comprehensive geriatric self-assessment: a feasibility study. AU - Huang, Fanpin AU - Chang, Polun AU - Hou, I-Ching AU - Tu, Ming-Hsiang AU - Lan, Chung-Fu T2 - Computers, informatics, nursing : CIN AB - Long-term-care comprehensive geriatric assessments, such as the Minimum Data Set 3.0, are used to evaluate the clinical, psychological, and personal status of residents in long-term-care nursing facilities. Nursing staff conducts assessment interviews, thereby increasing the workload of nurses and the cost of patient care. This study explored the ability of nursing home residents to use two different mobile devices for a geriatric self-assessment. Study participants were residents of long-term-care nursing homes. A modified Minimum Data Set 3.0 was converted to a format for use with a 6-inch mobile pad and a 3.7-inch mobile smartphone. The survey completion rate and the response time were measured. A Technology Assessment Model questionnaire analyzed the participants' experience. All participants were able to use a 6-inch pad, with an average completion rate of 92.9% and an average time for completion of 21 minutes. Only 20% of the participants could complete the assessment with the 3.7-inch smartphone. The participants found the 6-inch pad easier to use than the 3.7-inch smartphone. This exploratory study suggests that nursing home residents are able to use a mobile device to perform a geriatric self-assessment and delineates the importance of the ergonomics of the device. DA - 2015/// PY - 2015 DO - 10.1097/CIN.0000000000000115 VL - 33 IS - 1 SP - 28 EP - 36 J2 - Comput Inform Nurs SN - 1538-9774 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25397723 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Activities of Daily Living KW - *Geriatric Assessment/mt [Methods] KW - *Diagnostic Self Evaluation KW - *Homes for the Aged KW - *Nursing Homes KW - *Long-Term Care KW - Feasibility Studies KW - Datasets as Topic KW - *Self-Assessment KW - *Smartphone ER - TY - JOUR TI - Malnutrition in the nursing home. AU - Bell, Christina L AU - Lee, Angela S W AU - Tamura, Bruce K T2 - Current opinion in clinical nutrition and metabolic care AB - PURPOSE OF REVIEW: Malnutrition in the nursing home is increasingly recognized as a major international research priority, given the expanding geriatric populations, serious consequences, and challenges conducting research in nursing homes. This review examines the recent literature and suggests implications for research and practice., RECENT FINDINGS: Across the recent studies, approximately 20% of nursing home residents had some form of malnutrition. However, malnutrition definitions were variable and prevalence ranged from 1.5 to 66.5%. Depression, cognitive impairment, functional impairment, and swallowing difficulty were consistently associated with malnutrition. Mortality was the major consequence of malnutrition among nursing home residents, whereas higher BMIs had lower risks of mortality. Beneficial interventions to reduce malnutrition in the nursing home included dietary supplements, greater resident role in food choice, and staff training programs., SUMMARY: To truly tackle the issue of malnutrition in the nursing home setting, a consistent definition is needed. We strongly recommend that an expert consensus panel identify a standard set of measures to more accurately compare the prevalence across countries. Given the mortality consequences of malnutrition and the paucity of intervention studies, research on interventions for malnutrition in the nursing home needs to be a higher priority for facilities, researchers, and funding agencies. DA - 2015/// PY - 2015 DO - 10.1097/MCO.0000000000000130 VL - 18 IS - 1 SP - 17 EP - 23 J2 - Curr Opin Clin Nutr Metab Care SN - 1473-6519 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25394167 KW - Humans KW - Aged KW - *Nutritional Status KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment KW - Nutrition Assessment KW - Malnutrition/ep [Epidemiology] KW - Malnutrition/pc [Prevention & Control] KW - *Malnutrition/di [Diagnosis] ER - TY - JOUR TI - Perceptions of old age and aging in the continuing care retirement community. AU - Ayalon, Liat T2 - International psychogeriatrics AB - BACKGROUND: The continuing care retirement community (CCRC) is a long term care alternative available to older adults who are independent upon entrance. The present study evaluated perceptions of old age and aging among new CCRC residents and their adult children., METHODS: A qualitative study with 34 dyads of older adults and their adult children (34 adult children and 36 older adults) was conducted. Interviews were analyzed using constant comparisons within and across interviews. Dyadic analysis of older adults-adult children interviews was followed., RESULTS: Three major themes concerning the perception of old age and aging emerged: (a) expectations for multiple losses that occur in old age; (b) different views and definitions of old age as being composed of various dimensions including chronological age, mental age, physical age and appearance and (c) diverse perceptions of the CCRC as a luxurious hotel vs. the "last stop.", CONCLUSIONS: A more balanced portrayal of old age and the CCRC might result in an easier acceptance of these concepts among older adults and their adult children. DA - 2015/// PY - 2015 DO - 10.1017/S1041610214002415 VL - 27 IS - 4 SP - 611 EP - 20 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25391548 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Middle Aged KW - Qualitative Research KW - *Attitude to Health KW - Interviews as Topic KW - *Aging/px [Psychology] KW - *Housing for the Elderly/sn [Statistics & Numerical Data] KW - Adult Children/px [Psychology] KW - *Aged/px [Psychology] ER - TY - JOUR TI - [Nursing homes versus assisted living facilities: Outcome quality regarding pressure ulcers, falls and malnutrition]. AU - Klingelhofer-Noe, J AU - Dassen, T AU - Lahmann, N A T2 - Vollstationare Pflegeeinrichtungen vs. "betreutes Wohnen mit ambulanter Versorgung": Ergebnisqualitat bezogen auf Dekubitus, Sturz und Mangelernahrung. AB - BACKGROUND: Assisted living has become more popular among individuals who are care-dependent or are threatened with care dependency as an attractive alternative to a standard nursing home. As differences regarding nursing care quality in both settings are so far unknown, the aim of the study was to compare the quality indicators occurrence of pressure ulcers, falls and malnutrition in both settings., MATERIAL AND METHODS: In spring 2010 a multicentre cross-sectional study on the prevalence of care problems was conducted including 3610 individuals in 31 nursing homes (NH) and 21 assisted living facilities (ALF) following a standardized study protocol. Comparative analyses of raw and adjusted prevalence of the care problems occurrence of pressure ulcers, falls and malnutrition were conducted., RESULTS: Individuals in the ALFs were on average older than those in the NHs (89.5 years vs. 83.2 years) but were more mobile and less care-dependent. The prevalence of care problems in the NHs compared to those in the ALFs showed the following results: pressure ulcers (NH = 3.9%, ALF = 2.3%), nosocomial pressure ulcer prevalence (NH = 2.3%, ALF = 0.2%), incidence of falls within 3 months (NH = 12.5%, ALF = 20.4%) and malnutrition according to a body mass index (BMI) <= 18.5 kg/m(2) (NH = 5.6%, ALF = 11.4%)., CONCLUSION: Due to the population differences, no final conclusions about the quality of care according to the analysed indicators can be made. While the prevalence of pressure ulcers was remarkably lower, falls and malnutrition had a higher prevalence in ALFs. Ongoing and systematic outcome quality surveys in different long-term care facilities are recommended. DA - 2015/// PY - 2015 DO - 10.1007/s00391-014-0655-4 VL - 48 IS - 3 SP - 263 EP - 9 J2 - Z Gerontol Geriatr SN - 1435-1269 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25388544 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Accidental Falls/pc [Prevention & Control] KW - Nursing Homes/sn [Statistics & Numerical Data] KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Incidence KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Malnutrition/ep [Epidemiology] KW - Germany/ep [Epidemiology] KW - Assisted Living Facilities/sn [Statistics & Numerical Data] KW - *Assisted Living Facilities/st [Standards] KW - Pressure Ulcer/ep [Epidemiology] KW - Guideline Adherence/sn [Statistics & Numerical Data] KW - *Malnutrition/nu [Nursing] KW - Pressure Ulcer/nu [Nursing] ER - TY - JOUR TI - Intimacy and sexuality of nursing home residents with dementia: a systematic review. AU - Roelofs, Tineke S M AU - Luijkx, Katrien G AU - Embregts, Petri J C M T2 - International psychogeriatrics AB - BACKGROUND: Considering people with dementia, increasing cognitive, physical, and environmental impairments can impede the capacity to express and experience intimacy and sexuality. When a move to a residential (nursing) home becomes inevitable, increasing dependency can influence this even more. The aim of the review is to provide a structured overview of all elements of intimacy across the full spectrum of intimacy and sexuality in people with dementia, living in specialist residential care., METHODS: A systematic search and review were conducted. Research published between 1990 and 2013 was identified in the electronic databases: Pubmed, PsychInfo, and Medline. Inclusion and exclusion criteria were predefined. Selected studies were assessed on quality, using the Mixed METHODS Appraisal Tool., RESULTS: Twelve of the 215 initially retrieved unique research publications were selected. A varied range of studies were found; these studies differed in design, research quality, searched population, and research theme. Different themes emerged: intimate and sexual behavior, knowledge and attitudes, capacity to consent and care culture, and staff training and guidelines., CONCLUSIONS: Although results were found in a wide range of intimate and sexual behavior, knowledge, attitudes and needs of others, and descriptions of culture in residential and nursing homes, the perspective of residents was lacking in literature. Also a "protective" care paradigm was found throughout. Future research is needed to highlight resident perspective and develop training opportunities and guidelines for care staff. DA - 2015/// PY - 2015 DO - 10.1017/S1041610214002373 VL - 27 IS - 3 SP - 367 EP - 84 J2 - Int Psychogeriatr SN - 1741-203X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25381794 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Quality of Health Care KW - Quality of Life KW - *Homes for the Aged KW - *Nursing Homes KW - Databases, Factual KW - Attitude KW - *Dementia/px [Psychology] KW - *Alzheimer Disease/px [Psychology] KW - *Sexuality KW - Nursing Staff ER - TY - JOUR TI - Predictors of six-month mortality among nursing home residents: diagnoses may be more predictive than functional disability. AU - Levy, Cari AU - Kheirbek, Raya AU - Alemi, Farrokh AU - Wojtusiak, Janusz AU - Sutton, Bryce AU - Williams, Arthur R AU - Williams, Allison T2 - Journal of palliative medicine AB - OBJECTIVE: Loss of daily living functions can be a marker for end of life and possible hospice eligibility. Unfortunately, data on patient's functional abilities is not available in all settings. In this study we compare predictive accuracy of two indices designed to predict 6-month mortality among nursing home residents. One is based on traditional measures of functional deterioration and the other on patients' diagnoses and demography., METHODS: We created the Hospice ELigibility Prediction (HELP) Index by examining mortality of 140,699 Veterans Administration (VA) nursing home residents. For these nursing home residents, the available data on history of hospital admissions were divided into training (112,897 cases) and validation (27,832 cases) sets. The training data were used to estimate the parameters of the HELP Index based on (1) diagnoses, (2) age on admission, and (3) number of diagnoses at admission. The validation data were used to assess the accuracy of predictions of the HELP Index. The cross-validated accuracy of the HELP Index was compared with the Barthel Index (BI) of functional ability obtained from 296,052 VA nursing home residents. A receiver operating characteristic curve was used to examine sensitivity and specificity of the predicted odds of mortality., RESULTS: The area under the curve (AUC) for the HELP Index was 0.838. This was significantly (alpha <0.01) higher than the AUC for the BI of 0.692., CONCLUSIONS: For nursing home residents, comorbid diagnoses predict 6-month mortality more accurately than functional status. The HELP Index can be used to estimate 6-month mortality from hospital data and can guide prognostic discussions prior to and following nursing home admission. DA - 2015/// PY - 2015 DO - 10.1089/jpm.2014.0130 VL - 18 IS - 2 SP - 100 EP - 6 J2 - J Palliat Med SN - 1557-7740 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25380219 KW - Female KW - Humans KW - Male KW - United States KW - Aged, 80 and over KW - *Homes for the Aged KW - Survival Rate KW - ROC Curve KW - Forecasting KW - Severity of Illness Index KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - Survival Analysis KW - *Nursing Homes/td [Trends] KW - Predictive Value of Tests KW - Sensitivity and Specificity KW - *Mortality/td [Trends] KW - United States Department of Veterans Affairs KW - Life Expectancy KW - Veterans KW - *Eligibility Determination/sn [Statistics & Numerical Data] KW - *Hospice Care/td [Trends] ER - TY - JOUR TI - Trends in fall-related hospitalisations in older people living in aged care facilities. AU - Russell, M AU - Clapperton, A AU - Vu, T AU - Day, L T2 - Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA AB - UNLABELLED: The aim is to describe the trends in fall-related hospitalisations for older people living in aged care facilities. Over the 9-year period investigated, there were dramatic increases in fall-related hospitalisations. This worrying trend highlights that we may not be addressing falls in aged care facilities sufficiently., INTRODUCTION: The purposes of this study are to describe the trends in fall-related hospitalisations in older people living in aged care facilities and to compare these trends across different demographic groups and injury types., METHODS: This study was conducted in Australia's second most populous state, Victoria. Aged care facilities in Australia provide high- and low-level nursing care for people who can no longer live independently. Included in this study were hospital admitted episodes of care which met the following criteria: age 65+ years at admission, an admission source indicating a transfer from an aged care facility, an external cause indicating a fall, a care type of 'acute', a Victorian postcode of residence, and an admission date between July 1, 2003 and June 30, 2012 (inclusive). Rate denominator data were Victorian aged care bed years., RESULTS: Over the last 9 years, 7098 episodes of care met the inclusion criteria. The age-standardised rate of hospitalisation increased by 11% (95% confidence interval [CI] 9%, 12%) per year. Serious injury increased at a slower pace than less serious injury. The slowest rate increase was for hip fracture (incidence rate ratio: 1.03 (95% CI 1.00, 1.06), the most common fracture type., CONCLUSIONS: Rates of fall-related hospitalisations in older people living in aged care facilities increased at a dramatic pace in the period studied. The relative slower increase in hip fracture may point towards changing referral practices, possible success in osteoporosis management, body mass index increases in older people living in aged care facilities or a combination of these factors. DA - 2015/// PY - 2015 DO - 10.1007/s00198-014-2946-4 VL - 26 IS - 3 SP - 1219 EP - 24 J2 - Osteoporos Int SN - 1433-2965 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25377498 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Fractures, Bone/ep [Epidemiology] KW - *Hospitalization/td [Trends] KW - Victoria/ep [Epidemiology] ER - TY - JOUR TI - Assessing the agreement between 3-meter and 6-meter walk tests in 136 community-dwelling older adults. AU - Lyons, Jennifer G AU - Heeren, Tim AU - Stuver, Sherri O AU - Fredman, Lisa T2 - Journal of aging and health AB - OBJECTIVE: Walking speed is an important marker of functionality that is measured over courses of varying lengths, but it is unclear if course length affects measured pace., METHOD: A total of 136 older adults completed two consecutive trials each of 3-m and 6-m walking courses, the order of which was randomly assigned. We calculated concordance correlation coefficients (CCC) and created Bland-Altman plots to evaluate the relationship between the two course distances., RESULTS: Average walking speed was faster for the 6-m course and the second trial of each course. There was high concordance between the first and second trials for both the 3-m and 6-m courses., DISCUSSION: The 3- and 6-m courses had excellent test-retest reliability and faster walking speed in later than earlier trials. Higher concordance between courses for later trials suggests the utility of practice trials and adjusting for course length when combining walking speed measurements between different course lengths. Copyright © The Author(s) 2014. DA - 2015/// PY - 2015 DO - 10.1177/0898264314556987 VL - 27 IS - 4 SP - 594 EP - 605 J2 - J Aging Health SN - 1552-6887 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25376604 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Reproducibility of Results KW - *Independent Living KW - *Geriatric Assessment/mt [Methods] KW - *Walking/ph [Physiology] KW - *Exercise Test/mt [Methods] KW - Acceleration ER - TY - JOUR TI - Admission for osteoporotic pelvic fractures and predictors of length of hospital stay, mortality and loss of independence. AU - Marrinan, Sarah AU - Pearce, Mark S AU - Jiang, Xue Yan AU - Waters, Sheena AU - Shanshal, Yousif T2 - Age and ageing AB - OBJECTIVE: To study the implications of osteoporotic pelvic fractures in older patients in terms of mortality, length of hospital stay and independent living., METHODS: The study included 110 consecutive patients, aged over 60 years, with osteoporotic pelvic fractures admitted to the Queen Elizabeth Hospital, Gateshead, between July 2009 and March 2011. Demographic and routine clinical data were collected prospectively until date of discharge, and vital status data were collected up to 3 months post-fracture. These data were analysed to assess associations with outcomes such as length of hospital stay, mortality and loss of independence (according to changes in residential housing status)., RESULTS: Fourteen patients died either in hospital, or within 3 months of fracture. Length of hospital stay was associated with age (b=0.77 days per year, 95% CI 0.001, 1.54, P=0.05) and was significantly longer in those with acute medical problems on admission (b=21.2 days, 95% CI 8.72, 33.73, P=0.001). The odds of changing from independent to institutionalised accommodation were significantly associated with age (OR 1.08 per year, 95% CI 1.01, 1.04, P=0.007) and length of hospital stay (OR 1.12 per day, 95% CI 1.01, 1.04, P=0.007)., CONCLUSION: In-hospital mortality rates in this patient group are similar to those seen for hip fractures, yet pelvic fractures in older people receive relatively little in the way of attention or funding. Guidelines to improve the management of such fractures in older people are important to improve care while in hospital, reduce time spent in hospital and reduce the impact on independent living. Copyright © The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/ageing/afu123 VL - 44 IS - 2 SP - 258 EP - 61 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25365963 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Risk Assessment KW - Logistic Models KW - *Independent Living KW - Time Factors KW - *Assisted Living Facilities KW - Prospective Studies KW - Odds Ratio KW - Prognosis KW - Linear Models KW - England/ep [Epidemiology] KW - Pelvic Bones/pp [Physiopathology] KW - *Length of Stay KW - *Hospital Mortality KW - *Osteoporotic Fractures KW - *Pelvic Bones/in [Injuries] KW - Osteoporotic Fractures/di [Diagnosis] KW - Osteoporotic Fractures/mo [Mortality] KW - Osteoporotic Fractures/pp [Physiopathology] KW - Osteoporotic Fractures/th [Therapy] ER - TY - JOUR TI - Supportive housing and forensic patient outcomes. AU - Salem, Leila AU - Crocker, Anne G AU - Charette, Yanick AU - Seto, Michael C AU - Nicholls, Tonia L AU - Cote, Gilles T2 - Law and human behavior AB - In Canada, Review Boards are mandated to evaluate individuals found Not Criminally Responsible on Account of Mental Disorder (NCRMD) on an annual basis and render 1 of 3 dispositions: (a) custody, (b) conditional discharge, or (c) absolute discharge. To promote social reintegration, conditional discharge can be ordered with the condition to live in supportive housing. However, NCRMD accused face great barriers to housing access as a result of the stigma associated with the forensic label. The goal of this study was to evaluate the role of housing in the clinical and criminal trajectories of forensic patients as they reintegrate into the community. Data for this study were extracted from a national study of individuals found NCRMD in Canada (Crocker, Nicholls, Seto, Cote, et al., in press). The present study focuses on a random sample of NCRMD accused in the province of Quebec, who were under a conditional discharge disposition during the study period (n = 837). Controlling for sociodemographic, clinical, and criminal variables, survival analysis showed that individuals placed in independent housing following a conditional discharge from the Review Board were 2.5 times more likely to commit a new offense, nearly 3 times more likely to commit an offense against a person, and 1.4 times more likely to be readmitted for psychiatric treatment compared with individuals residing in supportive housing. These results point to the influence housing can have on the trajectories of forensic patients, above and beyond a range of clinical, criminological, and sociodemographic factors. Copyright (c) 2015 APA, all rights reserved). DA - 2015/// PY - 2015 DO - 10.1037/lhb0000112 VL - 39 IS - 3 SP - 311 EP - 20 J2 - Law Hum Behav SN - 1573-661X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25365472 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Outcome Assessment (Health Care) KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Housing KW - Databases, Factual KW - Quebec KW - Mental Competency/px [Psychology] KW - *Criminals/px [Psychology] KW - *Forensic Psychiatry KW - *Insanity Defense ER - TY - JOUR TI - Atypical antipsychotic drug use and falls among nursing home residents in Winnipeg, Canada. AU - Bozat-Emre, Songul AU - Doupe, Malcolm AU - Kozyrskyj, Anita L AU - Grymonpre, Ruby AU - Mahmud, Salaheddin M T2 - International journal of geriatric psychiatry AB - OBJECTIVE: The purpose of this study is to assess whether atypical antipsychotic drug (AAD) use is associated with increased risk of falling among older (>=65 years) nursing home (NH) residents., METHODS: We conducted a nested case-control study using Resident Assessment Instrument Minimum Data Set 2.0 (RAI-MDS(©)) for NHs to identify falls, and population-based administrative healthcare databases to measure drug use and other study covariates. Cases (n = 626) were NH residents in Winnipeg, Canada, who had a fall between 1 April 2005 and 31 March 2007, and were matched to four controls on age, sex, and length of NH stay (n = 2388)., RESULTS: While the odds of falling were statistically greater for AAD users versus nonusers (OR = 1.6, 95% CI 1.1-2.3), this association was type and dose dependent. Compared to nonusers, the odds of falling were greater for high-dose (>150 mg/day) quetiapine users and for high-dose (>2 mg/day) risperidone users. On the other hand, olanzapine (regardless of dose), low-dose quetiapine, and low-dose risperidone use were not associated with increased fall risk. Furthermore, the effect of AAD use, in general, on the risk of falling was significantly greater for people with wandering problems (OR = 1.8, 95% CI 1.1-3.1)., CONCLUSIONS: Our findings suggest greater risk of falling with high-dose quetiapine use and with high-dose risperidone use among NH residents. In addition, the effect of AAD use was greater for people who frequently wander. Further research is needed to confirm these findings, and to address other important unanswered questions about the safest dose and duration of AAD use. Copyright © 2014 John Wiley & Sons, Ltd. DA - 2015/// PY - 2015 DO - 10.1002/gps.4223 VL - 30 IS - 8 SP - 842 EP - 50 J2 - Int J Geriatr Psychiatry SN - 1099-1166 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25363460 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Antipsychotic Agents/tu [Therapeutic Use] KW - Case-Control Studies KW - Risk KW - Canada/ep [Epidemiology] KW - *Antipsychotic Agents/ae [Adverse Effects] ER - TY - JOUR TI - Changes in gait performance over several years are associated with recurrent falls status in community-dwelling older women at high risk of fracture. AU - Scott, David AU - McLaughlin, Patrick AU - Nicholson, Geoff C AU - Ebeling, Peter R AU - Stuart, Amanda L AU - Kay, Deborah AU - Sanders, Kerrie M T2 - Age and ageing AB - BACKGROUND: Gait analysis is a recommended geriatric assessment for falls risk and sarcopenia; however, previous research utilises measurements at a single time point only. It is presently unclear how changes in gait over several years influence risk of recurrent falls in older adults., METHODS: We investigated 135 female volunteers (mean age+/-SD: 76.7+/-5.0 years; range: 70-92 years) at high risk of fracture. Gait parameters (speed, cadence, step length, step width, swing time and double support phase) were assessed using the GAITRite Electronic Walkway System at four annual clinics over ~3.7+/-0.5 years. Participants reported incident falls monthly for 3.7+/-1.2 years., RESULTS: Increasing gait speed (odds ratio: 0.96; 95% confidence interval 0.93, 0.99) and step length (0.87; 0.77, 0.98) from baseline to final follow-up was associated with reduced likelihood of being a recurrent faller over the study period. No significant associations were observed for baseline gait parameters (all P>=0.05). At the second follow-up (2.8+/-0.6 years), an increase in swing time (0.65; 0.43, 0.98) was associated with reduced likelihood, while an increase in double support phase (1.31; 1.04, 1.66) was associated with increased likelihood, for being a recurrent faller in the subsequent 1.3 years following this time point., CONCLUSION: Changes in gait parameters over several years are significantly associated with the likelihood of being a recurrent faller among community-dwelling older women at high risk of fracture. Further research is required to develop gait monitoring guidelines and gait parameter decline cut points that may be utilised by clinicians to identify older adults at risk of incident falls and sarcopenia. Copyright © The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/ageing/afu169 VL - 44 IS - 2 SP - 287 EP - 93 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25362105 KW - Female KW - Humans KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Victoria KW - Logistic Models KW - *Independent Living KW - Time Factors KW - Accidental Falls/pc [Prevention & Control] KW - Prospective Studies KW - Geriatric Assessment KW - Likelihood Functions KW - Odds Ratio KW - *Accidental Falls KW - *Gait KW - Prognosis KW - Predictive Value of Tests KW - Recurrence KW - *Hip Fractures/et [Etiology] KW - Chi-Square Distribution KW - Hip Fractures/pp [Physiopathology] KW - Hip Fractures/di [Diagnosis] ER - TY - JOUR TI - Correlates of attitudes toward personal aging in older assisted living residents. AU - Park, Nan Sook AU - Jang, Yuri AU - Lee, Beom S AU - Chiriboga, David A AU - Molinari, Victor T2 - Journal of gerontological social work AB - This study explored factors contributing to older adults' self-perceptions about their own aging in assisted living (AL) communities. Data analysis was completed based on interviews with 150 older residents from 17 AL communities. Multiple regression analyses found that functional disability and hearing impairment negatively affected attitudes toward personal aging among AL residents, and satisfaction with social support positively influenced attitudes. Health perception mediated attitudes toward personal aging. Findings suggest the importance of social workers helping older AL residents recognize social support as a means of promoting their positive self-regard. DA - 2015/// PY - 2015 DO - 10.1080/01634372.2014.978926 VL - 58 IS - 3 SP - 232 EP - 52 J2 - J Gerontol Soc Work SN - 1540-4048 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25356884 KW - Female KW - Humans KW - Male KW - Aged KW - *Attitude to Health KW - Social Behavior KW - *Health Status KW - *Assisted Living Facilities/td [Trends] KW - *Perception KW - Self Concept ER - TY - JOUR TI - Diagnostic test accuracy of simple instruments for identifying frailty in community-dwelling older people: a systematic review. AU - Clegg, Andrew AU - Rogers, Luke AU - Young, John T2 - Age and ageing AB - BACKGROUND: frailty is a state of vulnerability to adverse outcomes. Routine identification of frailty is recommended in international guidance. This systematic review investigates the diagnostic test accuracy (DTA) of simple instruments for identifying frailty in community-dwelling older people., METHODS: the review methodology followed Cochrane procedures. Databases were searched from January 1990 to October 2013. Prospective studies assessing the DTA of simple instruments for identifying frailty in community-dwelling older people (aged >=65 years) as index tests against a reference standard phenotype model, cumulative deficit frailty index or comprehensive geriatric assessment were eligible for inclusion. Sensitivity, specificity, positive predictive value, negative predictive value and likelihood ratios were calculated for index tests. Risk of bias was assessed using the QUADAS-2 checklist., RESULTS: three studies involving 3,261 participants were included. Median frailty prevalence was 10.5%. Seven index tests were assessed: gait speed, timed-up-and-go test, PRISMA 7 questionnaire, self-reported health, general practitioner clinical assessment, polypharmacy and Groningen Frailty Index. For a gait speed of <0.8 m/s, the sensitivity = 0.99 and specificity = 0.64. For the PRISMA 7, the sensitivity = 0.83 and specificity = 0.83. For the timed get-up-and-go test of 10 s, the sensitivity = 0.93 and specificity = 0.62. DTA was notably lower for all other index tests. All three studies were judged at unclear risk of bias., DISCUSSION: slow gait speed, PRISMA 7 and the timed get-up-and-go test have high sensitivity for identifying frailty. However, limited specificity implies many false-positive results which means that these instruments cannot be used as accurate single tests to identify frailty. Copyright © The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/ageing/afu157 VL - 44 IS - 1 SP - 148 EP - 52 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25355618 KW - Humans KW - Aged KW - Reproducibility of Results KW - Surveys and Questionnaires KW - *Independent Living KW - *Geriatric Assessment/mt [Methods] KW - *Aging KW - Age Factors KW - *Frail Elderly KW - Gait KW - Motor Activity KW - *Health Status Indicators KW - Polypharmacy KW - Predictive Value of Tests KW - Physical Examination KW - False Positive Reactions ER - TY - JOUR TI - The relationship between exposure to dementia-related aggressive behavior and occupational stress among Japanese care workers. AU - Hirata, Hiromi AU - Harvath, Theresa A T2 - Journal of gerontological nursing AB - Aggressive behaviors (ABs) related to dementia in older adults have been associated with increased occupational stress among care workers (CWs) in the United States and other Western countries, and they may contribute to staff turnover. However, few studies related to this issue have been conducted in Japan. The current cross-sectional study examined (a) the relationship between CW frequency of exposure to dementia-related ABs and CW occupational stress (i.e., job burnout, job satisfaction, and intention to resign), and (b) mediator effects between frequency of exposure to dementia-related ABs and CW occupational stress. A total of 137 CWs in dementia special care units from 10 nursing homes in Japan were recruited as study participants. Major findings indicate that the relationship between exposure to ABs and work outcomes was fully mediated by the appraisal of stress. Findings from this study may be used to develop culturally relevant training and educational interventions targeted at reducing ABs in individuals with dementia and occupational stress from exposure to ABs among CWs. Copyright 2015, SLACK Incorporated. DA - 2015/// PY - 2015 DO - 10.3928/00989134-20141014-01 VL - 41 IS - 4 SP - 38 EP - 46 J2 - J Gerontol Nurs SN - 0098-9134 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25347865 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Japan/ep [Epidemiology] KW - Cross-Sectional Studies KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Dementia/ep [Epidemiology] KW - Stress, Psychological/ep [Epidemiology] KW - Incidence KW - *Aggression KW - *Workplace Violence/sn [Statistics & Numerical Data] KW - Workplace Violence/px [Psychology] KW - Health Personnel/px [Psychology] KW - *Dementia/nu [Nursing] KW - Job Satisfaction KW - Health Personnel/sn [Statistics & Numerical Data] KW - Burnout, Professional/px [Psychology] KW - Environmental Monitoring KW - *Burnout, Professional/ep [Epidemiology] KW - *Occupational Exposure/sn [Statistics & Numerical Data] KW - Personnel Turnover/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Under-reporting of food intake and body fatness in independent older people: a doubly labelled water study. AU - Pfrimer, Karina AU - Vilela, Mariana AU - Resende, Cristina Maria AU - Scagliusi, Fernanda Baeza AU - Marchini, Julio Sergio AU - Lima, Nereida K C AU - Moriguti, Julio Cesar AU - Ferriolli, Eduardo T2 - Age and ageing AB - BACKGROUND: there are no accurate methods for the assessment of food intake in older populations, under-reporting of intake being highly prevalent. There is controversy about which dietary assessment method and what person's characteristics are associated with greater under-reporting rates., OBJECTIVE: to assess the correlation between under-reporting of energy intake (EI) and different percentages of body fat in independent older people., DESIGN: cross-sectional study., SETTTING: area assisted by the Family Health Program of the Ribeirao Preto Medical School, University of Sao Paulo, Brazil., SUJECTS: one hundred volunteers aged 60-70 years., METHODS: all volunteers had their body composition assessed by dual-energy x-ray absorptiometry. In second phase, 41 volunteers were evaluated, representing the four quartiles of fat percentage. Total energy expenditure (TEE) was measured by the doubly labelled water method, and EI was assessed by 24-h recalls and a food frequency questionnaire (FFQ). TEE and EI values, EI-to-TEE ratios and EI-TEE values were compared., RESULTS: TEE was 2,220 +/- 601 kcal, while the EI was 1,919 +/- 602 kcal (24-h recall) and 2,119 +/- 670 kcal (FFQ). The proportion of under-reporters was 31 and 40.5%, respectively. Under-reporting was more frequent in subjects with higher percentage of body fat and in females (P < 0.05)., CONCLUSION: under-reporting was more frequent among older persons with higher percentage of body fat in both methods of assessment of food intake. Older persons follow the same profile of under-reporting as younger adults. Copyright © The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/ageing/afu142 VL - 44 IS - 1 SP - 103 EP - 8 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25341675 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Reproducibility of Results KW - *Independent Living KW - Time Factors KW - Cross-Sectional Studies KW - *Aging KW - Age Factors KW - *Self Report KW - Brazil KW - Predictive Value of Tests KW - Absorptiometry, Photon KW - *Adiposity KW - Energy Metabolism KW - *Eating KW - Urinalysis KW - *Energy Intake KW - *Diet Records KW - *Deuterium Oxide KW - Calorimetry, Indirect ER - TY - JOUR TI - Evaluation of stair climbing in elderly people. AU - Mustafaoglu, Rustem AU - Unver, Bayram AU - Karatosun, Vasfi T2 - Journal of back and musculoskeletal rehabilitation AB - BACKGROUND: Stair climbing is an important but neglected aspect of independent living. Clinicians should pay attention to the ability to negotiate stairs in elderly and disabled patients., OBJECTIVE: The aim of this study was to determine the effects of age, gender, medication use, cognitive status, lower extremity pathology and pain on the activities of stair negotiation in the elderly population in Turkish society., METHODS: Volunteer elderly people (254) were included the study. Participants were assessed in terms of their medication use, cognitive status, lower extremity pathology and pain and the activity of climbing the stairs., RESULTS: Significant differences were found on the activities of stair negotiation between the elderly with and without lower extremity pathology, with and without lower extremity pain, with and without medication use (p< 0.05). A positive and moderate correlation was found between age and the activity of stair climbing (r= 0.24, p< 0.01)., CONCLUSIONS: Activity of stair climbing is affected by age, medication use, the presence of lower extremity pathology and pain. We consider that this information will be helpful for planning an appropriate and effective rehabilitation programme for elderly people for decreasing their risk of falling and increasing their independence level during their activities of daily living. DA - 2015/// PY - 2015 DO - 10.3233/BMR-140549 VL - 28 IS - 3 SP - 509 EP - 16 J2 - J Back Musculoskeletal Rehabil SN - 1878-6324 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25335569 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Activities of Daily Living KW - *Motor Activity/ph [Physiology] KW - Cross-Sectional Studies KW - *Accidental Falls KW - Cognition/ph [Physiology] KW - *Walking/ph [Physiology] KW - Lower Extremity/pp [Physiopathology] KW - Pain/px [Psychology] KW - Pain/pp [Physiopathology] ER - TY - JOUR TI - Smoking and mortality in a prospective cohort study of elderly Chinese in Hong Kong. AU - Lam, Tai H AU - Xu, Lin AU - Schooling, C Mary AU - Chan, Wai M AU - Lee, Siu Y AU - Leung, Gabriel M T2 - Addiction (Abingdon, England) T3 - [Comment in: Addiction. 2015 Mar;110(3):511-2; PMID: 25678294 [https://www.ncbi.nlm.nih.gov/pubmed/25678294]] AB - BACKGROUND AND AIMS: Large cohort studies on smoking and mortality in elderly people are scarce, and few studies examined smokers aged 85+ years separately. We estimated the risks of all-cause and cause-specific mortality due to smoking in an elderly Chinese cohort in Hong Kong., DESIGN: A population-based prospective cohort of 65,510 Chinese enrolled from 1998 to 2001 and followed until May 2012., SETTING: All 18 Elderly Health Service centres in Hong Kong, China., PARTICIPANTS: Elderly people aged 65+ years., MEASUREMENTS: Self-reported smoking status was assessed at baseline interview and categorized as never, former and current smokers., FINDINGS: Compared with never smokers, after adjustment for sex, age, education, social security assistance, housing type, monthly expenditure, alcohol use, depressive symptoms and health status, the hazard ratio (HR) for current smokers was 1.89 [95% confidence interval (CI) = 1.81-1.98] for all participants aged 65+ years at baseline, corresponding to an attributable fraction (AF) of about 50%, which is based on AF = (HR-1)/HR. As the effect of smoking varied with age (P for age interaction <0.001), subgroup analysis by age group showed that the adjusted HR for current smokers aged 65-84 years was 1.93 (95% CI = 1.84-2.03), and for 85+ years was 1.29 (95% CI = 1.05-1.58). All the risk estimates did not vary by sex (P for sex interaction ranged 0.74-0.89)., CONCLUSIONS: In Hong Kong, the risk of death from smoking appears to be the same for Chinese women as it is for men. Half of all deaths in Chinese smokers aged 65 years and older and a quarter of all deaths in Chinese smokers aged 85 years and older are caused by smoking-attributable diseases. Copyright © 2014 Society for the Study of Addiction. DA - 2015/// PY - 2015 DO - 10.1111/add.12776 VL - 110 IS - 3 SP - 502 EP - 10 J2 - Addiction SN - 1360-0443 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25331629 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cohort Studies KW - Sex Factors KW - Prospective Studies KW - Cause of Death KW - Proportional Hazards Models KW - Mortality KW - Smoking/ep [Epidemiology] KW - Multivariate Analysis KW - *Cardiovascular Diseases/mo [Mortality] KW - Asian Continental Ancestry Group KW - Hong Kong/ep [Epidemiology] KW - *Lung Neoplasms/mo [Mortality] KW - *Pulmonary Disease, Chronic Obstructive/mo [Mortality] KW - *Smoking/mo [Mortality] ER - TY - JOUR TI - Associations between environmental characteristics and life-space mobility in community-dwelling older people. AU - Rantakokko, Merja AU - Iwarsson, Susanne AU - Portegijs, Erja AU - Viljanen, Anne AU - Rantanen, Taina T2 - Journal of aging and health AB - OBJECTIVE: To examine the association between perceived environmental barriers to and facilitators for outdoor mobility with life-space among older people., METHODS: Community-dwelling, 75- to 90-year-old people (n = 848) were interviewed face-to-face using standard questionnaires. The Life-Space Assessment (LSA), indicating distance and frequency of moving and assistance needed in moving (range 0-120), was used. Environmental barriers and facilitators outdoors were self-reported., RESULTS: Altogether, 41% (n = 348) of the participants had restricted life-space (LSA score < 60). Those reporting one or more environmental barriers had more than double the odds for restricted life-space compared with those reporting no barriers after adjustments for ill health, functioning, and socioeconomic status (SES) differences. Similarly, those reporting four to seven facilitators had lower odds for restricted life-space compared with those reporting three or fewer facilitators., DISCUSSION: Perceptions of one's environment may either constrain or extend older people's life-space. Longitudinal studies are needed to study the causality of the findings. Copyright © The Author(s) 2014. DA - 2015/// PY - 2015 DO - 10.1177/0898264314555328 VL - 27 IS - 4 SP - 606 EP - 21 J2 - J Aging Health SN - 1552-6887 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25326130 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - *Environment KW - *Activities of Daily Living/px [Psychology] KW - *Mobility Limitation KW - Environment Design ER - TY - JOUR TI - The predictive value of gait speed and maximum step length for falling in community-dwelling older persons. AU - Bongers, Kim T J AU - Schoon, Yvonne AU - Graauwmans, Maartje J AU - Schers, Henk J AU - Melis, Rene J AU - Olde Rikkert, Marcel G M T2 - Age and ageing AB - BACKGROUND: Falling is a major health problem., OBJECTIVE: To investigate the predictive value for falls of the maximum step length and gait speed., DESIGN: A prospective cohort study., SETTING: Geriatric outpatient clinic., SUBJECTS: Three hundred and fifty-two community-dwelling older persons screened by their general practitioner., METHODS: Maximum step length and gait speed were recorded as part of a comprehensive geriatric assessment. One-year follow-up was performed using the fall telephone system., RESULTS: One hundred and thirty-six (39%) of all subjects (mean age: 76.2 years, standard deviation: 4.3, 55% female), fell at least once, of whom 96 were injured. Predictive values for any falls of both maximum step length and gait speed were low (area under the curve (AUC): 0.53 and 0.50) and slightly better for recurrent falls (maximum step length AUC: 0.64 and gait speed AUC: 0.59). After adding age, gender and fall history to the prediction model, the AUC was 0.63 for maximum step length and 0.64 for gait speed, and for recurrent falls, the AUC was 0.69 both for maximum step length and gait speed. The prediction of fall-related injuries showed similar results. A higher maximum step length score indicated a lower likelihood for falls (hazards ratio 0.36; 95% confidence interval 0.17-0.78)., CONCLUSIONS: Maximum step length and gait speed as single-item tools do not have sufficient power to predict future falls in community-dwelling older persons. Copyright © The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/ageing/afu151 VL - 44 IS - 2 SP - 294 EP - 9 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25324333 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - *Independent Living KW - Time Factors KW - *Geriatric Assessment/mt [Methods] KW - Prospective Studies KW - *Accidental Falls KW - *Gait KW - Predictive Value of Tests KW - Recurrence KW - General Practice ER - TY - JOUR TI - An innovative solid oral nutritional supplement to fight weight loss and anorexia: open, randomised controlled trial of efficacy in institutionalised, malnourished older adults. AU - Pouyssegur, Valerie AU - Brocker, Patrice AU - Schneider, Stephane M AU - Philip, Jean Luc AU - Barat, Philippe AU - Reichert, Ewa AU - Breugnon, Frederic AU - Brunet, Didier AU - Civalleri, Bruno AU - Solere, Jean Paul AU - Bensussan, Line AU - Lupi-Pegurier, Laurence T2 - Age and ageing AB - BACKGROUND AND OBJECTIVE: To evaluate the impact of a solid nutritional supplement on the weight gain of institutionalised older adults>70 years with protein-energy malnutrition. The innovation of these high-protein and high-energy cookies was the texture adapted to edentulous patients (Protibis, Solidages, France)., DESIGN: An open, multicentre, randomised controlled trial., SETTING: Seven nursing homes., PARTICIPANTS: One hundred and seventy-five malnourished older adults, aged 86+/-8 years., INTERVENTION: All participants received the standard institutional diet. In addition, Intervention group participants received eight cookies daily (11.5 g protein; 244 kcal) for 6 weeks (w0-w6)., MEASUREMENTS: Five visits (w-4, w0, w6, w10 and w18)., MAIN OUTCOME: Percentage of weight gain from w0 to w6 (body mass in kg)., SECONDARY OUTCOMES: Appetite, rated using a numerical scale (0: no appetite to 10: extremely good appetite); current episodes of pressure ulcers and diarrhea., RESULTS: Average weight increased in Intervention group (n=88) compared with Control group (n=87) without cookies supplementation (+1.6 versus -0.7%, P=0.038). Weight gain persisted 1 month (+3.0 versus -0.2%, P=0.025) and 3 months after the end of cookies consumption (+3.9 versus -0.9%, P=0.003), with diarrhea reduction (P=0.027). There was a synergistic effect with liquid/creamy dietary supplements. Subgroup analysis confirmed the positive impact of cookies supplementation alone on weight increase (P=0.024), appetite increase (P=0.009) and pressure ulcers reduction (P=0.031)., CONCLUSION: The trial suggested that, to fight against anorexia, the stimulation of touch (finger food; chewing, even on edentulous gums) and hearing (intra-oral sounds) could be valuable alternatives to sight, smell and taste alterations. Copyright © The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/ageing/afu150 VL - 44 IS - 2 SP - 245 EP - 51 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25324332 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Time Factors KW - *Homes for the Aged KW - *Nursing Homes KW - Age Factors KW - Geriatric Assessment KW - Nutrition Assessment KW - Nutritional Status KW - Energy Intake KW - Aging KW - Weight Gain KW - Emotions KW - France KW - Dietary Proteins/ad [Administration & Dosage] KW - *Weight Loss KW - Appetite KW - Protein-Energy Malnutrition/pp [Physiopathology] KW - Protein-Energy Malnutrition/di [Diagnosis] KW - Protein-Energy Malnutrition/px [Psychology] KW - *Anorexia/th [Therapy] KW - *Enteral Nutrition/mt [Methods] KW - *Food, Formulated KW - *Protein-Energy Malnutrition/th [Therapy] KW - Anorexia/di [Diagnosis] KW - Anorexia/pp [Physiopathology] KW - Anorexia/px [Psychology] ER - TY - JOUR TI - An RCT to evaluate the utility of a clinical protocol for staff in the management of behavioral and psychological symptoms of dementia in residential aged-care settings. AU - McCabe, Marita P AU - Bird, Michael AU - Davison, Tanya E AU - Mellor, David AU - MacPherson, Sarah AU - Hallford, David AU - Seedy, Melissa T2 - Aging & mental health AB - OBJECTIVES: Behavioral and psychological symptoms of dementia (BPSD) cause significant stress and distress to both aged-care residents and staff. This study evaluated a training program to assist staff to manage BPSD in residential care., METHOD: A randomised controlled trial (RCT) was employed. The study was included in the Australian and New Zealand Clinical Trial Register residential care facilities. Staff (n = 204) and residents (n = 187) were from 16 residential care facilities. Facilities were recruited and randomly assigned to four staff training conditions: (1) training in the use of a BPSD-structured clinical protocol, plus external clinical support, (2) a workshop on BPSD, plus external clinical support, (3) training in the use of the structured clinical protocol alone, and (4) care as usual. Staff and resident outcome measures were obtained pre-intervention, three months and six months post-intervention. The primary outcome was changes in BPSD, measured using the Cohen-Mansfield Agitation Inventory (CMAI) as well as frequency and duration of challenging behaviors. Secondary outcomes were changes in staff adjustment., RESULTS: There were improvements in challenging behaviors for both intervention conditions that included training in the BPSD instrument, but these were not maintained in the condition without clinical support. The training/support condition resulted in sustained improvements in both staff and resident variables, whereas the other conditions only led to improvement in some of the measured variables., CONCLUSION: These results demonstrate the effectiveness of the BPSD protocol in reducing BPSD and improving staff self-efficacy and stress. DA - 2015/// PY - 2015 DO - 10.1080/13607863.2014.967659 VL - 19 IS - 9 SP - 799 EP - 807 J2 - Aging Ment Health SN - 1364-6915 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25319535 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Attitude of Health Personnel KW - *Homes for the Aged KW - *Nursing Homes KW - *Dementia/nu [Nursing] KW - *Health Personnel/ed [Education] KW - *Problem Behavior KW - *Clinical Protocols/st [Standards] ER - TY - JOUR TI - Subjective physical and cognitive age among community-dwelling older people aged 75 years and older: differences with chronological age and its associated factors. AU - Ihira, Hikaru AU - Furuna, Taketo AU - Mizumoto, Atsushi AU - Makino, Keitaro AU - Saitoh, Shigeyuki AU - Ohnishi, Hirofumi AU - Shimada, Hiroyuki AU - Makizako, Hyuma T2 - Aging & mental health AB - OBJECTIVE: The aim of this cross-sectional study was to determine the associations between self-reported subjective physical and cognitive age, and actual physical and cognitive functions among community-dwelling older people aged 75 years and older., METHOD: The sample comprised 275 older adults aged 75-91 years. Two questions were asked regarding subjective age: 'How old do you feel physically?' and 'How old do you feel cognitively?' To assess physical functions, we measured handgrip strength, knee extension strength, standing balance and walking speed. Tests of attention, executive function, processing speed and memory were performed to assess actual cognitive function., RESULTS: Subjective physical and cognitive age was associated with performance on all of the physical and cognitive tests, respectively (p < 0.01). We also found that older adults who reported themselves as feeling older than their chronological age had a slower walking speed and lower scores for word-list memory recall than those who did not report themselves as feeling older than their actual age., CONCLUSION: These findings suggest that promoting a fast walking speed and good memory function may help to maintain a younger subjective physical and cognitive age in older adults aged 75 years and older. DA - 2015/// PY - 2015 DO - 10.1080/13607863.2014.967169 VL - 19 IS - 8 SP - 756 EP - 61 J2 - Aging Ment Health SN - 1364-6915 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25307795 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Cognition/ph [Physiology] KW - Cross-Sectional Studies KW - Age Factors KW - *Independent Living/px [Psychology] KW - *Aging/px [Psychology] KW - *Walking/px [Psychology] KW - Muscle Strength/ph [Physiology] KW - Postural Balance/ph [Physiology] KW - *Mental Recall/ph [Physiology] ER - TY - JOUR TI - The mediating effect of leptin on the relationship between body weight and knee osteoarthritis in older adults. AU - Fowler-Brown, Angela AU - Kim, Dae Hyun AU - Shi, Ling AU - Marcantonio, Edward AU - Wee, Christina C AU - Shmerling, Robert H AU - Leveille, Suzanne T2 - Arthritis & rheumatology (Hoboken, N.J.) T3 - [Comment in: Arthritis Rheumatol. 2015 Apr;67(4):1141; PMID: 25545456 [https://www.ncbi.nlm.nih.gov/pubmed/25545456]][Comment in: Arthritis Rheumatol. 2015 Apr;67(4):1141-2; PMID: 25545616 [https://www.ncbi.nlm.nih.gov/pubmed/25545616]] AB - OBJECTIVE: Obesity is associated with an increased risk of osteoarthritis (OA) of the knee. Emerging evidence suggests that adipokines, substances produced by adipose tissue, may play a role in the development of knee OA. The aim of this study was to determine whether the inflammatory adipokine leptin partially mediates the relationship between body mass index (BMI) and knee OA., METHODS: We used baseline data from 653 participants who were 70 years of age or older in the population-based Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly Boston Study. Height and weight were measured, and participants were assessed for knee OA using clinical criteria. Serum leptin was measured using a microsphere-based assay., RESULTS: The average BMI and the average serum leptin level were 27.5 kg/m(2) and 589 pM, respectively; the prevalence of knee OA was 24.7%. In regression models adjusted for covariates, we found that a 5-kg/m(2) increase in BMI was associated with 32% increased odds of knee OA (odds ratio [OR] 1.32, 95% confidence interval [95% CI] 1.10, 1.58); a 200-pM increase in serum leptin levels was associated with 11% increased odds of knee OA (OR 1.11, 95% CI 1.05, 1.17). The ratio of the standardized coefficients for the indirect:total effect calculated using the product-of-coefficients method was 0.49, suggesting that approximately half of the total effect of BMI on knee OA may be mediated by serum leptin. The estimated 95% CIs for the mediated effect suggest that this effect is statistically significant. Similarly, mediation analysis using a counterfactual approach suggested that the effect of leptin mediation was statistically significant., CONCLUSION: We found that almost half of the association between elevated BMI and knee OA could be explained by the inflammatory adipokine leptin. Copyright © 2015 by the American College of Rheumatology. DA - 2015/// PY - 2015 DO - 10.1002/art.38913 VL - 67 IS - 1 SP - 169 EP - 75 J2 - Arthritis rheumatol. SN - 2326-5205 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25302634 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Osteoarthritis, Knee/pp [Physiopathology] KW - Age Factors KW - Body Mass Index KW - *Obesity/co [Complications] KW - Regression Analysis KW - Biomarkers/bl [Blood] KW - Obesity/bl [Blood] KW - *Osteoarthritis, Knee/ep [Epidemiology] KW - Postural Balance/ph [Physiology] KW - *Obesity/pp [Physiopathology] KW - *Body Weight/ph [Physiology] KW - *Leptin/ph [Physiology] KW - Osteoarthritis, Knee/bl [Blood] ER - TY - JOUR TI - Chronic obstructive pulmonary disease, hospital visits, and comorbidities: National Survey of Residential Care Facilities, 2010. AU - Wheaton, Anne G AU - Ford, Earl S AU - Cunningham, Timothy J AU - Croft, Janet B T2 - Journal of aging and health AB - OBJECTIVE: To characterize the prevalence of chronic obstructive pulmonary disease (COPD) among residential care facility (RCF) residents in the United States, and to compare patterns of hospital visits and comorbidities with residents without COPD., METHOD: Resident data from the 2010 National Survey of Residential Care Facilities were analyzed. Medical history and information on past-year hospital visits for 8,089 adult residents were obtained from interviews with RCF staff., RESULTS: COPD prevalence was 12.4%. Compared with residents without COPD, emergency department visits or overnight hospital stays in the previous year were more prevalent (p < .05) among residents with COPD. Less than 3% of residents with COPD had no comorbidities. Arthritis, depression, congestive heart failure (CHF), diabetes, coronary heart disease, and asthma were more common (p < .05) among residents with COPD than those without COPD, but Alzheimer's disease was less common., DISCUSSION: COPD is associated with more emergency department visits, hospital stays, and comorbidities among RCF residents. Copyright © The Author(s) 2014. DA - 2015/// PY - 2015 DO - 10.1177/0898264314552419 VL - 27 IS - 3 SP - 480 EP - 99 J2 - J Aging Health SN - 1552-6887 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25288588 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - United States/ep [Epidemiology] KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - *Hospitalization/sn [Statistics & Numerical Data] KW - Comorbidity KW - Case-Control Studies KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - *Residential Facilities/sn [Statistics & Numerical Data] KW - Pulmonary Disease, Chronic Obstructive/th [Therapy] KW - *Pulmonary Disease, Chronic Obstructive/ep [Epidemiology] ER - TY - JOUR TI - Development of a Social Activities Scale for Community-Dwelling Older Women Requiring Support in Japan: A Preliminary Study. AU - Hirano, Michiyo AU - Kawahara, Kayoko AU - Saeki, Kazuko T2 - Public health nursing (Boston, Mass.) AB - OBJECTIVE: The purpose of this study was to develop a scale for measuring the social activities of community-dwelling older women requiring support in Japan., DESIGN AND SAMPLE: A methodological study was performed of 118 older women (>65 years old) requiring support and residing in region A of Japan., MEASURES: An anonymous questionnaire was administered through individual interviews, and valid responses were obtained from 110 people. The construct validity of the resulting scale was assessed by exploratory factor analysis. Criterion-related validity was tested by calculating Spearman's rank correlation coefficient between the resulting scale and the existing Social Activity Index for Elderly People (SAI-E). Reliability was tested by Cronbach's alpha coefficient., RESULTS: The Social Activity Scale for Community-Dwelling Older Women Requiring Support (SASOWS) was created. This scale comprised the following three subscales: "interactions with familiar people," "consulting with care service providers," and "performing proactive creative activities at home". Correlation of SASOWS with the existing SAI-E resulted in a correlation coefficient of .521 (p < .01). Cronbach's alpha for the entire scale was .772, and internal consistency was observed., CONCLUSIONS: SASOWS appears to be a reliable, valid, and useful scale to measure social activities specific for older women requiring support. Future studies should continue to examine the items and usefulness of this scale. Copyright © 2014 Wiley Periodicals, Inc. DA - 2015/// PY - 2015 DO - 10.1111/phn.12161 VL - 32 IS - 5 SP - 508 EP - 16 J2 - Public Health Nurs SN - 1525-1446 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25284634 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - *Independent Living KW - Japan KW - *Social Support KW - *Health Services Needs and Demand KW - *Surveys and Questionnaires KW - *Social Participation KW - Factor Analysis, Statistical ER - TY - JOUR TI - Prospective study of barriers to discharge from a spinal cord injury rehabilitation unit. AU - New, P W T2 - Spinal cord AB - STUDY DESIGN: Prospective open cohort case series of consecutive patients admitted with spinal cord damage to a spinal rehabilitation unit (SRU) between 1 January 2008 and 31 July 2013., OBJECTIVES: Measure the prevalence of barriers to discharge, their reasons and resulting additional unnecessary days in hospital., SETTING: SRU, Victoria, Australia., METHODS: Consecutive SRU admissions had prospective documentation of key clinical and demographic characteristics, the occurrence of any discharge barrier, the cause(s) and duration of unnecessary hospitalisation., RESULTS: There were 235 patients in the study; 138 (58.7%) were male and the median age was 63 years. Eighty-six (36.6%) patients had a discharge barrier. The most common reasons for a discharge barrier were: waiting for approval for long-term and supported care or services, residential care, home modifications, family deliberations regarding discharge planning and the provision of equipment necessary for discharge. The reasons accounting for the greatest number of additional hospital days were: home modifications, residential care, equipment necessary for discharge, waiting for approval for long-term and supported care or services and accommodation for people unable to return to their previous residence without readily available alternatives. Over the study period 17.5% (3176/18,184) of all bed-days were occupied by patients deemed to be clinically ready for discharge from the SRU but who had a discharge barrier., CONCLUSIONS: Barriers to discharge from rehabilitation for patients with spinal cord damage are common, substantial, and represent an important opportunity for health systems improvement. DA - 2015/// PY - 2015 DO - 10.1038/sc.2014.166 VL - 53 IS - 5 SP - 358 EP - 62 J2 - Spinal Cord SN - 1476-5624 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25266693 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Outcome Assessment (Health Care) KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Australia KW - Logistic Models KW - Cohort Studies KW - *Patient Discharge/sn [Statistics & Numerical Data] KW - *Length of Stay/sn [Statistics & Numerical Data] KW - *Spinal Cord Injuries/rh [Rehabilitation] KW - *Rehabilitation/sn [Statistics & Numerical Data] KW - Rehabilitation/og [Organization & Administration] ER - TY - JOUR TI - Leisure, functional disability and depression among older Chinese living in residential care homes. AU - Ouyang, Zheng AU - Chong, Alice M L AU - Ng, Ting Kin AU - Liu, Susu T2 - Aging & mental health AB - OBJECTIVES: Previous research has rarely examined the intervening and buffering effects of leisure on the relationship between age-related stress and health among institutionalized elders, especially in the Chinese context. This study thus examines the extent to which participation in leisure activities mediates and moderates the impact of functional disability on depression among older adults living in residential care homes in China., METHOD: A total of 1429 participants (858 men) aged over 60 living in residential care homes, of which 46.1% experienced depression using a cut-off score >= 5 on the 15-item Geriatric Depression Scale, were selected from a national survey across China by using the probability proportional to size sampling method., RESULTS: The findings showed that depression was positively predicted by functional disability and negatively predicted by participation in leisure activities. The results of the mediation analysis showed that participation in leisure activities partially mediated the relationship between functional disability and depression. Functional disability predicted depression both directly and indirectly through its negative influence on participation in leisure activities. Participation in leisure activities also significantly buffered the relationship between functional disability and depression such that the impact of functional disability was weaker for those who participated in leisure activities more frequently., CONCLUSION: These results provide support for the mediating and moderating roles of leisure in the stress-health relationship among institutionalized elders. To enhance residents' psychological health, residential care homes are recommended to organize more leisure activities. DA - 2015/// PY - 2015 DO - 10.1080/13607863.2014.962009 VL - 19 IS - 8 SP - 723 EP - 30 J2 - Aging Ment Health SN - 1364-6915 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25266496 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Depression/ep [Epidemiology] KW - China/ep [Epidemiology] KW - *Aging/px [Psychology] KW - Depression/px [Psychology] KW - *Disabled Persons/sn [Statistics & Numerical Data] KW - *Leisure Activities KW - Disabled Persons/px [Psychology] KW - Leisure Activities/px [Psychology] ER - TY - JOUR TI - Association of quality of life with laboratory measurements and lifestyle factors in community dwelling older people in Taiwan. AU - Wu, Tai-Yin AU - Chie, Wei-Chu AU - Liu, Jen-Pei AU - Liaw, Chen-Kun AU - Netuveli, Gopalakrishnan AU - Blane, David T2 - Aging & mental health AB - OBJECTIVES: Little is known about the influence of routine laboratory measurements and lifestyle factors on generic quality of life (QOL) at older ages. We aimed to study the relationship between generic QOL and laboratory measurements and lifestyle factors in community dwelling older Chinese people., METHODS: We conducted a cross-sectional analysis. Six hundred and ninety nine elders were randomly selected from the examinees of the annual health examination in Taipei City, Taiwan. Blood, urine and stool of the participants were examined and lifestyle data were collected. Participants completed the CASP-19 (control, autonomy, self-realization, pleasure) questionnaire, a 19-item QOL scale. The relationship between QOL and laboratory results and lifestyle factors was explored, using multiple linear regression and profile analysis., RESULTS: The mean age of the participants was 75.5 years (SD = 6.5), and 49.5% were female. Male gender standardized beta coefficients (beta = 0.122) and exercise habit (beta = 0.170) were associated with a better QOL, whereas advanced age (beta = -0.242), blurred vision (beta = -0.143), depression (beta = -0.125), central obesity (beta = -0.093), anemia (beta = -0.095), rheumatoid arthritis (beta = -0.073), Parkinsonism (beta = -0.079), malignancy (beta = -0.086) and motorcycle riding (beta = -0.086) were associated with a lower QOL. Profile analysis revealed that young-old males, social drinkers, regular exercisers and car drivers had the best QOL (all p < 0.001)., CONCLUSION: Of the many laboratory measurements, only anemia was associated with the lower QOL. By contrast, several lifestyle factors, such as social drinking, exercise habit and car driving, were associated with better QOL, whereas abdominal obesity and motorcycle riding were associated with lower QOL. DA - 2015/// PY - 2015 DO - 10.1080/13607863.2014.962000 VL - 19 IS - 6 SP - 548 EP - 59 J2 - Aging Ment Health SN - 1364-6915 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25266062 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - *Aging/ph [Physiology] KW - *Geriatric Assessment/mt [Methods] KW - Cross-Sectional Studies KW - *Quality of Life/px [Psychology] KW - Taiwan/ep [Epidemiology] KW - *Independent Living/px [Psychology] KW - Independent Living/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Body Mass Index KW - *Aging/px [Psychology] KW - Multivariate Analysis KW - Health Status Indicators KW - Aging/eh [Ethnology] KW - Factor Analysis, Statistical KW - *Life Style/eh [Ethnology] ER - TY - JOUR TI - Disaggregating activities of daily living limitations for predicting nursing home admission. AU - Fong, Joelle H AU - Mitchell, Olivia S AU - Koh, Benedict S K T2 - Health services research AB - OBJECTIVE: To examine whether disaggregated activities of daily living (ADL) limitations better predict the risk of nursing home admission compared to conventionally used ADL disability counts., DATA SOURCES: We used panel data from the Health and Retirement Study (HRS) for years 1998-2010. The HRS is a nationally representative survey of adults older than 50 years (n = 18,801)., STUDY DESIGN: We fitted Cox regressions in a continuous time survival model with age at first nursing home admission as the outcome. Time-varying ADL disability types were the key explanatory variables., PRINCIPAL FINDINGS: Of the six ADL limitations, bathing difficulty emerged as the strongest predictor of subsequent nursing home placement across cohorts. Eating and dressing limitations were also influential in driving admissions among more recent cohorts. Using simple ADL counts for analysis yielded similar adjusted R(2) s; however, the amount of explained variance doubled when we allowed the ADL disability measures to time-vary rather than remain static., CONCLUSIONS: Looking beyond simple ADL counts can provide health professionals insights into which specific disability types trigger long-term nursing home use. Functional disabilities measured closer in time carry more prognostic power than static measures. Copyright © Health Research and Educational Trust. DA - 2015/// PY - 2015 DO - 10.1111/1475-6773.12235 VL - 50 IS - 2 SP - 560 EP - 78 J2 - Health Serv Res SN - 1475-6773 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25256014 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Residence Characteristics KW - *Activities of Daily Living KW - *Geriatric Assessment/mt [Methods] KW - Sex Factors KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Age Factors KW - Socioeconomic Factors KW - *Patient Admission/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Home modifications to reduce injuries from falls in the home injury prevention intervention (HIPI) study: a cluster-randomised controlled trial. AU - Keall, Michael D AU - Pierse, Nevil AU - Howden-Chapman, Philippa AU - Cunningham, Chris AU - Cunningham, Malcolm AU - Guria, Jagadish AU - Baker, Michael G T2 - Lancet (London, England) T3 - [Comment in: Lancet. 2015 Jan 17;385(9964):205-6; PMID: 25255695 [https://www.ncbi.nlm.nih.gov/pubmed/25255695]] AB - BACKGROUND: Despite the considerable injury burden attributable to falls at home among the general population, few effective safety interventions have been identified. We tested the safety benefits of home modifications, including handrails for outside steps and internal stairs, grab rails for bathrooms, outside lighting, edging for outside steps, and slip-resistant surfacing for outside areas such as decks and porches., METHODS: We did a single-blind, cluster-randomised controlled trial of households from the Taranaki region of New Zealand. To be eligible, participants had to live in an owner-occupied dwelling constructed before 1980 and at least one member of every household had to be in receipt of state benefits or subsidies. We randomly assigned households by electronic coin toss to either immediate home modifications (treatment group) or a 3-year wait before modifications (control group). Household members in the treatment group could not be masked to their assigned status because modifications were made to their homes. The primary outcome was the rate of falls at home per person per year that needed medical treatment, which we derived from administrative data for insurance claims. Coders who were unaware of the random allocation analysed text descriptions of injuries and coded injuries as all falls and injuries most likely to be affected by the home modifications tested. To account for clustering at the household level, we analysed all injuries from falls at home per person-year with a negative binomial generalised linear model with generalised estimating equations. Analysis was by intention to treat. This trial is registered with the Australian New Zealand Clinical Trials Registry, number ACTRN12609000779279., FINDINGS: Of 842 households recruited, 436 (n=950 individual occupants) were randomly assigned to the treatment group and 406 (n=898 occupants) were allocated to the control group. After a median observation period of 1148 days (IQR 1085-1263), the crude rate of fall injuries per person per year was 0.061 in the treatment group and 0.072 in the control group (relative rate 0.86, 95% CI 0.66-1.12). The crude rate of injuries specific to the intervention per person per year was 0.018 in the treatment group and 0.028 in the control group (0.66, 0.43-1.00). A 26% reduction in the rate of injuries caused by falls at home per year exposed to the intervention was estimated in people allocated to the treatment group compared with those assigned to the control group, after adjustment for age, previous falls, sex, and ethnic origin (relative rate 0.74, 95% CI 0.58-0.94). Injuries specific to the home-modification intervention were cut by 39% per year exposed (0.61, 0.41-0.91)., INTERPRETATION: Our findings suggest that low-cost home modifications and repairs can be a means to reduce injury in the general population. Further research is needed to identify the effectiveness of particular modifications from the package tested., FUNDING: Health Research Council of New Zealand. Copyright © 2015 Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/S0140-6736(14)61006-0 VL - 385 IS - 9964 SP - 231 EP - 8 J2 - Lancet SN - 1474-547X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25255696 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Child KW - Aged KW - Aged, 80 and over KW - Child, Preschool KW - Middle Aged KW - *Accidental Falls/pc [Prevention & Control] KW - Single-Blind Method KW - *Environment Design KW - New Zealand KW - Infant KW - Infant, Newborn KW - *Wounds and Injuries/pc [Prevention & Control] KW - *Accidents, Home/pc [Prevention & Control] KW - *Household Articles KW - *Lighting/mt [Methods] ER - TY - JOUR TI - Average in-home gait speed: investigation of a new metric for mobility and fall risk assessment of elders. AU - Stone, Erik AU - Skubic, Marjorie AU - Rantz, Marilyn AU - Abbott, Carmen AU - Miller, Steve T2 - Gait & posture AB - A study was conducted to assess how a new metric, average in-home gait speed (AIGS), measured using a low-cost, continuous, environmentally mounted monitoring system, compares to a set of traditional physical performance instruments used for mobility and fall risk assessment of elderly adults. Sixteen participants were recruited from a local independent living facility. In addition to having their gait monitored continuously in their home for an average of eleven months, the participants completed a monthly clinical assessment consisting of a set of traditional assessment instruments: Habitual Gait Speed, Timed-Up and Go, Short Physical Performance Battery, Berg Balance Scale--short form, and Multidirectional Reach Test. A methodology is developed to assess which of these instruments may work well with the largest subset of older adults, is best suited for detecting changes in an individual over time, and most reliably captures the true mobility level of an individual. Using the ability of an instrument to predict how an individual would score on all the instruments as a metric, AIGS performs best, having better predictive ability than the traditional instruments. AIGS also displays the best agreement between observed and smoothed values, indicating it has the lowest intra-individual test-retest variability of the instruments. AIGS, measured continuously, during normal everyday activity, represents a significant shift in assessment methodology compared to infrequently assessed, traditional physical performance instruments. Continuous, in-home data may provide a more accurate and precise picture of the physical function of older adults, leading to improved mobility and fall risk assessment. Copyright © 2014 Elsevier B.V. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.gaitpost.2014.08.019 VL - 41 IS - 1 SP - 57 EP - 62 J2 - Gait Posture SN - 1879-2219 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25245308 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Independent Living KW - Activities of Daily Living KW - *Accidental Falls/pc [Prevention & Control] KW - *Geriatric Assessment/mt [Methods] KW - Postural Balance KW - Models, Statistical KW - *Gait/ph [Physiology] KW - Video Recording KW - *Monitoring, Ambulatory/mt [Methods] ER - TY - JOUR TI - Differential association of frailty with cognitive decline and sarcopenia in community-dwelling older adults. AU - Nishiguchi, Shu AU - Yamada, Minoru AU - Fukutani, Naoto AU - Adachi, Daiki AU - Tashiro, Yuto AU - Hotta, Takayuki AU - Morino, Saori AU - Shirooka, Hidehiko AU - Nozaki, Yuma AU - Hirata, Hinako AU - Yamaguchi, Moe AU - Arai, Hidenori AU - Tsuboyama, Tadao AU - Aoyama, Tomoki T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: Frailty in older adults is a serious problem because of various adverse health outcomes in many countries with aging populations, such as Japan. The purpose of this study was to determine whether frailty and pre-frailty are associated with cognitive decline and sarcopenia in community-dwelling older adults., DESIGN: This is a cross-sectional study., SETTING: Japan., PARTICIPANTS: The participants were 273 Japanese community-dwelling older women aged 65 years and older., MEASUREMENTS: We used the frailty criteria developed by the Cardiovascular Health Study to define physical frailty. We divided the cohort into nonfrail, prefrail, and frail according to frailty scores. Cognitive decline and memory decline were defined by using the Mini-Mental State Examination and Scenery Picture Memory Test, respectively. Sarcopenia was defined according to the diagnostic algorithm recommended by the Asian Working Group for Sarcopenia., RESULTS: In the multivariate logistic regression analysis by using non-frail participants as the reference, pre-frail elderly individuals were significantly more likely to have sarcopenia than non-frail elderly individuals [odds ratio (OR): 2.77, 95% confidence interval (CI): 1.05-9.26], but not cognitive decline or memory decline. Frail elderly individuals were significantly more likely to have cognitive decline (OR: 5.76, 95% CI: 1.20-27.6), memory decline (OR: 5.53, 95% CI: 1.64-18.7) and sarcopenia (OR: 19.1, 95% CI: 3.73-98.0) than non-frail elderly individuals., CONCLUSIONS: Sarcopenia was associated with pre-frailty and frailty, whereas cognitive decline was associated only with frailty. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jamda.2014.07.010 VL - 16 IS - 2 SP - 120 EP - 4 J2 - J AM MED DIR ASSOC SN - 1538-9375 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25244957 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cohort Studies KW - *Geriatric Assessment/mt [Methods] KW - Japan/ep [Epidemiology] KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Sarcopenia/ep [Epidemiology] KW - Comorbidity KW - Severity of Illness Index KW - Odds Ratio KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - Disability Evaluation KW - Incidence KW - Sarcopenia/di [Diagnosis] KW - Cognition Disorders/di [Diagnosis] KW - Confidence Intervals KW - *Cognition Disorders/ep [Epidemiology] ER - TY - JOUR TI - Frequent use of opioids in patients with dementia and nursing home residents: A study of the entire elderly population of Denmark. AU - Jensen-Dahm, Christina AU - Gasse, Christiane AU - Astrup, Aske AU - Mortensen, Preben Bo AU - Waldemar, Gunhild T2 - Alzheimer's & dementia : the journal of the Alzheimer's Association AB - BACKGROUND: Pain is believed to be undertreated in patients with dementia; however, no larger studies have been conducted. The aim was to investigate prevalent use of opioids in elderly with and without dementia in the entire elderly population of Denmark., METHOD: A register-based cross-sectional study in the entire elderly (>=65 years) population in 2010 was conducted. Opioid use among elderly with dementia (N = 35,455) was compared with elderly without (N = 870,645), taking age, sex, comorbidity, and living status into account., RESULTS: Nursing home residents (NHRs) used opioids most frequently (41%), followed by home-living patients with dementia (27.5%) and home-living patients without dementia (16.9%). Buprenorphine and fentanyl (primarily patches) were commonly used among NHRs (18.7%) and home-living patients with dementia (10.7%) but less often by home-living patients without dementia (2.4%)., CONCLUSIONS: Opioid use in the elderly Danish population was frequent but particularly in patients with dementia and NHR, which may challenge patient safety and needs further investigation. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jalz.2014.06.013 VL - 11 IS - 6 SP - 691 EP - 9 J2 - Alzheimer's dement. SN - 1552-5279 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25239738 KW - Female KW - Humans KW - Male KW - Denmark KW - Aged KW - Aged, 80 and over KW - Registries KW - Cross-Sectional Studies KW - Sex Factors KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Age Factors KW - Comorbidity KW - *Analgesics, Opioid/tu [Therapeutic Use] KW - *Pain/dt [Drug Therapy] KW - *Dementia/ep [Epidemiology] KW - Pain/ep [Epidemiology] KW - Buprenorphine/tu [Therapeutic Use] KW - Fentanyl/tu [Therapeutic Use] KW - Medical Staff, Hospital ER - TY - JOUR TI - Allowing cigarette or marijuana smoking in the home and car: prevalence and correlates in a young adult sample. AU - Padilla, Mabel AU - Berg, Carla J AU - Schauer, Gillian L AU - Lang, Delia L AU - Kegler, Michelle C T2 - Health education research AB - Given the increased marijuana use, negative health consequences of marijuana secondhand smoke exposure (SHSe) and dearth of research regarding marijuana SHSe in personal settings, we examined the prevalence and correlates of allowing marijuana versus cigarette smoking in personal settings among 2002 online survey respondents at two southeastern US universities in 2013. Findings indicated that 14.5% allowed cigarettes in the home, 17.0% marijuana in the home, 35.9% cigarettes in cars and 27.3% marijuana in cars. Allowing cigarettes in the home was associated with younger age, racial/ethnic minority status, living off campus, personal marijuana use, parental tobacco use and positive perceptions of cigarettes (P < 0.05). Correlates of allowing marijuana in the home included older age, not having children, living off campus, positive perceptions of marijuana and personal, parental and friend marijuana use (P < 0.05). Correlates of allowing cigarettes in cars included personal cigarette and marijuana use, parental tobacco and marijuana use, more cigarette-smoking friends and positive perceptions of cigarettes (P < 0.05). Correlates of allowing marijuana in cars included being non-Hispanic black; positive perceptions of marijuana; and personal, parental and friend marijuana use (P < 0.05). Interventions must target distinct factors influencing policies regarding cigarette versus marijuana use in personal settings to address the consequences of marijuana and cigarette SHSe. Copyright © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/her/cyu051 VL - 30 IS - 1 SP - 179 EP - 91 J2 - Health Educ Res SN - 1465-3648 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25214515 KW - Female KW - Humans KW - Male KW - Young Adult KW - Prevalence KW - Cross-Sectional Studies KW - Age Factors KW - *Housing KW - Socioeconomic Factors KW - African Americans KW - Perception KW - Universities KW - *Smoking/ep [Epidemiology] KW - *Automobiles KW - *Marijuana Smoking/ep [Epidemiology] KW - *Students/sn [Statistics & Numerical Data] KW - Marijuana Smoking/eh [Ethnology] KW - Smoking/eh [Ethnology] KW - Southeastern United States ER - TY - JOUR TI - Multilevel examination of facility characteristics, social integration, and health for older adults living in nursing homes. AU - Leedahl, Skye N AU - Chapin, Rosemary K AU - Little, Todd D T2 - The journals of gerontology. Series B, Psychological sciences and social sciences AB - OBJECTIVES: Testing a model based on past research and theory, this study assessed relationships between facility characteristics (i.e., culture change efforts, social workers) and residents' social networks and social support across nursing homes; and examined relationships between multiple aspects of social integration (i.e., social networks, social capital, social engagement, social support) and mental and functional health for older adults in nursing homes., METHODS: Data were collected at nursing homes using a planned missing data design with random sampling techniques. Data collection occurred at the individual-level through in-person structured interviews with older adult nursing home residents (N = 140) and at the facility-level (N = 30) with nursing home staff., RESULTS: The best fitting multilevel structural equation model indicated that the culture change subscale for relationships significantly predicted differences in residents' social networks. Additionally, social networks had a positive indirect relationship with mental and functional health among residents primarily via social engagement. Social capital had a positive direct relationship with both health outcomes., DISCUSSION: To predict better social integration and mental and functional health outcomes for nursing homes residents, study findings support prioritizing that close relationships exist among staff, residents, and the community as well as increased resident social engagement and social trust. Copyright © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/geronb/gbu112 VL - 70 IS - 1 SP - 111 EP - 22 J2 - J Gerontol B Psychol Sci Soc Sci SN - 1758-5368 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25213304 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Social Support KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Residence Characteristics/sn [Statistics & Numerical Data] KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - *Health Status KW - Professional-Patient Relations KW - *Interpersonal Relations KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Family Relations KW - *Mental Health/sn [Statistics & Numerical Data] KW - Social Capital KW - Kansas ER - TY - JOUR TI - Effectiveness of a home hazard modification program for reducing falls in urban community-dwelling older adults: A randomized controlled trial. AU - Kamei, Tomoko AU - Kajii, Fumiko AU - Yamamoto, Yuko AU - Irie, Yukako AU - Kozakai, Rumi AU - Sugimoto, Tomoko AU - Chigira, Ayako AU - Niino, Naoakira T2 - Japan journal of nursing science : JJNS AB - AIM: To evaluate the potential improvement of fall prevention awareness and home modification behaviors and to decrease indoor falls by applying a home hazard modification program (HHMP) in community-dwelling older adults followed up to 1 year in this randomized controlled trial., METHODS: The present authors randomly assigned 130 older adults living in the Tokyo metropolitan region to either the HHMP intervention group (n = 67) or the control group (n = 63). Both groups received four, 2 h fall prevention multifactorial programs including education regarding fall risk factors, food and nutrition, foot self-care, and exercise sessions. However, only the HHMP group received education and practice regarding home safety by using a model mock-up of a typical Japanese home., RESULTS: The mean age of the HHMP group was 75.7 years and the control group 75.8. The HHMP group showed a 10.9% reduction in overall falls, and falls indoors showed an 11.7% reduction at 52 weeks. Those aged 75 years and over showed a significant reduction in both overall falls and indoor falls at 12 weeks. Fall prevention awareness and home modifications were significantly improved in the HHMP group., CONCLUSION: HHMP has the potential to improve fall prevention awareness and home modification behaviors, and specifically decreased overall and indoor falls in 12 weeks in those aged 75 years and older in community-dwelling older adults. Copyright © 2014 The Authors. Japan Journal of Nursing Science © 2014 Japan Academy of Nursing Science. DA - 2015/// PY - 2015 DO - 10.1111/jjns.12059 VL - 12 IS - 3 SP - 184 EP - 97 J2 - Jpn J Nurs Sci SN - 1742-7924 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25212766 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Accidental Falls/pc [Prevention & Control] KW - *Urban Population KW - Case-Control Studies KW - Tokyo KW - *Safety Management/st [Standards] ER - TY - JOUR TI - Measuring end-of-life care and outcomes in residential care/assisted living and nursing homes. AU - Zimmerman, Sheryl AU - Cohen, Lauren AU - van der Steen, Jenny T AU - Reed, David AU - van Soest-Poortvliet, Mirjam C AU - Hanson, Laura C AU - Sloane, Philip D T2 - Journal of pain and symptom management AB - CONTEXT: The two primary residential options for older adults who require supportive care are nursing homes and residential care/assisted living. More than one-quarter of all deaths in the U.S. occur in these settings. Although the information available on end of life in long-term care has been growing, the comparative suitability of various measures to guide this work is unknown., OBJECTIVES: To determine the optimal measures to assess end-of-life care and outcomes in nursing homes and residential care/assisted living., METHODS: A total of 264 family members of decedents from 118 settings were interviewed and provided data on 11 instruments that have been used in, but not necessarily developed for, long-term care populations; Overall, 20 scales and subscales/indices were evaluated. Measures were compared on their psychometric properties and the extent to which they discriminated among important resident, family, and setting characteristics., RESULTS: Prioritizing measures that distinguish the assessment of care from the assessment of dying, and secondarily that exhibit an acceptable factor structure, this study recommends two measures of care-the Family Perceptions of Physician-Family Caregiver Communication and the End of Life in Dementia (EOLD)-Satisfaction With Care-and two measures of outcomes-the EOLD-Symptom Management and the EOLD-Comfort Assessment in Dying. An additional measure to assess outcomes is the Mini-Suffering State Examination (MSSE). The care measures and the MSSE are especially valuable as they discriminate between decedents who were and were not transferred immediately before death, an important outcome, and whether the family expected the death, a useful target for intervention., CONCLUSION: Despite these recommendations, measurement selection should be informed not only on the basis of psychometric properties but also by specific clinical and research needs. The data in this manuscript will help researchers, clinicians, and administrators understand the implications of choosing various measures for their work. Copyright © 2015 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.jpainsymman.2014.08.009 VL - 49 IS - 4 SP - 666 EP - 79 J2 - J Pain Symptom Manage SN - 1873-6513 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25205231 KW - Female KW - Humans KW - Male KW - Family KW - Aged, 80 and over KW - Middle Aged KW - *Nursing Homes KW - Psychometrics KW - *Terminal Care/mt [Methods] KW - *Outcome Assessment (Health Care)/mt [Methods] KW - Long-Term Care/mt [Methods] KW - Homes for the Aged KW - *Assisted Living Facilities/mt [Methods] ER - TY - JOUR TI - An assisted living facility curriculum to introduce geriatrics to first-year medical students. AU - Tong, Iris L AU - Dodd, Kimberly A AU - Warrier, Sarita S AU - Pugliese, Louis J AU - McMackin, Naomi Y AU - Taylor, Julie Scott T2 - Gerontology & geriatrics education AB - Many U.S. medical schools have developed curricula in geriatric medicine to address the growing older adult population. At our university, the authors have integrated an assisted living facility (ALF) program into a required first-year clinical skills course. During the 2011 to 2012 academic year, an electronic survey was distributed to 109 first-year medical students prior to and after the program. Eighty-eight percent and 85% of students completed the pre- and postintervention survey, respectively. Students reported a positive attitude toward caring for older adults (92.5% post- vs. 80.2% preintervention), an understanding of the medical and social needs of older adults (89.2% post- vs. 38.5% preintervention), an acquisition of the skills to assess the health of older adults (71% post- vs. 14.5% preintervention), and an understanding of ALFs as nonmedical supportive housing (92.5% post- vs. 70.8% preintervention). The authors' curriculum offers an innovative method to integrate geriatrics education early in medical education and to involve medical students in their community. DA - 2015/// PY - 2015 DO - 10.1080/02701960.2014.954041 VL - 36 IS - 1 SP - 79 EP - 95 J2 - Gerontol Geriatr Educ SN - 1545-3847 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25203100 KW - Adult KW - Female KW - Humans KW - Male KW - United States KW - Surveys and Questionnaires KW - *Clinical Competence KW - *Geriatrics/ed [Education] KW - *Students, Medical/px [Psychology] KW - *Curriculum KW - *Assisted Living Facilities/mt [Methods] KW - *Clinical Clerkship KW - Clinical Clerkship/mt [Methods] KW - Clinical Clerkship/og [Organization & Administration] KW - Education, Medical, Undergraduate/mt [Methods] KW - Education, Medical, Undergraduate/og [Organization & Administration] ER - TY - JOUR TI - [Norovirus outbreaks in geriatric centers: importance of an early detection]. AU - Moreno, Antonio AU - Manzanares-Laya, Sandra AU - Razquin, Efren AU - Guix, Susana AU - Dominguez, Angela AU - de Simon, Mercedes AU - Grupo de Trabajo para el Estudio de los Brotes de Gastroenteritis Aguda Virica en Cataluna T2 - Brotes de infeccion por norovirus en centros geriatricos: importancia de una deteccion precoz. A2 - Alseda M, Alvarez J, Arias C, Artigues A, Barrabeig I, Balana PJ, Camps N, Company M, Carol M, Ferrus G, Follia N, Godoy P, Martinez A, Parron I, Rovira A, Sala MR, Torner N, Torra R, Torres J, Broner S, Cayla JA, Lafuente S, Sanz M, Ferrer D, Bartolome R, Cornejo T, Bosch A, Pinto RM T3 - [Comment in: Med Clin (Barc). 2015 Mar 9;144(5):207-8; PMID: 25178547 [https://www.ncbi.nlm.nih.gov/pubmed/25178547]] AB - BACKGROUND AND OBJECTIVES: Acute gastroenteritis (AGE) outbreaks of norovirus (NV) occur frequently in nursing homes. Gastrointestinal disorders and degree of dependence of residents complicate early detection and implementation of control measures. Our study's aim was to determine the incidence of NV in elderly care centers, transmission mechanisms and circulating genotypes., PATIENTS AND METHODS: An epidemiological study of NV outbreaks reported to the Public Health Agency of Barcelona 2010-2012 was performed. The attack rate, outbreak duration, symptomatology and identified NV genotypes were analyzed., RESULTS: In total, 27 NV outbreaks were reported and 5 (18.5%) occurred in nursing homes (95 cases with lethality of 1.05%). The etiology of one of the five outbreaks could not be confirmed because of late notification. Four of the outbreaks were attributed to person-to-person transmission. The outbreak duration and attack rate among resident person-to-person transmission were significantly higher compared to common exposure transmission. Genotype GII.4 was predominant., CONCLUSIONS: The identification of critical points and the use of clinical alarm systems could prevent and minimize the spreading and severity of these outbreaks. Copyright © 2014 Elsevier Espana, S.L.U. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.medcli.2014.05.041 VL - 144 IS - 5 SP - 204 EP - 6 J2 - Med Clin (Barc) SN - 1578-8989 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25178545 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Health Surveys KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Incidence KW - Spain/ep [Epidemiology] KW - *Disease Outbreaks KW - Genotype KW - Early Diagnosis KW - Gastroenteritis/vi [Virology] KW - Norovirus/ip [Isolation & Purification] KW - *Caliciviridae Infections/ep [Epidemiology] KW - *Gastroenteritis/ep [Epidemiology] KW - Caliciviridae Infections/vi [Virology] KW - Gastroenteritis/di [Diagnosis] KW - Norovirus/ge [Genetics] KW - *Norovirus KW - Caliciviridae Infections/di [Diagnosis] KW - Caliciviridae Infections/tm [Transmission] ER - TY - JOUR TI - Preparing tomorrow's nursing home nurses: the wisconsin long term care clinical scholars program. AU - Nolet, Kim AU - Roberts, Tonya AU - Gilmore-Bykovskyi, Andrea AU - Roiland, Rachel AU - Gullickson, Colleen AU - Ryther, Brenda AU - Bowers, Barbara J T2 - Gerontology & geriatrics education AB - Preparing future nurses to care for the growing population of older adults has become a national priority. The demand for long term care services is expected to double between 2000 and 2040, yet the field remains stigmatized as an undesirable place for highly skilled nurses to work. Recent efforts to increase student preparation in geriatrics have been shown to improve student attitudes toward working with older adults and increase knowledge, but long term care settings remain unattractive to students. This article reports on the development, implementation, and evaluation of The Wisconsin Long Term Care Clinical Scholars Program, a nursing home internship for baccalaureate nursing students. The program couples a paid nursing home work experience with an evidence-based long term care nursing curriculum. The program increased student preparation and interest in working both with older adults and in nursing homes, while increasing the capacity of nursing homes to provide a positive student experience. DA - 2015/// PY - 2015 DO - 10.1080/02701960.2014.954040 VL - 36 IS - 4 SP - 396 EP - 415 J2 - Gerontol Geriatr Educ SN - 1545-3847 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25162659 KW - Adult KW - Humans KW - Program Evaluation KW - Aged KW - Attitude of Health Personnel KW - *Homes for the Aged KW - *Nursing Homes KW - Clinical Competence KW - *Long-Term Care KW - *Geriatric Nursing KW - Long-Term Care/mt [Methods] KW - Wisconsin KW - Long-Term Care/px [Psychology] KW - Geriatric Nursing/mt [Methods] KW - Geriatric Nursing/ed [Education] KW - Education/mt [Methods] KW - *Students, Nursing/px [Psychology] ER - TY - JOUR TI - Oral health care in residential aged care services: barriers to engaging health-care providers. AU - Hearn, Lydia AU - Slack-Smith, Linda T2 - Australian journal of primary health AB - The oral health of older people living in residential aged care facilities has been widely recognised as inadequate. The aim of this paper is to identify barriers to effective engagement of health-care providers in oral care in residential aged care facilities. A literature review was conducted using MEDline, CINAHL, Web of Science, Academic Search Complete and PsychInfo between 2000 and 2013, with a grey literature search of government and non-government organisation policy papers, conference proceedings and theses. Keywords included: dental/oral care, residential aged care, health-care providers, barriers, constraints, and limitations. A thematic framework was used to synthesise the literature according to a series of oral health-care provision barriers, health-care provider barriers, and cross-sector collaborative barriers. A range of system, service and practitioner level barriers were identified that could impede effective communication/collaboration between different health-care providers, residents and carers regarding oral care, and these were further impeded by internal barriers at each level. Findings indicated several areas for investigation and consideration regarding policy and practice improvements. While further research is required, some key areas should be addressed if oral health care in residential aged care services is to be improved. DA - 2015/// PY - 2015 VL - 21 IS - 2 SP - 148 EP - 56 J2 - Aust J Prim Health SN - 1448-7527 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25155109 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Primary Health Care KW - Aged KW - Health Services Needs and Demand KW - *Homes for the Aged KW - *Dental Care KW - *Health Services Accessibility ER - TY - JOUR TI - The interprofessional clinical experience: interprofessional education in the nursing home. AU - Sheppard, Kendra D AU - Ford, Channing R AU - Sawyer, Patricia AU - Foley, Kathleen T AU - Harada, Caroline N AU - Brown, Cynthia J AU - Ritchie, Christine S T2 - Journal of interprofessional care AB - The interprofessional clinical experience (ICE) was designed to introduce trainees to the roles of different healthcare professionals, provide an opportunity to participate in an interprofessional team, and familiarize trainees with caring for older adults in the nursing home setting. Healthcare trainees from seven professions (dentistry, medicine, nursing, nutrition, occupational therapy, optometry and social work) participated in ICE. This program consisted of individual patient interviews followed by a team meeting to develop a comprehensive care plan. To evaluate the impact of ICE on attitudinal change, the UCLA Geriatric Attitudes Scale and a post-experience assessment were used. The post-experience assessment evaluated the trainees' perception of potential team members' roles and attitudes about interprofessional team care of the older adult. Attitudes toward interprofessional teamwork and the older adult were generally positive. ICE is a novel program that allows trainees across healthcare professions to experience interprofessional teamwork in the nursing home setting. DA - 2015/// PY - 2015 DO - 10.3109/13561820.2014.942776 VL - 29 IS - 2 SP - 170 EP - 2 J2 - J Interprof Care SN - 1469-9567 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25140581 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - *Homes for the Aged KW - *Nursing Homes KW - Attitude KW - *Health Personnel/ed [Education] KW - Patient Care Team/og [Organization & Administration] KW - *Interprofessional Relations KW - *Geriatrics/ed [Education] KW - *Social Work/ed [Education] ER - TY - JOUR TI - Environmental chemicals mediated the effect of old housing on adult health problems: US NHANES, 2009-2010. AU - Shiue, Ivy AU - Bramley, Glen T2 - Environmental science and pollution research international AB - Housing conditions affect occupants continuously, and health interventions have shown a positive association between housing investment or improvement and occupant's health. However, the sources of the housing problems were less understood. Since it was observed that lead dust and chloroanisoles released from housing (materials) as indoor pollutants affected child's health, we now aimed to examine the relationships among built year, environmental chemicals and individual health in adults in a national and population-based setting. Data were retrieved from the US National Health and Nutrition Examination Survey, 2009-2010, including demographics, housing characteristics, self-reported health status, biomarkers and blood and urinary chemical concentrations. Adults aged 20 and above were included for statistical analysis (n = 5,793). Analysis involved chi-square test, t test, and survey-weighted general linear regression and logistic regression modelling. People who resided in older housing built before 1990 tended to report chronic bronchitis, liver problems, stroke, heart failure, diabetes, asthma and emphysema. Higher values in HDL cholesterol, blood lead and blood cadmium and having positive responses of hepatitis A, B, C and E antibodies among occupants were also observed. Furthermore, higher environmental chemical concentrations related to old housing including urinary cadmium, cobalt, platinum, mercury, 2,5-dichlorophenol and 2,4-dichlorophenol concentrations and mono-cyclohexyl phthalate and mono-isobutyl phthalate metabolites were shown in occupants as well. Older housing (>=30 years) seemed to contribute to the amount of environmental chemicals that affected human health. Regular monitoring, upgrading and renovation of housing to remove environmental chemicals and policy to support people in deprived situations against environmental injustice would be needed. DA - 2015/// PY - 2015 DO - 10.1007/s11356-014-3468-5 VL - 22 IS - 2 SP - 1299 EP - 308 J2 - Environ Sci Pollut Res Int SN - 1614-7499 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25138559 KW - Adult KW - Female KW - Humans KW - Male KW - United States KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Cohort Studies KW - *Housing KW - *Health Surveys KW - *Environmental Exposure/an [Analysis] KW - Environmental Monitoring KW - *Nutrition Surveys KW - *Environmental Pollutants/bl [Blood] KW - *Environmental Pollutants/ur [Urine] KW - Cadmium/bl [Blood] KW - Cadmium/ur [Urine] KW - Chlorophenols/bl [Blood] KW - Chlorophenols/ur [Urine] KW - Dust/an [Analysis] KW - History, 20th Century KW - Housing/hi [History] KW - Mercury/bl [Blood] KW - Mercury/ur [Urine] KW - Phthalic Acids/bl [Blood] KW - Phthalic Acids/ur [Urine] ER - TY - JOUR TI - A descriptive qualitative study of the roles of family members in older men's depression treatment from the perspectives of older men and primary care providers. AU - Hinton, Ladson AU - Apesoa-Varano, Ester Carolina AU - Unutzer, Jurgen AU - Dwight-Johnson, Megan AU - Park, Mijung AU - Barker, Judith C T2 - International journal of geriatric psychiatry AB - OBJECTIVE: The aim of this study is to describe the roles of family members in older men's depression treatment from the perspectives of older men and primary care physicians (PCPs)., METHODS: Cross-sectional, descriptive qualitative study conducted from 2008-2011 in primary care clinics in an academic medical center and a safety-net county teaching hospital in California's Central Valley. Participants in this study were the following: (1) 77 age >= 60, noninstitutionalized men with a 1-year history of clinical depression and/or depression treatment who were identified through screening in primary care clinics and (2) a convenience sample of 15 PCPs from the same recruitment sites. Semi-structured and in-depth qualitative interviews were conducted and audiotaped then transcribed and analyzed thematically., RESULTS: Treatment-promoting roles of family included providing an emotionally supportive home environment, promoting depression self-management and facilitating communication about depression during primary care visits. Treatment-impeding roles of family included triggering or worsening men's depression, hindering depression care during primary care visits, discouraging depression treatment and being unavailable to assist men with their depression care. Overall, more than 90% of the men and the PCPs described one or more treatment-promoting roles of family and over 75% of men and PCPs described one or more treatment-impeding roles of family., CONCLUSIONS: Families play important roles in older men's depression treatment with the potential to promote as well as impede care. Interventions and services need to carefully assess the ongoing roles and attitudes of family members and to tailor treatment approaches to build on the positive aspects and mitigate the negative aspects of family support. Copyright © 2014 John Wiley & Sons, Ltd. DA - 2015/// PY - 2015 DO - 10.1002/gps.4175 VL - 30 IS - 5 SP - 514 EP - 22 J2 - Int J Geriatr Psychiatry SN - 1099-1166 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25131709 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Primary Health Care KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Services Needs and Demand KW - Qualitative Research KW - Cross-Sectional Studies KW - *Social Support KW - *Family KW - *Attitude of Health Personnel KW - California KW - *Depressive Disorder/th [Therapy] ER - TY - JOUR TI - Type and course of symptoms demonstrated in the terminal and dying phases by people with dementia in nursing homes. AU - Koppitz, A AU - Bosshard, G AU - Schuster, D H AU - Hediger, H AU - Imhof, L T2 - Zeitschrift fur Gerontologie und Geriatrie AB - BACKGROUND: In all, 39 % of people living in Swiss nursing homes suffer from dementia. Detailed data about type and course of symptoms displayed by these patients in their terminal phase are lacking., METHODS: This descriptive, retrospective study analysed 65 nursing documents from deceased people with dementia in four nursing homes in the canton of Zurich, Switzerland., RESULTS: Difficulties with mobility (81 %), pain (71 %) and sleep disturbance (63 %) were the most frequent of the 10 identified symptoms. Towards the end of life, difficulties with mobility, sleep disturbance, agitation and other neuropsychiatric symptoms, such as episodes of depression, decreased (decrescent pattern), while pain, feeding problems, breathing abnormalities, apathy and anxiety increased (crescent pattern). Courses of pain were documented in 17 % of the nursing records. In addition, 76 % of the residents had been visited on a daily basis by next of kin in their last 7 days, compared with only one third of residents previously. Furthermore, daily communication between healthcare professionals and next of kin tripled during this period., CONCLUSION: The documented prevalence of a high and increasing level of pain towards the end of life, combined with the lack of documented courses of pain, shows potential for improvement in pain relief and pain identification for patients with dementia in their terminal phase. The increasing number of visits by next of kin and the increasingly intensive contact between healthcare professionals and next of kin in the last 7 days are a strong indicator that the end of life can be predicted relatively well by the involved participants and appropriate reactions follow. DA - 2015/// PY - 2015 DO - 10.1007/s00391-014-0668-z VL - 48 IS - 2 SP - 176 EP - 83 J2 - Z Gerontol Geriatr SN - 1435-1269 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25119700 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Survival Rate KW - Depression/di [Diagnosis] KW - Dementia/px [Psychology] KW - Anxiety/di [Diagnosis] KW - Anxiety/px [Psychology] KW - Depression/px [Psychology] KW - *Dementia/di [Diagnosis] KW - Switzerland/ep [Epidemiology] KW - *Palliative Care/sn [Statistics & Numerical Data] KW - Sleep Wake Disorders/di [Diagnosis] KW - Sleep Wake Disorders/px [Psychology] KW - Length of Stay/sn [Statistics & Numerical Data] KW - *Dementia/mo [Mortality] KW - Palliative Care/px [Psychology] KW - Pain/px [Psychology] KW - Pain/di [Diagnosis] KW - *Terminal Care/sn [Statistics & Numerical Data] KW - Depression/mo [Mortality] KW - Terminal Care/px [Psychology] KW - Anxiety/mo [Mortality] KW - Pain/mo [Mortality] KW - Sleep Wake Disorders/mo [Mortality] KW - Symptom Assessment/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Evaluation of a pet-assisted living intervention for improving functional status in assisted living residents with mild to moderate cognitive impairment: a pilot study. AU - Friedmann, Erika AU - Galik, Elizabeth AU - Thomas, Sue A AU - Hall, P Sue AU - Chung, Seon Yoon AU - McCune, Sandra T2 - American journal of Alzheimer's disease and other dementias AB - BACKGROUND: In older adults with cognitive impairment (CI), decreased functional status and increased behavioral symptoms require relocation from assisted living (AL) to nursing homes. Studies support positive effects of pets on health/function., PURPOSE: Evaluate the effectiveness of the Pet AL (PAL) intervention to support physical, behavioral, and emotional function in AL residents with CI., METHODS: Cognitively impaired AL residents randomized to 60-90 minute sessions [PAL (n = 22) or reminiscing (n = 18)] twice/week for 12 weeks. PAL interventionist encourages residents to perform skills with the visiting dog; reminiscing interventionist encourages residents to reminisce. Monthly assessment of physical (energy expenditure, activities of daily living), emotional (depression, apathy), and behavioral (agitation) function., RESULTS: In linear mixed models, physical activity depressive symptoms improved more with PAL., CONCLUSION: Evidence supports that the PAL program helps preserve/enhance function of AL residents with CI. Additional study is required to evaluate the duration and predictors of effectiveness of the PAL intervention. Copyright © The Author(s) 2014. DA - 2015/// PY - 2015 DO - 10.1177/1533317514545477 VL - 30 IS - 3 SP - 276 EP - 89 J2 - Am J Alzheimers Dis Other Demen SN - 1938-2731 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25118333 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Activities of Daily Living KW - Assisted Living Facilities KW - Depression/et [Etiology] KW - Pilot Projects KW - Depression/th [Therapy] KW - Cognitive Dysfunction/th [Therapy] KW - Cognition Disorders/co [Complications] KW - Cognitive Dysfunction/co [Complications] KW - Psychomotor Agitation/th [Therapy] KW - Psychomotor Agitation/et [Etiology] KW - *Cognition Disorders/th [Therapy] KW - *Apathy KW - *Animal Assisted Therapy/mt [Methods] KW - *Energy Metabolism ER - TY - JOUR TI - The effect of tooth loss on gait stability of community-dwelling older adults. AU - Brand, Christina AU - Bridenbaugh, Stephanie A AU - Perkovac, Mateja AU - Glenz, Fabienne AU - Besimo, Christian E AU - Sendi, Pedram AU - Kressig, Reto W AU - Marinello, Carlo P T2 - Gerodontology AB - OBJECTIVE: To investigate the effects of tooth loss on gait stability in a healthy elderly population., METHODS: A case-control study was conducted among healthy and prosthetically well-restored seniors over the age of 65 years. The test group comprised 24 edentulous participants who were restored with complete dentures in the upper jaw and an overdenture fixed on two implants in the lower jaw. The control group comprised 25 dentate participants who either still had their natural teeth or were restored with conventional fixed partial dentures. Gait stability was evaluated by measuring the parameters 'gait velocity' and 'cycle-time variability' during self-selected normal walking speed and under dual-task performance conditions. Measurements were conducted using the GAITRite() electronic walkway system., RESULTS: Dentated and fixed restored participants (the control group) had a significantly higher gait velocity compared with denture wearers (the test group) under both normal walking (p = 0.03) and dual-task performance conditions (p = 0.01). In each test condition, among edentulous participants, gait velocity did not significantly differ according to whether the participant wore their dentures., CONCLUSION: The present results suggest that tooth loss in healthy seniors is associated with lower gait velocity and therefore may have a negative impact on gait stability. Copyright © 2014 John Wiley & Sons A/S and The Gerodontology Association. Published by John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/ger.12136 VL - 32 IS - 4 SP - 296 EP - 301 J2 - Gerodontology SN - 1741-2358 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25115819 KW - Female KW - Humans KW - Male KW - Aged KW - Quality of Life KW - Postural Balance KW - *Independent Living/px [Psychology] KW - Case-Control Studies KW - Walking/ph [Physiology] KW - *Gait/ph [Physiology] KW - *Tooth Loss/pp [Physiopathology] KW - Denture, Complete ER - TY - JOUR TI - The significance of 'facilitator as a change agent'--organisational learning culture in aged care home settings. AU - Grealish, Laurie AU - Henderson, Amanda AU - Quero, Fritz AU - Phillips, Roslyn AU - Surawski, May T2 - Journal of clinical nursing AB - AIMS AND OBJECTIVES: To explore the impact of an educational programme focused on social behaviours and relationships on organisational learning culture in the residential aged care context., BACKGROUND: The number of aged care homes will continue to rise as the frail older elderly live longer, requiring more formal care and support. As with other small- to medium-sized health services, aged care homes are faced with the challenge of continuous development of the workforce and depend upon registered nurses to lead staff development., DESIGN: A mixed-method evaluation research design was used to determine the impact of an educational programme focused on social aspects of learning on organisational learning culture., METHODS: One hundred and fifty-nine (pre) and 143 (post) participants from three aged care homes completed the Clinical Learning Organisational Culture survey, and three participant-researcher registered nurse clinical educators provided regular journal entries for review., RESULTS: While each site received the same educational programme over a six-month period, the change in organisational learning culture at each site was notably different. Two aged care homes had significant improvements in affiliation, one in accomplishment and one in recognition. The educators' journals differed in the types of learning observed and interventions undertaken, with Eucalyptus focused on organisational change, Grevillea focused on group (student) change and the Wattle focused on individual or situational change., CONCLUSION: Clinical educator activities appear to have a significant effect on organisational learning culture, with a focus on the organisational level having the greatest positive effect on learning culture and on individual or situational level having a limited effect., RELEVANCE TO CLINICAL PRACTICE: Clinical educator facilitation that is focused on organisational rather than individual interests may offer a key to improving organisational learning culture. Copyright © 2014 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/jocn.12656 VL - 24 IS - 7-8 SP - 961 EP - 9 J2 - J Clin Nurs SN - 1365-2702 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25092195 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - Data Collection KW - *Social Behavior KW - *Learning KW - *Organizational Innovation KW - *Organizational Culture KW - *Staff Development ER - TY - JOUR TI - Primary care management of non-institutionalized elderly diabetic patients: The S.AGES cohort - Baseline data. AU - Bucher, Sophie AU - Bauduceau, Bernard AU - Benattar-Zibi, Linda AU - Bertin, Philippe AU - Berrut, Gilles AU - Corruble, Emmanuelle AU - Danchin, Nicolas AU - Delespierre, Tiba AU - Derumeaux, Genevieve AU - Doucet, Jean AU - Falissard, Bruno AU - Forette, Francoise AU - Hanon, Olivier AU - Ourabah, Rissane AU - Pasquier, Florence AU - Piedvache, Celine AU - Pinget, Michel AU - Ringa, Virginie AU - Becquemont, Laurent AU - S.AGES Investigators T2 - Primary care diabetes AB - AIM: S.AGES is a multicenter prospective cohort study of non-institutionalized patients aged 65 and over with atrial fibrillation, type 2 diabetes or chronic pain. Its objective is to describe the medical management in primary care. This article presents the baseline characteristics of subjects in the diabetes subcohort and compares the results to those from cohorts of older diabetic patients., METHODS: From April 2009 to June 2011, 983 patients were included in the diabetes subcohort by 213 primary care providers. Demographic data, geriatric parameters and the history, characteristics and treatment of the diabetes were recorded at baseline., RESULTS: The mean age was 76.7 +/- 5.9 years. Most patients were living independently, with no cognitive impairment and in relatively good health. The duration of diabetes was 11.3 +/- 8.7 years with average HbA1c of 6.9 +/- 1.0%. 20% of patients had macrovascular disease, 33% renal failure, 14.6% ocular complication and 7.1% neuropathy. The first-line antidiabetic treatment was metformin (61.2%) and 18% of patients had used insulin. Treatment intensified with the worsening of diabetic symptoms. When compared to those from French and North American cohorts, the results showed increased complications and use of insulin with age, disease duration and severity., CONCLUSION: Due to the method of recruitment, S.AGES patients were generally healthy with well-controlled diabetes. However, the results were consistent with those from other cohorts. Three-year follow-up is expected to study the management of diabetic patients aged 65 and over in primary care. Copyright © 2014 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.pcd.2014.07.004 VL - 9 IS - 4 SP - 267 EP - 74 J2 - Prim Care Diabetes SN - 1878-0210 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25086913 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Time Factors KW - Age Factors KW - Prospective Studies KW - Comorbidity KW - Geriatric Assessment KW - Severity of Illness Index KW - *Health Services for the Aged KW - Biomarkers/bl [Blood] KW - Glycated Hemoglobin A/me [Metabolism] KW - *Primary Health Care/mt [Methods] KW - Diabetes Mellitus, Type 2/bl [Blood] KW - France/ep [Epidemiology] KW - Life Style KW - Diabetes Mellitus, Type 2/di [Diagnosis] KW - Blood Glucose/me [Metabolism] KW - Diabetes Mellitus, Type 2/ep [Epidemiology] KW - *Hypoglycemic Agents/tu [Therapeutic Use] KW - Hypoglycemic Agents/ae [Adverse Effects] KW - *Diabetes Mellitus, Type 2/dt [Drug Therapy] KW - Blood Glucose/de [Drug Effects] ER - TY - JOUR TI - A decision-support framework for promoting independent living and ageing well. AU - Billis, Antonis S AU - Papageorgiou, Elpiniki I AU - Frantzidis, Christos A AU - Tsatali, Marianna S AU - Tsolaki, Anthoula C AU - Bamidis, Panagiotis D T2 - IEEE journal of biomedical and health informatics AB - Artificial intelligence and decision support systems offer a plethora of health monitoring capabilities in ambient assisted living environment. Continuous assessment of health indicators for elderly people living on their own is of utmost importance, so as to prolong their independence and quality of life. Slow varying, long-term deteriorating health trends are not easily identifiable in seniors. Thus, early sign detection of a specific condition, as well as, any likely transition from a healthy state to a pathological one are key problems that the herein proposed framework aims at resolving. Statistical process control concepts offer a personalized approach toward identification of trends that are away from the atypical behavior or state of the seniors, while fuzzy cognitive maps knowledge representation and inference schema have proved to be efficient in terms of disease classification. Geriatric depression is used as a case study throughout the paper, so to prove the validity of the framework, which is planned to be pilot tested with a series of lone-living seniors in their own homes. DA - 2015/// PY - 2015 DO - 10.1109/JBHI.2014.2336757 VL - 19 IS - 1 SP - 199 EP - 209 J2 - IEEE j. biomed. health inform. SN - 2168-2208 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25073180 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - *Independent Living KW - *Geriatric Assessment/mt [Methods] KW - *Telemedicine/mt [Methods] KW - *Depression/di [Diagnosis] KW - Sensitivity and Specificity KW - Health Promotion/mt [Methods] KW - *Monitoring, Ambulatory/mt [Methods] KW - *Decision Support Systems, Clinical/og [Organization & Administration] KW - Diagnosis, Computer-Assisted/mt [Methods] ER - TY - JOUR TI - Residents with mild cognitive decline and family members report health students 'enhance capacity of care' and bring 'a new breath of life' in two aged care facilities in Tasmania. AU - Elliott, Kate-Ellen J AU - Annear, Michael J AU - Bell, Erica J AU - Palmer, Andrew J AU - Robinson, Andrew L T2 - Health expectations : an international journal of public participation in health care and health policy AB - BACKGROUND: Care provided by student doctors and nurses is well received by patients in hospital and primary care settings. Whether the same is true for aged care residents of nursing homes with mild cognitive decline and their family members is unknown., OBJECTIVE: To investigate the perspectives of aged care residents with mild cognitive decline and their family members on interdisciplinary student placements in two residential aged care facilities (RACF) in Tasmania., DESIGN, SETTING AND PARTICIPANTS: A mixed methods design was employed with both qualitative and quantitative data collected. All participants were interviewed and completed a questionnaire on residents' quality of life, during or after a period of student placements in each facility (October-November, 2012). Qualitative data were coded for themes following a grounded theory approach, and quantitative data were analysed using SPSS., RESULTS: Twenty-one participants (13 residents and 8 family members) were recruited. Four themes were identified from the qualitative data and included (i) increased social interaction and facility vibrancy; (ii) community service and personal development, (iii) vulnerability and sensitivity (learning to care) and (iv) increased capacity and the confidence of enhanced care. Residents' quality of life was reported to be mostly good in the presence of the students, despite their high care needs., CONCLUSION: Residents with mild cognitive decline and their family members perceive a wide array of benefits of student provided care in RACFs including increased social interaction. Future quantitative research should focus on whether changes in care occur for residents as a result of student involvement. Copyright © 2014 The Authors Health Expectations Published by John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/hex.12236 VL - 18 IS - 6 SP - 1927 EP - 40 J2 - Health Expect SN - 1369-7625 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=25041246 KW - Female KW - Humans KW - Male KW - Aged KW - Surveys and Questionnaires KW - Interpersonal Relations KW - Quality of Life KW - Cross-Sectional Studies KW - *Homes for the Aged KW - Grounded Theory KW - *Cognitive Dysfunction/px [Psychology] KW - Cognitive Dysfunction/th [Therapy] KW - *Family/px [Psychology] KW - Tasmania KW - *Students, Medical ER - TY - JOUR TI - Rehabilitation therapies for older clients of the Ontario home care system: regional variation and client-level predictors of service provision. AU - Armstrong, Joshua J AU - Zhu, Mu AU - Hirdes, John P AU - Stolee, Paul T2 - Disability and rehabilitation AB - PURPOSE: To examine regional variation in service provision and identify the client characteristics associated with occupational therapy (OT) and physiotherapy (PT) services for older adults in the Ontario Home Care System., METHODS: Secondary analyses of a provincial database containing comprehensive assessments (RAI-HC) linked with service utilization data from every older long-stay home care client in the system between 2005 and 2010 (n = 299 262). Hierarchical logistic regression models were used to model the dependent variables of OT and PT service use within 90 d of the initial assessment., RESULTS: Regional differences accounted for 9% of the variation in PT service provision and 20% of OT service provision. After controlling for the differences across regions, the most powerful predictors of service provision were identified for both OT and PT. The most highly associated client characteristics related to PT service provision were hip fracture, impairments in activities of daily living/instrumental activities of daily living, cerebrovascular accidents, and cognitive impairment. For OT, hazards in the home environment was the most powerful predictor of future service provision., CONCLUSIONS: Where a client lived was an important determinant of service provision in Ontario, raising the possibility of inequities in access to rehabilitation services. Health care planners and policy makers should review current practices and make adjustments to meet the increasing and changing needs for rehabilitation therapies of the aging population. Implications for Rehabilitation For older adults in home care, the goal of rehabilitation therapy services is to allow individuals to maintain or improve physical functioning, quality of life and overall independence while living within their community. Previous research has demonstrated that a large proportion of home care clients specifically identified as having rehabilitation potential do not receive it. This article used clinical assessment data to identify the predictors of and barriers to rehabilitation services for older adults in the Ontario Home Care System. Barriers of PT included dementia diagnosis and French as a first language. Barriers to OT included dementia diagnosis. Policies and practices related to service provision for older adults should be reconsidered if we are going to meet the demands of aging populations and increasing rates of functional and cognitive impairments. DA - 2015/// PY - 2015 DO - 10.3109/09638288.2014.935494 VL - 37 IS - 7 SP - 625 EP - 31 J2 - Disabil Rehabil SN - 1464-5165 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24981016 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Administrative Personnel KW - Activities of Daily Living KW - Health Services Needs and Demand KW - Logistic Models KW - Quality of Life KW - *Occupational Therapy KW - Multivariate Analysis KW - Dementia/di [Diagnosis] KW - *Home Care Services/td [Trends] KW - *Physical Therapy Modalities KW - Ontario KW - Language KW - Cognition Disorders/th [Therapy] KW - Hip Fractures/rh [Rehabilitation] KW - Stroke Rehabilitation ER - TY - JOUR TI - Feeding tubes for older people with advanced dementia living in the community in Israel. AU - Bentur, Netta AU - Sternberg, Shelley AU - Shuldiner, Jennifer AU - Dwolatzky, Tzvi T2 - American journal of Alzheimer's disease and other dementias AB - BACKGROUND: Feeding tubes to address eating problems of older people with advanced dementia (OPAD) has been studied primarily in nursing homes., OBJECTIVES: To examine the prevalence of feeding tube use among OPAD living in the community; to evaluate the characteristics, quality of care, and the burden on caregivers., METHODS: A cross-sectional survey of 117 caregivers of OPAD living in the community., RESULTS: Of 117 patients, 26% had feeding tubes. Compared to nonusers, feeding tube users had more use of restraints, greater problems with swallowing, more emergency room visits, and were more likely to have a legal guardian. In addition, caregivers of feeding tube users were older and reported very heavy burden of care. Half of the caregivers reported that the medical team consulted them before insertion of the feeding tube., CONCLUSION: Feeding tube use in OPAD in the community is associated with negative outcomes and increased caregiver burden. Copyright © The Author(s) 2014. DA - 2015/// PY - 2015 DO - 10.1177/1533317514539726 VL - 30 IS - 2 SP - 165 EP - 72 J2 - Am J Alzheimers Dis Other Demen SN - 1938-2731 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24963078 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Caregivers/px [Psychology] KW - Cross-Sectional Studies KW - *Cost of Illness KW - *Dementia/nu [Nursing] KW - *Independent Living/st [Standards] KW - Israel KW - *Enteral Nutrition/ae [Adverse Effects] ER - TY - JOUR TI - The abuse, neglect and mistreatment of older people with dementia in care homes and hospitals in England: the potential for secondary data analysis: innovative practice. AU - Manthorpe, Jill T2 - Dementia (London, England) AB - There is concern that people with dementia may be at particular risk of elder abuse however there is little data to confirm such fears. This paper presents findings from an up-dated investigation of secondary sources of data about the abuse of older people with dementia in England conducted in 2013. There are many sources of data about poor care, abuse and neglect of people with dementia in care home and hospital settings but these are collected for different purposes and hard to link. The article discusses the ways in which dementia care practitioners may be able to make the most of existing data. Copyright © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav. DA - 2015/// PY - 2015 DO - 10.1177/1471301214541177 VL - 14 IS - 2 SP - 273 EP - 9 J2 - DEMENTIA SN - 1741-2684 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24962001 KW - Humans KW - Aged, 80 and over KW - *Homes for the Aged KW - Geriatric Assessment KW - *Dementia KW - England KW - *Hospitals KW - Vulnerable Populations KW - Elder Abuse/sn [Statistics & Numerical Data] KW - *Elder Abuse/pc [Prevention & Control] KW - *Data Interpretation, Statistical ER - TY - JOUR TI - Identifying naturally occurring retirement communities: a spatial analysis. AU - Rivera-Hernandez, Maricruz AU - Yamashita, Takashi AU - Kinney, Jennifer M T2 - The journals of gerontology. Series B, Psychological sciences and social sciences AB - OBJECTIVES: Guided by the concept of "aging in place" and potential policy implications, the study analyzed naturally occurring retirement communities (NORCs; 40% or greater house owners and renters aged 65 years and older) and whether there were spatiotemporal patterns in Ohio between 2000 and 2010., METHOD: Data were derived from the 2000 and 2010 census tracts. Geovisualization was used to visually examine the distribution of NORCs in 2000 and 2010. Global Moran's I was used to quantify the spatial distribution of NORCs in Ohio and Local Moran's I was used to identify clusters of NORCs (i.e., hot spots)., RESULTS: The number of NORCs slightly decreased despite the overall increase of the older population from 2000 to 2010. NORCs were identified in one of the 3 most populous counties (i.e., Cuyahoga) and its neighboring counties. A number of hot spots were identified in Cuyahoga County (among Ohio's most populous and NORC-rich counties), both in 2000 and 2010. There were different patterns including emerging, disappearing, and enduring NORCs and disproportionate distributions of NORCs across the state between 2000 and 2010., DISCUSSION: Locating NORCs could aid governments to create "aging in place" sensitive policies to address issues of independence, social care, health care, volunteerism, and community participation. Copyright © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/geronb/gbu077 VL - 70 IS - 4 SP - 619 EP - 27 J2 - J Gerontol B Psychol Sci Soc Sci SN - 1758-5368 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24958694 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Housing/sn [Statistics & Numerical Data] KW - Independent Living/sn [Statistics & Numerical Data] KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - *Retirement/sn [Statistics & Numerical Data] KW - Ohio KW - *Spatial Analysis ER - TY - JOUR TI - An ambient assisted living approach in designing domiciliary services combined with innovative technologies for patients with Alzheimer's disease: a case study. AU - Cavallo, Filippo AU - Aquilano, Michela AU - Arvati, Marco T2 - American journal of Alzheimer's disease and other dementias AB - BACKGROUND: Alzheimer's disease (AD) is one of the most disabling diseases to affect large numbers of elderly people worldwide. Because of the characteristics of this disease, patients with AD require daily assistance from service providers both in nursing homes and at home. Domiciliary assistance has been demonstrated to be cost effective and efficient in the first phase of the disease, helping to slow down the course of the illness, improve the quality of life and care, and extend independence for patients and caregivers. In this context, the aim of this work is to demonstrate the technical effectiveness and acceptability of an innovative domiciliary smart sensor system for providing domiciliary assistance to patients with AD which has been developed with an Ambient Assisted Living (AAL) approach., METHODS: The design, development, testing, and evaluation of the innovative technological solution were performed by a multidisciplinary team. In all, 15 sociomedical operators and 14 patients with AD were directly involved in defining the end-users' needs and requirements, identifying design principles with acceptability and usability features and evaluating the technological solutions before and after the real experimentation., RESULTS: A modular technological system was produced to help caregivers continuously monitor the health status, safety, and daily activities of patients with AD. During the experimentation, the acceptability, utility, usability, and efficacy of this system were evaluated as quite positive., CONCLUSION: The experience described in this article demonstrated that AAL technologies are feasible and effective nowadays and can be actively used in assisting patients with AD in their homes. The extensive involvement of caregivers in the experimentation allowed to assess that there is, through the use of the technological system, a proven improvement in care performance and efficiency of care provision by both formal and informal caregivers and consequently an increase in the quality of life of patients, their relatives, and their caregivers. Copyright © The Author(s) 2014. DA - 2015/// PY - 2015 DO - 10.1177/1533317514539724 VL - 30 IS - 1 SP - 69 EP - 77 J2 - Am J Alzheimers Dis Other Demen SN - 1938-2731 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24951634 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Alzheimer Disease/nu [Nursing] KW - *Monitoring, Ambulatory/is [Instrumentation] KW - Equipment Design KW - *Assisted Living Facilities/st [Standards] KW - *Self-Help Devices/st [Standards] KW - Monitoring, Ambulatory/st [Standards] ER - TY - JOUR TI - Association of self-reported hearing difficulty to objective and perceived participation outside the home in older community-dwelling adults. AU - Mikkola, Tuija Maria AU - Portegijs, Erja AU - Rantakokko, Merja AU - Gagne, Jean-Pierre AU - Rantanen, Taina AU - Viljanen, Anne T2 - Journal of aging and health AB - OBJECTIVE: To investigate whether hearing difficulty is associated with objective and perceived participation in social and leisure activities outside the home in older adults., METHOD: Self-reported hearing difficulty, frequency of participation, perceived participation and Mini-Mental State Examination (MMSE) were obtained from 848 community-dwelling men and women aged 75 to 90., RESULTS: Among persons with MMSE <= 24, hearing was not associated with participation. In persons with MMSE > 24, relative to persons who reported no difficulty hearing, participants with major hearing difficulty had a higher odds ratio [OR] for infrequent participation in group activities (OR 2.1, 95% confidence interval [CI] [1.2, 3.6]) and more restricted perceived participation (OR 2.1, 95% CI [1.2, 3.7]). Participants with and without hearing difficulty did not differ in their frequency of attending non-group activities or meeting (grand)children or acquaintances., DISCUSSION: Hearing difficulty may restrict older adults with normal cognition from participating in social and leisure activities and living their life as they would like to outside the home. Copyright © The Author(s) 2014. DA - 2015/// PY - 2015 DO - 10.1177/0898264314538662 VL - 27 IS - 1 SP - 103 EP - 22 J2 - J Aging Health SN - 1552-6887 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24951368 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Cross-Sectional Studies KW - *Self Report KW - *Social Participation/px [Psychology] KW - Cognition/ph [Physiology] KW - *Leisure Activities/px [Psychology] KW - *Hearing Loss ER - TY - JOUR TI - The effects of an energy efficiency retrofit on indoor air quality. AU - Frey, S E AU - Destaillats, H AU - Cohn, S AU - Ahrentzen, S AU - Fraser, M P T2 - Indoor air AB - To investigate the impacts of an energy efficiency retrofit, indoor air quality and resident health were evaluated at a low-income senior housing apartment complex in Phoenix, Arizona, before and after a green energy building renovation. Indoor and outdoor air quality sampling was carried out simultaneously with a questionnaire to characterize personal habits and general health of residents. Measured indoor formaldehyde levels before the building retrofit routinely exceeded reference exposure limits, but in the long-term follow-up sampling, indoor formaldehyde decreased for the entire study population by a statistically significant margin. Indoor PM levels were dominated by fine particles and showed a statistically significant decrease in the long-term follow-up sampling within certain resident subpopulations (i.e. residents who report smoking and residents who had lived longer at the apartment complex). Copyright © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. DA - 2015/// PY - 2015 DO - 10.1111/ina.12134 VL - 25 IS - 2 SP - 210 EP - 9 J2 - Indoor Air SN - 1600-0668 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24920242 KW - Humans KW - Aged KW - Surveys and Questionnaires KW - Health Status KW - Housing KW - Time Factors KW - Follow-Up Studies KW - Facility Design and Construction KW - Smoking KW - *Particulate Matter/an [Analysis] KW - *Air Pollution, Indoor/an [Analysis] KW - *Conservation of Energy Resources KW - *Formaldehyde/an [Analysis] ER - TY - JOUR TI - Do older adults' beliefs about their community mobility predict walking performance?. AU - Sessford, James D AU - Jung, Mary AU - Brawley, Lawrence R AU - Forbes, Jennifer L T2 - Journal of aging and physical activity AB - Among older adults, preserving community mobility (CM) is important for maintaining independent living. We explored whether perceptions of the environment and self-efficacy for CM (SE-CM) would predict walking performance for tasks reflecting CM. We hypothesized that perceptions of the environment and SE-CM would be additive predictors of walking performance on tasks reflecting the complexity of CM. Independent living older adults (N = 60) aged 64-85 completed six complex walking tasks (CWTs), SE-CM, and the environmental analysis of mobility questionnaire (EAMQ). Multiple regression analyses indicated that for each CWT, the EAMQ scales predicted walking performance (range: model R2Adj. = .078 to .139, p < .04). However, when SE-CM was added to the models, it was the sole significant predictor (p < .05). Contrary to our hypotheses, SE-CM was the best predictor in the additive models. SE-CM may be more correspondent to walking tests and thus a more sensitive predictor of CM walking performance. DA - 2015/// PY - 2015 DO - 10.1123/japa.2013-0235 VL - 23 IS - 2 SP - 272 EP - 8 J2 - J AGING PHYS ACTIVITY SN - 1543-267X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24918643 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Task Performance and Analysis KW - Mobility Limitation KW - Residence Characteristics KW - *Activities of Daily Living KW - *Geriatric Assessment/mt [Methods] KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Aging/ph [Physiology] KW - Independent Living/px [Psychology] KW - *Culture KW - Predictive Value of Tests KW - *Walking/ph [Physiology] KW - Self Concept ER - TY - JOUR TI - Spatial measurement of mobility barriers: improving the environment of community-dwelling older adults in Taiwan. AU - Chen, Yen-Jong AU - Matsuoka, Rodney H AU - Tsai, Kun-Cheng T2 - Journal of aging and physical activity AB - Mobility barriers can impede physical activity, increase the fear of falling, and pose a threat to the ability of older adults to live independently. This study investigated outdoor mobility barriers within a nonretirement public housing community located in Tainan, Taiwan. Site observations and interviews with older adult residents determined that parked motor scooters, potted plants, the rubber tiles of play areas, and a set of steps were the most important barriers. In addition, the space syntax parameters of control value and mean depth were effectively able to quantitatively measure improvements in walkability resulting from the hypothesized removal of these four barriers. These measures of improved walkability can be included in a cost-benefit analysis of spatial improvement factors to help policymakers address the mobility and accessibility needs of older adults. DA - 2015/// PY - 2015 DO - 10.1123/japa.2014-0004 VL - 23 IS - 2 SP - 286 EP - 97 J2 - J AGING PHYS ACTIVITY SN - 1543-267X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24918428 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Middle Aged KW - Mobility Limitation KW - *Accidental Falls/pc [Prevention & Control] KW - *Independent Living KW - *Quality of Life KW - *Geriatric Assessment/mt [Methods] KW - Accidental Falls/sn [Statistics & Numerical Data] KW - *Environment Design KW - Taiwan KW - Walking/ph [Physiology] KW - Accident Prevention/mt [Methods] ER - TY - JOUR TI - Reactive stepping behaviour in response to forward loss of balance predicts future falls in community-dwelling older adults. AU - Carty, Christopher P AU - Cronin, Neil J AU - Nicholson, Deanne AU - Lichtwark, Glen A AU - Mills, Peter M AU - Kerr, Graham AU - Cresswell, Andrew G AU - Barrett, Rod S T2 - Age and ageing AB - BACKGROUND: a fall occurs when an individual experiences a loss of balance from which they are unable to recover. Assessment of balance recovery ability in older adults may therefore help to identify individuals at risk of falls. The purpose of this 12-month prospective study was to assess whether the ability to recover from a forward loss of balance with a single step across a range of lean magnitudes was predictive of falls., METHODS: two hundred and one community-dwelling older adults, aged 65-90 years, underwent baseline testing of sensori-motor function and balance recovery ability followed by 12-month prospective falls evaluation. Balance recovery ability was defined by whether participants required either single or multiple steps to recover from forward loss of balance from three lean magnitudes, as well as the maximum lean magnitude participants could recover from with a single step., RESULTS: forty-four (22%) participants experienced one or more falls during the follow-up period. Maximal recoverable lean magnitude and use of multiple steps to recover at the 15% body weight (BW) and 25%BW lean magnitudes significantly predicted a future fall (odds ratios 1.08-1.26). The Physiological Profile Assessment, an established tool that assesses variety of sensori-motor aspects of falls risk, was also predictive of falls (Odds ratios 1.22 and 1.27, respectively), whereas age, sex, postural sway and timed up and go were not predictive., CONCLUSION: reactive stepping behaviour in response to forward loss of balance and physiological profile assessment are independent predictors of a future fall in community-dwelling older adults. Exercise interventions designed to improve reactive stepping behaviour may protect against future falls. Copyright © The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/ageing/afu054 VL - 44 IS - 1 SP - 109 EP - 15 J2 - Age Ageing SN - 1468-2834 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24918170 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Logistic Models KW - *Accidental Falls/pc [Prevention & Control] KW - *Independent Living KW - Time Factors KW - Age Factors KW - Prospective Studies KW - *Postural Balance KW - Odds Ratio KW - *Gait KW - Aging KW - Sensation Disorders/di [Diagnosis] KW - Sensation Disorders/pp [Physiopathology] KW - *Sensation Disorders/co [Complications] KW - Adaptation, Physiological ER - TY - JOUR TI - Visual impairment and depression among socially vulnerable older adults in Armenia. AU - Giloyan, Aida AU - Harutyunyan, Tsovinar AU - Petrosyan, Varduhi T2 - Aging & mental health AB - OBJECTIVES: Visual impairment in older adults is a major public health problem. Untreated visual impairment might negatively impact physical and psychological health. This study assessed the association between visual impairment and depression among socially vulnerable older adults (those aged 50 and above) in Armenia., METHOD: The survey and eye screenings were carried out among 339 participants who were the residents of retirement homes and single older adults in the households. The study team used Golovin-Sivtsev chart and cycloplegic skiascopy to measure visual impairment and Center for Epidemiologic Studies Depression scale to measure depression., RESULTS: The prevalence of visual impairment in the sample was 13.3%. Almost 24.0% of participants reported depression symptoms. Participants living in the retirement homes had substantially higher rates of visual impairment (21.5%) and depression (28.0%) than those living in households (9.3% and 15.0%, respectively). The odds of having depression were higher among those with visual impairment compared to those without after adjusting for confounders (OR = 2.75; 95% CI: 1.29-5.87). Having at least one non-communicable disease was associated with depression (OR = 2.47; 95% CI: 1.28-4.75). Living in the retirement home was marginally significantly associated with having depression. Other confounders included age, gender, education, physical activity, and smoking., CONCLUSION: Visual impairment was significantly associated with depression in socially vulnerable older adults in Armenia. Timely eye screenings in similar population groups could lead to early detection of visual impairment and prevention of visual loss and associated mental health problems. DA - 2015/// PY - 2015 DO - 10.1080/13607863.2014.920298 VL - 19 IS - 2 SP - 175 EP - 81 J2 - Aging Ment Health SN - 1364-6915 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24898137 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Comorbidity KW - *Depression/ep [Epidemiology] KW - *Vulnerable Populations/sn [Statistics & Numerical Data] KW - *Vision Disorders/ep [Epidemiology] KW - Armenia/ep [Epidemiology] ER - TY - JOUR TI - Beyond family satisfaction: Family-perceived involvement in residential care. AU - Irving, Justine T2 - Australasian journal on ageing AB - AIM: To explore perceived family involvement and its relationship with satisfaction and facility impressions., METHOD: A questionnaire was posted to residents' next of kin from four South Australian residential aged care facilities., RESULTS: One hundred and fifty next of kin participated in the survey. Family-perceived involvement was significantly and positively correlated with satisfaction and facility impressions., CONCLUSION: The findings of this study add to the limited body of research into family involvement in long-term residential care. Feedback from the family regarding particular aspects of involvement may also improve the experience of long-term care for both family and resident, and assist with the identification of specific issues towards which organisations may target their quality improvement efforts. Copyright © 2014 ACOTA. DA - 2015/// PY - 2015 DO - 10.1111/ajag.12163 VL - 34 IS - 3 SP - 166 EP - 70 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24889786 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Australia KW - Surveys and Questionnaires KW - *Homes for the Aged KW - *Nursing Homes KW - Professional-Family Relations KW - Patient Satisfaction KW - *Family/px [Psychology] ER - TY - JOUR TI - The impact of functional dependency on outcomes after complex general and vascular surgery. AU - Scarborough, John E AU - Bennett, Kyla M AU - Englum, Brian R AU - Pappas, Theodore N AU - Lagoo-Deenadayalan, Sandhya A T2 - Annals of surgery T3 - [Comment in: Ann Surg. 2015 Mar;261(3):438-9; PMID: 25654561 [https://www.ncbi.nlm.nih.gov/pubmed/25654561]] AB - OBJECTIVE: To describe the outcomes of functionally dependent patients who undergo major general or vascular surgery and to determine the relationship between functional health status and early postoperative outcomes., BACKGROUND: In contrast to frailty, functional health status is a relatively easy entity to define and to measure and therefore may be a more practical variable to assess in patients who are being considered for major surgery. To date, few studies have assessed the impact of functional health status on surgical outcomes., METHODS: Patients undergoing 1 of 10 complex general or vascular operations were extracted from the 2005 to 2010 America College of Surgeons National Surgical Quality Improvement Program database. Propensity score techniques were used to match patients with and without preoperative functional dependency on known patient- and procedure-related factors. The postoperative outcomes of this matched cohort were then compared., RESULTS: A total of 10,246 functionally dependent surgical patients were included for analysis. These patients were more acutely and chronically ill than functionally independent patients, and they had higher rates of mortality and morbidity for each of the 10 procedures analyzed. Propensity-matching techniques resulted in the creation of a cohort of functionally independent and dependent patients who were well matched for known patient- and procedure-related variables. Dependent patients from the matched cohort had a 1.75-fold greater odds of postoperative death (95% confidence interval: 1.54-1.98, P < 0.0001) than functionally independent patients., CONCLUSIONS: Preoperative functional dependency is an independent risk factor for mortality after major operation. Functional health status should be routinely assessed in patients who are being considered for complex surgery. DA - 2015/// PY - 2015 DO - 10.1097/SLA.0000000000000767 VL - 261 IS - 3 SP - 432 EP - 7 J2 - Ann Surg SN - 1528-1140 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24887971 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Middle Aged KW - Frail Elderly KW - Activities of Daily Living KW - *Independent Living KW - Propensity Score KW - Comorbidity KW - Geriatric Assessment KW - Disability Evaluation KW - *Outcome Assessment (Health Care) KW - Vascular Surgical Procedures/mo [Mortality] KW - *Surgical Procedures, Operative KW - Surgical Procedures, Operative/mo [Mortality] ER - TY - JOUR TI - Using life history narratives to educate staff members about personhood in assisted living. AU - Gammonley, Denise AU - Lester, Connie L AU - Fleishman, Daniel AU - Duran, Lloyd AU - Cravero, Geoffrey T2 - Gerontology & geriatrics education AB - Oral life history narratives are a promising method to promote person-centered values of personhood and belonging. This project used resident oral history interviews to educate staff members in an assisted-living setting about personhood. A single group pre-post test design evaluated impacts on 37 staff members to assess their use of resident videotaped oral history interviews and impacts on their perceived knowledge of residents. Perceived knowledge of residents declined (p = .003) between pretest and posttest. Older staff members were less likely to view a video. Staff members are interested in resident oral history biographies and identify them as helpful for delivering care. Oral history methods might provide an opportunity for staff members to promote personhood by allowing them to expand their understanding of resident preferences, values, and experiences. DA - 2015/// PY - 2015 DO - 10.1080/02701960.2014.925888 VL - 36 IS - 2 SP - 109 EP - 23 J2 - Gerontol Geriatr Educ SN - 1545-3847 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24884714 KW - Adult KW - Female KW - Humans KW - Male KW - Program Evaluation KW - Aged KW - Middle Aged KW - Personhood KW - *Aging/px [Psychology] KW - Professional-Patient Relations KW - *Narration KW - Staff Development/mt [Methods] KW - *Geriatrics/ed [Education] KW - Assisted Living Facilities/mt [Methods] KW - Education, Medical, Undergraduate/mt [Methods] KW - Assisted Living Facilities/es [Ethics] ER - TY - JOUR TI - Make Mine Home: Spatial Modification With Physical and Social Implications in Older Adulthood. AU - Perry, Tam E T2 - The journals of gerontology. Series B, Psychological sciences and social sciences AB - OBJECTIVE: The process of moving in older adulthood, intertwined with loss and anticipation, is grounded in material commodities that include one's residence and its contents. This article emphasizes the role of material culture in housing transitions., METHODS: Based on an ethnographic study (January 2009-May 2012) of older Americans (n = 81) relocating, this study utilized interviews, participant observation, and review of documents., RESULTS: Personalization is both a reflection of a previous self as a homeowner and a projection of a future self as extensions of temporality intertwine with commodification processes. Through creative appropriations of their housing, residences are personalized to promote physical or social functionality or because of preference., DISCUSSION: Given the findings, the transitions involved in relocation must be supported by greater understanding and facilitation of key issues of personalization and its importance to older adults' decisions to relocate. Copyright © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/geronb/gbu059 VL - 70 IS - 3 SP - 453 EP - 61 J2 - J Gerontol B Psychol Sci Soc Sci SN - 1758-5368 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24870030 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Qualitative Research KW - *Aging/px [Psychology] KW - *Environment KW - *Housing for the Elderly KW - Midwestern United States/eh [Ethnology] ER - TY - JOUR TI - Sleep disordered breathing, hypoxia and inflammation: associations with sickness behaviour in community dwelling elderly with and without cardiovascular disease. AU - Johansson, Peter AU - Svensson, Erland AU - Alehagen, Urban AU - Dahlstrom, Ulf AU - Jaarsma, Tiny AU - Brostrom, Anders T2 - Sleep & breathing = Schlaf & Atmung AB - BACKGROUND: Inflammation can induce a cluster of symptoms, referred to as sickness behaviour (e.g., depressive symptoms, sleep disturbances, pain and fatigue). Cardiovascular disease (CVD) and sleep disordered breathing (SDB) are common in older adults. CVD is associated with an increased inflammatory activity and in SDB, hypoxia can also increase inflammation. The purpose of this study is to explore if SDB-related hypoxia is associated differently with inflammation and the presence of sickness behaviour in older adults with and without CVD., METHODS: Three hundred and thirty-one older adults, whose mean age is 78 years, underwent one-night polygraphic recording to measure SDB and hypoxia. CVD was established by a clinical investigation. Questionnaires were used to measure sickness behaviour and depressive symptoms. High sensitivity C-reactive protein was used as a marker of inflammation., RESULTS: Structural Equation Modelling showed that SDB-related hypoxia was associated with inflammation (beta > 0.40) which mediated indirect associations with sickness behaviour (beta = 0.19) and depressive symptoms (beta = 0.11), but only in those with CVD (n = 119). In this model, inflammation had a direct effect on sickness behaviour (beta = 0.43) and an indirect effect on depressive symptoms (beta = 0.24). Hypoxia had the strongest effect (i.e., beta = 0.41; significant) on inflammation, whereas the AHI or ODI had weak and non-significant effects (beta = 0.03 and beta = 0.15)., CONCLUSIONS: Older adults with CVD and SDB are at a particular risk of developing sickness behaviour and depressive symptoms. The effect of SDB was mainly caused by hypoxia, suggesting that hypoxia is an important marker of SDB severity in older adults with CVD. DA - 2015/// PY - 2015 DO - 10.1007/s11325-014-1006-9 VL - 19 IS - 1 SP - 263 EP - 71 J2 - Sleep Breath SN - 1522-1709 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24859483 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Cross-Sectional Studies KW - Heart Failure/ep [Epidemiology] KW - Reference Values KW - *Heart Failure/pp [Physiopathology] KW - Heart Failure/di [Diagnosis] KW - *C-Reactive Protein/me [Metabolism] KW - *Heart Failure/px [Psychology] KW - *Hypoxia/pp [Physiopathology] KW - *Hypoxia/px [Psychology] KW - *Illness Behavior KW - *Sleep Apnea Syndromes/pp [Physiopathology] KW - *Sleep Apnea Syndromes/px [Psychology] KW - Hypoxia/di [Diagnosis] KW - Hypoxia/ep [Epidemiology] KW - Sleep Apnea Syndromes/di [Diagnosis] KW - Sleep Apnea Syndromes/ep [Epidemiology] ER - TY - JOUR TI - Prevalence of diseases and conditions which impact on oral health and oral health self-care among older chilean. AU - Marino, Rodrigo AU - Albala, Cecilia AU - Sanchez, Hugo AU - Cea, Ximena AU - Fuentes, Alejandra T2 - Journal of aging and health AB - OBJECTIVE: The aim is to describe the prevalence of chronic diseases and conditions that may affect the oral health and oral health self-care of independent living Chilean older adults., METHOD: In all, 4,766 residents aged 60 years and older took part in the study. Participants were interviewed using an 11-module instrument, including demographic data, quality of life, nutritional status, systemic diseases, and lists of medications., RESULTS: Participants with cognitive impediments (n = 553) were eliminated from further analysis. Of the remaining 4,213, 61.2% were female. The mean age was 71.1 (SD = 7.8) years. A total of 19.6% reported no medical conditions, 53.1% reported one or two conditions, and 27.3% reported between three and nine conditions. The most commonly reported conditions were high blood pressure (78.0%), diabetes (26.5%), depression (23.4%), and cardiovascular disease (18.7%). Seventy-six percent reported taking medication, with an average of 3.4 drugs per person. Among those taking medication, 70.2% were taking at least one that may cause salivary hypofunction., DISCUSSION: With the aging of Chile and the reciprocal links between oral disease and chronic diseases, policies and innovative initiatives need to be implemented so that programs become affordable and accessible for this population. Copyright © The Author(s) 2014. DA - 2015/// PY - 2015 DO - 10.1177/0898264314533723 VL - 27 IS - 1 SP - 3 EP - 16 J2 - J Aging Health SN - 1552-6887 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24850366 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Independent Living KW - Prevalence KW - Cross-Sectional Studies KW - *Oral Health/sn [Statistics & Numerical Data] KW - *Self Care KW - *Chronic Disease/ep [Epidemiology] KW - Chile/ep [Epidemiology] ER - TY - JOUR TI - Residential normalcy and the enriched coping repertoires of successfully aging older adults. AU - Golant, Stephen M T2 - The Gerontologist AB - An earlier theoretical model equated the construct of residential normalcy with older persons positively appraising their residential environments. Failing to achieve congruent places to live, they initiate assimilative (action) or accommodative (mind) coping strategies. This paper theorizes that the assimilative coping strategies of older persons depend on their secondary appraisal processes whereby they judge the availability, efficaciousness, and viability of their coping options. Older persons with more enriched coping repertoires are theorized as more resilient, making their own decisions, and with access to more resource-rich objectively defined resilient environments. Successful aging formulations infrequently examine how residential environmental adaptations of people influence the quality of their lives. Programmatically, the theory emphasizes the potential of individual and environmental interventions targeting older persons who are not aging successfully. Copyright © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/geront/gnu036 VL - 55 IS - 1 SP - 70 EP - 82 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24840917 KW - Humans KW - Aged KW - Aged, 80 and over KW - Residence Characteristics KW - *Quality of Life KW - *Housing KW - *Adaptation, Psychological KW - *Aging/px [Psychology] KW - *Health Status KW - *Resilience, Psychological KW - Environment Design ER - TY - JOUR TI - On the locality of asymmetric close relations: spatial proximity and health differences in a senior community. AU - Schafer, Markus H T2 - The journals of gerontology. Series B, Psychological sciences and social sciences AB - OBJECTIVE: A long line of research maintains that physical proximity increases interpersonal contact and boosts the likelihood of voluntary relationships. Proximity effects, however, may be modified by additional, valued characteristics that distinguish people from one another, such as physical health. I examine this interaction between proximity and assortative mechanisms with a complete network of retirement community (RC) residents., METHODS: Descriptive statistics and an exponential random graph model (ERGM) are used to analyze ties between 123 RC residents. In addition to hypothesized variables, the ERGM approach accounts for structural network processes that generate ties., RESULTS: As expected, reports of close relationships were strongly influenced by physical proximity. Also consistent with hypotheses, close tie nominations tended to be asymmetric along a health gradient: People were less likely to identify those in worse health than themselves as a close tie. Physical proximity, moreover, intensified the health-based asymmetries., DISCUSSION: Findings suggest that relational inequalities associated with health are most pronounced when they are most local. I conclude by noting broader implications for the study of social networks, health, and physical space among older adults. Copyright © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/geronb/gbu043 VL - 70 IS - 1 SP - 100 EP - 10 J2 - J Gerontol B Psychol Sci Soc Sci SN - 1758-5368 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24814658 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Social Support KW - *Health Status KW - *Interpersonal Relations KW - Models, Statistical KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - *Retirement/sn [Statistics & Numerical Data] ER - TY - JOUR TI - [Reflections on the topic of good housing conditions and growing old: Not everybody has a choice]. AU - Jann, A T2 - Reflexionen zur Frage des guten Wohnens beim Alterwerden: Nicht alle haben die Wahl. AB - BACKGROUND: The variety of options with regard to housing for elderly people has increased. This study was carried out to understand how individuals reflect on their own options within this growing market., MATERIAL AND METHODS: In a qualitative study design 26 single person households (65+ years) were interviewed. The aim of the study was to understand what influences the individual ideas about moving residence or staying put., RESULTS: A great majority of the elderly seem to reflect on their own living situation. There are not just spatial and constructional reasons that make people consider moving residence but also the financial situation, the possibility to spend the day with meaningful activities and the existence of a social network. The individual need for security and autonomy for the present and the future influences the interpretation of a given situation., CONCLUSION: The reflection on ones own housing situation is interlinked with the person's ability and capacity. One can only find solutions if one can think of them and one can only act if one has the potential. DA - 2015/// PY - 2015 DO - 10.1007/s00391-014-0656-3 VL - 48 IS - 3 SP - 270 EP - 4 J2 - Z Gerontol Geriatr SN - 1435-1269 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24805371 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - *Quality of Life/px [Psychology] KW - Germany KW - *Attitude to Health KW - *Housing KW - *Decision Making KW - *Aging/px [Psychology] KW - *Residence Characteristics KW - Activities of Daily Living/px [Psychology] ER - TY - JOUR TI - The first step in using a robot in brain injury rehabilitation: patients' and health-care professionals' perspective. AU - Boman, Inga-Lill AU - Bartfai, Aniko T2 - Disability and rehabilitation. Assistive technology AB - PURPOSE: To evaluate the usability of a mobile telepresence robot (MTR) in a hospital training apartment (HTA). The MTR was manoeuvred remotely and was used for communication when assessing independent living skills, and for security monitoring of cognitively impaired patients., METHOD: Occupational therapists (OTs) and nurses received training in how to use the MTR. The nurses completed a questionnaire regarding their expectations of using the MTR. OTs and patients staying in the HTA were interviewed about their experiences of the MTR. Interviews and questionnaires were analysed qualitatively., RESULTS: The HTA patients were very satisfied with the MTR. The OTs and nurses reported generally positive experiences. The OT's found that assessment via the MTR was more neutral than being physically present. However, the use of the MTR implied considerable difficulties for health-care professionals. The main obstacle for the nurses was the need for fast and easy access in emergency situations while protecting the patients' integrity., CONCLUSIONS: The results indicate that the MTR could be a useful tool to support daily living skills and safety monitoring of HTA patients. However, when designing technology for multiple users, such as health-care professionals, the needs of all users, their routines and support services involved, should also be considered. Implications for Rehabilitation A mobile telepresence robot (MTR) can be a useful tool for assessments and communication in rehabilitation. The design of the robot has to allow easy use by remote users, particularly in emergency situations. When designing MTRs the needs of ALL users have to be taken into consideration. DA - 2015/// PY - 2015 DO - 10.3109/17483107.2014.913712 VL - 10 IS - 5 SP - 365 EP - 70 J2 - Disabil. rehabil., Assist. technol. SN - 1748-3115 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24766268 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - User-Computer Interface KW - Independent Living KW - *Attitude of Health Personnel KW - Occupational Therapy KW - *Communication KW - *Robotics/is [Instrumentation] KW - Nurses KW - *Videoconferencing/is [Instrumentation] KW - *Brain Injuries/rh [Rehabilitation] KW - Cognition Disorders/rh [Rehabilitation] ER - TY - JOUR TI - Focus on Feeding! Evaluation of a framework for maximizing mealtime in aged care facilities. AU - Chang, Esther AU - Brownhill, Suzanne AU - Bidewell, John AU - Johnson, Amanda AU - Ratnayake, Shyama T2 - International journal of nursing practice AB - Unintentional weight loss is a health risk for residents of aged care facilities, a concern for families and places demands on nursing staff. An existing weight loss framework to assess and manage residents' weight developed by a multidisciplinary team was implemented and evaluated with nurses and residents in aged care facilities within an area health service of Sydney, Australia. Thematic analysis generated seven binary concepts relating to relational, procedural, behavioural, physical, psychological, environmental and temporal aspects of feeding assistance provided by nurses to residents. Theoretical sampling was applied to the literature confirming those concepts which were organized as a model of feeding assistance labelled the Focus on Feeding! Decision Model. Nurses can play a pivotal role in the assessment of feeding difficulty and implementation of innovative mealtime programs. The Model aims to promote nurses' critical thinking and decision-making to improve nutritional intake of residents and avoid preventable weight loss. Copyright © 2014 Wiley Publishing Asia Pty Ltd. DA - 2015/// PY - 2015 DO - 10.1111/ijn.12260 VL - 21 IS - 3 SP - 269 EP - 77 J2 - Int J Nurs Pract SN - 1440-172X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24754457 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Australia KW - *Meals KW - *Homes for the Aged KW - *Nursing Homes KW - Feeding Behavior KW - Weight Loss ER - TY - JOUR TI - Aging in place within permanent supportive housing. AU - Henwood, Benjamin F AU - Katz, Marian L AU - Gilmer, Todd P T2 - International journal of geriatric psychiatry AB - OBJECTIVES: This study examined whether and how permanent supportive housing (PSH) programs are able to support aging in place among tenants with serious mental illness., DESIGN: Investigators used a mixed-method approach known as a convergent parallel design in which quantitative and qualitative data are analyzed separately and findings are merged during interpretation. Quantitative analysis compared 1-year pre-residential and post-residential outcomes for PSH program enrollees, comparing adults aged 35-49 years (n = 3990) with those aged 50 years or older (n = 3086). Case study analysis using qualitative interviews with staff of a PSH program that exclusively served older adults identified challenges to providing support services., RESULTS: Substantial declines in days spent homeless and in justice system settings were found, along with increases in days living independently in apartments and in congregate settings. Homelessness and justice system involvement declined less for older adults than younger adults. Qualitative themes related to working with older adults included increased attention to medical vulnerability, residual effects of institutional care, and perceived preference for congregate living., CONCLUSIONS: PSH is an effective way to end homelessness, yet little is known about how programs can support housing stability among aging populations. Additional support and training for PSH staff will better promote successful aging in place. Copyright © 2014 John Wiley & Sons, Ltd. DA - 2015/// PY - 2015 DO - 10.1002/gps.4120 VL - 30 IS - 1 SP - 80 EP - 7 J2 - Int J Geriatr Psychiatry SN - 1099-1166 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24737594 KW - Adult KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Middle Aged KW - *Aging KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Public Housing/sn [Statistics & Numerical Data] KW - Linear Models KW - *Homeless Persons/px [Psychology] KW - Homeless Persons/sn [Statistics & Numerical Data] KW - *Community Mental Health Services/mt [Methods] KW - *Mentally Ill Persons/px [Psychology] KW - Community Mental Health Services/og [Organization & Administration] ER - TY - JOUR TI - Trait of routinization and adaptation to life in continuing care communities among older adults in Israel. AU - Zisberg, Anna AU - Kaabiya, Waheed AU - Siegel, Elena O T2 - Geriatrics & gerontology international AB - AIM: To examine the relationship between levels of adaptation to independent living in continuing care communities and the personality trait, routinization., METHODS: Using a correlative design, structured face-to-face interviews were carried out with 120 older adults residing in independent housing units across six continuing care facilities in Israel, using the Index of Relocation Adjustment and the Variety Assessment Scale questionnaires., RESULTS: In a mixed model, one of the two routinization subscales (disliking disruption) was moderately associated with adaptation, controlling for decision to enter the facility, satisfaction with the facility, family relationship, functional status, education, family status and type of setting. Residents who expressed high levels of disliking disruption, higher functional status and less involvement in the decision to enter the facility reported poorer adaptation to their living conditions., CONCLUSION: Our findings point out the complexity and intricacy of personal attributes as factors associated with adaptation to transitions in older age, and highlight the potential contribution of the trait of routinization to adaptation. Further research is required to identify ways to best support older adult transitions to institutional environments, considering different personality traits and environments. Copyright © 2014 Japan Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/ggi.12289 VL - 15 IS - 4 SP - 501 EP - 7 J2 - Geriatr Gerontol Int SN - 1447-0594 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24730568 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Patient Participation KW - Surveys and Questionnaires KW - *Independent Living/px [Psychology] KW - *Adaptation, Psychological KW - *Housing for the Elderly KW - *Habits KW - Patient Satisfaction KW - Israel KW - *Social Adjustment KW - Patient Transfer KW - *Personality KW - Sociological Factors ER - TY - JOUR TI - Prevalence of faecal incontinence in community-dwelling older people in Bali, Indonesia. AU - Suyasa, I Gede Putu Darma AU - Xiao, Lily Dongxia AU - Lynn, Penelope Ann AU - Skuza, Pawel Piotr AU - Paterson, Jan T2 - Australasian journal on ageing AB - AIM: To explore the prevalence rate of faecal incontinence in community-dwelling older people, associated factors, impact on quality of life and practices in managing faecal incontinence., METHOD: Using a cross-sectional design, 600 older people aged 60+ were randomly selected from a population of 2916 in Bali, Indonesia using a simple random sampling technique. Three hundred and three participants were interviewed (response rate 51%)., RESULTS: The prevalence of faecal incontinence was 22.4% (95% confidence interval (CI) 18.0-26.8). Self-reported constipation (odds ratio (OR) 3.68, 95% CI 1.87-7.24) and loose stools (OR 2.66, 95% CI 1.47-4.78) were significantly associated with faecal incontinence. There was a strong positive correlation between total bowel control score and total quality-of-life score (P < 0.001, rs = 0.61) indicating significant alterations in quality of life. The current management practices varied from changing diet, visiting health-care professionals, and using modern and traditional medicines., CONCLUSION: Faecal incontinence is common among community-dwelling older people in Bali. Copyright © 2014 ACOTA. DA - 2015/// PY - 2015 DO - 10.1111/ajag.12141 VL - 34 IS - 2 SP - 127 EP - 33 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24725247 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Logistic Models KW - Prevalence KW - *Independent Living KW - Quality of Life KW - Cross-Sectional Studies KW - Health Surveys KW - *Aging KW - Age Factors KW - Odds Ratio KW - Indonesia/ep [Epidemiology] KW - Multivariate Analysis KW - Chi-Square Distribution KW - *Fecal Incontinence/ep [Epidemiology] KW - Fecal Incontinence/px [Psychology] KW - Fecal Incontinence/pp [Physiopathology] KW - Defecation KW - Fecal Incontinence/di [Diagnosis] ER - TY - JOUR TI - BE-ACTIV for depression in nursing homes: primary outcomes of a randomized clinical trial. AU - Meeks, Suzanne AU - Van Haitsma, Kimberly AU - Schoenbachler, Ben AU - Looney, Stephen W T2 - The journals of gerontology. Series B, Psychological sciences and social sciences AB - OBJECTIVES: To report the primary outcomes of a cluster randomized clinical trial of Behavioral Activities Intervention (BE-ACTIV), a behavioral intervention for depression in nursing homes., METHOD: Twenty-three nursing homes randomized to BE-ACTIV or treatment as usual (TAU); 82 depressed long-term care residents recruited from these nursing homes. BE-ACTIV participants received 10 weeks of individual therapy after a 2-week baseline. TAU participants received weekly research visits. Follow-up assessments occurred at 3- and 6-month posttreatment., RESULTS: BE-ACTIV group participants showed better diagnostic recovery at posttreatment in intent-to-treat analyses adjusted for clustering. They were more likely to be remitted than TAU participants at posttreatment and at 3-month posttreatment but not at 6 months. Self-reported depressive symptoms and functioning improved in both groups, but there were no significant treatment by time interactions in these variables., DISCUSSION: BE-ACTIV was superior to TAU in moving residents to full remission from depression. The treatment was well received by nursing home staff and accepted by residents. A large proportion of participants remained symptomatic at posttreatment, despite taking one or more antidepressants. The results illustrate the potential power of an attentional intervention to improve self-reported mood and functioning, but also the difficulties related to both studying and implementing effective treatments in nursing homes. Copyright © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/geronb/gbu026 VL - 70 IS - 1 SP - 13 EP - 23 J2 - J Gerontol B Psychol Sci Soc Sci SN - 1758-5368 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24691156 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Homes for the Aged KW - *Nursing Homes KW - Remission Induction KW - *Behavior Therapy/mt [Methods] ER - TY - JOUR TI - Health-promoting residential aged care: a pilot project in Austria. AU - Krajic, Karl AU - Cichocki, Martin AU - Quehenberger, Viktoria T2 - Health promotion international AB - Long-term care for the aged is an area that has not been in the focus of health promotion so far. The paper describes context, concept and project plan of a 2-year pilot project of comprehensive health-promoting setting development in residential aged care in Austria, and provides an overview over main experiences and results. Austria's most relevant health promotion agencies, a specialized scientific institute and Austria's largest provider of aged care acted as partners. The project aimed at developing elements of a comprehensive approach, but also providing evidence for the effectiveness of health promotion. Therefore, the project combined an organizational development approach with a scientific, randomized controlled study on mobility enhancement for residents. A comprehensive settings approach turned out acceptable for the main stakeholders of aged care (owners and management, staff, residents and residents' relatives). Strategy development, based on a systematic needs assessment, found staff health to be of special interest for the organization (ergonomics, workability over life course), and residents' relatives, got more attention. The mobility study was able to achieve positive results on occupational performance, concerning quality-of-life indicators and reached also formerly inactive groups. After the end of the project, health promotion is still on the agenda of the organization; further developments will be monitored. Good support from the policy level and well-established networking between the aged care provider, health promotion agencies and a network for health promotion in health care seems to have been an important resource for success. Copyright © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/heapro/dau012 VL - 30 IS - 3 SP - 769 EP - 81 J2 - Health Promot Internation SN - 1460-2245 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24682545 KW - Humans KW - Family KW - Quality of Life KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Health Promotion/og [Organization & Administration] KW - Pilot Projects KW - *Communication KW - Volunteers KW - *Mobility Limitation KW - Austria KW - Personnel Management ER - TY - JOUR TI - What community characteristics help or hinder rural communities in becoming age-friendly? Perspectives from a Canadian prairie province. AU - Spina, John AU - Menec, Verena H T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - Age-friendly initiatives are increasingly promoted as a policy solution to healthy aging, The primary objective of this article was to examine older adults' and key stakeholders' perceptions of the factors that either help or hinder a community from becoming age-friendly in the context of rural Manitoba, a Canadian prairie province. Twenty-four older adults and 17 key informants completed a qualitative interview. The findings show that contextual factors including size, location, demographic composition, ability to secure investments, and leadership influence rural communities' ability to become age-friendly. Government must consider the challenges these communities face in becoming more age-friendly and develop strategies to support communities. Copyright © The Author(s) 2013. DA - 2015/// PY - 2015 DO - 10.1177/0733464813496164 VL - 34 IS - 4 SP - 444 EP - 64 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24652896 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - *Rural Population KW - Interviews as Topic KW - Manitoba KW - *Perception KW - *Residence Characteristics/cl [Classification] ER - TY - JOUR TI - Elder abuse in residential long-term care: an update to the 2003 National Research Council report. AU - Castle, Nicholas AU - Ferguson-Rome, Jamie C AU - Teresi, Jeanne A T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - A synthesis of the last decade of literature on elder abuse in residential long-term care (i.e., Nursing Homes and Assisted Living) is discussed. Presented are definitions of abuse, theoretical and conceptual models, prevalence rates of abuse, outcomes and costs, and sources of abuse. The synthesis represents an update to the literature in the influential 2003 National Research Council report. We identify many of the same issues and concerns exist that were surfaced in this prior report. Many theoretical and conceptual models need further elaboration. Conflicting definitions of abuse are pervasive. Rates of abuse are generally inaccurate, and probably under-reported. However, we also identify progress in many areas. An increase in empirical studies that exist in this area (although very few in Assisted Living). Other forms and types of abuse have also been identified as important, such as resident-to-resident abuse. These areas are discussed, along with potential suggestions for additional research. Copyright © The Author(s) 2013. DA - 2015/// PY - 2015 DO - 10.1177/0733464813492583 VL - 34 IS - 4 SP - 407 EP - 43 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24652890 KW - Humans KW - Risk Factors KW - United States KW - Social Environment KW - Aged KW - Models, Theoretical KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment KW - *Long-Term Care KW - *Elder Abuse/sn [Statistics & Numerical Data] KW - National Academy of Sciences (U.S.) ER - TY - JOUR TI - Do age-friendly characteristics influence the expectation to age in place? A comparison of low-income and higher income Detroit elders. AU - Lehning, Amanda J AU - Smith, Richard J AU - Dunkle, Ruth E T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - Currently there is limited evidence linking age-friendly characteristics to outcomes in elders. Using a representative sample of 1,376 adults aged 60 and older living in Detroit, this study examined the association between age-friendly social and physical environmental characteristics and the expectation to age in place, and the potential differences between low- and higher-income elders. Based on U.S. Environmental Protection Agency's (EPA) age-friendly guide, we identified six factors reflecting age-friendly characteristics. Logistic regression models indicated that regardless of income level only neighborhood problems were significantly associated with expecting to age in place. Low-income elders were more likely to expect to age in place than their higher-income counterparts, and it is unclear whether this resulted from a desire to remain in the home or that there is no place else to go. Future research should address the ways in which financial resources affect the choices, expectations, and outcomes of aging in place. Copyright © The Author(s) 2013. DA - 2015/// PY - 2015 DO - 10.1177/0733464813483210 VL - 34 IS - 2 SP - 158 EP - 80 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24652879 KW - Female KW - Humans KW - Male KW - Social Environment KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - Cross-Sectional Studies KW - *Aging KW - *Independent Living/sn [Statistics & Numerical Data] KW - Michigan KW - *Residence Characteristics KW - Poverty KW - *Income/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Independent Living Oldest Old and Their Primary Health Provider: A Mixed Method Examination of the Influence of Patient Personality Characteristics. AU - Stadtlander, Lee M AU - Giles, Martha J AU - Sickel, Amy E AU - Brooks, Emma AU - Brown, Cherri AU - Cormell, Melissa AU - Ewing, Lara AU - Hart, Delores AU - Koons, Dawn AU - Olson, Christy AU - Parker, Pamela AU - Semenova, Veronica AU - Stoneking, Shawna T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - This convergent mixed methods study examined 35 healthy, independent living individuals' (above 85 years) perceptions of their relationship with their primary health provider (PHP) and health practices. The relationship between PHP relationship perceptions and locus of control (LOC), resilience, and self-efficacy was explored through surveys and interviews. The majority indicated they visited their PHP just for preventative care; the number of PHP visits per year was significantly lower than reported for individuals above 85 by the CDC, possible reasons for this finding are provided. A positive relationship between LOC, resiliency, and self-efficacy for the oldest old was found. Few participants indicated their PHP had discussed normal changes with aging. This study has deepened understanding of the complexity inherent to the healthy oldest olds' relationship with their PHP. The findings suggest this relationship relates to the PHP's personal characteristics, the older adult patients' personality, and the influence of the accompanying patient escort. Copyright © The Author(s) 2013. DA - 2015/// PY - 2015 DO - 10.1177/0733464813482182 VL - 34 IS - 7 SP - 906 EP - 28 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24652877 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Health Personnel KW - *Independent Living/px [Psychology] KW - Interviews as Topic KW - *Resilience, Psychological KW - *Patient Satisfaction KW - *Physician-Patient Relations KW - *Self Efficacy ER - TY - JOUR TI - "You don't want to ask for the help" the imperative of independence: is it related to social exclusion?. AU - Bell, Sheri AU - Menec, Verena T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - Independence is highly valued in Western society. The emphasis on independence and consequent fear of dependence may, however, have a downside, potentially leading to social exclusion. Through photovoice methodology, we explored what older adults say about the importance of independence in their lives and how independence may relate to social exclusion. Data consisted of photographs, journals, interviews, and focus group transcripts from 30 participants residing in Manitoba, Canada, collected as part of a larger program of research on "age-friendly" communities. Findings highlighted the importance of resources and supports to help older adults remain independent and feel included and that fear of dependence and being perceived as "old" can lead to social exclusion. Policy initiatives designed to make communities more age-friendly are one way to enhance older adults' independence and, ultimately, quality of life. It is equally important, however, that such initiatives go hand-in-hand with reimaging aging and old age. Copyright © The Author(s) 2012. DA - 2015/// PY - 2015 DO - 10.1177/0733464812469292 VL - 34 IS - 3 SP - NP1 EP - 21 J2 - J Appl Gerontol SN - 1552-4523 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24652862 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Middle Aged KW - Focus Groups KW - Social Support KW - *Independent Living/px [Psychology] KW - Interviews as Topic KW - Manitoba KW - *Aged/px [Psychology] KW - *Social Distance ER - TY - JOUR TI - Advance care planning discussions among residents of long term care and designated assisted living: experience from Calgary, Alberta. AU - Dyason, Claire AU - Simon, Jessica AU - Martin, Tracy Lynn Wityk T2 - BMJ supportive & palliative care AB - OBJECTIVES: Patients, physicians and the healthcare system are faced with the challenge of determining, and respecting, the medical wishes of an aging population. Our study sought to describe who participates in advance care planning (ACP) and decision-making for patients in long-term care and designated assisted living., METHODS: In 2008, Alberta Health Services initiated its 'Advance Care Planning: Goals of Care Designation' (Adult) policy in the Calgary zone. This policy encouraged discussions about goals of care and used a tracking form to capture these conversations. A postpolicy implementation chart review was performed at 3 time points: at baseline, at 6 months and at 18 months post implementation in long term care (LTC) and designated assisted living sites., RESULTS: 166 charts were reviewed and 90% had a documented goals of care order. Less than half of residents (47%) were documented as participating in conversations and they were less likely to participate if they had cognitive impairment and were living in LTC. Documented family participation was more prevalent in LTC (51% vs 11%). Nurses participated in 67% of documented conversations with only 34% of discussions documenting physician involvement., CONCLUSIONS: This study identifies the lack of documented resident participation in ACP in LTC. While this finding may be explained by the high prevalence of cognitive impairment in our population, it raises questions about the optimal approach to ACP in LTC. In this setting, ACP appears to be more about relational autonomy than it is about patient autonomy. Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. DA - 2015/// PY - 2015 DO - 10.1136/bmjspcare-2013-000444 VL - 5 IS - 1 SP - 48 EP - 53 J2 - BMJ support. palliat. care SN - 2045-4368 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24644182 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Decision Making KW - *Assisted Living Facilities KW - *Advance Care Planning/sn [Statistics & Numerical Data] KW - *Long-Term Care KW - Nurse-Patient Relations KW - *Communication KW - Family Relations KW - Cognition Disorders KW - Physician-Patient Relations KW - Alberta ER - TY - JOUR TI - Apathy in nursing home residents with dementia: results from a cluster-randomized controlled trial. AU - Treusch, Y AU - Majic, T AU - Page, J AU - Gutzmann, H AU - Heinz, A AU - Rapp, M A T2 - European psychiatry : the journal of the Association of European Psychiatrists AB - PURPOSE: Here we evaluate an interdisciplinary occupational and sport therapy intervention for dementia patients suffering from apathy., SUBJECTS AND METHODS: A prospective, controlled, rater-blinded, clinical trial with two follow-ups was conducted as part of a larger cluster-randomized trial in 18 nursing homes in Berlin. n=117 dementia patients with apathy, defined as a score of 40 or more on the apathy evaluation scale (AES) or presence of apathy on the Neuropsychiatric Inventory (NPI), were randomly assigned to intervention or control group. The intervention included 10 months of brief activities, provided once a week. The primary outcome measure was the total score on the AES scale measured directly after the intervention period and again after 12 months., RESULTS: We found significant group differences with respect to apathy during the 10 month intervention period (F2,82=7.79, P<0.01), which reflected an increase in apathy in the control group, but not in the intervention group. Within one year after the intervention was ceased, the treatment group worsened and no longer differed significantly from the control group (P=0.55)., CONCLUSIONS: Our intervention was effective for the therapy of apathy in dementia, when applied, but not one year after cessation of therapy. Copyright © 2014 Elsevier Masson SAS. All rights reserved. DA - 2015/// PY - 2015 DO - 10.1016/j.eurpsy.2014.02.004 VL - 30 IS - 2 SP - 251 EP - 7 J2 - Eur Psychiatry SN - 1778-3585 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24630745 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - Prospective Studies KW - Dementia/px [Psychology] KW - *Dementia/th [Therapy] KW - *Psychotherapy/mt [Methods] KW - Exercise Therapy/mt [Methods] KW - *Apathy KW - *Affective Symptoms/th [Therapy] KW - Affective Symptoms/et [Etiology] KW - Berlin ER - TY - JOUR TI - Interrelations of stress, optimism and control in older people's psychological adjustment. AU - Bretherton, Susan Jane AU - McLean, Louise Anne T2 - Australasian journal on ageing AB - AIM: To investigate the influence of perceived stress, optimism and perceived control of internal states on the psychological adjustment of older adults., METHOD: The sample consisted of 212 older adults, aged between 58 and 103 (M = 80.42 years, SD = 7.31 years), living primarily in retirement villages in Melbourne, Victoria. Participants completed the Perceived Stress Scale, Life Orientation Test-Revised, Perceived Control of Internal States Scale and the World Health Organisation Quality of Life-Bref., RESULTS: Optimism significantly mediated the relationship between older people's perceived stress and psychological health, and perceived control of internal states mediated the relationships among stress, optimism and psychological health. The variables explained 49% of the variance in older people's psychological adjustment., CONCLUSION: It is suggested that strategies to improve optimism and perceived control may improve the psychological adjustment of older people struggling to adapt to life's stressors. Copyright © 2014 ACOTA. DA - 2015/// PY - 2015 DO - 10.1111/ajag.12138 VL - 34 IS - 2 SP - 103 EP - 8 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24629026 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Victoria KW - Cross-Sectional Studies KW - Age Factors KW - Stress, Psychological/di [Diagnosis] KW - *Adaptation, Psychological KW - *Stress, Psychological/px [Psychology] KW - Perception KW - Aging/px [Psychology] KW - Stress, Psychological/et [Etiology] KW - *Self-Control KW - *Optimism ER - TY - JOUR TI - Six weeks of unsupervised Nintendo Wii Fit gaming is effective at improving balance in independent older adults. AU - Nicholson, Vaughan Patrick AU - McKean, Mark AU - Lowe, John AU - Fawcett, Christine AU - Burkett, Brendan T2 - Journal of aging and physical activity AB - OBJECTIVE: To determine the effectiveness of unsupervised Nintendo Wii Fit balance training in older adults., METHODS: Forty-one older adults were recruited from local retirement villages and educational settings to participate in a six-week two-group repeated measures study. The Wii group (n = 19, 75 +/- 6 years) undertook 30 min of unsupervised Wii balance gaming three times per week in their retirement village while the comparison group (n = 22, 74 +/- 5 years) continued with their usual exercise program. Participants' balance abilities were assessed pre- and postintervention., RESULTS: The Wii Fit group demonstrated significant improvements (P < .05) in timed up-and-go, left single-leg balance, lateral reach (left and right), and gait speed compared with the comparison group. Reported levels of enjoyment following game play increased during the study., CONCLUSION: Six weeks of unsupervised Wii balance training is an effective modality for improving balance in independent older adults. DA - 2015/// PY - 2015 DO - 10.1123/japa.2013-0148 VL - 23 IS - 1 SP - 153 EP - 8 J2 - J AGING PHYS ACTIVITY SN - 1543-267X L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24589631 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - *Exercise Therapy/mt [Methods] KW - *Postural Balance/ph [Physiology] KW - *Video Games ER - TY - JOUR TI - Treatment and Control: A Qualitative Study of Older Mentally Ill Offenders' Perceptions on Their Detention and Care Trajectory. AU - De Smet, Stefaan AU - Van Hecke, Nele AU - Verte, Dominique AU - Broekaert, Eric AU - Ryan, Denis AU - Vandevelde, Stijn T2 - International journal of offender therapy and comparative criminology AB - The life of older mentally ill offenders (OMIOs) is often characterized by successive periods of detention in correctional facilities, admissions to psychiatric services, and unsuccessful attempts to live independently. Through in-depth interviews, eight personal stories from OMIOs under supervision of the commission of social defence in Ghent (Belgium) were analyzed in the phenomenological research tradition. The results of the study reveal that OMIOs had more positive and less negative experiences in prison settings when compared with other institutional care settings. Independent living, unsurprisingly, is favored the most. This may be due to the fact that the latter option fosters personal competence, feelings of being useful, personal choices, and contact with the "outside" world. Even in later lifetime, a combined approach of risk assessment with improvement of well-being remains valuable to stimulate offender rehabilitation. Therefore, more research into concepts that could be used to support OMIOs needs further consideration. Copyright © The Author(s) 2014. DA - 2015/// PY - 2015 DO - 10.1177/0306624X14521129 VL - 59 IS - 9 SP - 964 EP - 85 J2 - Int J Offender Ther Comp Criminol SN - 1552-6933 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24510370 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Belgium KW - Interviews as Topic KW - *Prisoners KW - *Mentally Ill Persons/px [Psychology] KW - *Commitment of Mentally Ill ER - TY - JOUR TI - The Impact of Enhanced Programming on Aging in Place for People With Dementia in Assisted Living. AU - Hyde, Joan AU - Perez, Rosa AU - Doyle, Patrick J AU - Forester, Brent P AU - Whitfield, Theodore H T2 - American journal of Alzheimer's disease and other dementias AB - BACKGROUND: Assisted living (AL) is a growing and operationally diverse option in our nation's long-term care system. Many consumers view AL communities as a viable option to receive needed services and age in place. However, little is known about the factors that influence residents' ability to age in place when experiencing cognitive decline., OBJECTIVE: To estimate the association of resident and site characteristics to length of stay, reason for leaving and destination for residents with dementia in assisted living. In particular, this study sought to assess the impact of an 'Enhanced' Program intended to facilitate aging in place., METHOD: Data were gathered from a retrospective evaluation of residents' clinical records (N=312) in five dementia-specific ALs (3 with robust enhanced programs) in the Northeastern United States., RESULTS: The time to 50% survival for the full cohort (N=312) was 20.2 months. Both age at move-in and gender were statistically significant predictors of length of stay. Sites with robust support for aging in place exhibited a statistically significant longer length of stay compared to sites with limited support. Of the residents who left or died (N=165) nearly one quarter (24%) were able to stay until the end of their lives, while 52% moved to a nursing home, primarily because of family, financial, or medical concerns. Few residents left these settings because of behavioral problems., CONCLUSION: AL sites with a more robust commitment to an aging in place model and a willingness to provide palliative care demonstrated a significantly longer length of stay. Copyright © The Author(s) 2014. DA - 2015/// PY - 2015 DO - 10.1177/1533317513520212 VL - 30 IS - 8 SP - 733 EP - 7 J2 - Am J Alzheimers Dis Other Demen SN - 1938-2731 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24509611 KW - Female KW - Humans KW - Male KW - Program Evaluation KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Sex Factors KW - Age Factors KW - *Dementia/nu [Nursing] KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - *Length of Stay/sn [Statistics & Numerical Data] KW - *Terminal Care/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Association between self-reported urinary incontinence and musculoskeletal conditions in community-dwelling elderly women: a cross-sectional study. AU - Kim, Hunkyung AU - Yoshida, Hideyo AU - Hu, Xiuying AU - Saito, Kyoko AU - Yoshida, Yuko AU - Kim, Miji AU - Hirano, Hirohiko AU - Kojima, Narumi AU - Hosoi, Erika AU - Suzuki, Takao T2 - Neurourology and urodynamics T3 - [Comment in: J Urol. 2015 Jun;193(6):2035-6; PMID: 25986817 [https://www.ncbi.nlm.nih.gov/pubmed/25986817]] AB - AIMS: Urinary incontinence (UI) and musculoskeletal conditions, particularly low back pain (LBP), and osteoarthritis (OA), are common problems that have been associated with mobility limitations and future dependence in activities of daily living in the elderly. The purpose of this study was to explore the relationship between UI, UI types, and musculoskeletal conditions in elderly community-dwelling women., METHODS: A cross-sectional study was performed on 1,399 community-dwelling Japanese women aged 75-84 years. Face-to-face interviews, body composition, and physical function, including grip strength, and usual walking speed, were conducted. UI was defined as experience of urine leakage episodes more than once per week. Self-reported presence and degree of pain, LBP, and OA were assessed. Student's t-tests and chi-square tests were used to analyze continuous and categorical variables. Associations between selected variables, UI, and UI types were assessed using stepwise multiple logistic regression models., RESULTS: A total of 260 participants had UI (18.6%) and 399 had LBP (28.5%). Participants with UI were more likely to experience pain (76.0%) and LBP (36.2%) than those without UI (P < 0.001 and P = 0.002, respectively). Age, body mass index, falls, walking speed, grip strength, LBP, and pain coupled with OA were significantly associated with UI. There were significant associations between urge UI and mild (odds ratio (OR) = 1.653, 95% confidence interval (CI) = 1.031-2.650) and severe LBP (OR = 2.617, 95% CI = 1.193-5.739)., CONCLUSIONS: This study showed that UI was significantly associated with musculoskeletal conditions, including LBP, and the combination of pain and OA. The risk of urge UI was greater with increasing severity of LBP. Copyright © 2014 Wiley Periodicals, Inc. DA - 2015/// PY - 2015 DO - 10.1002/nau.22567 VL - 34 IS - 4 SP - 322 EP - 6 J2 - Neurourol Urodyn SN - 1520-6777 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24470339 KW - Female KW - Humans KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - Prevalence KW - *Independent Living KW - Japan/ep [Epidemiology] KW - Cross-Sectional Studies KW - Sex Factors KW - Age Factors KW - Geriatric Assessment KW - *Self Report KW - Severity of Illness Index KW - *Urinary Incontinence/ep [Epidemiology] KW - Odds Ratio KW - Multivariate Analysis KW - Pain Measurement KW - Osteoarthritis/ep [Epidemiology] KW - Urinary Incontinence/di [Diagnosis] KW - Osteoarthritis/di [Diagnosis] KW - Chi-Square Distribution KW - *Musculoskeletal Diseases/ep [Epidemiology] KW - Low Back Pain/di [Diagnosis] KW - Low Back Pain/ep [Epidemiology] KW - Musculoskeletal Diseases/di [Diagnosis] ER - TY - JOUR TI - What characteristics predispose to continence in nursing home residents?: a population-based cross-sectional study. AU - Saga, Susan AU - Vinsnes, Anne Guttormsen AU - Morkved, Siv AU - Norton, Christine AU - Seim, Arnfinn T2 - Neurourology and urodynamics AB - AIMS: To compare characteristics of both continent and incontinent residents in Nursing Homes (NHs) and to explore what predicts continence and severity of incontinence., METHODS: A population-based cross-sectional study was performed in nursing homes in one Norwegian municipality. Registered nurses filled in a questionnaire on behalf of the patients., RESULTS: We found that 25.4% of the NH residents were continent, 31.8% had urinary incontinence alone, 2.6% had fecal incontinence alone and 40.2% had double incontinence. Continent residents were characterized by being in short-term care, shorter stay in NH, less cognitive and physical impairment, less Parkinson's disease, stroke, constipation, and less diarrhea and more independence in activities of daily living (ADL). Residents with fecal incontinence alone were characterized by more diarrhea, less cognitive impairment and less dependency in ADL such as feeding and grooming. Residents with urinary incontinence alone were characterized by having some degree of ADL dependency, less diarrhea, and less diabetes. Residents with double incontinence were characterized by being in long-term care, a longer length of stay in NH, cognitive impairment, stroke, constipation, diarrhea, and dependency in ADL. Severity of incontinence was associated with dependency in ADL and cognitive impairment, diarrhea, length of stay in NH and lower age., CONCLUSIONS: About 25% of NH residents were continent. Double incontinence and urinary incontinence only were prevalent conditions in NHs, while FI alone was rarer. With the exception of diarrhea as a cause of FI, it appears that FI alone, UI alone, and DI may have common causes and development. Copyright © 2014 The Authors. Neurourology and Urodynamics published by Wiley Periodicals, Inc. DA - 2015/// PY - 2015 DO - 10.1002/nau.22563 VL - 34 IS - 4 SP - 362 EP - 7 J2 - Neurourol Urodyn SN - 1520-6777 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24470319 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Activities of Daily Living KW - Prevalence KW - Length of Stay KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Age Factors KW - Comorbidity KW - Severity of Illness Index KW - *Urinary Incontinence/ep [Epidemiology] KW - Linear Models KW - Multivariate Analysis KW - Norway/ep [Epidemiology] KW - Urinary Incontinence/di [Diagnosis] KW - Chi-Square Distribution KW - *Fecal Incontinence/ep [Epidemiology] KW - Fecal Incontinence/di [Diagnosis] ER - TY - JOUR TI - Association between musculoskeletal pain and trips or falls in rural Japanese community-dwelling older adults: a cross-sectional study. AU - Kitayuguchi, Jun AU - Kamada, Masamitsu AU - Okada, Shimpei AU - Kamioka, Hiroharu AU - Mutoh, Yoshiteru T2 - Geriatrics & gerontology international AB - AIM: The present study examined whether low back pain (LBP) and knee pain (KP) are associated with trips and falls in rural Japanese community-dwelling older adults., METHODS: A population-based cross-sectional survey of community-dwelling older adults was carried out in Unnan City, Shimane Prefecture, in Japan. A total of 499 men and women aged 60 years and older living in the community were recruited from 2008 to 2010. The main outcome measures were self-rated recent trip frequency and self-reported experience of falls in the past year., RESULTS: Trips and falls presented in 44.0% and 15.9% of participants, respectively. LBP was not associated with trips, but was significantly associated with falls: severe pain versus single fall (odds ratio [OR] 2.51, 95% confidence interval [CI] 1.04-6.03); and severe pain versus multiple falls (OR 11.09, 95% CI 2.41-51.10). KP was significantly associated with trips: mild pain versus trips (OR 1.81, 95% CI 1.20-2.72); mild pain versus multiple falls (OR 4.47, 95% CI 1.21-16.50); severe pain versus trips (OR 3.83, 95% CI 1.82-8.04); and severe pain versus multiple falls (OR 7.26, 95% CI 1.51-34.86). Participants with both pain sites were associated with trips (OR 2.44, 95% CI 1.45-4.12) and multiple falls (OR 10.79, 95% CI 1.33-87.19)., CONCLUSIONS: Severe LBP was associated with single and multiple falls, whereas KP was associated with trips and multiple falls, irrespective of severity of pain. In addition, participants with both pain types were associated with trips and multiple falls. Copyright © 2014 Japan Geriatrics Society. DA - 2015/// PY - 2015 DO - 10.1111/ggi.12228 VL - 15 IS - 1 SP - 54 EP - 64 J2 - Geriatr Gerontol Int SN - 1447-0594 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24418209 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Middle Aged KW - *Independent Living KW - Retrospective Studies KW - *Activities of Daily Living KW - Japan/ep [Epidemiology] KW - Cross-Sectional Studies KW - *Rural Population KW - Odds Ratio KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Incidence KW - *Musculoskeletal Pain/et [Etiology] KW - *Travel/sn [Statistics & Numerical Data] KW - Musculoskeletal Pain/ep [Epidemiology] ER - TY - JOUR TI - Predictors of long-term function in older community-dwelling people who have presented to an emergency department after a fall: a cohort study. AU - Russell, Melissa AU - Hill, Keith AU - Day, Lesley AU - Oosterhuis, Teddy AU - Blackberry, Irene AU - Dharmage, Shyamali C T2 - Australasian journal on ageing AB - AIM: To identify factors predictive of function 12 months after a fall and emergency department (ED) presentation., METHODS: This was a prospective cohort study with 608 older people who had a fall. After presentation and discharge from the ED, a baseline assessment was initially undertaken and then repeated after 12 months. The Human Activity Profile Adjusted Activity Score (HAP-AAS) at the 12-month follow-up assessment was the functional outcome measure., RESULTS: Over the follow-up period, 37.3% (95% CI 33.4, 41.2) of participants declined in their HAP-AAS score. Increased age, pre-index fall functional impairment, poorer mobility/balance, and sustaining falls and severe injuries over the 12-month follow-up period were some of the factors predictive of a lower HAP-AAS score., CONCLUSION: This study highlights the importance of preventing falls in the 12 months after discharge from an ED. Some of the factors identified as being predictive of lower function are the same as those previously found to be predictive of falls. Copyright © 2014 ACOTA. DA - 2015/// PY - 2015 DO - 10.1111/ajag.12126 VL - 34 IS - 1 SP - 47 EP - 52 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24382293 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Randomized Controlled Trials as Topic KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - *Independent Living KW - Recovery of Function KW - Time Factors KW - Accidental Falls/pc [Prevention & Control] KW - Age Factors KW - Prospective Studies KW - Geriatric Assessment KW - *Accidental Falls KW - Prognosis KW - Linear Models KW - Multivariate Analysis KW - *Emergency Service, Hospital KW - Recurrence ER - TY - JOUR TI - Moving into green healthy housing. AU - Jacobs, David E AU - Ahonen, Emily AU - Dixon, Sherry L AU - Dorevitch, Samuel AU - Breysse, Jill AU - Smith, Janet AU - Evens, Anne AU - Dobrez, Doborah AU - Isaacson, Marjie AU - Murphy, Colin AU - Conroy, Lorraine AU - Levavi, Peter T2 - Journal of public health management and practice : JPHMP AB - BACKGROUND: Green building systems have proliferated but health outcomes and associated costs and benefits remain poorly understood., OBJECTIVE: To compare health before and after families moved into new green healthy housing with a control group in traditionally repaired housing., DESIGN AND SETTING: Mixed methods study in 3 Chicago housing developments., PARTICIPANTS: Public housing and low-income subsidized households (n = 325 apartments with 803 individuals)., MAIN OUTCOME MEASURES: Self-reported health status, visual assessment of housing condition, indoor air sampling, and Medicaid expenditure and diagnostic data. Medicaid expenditures and International Classification of Diseases, Ninth Revision codes were modeled using a generalized linear model with gamma distribution and log-link., RESULTS: Housing conditions and self-reported physical and mental health improved significantly in the green healthy housing study group compared with both the control group and the dilapidated public housing from which the residents moved, as did hay fever, headaches, sinusitis, angina, and respiratory allergy. Asthma severity measured by self-reported lost school/work days, disturbed sleep, and symptoms improved significantly, as did sadness, nervousness, restlessness, and child behavior. Medicaid data in this exploratory study were inconclusive and inconsistent with self-reported health outcomes and visual assessment data on housing quality but hold promise for future investigation. Possible sources of bias in the Medicaid data include older age in the study group, changes in Medicaid eligibility over time, controlling for Medicaid costs in an urban area, and the increased stress associated with moving, even if the move is into better housing., CONCLUSION: The mixed method approach employed here describes the complex relationships among self-reported health, housing conditions, environmental measures, and clinical data. Housing conditions and self-reported physical and mental health improved in green healthy housing. Health care cost savings in Medicaid due to improved housing could not be quantified here but hold promise for future investigations with larger cohorts over a longer follow-up period. DA - 2015/// PY - 2015 DO - 10.1097/PHH.0000000000000047 VL - 21 IS - 4 SP - 345 EP - 54 J2 - J Public Health Manag Pract SN - 1550-5022 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24378632 KW - Female KW - Humans KW - Male KW - *Health Status KW - Self Report KW - Family Characteristics KW - *Outcome Assessment (Health Care) KW - *Environment Design/st [Standards] KW - *Public Housing/st [Standards] KW - Chicago KW - Environment Design/sn [Statistics & Numerical Data] KW - Public Housing/sn [Statistics & Numerical Data] KW - Poverty/sn [Statistics & Numerical Data] KW - Health Impact Assessment KW - *Conservation of Natural Resources/mt [Methods] KW - Conservation of Natural Resources/sn [Statistics & Numerical Data] KW - Urban Health/sn [Statistics & Numerical Data] KW - Urban Health/st [Standards] ER - TY - JOUR TI - Physiological effects of a companion robot on blood pressure of older people in residential care facility: a pilot study. AU - Robinson, Hayley AU - MacDonald, Bruce AU - Broadbent, Elizabeth T2 - Australasian journal on ageing AB - AIM: To investigate the effects of interacting with the companion robot, Paro, on blood pressure and heart rate of older people in a residential care facility., METHODS: This study used a repeated measures design. Twenty-one residents in rest home and hospital level care had their blood pressure taken three times; before, during and after interacting with the seal robot., RESULTS: Four residents who did not interact with the robot were excluded from the final analysis (final n = 17). The final analysis found that systolic and diastolic blood pressure changed significantly over time as did heart rate. Planned comparisons revealed that systolic and diastolic blood pressure decreased significantly from baseline to when residents had Paro (systolic, P = 0.048; diastolic, P = 0.05). Diastolic blood pressure increased significantly after Paro was withdrawn (P = 0.03)., CONCLUSION: Interacting with Paro has a physiological effect on cardiovascular measures, which is similar to findings with live animals. Copyright © 2013 ACOTA. DA - 2015/// PY - 2015 DO - 10.1111/ajag.12099 VL - 34 IS - 1 SP - 27 EP - 32 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24373064 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - Age Factors KW - Geriatric Assessment KW - New Zealand KW - Pilot Projects KW - Predictive Value of Tests KW - *Robotics KW - Emotions KW - *Attitude to Computers KW - *Blood Pressure KW - Pets KW - Heart Rate KW - Bonding, Human-Pet KW - *Blood Pressure Determination/mt [Methods] ER - TY - JOUR TI - 'They never talked to me about... ': Perspectives on aged care resident transfer to emergency departments. AU - Arendts, Glenn AU - Popescu, Aurora AU - Howting, Denise AU - Quine, Susan AU - Howard, Kirsten T2 - Australasian journal on ageing AB - AIMS: To explore perspectives of three groups concerning transfers from aged care facilities to emergency departments. We sought to reveal factors influencing transfer decisions; how active each group was in making decisions; and to what extent groups ceded decision-making to others., METHODS: Semi-structured interviews of 11 residents, 14 relatives and 17 staff with content analysis of interview transcripts., RESULTS: The three groups substantially differed in their involvement with initiating, and attitudes towards, transfer. Residents were least likely to be involved in the decision, yet most likely to support transfer. Staff felt conflicted between their desire to provide optimal treatment for one ill resident, and their obligations to other residents under care. Staff perspectives were largely consistent with published data, but we describe new results for other informant groups., CONCLUSIONS: Group expectations and preferences differ substantially. Service delivery to meet all preferences presents a challenge for health service design. Copyright © 2013 ACOTA. DA - 2015/// PY - 2015 DO - 10.1111/ajag.12125 VL - 34 IS - 2 SP - 95 EP - 102 J2 - Australas J Ageing SN - 1741-6612 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24372732 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Attitude of Health Personnel KW - Patient Participation KW - Interdisciplinary Communication KW - *Homes for the Aged KW - *Nursing Homes KW - Age Factors KW - Interviews as Topic KW - *Nursing Staff/px [Psychology] KW - *Aging/px [Psychology] KW - *Health Knowledge, Attitudes, Practice KW - Professional-Family Relations KW - Nurse-Patient Relations KW - *Communication KW - *Emergency Service, Hospital KW - *Patient Transfer KW - Vulnerable Populations/px [Psychology] KW - Choice Behavior KW - Cooperative Behavior ER - TY - JOUR TI - As Long as They Keep Away From Me: Attitudes Toward Non-heterosexual Sexual Orientation Among Residents Living in Spanish Residential Aged Care Facilities. AU - Villar, Feliciano AU - Serrat, Rodrigo AU - Faba, Josep AU - Celdran, Montserrat T2 - The Gerontologist AB - PURPOSE OF THE STUDY: The purpose of this article is to shed light on the attitudes of older people living in residential aged care facilities (RACFs) toward non-heterosexual sexual orientation., DESIGN AND METHODS: Forty-seven residents living in 5 RACFs located in Catalonia (Spain) were interviewed in relation to the way they would think and react if another resident told them he/she felt sexually attracted to people of the same gender and that he/she had maintained sexual relationships with another man/woman in the home, and whether they would have any problem in sharing common spaces or a room with this resident., RESULTS: Most residents expressed some kind of negative reaction ranging from staying away from the resident in question to extreme rejection, although positive and neutral reactions also emerged. Participants were far more reluctant to share a room with that resident than to share common spaces., IMPLICATIONS: The prevalence of homophobic attitudes among older people living in RACFs seems to be high. This may be a barrier for LGB residents, making the expression of their sexual identity more difficult and leading to discriminatory practices. Copyright © The Author 2013. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 DO - 10.1093/geront/gnt150 VL - 55 IS - 6 SP - 1006 EP - 14 J2 - Gerontologist SN - 1758-5341 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=24371215 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Spain KW - *Attitude of Health Personnel KW - *Assisted Living Facilities/og [Organization & Administration] KW - *Sexual and Gender Minorities/px [Psychology] ER - TY - JOUR TI - "Being Grounded": Benefits of Gardening for Older Adults in Low-Income Housing. AU - Wang Donna AU - Glicksman Allen T2 - Journal of Housing for the Elderly AB - This study reports the findings of a qualitative evaluation of gardening programs for low-income minority older adults living in senior housing. A total of 20 individuals from three senior housing buildings participated in focus groups to discuss the benefits of and motivations for community gardening. Ihe nine main themes of why seniors choose to participate in gardening were mental health benefits, the end product (fruits and vegetables), continuation of a past life, something to do/responsibility, beauty and connection to growth, connecting with others, physical health, learning something new, and helping each other out. These findings are placed in the context of theoretical perspectives and past studies. Implications for policy and relevance to senior housing are offered. [ABSTRACT FROM AUTHOR] Copyright of Journal of Housing for the Elderly is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 27 IS - 1/2 SP - 89 EP - 104 SN - 02763893 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=87732256&site=ehost-live&scope=site KW - aging in place KW - Pennsylvania KW - Nature KW - age-friendly KW - Cooperativeness KW - eppi-reviewer4 KW - Focus groups KW - gardening KW - Horticulture KW - low-income KW - Medical cooperation KW - Minorities KW - Natural foods KW - Nutrition KW - older adults KW - Physical activity KW - Public housing KW - Qualitative research KW - Relaxation (Health) KW - Research KW - senior housing KW - Senior housing KW - Thematic analysis ER - TY - JOUR TI - "Not living together yet all the time together": The construction of living apart together in continuing care retirement communities from perspectives of residents and CCRC staff*. AU - Koren Chaya AU - Ayalon Liat T2 - Journal of Social & Personal Relationships AB - Moving to a continuing care retirement community (CCRC) and living apart together (LAT) late in life are occurrences representing new beginnings in old age. However, they may also involve restrictions related to partnership characteristics and to the semi-totalitarian features of the CCRC. From community, person-in-environment and person–environment fit/misfit approaches, we aim to examine how LAT relationships are constructed in the CCRC from perspectives of residents and CCRC staff as members of the same semi-totalitarian communities. This could provide new understandings on CCRC features and LAT relationships for enhancing residents' quality-of-life. A total of 30 semi-structured qualitative interviews were conducted in three CCRCs in Israel: 10 with widowed LAT residents, 10 with widowed residents not LAT, and 10 with CCRC staff. The interviews were analyzed based on thematic analysis and triangulated to produce a broad and rich experience of LAT in the CCRC. Two themes that characterize LAT relationships in the CCRC were identified: (1) friendship rather than partnership characterize the LAT relationship and (2) not living together yet being all the time together. The intersection between the social environment (the CCRC) as a semi-totalitarian institution and the persons (residents in LAT and not in LAT and CCRC staff) is discussed. The discussion focuses on LAT relationships in the CCRC as representing exclusive friendship and the limited autonomy associated with not living together yet being all the time together. Implications on micro, mezzo, and macro levels are suggested. [ABSTRACT FROM AUTHOR] Copyright of Journal of Social & Personal Relationships is the property of Sage Publications, Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 36 IS - 11-12 SP - 3855 EP - 3874 SN - 02654075 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=138497376&site=ehost-live&scope=site KW - Israel KW - eppi-reviewer4 KW - Senior housing KW - Thematic analysis KW - Autonomy KW - continuing care retirement communities KW - Continuum of care KW - couples KW - Friendship KW - Interpersonal relations KW - Interviewing KW - late-life repartnering KW - living apart together KW - long-term care institutions KW - partnership relationships KW - Patient autonomy KW - qualitative method KW - Quality of life KW - Research methodology KW - Retirement -- Psychological aspects KW - Social context KW - Widowhood ER - TY - JOUR TI - "This Is Not the Time and Place to Grow Old": Ageism in Advertising for Third-Age Housing. AU - First Anat AU - Ramer-biel Sharon T2 - Howard Journal of Communications AB - The authors propose a broad reading of ageism, which refers to the narrative that constructs the aged, old age, and the interactions thereof. The deconstruction of this narrative is based on a semiotic interpretive analysis, which refers to the ads' textual message as well as to their visual components. The corpus for the study has been composed from both TV and printed ads published in Israel in Hebrew since the mid-1990s to the present day. The reading contains two complementary perspectives: one refers to the concretization of old age in terms of time and place; the other deals with the concretization of old age by characterizing the representation of third-age accommodation residents in relation to their families, friends and attending staff. DO - 10.1080/10646175.2017.1300963 VL - 29 IS - 1 SP - 1 EP - 17 SN - 1064-6175 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128153412&site=ehost-live&scope=site KW - Leisure Activities KW - Aged KW - Time Factors KW - Social Behavior KW - Israel KW - Ageism KW - eppi-reviewer4 KW - Advertising -- Israel KW - Aged, 80 and Over KW - Housing -- In Old Age -- Israel KW - Human KW - Newspapers -- Israel KW - Retirement -- Israel KW - Social Values ER - TY - JOUR TI - [Quality of life in the presence of a severe stress factor: a study of senior citizens with Alzheimer's disease or rheumatoid arthritis]. AU - Heyns PM AU - Viljoen M AU - Odendaal DC T2 - Health SA Gesondheid AB - This study addresses the role of psychofortigenic factors in maintaining quality of life in elderly people diagnosed with either rheumatoid arthritis or Alzheimer's disease. Psychofortigenesis pertains to psychological factors underlying psychological strengths in the presence of stressors. Quality of life is defined, with the distinction between a hedonistic and eudaimonic perspective as backdrop, as the subjective experience of a process of successful striving towards achieving important goals. The subjects were 14 elderly people residing in either an old age home or a retirement village. Three subgroups were studied, one group diagnosed with Alzheimer's disease, one group with rheumatoid arthritis and another group of relatively healthy elderly persons. A qualitative analysis of interviews with the subjects confirmed their general sense of well-being. The role of their perception of life events as comprehensible, manageable and meaningful, the three elements of Antonovsky's Sense of Coherence, is highlighted. According to the study a supportive social network and a spiritual belief system also contributed significantly to maintenance of their quality of life. VL - 9 IS - 1 SP - 47 EP - 56 SN - 1025-9848 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106513548&site=ehost-live&scope=site KW - Aged KW - Perception KW - Spirituality KW - eppi-reviewer4 KW - Human KW - Alzheimer's Disease -- Psychosocial Factors KW - Arthritis, Rheumatoid -- Psychosocial Factors -- In Old Age KW - Attitude to Illness KW - Interviews KW - Qualitative Studies KW - Quality of Life -- In Old Age KW - Social Networks ER - TY - JOUR TI - ¿Personas mayores en autonomía conectada? Promesas y retos en la tecnologización del cuidado. AU - Sánchez Criado AU - Tomás AU - Domènech Miquel T2 - Older People in a Connected Autonomy? Promises and Challenges in the Technologisation of Care. AB - This paper offers an ethnographic interpretation of how in a changing context of family care different Spanish home telecare services provide older people with social links to prevent their isolation, granting them "connected autonomy": the promotion of their autonomy and independent living through connectedness. To do so, services need to craft a network of "contacts". Different versions of the term iguration are employed to describe the practical materializations of the forms of relatedness put in place by such services: what roles become available and explicitly supported; what other igurations of relatedness (e.g., kinship, friendship, neighbourliness) they come across; what happens when these different igurations of relatedness meet. In doing this, our aim is to allow space to relect ethically on the practical relational promises and challenges of these forms of technologized care of older people. (English) [ABSTRACT FROM AUTHOR] Este artículo propone una interpretación etnográica de cómo, en un contexto de cuidado familiar en transición, servicios de teleasistencia españoles buscan proveer a las personas mayores de vínculos sociales para prevenir su aislamiento, articulando una infraestructura de conexión y monitorización para promover lo que denominamos «autonomía conectada». Para funcionar estos servicios necesitan articular redes de «contactos». Empleamos diferentes acepciones del término iguración para entender los signiicados de la materialización práctica de diferentes formas relacionales por parte de estos servicios, prestando atención a: los roles que hacen disponibles; con qué otras iguraciones relacionales se encuentran y qué ocurre al encontrarse. A partir de esta descripción, abrimos un debate ético acerca de las promesas y retos relacionales que enfrentan los intentos por tecnologizar el cuidado de las personas mayores. (Spanish) [ABSTRACT FROM AUTHOR] Copyright of Revista Española de Investigaciones Sociologicas is the property of Centro de Investigaciones Sociologicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) IS - 152 SP - 105 EP - 120 SN - 02105233 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=110307232&site=ehost-live&scope=site KW - Ethics KW - Telemedicine KW - Caregivers KW - eppi-reviewer4 KW - Autonomy KW - Autonomía KW - Autonomy (Psychology) in old age KW - Elder care KW - Empirical Ethics KW - Ética empírica KW - Families -- Spain KW - Formas relacionales KW - Home care services KW - Older people KW - Personas mayores KW - Relatedness KW - Teleasistencia domiciliaria KW - Telecare ER - TY - JOUR TI - ‘Growing Old’ in Shelters and ‘On the Street’: Experiences of Older Homeless People. AU - Grenier Amanda AU - Sussman Tamara AU - Barken Rachel AU - Bourgeois-Guérin Valerie AU - Rothwell David T2 - Journal of Gerontological Social Work AB - Homelessness among older people in Canada is both a growing concern, and an emerging field of study. This article reports thematic results of qualitative interviews with 40 people aged 46 to 75, carried out as part of a mixed-methods study of older people who are homeless in Montreal, Quebec, Canada. Our participants included people with histories of homelessness (n = 14) and persons new to homelessness in later life (n = 26). Interviews focused on experiences at the intersections of aging and homelessness including social relationships, the challenges of living on the streets and in shelters in later life, and the future. This article outlines the 5 main themes that capture the experience of homelessness for our participants:age exacerbates worries; exclusion and isolation; managing significant challenges; shifting needs and realities; and resilience, strength, and hope. Together, these findings underscore the need for specific programs geared to the unique needs of older people who are homeless. [ABSTRACT FROM PUBLISHER] Copyright of Journal of Gerontological Social Work is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 59 IS - 6 SP - 458 EP - 477 SN - 01634372 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=120263504&site=ehost-live&scope=site KW - older people KW - housing KW - Housing KW - aging KW - Poverty KW - Aging KW - Hope KW - eppi-reviewer4 KW - Qualitative research KW - Thematic analysis KW - Interviewing KW - Research methodology KW - Basic needs KW - Homeless persons KW - homelessness KW - Patient selection KW - poverty KW - Québec (Province) KW - Research funding KW - Research subjects (Persons) KW - Resilience (Personality trait) KW - social exclusion KW - Social isolation KW - Social support ER - TY - JOUR TI - ‘Not everything that can be counted counts and not everything that counts can be counted’– towards a critical exploration of modes of satisfaction measurement in sheltered housing AU - Foord Mark AU - Savory Julie AU - Sodhi Dianne T2 - Health & Social Care in the Community AB - This paper reflects on a research project funded by a consortium of leading sheltered housing (SH) providers and their regulatory body, the Housing Corporation. The project aimed to ascertain which aspects of SH older people perceived to be central to their satisfaction and the methods they judged most appropriate to measuring this. We outline key policy developments of importance to SH (specifically the development of performance measurement regimes), and changes in the nature of SH, which are driving providers to re-evaluate how they measure user satisfaction. We discuss the aims of the project, our methodology and findings, and conclude by raising critical questions about the process of measuring satisfaction within an increasingly managerialised housing system. We argue that this favours standardised methods of information gathering (such as questionnaires) rather than engage with clients in order to develop methods and systems capable of eliciting qualitative issues of concern to them. Our conclusions are, we believe, applicable to health and social care provision, where similar tensions exist around performance measurement and user satisfaction. VL - 12 IS - 2 SP - 126 EP - 133 SN - 09660410 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=12228639&site=ehost-live&scope=site KW - eppi-reviewer4 KW - Older people KW - HOUSING policy KW - LONG-term care facilities KW - Managerialism KW - OLDER people -- Government policy KW - PUBLIC housing KW - PUBLIC housing -- Resident satisfaction KW - PUBLIC welfare KW - REST homes KW - Satisfaction measurement KW - Sheltered housing KW - SOCIAL policy ER - TY - JOUR TI - “Fear Runs Deep:” The Anticipated Needs of LGBT Older Adults in Long-Term Care. AU - Putney Jennifer M AU - Keary Sara AU - Hebert Nicholas AU - Krinsky Lisa AU - Halmo Rebekah T2 - Journal of Gerontological Social Work AB - Objectives: Older lesbian, gay, bisexual, and transgender (LGBT) adults are a vulnerable yet resilient population who face unique stressors as they foresee health decline. This paper presents the results of a study about community-dwelling LGBT older adults’ anticipated needs and fears related to nursing homes and assisted living. Methods: This qualitative study collected data through seven focus groups. The sample (N = 50) consisted of LGBT-identified adults age 55 and over. We used an inductive, thematic analysis approach to data analysis. Results: Participants seek an inclusive environment where they will be safe and feel connected to a community. They fear dependence on healthcare providers, dementia, mistreatment, and isolation. Importantly, these fears can lead to identity concealment and psychological distress, including suicide ideation. Discussion: This study adds to the existing literature about the worries of older LGBT adults as they anticipate long-term care. The results suggest that older LGBT adults seek LGBT-inclusive residential care settings that encompass two distinct yet related aspects of LGBT-affirmative care: the procedural (e.g. culturally competent skills and knowledge of practitioners) and the implicit (e.g. the values and mission of the organization). This paper identifies implications for practice, policy, and training. [ABSTRACT FROM AUTHOR] Copyright of Journal of Gerontological Social Work is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 61 IS - 8 SP - 887 EP - 907 SN - 01634372 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=133199948&site=ehost-live&scope=site KW - Patient safety KW - Residential care KW - LGBT KW - Caregivers KW - Dementia KW - Fear KW - eppi-reviewer4 KW - Focus groups KW - Qualitative research KW - Thematic analysis KW - Interviewing KW - Research methodology KW - Basic needs KW - Research funding KW - Congregate housing KW - Government policy KW - Health promotion KW - Independent living KW - Judgment sampling KW - LGBT people KW - Long term health care KW - long-term care KW - Medical care costs KW - Medical coding KW - Medical quality control KW - New England KW - Nursing care facilities KW - Qualitative KW - quality of life KW - Questionnaires KW - skilled nursing KW - Stress (Psychology) KW - Suicide ER - TY - JOUR TI - “First Train Out”: Marriage and Cohabitation in the Context of Poverty, Deprivation, and Trauma. AU - Farber Naomi AU - Miller-Cribbs Julie E T2 - Journal of Human Behavior in the Social Environment AB - There has been a steep rise in the proportion of children born to and living with unmarried parents. Unmarried parents are increasingly likely to cohabitate, especially low-income couples, placing their children at elevated psychosocial risk. This life history study of poor, White single mothers suggests that the current focus on differences between married and cohabiting poor women may overstate underlying similarities in factors associated with their partner formation and dissolution and that poor women's decisions about marriage and cohabitation must be understood in a developmental context that reflects the stacking, over time, of multiple forms of vulnerability to unstable partnerships, single motherhood, and continuing poverty into adulthood. DO - 10.1080/10911359.2014.848693 VL - 24 IS - 2 SP - 188 EP - 207 SN - 1091-1359 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104020109&site=ehost-live&scope=site KW - Adult KW - Female KW - Child KW - Adolescence KW - Housing KW - Income KW - Poverty KW - Marriage KW - Sexual Partners KW - Government Programs KW - eppi-reviewer4 KW - Human KW - Audiorecording KW - Case Studies KW - Data Analysis Software KW - Interview Guides KW - Middle Age KW - Public Assistance KW - Single Parent -- Psychosocial Factors KW - Thematic Analysis KW - Trauma KW - Whites ER - TY - JOUR TI - “My Bishop Told His Priests that Section 8 Housing Was an Option”: Catholic Priests, Aging, and Retirement in the United States. AU - Kane Michael N AU - Jacobs Robin J T2 - Journal of Religion & Spirituality in Social Work AB - In 2009, the mean age of Catholic priests was 63. This study investigated Catholic priests and their ideas about retirement and work following the scandals of 2002 through the use of structured interviews. In general, respondents were satisfied with their ministries, but most respondents were concerned about when they would be able to retire and their financial situation in retirement. DO - 10.1080/15426432.2015.1036153 VL - 34 IS - 3 SP - 235 EP - 251 SN - 1542-6432 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108867366&site=ehost-live&scope=site KW - Adult KW - Male KW - United States KW - Housing KW - Socioeconomic Factors KW - Retirement KW - Aging KW - eppi-reviewer4 KW - Human KW - Qualitative Studies KW - Middle Age KW - Catholicism KW - Clergy -- Psychosocial Factors -- United States KW - Exploratory Research KW - Nonprobability Sample KW - Snowball Sample KW - Structured Interview ER - TY - JOUR TI - “No Home, No Place”: Addressing the Complexity of Homelessness in Old Age Through Community Dialogue. AU - Woolrych R AU - Gibson N AU - Sixsmith J AU - Sixsmith A T2 - Journal of Housing for the Elderly AB - The aging-in-place agenda supports the right of seniors to live in their preferred environment, as the place where they can retain a sense of independence and control in old age. This right is compromised for vulnerable seniors who are homeless or at risk of becoming homeless. Causes of homelessness in old age are complex, and pathways into and out of homelessness are multifaceted, including financial insecurity, relationship breakdown, and addiction, compounded by barriers to accessing services, shrinking social support networks, and complex health challenges. Addressing the multidimensional nature of homelessness in old age requires holistic solutions that bring together the knowledge and expertise of multiple stakeholders, not least seniors themselves. With this aim, this paper reports on findings from multistakeholder community dialogue sessions conducted across Metro Vancouver with seniors’ organizations, service providers, and local government to prioritize the challenges of senior homelessness in Metro Vancouver and propose strategies and solutions for addressing the issue. The paper highlights some of the ways in which services and housing supports can be designed to support older adults who are homeless or at risk of becoming homeless. DO - 10.1080/02763893.2015.1055024 VL - 29 IS - 3 SP - 233 EP - 258 SN - 0276-3893 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109462814&site=ehost-live&scope=site KW - eppi-reviewer4 KW - Social Networks KW - Middle Age KW - Assisted Living KW - Communities KW - Homeless Persons KW - Homeless Persons -- Psychosocial Factors KW - Homelessness KW - Support, Psychosocial ER - TY - JOUR TI - “Right Back to Square One Again”: The Experience of Friendship Among Assisted Living Residents. AU - Sefcik Justine S AU - Abbott Katherine M T2 - Activities, Adaptation & Aging AB - Social integration of older adults residing in assisted living facilities (ALF) is not well understood. The purpose of this study is to describe the experience of friendship among ALF residents. Four focus groups with 13 participants were held. The analysis was completed through directed content analysis. The facilitator themes identified are having early connections, positive attitudes, and shared experiences. The barrier themes identified the transitional nature of the environment and policies regarding the protection of privacy (HIPAA). Creating meaningful activity programs and determining how to disseminate health information within federal guidelines are needed to facilitate more meaningful interactions among residents. DO - 10.1080/01924788.2014.878872 VL - 38 IS - 1 SP - 11 EP - 28 SN - 0192-4788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104048846&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Focus Groups KW - Self Report KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Qualitative Studies KW - Audiorecording KW - Assisted Living -- Evaluation -- In Old Age KW - Content Analysis KW - Convenience Sample KW - Friendship -- Evaluation -- In Old Age KW - Funding Source KW - Semi-Structured Interview KW - Surveys ER - TY - JOUR TI - “The Really Big Trade‐Off” between Home Ownership and Welfare: Castles' Evaluation of the 1980 Thesis, and a Reformulation 25 Years on AU - Kemeny Jim T2 - Housing, Theory & Society AB - 25 years ago, on the basis of very general statistics I argued that countries with high rates of home ownership tended to be countries with poorly-developed welfare states. Nearly 20 years later, in 1998 this thesis was tested by Frank Castles who, using more sophisticated statistical techniques and a larger number of countries, found the thesis to have some validity. He dubbed the phenomenon “The really big trade-off” between home ownership and public welfare. Both the original thesis and Castles' analysis are reviewed, and a way of testing the thesis a quarter of a century after its formulation is proposed. It is argued that if those countries that still today enjoy a functioning integrated rental market and have low rates of home ownership begin to experience major declines in welfare – especially among the elderly – we can expect them to begin to transform into monotenural home owning societies. Sweden is taken as an illustrative example of a country with potential for such a transformation. Housing researchers will hopefully monitor such changes in all countries with integrated rental markets to see if declines in welfare can explain increases in home ownership as a means of coping with poverty and ill health in old age. But more important, housing research needs to broaden its focus from housing studies to relating housing to broader issues of welfare and society. VL - 22 IS - 2 SP - 59 EP - 75 SN - 14036096 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=17267149&site=ehost-live&scope=site KW - Sweden KW - eppi-reviewer4 KW - PUBLIC welfare KW - SOCIAL policy KW - Elderly KW - Home ownership KW - HOME ownership KW - HOUSING KW - Housing and health KW - Integrated rental markets KW - Welfare KW - WELFARE economics KW - WELFARE state ER - TY - JOUR TI - 002 Uptake of breast screening: where you live also matters. AU - Kinnear H AU - Rosato M AU - O'Reilly D T2 - Journal of Epidemiology & Community Health AB - Objective To determine if area of residence is an independent factor influencing uptake of breast screening. Design Record linkage study combining anonymised data from the National Breast Screening System and the Northern Ireland Longitudinal Study with cohort attributes as per their 2001 census return. Five mutually exclusive areas were defined; the Belfast metropolitan area (BMA) (comprising 21% population) and the remaining parts the four Health Boards responsible for the organisation and promotion of screening but not part of the BMA. Setting All women enumerated at the 2001 Census of Northern Ireland. Participants 37 059 women aged 48–64 at the time of the census who had been invited for routine breast screening during the 3 years following the census. Main outcome measure Attendance for routine breast screening in the 3 years following the census. Results Overall uptake was 75% during the study period. In the fully adjusted model uptake was lower among women aged 60 and over, not currently married and among women whose general health was “not good” in the year before the census. Uptake was related to car ownership and housing tenure but not to educational status or NS-SEC. Even after adjustment for all other demographic and SES factors there was significant variation in uptake among Health Boards; uptake was lowest in the Eastern Board (OR 0.61, 95% CI 0.56 to 0.66, compared to the Northern Board) and lower again in the BMA (OR 0.49, 95% CI 0.45 to 0.53). The reduction in Belfast was evident across most social strata and was confirmed with maps and use of different definitions of “city”. Conclusions Linkage of screening data to census-based longitudinal studies is an efficient and powerful way to increase the evidence base on sources of variation in uptake within the UK. This study shows that the lower breast screening uptake rate in and around the city is of concern as it affects a large number of women. It requires further investigation. The lower attendance rates are not due to socio-economic factors and appear to be independent of factors related to organisation of the service. Possible reasons and solutions for this problem will be discussed at presentation. VL - 64 SP - A1 EP - A1 SN - 0143-005X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104123796&site=ehost-live&scope=site KW - Female KW - Aged KW - Residence Characteristics KW - Prospective Studies KW - Socioeconomic Factors KW - Odds Ratio KW - Confidence Intervals KW - eppi-reviewer4 KW - Human KW - Middle Age KW - Breast Neoplasms -- Diagnosis KW - Cancer Screening ER - TY - JOUR TI - 019 Food and Nutrition Practices and Education Needs in Florida's Adult Family Care Homes. T2 - Journal of Nutrition Education & Behavior VL - 44 IS - 4 Supplement SP - S20 EP - S20 SN - 1499-4046 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108143867&site=ehost-live&scope=site KW - Aged KW - Frail Elderly KW - Needs Assessment KW - Nutritional Requirements KW - Time Management KW - Florida KW - Telephone KW - eppi-reviewer4 KW - Human KW - Interviews KW - Questionnaires KW - Day Care -- In Old Age -- Florida KW - Descriptive Statistics KW - Dietary Supplementation KW - Food Handling -- Evaluation KW - Food Services -- In Old Age -- Florida KW - Geriatric Nutrition KW - Gerontologic Care KW - Menu Planning -- Evaluation KW - Nutrition Education -- Evaluation KW - Nutritional Status -- In Old Age -- Florida KW - Survey Research KW - World Wide Web ER - TY - JOUR TI - 2008 SNRS abstracts -- A. T2 - Southern Online Journal of Nursing Research DA - 2008/07// PY - 2008 VL - 8 IS - 4 SP - 1 EP - 1 SN - 1538-0696 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105496444&site=ehost-live&scope=site KW - Female KW - Male KW - Program Evaluation KW - Child KW - Adolescence KW - Aged KW - Child, Preschool KW - Risk Assessment KW - Smoking Cessation KW - Health Status KW - Nursing Homes KW - Quality of Life KW - Cognition KW - Caregivers KW - Psychometrics KW - Body Mass Index KW - Poverty KW - Patient Compliance KW - Pregnancy KW - Memory KW - Pain Measurement KW - Spirituality KW - Spouses KW - Stress, Psychological KW - Psychiatric Nursing KW - Fathers KW - eppi-reviewer4 KW - Interview Guides KW - Whites KW - Alzheimer's Disease KW - Behavioral Changes KW - Biofeedback KW - Blacks KW - Bullying KW - Burnout, Professional KW - Change Management KW - Childbirth -- Psychosocial Factors KW - Childbirth Education KW - Chlamydia Infections -- Risk Factors KW - Community Health Nursing KW - Community Living KW - Concept Analysis KW - Condoms -- Utilization KW - Construct Validity KW - Coronary Disease -- Psychosocial Factors KW - Coronary Disease -- Therapy KW - Critically Ill Patients KW - Daughters KW - Drugs, Prescription KW - Employment Termination KW - Family Attitudes KW - Gay Persons KW - Hardiness KW - Health Knowledge KW - Health Promotion -- In Infancy and Childhood KW - Hemodynamics KW - Hispanics -- In Old Age KW - HIV Infections -- Psychosocial Factors KW - Home Environment KW - Intensive Care Units, Neonatal KW - Internal Consistency KW - Nonverbal Communication KW - Nurse Attitudes KW - Passive Smoking -- Adverse Effects -- In Pregnancy KW - Patient Attitudes KW - Pediatric Obesity -- Risk Factors KW - Peripheral Circulation KW - Pregnancy in Adolescence -- Psychosocial Factors KW - Pregnancy Outcomes KW - Psychiatric Patients KW - Research Subject Recruitment KW - Risk Taking Behavior KW - Stroke Patients KW - Students, College ER - TY - JOUR TI - 2008 SNRS abstracts -- B. T2 - Southern Online Journal of Nursing Research DA - 2008/07// PY - 2008 VL - 8 IS - 4 SP - 2 EP - 2 SN - 1538-0696 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105496445&site=ehost-live&scope=site KW - Female KW - Male KW - Adolescence KW - Aged KW - Home Nursing KW - Nursing Homes KW - Quality of Life KW - Clinical Competence KW - Body Mass Index KW - Dementia KW - Adaptation, Psychological KW - Emotions KW - Infant, Newborn KW - Intergenerational Relations KW - Health Behavior KW - Health Services Accessibility KW - Anxiety KW - Self Care KW - Stress, Psychological KW - Mother-Child Relations KW - Diabetes Mellitus KW - Mothers KW - eppi-reviewer4 KW - Homeless Persons KW - Cancer Screening KW - Blacks KW - Community Living KW - Concept Analysis KW - Family Attitudes KW - Health Knowledge KW - Patient Attitudes KW - Stroke Patients KW - Academic Medical Centers KW - Adolescent Development KW - Advanced Nursing Practice KW - Attitude to Obesity KW - C-Reactive Protein -- Blood KW - Caregiver Burden KW - Clinical Research KW - Cognition -- In Old Age KW - Congresses and Conferences KW - Consent (Research) KW - Coping KW - Cost Benefit Analysis KW - Critical Thinking KW - Depression -- In Old Age KW - Disaster Planning KW - Drugs, Prescription -- Economics -- In Old Age KW - Education, Clinical KW - Emergency Care -- Evaluation KW - Empowerment KW - Enzymes -- Blood KW - Fibromyalgia KW - Health Care Delivery -- Trends KW - Health Promotion -- In Old Age KW - Health Status -- In Old Age KW - Heart Assist Devices KW - Heart Failure -- Nursing KW - Help Seeking Behavior KW - Hepatitis C -- Psychosocial Factors KW - Hispanics KW - Home Nursing, Professional KW - Hydrocortisone KW - Hypertension KW - Immigrants KW - Infant Development KW - Infant Feeding KW - Infant, Premature KW - Instrument Validation KW - Kidney Diseases KW - Learning Methods KW - Light KW - Loneliness -- In Old Age KW - Louisiana KW - Medically Underserved KW - Natural Disasters -- Louisiana KW - Passive Smoking -- Adverse Effects -- In Infancy and Childhood KW - Patient Education KW - Preventive Health Care KW - Professional Development KW - Prostatic Neoplasms -- Prevention and Control KW - Psychiatric Care -- Evaluation KW - Psychotherapy KW - Readability KW - Religion and Religions KW - Research Instruments KW - Research, Nursing KW - School Health KW - Smoking Cessation -- Education KW - Storytelling KW - Students, Nursing, Baccalaureate KW - Telenursing KW - Treatment Outcomes KW - Volunteer Workers -- In Old Age KW - Work Environment ER - TY - JOUR TI - 2008 SNRS abstracts -- C. T2 - Southern Online Journal of Nursing Research DA - 2008/07// PY - 2008 VL - 8 IS - 4 SP - 3 EP - 3 SN - 1538-0696 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105496446&site=ehost-live&scope=site KW - Female KW - Male KW - United States KW - Depression KW - Health Promotion KW - Adolescence KW - Parenting KW - Aged KW - Quality of Health Care KW - Patient Safety KW - Collaboration KW - Health Status KW - Quality of Life KW - Demography KW - Sex Factors KW - Socioeconomic Factors KW - Psychometrics KW - Administration, Inhalation KW - Self Report KW - Women's Health KW - Thailand KW - Taiwan KW - Smoking KW - Infant, Newborn KW - Grandparents KW - Life Style KW - Spirituality KW - Spouses KW - Access to Information KW - Health Services Accessibility KW - Physicians KW - Interprofessional Relations KW - Stress, Psychological KW - Weight Loss KW - Military Personnel KW - Students, Nursing KW - Weight-Bearing KW - Diabetes Mellitus KW - Mothers KW - eppi-reviewer4 KW - Whites KW - Support, Psychosocial KW - Blacks KW - Health Knowledge KW - Nurse Attitudes KW - Patient Attitudes KW - Risk Taking Behavior KW - Caregiver Burden KW - Hispanics KW - Infant, Premature KW - Instrument Validation KW - Religion and Religions KW - Treatment Outcomes KW - Adolescent Mothers KW - Anemia, Sickle Cell -- Physiopathology KW - Anger KW - Asians -- United States KW - Biological Markers KW - Cardiovascular Nursing KW - Child Abuse -- Complications KW - Clinical Indicators KW - Community Living -- In Old Age KW - Cultural Sensitivity KW - Cultural Values KW - Decision Making, Patient KW - Depression -- In Adolescence -- Thailand KW - Depression -- Risk Factors -- In Adolescence KW - Depression -- Symptoms KW - Diabetes Mellitus -- Risk Factors KW - Diabetes Mellitus, Type 2 KW - Diabetes Mellitus, Type 2 -- Symptoms KW - Diabetes Mellitus, Type 2 -- Therapy KW - Education, Non-Traditional KW - Enterocolitis, Necrotizing -- Psychosocial Factors KW - Faculty Attitudes KW - Faculty-Student Relations KW - Health Beliefs KW - Heart Catheterization KW - Heart Failure -- Diet Therapy -- Kentucky KW - Heart Failure -- Psychosocial Factors KW - HIV Infections -- Ethnology KW - Hypertension -- Risk Factors KW - Hypertension -- Therapy KW - Immigrants -- United States KW - Infection KW - Information Needs KW - Information Technology KW - Kentucky KW - Life Experiences KW - Lung Diseases, Obstructive -- Taiwan KW - Metabolic Syndrome X -- Therapy KW - Mother-Infant Relations KW - Myocardial Infarction -- Complications -- In Old Age KW - Native Americans KW - NCLEX Examination KW - Nurse Managers KW - Nursing Knowledge KW - Outcomes of Education KW - Pedometers KW - Pet Therapy KW - Phenomenological Research KW - Physical Activity -- In Old Age KW - Postnatal Period KW - Postoperative Care KW - Race Factors KW - Rape -- Complications KW - Self-Efficacy KW - Sepsis -- Drug Therapy KW - Sepsis -- Physiopathology KW - Sepsis -- Risk Factors KW - Sex Education KW - Sexuality -- In Adolescence KW - Sexually Transmitted Diseases -- In Adolescence KW - Sodium KW - Substance Abuse -- In Adolescence KW - Transcultural Care ER - TY - JOUR TI - 2008 SNRS abstracts -- T - V. T2 - Southern Online Journal of Nursing Research DA - 2008/07// PY - 2008 VL - 8 IS - 4 SP - 13 EP - 13 SN - 1538-0696 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105496456&site=ehost-live&scope=site KW - Female KW - Male KW - United States KW - Child KW - Family KW - Aged KW - Child, Preschool KW - Hospitals KW - Health Status KW - Age Factors KW - Comorbidity KW - Socioeconomic Factors KW - Self Report KW - Social Welfare KW - Peer Group KW - Blood Pressure KW - Infant KW - Grandparents KW - Health Behavior KW - Self Care KW - Workload KW - Heart Failure KW - Alabama KW - Lung Diseases, Obstructive KW - Child Abuse KW - eppi-reviewer4 KW - Research KW - Blacks KW - Community Living KW - Critically Ill Patients KW - Pediatric Obesity -- Risk Factors KW - Students, College KW - Academic Medical Centers KW - Depression -- In Old Age KW - Infant Feeding KW - Infant, Premature KW - Loneliness -- In Old Age KW - Treatment Outcomes KW - Adolescent Mothers KW - Anger KW - Biological Markers KW - Diabetes Mellitus, Type 2 KW - Diabetes Mellitus, Type 2 -- Therapy KW - Health Beliefs KW - Physical Activity -- In Old Age KW - Cardiovascular Diseases KW - Careers in Nursing KW - Child Health KW - Circadian Rhythm KW - Cognition Disorders -- In Old Age KW - Cross Infection -- Risk Factors KW - Dyspnea KW - Functional Status KW - HIV Infections -- Complications KW - HIV Infections -- In Old Age KW - Marketing KW - Maternal-Child Health KW - Nurses, Minority -- Trends KW - Obesity -- Complications KW - Physical Activity KW - Pressure Ulcer -- Prevention and Control KW - Recovery KW - Respiration, Artificial KW - Rural Health Services KW - School Health Nursing -- Alabama KW - Schools, Elementary KW - Social Behavior Disorders KW - Student Recruitment KW - Students, Nursing -- Trends KW - Support Groups KW - Systemic Inflammatory Response Syndrome KW - West Indies KW - Work Assignments ER - TY - JOUR TI - 2012 - Ginkgo biloba extract did not reduce risk for Alzheimer disease in elderly patients with memory complaints. T2 - ACP Journal Club DA - 2013/01// PY - 2013 DO - 10.7326/0003-4819-158-2-201301150-02007 VL - 158 IS - 2 SP - 1 EP - 1 SN - 1056-8751 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104297338&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Prospective Studies KW - Confidence Intervals KW - France KW - Psychological Tests KW - eppi-reviewer4 KW - Descriptive Statistics KW - Community Living KW - Alzheimer's Disease -- Prevention and Control KW - Cox Proportional Hazards Model KW - Double-Blind Studies KW - Geriatric Depression Scale KW - Ginkgo Biloba -- Administration and Dosage -- In Old Age KW - Memory -- Drug Effects -- In Old Age KW - Physicians, Family KW - Randomized Controlled Trials KW - Relative Risk KW - Treatment Duration KW - Treatment Outcomes -- In Old Age ER - TY - JOUR TI - 2012 - Review: Nonpharmacologic caregiver interventions improve dementia symptoms and caregiver reactions. T2 - ACP Journal Club DA - 2013/02// PY - 2013 DO - 10.7326/0003-4819-158-4-201302190-02004 VL - 158 IS - 4 SP - 1 EP - 1 SN - 1056-8751 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104318692&site=ehost-live&scope=site KW - Family KW - Aged KW - Home Nursing KW - Exercise KW - Caregivers KW - Confidence Intervals KW - Case Management KW - Combined Modality Therapy KW - Self Care KW - eppi-reviewer4 KW - Descriptive Statistics KW - Community Living KW - Caregiver Burden KW - Randomized Controlled Trials KW - Caregiver Support KW - Clinical Trials KW - Comparative Studies KW - Dementia -- Nursing KW - Dementia -- Symptoms KW - Effect Size KW - Embase KW - Medline KW - Meta Analysis KW - Outcome Assessment KW - Outcomes (Health Care) KW - Psychoeducation KW - Psycinfo ER - TY - JOUR TI - 2014 - Intensive population-level screening and counseling did not reduce ischemic heart disease at 10 years. AU - Herrigel Dana J AU - Willett Laura Rees AU - Jørgensen T T2 - ACP Journal Club VL - 161 IS - 8 SP - 2 EP - 2 SN - 1056-8751 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103906614&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Health Education KW - Health Promotion KW - Denmark KW - Risk Assessment KW - Prospective Studies KW - Self Report KW - Confidence Intervals KW - Health Behavior KW - eppi-reviewer4 KW - Middle Age KW - Descriptive Statistics KW - Community Living KW - Randomized Controlled Trials KW - Relative Risk KW - Cardiovascular Risk Factors -- Prevention and Control KW - Health Screening KW - Life Style Changes KW - Myocardial Ischemia -- Epidemiology -- Denmark KW - Myocardial Ischemia -- Prevention and Control KW - Stroke ER - TY - JOUR TI - 57 OBESITY IS ASSOCIATED WITH RECURRENT FALLS AFTER A 2 YEAR FOLLOW UP. AU - Leahy S AU - O'Connell M D. L AU - Kenny R A T2 - Age & Ageing AB - Introduction: Falls are common among older adults and are associated with injury, hospitalisation and mortality (Rubenstein Age & Aging 2006 35-S2,ii37). Obesity is associated with many recognised risk factors for falls in the elderly and recent research indicates that obesity may itself be an independent risk factor for falls (Himes & Reynolds J AM Geriatr Soc 2012 60,124). The aim of this analysis was to investigate obesity as a risk factor for incident falls in community dwelling older adults after a 2 year follow up.Methods: 4701 community dwelling adults aged 50+ from the Irish Longitudinal Study on Aging (TILDA) had their baseline height and weight measured during a comprehensive health assessment. Obesity was defined as having a Body Mass Index (BMI) ≥30 kg.m2. After a 2 year follow up participants were asked if they had experienced any falls since the previous interview, and if so how many falls were sustained. Logistic regression was used to assess the relationship between baseline obesity and incident falls. Covariates studied include baseline demographics, history of chronic and cardiovascular disease, physical disability, previous falls, gait speed, self-rated vision, chronic pain, cognitive function, mental health and medication use.Results: Mean (SD) age of participants at baseline was 61.0 years (8.8) and 55.6% were female. 32.9% of the sample was classified as obese at baseline. 12.5% of obese participants reported one fall during follow up compared to 13.9% of non-obese participants. A further 11.2% of obese participants reported 2 or more falls compared to 7% of non-obese participants. Adjusting for several covariates, baseline obesity was independently associated with reporting 2 or more falls after a 2-year follow up (Odds Ratio = 1.31, p = 0.023).Conclusion: Obesity is associated with recurrent falls in community dwelling older adults over a two year follow up period. VL - 43 IS - suppl_2 SP - ii17 EP - ii17 SN - 0002-0729 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103904227&site=ehost-live&scope=site KW - Female KW - Male KW - Risk Factors KW - Ireland KW - Aged KW - Body Mass Index KW - Odds Ratio KW - Recurrence KW - eppi-reviewer4 KW - Human KW - Interviews KW - Middle Age KW - Descriptive Statistics KW - Community Living KW - Obesity -- Complications KW - Accidental Falls -- Risk Factors KW - Logistic Regression ER - TY - JOUR TI - 58 SEDENTARY OLDER PARTICIPANTS WHO VOLUNTEER FOR STRUCTURED EXERCISE PROGRAMMES ARE NOT LIKE OTHER COMMUNITY DWELLING OLDER SEDENTARY PEOPLE. AU - Heseltine R AU - Skelton D AU - Kendrick D AU - Morris R W AU - Griffin M AU - Haworth D AU - Masud T AU - Iliffe S T2 - Age & Ageing AB - Introduction: Sedentary behaviour is bad for health, even in those who achieve the recommended levels of moderately vigorous physical activity. Older people are the most sedentary, and sedentary behaviour is associated with gender, age, income, education, falls, co-morbidities and polypharmacy. We aimed to explore the characteristics of sedentary older people enrolled in a health promotion and exercise trial and compare them with sedentary older people in previous epidemiological studies.Methods: Data collected from participants in the PROACT65+ trial between 2009-2011 were categorised into two groups - sedentary or not. The sedentary group reported sitting for > 4 hours/day on > 5 days per week. Covariates examined were demographic data, health status, self-rated function and physical test performance (including Timed-Up-and-Go, chair stand, falls risk, functional reach). The complete data sets of 918 participants were analysed.Results: The sedentary were more likely to be underweight (BMI <18.5) or overweight (BMI >25) (OR 1.563, CI 1.109–2.203), to have been smokers (OR 1.488, CI 1.064–2.082) and to be limited in their daily activities on more than 5 days/month (OR 2.217, CI 1.047–4.692). Contrary to previous epidemiological studies, participants' sedentary behaviour was not associated with gender, age, income, education, falls, number of co-morbidities or polypharmacy.Conclusion: Community exercise trials can recruit sedentary older people. However, sedentary participants in this large multi-centre structured exercise programme were different from community-dwelling sedentary older people in epidemiological studies. Trial participants are a different, perhaps more motivated cohort, even when habitually sedentary. VL - 43 IS - suppl_2 SP - ii17 EP - 8 SN - 0002-0729 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103904219&site=ehost-live&scope=site KW - Health Promotion KW - Aged KW - Exercise KW - Odds Ratio KW - Confidence Intervals KW - eppi-reviewer4 KW - Human KW - Questionnaires KW - Community Living KW - Life Style, Sedentary -- In Old Age KW - Multicenter Studies ER - TY - JOUR TI - 67 CASE-FINDING FOR DEMENTIA: WHO ARE THE UNDIAGNOSED? AU - Savva G M AU - Arthur A T2 - Age & Ageing AB - Introduction: Delays in diagnosing dementia could lead to suboptimal care. Any policy of active case finding for dementia needs to be informed by an understanding of the population with undiagnosed dementia. We used data from a population representative sample of people with dementia aged 70 years and older in the United States to characterise the undiagnosed population and identify factors associated with non-diagnosis.Methods: The Aging, Demographics and Memory (ADAMS) study Wave A includes 856 participants, sampled from participants of the 2000 and 2002 waves of the Health and Retirement Study. Participants were assigned a Clinical Dementia Rating (CDR) score following a detailed neuropsychiatric investigation and informant interview. Informants were also asked whether the participant had ever received a doctor's diagnosis of dementia. We used multiple logistic regression to identify clinical and socio-demographic factors independently associated with diagnosis among those with dementia defined by DSM-IV criteria.Results: Of those with dementia (n = 310), 77 (25%) were married and lived at home, 159 (51%) were unmarried but living at home, while 74 (25%) lived in a nursing home. A prior diagnosis of dementia was reported by 122 informants (weighted proportion = 36%). Diagnosis was associated with greater clinical dementia rating (CDR) score; ranging from 24% (CDR = 1) to 83% (CDR = 5). Those aged 90 or older (OR = 0.35; 95% CI = 0.14-0.90) were less likely to be diagnosed, but diagnosis was more common among married women (OR = 4.5; 95% CI: 1.4–15.0) and those exhibiting agitated or aggressive (OR = 2.3; 95% CI = 1.1–5.2) or aberrant behaviour (OR = 2.6; 95% CI = 1.1–6.5) after adjusting for all other factors.Conclusions: People with dementia who are undiagnosed are older, more likely to be unmarried, male, have less severe dementia and have fewer behavioural problems than those with a diagnosis. Case-finding in routine practice must guard against exacerbating potential inequality in access to early diagnosis.Acknowledgement: The ADAMS study is a supplement to the Health and Retirement Study (HRS), which is sponsored by the National Institute of Aging (grant number NIA U01AG009740). It was conducted jointly by Duke University and the University of Michigan. VL - 43 IS - suppl_2 SP - ii21 EP - ii21 SN - 0002-0729 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103904231&site=ehost-live&scope=site KW - Female KW - Male KW - United States KW - Aged KW - Sex Factors KW - Age Factors KW - Odds Ratio KW - Confidence Intervals KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Interviews KW - Dementia -- Diagnosis KW - Dementia -- Epidemiology -- United States KW - Diagnosis, Delayed KW - Multiple Logistic Regression KW - Scales ER - TY - JOUR TI - 71 EFFECTS OF MULTICENTRE CLUSTER RANDOMISED CONTROLLED TRIAL OF GROUP- AND HOME-BASED EXERCISE PROGRAMMES ON QUALITY OF LIFE AMONG COMMUNITY-DWELLING OLDER PEOPLE: THE PROACT65+ TRIAL...British Geriatrics Society Communications to the Spring Meeting 23 – 25 April 2014 Manchester, England AU - Kojima G AU - Bowling A AU - Iliffe S T2 - Age & Ageing AB - Introduction: Physical activity promotes healthy ageing, can prevent muscle weakness, reduce falls & fractures, and delay functional decline. Its impact on quality of life (QOL) is less clear.Methods: Secondary analysis of data from a cluster randomised clinical trial of class-based exercise (Fall Management Exercise Programme–FaME), home-based exercise (Otago Exercise Programme–OEP), and usual care. Participants were community-dwelling older people aged 65 years or older recruited from primary care in London and Nottingham. QOL was measured using the Older People's Quality Of Life questionnaire (OPQOL) at baseline and after 24 weeks of the interventions.Results: OPQOL score at baseline were completed by 927 participants. Higher baseline OPQOL scores were significantly associated with younger age, lower BMI, lower number of comorbidities and medications, lower risk of falling, higher social support, and more physical activities. Among those who completed OPQOL at baseline and after interventions, scores increased in the FaME (n = 157, mean difference +1.18) and OEP (n = 171, mean difference +0.75) groups but decreased in usual care (n = 213, mean difference -0.62); these differences did not reach statistical significance. In both intervention groups increased OPQOL scores were associated with lower baseline OPQOL scores, lower levels of social support, higher levels of education and lower TUG scores. Increased OPQOL scores in the FaME classes were also associated with having one or less comorbidities (p = 0.03) and exercising at or above the recommended level of 150 minutes per week at baseline (p = 0.02). In the OEP group increases in OPQOL scores were associated with being a smoker (p = 0.04) and living in London not Nottingham (p = 0.03).Conclusions: These physical activity interventions did not significantly increase participants' QOL overall, but subgroups did show significant increases and there were differences between the intervention arms. VL - 43 IS - suppl_2 SP - ii21 EP - ii21 SN - 0002-0729 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103904248&site=ehost-live&scope=site KW - Aged KW - eppi-reviewer4 KW - Treatment Outcomes KW - Community Living -- In Old Age KW - Therapeutic Exercise -- Evaluation ER - TY - JOUR TI - A Wii pressure platform to assess balance in the elderly. AU - A Olvera-Chávez AU - C Garza-Hume AU - L M Gutiérrez-Robledo AU - V E Arango-Lopera AU - M U Pérez-Zepeda T2 - Gerontechnology DA - 2013/01// PY - 2013 VL - 11 IS - 3 SP - 452 EP - 456 SN - 1569-1101 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108025459&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Video Games KW - eppi-reviewer4 KW - Human KW - Community Living KW - Balance, Postural -- Evaluation -- In Old Age KW - Clinical Assessment Tools KW - Cross Sectional Studies KW - Kappa Statistic ER - TY - JOUR TI - A 24-hour recovery vehicle? Phil Cooper and colleagues present a case study of recovery fostered by an assertive outreach team and inpatient and residential accommodation interventions. AU - Cooper P AU - Northey M AU - Maddock D AU - Fearon J AU - Callan N AU - Latimer S T2 - Mental Health Nursing AB - This case study involved a 38-year-old man with a diagnosis of schizophrenia who smoked cannabis (10 joints daily in rolled cigarettes mixed with tobacco) and drank alcohol at hazardous levels. It describes his progress through a mental health service that has refocused its business around the principles of recovery from mental health distress. He had experienced repeated admissions to psychiatric hospital, culminating in detention under the Mental Health Act 1983. He then moved through a supported housing scheme over two years and is due to leave this for independent living and full-time work. Recovery was fostered by an assertive outreach team, and inpatient and residential accommodation mental health interventions that facilitated his personal process of tackling the dual problems of severe mental illness and substance misuse. This allowed him to maximise personal control over his life by ensuring his involvement in care planning, as well as cultivating optimism and hope for the future with the support of others. VL - 28 IS - 4 SP - 14 EP - 17 SN - 1353-0283 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105425857&site=ehost-live&scope=site KW - Adult KW - Male KW - eppi-reviewer4 KW - Treatment Outcomes KW - Recovery KW - Mental Disorders -- Rehabilitation KW - Mental Health Services -- Administration KW - Substance Use Disorders -- Rehabilitation ER - TY - JOUR TI - A clinical prediction tool that includes modifiable risk factors predicted functional decline in elderly women...commentary on Sarkisian CA, Liu H, Gutierrez PR et al., for the Study of Osteoporotic Fractures Research Group. Modifiable risk factors predict functional decline among older women: a prospectively validated clinical prediction tool. J AM GERIATR SOC 2000 Feb;48:170-8 AU - Luxenberg JS T2 - ACP Journal Club VL - 133 IS - 2 SP - 77 EP - 77 SN - 1056-8751 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107009976&site=ehost-live&scope=site KW - Female KW - Depression KW - Aged KW - Risk Assessment KW - Activities of Daily Living KW - Exercise KW - Sex Factors KW - Age Factors KW - Prospective Studies KW - Forecasting KW - Body Mass Index KW - Gait KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Instrument Validation KW - Community Living -- In Old Age KW - Clinical Assessment Tools KW - Antianxiety Agents, Benzodiazepine -- Therapeutic Use KW - Functional Status -- In Old Age KW - Geriatric Functional Assessment KW - Grip Strength KW - Risk Factors -- In Old Age KW - Validation Studies ER - TY - JOUR TI - A closer look at the population of individuals with visual impairment in Florida. AU - Lewis S T2 - Journal of Rehabilitation AB - A telephone survey of households in Florida was conducted in order to determine the prevalence of individuals with visual impairments in the state using both clinical and functional definitions. Respondents were asked though a series of forced-choice questions to describe the functioning of the members of their household who had difficulty reading ordinary newspaper print because of a visual, physical, or reading disability. Results indicated that early limitations in functioning relate to increased dependency, reduced enjoyment of social and community functions, and prevention from driving. Findings support the reliability of data from the National Eye Institute and Prevent Blindness America study of the prevalence of visual impairment and blindness in the United States, thereby reducing the need for state agencies to fund similar data collection activities. VL - 72 IS - 3 SP - 26 EP - 32 SN - 0022-4154 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106359396&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Child KW - Adolescence KW - Child, Preschool KW - Interpersonal Relations KW - Infant KW - Florida KW - Telephone KW - Automobile Driving KW - eppi-reviewer4 KW - Human KW - Interviews KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Descriptive Statistics KW - Survey Research KW - Community Living KW - Functional Status KW - Blindness -- Epidemiology KW - Chi Square Test KW - Data Collection, Computer Assisted KW - Family Services KW - Reading -- Evaluation KW - Rehabilitation, Vocational KW - Vision Disorders -- Epidemiology -- Florida ER - TY - JOUR TI - A community-based physical maintenance program for frail older adults: the Stay Well program. AU - Cowan D AU - Radman H AU - Lewis D AU - Turpie I T2 - Topics in Geriatric Rehabilitation AB - This article describes an ongoing exercise program for frail community-dwelling older adults and provides some preliminary evidence of impact on functional status and health service utilization. Four hundred sixty older adults participated in the Stay Well program over a 9-year period. Health service utilization, heart rate, functional status, and health-related quality of life were measured at enrolment and 1-year follow-up. Although there were no significant differences in health-related quality of life, there were significant improvements in functional status and reductions in health system utilization. This program represents an effective strategy for promoting health and functional independence for frail older adults. VL - 25 IS - 4 SP - 355 EP - 364 SN - 0882-7524 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105262567&site=ehost-live&scope=site KW - Female KW - Male KW - Program Evaluation KW - Health Promotion KW - Aged KW - Frail Elderly KW - Quality of Life KW - Prospective Studies KW - Ontario KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Data Analysis Software KW - Middle Age KW - Surveys KW - Descriptive Statistics KW - Community Living KW - Construct Validity KW - Functional Status KW - Scales KW - Clinical Assessment Tools KW - Geriatric Functional Assessment KW - Grip Strength KW - Coefficient Alpha KW - Concurrent Validity KW - Content Validity KW - Criterion-Related Validity KW - Dynamometry KW - Evaluation Research KW - Health Resource Utilization KW - Interrater Reliability KW - Intraclass Correlation Coefficient KW - Intrarater Reliability KW - Paired T-Tests KW - Rehabilitation, Community-Based KW - Summated Rating Scaling KW - Test-Retest Reliability KW - Therapeutic Exercise -- In Old Age KW - Two-Tailed Test KW - Wellness -- In Old Age ER - TY - JOUR TI - A comparative description of long-term aged care in Australia and Taiwan. AU - Moyle W AU - Hung H AU - Venturato L T2 - Asian Journal of Nursing Studies AB - The growing proportion and number of older people will have a profound impact on all areas of society and in particular on health care service provision and long-term aged care. This paper provides insight into how two countries, Australia and Taiwan, which are similar in population size, are providing and planning care services for their ageing population. It is argued that policies and programs are guided not only by the perceived needs of older people but also by cultural values. The influence of cultural values on service provision and standards development in Taiwan and Australia is introduced. Furthermore, the challenges facing the two countries are highlighted. VL - 8 IS - 2 SP - 30 EP - 37 SN - 1022-2464 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106403262&site=ehost-live&scope=site KW - Aged KW - Australia KW - Health Policy KW - Quality of Health Care KW - Taiwan KW - Life Expectancy KW - Culture KW - eppi-reviewer4 KW - Assisted Living KW - Gerontologic Care KW - Day Care KW - Long Term Care KW - Residential Care ER - TY - JOUR TI - A Comparative Study of Depression and Associated Risk Factors among Elderly Inmates of Old Age Homes and Community of Rajkot: A Gujarati Version of the Geriatric Depression Scale-Short Form (GDS-G). AU - Zalavadiya Dipeshkumar D AU - Banerjee Anupam AU - Sheth Ankit M AU - Rangoonwala Matib AU - Mitra Aarohi AU - Kadri Amiruddin M T2 - Indian Journal of Community Medicine AB - Background: The prevalence of depression among elderly people varies across different setups such as old age homes (OAHs), community, and medical clinics. Aims: The aim of this study was to compare the epidemiological factors pertaining to depression among elderly residents of OAHs and community, using a new Gujarati version of the Geriatric Depression Scale-Short Form (GDS-G). Settings and Design: A cross-sectional, epidemiological study conducted in an urban setup of Western India. Materials and Methods: All the eligible 88 elderly residents of all the six OAHs and 180 elderly residents from the same city were administered a pretested semistructured questionnaire having the GDS-G form. Statistical Analysis: Descriptive statistics, odds ratio, Spearman's rank correlation test. Results: The elderly of OAHs were more depressed compared to those of community (odds ratio = 1.84; 95% confidence interval = 1.09-3.06). Older age, females, weaker family ties, economic maladies, poorer self-perception of health status, presence of chronic ailments, absence of recreational activity, lack of prayers, impaired sleep, history of addiction emerged as the predictors of depression in both the setups. More health complaints and a later self-perception of visit to a doctor were found among the depressed than the nondepressed in both the setups. Conclusions: Depressive symptoms were quite high among the elderly in both the setups. Special attention should be given toward health checkups of depressed persons in the OAH and improvement of family ties among depressed persons of the community. DO - 10.4103/ijcm.IJCM_181_16 VL - 42 IS - 4 SP - 204 EP - 208 SN - 0970-0218 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125947728&site=ehost-live&scope=site KW - Female KW - Aged KW - Chronic Disease KW - Health Status KW - Socioeconomic Factors KW - Odds Ratio KW - Family Relations KW - Confidence Intervals KW - Residential Facilities KW - Attitude to Health KW - Recreation KW - Self Concept KW - India KW - eppi-reviewer4 KW - Human KW - Descriptive Statistics KW - Comparative Studies KW - Scales KW - Cross Sectional Studies KW - Community Living -- India KW - Depression -- Epidemiology KW - Depression -- Risk Factors -- In Old Age KW - Prayer KW - Sleep Deprivation KW - Spearman's Rank Correlation Coefficient KW - Structured Questionnaires KW - Substance Dependence KW - Urban Areas ER - TY - JOUR TI - A Comparison of Cognitive and Everyday Functional Performance Among Older Adults With and Without Hypertension. AU - Hudak Elizabeth M AU - Edwards Jerri D AU - Athilingam Ponrathi AU - McEvoy Cathy L T2 - Clinical Gerontologist AB - Secondary data analyses examined the differences in cognitive and instrumental activities of daily living (IADL) performance among hypertensive individuals taking one of four classes of antihypertensive medications, hypertensive individuals not taking any antihypertensive medications, and normotensive individuals (N = 770). After adjusting for covariates, significant group differences were evident on all measures (speed of processing, motor speed, reaction time,p< .05) except memory and timed IADL (p> .05). Follow-up a priori planned comparisons compared hypertensive individuals not on medications to each of the four antihypertensive medication groups. Results indicated that only those on beta-blockers were significantly slower in speed of processing (p< .05). A priori planned comparisons also revealed that normotensive individuals had better cognitive performance on measures of processing speed, motor speed, and reaction time than hypertensive individuals regardless of antihypertensive medication use. Additionally, normotensive individuals performed significantly better on memory (digit and spatial span) than individuals with hypertension on medications. No differences were found between groups on memory (Hopkins Verbal Learning Test) or timed IADL performance. With regard to antihypertensive medications, the use of beta blockers was associated with slowed processing speed. These analyses provide empirical evidence that hypertension primarily impacts speed of processing, but not severe enough to affect IADL performance. Given the contribution of processing speed to memory and executive function performance, this is an important finding. Clinicians need to take into consideration the potential negative impact that beta blockers may have on cognition when determining the best treatment of hypertension among older adult patients. DO - 10.1080/07317115.2012.749322 VL - 36 IS - 2 SP - 113 EP - 131 SN - 0731-7115 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104245844&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Activities of Daily Living KW - Neuropsychological Tests KW - Educational Status KW - Motor Activity KW - Memory KW - Visual Acuity KW - Ethnic Groups KW - Alabama KW - Reaction Time KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Middle Age KW - Funding Source KW - Descriptive Statistics KW - Gerontologic Care KW - Community Living KW - Cognition -- In Old Age KW - Kentucky KW - Comparative Studies KW - Scales KW - Functional Status -- In Old Age KW - Geriatric Functional Assessment KW - Coefficient Alpha KW - Antihypertensive Agents -- Therapeutic Use -- In Old Age KW - Brain -- Drug Effects KW - Brain -- Physiopathology KW - Center for Epidemiological Studies Depression Scale KW - Hypertension -- Complications KW - Hypertension -- Drug Therapy -- In Old Age KW - Hypertension -- Physiopathology -- In Old Age KW - Multivariate Analysis of Covariance KW - Multivariate Analysis of Variance KW - P-Value KW - Psychomotor Performance -- In Old Age KW - Secondary Analysis KW - Vision Tests KW - Wechsler Adult Intelligence Scale-Revised ER - TY - JOUR TI - A Comparison of Emergency Medical Service Utilization in Assisted Living and Long-Term Care Facilities. AU - Costello Maria AU - Bartley Mairead M AU - Joven Mark H AU - Takahashi Paul Y AU - Tung Ericka E T2 - Annals of Long Term Care AB - A dramatic increase in the development of residential care facilities has paralleled the burgeoning population of older adults in the United States. However, there is currently little data available on the demographic and health utilization characteristics of the assisted living facility (ALF) population. Authors describe emergency medical service utilization in a cohort of ALF residents compared with nursing home residents based on review of electronic medical records and emergency transport records. The authors describe ALF cohort characteristics and the high medical comorbidity burden of this population, with high rates of dementia, heart failure, and depression. Findings provide preliminary insights into the acute care utilization of the ALF population and can help guide primary care interventions to potentially reduce emergency room visits. DO - 10.25270/altc.2017.10.00002 VL - 25 IS - 5 SP - 27 EP - 31 SN - 1524-7929 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126140427&site=ehost-live&scope=site KW - United States KW - Aged KW - eppi-reviewer4 KW - Human KW - Assisted Living KW - Comparative Studies KW - Long Term Care KW - Emergency Medical Services -- Utilization KW - Health Resource Utilization -- Evaluation KW - Record Review ER - TY - JOUR TI - A Comparison of Self-Rated and Objectively Measured Successful Aging Constructs in an Urban Sample of African American Older Adults. AU - Cernin Paul A AU - Lysack Catherine AU - Lichtenberg Peter A T2 - Clinical Gerontologist AB - Sixty-seven (N = 67) urban African American older adults were divided into successful and nonsuccessful aging groups based on objective MacArthur (i.e., physical and cognitive functioning) and on self-rated health criteria. Only 30% of the sample met objective MacArthur criteria for successful aging compared to 63% who rated themselves as successful. Self-rated successful aging was best predicted by regular exercise, whereas objective successful aging was best predicted by demographic characteristics and cognition. Reading ability mediated the relationship between both education and cognition to objectively defined success. Finally, objective successful aging was related to quantity and quality of education, whereas self-rated successful aging was related to a wider variety of variables. Defining successful aging on objective factors alone may limit our understanding of successful aging in urban African American older adults. DO - 10.1080/07317115.2011.539525 VL - 34 IS - 2 SP - 89 EP - 102 SN - 0731-7115 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104821510&site=ehost-live&scope=site KW - Female KW - Male KW - Depression KW - Aged KW - Risk Assessment KW - Cognition KW - Comorbidity KW - Geriatric Assessment KW - Michigan KW - Educational Status KW - Self Report KW - Aging KW - Literacy KW - Language Tests KW - Psychological Tests KW - eppi-reviewer4 KW - Human KW - Interviews KW - Social Networks KW - Questionnaires KW - Middle Age KW - Funding Source KW - Surveys KW - Descriptive Statistics KW - Geriatric Nutrition KW - Community Living KW - Internal Consistency KW - Health Status -- In Old Age KW - Functional Status KW - Physical Activity KW - Geriatric Depression Scale KW - Comparative Studies KW - Logistic Regression KW - Scales KW - Clinical Assessment Tools KW - Chi Square Test KW - Coefficient Alpha KW - Summated Rating Scaling KW - Urban Areas KW - P-Value KW - Secondary Analysis KW - Balance, Postural KW - Blacks -- In Old Age KW - Health Behavior -- In Old Age KW - Nutritional Assessment KW - Reading KW - Self Assessment ER - TY - JOUR TI - A constituição de domicílios unipessoais em condomínio específico para idosos. AU - Testou Eleu Ferraz AU - Marcon Sonia Silva T2 - Revista Enfermagem UERJ VL - 22 IS - 5 SP - 610 EP - 614 SN - 0104-3552 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103866895&site=ehost-live&scope=site KW - Female KW - Male KW - Health Promotion KW - Aged KW - Activities of Daily Living KW - Brazil KW - Housing for the Elderly KW - Social Participation KW - Aging KW - eppi-reviewer4 KW - Autonomy KW - Aged, 80 and Over KW - Human KW - Qualitative Studies KW - Questionnaires KW - Thematic Analysis KW - Exploratory Research KW - Content Analysis KW - Semi-Structured Interview KW - Home Environment KW - Gerontologic Nursing KW - Nursing Role KW - Self Care -- In Old Age KW - Single Person -- In Old Age ER - TY - JOUR TI - A decade of Australian Rural Clinical School graduates - where are they and why? AU - Eley D S AU - Synnott R AU - Baker P G AU - Chater A B T2 - Rural & Remote Health AB - Introduction: The Australian Rural Clinical School (RCS) initiative has been addressing the rural medical workforce shortage at the medical education level for over a decade. A major expectation of this initiative is that it will improve rural medical workforce recruitment and subsequent retention through a rurally based undergraduate clinical training experience. The longitudinal nature of these workforce initiatives means that definitive evidence of its impact on the shortage of rural doctors is yet to be provided; however, to date cross-sectional studies are accumulating a measure of efficacy for these initiatives by monitoring early career factors such as internship location choice and speciality choice of RCS graduates. This article reports on a study in one RCS that is monitoring the impact of rural undergraduate clinical training on trends in workforce participation patterns of its graduates as long as 9 years in the workforce. Career location and speciality choice are reported as well as perspectives on early career intentions and the reality of making career and life decisions as a doctor in the medical workforce. Methods: A longitudinal mixed methods sequential explanatory design employed a quantitative data collection phase followed by a qualitative phase with the merging of data sources during the interpretation and analysis. In 2007 a database was established that maintained the contact details of all former graduates since 2002. Every 2 years graduates are invited to participate in a survey and provide an update on the influences on their current career intentions/decisions. The qualitative sample was recruited through a survey question asking for interest in participating in an interview. Results: The whole-sample survey results showed that out of a 64% (N=115) response rate, 40% of respondents were currently working in non-urban locations. The majority (n=51, 53%) had been out in the workforce for 5 to 7 years and general practice was the most frequent speciality choice. Out of 29 interviewees, just over half (n=16, 55%) were currently working in non-urban locations and primarily in general practice. The majority (n=17, 58%) had been out in the workforce for 5 to 6 years. Overall they perceived that the primary drivers influencing their early career/life decisions were personal/family reasons and speciality training requirements. Conclusions: The study highlighted what is obvious but often overlooked in recruitment strategies for medical students and prevocational doctors: the significance of the inevitable life decisions that frequently take precedence over career intentions. A decade on there is strong endorsement for the positive influence that rural undergraduate clinical training has on promoting rural career intentions. However the fulfilment of these intentions is at risk when competing with concurrent personal/life choices and while based in an urban training environment. Provision of a continuum of postgraduate training opportunities in rural and regional settings that include a rural focus for specialties such as surgery, anaesthetics and obstetrics could: (1) satisfy speciality training requirements; (2) focus life decisions in a rural environment; and (3) keep rural career intentions viable and congruent with other life goals. The overriding message is: the longer the exposure to training in the rural context, the greater the impact on interest in future rural practice and, particularly, the greater the likelihood that important life decisions will also be made in the rural context. VL - 12 IS - 1 SP - 1 EP - 12 SN - 1445-6354 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104485031&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Program Evaluation KW - Family KW - Australia KW - Interpersonal Relations KW - Residence Characteristics KW - Prospective Studies KW - Clinical Competence KW - Psychometrics KW - Confidence Intervals KW - Professional Practice KW - Motivation KW - eppi-reviewer4 KW - Human KW - Qualitative Studies KW - Questionnaires KW - Audiorecording KW - Data Analysis Software KW - Thematic Analysis KW - Semi-Structured Interview KW - Descriptive Statistics KW - Chi Square Test KW - Interrater Reliability KW - Career Planning and Development -- Methods KW - Education, Medical -- Trends KW - Mentorship KW - Multimethod Studies KW - One-Way Analysis of Variance KW - Personnel Recruitment KW - Personnel Retention KW - Personnel Selection KW - Physician Attitudes KW - Rural Health Services -- Manpower KW - Specialization KW - Students, Medical -- Psychosocial Factors -- Australia KW - T-Tests ER - TY - JOUR TI - A Deweyan case for the study of uncertainty in health geography AU - Cutchin Malcolm P T2 - Health & Place AB - John Dewey long ago challenged the philosophical tradition by arguing that uncertainty is a central, but undertheorized, trait of existence. His challenge to philosophy is also a challenge to the social sciences, including those that focus on health. In this paper, I set out to accomplish two goals. One is to present Dewey's view on uncertainty and thereby develop an argument for an underappreciated theoretical construct. The second is to explore the congruence of uncertainty and health geography with a focus on uncertainty's meaning and validity for inquiry in a health geography context. I begin with an explication of Dewey's position on uncertainty and assess it within a larger philosophical milieu. I then discuss various implications of this view for health geography and argue that the Deweyan case for uncertainty fits the discipline well. In the final part of the paper, I share an analysis of assisted living for older persons that displays different forms of uncertainty playing important roles in the health and place experience. I conclude that Dewey's philosophical position on uncertainty is a potentially important avenue for further inquiry into health and place. VL - 10 IS - 3 SP - 203 EP - 213 SN - 13538292 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=13333342&site=ehost-live&scope=site KW - Uncertainty KW - eppi-reviewer4 KW - Assisted living KW - DEWEY, John KW - Health geography KW - John Dewey KW - PHILOSOPHY KW - Place KW - PUBLIC health KW - Situation KW - SOCIAL sciences ER - TY - JOUR TI - A gift from the gods: Nepalese women's childbirth and early parenting experiences. AU - Rolls C AU - Chamberlain M T2 - Asian Journal of Nursing Studies AB - The aim of this study was to generate a theoretical framework of traditional rituals and customs used by educated Nepalese women for childbirth and early parenting in Nepal. An ethnographic, grounded theory approach was used to collect data through participant observation and unstructured in-depth interviews in maternity hospitals, family homes and religious places in Kathmandu, Nepal. The general informants were nine Nepalese women who had had a live baby in the last five years and one older Nepalese woman who was a critical-case informant. This study generated a framework explaining how the socio-cultural context of the Nepalese extended family household provided the basis for women's experiences of childbirth and early parenting and provides direction for nurses and midwives to assist in reducing maternal mortality rates in Nepal through understanding cultural practices and planning health interventions to change behaviours. VL - 8 IS - 1 SP - 23 EP - 31 SN - 1022-2464 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106485719&site=ehost-live&scope=site KW - Adult KW - Female KW - Grounded Theory KW - Culture KW - eppi-reviewer4 KW - Human KW - Audiorecording KW - Childbirth -- Psychosocial Factors -- Nepal KW - Conceptual Framework KW - Ethnographic Research KW - Hinduism KW - Nepal KW - Participant Observation KW - Postnatal Period -- Psychosocial Factors -- Nepal KW - Rituals and Ceremonies KW - Unstructured Interview ER - TY - JOUR TI - A Health Need Satisfaction Instrument for Taiwan's single-living older people with chronic disease in the community. AU - Shih S AU - Gau M AU - Tsai J AU - Li I AU - Liou Y AU - Shih F T2 - Journal of Nursing & Healthcare of Chronic Illnesses VL - 17 IS - 1 SP - 67 EP - 77 SN - 1752-9816 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105713600&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Demography KW - Socioeconomic Factors KW - Taiwan KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Interviews KW - Qualitative Studies KW - Audiorecording KW - Interview Guides KW - Exploratory Research KW - Content Analysis KW - Semi-Structured Interview KW - Descriptive Statistics KW - Internal Consistency KW - Cultural Sensitivity KW - Scales KW - Coefficient Alpha KW - Concurrent Validity KW - Content Validity KW - Interrater Reliability KW - Summated Rating Scaling KW - Chronic Disease -- In Old Age -- Taiwan KW - Community Living -- In Old Age -- Taiwan KW - Descriptive Research KW - Face Validity KW - Health Services Accessibility -- In Old Age -- Taiwan KW - Health Services Needs and Demand -- In Old Age -- Taiwan KW - Instrument Construction KW - Omaha System KW - Post Hoc Analysis KW - Purposive Sample ER - TY - JOUR TI - A longitudinal analysis of criminal and aggressive behaviors among a national sample of adults in mutual-help recovery homes. AU - Aase DM AU - Jason LA AU - Olson BD AU - Majer JM AU - Ferrari JR AU - Davis MI AU - Virtue SM T2 - Journal of Groups in Addiction & Recovery AB - Criminal and aggressive behaviors are frequently observed among those recovering from substance abuse problems. In the present one-year longitudinal study, a national sample of residents from self-governed, communal-living recovery homes for substance abuse completed baseline and follow-up measures of criminal and aggressive behavior. Results indicated that a length of stay of 6 months or longer was associated with lower levels of self-reported criminal and aggressive behaviors at the one-year follow-up. Environmental mechanisms proposed as influences for these outcomes, as well as treatment implications, are discussed. VL - 4 IS - 1-2 SP - 82 EP - 91 SN - 1556-035X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105518776&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - United States KW - Adolescence KW - Prospective Studies KW - Self Report KW - Psychological Tests KW - eppi-reviewer4 KW - Human KW - Data Analysis Software KW - Middle Age KW - Funding Source KW - Descriptive Statistics KW - Recovery KW - Chi Square Test KW - Test-Retest Reliability KW - T-Tests KW - Aggression KW - Analysis of Covariance KW - Crime KW - Halfway Houses KW - Repeated Measures KW - Severity of Illness Indices KW - Substance Abusers ER - TY - JOUR TI - A Longitudinal Evaluation of Restraint Reduction within a Multi-site, Multi-model Canadian Continuing Care Organization. AU - Milke Doris L AU - Kendall T Scott AU - Neumann Iris AU - Wark Connie F AU - Knopp Alana T2 - Canadian Journal on Aging AB - While American literature on sustaining restraint reduction is relatively robust, there is a lack of research published on the same issue in Canadian continuing care (CC) settings. Statistics from Canada's largest publicly funded and operated CC organization have revealed telling patterns in mechanical restraint use. Over a 4-year study period during a campaign to reduce mechanical restraint use, the organizational prevalence dropped from 24.68 per cent to 16.01 per cent. There was substantial variability in restraint prevalence among the organization's 11 centres (range: 0–39.86% of residents restrained) and all but 1 was able to achieve mechanical restraint reduction. Specific facilitators to achieving and sustaining restraint reduction are identified, including small facility size, provision of specialized care (e.g., Alzheimer's disease), and an on-site champion . Specific barriers, such as large facility size and an off-site champion are also discussed. (English) [ABSTRACT FROM AUTHOR] Bien que la documentation américaine sur la réduction de l'usage des moyens de contention soit relativement importante, les travaux de recherche publiés sur cette même question sont moins nombreux sur les pensionnaires d'un établissement canadien de soins de longue durée. Les statistiques des plus importants établissements de ce type financés et exploités au Canada ont mis au jour des attitudes révélatrices envers les moyens mécaniques de contention. Durant les quatre années d'une étude comportant une campagne visant à réduire l'utilisation de moyens mécaniques de contention, la prévalence organisationnelle est passée de 24,68 % à 16,01 %. Il existait une variabilité substantielle en matière de contention parmi les 11 centres de l'organisation (échelle de 0 à 39,86 % des pensionnaires faisant l'objet de contention) et tous sauf un ont pu réduire la contention mécanique. Des facilitateurs particuliers à la réalisation et au maintien de la réduction de la contention sont indiqués, notamment les établissements de petite taille, la fourniture de soins spécialisés (par ex., maladie d'Alzheimer), et un « champion » résidant sur place. Des obstacles particuliers, comme la grande taille d'un établissement et un champion résidant à l'extérieur font aussi l'objet de discussion. (French) [ABSTRACT FROM AUTHOR] Copyright of Canadian Journal on Aging is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 27 IS - 1 SP - 35 EP - 43 SN - 07149808 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=32095237&site=ehost-live&scope=site KW - aging KW - eppi-reviewer4 KW - Elder care KW - Older people KW - long-term care KW - continuing care KW - Health of older people KW - Life care communities KW - Life care communities -- Management KW - mechanical restraints KW - Medical care for older people KW - physical restraints KW - restraint reduction KW - vieillissement ER - TY - JOUR TI - A low-fat vegan diet and a conventional diabetes diet in the treatment of type 2 diabetes: a randomized, controlled, 74-wk clinical trial. AU - Barnard ND AU - Cohen J AU - Jenkins DJA AU - Turner-McGrievy G AU - Gloede L AU - Green A AU - Ferdowsian H T2 - American Journal of Clinical Nutrition AB - Background: Low-fat vegetarian and vegan diets are associated with weight loss, increased insulin sensitivity, and improved cardiovascular health. Objective: We compared the effects of a low-fat vegan diet and conventional diabetes diet recommendations on glycemia, weight, and plasma lipids. Design: Free-living individuals with type 2 diabetes were randomly assigned to a low-fat vegan diet (n = 49) or a diet following 2003 American Diabetes Association guidelines (conventional, n = 50) for 74 wk. Glycated hemoglobin (Hb A1c) and plasma lipids were assessed at weeks 0, 11, 22, 35, 48, 61, and 74. Weight was measured at weeks 0, 22, and 74. Results: Weight loss was significant within each diet group but not significantly different between groups (-4.4 kg in the vegan group and -3.0 kg in the conventional diet group, P = 0.25) and related significantly to Hb A1c changes (r = 0.50, P = 0.001). Hb A1c changes from baseline to 74 wk or last available values were -0.34 and -0.14 for vegan and conventional diets, respectively (P = 0.43). Hb A1c changes from baseline to last available value or last value before any medication adjustment were -0.40 and 0.01 for vegan and conventional diets, respectively (P = 0.03). In analyses before alterations in lipid-lowering medications, total cholesterol decreased by 20.4 and 6.8 mg/dL in the vegan and conventional diet groups, respectively (P = 0.01); LDL cholesterol decreased by 13.5 and 3.4 mg/dL in the vegan and conventional groups, respectively (P = 0.03). Conclusions: Both diets were associated with sustained reductions in weight and plasma lipid concentrations. In an analysis controlling for medication changes, a low-fat vegan diet appeared to improve glycemia and plasma lipids more than did conventional diabetes diet recommendations. Whether the observed differences provide clinical benefit for the macro- or microvascular complications of diabetes remains to be established. This trial was registered at clinicaltrials.gov as NCT00276939. Copyright © 2009 American Society for Nutrition SP - 1588S EP - 96S SN - 0002-9165 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105534325&site=ehost-live&scope=site KW - Female KW - Male KW - Prospective Studies KW - Analysis of Variance KW - Diet Records KW - Weight Loss KW - Body Weights and Measures KW - eppi-reviewer4 KW - Human KW - Data Analysis Software KW - Middle Age KW - Funding Source KW - Descriptive Statistics KW - Community Living KW - Pedometers KW - Chi Square Test KW - Nutritional Assessment KW - T-Tests KW - Repeated Measures KW - Academy of Nutrition and Dietetics -- Standards KW - Blood Glucose -- Analysis KW - Cholesterol -- Blood KW - Diabetes Mellitus, Type 2 -- Diet Therapy KW - Diabetic Diet KW - Glycemic Control KW - Hemoglobin A, Glycosylated -- Blood KW - Intervention Trials KW - Lipoproteins, LDL Cholesterol -- Blood KW - Pearson's Correlation Coefficient KW - Physical Activity -- Evaluation KW - Random Assignment KW - Regression KW - Single-Blind Studies KW - Vegetarianism KW - Waist-Hip Ratio -- Evaluation ER - TY - JOUR TI - A meta-analysis of studies related prevalence of depression in Iran. AU - Mohamadi Mehdi AU - Kamal Seyed Hossein Mohaqeqi AU - Vameghi Meroe AU - Rafiey Hassan AU - Forouzan Ameneh Setareh AU - Sajjadi Homeira T2 - Journal of Research & Health AB - Depression is one of the most important and common mood disorders. This study aimed to present a clear picture of the prevalence of depression in studies conducted in Iran. In this systematic review study, all published relevant studies were searched in credible scientific databases using standard key words. Repeated cases and those outside the time span of this study (1996 to 2011) were excluded. Articles were examined in terms of quality, and irrelevant ones were excluded. Eventually, 145 articles were selected for this systematic review. Fifteen different tools had been used in these articles, mostly standard tools such as Beck's and general health questionnaires. Beck's inventory indicated the prevalence of depression as 52.12% in students, 37.22% in the general population, 33.45% during postmenopausal period and 27.62% during pregnancy. General health questionnaire revealed the prevalence of depression as 12.02% in students, 19.46% in general population. For the older adults, Geriatric Depression Scale (GDS) played an important role. GDS revealed the prevalence of depression in older adults living at home as 57.58%, and in those living in nursing homes 81.85%. Because of its ubiquitous features, Beck's inventory had been used, which showed overall prevalence of depression 42.59%. Considering high prevalence of depression in Iran, greater attention to depression and preventive measures are hugely important. [ABSTRACT FROM AUTHOR] Copyright of Journal of Research & Health is the property of Gonabad University of Medical Sciences, Social Development & Health Promotion Research Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 7 IS - 1 SP - 581 EP - 593 SN - 22516395 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=120553051&site=ehost-live&scope=site KW - Depression KW - Meta-Analysis KW - Prevalence KW - eppi-reviewer4 KW - Geriatric Depression Scale KW - Diagnosis of mental depression KW - Meta-analysis ER - TY - JOUR TI - A multicomponent exercise program's effects on health-related quality of life of institutionalized elderly. AU - Justine M AU - Hamid TA AU - Kamalden TFT AU - Ahmad Z T2 - Topics in Geriatric Rehabilitation AB - Objective: To determine the effects of a multicomponent exercise program on health-related quality of life (HRQOL). Design: A quasi-experimental pretest-posttest design was used in the study. Setting: Participants were recruited from the public-funded shelter home located in Seremban, Negeri Sembilan, Malaysia. Participants: The experimental group consisted of 27 volunteers older than 60 years who performed 60 minutes of aerobic, strength, flexibility, and balance training 3 times a week for 12 weeks, supervised by a physiotherapist. The control group consisted of 25 volunteers who continued with their current level of activity. Main outcome measures: Physical health component summary (PCS) and mental health component summary (MCS) of the 12-Item Short Form Health Survey HRQOL. Results: The exercise group increased in the level of PCS and MCS by 8.4% (P < .05) and 2.9% (P > .05), respectively. The control group shows decline in PCS and MCS by 9.3% (P < .05) and 6.8% (P > .05), respectively. Conclusions: This study suggests that a multicomponent exercise program may improve HRQOL among institutionalized elderly. DO - 10.1097/TGR.0b013e3181cd6949 VL - 26 IS - 1 SP - 70 EP - 79 SN - 0882-7524 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105138647&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Activities of Daily Living KW - Length of Stay KW - Muscle Strength KW - Body Mass Index KW - Malaysia KW - Housing for the Elderly KW - Inpatients KW - Exercise Tolerance KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Quality of Life -- In Old Age KW - Middle Age KW - Descriptive Statistics KW - Gerontologic Care KW - Internal Consistency KW - Treatment Outcomes KW - Comparative Studies KW - Scales KW - Clinical Assessment Tools KW - Functional Status -- In Old Age KW - Geriatric Functional Assessment KW - Coefficient Alpha KW - Paired T-Tests KW - Summated Rating Scaling KW - Therapeutic Exercise -- In Old Age KW - P-Value KW - Balance, Postural KW - Aerobic Exercises KW - Asians KW - Exercise Intensity KW - Muscle Strengthening KW - Physical Mobility KW - Pliability KW - Pretest-Posttest Design KW - Quasi-Experimental Studies ER - TY - JOUR TI - A Multilevel Analysis of Neighborhood Socioeconomic Disadvantage and Transactional Sex with Casual Partners Among Young Men Who Have Sex with Men Living in Metro Detroit. AU - Bauermeister José AU - Eaton Lisa AU - Stephenson Rob T2 - Behavioral Medicine AB - The role of structural factors when evaluating the vulnerability of human immunodeficiency virus/sexually transmitted infection (HIV/STI) risks among young gay, bisexual, and other men who have sex with men is an important area of focus for HIV prevention. Using cross-sectional data from young men living in Metro Detroit (N = 319; aged 18–29 years; 50% black, 25% white, 15% Latino, 9% other race/ethnicity; 9% HIV-positive), we examined whether transactional sex with casual partners was associated with neighborhood-level socioeconomic disadvantage and individual-level factors (race/ethnicity and sexual identity, socioeconomic status, HIV/STI diagnoses, and substance use). Youth living in greater socioeconomic disadvantage reported more transactional sex (b = 0.11; SE = 0.04; p ≤ 0.01). This relationship was mitigated once individual-level correlates were entered into the model. Multilevel efforts to counteract socioeconomic deficits through community and individual level strategies may alleviate youth's exposure to transactional sex and reduce their vulnerability to HIV/STI risks. DO - 10.1080/08964289.2015.1110560 VL - 42 IS - 3 SP - 197 EP - 204 SN - 0896-4289 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116397451&site=ehost-live&scope=site KW - Adult KW - Male KW - Young Adult KW - Adolescence KW - Socioeconomic Factors KW - Michigan KW - Ethnic Groups KW - eppi-reviewer4 KW - Human KW - Descriptive Statistics KW - Race Factors KW - Cross Sectional Studies KW - HIV Infections -- Risk Factors KW - Men Who Have Sex With Men -- Psychosocial Factors -- Michigan KW - Prostitution -- Psychosocial Factors KW - Residence Characteristics -- Psychosocial Factors KW - Sexual Identity KW - Substance Abuse KW - Vulnerability ER - TY - JOUR TI - A multisite comparison of supported housing for chronically homeless adults: 'housing first' versus 'residential treatment first'. AU - Tsai Jack AU - Mares Alvin S AU - Rosenheck Robert A T2 - Psychological Services DO - 10.1037/a0020460 VL - 7 IS - 4 SP - 219 EP - 232 SN - 1541-1559 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105003981&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - United States KW - Housing KW - Time Factors KW - eppi-reviewer4 KW - Human KW - Middle Age KW - Effect Size KW - Multicenter Studies KW - Clinical Assessment Tools KW - Chi Square Test KW - T-Tests KW - Substance Abuse KW - Brief Symptom Inventory KW - Community Reintegration -- Economics KW - Community Reintegration -- Methods KW - Homelessness -- Prevention and Control KW - Linear Regression KW - Nonexperimental Studies ER - TY - JOUR TI - A Narrative Inquiry of a Program That Provides Permanent Housing With Supports to Homeless Individuals With Severe Mental Illness. AU - Kirkpatrick Helen AU - Byrne Carolyne T2 - Canadian Journal of Community Mental Health AB - This paper describes an empowering program narrative identified in a study about the experience of "moving on" for individuals with a major mental illness who had been homeless before obtaining permanent housing with support. Personal stories are idiosyncratic but involve the integration of individual, unique experiences with narratives from various communities of membership. Multiple sources of data were obtained to identify the program narrative (participant and staff interviews, participant observation, and document analyses). This research contributes to knowledge about what works when a program works-how to identify what is effective, and what can be learned in assessing and developing other programs. VL - 30 IS - 1 SP - 31 EP - 43 SN - 0713-3936 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104662355&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Young Adult KW - Ontario KW - Community Mental Health Services KW - eppi-reviewer4 KW - Interviews KW - Middle Age KW - Support, Psychosocial KW - Content Analysis KW - Community Living KW - Empowerment KW - Mental Disorders -- Rehabilitation KW - Conceptual Framework KW - Homelessness -- Psychosocial Factors KW - Mental Disorders -- Psychosocial Factors KW - Narratives ER - TY - JOUR TI - A New Look at Successful Aging: Exploring a Mid-range Nursing Theory Among Older Adults in a Low-income Retirement Community. AU - McCarthy Valerie Lander T2 - Journal of Theory Construction & Testing AB - The current view of successful aging excludes elders with disease or disability, limits the potential for success among disadvantaged populations, and jails to consider older adults' own criteria for success, especially in the existential or spiritual domain. This cross-sectional study was a preliminary investigation of a mid-range nursing theory (Flood, 2005) of successful aging. A random, stratified sample (7V= 112) was used. Questionnaires were administered to small groups of non-demented older adults. Relationships among study variables were examined using hierarchical multiple regression. Adaptation and transcendence explained 45-4% of the variance in successful aging, independent of age, income, function, and health. Transcendence accounted for 2.5 times the effect of adaptation. VL - 15 IS - 1 SP - 17 EP - 23 SN - 1086-4431 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104881449&site=ehost-live&scope=site KW - Female KW - Male KW - United States KW - Aged KW - Health Status KW - Poverty KW - Retirement KW - Adaptation, Psychological KW - Aging KW - Marital Status KW - Nursing Theory KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Whites KW - Funding Source KW - Descriptive Statistics KW - Blacks KW - Community Living KW - Research Subject Recruitment KW - Coping KW - Logistic Regression KW - Scales KW - Cross Sectional Studies KW - Functional Status -- In Old Age KW - Coefficient Alpha KW - Summated Rating Scaling KW - Spearman's Rank Correlation Coefficient KW - Conceptual Framework KW - Descriptive Research KW - Pearson's Correlation Coefficient KW - Bivariate Statistics KW - Chronic Disease -- In Old Age KW - Multiple Regression KW - Power Analysis KW - Self Transcendence KW - Self Transcendence -- In Old Age KW - Stratified Random Sample ER - TY - JOUR TI - A New Neighborhood Every Fall: Aging in Place in a College Town. AU - Powell Kathleen H T2 - Journal of Gerontological Social Work AB - Older adults who live in residential neighborhoods adjacent to college and university campuses have a unique experience that makes them vulnerable to marginalization and displacement. As these neighborhoods become increasingly dominated by college students living in rental properties, older adults find themselves in the minority in a neighborhood where they have lived for many years. In addition, these neighborhoods are attractive to universities, city governments, and private companies for their development potential, which can result in gentrification. A year-long ethnographic study of a campus-adjacent neighborhood in a small US college town that is home to a medium-sized public university sheds light on the relationships between members of 5 stakeholder groups that have a vested interest in the neighborhood. The study highlights the need for additional research on different types of neighborhoods and their effects on aging in place in addition to outlining social work interventions in campus-adjacent neighborhoods that are designed to enhance these intergenerational spaces. [ABSTRACT FROM PUBLISHER] Copyright of Journal of Gerontological Social Work is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 59 IS - 7/8 SP - 537 EP - 553 SN - 01634372 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=120328130&site=ehost-live&scope=site KW - eppi-reviewer4 KW - Thematic analysis KW - Research funding KW - Aging in place KW - college towns KW - displacement KW - Ethnology research KW - gentrification KW - Intergenerational relations KW - neighborhood relations KW - Psychological aspects of aging KW - Residential patterns KW - Social case work KW - Universities & colleges ER - TY - JOUR TI - A phenomenological study into the experience of their sexuality by males with spinal cord injury. AU - Basson PJ AU - Walter S AU - Stuart AD T2 - Health SA Gesondheid AB - On reviewing the literature on spinal cord injury (SCI) and sexuality in males, there was found to be a plethora of research in physical domains. Sadly, the psychological aspect of sexuality for men who experience SCI has been largely neglected. For this reason a phenomenological study was conducted to understand the experience of sexuality in its totality for the male who experiences SCI. Four males with SCI were included in the study. Central themes that emerged from the transcribed interviews included the establishment of an existential baseline, diminished independence and perceptions of masculinity post-injury. Participants also divulged needs pertaining to their (potential) relationships. Lastly, religion and certain coping mechanisms were found to either facilitate or hinder sexuality post-trauma depending on their rigidity and effectiveness respectively. VL - 8 IS - 4 SP - 3 EP - 11 SN - 1025-9848 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106738330&site=ehost-live&scope=site KW - Adult KW - Male KW - Self Care KW - eppi-reviewer4 KW - Human KW - Interviews KW - Snowball Sample KW - Community Living KW - Coping KW - Religion and Religions KW - Phenomenological Research KW - Reliability and Validity KW - Sexuality KW - Spinal Cord Injuries -- Psychosocial Factors ER - TY - JOUR TI - A pilot community-based walking-for-exercise program for senior women. AU - Shaw KL AU - Page C T2 - Topics in Geriatric Rehabilitation AB - Purpose: The demographic groups at most risk for physical inactivity, as determined by the 1996 Surgeon General's report on Physical Activity and Health, were the elderly women and minorities. To address these risk groups, this pilot study determined whether a physical therapy-based program would result in differences in the scores of the Yale Physical Activity Survey for senior women who participated in a daily walking-for-exercise program using assistive devices, as needed, and those who did not participate.Methods: Twenty-four volunteer senior adults participating in the Senior Citizens Nutrition and Activity Program were randomly assigned to a control or walking intervention group. Each subject completed a demographic form and the Mini-Mental State Examination to determine cognitive status. Volunteers were interviewed using the Yale Physical Activity Questionnaire for older adults.Results: Community-dwelling senior women participating in a walking-for-exercise program, exhibited increases in total energy expenditure (P = .046) and vigorous activity levels (P = .026) from baseline to the conclusion of the program. Pre- to posttest changes were also seen in vigorous activity levels in the control group.Conclusion: Increase in total energy expenditure and vigorous physical activity levels were seen in senior women who engaged in a 8-week walking-for-exercise program with or without physical therapist recommended assistive devices when compared with controls. This has implications for physical therapy and public health policies that should encourage walking as an effective means for promoting increased physical activity to combat the effects of a sedentary lifestyle. VL - 24 IS - 4 SP - 315 EP - 324 SN - 0882-7524 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105600136&site=ehost-live&scope=site KW - Female KW - Aged KW - Prospective Studies KW - Analysis of Variance KW - Educational Status KW - Income KW - Self Report KW - Women's Health KW - Marital Status KW - Energy Metabolism KW - Florida KW - Psychological Tests KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Interviews KW - Questionnaires KW - Data Analysis Software KW - Whites KW - Exploratory Research KW - Descriptive Statistics KW - Blacks KW - Community Living KW - Hispanics KW - Native Americans KW - Clinical Assessment Tools KW - Geriatric Functional Assessment KW - P-Value KW - Random Assignment KW - Asians KW - Exercise Intensity KW - Pretest-Posttest Design KW - Ambulation Aids KW - Checklists KW - Exercise -- In Old Age KW - Pilot Studies KW - Walking -- In Old Age ER - TY - JOUR TI - A Preliminary Study of the Utilization of Maximal and Rapid Strength Characteristics to Identify Chair-Rise Performance Abilities in Very Old Adults. AU - Palmer Ty B AU - Thiele Ryan M AU - Conchola Eric C AU - Smith Douglas B AU - Thompson Brennan J T2 - Journal of Geriatric Physical Therapy AB - Background: Maximal and rapid strength characteristics of the knee extensor and flexor muscles play an important role in fall prevention and walking-related performances; however, few studies have investigated the ability of these variables to identify chair-rise performances in very old adults. Purpose: To examine the effectiveness of maximal and rapid isometric strength characteristics of the knee extensors and flexors to differentiate between very old adults who are able (higher functioning) versus unable (lower functioning) to independently rise from a chair. Methods: Nine higher functioning (age, 87 ± 6 years) and 6 lower functioning (age, 89 ± 6 years) very old adults performed 2 isometric maximal voluntary contractions of the knee extensors and flexors. Peak moment and absolute and relative rate of moment development (RMD) at the early (0-50 ms) and late (0-200 ms) phases of muscle contraction were examined during each maximal voluntary contraction. Results: Absolute and relative RMD values at 0 to 50 ms were greater (P = .02 and .03, respectively) in the higher functioning than in the lower functioning individuals for both the knee extensors and flexors. However, no group-related differences (P = .39-.58) were observed in either muscle group for peak moment or absolute and relative RMD at 0 to 200 ms. Conclusions: Early rapid moment production of the knee extensors and flexors may be an effective measure for discriminating between very old adults of different chair-rise performance abilities. Physical therapists and other practitioners may use these findings to help with the identification and early detection of older adults who are at a high risk for functional decline. DO - 10.1519/JPT.0000000000000060 VL - 39 IS - 3 SP - 102 EP - 109 SN - 1539-8412 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116829618&site=ehost-live&scope=site KW - Female KW - Male KW - Body Mass Index KW - Patient Compliance KW - Movement KW - Isometric Contraction KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Data Analysis Software KW - Assisted Living KW - Descriptive Statistics KW - Effect Size KW - Chi Square Test KW - T-Tests KW - Pearson's Correlation Coefficient KW - Factor Analysis KW - Functional Assessment KW - Functional Status -- Classification KW - Hamstring Muscles KW - Knee Joint KW - Muscle Strength -- Physiology -- In Old Age KW - Quadriceps Muscles KW - Standing KW - Two-Way Analysis of Variance ER - TY - JOUR TI - A prospective comparison of the AUSDRISK and HbA1c for persons with spinal cord injury. AU - Jannings Wendy T2 - Australian Journal of Advanced Nursing AB - Objective The primary object of this study was to determine the validity of the Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK) for predicting the development of type 2 diabetes in persons with spinal cord injury (SCI). Design and setting The prospective comparative study (December 2013-March 2014) collected data on AUSDRISK and haemoglobin A1c (HbA1c) in participants' homes. Participants Participation rate was 67% (n=79). Study criteria: over 18 years of age, a SCI for more than 12 months, living at home, wheelchair dependant and no diabetes diagnosis. Main outcome measures AUSDRISK sensitivity and specificity in predicting incident type 2 diabetes in persons with SCI. Results Of the 79 participants, 81% were male, mean age was 53 years (SD 14.14) with 23.2years (median 23; SD +/-13.2yrs) since injury. There was a positive correlation between length of time since SCI and risk score (AUSDRISK) (r = .242, p = .032). Participants with high AUSDRISK scores had higher HbA1c% (5.38 versus 5.2, p = .026) level. The high risk classification explained a moderate amount of HbA1c % (area under curve = .651; 95% CI .53 - .77). The level of HbA1c which had the highest sensitivity (.59) and specificity (.73) for risk classification was 5.25%. Waist circumference and physical activity items require further powered studies to determine if appropriately weighted. Conclusion Comparing the AUSDRISK with HbA1c assays, the AUSDRISK can predict type 2 diabetes risk in a person with SCI, although further powered studies are needed to be undertaken, to refine the predictive capacity of the tool. VL - 33 IS - 3 SP - 13 EP - 20 SN - 0813-0531 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114833281&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Aged KW - Australia KW - ROC Curve KW - Odds Ratio KW - Predictive Value of Tests KW - Confidence Intervals KW - Sensitivity and Specificity KW - eppi-reviewer4 KW - Human KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Funding Source KW - Descriptive Statistics KW - Instrument Validation KW - Comparative Studies KW - Health Screening KW - Scales KW - Chi Square Test KW - Spearman's Rank Correlation Coefficient KW - P-Value KW - T-Tests KW - Hemoglobin A, Glycosylated -- Blood KW - Pearson's Correlation Coefficient KW - Diabetes Mellitus, Type 2 -- Risk Factors KW - Fisher's Exact Test KW - Outpatients KW - Prospective Studies -- Australia KW - Risk Assessment -- Equipment and Supplies KW - Severity of Disability KW - Spinal Cord Injuries ER - TY - JOUR TI - A push-pull framework for modelling the relocation of retirees to a retirement village: the Australian experience AU - Stimson Robert J AU - McCrea Rod T2 - Environment & Planning A AB - Although most older people prefer to age in place, nonetheless many do relocate, with a small proportion moving to retirement villages, which provide a purpose designed and built residential and lifestyle environment. Using factor analyses, path analyses, and a push-pull framework, the authors model the decision process of retirees in Australia in order to identify relationships between push-pull factors and predictor variables, using data from a national survey of retirement village residents. The push factors relate to change in lifestyle, home maintenance, social isolation, and health and mobility, whereas the pull factors relate to built environment and affordability, the locational attributes of villages, and the desire to maintain an existing lifestyle. The survey data also identify village attributes considered desirable or undesirable, or important or unimportant. Overall, resident satisfaction with moving is high. VL - 36 IS - 8 SP - 1451 EP - 1470 SN - 0308518X UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=14443814&site=ehost-live&scope=site KW - eppi-reviewer4 KW - AUSTRALIA KW - COMMUNITY life KW - LIFE style KW - OLDER people KW - RELOCATION (Housing) KW - RETIREMENT KW - SOCIAL groups ER - TY - JOUR TI - A reduced-carbohydrate diet improves outcomes in patients with metabolic syndrome: a translational study. AU - Miller CK AU - Ulbrecht JS AU - Lyons J AU - Parker-Klees L AU - Gutschall MD AU - Smiciklas-Wright H AU - Mitchell DC AU - Covasa M AU - Hayes M T2 - Topics in Clinical Nutrition AB - Carbohydrate-restricted diets have been promoted for the management of central obesity, a feature of metabolic syndrome. This study evaluated the impact of a reduced-carbohydrate diet provided in a typical outpatient setting on outcomes associated with metabolic syndrome. Adults older than 21 years who met the criteria for metabolic syndrome were recruited (n = 21) and received 2 nutritional counseling sessions. Changes in body weight, blood pressure, and anthropometric, glucose, and lipid outcomes were assessed. Participants lost a mean (+/-SD) of 5.0 (+/-3.4) kg (P < .05). There was a significant reduction in waist circumference, body mass index, and systolic and diastolic blood pressure (all P < .01). No significant improvement in glucose or lipoprotein level was observed. Only 50% of participants met the criteria for metabolic syndrome at the end of the study. A reduced-carbohydrate diet can be effective in promoting weight loss and is accompanied by improvements in body composition and blood pressure over 3 months. VL - 22 IS - 1 SP - 82 EP - 91 SN - 0883-5691 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106268646&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Health Status KW - Body Weight KW - Analysis of Variance KW - Body Mass Index KW - Absorptiometry, Photon KW - Weight Loss KW - Blood Pressure Determination KW - Body Weights and Measures KW - eppi-reviewer4 KW - Human KW - Interviews KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Whites KW - Funding Source KW - Descriptive Statistics KW - Community Living KW - Recovery KW - Paired T-Tests KW - Nutritional Assessment KW - Repeated Measures KW - Cholesterol -- Blood KW - Physical Activity -- Evaluation KW - Abdomen KW - Body Composition -- Evaluation KW - Diet, Low Carbohydrate KW - Metabolic Syndrome X -- Diet Therapy KW - Nutritional Counseling KW - Patient Compliance -- Evaluation KW - Statistical Significance ER - TY - JOUR TI - A rites of passage analysis of the families' experience of premature birth. AU - Taylor LS T2 - Journal of Neonatal Nursing AB - This paper will explore some of the feelings surrounding life at home when the mother has given birth to her baby before 37 weeks. It will include an insight into several of the ways fathers of premature babies may respond to the birth of their baby, and certain comments concerning the response of siblings. This paper will be based upon a Master's degree research dissertation, which was carried out in 1992 at Loughborough University and a current PhD research project at Sheffield Hallam University, with Professor Mavis Kirkham as supervisor. VL - 14 IS - 2 SP - 56 EP - 60 SN - 1355-1841 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105766293&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Pregnancy KW - England KW - Stress, Psychological KW - Breast Feeding KW - eppi-reviewer4 KW - Human KW - Questionnaires KW - Semi-Structured Interview KW - Family Attitudes KW - Infant, Premature KW - Conceptual Framework KW - Childbirth, Premature KW - Family -- Psychosocial Factors KW - Intensive Care, Neonatal KW - Mail KW - Maternal Attitudes -- Evaluation KW - Nursing Models, Theoretical KW - Paternal Attitudes -- Evaluation KW - Siblings KW - Theory ER - TY - JOUR TI - A Study of Residential Condition and Satisfaction of the Elderly in China. AU - Li Bin AU - Chen Sheying T2 - Journal of Housing for the Elderly AB - This article investigates the current housing reality and subjective appraisal of the elderly in China by presenting the latest empirical evidence. Based on a literature review, survey data of September 2009 were analyzed, which included 692 Chinese households with a focus on their elderly members. Major findings were the following: (1) affordability was an outstanding issue, with 56.6% of the elderly respondents feeling overburdened by housing costs; (2) facilities in the homes were less of an issue than their community facilities, which were inadequate especially for the handicapped; (3) the elderly respondents as a whole seemed to enjoy their housing property, though significant differences in homeownership and residential satisfaction were found among them; (4) differences were also found among the elderly in terms of access to healthcare (including emergency help), transportation, and housing environment; and (5) residential satisfaction of the elderly were related to their occupational status before retirement, income, health, distance to healthcare facilities, living arrangements, homeownership, housing conditions, social contacts/visits, and gender. Implications of the findings are discussed for research and policy considerations. DO - 10.1080/02763893.2011.545746 VL - 25 IS - 1 SP - 72 EP - 88 SN - 0276-3893 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104826149&site=ehost-live&scope=site KW - Female KW - Male KW - Social Environment KW - Aged KW - Residence Characteristics KW - Sex Factors KW - China KW - Income KW - Family Characteristics KW - Multivariate Analysis KW - Personal Satisfaction KW - Social Class KW - Health Services Accessibility KW - Architectural Accessibility KW - eppi-reviewer4 KW - Human KW - Questionnaires KW - Funding Source KW - Surveys KW - Descriptive Statistics KW - Descriptive Research KW - Housing for the Elderly -- China KW - Locus of Control KW - Real Estate ER - TY - JOUR TI - A support network typology for application in older populations with a preponderance of multigenerational households. AU - Burholt Vanessa AU - Dobbs Christine T2 - Ageing & Society AB - This paper considers the support networks of older people in populations with a preponderance of multigenerational households and examines the most vulnerable network types in terms of loneliness and isolation. Current common typologies of support networks may not be sensitive to differences within and between different cultures. This paper uses cross-sectional data drawn from 590 elders (Gujaratis, Punjabis and Sylhetis) living in the United Kingdom and South Asia. Six variables were used in K-means cluster analysis to establish a new network typology. Two logistic regression models using loneliness and isolation as dependent variables assessed the contribution of the new network type to wellbeing. Four support networks were identified: ‘Multigenerational Households: Older Integrated Networks’, ‘Multigenerational Households: Younger Family Networks’, ‘Family and Friends Integrated Networks’ and ‘Non-kin Restricted Networks’. Older South Asians with ‘Non-kin Restricted Networks’ were more likely to be lonely and isolated compared to others. Using network typologies developed with individualistically oriented cultures, distributions are skewed towards more robust network types and could underestimate the support needs of older people from familistic cultures, who may be isolated and lonely and with limited informal sources of help. The new typology identifies different network types within multigenerational households, identifies a greater proportion of older people with vulnerable networks and could positively contribute to service planning. DO - 10.1017/S0144686X12001511 VL - 34 IS - 7 SP - 1142 EP - 1169 SN - 0144-686X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107863145&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - United Kingdom KW - Residence Characteristics KW - Loneliness KW - Cluster Analysis KW - Odds Ratio KW - Intergenerational Relations KW - Marital Status KW - Asia KW - Culture KW - Social Isolation KW - eppi-reviewer4 KW - Human KW - Interviews KW - Social Networks KW - Funding Source KW - Descriptive Statistics KW - Logistic Regression KW - Cross Sectional Studies KW - Chi Square Test KW - One-Way Analysis of Variance KW - Post Hoc Analysis KW - Minority Groups KW - Psychological Well-Being KW - Transients and Migrants KW - Variable ER - TY - JOUR TI - A survey of end-of-life care in care homes: issues of definition and practice AU - Froggatt Katherine AU - Payne Sheila T2 - Health & Social Care in the Community AB - Care homes throughout the UK provide long-term care for frail older people. Whilst care homes are a home for life, many of the older people living in this setting also die there. There is increased interest in improving the care that older people receive in care homes towards the end of life. One way to achieve this has been through links with specialist palliative care services. The knowledge held in care homes by staff, residents and their family carers has yet to be fully integrated into this work. Consequently, a postal survey of care home managers in one English county was undertaken to examine the characteristics of end-of-life care for older people in these care homes. We sought to establish the managers’ understanding of end-of-life care; the extent to which dying and death is present in this setting; the attributes of the resident population living in these care homes; and the availability of resources to support the provision of end-of-life care in this setting. The survey identified that managers held diverse understandings regarding the meaning of end-of-life care. The features of the residents’ conditions and the dying that they experience requires a different way to conceptualise end-of-life care. A longer-term perspective is offered here that encompasses the whole period of a person's residence in a care home. VL - 14 IS - 4 SP - 341 EP - 348 SN - 09660410 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=21170621&site=ehost-live&scope=site KW - eppi-reviewer4 KW - COMMUNITY housing KW - GREAT Britain KW - HOSPICE care KW - OLDER people -- Housing KW - RETIREMENT communities ER - TY - JOUR TI - A Systematic Review of the Transition from Homelessness to Finding a Home. AU - Iaquinta Monica Sabatelli T2 - Journal of Community Health Nursing AB - Homelessness is associated with premature mortality, increased morbidity, and poor quality of life. Transitioning from homelessness to housing is a complex process, particularly for individuals with mental illness. This article presents a systematic review of 26 empirical studies exploring the transition of adults from homelessness to finding a home. Seven qualitative, 14 quantitative, and 5 mixed-method studies were critically appraised and synthesized yielding persistent qualitative themes such as maintaining stability, making adjustments, and a place called home, and quantitative key categories including quality of life, sociodemographics, and housing conditions. More research is needed exploring factors related successful housing placement. DO - 10.1080/07370016.2016.1120593 VL - 33 IS - 1 SP - 20 EP - 41 SN - 0737-0016 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112534993&site=ehost-live&scope=site KW - Adult KW - Housing KW - Quality of Life KW - Age Factors KW - eppi-reviewer4 KW - Human KW - Qualitative Studies KW - Thematic Analysis KW - Homelessness KW - Medline KW - Psycinfo KW - Multimethod Studies KW - CINAHL Database KW - ERIC Database KW - Human Needs (Physiology) KW - Quantitative Studies KW - Research Methodology -- Evaluation KW - Systematic Review ER - TY - JOUR TI - A therapeutic cooking program for older adults with dementia: effects on agitation and apathy. AU - Fitzsimmons S AU - Buettner LL T2 - American Journal of Recreation Therapy AB - This study describes a clinical trial of a recreational therapy cooking program for older adults with dementia and disturbing behaviors living in an assisted living center. After two weeks of daily participation, results indicated a significant improvement in levels of both passivity and agitation. Biographical data collection was useful in identifying the physiological changes that occurred during each session. Implications for service delivery are included. VL - 2 IS - 4 SP - 23 EP - 33 SN - 1539-4131 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106664157&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Analysis of Variance KW - Residential Facilities KW - Blood Pressure KW - Cooking KW - Florida KW - Heart Rate KW - Psychological Tests KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Funding Source KW - Descriptive Statistics KW - Biofeedback KW - Scales KW - Clinical Assessment Tools KW - Chi Square Test KW - Coefficient Alpha KW - T-Tests KW - Conceptual Framework KW - Random Assignment KW - Agitation -- Therapy KW - Dementia -- Complications KW - Pretest-Posttest Control Group Design KW - Recreational Therapy ER - TY - JOUR TI - A Typology of Source of Information About the Continuing Care Retirement Community and Older Adults' Living Arrangement. AU - Ayalon Liat AU - Gum Amber T2 - Journal of Housing for the Elderly AB - A continuing care retirement community (CCRC) represents a residential alternative for older adults. It offers a variety of social and health care services to meet older adults' needs and preferences. Using the theory of innovation as a theoretical basis, the overall goal of the study was to use the source of information about the CCRC as a potential predictor of the decision to move. In total, 76 older adults responded to a question about the source of information on the CCRC. Of these, 40 were CCRC residents and 36 were community dwellers, who expressed an interest in the CCRC but decided to remain in their community. Based on their responses, respondents were classified into one of five clusters (e.g., spouse, friends, children, nonhuman sources, mixed human and nonhuman sources). Those classified into the spouse or adult children as sources of information were more likely to live in a CCRC. Results show that information about the CCRC should be conveyed to additional members in the family, such as adult children, as they often take a major role in the decision to relocated. The findings have implications for administrators as they clearly point to potential sources of greater influence on older adults' decision to relocate. [ABSTRACT FROM AUTHOR] Copyright of Journal of Housing for the Elderly is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 33 IS - 4 SP - 325 EP - 336 SN - 02763893 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=139272532&site=ehost-live&scope=site KW - United States KW - Long-term care KW - Residential care KW - Algorithms KW - Retirement KW - eppi-reviewer4 KW - Senior housing KW - Interviewing KW - Research funding KW - Research subjects (Persons) KW - Long term health care KW - Communities KW - Residential patterns KW - administrators KW - Chi-squared test KW - Cluster analysis (Statistics) KW - community KW - Data analysis software KW - Descriptive statistics KW - Diffusion of innovations KW - Independent variables KW - Information resources KW - Informed consent (Medical law) KW - One-way analysis of variance KW - Regression analysis KW - Relocation KW - residential care KW - Statistical sampling KW - theory of innovation KW - Variables (Mathematics) ER - TY - JOUR TI - A validation of a brief instrument to measure independence of persons with head injury. AU - Adkins VK AU - Youngbauer J AU - Mathews RM T2 - Journal of Rehabilitation AB - The level of supervision required for persons with head injury is important because family members and insurance companies have ranked level of supervision as one of the most important outcomes of rehabilitation. The purpose of this preliminary investigation was to identify a brief assessment instrument the Brief Functional Independence Inventory (BFII) - for placement/treatment decisions to be made by social service agencies. Although the low-end of 50 nonrandomized participants represents a limitation in this investigation, the high correlation with a known measure of independence and need for supervision, the Supervision Rating Scale (SRS) -- .79 -- and its high alpha -- .74 - suggests that the BFII is reliable and valid. Recommendations are made to validate this instrument on a larger sample to control for errors such as time and motivation of persons in such an experiment. VL - 66 IS - 3 SP - 51 EP - 55 SN - 0022-4154 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107029316&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Adolescence KW - Aged KW - Disability Evaluation KW - eppi-reviewer4 KW - Human KW - Interviews KW - Middle Age KW - Community Living KW - Instrument Validation KW - Research Instruments KW - Scales KW - Clinical Assessment Tools KW - Coefficient Alpha KW - Instrument Construction KW - Functional Assessment KW - Head Injuries -- Diagnosis KW - Head Injuries -- Rehabilitation ER - TY - JOUR TI - Discharging to a nursing home: not a terminal event--a follow-up study of senior motor vehicle crash patients AU - Aaland Mary O AU - Leffers Kevin AU - Hlaing Thein T2 - The American surgeon AB - Discharge to a nursing home (NH) because of chronic debilitating diseases or old age is generally a terminal event. The purpose of this study was to evaluate the NH outcome of senior citizens injured in motor vehicle crashes (MVC) discharged to a NH. From 2000 through 2004, 157 patients 75 years and older were admitted to the hospital for MVC. Of these, 32 patients were discharged to a NH, and these patients or their proxies were interviewed by telephone in June 2005 to request information as to driving status before and after the MVC, feeding, expression, and locomotion status, and/or date of death. After discharged from the NH, 72 per cent (23/32) of the patients lived at home, 52.2 per cent (12/23) among the drivers returned to drive, and those with functional impairments (excluding the five NH deaths and four still remaining in a NH) at the time of hospital discharge had 100 per cent or partial improvement in three functional independent measures at the time of the interview: 5 cases in feeding, 2 in expression, and 20 in locomotion. Eleven of the 20 individuals dependent or partially dependent in locomotion status were fully independent. The majority of the senior patients discharged to a NH after a MVC returned to a normal life by going back home, driving again, and regaining functional activities after NH discharge. Discharge to a NH for elderly MVC trauma patients may be regarded as a stepping-stone to independent living rather than a final resting place. DA - 2006/// PY - 2006 VL - 72 IS - 9 SP - 815 EP - 20 SN - 0003-1348 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16986392 KW - Female KW - Humans KW - Male KW - Outcome Assessment (Health Care) KW - Aged KW - Aged, 80 and over KW - Registries KW - Length of Stay KW - *Activities of Daily Living KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Interviews as Topic KW - Prognosis KW - *Patient Discharge KW - Injury Severity Score KW - eppi-reviewer4 KW - *Accidents, Traffic KW - *Automobile Driving/sn [Statistics & Numerical Data] KW - *Speech KW - Locomotion ER - TY - JOUR TI - Does it work on Sundays, too? Healthcare technology for older people AU - Aalokke Stinne AU - Corry Aino V AU - Kramp Gunnar T2 - Studies in health technology and informatics AB - The development of assisted living technology today lies within the realm of ambient computing, making assistance automatic and the systems invisible. Unfortunately, this invisibility is also the reason why the users of these systems have no means to remedy even very simple fault situations. By focusing on the needed complementarities between user control and automation, we identify three main issues which are critical when introducing new technology in the homes of older people: Individual need for representation of data, the need for the user to construct a conceptual model of the system and the need for systems to change over time. DA - 2007/// PY - 2007 VL - 130 SP - 13 EP - 21 SN - 0926-9630 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=17917177 KW - Humans KW - User-Computer Interface KW - *Aging KW - *Home Care Services/og [Organization & Administration] KW - *Telemedicine/og [Organization & Administration] KW - Telemedicine/is [Instrumentation] KW - eppi-reviewer4 ER - TY - JOUR TI - Use of Anticholinergic Drugs and its Relationship With Psychological Well-Being and Mortality in Long-Term Care Facilities in Helsinki. AU - Aalto Ulla Liisa AU - Roitto Hanna-Maria AU - Finne-Soveri Harriet AU - Kautiainen Hannu AU - Pitkala Kaisu T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: To assess the burden of drugs with anticholinergic properties (DAPs) and associated factors in long-term care facilities and to explore how psychological well-being and mortality are associated with the use of DAPs., DESIGN: Cross-sectional study and 1-year follow-up of all-cause mortality., SETTING AND PARTICIPANTS: All 4449 older people (>65 years of age) living in nursing homes and assisted living facilities in Helsinki in 2011 were recruited. After refusals and excluding residents with severe dementia, 2432 participants remained., MEASUREMENTS: Data on demographics, drug use, and medical history were collected by trained nurses using a structured assessment. Psychological well-being (PWB) of participants was assessed by 6 questions resulting in a validated PWB score (range 0-1). Mortality data were retrieved from central registers. The total number of anticholinergic drugs was determined according to the Anticholinergic Risk Scale., RESULTS: Of the participants, 51% used at least 1 DAP. DAP users were younger and had better cognition than nonusers. There was a linear relationship between the number of DAPs used and poorer PWB. A similar trend was present between the number of DAPs and poorer PWB both among those with and without depression and among those with and without functional dependency. No difference in mortality existed between DAP users and nonusers., CONCLUSIONS: Despite DAP users being younger and having better cognition, they had poorer PWB. Clinicians should carefully consider the potential benefits and harm when prescribing DAPs to older people. Copyright © 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2018/// PY - 2018 DO - 10.1016/j.jamda.2017.11.013 VL - 19 IS - 6 SP - 511 EP - 515 SN - 1525-8610 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=29287694 KW - eppi-reviewer4 ER - TY - JOUR TI - Temporal Trends in the Use of Anticholinergic Drugs Among Older People Living in Long-Term Care Facilities in Helsinki. AU - Aalto Ulla L AU - Roitto Hanna-Maria AU - Finne-Soveri Harriet AU - Kautiainen Hannu AU - Pitkala Kaisu H T2 - Drugs & aging AB - BACKGROUND: The use of drugs with anticholinergic properties (DAPs) is common among older adults despite their known adverse effects, such as cognitive decline. Professionals should pay attention to DAPs, since evidence on their adverse effects has been accumulating during the last decade. However, to our knowledge previous studies exploring temporal trends in the use of DAPs are scarce., OBJECTIVE: The aim of this study was to assess temporal trends in the use of DAPs from 2003 to 2017 in long-term care facilities in Helsinki., METHODS: Four cross-sectional studies were conducted in 2003, 2007, 2011, and 2017. Participants included older people (>= 65 years) living in nursing homes (NHs) in 2003 (n = 1979), 2011 (n = 1568), and 2017 (n = 750), and in assisted living facilities (ALFs) in 2007 (n = 1336), 2011 (n = 1556), and 2017 (n = 1673) in Helsinki, Finland. Data on demographics, medication use, and diagnoses were collected by structured questionnaires. The assessments were conducted as a point prevalence over 1 day. The use of DAPs and the total anticholinergic burden were defined by the Anticholinergic Risk Scale (ARS)., RESULTS: In ALFs, there has been an increasing trend in the use of DAPs over a 10-year period (41.2% in 2007 and 53.7% in 2017). In NHs, by contrast, the use of DAPs remained quite stable (52.3% in 2003 and 52.4% in 2017). The burden of DAPs measured by ARS score decreased in NHs and remained stable in ALFs. Marked changes occurred in the DAPs used; antidepressants, especially mirtazapine, increased in both settings, whereas the use of hydroxyzine and urinary antispasmodics nearly disappeared. The proportion of users of DAP antipsychotics increased in ALFs. Participants with dementia had a lower anticholinergic burden than those without dementia, in both settings., CONCLUSIONS: Despite increased knowledge of the harms of DAPs, they remain widely used. Physicians seem to be aware of the harms of DAPs among people with dementia, and some other favorable trends in prescribing were also observed. Clinicians should especially consider the indications behind the use of DAP antidepressants and antipsychotics, and carefully weigh their potential benefits and harms. DA - 2019/// PY - 2019 DO - 10.1007/s40266-019-00720-6 SN - 1170-229X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medp&NEWS=N&AN=31705445 KW - eppi-reviewer4 ER - TY - JOUR TI - Burdensome transitions at the end of life among long-term care residents with dementia AU - Aaltonen Mari AU - Raitanen Jani AU - Forma Leena AU - Pulkki Jutta AU - Rissanen Pekka AU - Jylha Marja T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: The purpose of the study was to examine the frequency of burdensome care transitions at the end of life, the difference between different types of residential care facilities, and the changes occurring between 2002 and 2008., DESIGN: A nationwide, register-based retrospective study., SETTING: Residential care facilities offering long-term care, including traditional nursing homes, sheltered housing with 24-hour assistance, and long-term care facilities specialized in care for people with dementia., STUDY GROUP: All people in Finland who died at the age of 70 or older, had dementia, and were in residential care during their last months of life., MAIN OUTCOME MEASURES: Three types of potentially burdensome care transition: (1) any transition to another care facility in the last 3 days of life; (2) a lack of continuity with respect to a residential care facility before and after hospitalization in the last 90 days of life; (3) multiple hospitalizations (more than 2) in the last 90 days of life. The 3 types were studied separately and as a whole., RESULTS: One-tenth (9.5%) had burdensome care transitions. Multiple hospitalizations in the last 90 days were the most frequent, followed by any transitions in the last 3 days of life. The frequency varied between residents who lived in different baseline care facilities being higher in sheltered housing and long-term specialist care for people with dementia than in traditional nursing homes. During the study years, the number of transitions fluctuated but showed a slight decrease since 2005., CONCLUSIONS: The ongoing change in long-term care from institutional care to housing services causes major challenges to the continuity of end-of-life care. To guarantee good quality during the last days of life for people with dementia, the underlying reasons behind transitions at the end of life should be investigated more thoroughly. Copyright © 2014 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2014/// PY - 2014 VL - 15 IS - 9 SP - 643 EP - 8 SN - 1538-9375 1525-8610 UR - https://dx.doi.org/10.1016/j.jamda.2014.04.018 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Registries KW - Continuity of Patient Care KW - Retrospective Studies KW - *Hospitalization/sn [Statistics & Numerical Data] KW - *Long-Term Care KW - Finland/ep [Epidemiology] KW - *Dementia/mo [Mortality] KW - *Patient Transfer/sn [Statistics & Numerical Data] KW - *Length of Stay/sn [Statistics & Numerical Data] KW - *Terminal Care/sn [Statistics & Numerical Data] KW - eppi-reviewer4 ER - TY - JOUR TI - Changes in older people's care profiles during the last 2 years of life, 1996-1998 and 2011-2013: a retrospective nationwide study in Finland. AU - Aaltonen Mari AU - Forma Leena AU - Pulkki Jutta AU - Raitanen Jani AU - Rissanen Pekka AU - Jylha Marja T2 - BMJ open AB - OBJECTIVES: The time of death is increasingly postponed to a very high age. How this change affects the use of care services at the population level is unknown. This study analyses the care profiles of older people during their last 2 years of life, and investigates how these profiles differ for the study years 1996-1998 and 2011-2013., DESIGN: Retrospective cross-sectional nationwide data drawn from the Care Register for Health Care, the Care Register for Social Care and the Causes of Death Register. The data included the use of hospital and long-term care services during the last 2 years of life for all those who died in 1998 and in 2013 at the age of >=70 years in Finland., METHODS: We constructed four care profiles using two criteria: (1) number of days in round-the-clock care (vs at home) in the last 2 years of life and (2) care transitions during the last 6 months of life (ie, end-of-life care transitions)., RESULTS: Between the study periods, the average age at death and the number of diagnoses increased. Most older people (1998: 64.3%, 2013: 59.3%) lived at home until their last months of life (profile 2) after which they moved into hospital or long-term care facilities. This profile became less common and the profiles with a high use of care services became more common (profiles 3 and 4 together in 1998: 25.0%, in 2013: 30.9%). People with dementia, women and the oldest old were over-represented in the latter profiles. In both study periods, fewer than one in ten stayed at home for the whole last 6 months (profile 1)., CONCLUSIONS: Postponement of death to a very old age may translate into more severe disability in the last months or years of life. Care systems must be prepared for longer periods of long-term care services needed at the end of life. Copyright © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. DA - 2017/// PY - 2017 DO - 10.1136/bmjopen-2016-015130 VL - 7 IS - 11 SP - e015130 SN - 2044-6055 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=29196476 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Registries KW - Retrospective Studies KW - Time Factors KW - Cross-Sectional Studies KW - *Hospitalization/sn [Statistics & Numerical Data] KW - *Long-Term Care/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Dementia/ep [Epidemiology] KW - Finland/ep [Epidemiology] KW - *Home Care Services/sn [Statistics & Numerical Data] KW - Homes for the Aged KW - Patient Transfer/sn [Statistics & Numerical Data] KW - *Terminal Care/sn [Statistics & Numerical Data] KW - eppi-reviewer4 ER - TY - JOUR TI - The Joint Impact of Age at Death and Dementia on Long-Term Care Use in the Last Years of Life: Changes From 1996 to 2013 in Finland. AU - Aaltonen Mari S AU - Forma Leena P AU - Pulkki Jutta M AU - Raitanen Jani A AU - Rissanen Pekka AU - Jylha Marja K T2 - Gerontology & geriatric medicine AB - Welfare states increasingly rely on aging in place policies and have cut back on institutional long-term care (LTC) provision. Simultaneously, the major determinants of LTC use, that is, dementia and living to very old age, are increasing. We investigated how increasing longevity and concomitant dementia were associated with changes in round-the-clock LTC use in the last 5 years of life between 1996 and 2013. Retrospective data drawn from national registers included all those who died aged 70+ in 2007 and 2013, plus a 40% random sample from 2001 (N = 86,554). A generalized estimating equations (GEE) were used to estimate the association of dementia and age with LTC use during three study periods 1996-2001, 2002-2007, and 2008-2013. Between the study periods, the total number of days spent in LTC increased by around 2 months. Higher ages at death and the increased number of persons with dementia contributed to this increase. The group of the most frequent LTC users, that is, people aged 90+ with or without dementia, grew the most in size, yet their LTC use decreased. The implications of very old age and concomitant dementia for care needs must be acknowledged to guarantee an adequate quantity and quality of care. DA - 2019/// PY - 2019 DO - 10.1177/2333721419870629 VL - 5 SP - 2333721419870629 SN - 2333-7214 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=31489341 KW - eppi-reviewer4 ER - TY - JOUR TI - Turning training into play: Embodied gaming, seniors, physical training and motivation. AU - Aarhus Rikke AU - Grönvall Erik AU - Larsen Simon B AU - Wollsen Susanne T2 - Gerontechnology DA - 2011/04// PY - 2011 DO - 10.4017/gt.2011.10.2.005.00 VL - 10 IS - 2 SP - 110 EP - 120 SN - 1569-1101 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108236971&site=ehost-live&scope=site KW - Female KW - Male KW - Denmark KW - Aged KW - Prospective Studies KW - Body Mass Index KW - Photography KW - Motivation KW - Video Games KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Audiorecording KW - Assisted Living KW - Funding Source KW - Semi-Structured Interview KW - Physical Activity KW - Multimethod Studies KW - Ethnographic Research KW - Coding KW - Field Notes KW - Physical Therapy ER - TY - JOUR TI - Predictors of nursing home placement in Parkinson's disease: a population-based, prospective study. AU - Aarsland D AU - Larsen J P AU - Tandberg E AU - Laake K T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To examine the rate and predictors of nursing home placement in patients with Parkinson's disease., DESIGN: Four-year prospective study., SETTING: A population-based study in western Norway, PARTICIPANTS: 178 community-dwelling subjects with Parkinson's disease., MEASUREMENTS: Main outcome measure was the time from baseline to nursing home admission. Baseline evaluation of motor symptoms (Unified Parkinson's Disease Rating Scale, UPDRS), cognition (clinical dementia interview, Gottfries, Brane & Steen dementia scale, and Mini-Mental State Examination), depression (clinical interview and the Montgomery & Asberg Depression Rating Scale), and psychotic symptoms (UPDRS Thought Disorder item) were performed., RESULTS: Forty-seven patients (26.4%) were admitted to a nursing home during the 4-year study period. Institutionalized patients were older, had more advanced Parkinson's disease with more severe motor symptoms and impairment of activities of daily living, were cognitively more impaired, were more often living alone, and had more hallucinations than those who continued to live at home. Duration of disease, levodopa dose, and gender distribution did not differ between the two groups. A Cox proportional hazards linear regression analysis showed that old age, functional impairment, dementia, and hallucinations were independent predictors of nursing home admission., CONCLUSIONS: Both motor and neuropsychiatric symptoms contributed to institutionalization, but the presence of hallucinations was the strongest predictor. This finding indicates it is possible that effective treatment of hallucinations may reduce the need for institutionalization in patients with Parkinson's disease. DA - 2000/// PY - 2000 VL - 48 IS - 8 SP - 938 EP - 42 SN - 0002-8614 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=10968298 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Norway KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Activities of Daily Living KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Prospective Studies KW - Geriatric Assessment KW - Severity of Illness Index KW - Psychiatric Status Rating Scales KW - Proportional Hazards Models KW - Age Distribution KW - Linear Models KW - Predictive Value of Tests KW - *Patient Admission/sn [Statistics & Numerical Data] KW - Dementia/et [Etiology] KW - Parkinson Disease/pp [Physiopathology] KW - Parkinson Disease/px [Psychology] KW - Community Health Planning KW - eppi-reviewer4 KW - *Parkinson Disease/di [Diagnosis] KW - Hallucinations/et [Etiology] KW - Parkinson Disease/co [Complications] KW - Parkinson Disease/dt [Drug Therapy] ER - TY - JOUR TI - Neuropathology of dementia in Parkinson's disease: a prospective, community-based study AU - Aarsland Dag AU - Perry Robert AU - Brown Andrew AU - Larsen Jan P AU - Ballard Clive T2 - Annals of neurology AB - Twenty-two patients with Parkinson's disease drawn from a community-based study were followed prospectively until their deaths. Even though 18 patients had dementia, none fulfilled Braak and Braak or The National Institute on Aging and Ronald and Nancy Reagan Institute of the Alzheimer's Association, whereas all patients had limbic or neocortical Lewy body disease. The Lewy body score and Braak and Braak stage were significantly associated with the rate of cognitive decline, but only the Lewy body score was associated with the rate of cognitive decline in the univariate analyses. This study strongly suggests that Lewy body disease is the main substrate driving the progression of cognitive impairment in Parkinson's disease. DA - 2005/// PY - 2005 VL - 58 IS - 5 SP - 773 EP - 6 SN - 0364-5134 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16240351 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Demography KW - Prospective Studies KW - Neuropsychological Tests KW - Psychiatric Status Rating Scales KW - *Residence Characteristics KW - Cognition Disorders/et [Etiology] KW - Dementia/co [Complications] KW - eppi-reviewer4 KW - Parkinson Disease/co [Complications] KW - *Dementia/pa [Pathology] KW - *Parkinson Disease/pa [Pathology] KW - Cognition Disorders/pa [Pathology] KW - Lewy Bodies/pa [Pathology] KW - Plaque, Amyloid/pa [Pathology] ER - TY - JOUR TI - [Using the RAND-36 among community-dwelling older adults can lead to an underestimation of self-reported health] AU - Aarts Sil AU - Peek Sebastiaan T. M AU - Wouters Eveline J. M T2 - Gebruik van de RAND-36 bij zelfstandig wonende ouderen kan leiden tot een onderschatting van de ervaren gezondheidstoestand. AB - The overall health status of the population is often measured by RAND-36 item Health Survey. In 2012, Fontys and partners started a longitudinal field study in the Netherlands. This study is aimed at identifying factors that influence the use of technology by elderly individuals in order to increase independent living. A total of 50 participants aged 70 years or older, are interviewed every eight months, for a total of four years. In addition, participants are asked to fill in several questionnaires. One questionnaire that is (partly) included is the Dutch version of the RAND-36, which includes the statement; "I am as healthy as anybody I know". Some participants who find themselves healthier than other people they know (want to) fill in an answer that indicates that they find themselves less healthy than others (e.g. "I am not as healthy as anybody, I am healthier so I answer 'definitely false'"). Hence, the Dutch version of this RAND-36 statement can lead to an underestimation of the overall health status of Dutch elderly individuals. DA - 2015/// PY - 2015 VL - 46 IS - 3 SP - 174 EP - 7 SN - 0167-9228 UR - https://dx.doi.org/10.1007/s12439-015-0124-6 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Community Health Services KW - Aging/ph [Physiology] KW - *Aging/px [Psychology] KW - *Health Status KW - Frail Elderly/px [Psychology] KW - Netherlands KW - *Activities of Daily Living/px [Psychology] KW - Self Report KW - eppi-reviewer4 ER - TY - JOUR TI - A longitudinal study investigating how stroke severity, disability, and physical function the first week post-stroke are associated with walking speed six months post-stroke. AU - Aaslund Mona Kristin AU - Moe-Nilssen Rolf AU - Gjelsvik Bente Bassøe AU - Bogen Bård AU - Næss Halvor AU - Hofstad Håkon AU - Skouen Jan Sture T2 - Physiotherapy Theory & Practice AB - Objectives: To investigate to which degree stroke severity, disability, and physical function the first week post-stroke are associated with preferred walking speed (PWS) at 6 months. Design: Longitudinal observational study.Method: Participants were recruited from a stroke unit and tested within the first week (baseline) and at 6 months post-stroke. Outcome measures were the National Institutes of Health Stroke Scale (NIHSS), the Barthel Index (BI), modified Rankin Scale (mRS), PWS, Postural Assessment Scale for Stroke (PASS), and the Trunk Impairment Scale modified-Norwegian version. Multiple regression models were used to explore which variables best predict PWS at 6 months, and the Receiver Operating Characteristics (ROC) curves to determine the cutoffs.Results: A total of 132 participants post-stroke were included and subdivided into two groups based on the ability to produce PWS at baseline. For the participants that could produce PWS at baseline (WSB group), PASS, PWS, and age at baseline predicted PWS at 6 months with an explained variance of 0.77. For the participants that could not produce a PWS at baseline (NoWSB group), only PASS predicted PWS at 6 months with an explained variance of 0.49. For the Walking speed at baseline (WSB) group, cutoffs at baseline for walking faster than 0.8 m/s at 6 months were 30.5 points on the PASS, PWS 0.75 m/s, and age 73.5 years. For the NoWSB group, the cutoff for PASS was 20.5 points.Conclusion: PASS, PWS, and age the first week predicted PWS at 6 months post-stroke for participants with the best walking ability, and PASS alone predicted PWS at 6 months post-stroke for participants with the poorest walking ability. DA - 2017/12// PY - 2017 DO - 10.1080/09593985.2017.1360424 VL - 33 IS - 12 SP - 932 EP - 942 SN - 0959-3985 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125725154&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Time Factors KW - Prospective Studies KW - ROC Curve KW - Walking KW - Disability Evaluation KW - eppi-reviewer4 KW - Human KW - Data Analysis Software KW - Middle Age KW - Community Living KW - Functional Status KW - Scales KW - Clinical Assessment Tools KW - P-Value KW - Regression KW - Barthel Index KW - NIH Stroke Scale KW - Severity of Illness KW - Step-Wise Multiple Regression KW - Stroke -- Physiopathology ER - TY - JOUR TI - Description of an advance care planning intervention in nursing homes: outcomes of the process evaluation. AU - Aasmul Irene AU - Husebo Bettina S AU - Flo Elisabeth T2 - BMC geriatrics AB - BACKGROUND: Advance Care Planning (ACP) is the repeated communication and decision-making process between the patient, family, and healthcare professionals. This study describes an ACP intervention in nursing homes and evaluates the outcomes of the implementation process., METHODS: The ACP intervention was part of a 4-month complex, cluster randomized controlled trial (COSMOS). 37 Norwegian nursing homes with 72 units (1 cluster = 1 unit) and 765 patients were invited to participate and eligible units were randomised to the intervention group or control. Nursing home staff in the intervention group was offered a standardized education programme to learn early and repeated communication with patients and families and to implement ACP in their units. We used a train-the-trainer approach to educate staff in the units, supported by regular telephone calls and a midway seminar after two months. Individual patient logs consisting of different communication deliverables were used to evaluate the implementation process. Supported by Qualitative Content Analyses, we identified facilitators and barriers of the ACP implementation based on feedback during midway seminars and individual patient logs., RESULTS: The ACP intervention was conducted in 36 NH units (n = 297); 105 healthcare providers participated at the education seminar prior to the study, and 3-4 employees from each unit participated in the midway seminar. NH staff reported the educational material relevant for the implementation strategy. The patient logs showed that ACP was successfully implemented in 62% (n = 183) of the patients using our predefined implementation criteria. The staff emphasized the clear communication of the relevance of ACP addressed to leaders and staff as important facilitators, along with the clearly defined routines, roles and responsibilities. Identified barriers included lack of competence, perceived lack of time, and conflicting culture and staff opinions., CONCLUSION: Monthly communication with the family was the most frequently conducted communication, and the predefined criteria of successfully implemented ACP were largely achieved. Nursing home routines and engagement of leaders and staff were crucial facilitators, whereas lack of time and competence reduced the implementation success., TRIAL REGISTRATION: The COSMOS-trial was registered in the ClinicalTrials.gov ( NCT02238652 ) July 7th, 2014. DA - 2018/// PY - 2018 DO - 10.1186/s12877-018-0713-7 VL - 18 IS - 1 SP - 26 SN - 1471-2318 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29370766 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Decision Making KW - Communication KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - *Health Personnel/st [Standards] KW - Norway/ep [Epidemiology] KW - Advance Care Planning/td [Trends] KW - Homes for the Aged/td [Trends] KW - Nursing Homes/td [Trends] KW - *Advance Care Planning/st [Standards] KW - *Outcome and Process Assessment (Health Care)/st [Standards] KW - Health Personnel/td [Trends] KW - Outcome and Process Assessment (Health Care)/mt [Methods] KW - Outcome and Process Assessment (Health Care)/td [Trends] KW - eppi-reviewer4 ER - TY - JOUR TI - Aay and lesbian carers: ageing in the shadow of dementia. AU - Price Elizabeth T2 - Ageing & Society AB - This article reports on findings from a qualitative study, undertaken in England, which explored the experiences of 21 gay men and lesbian women who care, or cared, for a person with dementia. The aim of the study was to explore this experience through the lens of a person's gay or lesbian sexuality. The paper reports two related themes that emerged from the wider study DS respondents' hopes, fears and plans for the future and, specifically, the way in which their caring experiences had coloured their views and expectations of how their own health and social care needs may be met. Respondents' narratives reflect a range of pervasive anxieties about the future. First, about the possibility that they might be diagnosed with a condition such as dementia and, consequently, the myriad ways in which their sexualities and lifestyle choices may be perceived and interpreted as they themselves age and, possibly, require health and/or social care and support. In light of these concerns, respondents reflected upon the need for specialist service provision for older gay and lesbian people DS an idea that was, perhaps surprisingly, not universally welcomed. VL - 32 IS - Part 3 SP - 516 EP - 532 SN - 0144-686X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108129942&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Aged KW - Caregivers KW - Housing for the Elderly KW - Dementia KW - England KW - eppi-reviewer4 KW - Human KW - Interviews KW - Qualitative Studies KW - Data Analysis Software KW - Middle Age KW - Exploratory Research KW - Snowball Sample KW - Life Experiences KW - Long Term Care KW - Residential Care KW - Narratives KW - Constant Comparative Method KW - Gay Men KW - Homosexuality KW - Lesbians ER - TY - JOUR TI - Severe hypoglycemia is associated with antidiabetic oral treatment compared with insulin analogs in nursing home patients with type 2 diabetes and dementia: results from the DIMORA study AU - Abbatecola Angela Marie AU - Bo Mario AU - Barbagallo Mario AU - Incalzi Raffaele Antonelli AU - Pilotto Alberto AU - Bellelli Giuseppe AU - Maggi Stefania AU - Paolisso Giuseppe AU - Italian Society of AU - Gerontology AU - Geriatrics Florence Italy T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: Severe hypoglycemia is associated with cognitive decline and dementia in older persons with type 2 diabetes. The role of antidiabetic treatments on severe hypoglycemia is unknown in dementia. The aims were to determine the prevalence of severe hypoglycemic events and investigate associations among severe hypoglycemic and specific antidiabetic treatments (classes of oral agents and types of insulin analogs) in a large sample of nursing home patients with diabetes according to dementia status., DESIGN: Cross-sectional observational study., SETTING: A total of 150 nursing homes across Italy., PARTICIPANTS: A total of 2258 patients with type 2 diabetes (dementia = 1138, no dementia = 1120)., MEASUREMENTS: Diagnosis of dementia before nursing home admission. Data were collected regarding functional status, glycemic control, antidiabetic treatments, comorbidities, and biochemical and clinical measurements. Logistic regression models with severe hypoglycemia as the dependent variable were used to test associations with antidiabetic agents., RESULTS: Patients had a mean age (SD) of 82 (8) years, body mass index (BMI) of 25.4 (4.8), fasting plasma glucose (FPG) of 7.5 (3.0) mmol/L, postprandial glucose (PPG) of 10.3 (3.6) mmol/L, HbA1c of 7.1% (54 mmol/L), and impairments in activities of daily living (ADLs) of 3.7 (2.1). Severe hypoglycemia was more prevalent in patients with dementia (18%) compared with patients without dementia (8%). Patients with dementia were older, showed greater ADL impairments, greater number of comorbidities, lower FPG, and higher PPG compared with those without dementia. Adjusted logistic regression models in patients with dementia showed that rapid- and long-acting insulin analogs were associated with reduced odds ratio (OR) (OR 0.333; 95% confidence interval [CI] 0.184-0.602; OR 0.248, 95% CI 0.070-0.882, respectively), whereas sulphonylureas and combined metformin + sulphonylurea were associated with increased ORs (OR 8.805, 95% CI 4.260-18.201; OR 6.639; 95% CI 3.273-14.710, respectively) of experiencing severe hypoglycemia. No correlations were found in patients without dementia., CONCLUSION: In older nursing home patients with type 2 diabetes, severe hypoglycemia was significantly higher in dementia. Our findings suggest that sulphonylureas should be used with caution, whereas rapid- and long-acting insulin analogs seem safer. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 VL - 16 IS - 4 SP - 349.e7 EP - 12 SN - 1538-9375 1525-8610 UR - https://dx.doi.org/10.1016/j.jamda.2014.12.014 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Risk Assessment KW - Logistic Models KW - Nursing Homes KW - Prevalence KW - Cross-Sectional Studies KW - Severity of Illness Index KW - Odds Ratio KW - *Dementia/ep [Epidemiology] KW - *Diabetes Mellitus, Type 2/ep [Epidemiology] KW - *Hypoglycemia/ep [Epidemiology] KW - Age Distribution KW - Sex Distribution KW - Prognosis KW - Dementia/pp [Physiopathology] KW - Confidence Intervals KW - Italy KW - Diabetes Mellitus, Type 2/bl [Blood] KW - Homes for the Aged KW - Reference Values KW - Dementia/et [Etiology] KW - Hypoglycemic Agents/tu [Therapeutic Use] KW - Administration, Oral KW - Blood Glucose/an [Analysis] KW - *Hypoglycemic Agents/ae [Adverse Effects] KW - Insulin/tu [Therapeutic Use] KW - *Diabetes Mellitus, Type 2/dt [Drug Therapy] KW - Blood Glucose/de [Drug Effects] KW - eppi-reviewer4 KW - *Sulfonylurea Compounds/ae [Adverse Effects] KW - Hypoglycemia/et [Etiology] KW - Insulin Antagonists/ae [Adverse Effects] KW - Insulin Antagonists/tu [Therapeutic Use] KW - Insulin/ae [Adverse Effects] KW - Sulfonylurea Compounds/tu [Therapeutic Use] ER - TY - JOUR TI - Social learning: medical student perceptions of geriatric house calls AU - Abbey Linda AU - Willett Rita AU - Selby-Penczak Rachel AU - McKnight Roberta T2 - Gerontology & geriatrics education AB - Bandura's social learning theory provides a useful conceptual framework to understand medical students' perceptions of a house calls experience at Virginia Commonwealth University School of Medicine. Social learning and role modeling reflect Liaison Committee on Medical Education guidelines for "Medical schools (to) ensure that the learning environment for medical students promotes the development of explicit and appropriate professional attributes (attitudes, behaviors, and identity) in their medical students." This qualitative study reports findings from open-ended survey questions from 123 medical students who observed a preceptor during house calls to elderly homebound patients. Their comments included reflections on the medical treatment as well as interactions with family and professional care providers. Student insights about the social learning process they experienced during house calls to geriatric patients characterized physician role models as dedicated, compassionate, and communicative. They also described patient care in the home environment as comprehensive, personalized, more relaxed, and comfortable. Student perceptions reflect an appreciation of the richness and complexity of details learned from home visits and social interaction with patients, families, and caregivers. DA - 2010/// PY - 2010 VL - 31 IS - 2 SP - 149 EP - 62 SN - 1545-3847 0270-1960 UR - https://dx.doi.org/10.1080/02701961003795771 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Health Care Surveys KW - Qualitative Research KW - Time Factors KW - *Geriatric Assessment KW - *House Calls KW - *Health Knowledge, Attitudes, Practice KW - Physician's Role KW - *Perception KW - *Learning KW - Social Perception KW - Models, Educational KW - *Students, Medical/px [Psychology] KW - eppi-reviewer4 KW - Preceptorship ER - TY - JOUR TI - Social and democratic participation in residential settings for older people: realities and .... AU - Abbott Stephen AU - Fisk Malcolm T2 - Ageing & Society AB - Explores the experiences of older people living in residential settings. Theories of participation, consumerism and citizenship; Personal interviews among 100 old people in England and Wales; Concerns of the elderly about routines in life. DA - 2000/05// PY - 2000 VL - 20 IS - 3 SP - 327 SN - 0144686X UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=3389467&site=ehost-live&scope=site KW - Housing KW - eppi-reviewer4 KW - Older people KW - Great Britain KW - Old age -- Social aspects ER - TY - JOUR TI - Factors associated with health discussion network size and composition among elderly recipients of long-term services and supports. AU - Abbott Katherine M AU - Bettger Janet Prvu AU - Hanlon Alexandra AU - Hirschman Karen B T2 - Health communication AB - Social networks play an important role in helping older adults monitor symptoms and manage chronic conditions. People use verbal discussions to make sense of symptoms, determine their seriousness, and decide whether to seek medical care. In this study, problem-specific social networks called health discussion networks (HDNs) are examined over time among older adults receiving long-term services and supports (LTSS). Data were gathered from older adults who had recently moved into a nursing home (NH) or assisted-living facility (ALF) or who had started to receive home- and community-based services (H&CBS). LTSS recipients identified people with whom they discussed symptoms or disease information, talked over what their physician said, and considered consulting other health-care providers. Data were analyzed for 216 adults with Mini Mental State Examination (MMSE) baseline scores of 20 or higher, and these individuals were interviewed quarterly over a 12-month period. Generalized estimated equations (GEE) were used to model repeated measures of HDN size and composition as a function of baseline age, gender, race, ethnicity, marital status, education, quality of life, setting, number of adult children, and cognitive status. GEE modeling demonstrated that HDN size decreased over time (p = .01) and that the probability of mentioning formal care providers as part of that network increased over time (p = .003). Multivariate predictors of increased HDN size were lower ratings of quality of life (p = .001), having more adult children (p = .04), and higher MMSE scores (p < .0001) after controlling for covariates. Older adults new to receiving LTSS had relatively small HDNs that were mixed networks including family, friends, and formal care providers. This suggests an opportunity for interventions aimed at maintaining and enhancing the HDNs of older adults beyond family members. DA - 2012/// PY - 2012 DO - 10.1080/10410236.2011.640975 VL - 27 IS - 8 SP - 784 EP - 93 SN - 1041-0236 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=22292979 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - *Social Support KW - Nursing Homes/sn [Statistics & Numerical Data] KW - *Long-Term Care KW - Neuropsychological Tests KW - *Communication KW - Home Care Services/sn [Statistics & Numerical Data] KW - Long-Term Care/sn [Statistics & Numerical Data] KW - Long-Term Care/px [Psychology] KW - Marital Status KW - Assisted Living Facilities/sn [Statistics & Numerical Data] KW - Information Seeking Behavior KW - eppi-reviewer4 ER - TY - JOUR TI - Exploring the use of social network analysis to measure social integration among older adults in assisted living AU - Abbott Katherine M AU - Bettger Janet Prvu AU - Hampton Keith AU - Kohler Hans-Peter T2 - Family & community health AB - Social integration is measured by a variety of social network indicators each with limitations in its ability to produce a complete picture of the variety and scope of interactions of older adults receiving long-term services and supports. The purpose of this study was to develop and evaluate the feasibility of collecting sociocentric (whole network) data among older adults in one assisted living neighborhood. The sociocentric approach is required to conduct social network analysis. Applying social network analysis is an innovative way to measure different facets of social integration among residents. Sociocentric data are presented for 12 residents. Network visualization or sociograms are used to illustrate the level of social integration among residents and between residents and staff. Measures of network centrality are reported to illustrate the number of personal connections and cohesion. The use of resident photographs helped residents with cognitive impairment to nominate individuals with whom they interacted. The sociocentric approach to data collection is feasible and allows researchers to measure levels and different aspects of social integration in assisted living environments. Residents with mild to moderate cognitive impairment were able to participate with the aid of resident and staff photographs. This approach is sensitive to capturing routine day-to-day interactions between residents and assisted living staff members that are often not reported in person-centered networks. This study contributes to the foundation for larger more representative studies of entire assisted living organizations that could in the future inform interventions aimed at improving social integration and cohesion among recipients of long-term services and supports. DA - 2012/// PY - 2012 VL - 35 IS - 4 SP - 322 EP - 33 SN - 1550-5057 0160-6379 UR - https://dx.doi.org/10.1097/FCH.0b013e318266669f KW - Female KW - Humans KW - Male KW - United States KW - Aged, 80 and over KW - *Social Support KW - Interviews as Topic KW - Feasibility Studies KW - *Activities of Daily Living/px [Psychology] KW - Continuity of Patient Care/og [Organization & Administration] KW - *Professional-Patient Relations KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - Social Class KW - Long-Term Care/mt [Methods] KW - eppi-reviewer4 ER - TY - JOUR TI - Effectiveness of mealtime interventions on nutritional outcomes for the elderly living in residential care: a systematic review and meta-analysis AU - Abbott Rebecca A AU - Whear Rebecca AU - Thompson-Coon Jo AU - Ukoumunne Obioha C AU - Rogers Morwenna AU - Bethel Alison AU - Hemsley Anthony AU - Stein Ken T2 - Ageing research reviews AB - The need to improve the nutrition of the elderly living in long term care has long been recognised, but how this can best be achieved, and whether (and which) intervention is successful in reducing morbidity is less well understood. The aim of this systematic review was to determine the effectiveness of mealtime interventions for the elderly living in residential care. Mealtime interventions were considered as those that aimed to change/improve the mealtime routine, practice, experience or environment. Following comprehensive searches, review and appraisal, 37 articles were included. Inadequate reporting in over half of the articles limited data quality appraisal. Mealtime interventions were categorised into five types: changes to food service, food improvement, dining environment alteration, staff training and feeding assistance. Meta-analysis found inconsistent evidence of effects on body weight of changes to food service (0.5 kg; 95% CI: -1.1 to 2.2; p=0.51), food improvement interventions (0.4 kg; 95% CI: -0.8 to 1.7; p=0.50) or alterations to dining environment (1.5 kg; 95% CI: -0.7 to 2.8; p=0.23). Findings from observational studies within these intervention types were mixed, but generally positive. Observational studies also found positive effects on food/caloric intake across all intervention types, though meta-analyses of randomised studies showed little evidence of any effects on food/caloric intake in food improvement studies (-5 kcal; 95% CI: -36 to 26; p=0.74). There was some evidence of an effect on daily energy intakes within dining environment studies (181 kcal/day, 95% CI: -5 to 367, p=0.06). The need to improve the nutrition of the elderly living in residential long term care is well recognised. This review found some evidence that simple intervention around various aspects of mealtime practices and the mealtime environment can result in favourable nutritional outcomes. Further large scale pragmatic trials, however, are still required to establish full efficacy of such interventions. Copyright © 2013 Elsevier B.V. All rights reserved. DA - 2013/// PY - 2013 VL - 12 IS - 4 SP - 967 EP - 81 SN - 1872-9649 1568-1637 UR - https://dx.doi.org/10.1016/j.arr.2013.06.002 KW - Humans KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nurse's Role KW - *Eating/px [Psychology] KW - *Meals/px [Psychology] KW - *Nutritional Status/ph [Physiology] KW - Body Weight/ph [Physiology] KW - Eating/ph [Physiology] KW - Meals/ph [Physiology] KW - *Early Medical Intervention/mt [Methods] KW - eppi-reviewer4 KW - Energy Intake/ph [Physiology] KW - Residential Facilities/mt [Methods] ER - TY - JOUR TI - The feasibility of measuring social networks among older adults in assisted living and dementia special care units AU - Abbott Katherine M AU - Bettger Janet Prvu AU - Hampton Keith N AU - Kohler Hans-Peter T2 - Dementia (London, England) AB - BACKGROUND: Studies indicate that social integration has a significant influence on physical and mental health. Older adults experience an increased risk of social isolation as their social networks decline with fewer traditional opportunities to add new social relationships. Deaths of similar aged friends, cognitive and functional impairments, and relocating to a nursing home (NH) or assisted-living (AL) facility contribute to difficulties in maintaining one's social network. Due to the paucity of research examining the social networks of people residing in AL and NH, this study was designed to develop and test the feasibility of using a combination of methodological approaches to capture social network data among older adults living in AL and a dementia special care unit NH., METHODS: Social network analysis of both egocentric and sociocentric networks was conducted to visualize the social networks of 15 residents of an AL neighborhood and 12 residents of a dementia special care unit NH and to calculate measures network size, centrality, and reciprocity., RESULTS: The combined egocentric and sociocentric method was feasible and provided a robust indicator of resident social networks highlighting individuals who were socially integrated as well as isolated. Copyright © The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav. DA - 2015/// PY - 2015 VL - 14 IS - 2 SP - 199 EP - 219 SN - 1741-2684 1471-3012 UR - https://dx.doi.org/10.1177/1471301213494524 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - *Assisted Living Facilities KW - *Nursing Homes KW - *Social Support KW - *Dementia/px [Psychology] KW - Models, Psychological KW - eppi-reviewer4 KW - Sociometric Techniques ER - TY - JOUR TI - Role of Aerobic Exercise Training in Changing Exercise Tolerance and Quality of Life in Alzheimer's Disease. AU - Abd El Kader AU - Shehab Mahmoud T2 - European Journal of General Medicine AB - Aim: Alzheimer’s disease is one of the leading cause of all deaths worldwide , it contributes to a reduction in overall function and independent living and there is evidence that exercise can have an impact on the size, strength, and aerobic capacity of skeletal muscle in older people. This study was designed to detect changes in exercise tolerance and quality of life in Alzheimer's after aerobic exercise training in the form of walking and upper limbs exercises with the cycle ergometer.Method: Thirty patients with mild Alzheimer, their age ranged between 65 to 72 years and were included into 2 equal groups; group (A) received aerobic walking exercise training and upper limbs exercises with the cycle ergometer at a frequency of 3 sessions per week for two months. The second group (B) received no exercise training. Measurements of six minute walking test, hand grip strength and questionnaire of the quality of life (QOL) were obtained for both groups before and after the exercise program.Result: There was a significant increase in six minute walking test, hand grip strength and questionnaire of QOL of group (A), while the results of group (B) were not significant. There was a significant difference between both groups.Conclusion: aerobic exercise training program in the form of walking exercise and upper limbs exercises with the cycle ergometer for patients with Alzheimer's to improve their exercise tolerance and quality of life. DA - 2011/03// PY - 2011 VL - 8 IS - 1 SP - 1 EP - 6 SN - 1304-3889 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104318114&site=ehost-live&scope=site KW - Aged KW - Quality of Life KW - Egypt KW - eppi-reviewer4 KW - Human KW - Middle Age KW - Academic Medical Centers KW - Intraclass Correlation Coefficient KW - T-Tests KW - Aerobic Exercises -- Utilization KW - Alzheimer's Disease -- Epidemiology KW - Alzheimer's Disease -- Therapy KW - Dynamometry -- Utilization KW - Equipment and Supplies KW - Ergometry -- Utilization KW - Grip Strength -- Utilization KW - Questionnaires -- Utilization KW - Saudi Arabia ER - TY - JOUR TI - Community integration and associated factors among older adults with schizophrenia AU - Abdallah Chadi AU - Cohen Carl I AU - Sanchez-Almira Miguel AU - Reyes Pia AU - Ramirez Paul T2 - Psychiatric services (Washington, D.C.) AB - OBJECTIVE: Community integration has been increasingly recognized as an important element in recovery. There is a paucity of data on community integration for older adults with schizophrenia. This study compared community integration for older persons with schizophrenia with their age peers in the community and examined factors associated with community integration in the schizophrenia group., METHODS: The schizophrenia group consisted of 198 community-dwelling persons aged 55 and older who developed schizophrenia before age 45. A community comparison group (N=113) was recruited by randomly selected block groups. Wong and Solomon's 2002 conceptual framework was used to develop a 12-item community integration scale with four components: independence, psychological integration, physical integration, and social integration. Moos' ecosystem model was used to examine 15 personal and environmental factors associated with community integration., RESULTS: Compared with the general community group, the schizophrenia group had significantly lower total community integration scale scores and lower scores on each of the four components. Within the schizophrenia group, regression analysis showed that seven variables were significantly associated with community integration: being female, higher personal income, lower depressive symptoms, lower positive symptoms, lower Abnormal Involuntary Movement Scale score, higher CAGE lifetime scores, and greater control of one's life. The model was significant and explained 49% of the variance., CONCLUSIONS: The data confirmed that older persons with schizophrenia had a lower level of community integration than their age peers in the community and that the model for community integration can identify potentially ameliorable clinical and social variables that may be targets for intervention research. DA - 2009/// PY - 2009 VL - 60 IS - 12 SP - 1642 EP - 8 SN - 1557-9700 1075-2730 UR - https://dx.doi.org/10.1176/ps.2009.60.12.1642 KW - Female KW - Humans KW - Male KW - Social Environment KW - Aged KW - Middle Aged KW - Psychotropic Drugs/tu [Therapeutic Use] KW - *Independent Living/px [Psychology] KW - Socioeconomic Factors KW - Psychiatric Status Rating Scales KW - *Residence Characteristics KW - Prognosis KW - Peer Group KW - *Schizophrenic Psychology KW - Activities of Daily Living/cl [Classification] KW - Psychotropic Drugs/ae [Adverse Effects] KW - *Schizophrenia/rh [Rehabilitation] KW - *Social Adjustment KW - Mental Status Schedule KW - eppi-reviewer4 KW - *Psychotic Disorders/rh [Rehabilitation] KW - Dyskinesia, Drug-Induced/px [Psychology] KW - Dyskinesia, Drug-Induced/rh [Rehabilitation] KW - Psychotic Disorders/px [Psychology] KW - Social Desirability ER - TY - JOUR TI - A Medicare current beneficiary survey-based investigation of alternative primary care models in nursing homes: functional ability and health status outcomes AU - Abdallah Lisa M AU - Van Etten AU - Deborah AU - Lee A James AU - Melillo Karen Devereaux AU - Remington Ruth AU - Gautam Ramraj AU - Gore Rebecca J T2 - Research in gerontological nursing AB - This study assessed how the health status and functioning of Medicare beneficiaries residing in nursing homes varies systematically with nurse practitioners (NPs) and physician assistants (PAs) providing primary care services. A secondary analysis was conducted using data from the 2006, 2007, and 2008 Medicare Current Beneficiary Surveys. The study sample included 433 participant-year observations within one of three cohorts: (a) medical doctor (MD)-only, those who received primary care services exclusively from a physician; (b) MD-dominant, those who received some primary care services from an NP or PA, but those visits accounted for less than one half of total primary care visits; and (c) NP/PA-dominant, those who received more than one half of their primary care visits from an NP or PA. Participants in the MD-only cohort had significantly less orientation and independence in activities of daily living compared to participants in the NP/PA-dominant cohort. Other study variables did not vary significantly by practice model. Although the study provides some evidence that NP/PA involvement is associated with improved functioning, it is premature to draw strong inferences. Copyright 2015, SLACK Incorporated. DA - 2015/// PY - 2015 VL - 8 IS - 2 SP - 85 EP - 93 SN - 1940-4921 1938-2464 UR - https://dx.doi.org/10.3928/19404921-20150121-01 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Quality of Health Care KW - Cohort Studies KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Models, Organizational KW - Health Services Research KW - *Medicare/sn [Statistics & Numerical Data] KW - *Primary Health Care/og [Organization & Administration] KW - *Outcome and Process Assessment (Health Care)/og [Organization & Administration] KW - Nurse Practitioners/og [Organization & Administration] KW - Physician Assistants/og [Organization & Administration] KW - Physicians/og [Organization & Administration] KW - eppi-reviewer4 ER - TY - JOUR TI - Should nursing home residents with atrial fibrillation be anticoagulated?. AU - Abdel Latif AU - Ahmed AU - Messinger-Rapport Barbara J T2 - Cleveland Clinic journal of medicine AB - Most long-term care residents with atrial fibrillation would be at high risk for embolic stroke based on age and comorbidities according to the criteria presented here. Additionally, they are theoretically excellent candidates for adjusted-dose warfarin treatment for atrial fibrillation. They are accessible for monitoring and tend to have less dietary variability, a controlled medication list, and supervised medication administration. Balancing these features is at least a moderate risk of severe bleeding from anticoagulation based on age, comorbidities, and polypharmacy. However, studies suggest that even those long-term care residents identified as ideal candidates for anticoagulation may not receive warfarin. Those residents who do receive warfarin may not be anticoagulated within the therapeutic range much of the time. This treatment pattern may expose older adults with a high stroke risk to dying from a cardioembolic stroke or to acquiring functional deficits that make them more dependent and lower their quality of life. DA - 2004/// PY - 2004 VL - 71 IS - 1 SP - 40 EP - 4 SN - 0891-1150 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=14740967 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - Sex Factors KW - Age Factors KW - Homes for the Aged/st [Standards] KW - Nursing Homes/st [Standards] KW - *Anticoagulants/tu [Therapeutic Use] KW - eppi-reviewer4 KW - *Atrial Fibrillation/dt [Drug Therapy] KW - Anticoagulants/ae [Adverse Effects] KW - Practice Guidelines as Topic/st [Standards] KW - Stroke/pc [Prevention & Control] ER - TY - JOUR TI - A cross-sectional study on the correlation between physical activity levels and health-related quality of life in community-dwelling middle-aged and older adults. AU - Abdelbasset Walid Kamal AU - Alsubaie Saud F AU - Tantawy Sayed A AU - Elyazed Tamer I Abo AU - Elshehawy Ahmed A T2 - Medicine AB - This study aimed to evaluate the association between physical activity level and health-related quality of life in community-dwelling middle aged and older adults in Egypt. Between May and August 2017, a cross-sectional study of 184 middle-aged and older adults between the ages of 55 and 64 years old (129 males and 55 females) with a mean age of 58 +/- 4.3 years old participated in this study. Study participants were classified into 3 groups based on their level of physical activity (walking duration); low level of physical activity (<150 minutes/week), moderate level of physical activity (150-300 minutes/week), and high level of physical activity (>300 minutes/week). The health-related quality of life (HRQoL) was calculated using the Euro-Quality of life-5dimensions-3 levels scale questionnaire (EuroQol-5D-3L). Spearman's correlation coefficient was performed to determine the correlation between the physical activity level and HRQoL scores in community-dwelling middle-aged and older adults. The results showed a significant correlation between the physical activity levels and HRQoL dimensions. Significant differences were observed in the HRQoL scores between high, moderate and low-physical activity groups (P < .05). The moderate and high-physical activity groups had significantly higher HRQoL scores in all dimensions than low-physical activity group. The low-physical activity group showed a high predominance of the chronic disease compared to the high and moderate physical activity groups. It was concluded that high and moderate levels of physical activity have a great positive relationship with the HRQoL in community-dwelling middle-aged and older adults in Egypt. Recommendations should be dedicated to supporting the active lifestyle among the different population, particularly middle-aged and older adults. DA - 2019/// PY - 2019 DO - 10.1097/MD.0000000000014895 VL - 98 IS - 11 SP - e14895 SN - 0025-7974 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=30882705 KW - Female KW - Humans KW - Male KW - Middle Aged KW - Surveys and Questionnaires KW - Health Status KW - Cross-Sectional Studies KW - *Quality of Life/px [Psychology] KW - *Independent Living/px [Psychology] KW - Exercise/px [Psychology] KW - *Exercise/ph [Physiology] KW - Egypt KW - eppi-reviewer4 ER - TY - JOUR TI - Hypoglycaemia in residential care homes AU - Abdelhafiz Ahmed H AU - Sinclair Alan J T2 - The British journal of general practice : the journal of the Royal College of General Practitioners AB - Hypoglycaemia is the most common metabolic complication occurring in older people with type 2 diabetes. Limited data are available about prevalence of diabetes or its complications in care homes. However, the prevalence of residents with diabetes in care homes seems to be significant. There is high level of disability, dependency, and polypharmacy among residents in these settings. Hypoglycaemia is both an important adverse reaction of treatment and an outcome measure. This study reviews the relevant literature and reports a case of hypoglycaemia to demonstrate the causes of hypoglycaemia, characteristics of these patients, and the complexity of their problems. DA - 2009/// PY - 2009 VL - 59 IS - 558 SP - 49 EP - 50 SN - 1478-5242 0960-1643 UR - https://dx.doi.org/10.3399/bjgp09X394860 KW - Female KW - Humans KW - Risk Factors KW - Aged, 80 and over KW - Prevalence KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Hypoglycemia/ep [Epidemiology] KW - *Hypoglycemic Agents/ae [Adverse Effects] KW - *Diabetes Mellitus, Type 2/dt [Drug Therapy] KW - eppi-reviewer4 KW - Hypoglycemia/pc [Prevention & Control] ER - TY - JOUR TI - Predictors of anticoagulation prescription in nursing home residents with atrial fibrillation AU - Abdel-Latif Ahmed K AU - Peng Xuejun AU - Messinger-Rapport Barbara J T2 - Journal of the American Medical Directors Association AB - OBJECTIVES: To determine predictors of oral anticoagulation (OAC) for atrial fibrillation (AF) in long-term care (LTC)., DESIGN: Chart review., SETTING: Six LTC facilities in a metropolitan area., PARTICIPANTS: One hundred seventeen residents with AF identified from 934 total residents., MEASUREMENTS: Data was obtained from the medical chart, pharmacy record, and Minimum Data Set (MDS) regarding demographics, medical conditions, falls, fractures, gastrointestinal bleeding (GIB), peptic ulcer disease, dementia, anemia, and physical/cognitive function scales. The recursive partition algorithm was used to construct a model reflecting physician decision patterns that predict prescription of OAC., RESULTS: Among those 117 residents (12.5% of 934) who had AF (age, 84.6 +/- 8 years), OAC was prescribed for 54 (46%); aspirin or clopidogrel: 47 (40%); neither OAC nor any antithrombotic treatment (ATT): 25 (21%). Prior stroke was the primary determinant of OAC. Residents with prior stroke were less likely to be prescribed OAC if they had prior GIB, were non-Caucasian, or had no history of coronary artery disease (CAD). Those without a stroke were less likely to be prescribed OAC if they were younger, had dementia or lower functional status., CONCLUSION: Prior stroke was the primary predictor of OAC use. Our model suggests that physicians may also incorporate concerns of age, bleeding, cognitive and physical function, and ethnicity into the decision-making process. Further study is needed to explore the reasons why 21% of the residents receive neither OAC nor ATT, and why OAC may be less likely to be prescribed to non-Caucasian LTC residents. DA - 2005/// PY - 2005 VL - 6 IS - 2 SP - 128 EP - 31 SN - 1525-8610 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=15871888 KW - Humans KW - United States KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - *Homes for the Aged KW - *Nursing Homes KW - Decision Trees KW - *Practice Patterns, Physicians' KW - *Anticoagulants/tu [Therapeutic Use] KW - Stroke/dt [Drug Therapy] KW - eppi-reviewer4 KW - *Atrial Fibrillation/dt [Drug Therapy] KW - Thrombolytic Therapy KW - Warfarin/tu [Therapeutic Use] ER - TY - JOUR TI - An opinion survey of caregivers concerning caring for the elderly in Ilorin metropolis, Nigeria AU - Abdulraheem I S T2 - Public health AB - The aim of this study was to determine the opinions of caregivers towards caring for the elderly in Ilorin. The caring patterns and relationships that exist between the elderly and caregivers, caregivers' attitudes, and ways to improve care of the elderly were also examined. This cross-sectional study using structured questionnaires was conducted in seven of 11 wards within Ilorin metropolis over a 6-month period. Of the respondents, 44.4% were daughters, 18.3% were sons and only 1.4% were employees to the elderly. The majority (90.7%) of respondents chose home as the place of care, and only 9.3% opted for institutional care. The majority (98.1%) of caregivers had a positive attitude towards caring for the elderly. Religious teaching was an important influence on this positive attitude. The difference between respondents with and without formal education concerning where to care for the elderly was not statistically significant (P > 0.05). DA - 2005/// PY - 2005 VL - 119 IS - 12 SP - 1138 EP - 44 SN - 0033-3506 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16125211 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Middle Aged KW - *Caregivers/px [Psychology] KW - Cross-Sectional Studies KW - *Homes for the Aged KW - Socioeconomic Factors KW - *Aged KW - *Home Nursing KW - Caregivers/ec [Economics] KW - Family/px [Psychology] KW - Nigeria KW - eppi-reviewer4 KW - Religion ER - TY - JOUR TI - Derivation and Validation of a Novel Prognostic Scale (Modified-Stroke Subtype, Oxfordshire Community Stroke Project Classification, Age, and Prestroke Modified Rankin) to Predict Early Mortality in Acute Stroke AU - Abdul-Rahim Azmil H AU - Quinn Terence J AU - Alder Sarah AU - Clark Allan B AU - Musgrave Stanley D AU - Langhorne Peter AU - Potter John F AU - Myint Phyo Kyaw T2 - Stroke AB - BACKGROUND AND PURPOSE: The stroke subtype, Oxfordshire Community Stroke Project classification, age, and prestroke modified Rankin (SOAR) score is a prognostic scale proposed for early mortality prediction after acute stroke. We aimed to evaluate whether including a measure of initial stroke severity (National Institutes of Health Stroke Scale and modified-SOAR [mSOAR] scores) would improve the prognostic accuracy., METHODS: Using Anglia Stroke and Heart Clinical Network data, 2008 to 2011, we assessed the performance of SOAR and mSOAR against in-hospital mortality using area under the receiver operating curve statistics. We externally validated the prognostic utility of SOAR and mSOAR using an independent cohort data set from Glasgow. We described calibration using Hosmer-Lemeshow goodness-of-fit test., RESULTS: A total of 1002 patients were included in the derivation cohort, and 105 (10.5%) died as inpatients. The area under the receiver operating curves for outcome of early mortality derived from the SOAR and mSOAR scores were 0.79 (95% confidence interval, 0.75-0.84) and 0.83 (95% confidence interval, 0.79-0.86), respectively (P=0.001). The external validation data set contained 1012 patients with stroke; of which, 121 (12.0%) patients died within 90 days. The mSOAR scores identified the risk of early mortality ranging from 3% to 42%. External validation of mSOAR score yielded an area under the receiver operating curve of 0.84 (95% confidence interval, 0.82-0.88) for outcome of early mortality. Calibration was good (P=0.70 for the Hosmer-Lemeshow test)., CONCLUSIONS: Adding National Institutes of Health Stroke Scale data to create a modified-SOAR score improved prognostic utility in both derivation and validation data sets. The mSOAR may have clinical utility by using easily available data to predict mortality. Copyright © 2015 American Heart Association, Inc. DA - 2016/// PY - 2016 VL - 47 IS - 1 SP - 74 EP - 9 SN - 1524-4628 0039-2499 UR - https://dx.doi.org/10.1161/STROKEAHA.115.009898 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Cohort Studies KW - *Independent Living/td [Trends] KW - Age Factors KW - Prognosis KW - England/ep [Epidemiology] KW - Predictive Value of Tests KW - *Severity of Illness Index KW - *Stroke/mo [Mortality] KW - Stroke/di [Diagnosis] KW - Mortality/td [Trends] KW - *Stroke/cl [Classification] KW - eppi-reviewer4 ER - TY - JOUR TI - Preventive services for adults: how have differences across subgroups changed over the past decade? AU - Abdus Salam AU - Selden Thomas M T2 - Medical care AB - BACKGROUND: A large literature documents cross-sectional differences in adult preventive services across population subgroups. Less is known, however, about how these differences have changed over time., OBJECTIVES: This study tracks changes over time in the distribution of preventive services use across groups defined by poverty status, race/ethnicity, insurance coverage, Census region, and urbanicity., METHODS: Data from the 1996-2008 Medical Expenditure Panel Survey are used to examine 5 preventive services: general checkups, blood pressure screening, blood cholesterol screening, Pap smears, and mammograms. Multivariate logistic regression models of preventive services use are used to compute adjusted utilization for each subgroup of adults aged 19-64 in 1996/1998, 2002/2003, and 2007/2008. We then examine the extent to which percentage point gaps in utilization rates across subgroups have changed between 1996/1998 and 2007/2008., RESULTS: Our analysis of utilization rates across subgroups and over time identified only rare cases in which subgroup differences narrowed or widened between 1996/1998 and 2007/2008. Rather, differences across subgroups tended to persist over time. Some of the largest (adjusted) gaps are between adults with and without coverage, and only for blood cholesterol screening do we observe significant narrowing of the gap between the uninsured and the privately insured. Regional differences persisted or widened over the study period., CONCLUSIONS: On the eve of health reform implementation, a key challenge facing the Affordable Care Act will be to address persistent differences in preventive services use within the US population. DA - 2013/// PY - 2013 VL - 51 IS - 11 SP - 999 EP - 1007 SN - 1537-1948 0025-7079 UR - https://dx.doi.org/10.1097/MLR.0b013e3182a97bc0 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Socioeconomic Factors KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - Blood Pressure KW - Lipids/bl [Blood] KW - *Insurance, Health/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - *Insurance Coverage/sn [Statistics & Numerical Data] KW - *Preventive Health Services/sn [Statistics & Numerical Data] KW - Mammography/sn [Statistics & Numerical Data] KW - Medically Uninsured/sn [Statistics & Numerical Data] KW - Papanicolaou Test/sn [Statistics & Numerical Data] KW - Patient Protection and Affordable Care Act ER - TY - JOUR TI - Pathway from gait speed to incidence of disability and mortality in older adults: A mediating role of physical activity. AU - Abe Takumi AU - Kitamura Akihiko AU - Taniguchi Yu AU - Amano Hidenori AU - Seino Satoshi AU - Yokoyama Yuri AU - Nishi Mariko AU - Narita Miki AU - Ikeuchi Tomoko AU - Fujiwara Yoshinori AU - Shinkai Shoji T2 - Maturitas AB - OBJECTIVES: To determine whether physical activity mediates the association of gait speed with incident disability and mortality in older adults., STUDY DESIGN: Prospective cohort data from 782 community-dwelling Japanese older adults were analyzed. The median follow-up periods for incident disability and mortality were 4.4 and 4.5 years, respectively., MAIN OUTCOME MEASURES: Physical activity was assessed with the Japan Arteriosclerosis Longitudinal Study Physical Activity Questionnaire, gait speed was calculated from 5-m walking time, and incident disability was defined as long-term care insurance certification during follow-up., RESULTS: There were 247 cases of incident disability and 202 deaths during follow-up. After adjusting for potential confounders, faster gait speed was associated with decreased risk of incident disability (hazard ratio [HR] = 0.87, 95% confidence interval [CI] = 0.82-0.93), but physical activity level was not associated with incident disability (HR = 0.98, 95% CI = 0.95-1.01). Gait speed was associated with mortality risk in the model without physical activity (HR = 0.93, 95% CI = 0.88-1.00). When gait speed and physical activity were both included in the model, gait speed was not associated with mortality (HR = 0.95, 95% CI = 0.89-1.02) but physical activity was associated with mortality (HR = 0.95, 95% CI = 0.92-0.99). Physical activity was a mediating factor in the association between gait speed and mortality (Sobel test p = .025)., CONCLUSIONS: Gait speed is directly associated with incident disability and is indirectly related to mortality through physical activity in older adults. Copyright © 2019 Elsevier B.V. All rights reserved. DA - 2019/// PY - 2019 DO - 10.1016/j.maturitas.2019.02.002 VL - 123 SP - 32 EP - 36 SN - 0378-5122 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=31027674 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Mobility Limitation KW - Cohort Studies KW - *Activities of Daily Living KW - Japan/ep [Epidemiology] KW - *Exercise KW - Longitudinal Studies KW - Prospective Studies KW - *Long-Term Care KW - Gait KW - Walking KW - *Walking Speed KW - Incidence KW - Proportional Hazards Models KW - *Mortality KW - Insurance, Long-Term Care KW - eppi-reviewer4 ER - TY - JOUR TI - Editorial: Older Arab migrants in Australia: Between the hammer of prejudice and the anvil of social isolation. AU - Abed Naser A Al AU - Hickman Louise AU - Jackson Debra AU - DiGiacomo Michelle AU - Davidson Patricia M T2 - Contemporary Nurse: A Journal for the Australian Nursing Profession DA - 2014/02// PY - 2014 DO - 10.5172/conu.2014.46.2.259 VL - 46 IS - 2 SP - 259 EP - 262 SN - 1037-6178 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103936179&site=ehost-live&scope=site KW - Female KW - Male KW - United States KW - Aged KW - Australia KW - Nursing Homes KW - Health Services for the Aged KW - Family Relations KW - Communication Barriers KW - Healthcare Disparities KW - Health Services Accessibility KW - Social Isolation KW - Prejudice KW - eppi-reviewer4 KW - Gerontologic Care KW - Community Living KW - Cultural Values KW - Transcultural Care KW - Health Resource Utilization KW - Long Term Care KW - Minority Groups KW - Psychological Well-Being KW - Arabs -- In Old Age KW - Cultural Competence KW - Cultural Diversity KW - Emigration and Immigration KW - Immigrants -- In Old Age KW - Racism KW - Stereotyping ER - TY - JOUR TI - Quality improvement in nursing homes in Texas: results from a pressure ulcer prevention project AU - Abel Robert L AU - Warren Kevin AU - Bean Gloria AU - Gabbard Bethany AU - Lyder Courtney H AU - Bing Mark AU - McCauley Carol T2 - Journal of the American Medical Directors Association AB - BACKGROUND: Pressure ulcer prevalence, cost, associated mortality, and potential for litigation are major clinical problems in nursing homes despite guidelines for prevention and treatment., OBJECTIVE: To improve the use of pressure ulcer prevention procedures at nursing homes in Texas through implementation of process of care system changes in collaboration with a state quality improvement organization (QIO)., DESIGN: Preintervention and postintervention measurement of performance for process of care quality indicators and of pressure ulcer incidence rates., SETTING: Twenty nursing homes in Texas., PARTICIPANTS: Quality improvement teams at participating nursing homes., MEASUREMENT: Data were abstracted from medical records on performance measures (quality indicators) and pressure ulcer incidence rates between November 2000 and August 2002. Descriptive and inferential statistics were used., INTERVENTIONS: Process of care system changes consisting of tools and education to prevent pressure ulcers were introduced to participating nursing homes., RESULTS: Participating nursing homes showed statistically significant improvement in 8 out of 12 quality indicators. Pressure ulcer incidence rates also decreased, although not quite significantly. Furthermore, facilities with the greatest improvement in quality indicator scores had significantly lower pressure ulcer incidence rates than the facilities with the least improvement in quality indicator scores (S = 131.0, P = .03). This suggests that the interventions positively affected not only the process of care but also led to a decrease in pressure ulcer incidences., CONCLUSIONS: These results show that nursing homes in a collaborative effort with a QIO were able to improve their processes of care. Although significant improvement was noted on most of the quality indicators, opportunity remains for further improvement. Furthermore, these results suggest that implementation of process of care system changes by nursing homes in a collaborative relationship with a QIO may yield improvements in measures of patient outcome (eg, pressure ulcer incidence). DA - 2005/// PY - 2005 VL - 6 IS - 3 SP - 181 EP - 8 SN - 1538-9375 1525-8610 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=15894247 KW - Female KW - Humans KW - Male KW - Program Evaluation KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Health Care Surveys KW - Follow-Up Studies KW - Cross-Sectional Studies KW - Survival Rate KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - *Pressure Ulcer/ep [Epidemiology] KW - Incidence KW - *Quality Indicators, Health Care/st [Standards] KW - *Pressure Ulcer/pc [Prevention & Control] KW - Texas/ep [Epidemiology] KW - Homes for the Aged/td [Trends] KW - Nursing Homes/td [Trends] KW - Pressure Ulcer/th [Therapy] KW - eppi-reviewer4 KW - *Primary Prevention/og [Organization & Administration] KW - Total Quality Management ER - TY - JOUR TI - Sarcopenia and cognitive impairment in elderly women: results from the EPIDOS cohort AU - Abellan van Kan AU - Gabor AU - Cesari Matteo AU - Gillette-Guyonnet Sophie AU - Dupuy Charlotte AU - Nourhashemi Fati AU - Schott Anne-Marie AU - Beauchet Olivier AU - Annweiler Cedric AU - Vellas Bruno AU - Rolland Yves T2 - Age and ageing AB - BACKGROUND: common pathophysiological pathways are shared between age-related body composition changes and cognitive impairment., OBJECTIVE: evaluate whether current operative sarcopenia definitions are associated with cognition in community-dwelling older women., DESIGN: cross-sectional analyses., SUBJECTS: a total of 3,025 women aged 75 years and older., MEASUREMENTS: body composition (assessed by dual energy X-ray absorptiometry) and cognition (measured by short portable mental status questionnaire) were obtained in all participants. Multivariate logistic regression models assessed the association of six operative definitions of sarcopenia with cognitive impairment. Gait speed (GS, measured over a 6-meter track at usual pace) and handgrip strength (HG, measured by a hand-held dynamometer) were considered additional factors of interest., RESULTS: a total of 492 (16.3%) women were cognitively impaired. The prevalence of sarcopenia ranged from 3.3 to 18.8%. No sarcopenia definition was associated with cognitive impairment after controlling for potential confounders. To proof consistency, the analyses were performed using GS and HG, two well-established predictors of cognitive impairment. Low GS [odds ratio (OR) 2.42, 95% confidence interval (CI) 1.72-3.40] and low HG (OR: 1.81, 95% CI: 1.33-2.46) were associated with cognitive impairment., CONCLUSION: no significant association was evidenced between different operative sarcopenia definitions and cognitive impairment. The study suggests that the association between physical performance and cognitive impairment in not mediated by sarcopenia. DA - 2013/// PY - 2013 VL - 42 IS - 2 SP - 196 EP - 202 SN - 1468-2834 0002-0729 UR - https://dx.doi.org/10.1093/ageing/afs173 KW - Female KW - Humans KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Independent Living KW - Logistic Models KW - Prevalence KW - Cross-Sectional Studies KW - Geriatric Assessment/mt [Methods] KW - *Sarcopenia/ep [Epidemiology] KW - Sex Factors KW - Age Factors KW - Hand Strength KW - Body Composition KW - Odds Ratio KW - Neuropsychological Tests KW - Gait KW - *Aging/px [Psychology] KW - Multivariate Analysis KW - *Cognition KW - Sarcopenia/pp [Physiopathology] KW - *Cognition Disorders/ep [Epidemiology] KW - France/ep [Epidemiology] KW - Absorptiometry, Photon KW - Cognition Disorders/px [Psychology] KW - Chi-Square Distribution KW - Muscle Strength Dynamometer KW - Sarcopenia/dg [Diagnostic Imaging] KW - eppi-reviewer4 ER - TY - JOUR TI - Partner care, gender equality, and ageing in Spain and Sweden. AU - ABELLAN ANTONIO AU - PEREZ JULIO AU - PUJOL ROGELIO AU - SUNDSTRÖM GERDT AU - JEGERMALM MAGNUS AU - MALMBERG BO T2 - International Journal of Ageing & Later Life AB - We used national surveys to study how older persons' changing household patterns influence the gender balance of caregiving in two countries with distinct household structures and cultures, Spain and Sweden. In both countries, men and women provide care equally often for their partner in couple-only households. This has become the most common household type among older persons in Spain and prevails altogether in Sweden. This challenges the traditional dominance of young or middle-aged women as primary caregivers in Spain. In Sweden, many caregivers are old themselves. We focus attention to partners as caregivers and the consequences of changing household structures for caregiving, which may be on the way to gender equality in both countries, with implications for families and for the public services. [ABSTRACT FROM AUTHOR] Copyright of International Journal of Ageing & Later Life is the property of Linkoping University Electronic Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2017/01// PY - 2017 VL - 11 IS - 1 SP - 69 EP - 89 SN - 16528670 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=123499993&site=ehost-live&scope=site KW - Spain KW - Sweden KW - Aging KW - eppi-reviewer4 KW - caregiving KW - gender equality KW - Gender inequality KW - household pattern KW - partner care ER - TY - JOUR TI - Balancing Sexual Expression and Risk of Harm in Elderly Persons with Dementia. AU - Abellard Jessica AU - Rodgers Carla AU - Bales Alicia L T2 - The journal of the American Academy of Psychiatry and the Law AB - Assessing decision-making capacity in older individuals with dementia, now known as major neurocognitive disorder (MND), is a complex and challenging endeavor. There is a dearth of literature that touches on the sensitive and controversial topic of sexuality in institutionalized settings, despite the rapid increase in the global population of older individuals. In this article, we assert that evaluations of sexual expression in institutionalized older individuals with MND is essential, as there are concerns specific to risks and benefits of sexual expression in elderly persons with MND that should be considered. Jurisdictions differ in the interpretation of capacity to consent to sexual activity, and there are also discrepancies in policies regarding assessment of sexual activity in residents in long-term care facilities. In addition, there is controversy within the literature regarding how to assess capacity to consent to sexual activity in elderly persons with MND. We discuss some of the proposed methods and consider ways that the evaluee's life narrative can help explore the various prongs of capacity. Copyright © 2017 American Academy of Psychiatry and the Law. DA - 2017/// PY - 2017 VL - 45 IS - 4 SP - 485 EP - 492 SN - 1093-6793 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29282241 KW - Female KW - Humans KW - Male KW - Aged KW - *Dementia/px [Psychology] KW - Homes for the Aged KW - *Personal Autonomy KW - *Mental Competency/px [Psychology] KW - eppi-reviewer4 KW - *Harm Reduction KW - *Patient Safety/sn [Statistics & Numerical Data] KW - Crime Victims/px [Psychology] ER - TY - JOUR TI - Family caregivers’ decision process to institutionalize persons with Parkinson's disease: A grounded theory study. AU - Abendroth Maryann AU - Lutz Barbara J AU - Young Mary Ellen T2 - International Journal of Nursing Studies AB - Abstract: Background: Parkinson''s disease is a degenerative neurological disorder affecting millions. Treatment priorities focus on delaying its progression and resulting disability, and helping individuals continue to live at home as long as possible. This often requires long-term assistance by family caregivers. Aims: The purpose of the study was to understand (1) family caregivers’ experiences in caring for a relative with Parkinson''s disease, and (2) factors that influenced the decision to place the relative in a long-term care facility. Participants: Twenty semi-structured interviews were conducted with adult family members (17 female, 3 male) acting as full-time primary caregivers for a relative with Parkinson''s disease. Method: Grounded theory was used to explore the process of healthcare decision-making and to illustrate the experiences of caring for persons with Parkinson''s disease. The interview questions centered on family caregiving experiences and on how these caregivers made long-term care decisions on behalf of their loved ones. Data were coded and analyzed using dimensional analysis. Findings: The caregiving model developed from the data illustrated that heightened caregiver strain—a risk factor for institutionalization—results from increased caregiving load and increased illness severity over time. Safety concerns, falls with severe injury, managing changes in health, and depleted support also influenced the decision to institutionalize the relative with Parkinson''s disease. Conclusions: Implications from this research suggest the need for enhanced communication between providers and caregivers, formalized caregiver assessments, improved care coordination and family-centered interventions to avoid premature institutionalization. DA - 2012/04// PY - 2012 DO - 10.1016/j.ijnurstu.2011.10.003 VL - 49 IS - 4 SP - 445 EP - 454 SN - 0020-7489 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104543170&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Aged KW - Models, Theoretical KW - Caregivers KW - Grounded Theory KW - Institutionalization KW - Disease Progression KW - Florida KW - eppi-reviewer4 KW - Human KW - Audiorecording KW - Middle Age KW - Funding Source KW - Semi-Structured Interview KW - Research Subject Recruitment KW - Caregiver Burden KW - Relocation KW - Constant Comparative Method KW - Decision Making, Family KW - Family Attitudes -- Evaluation KW - Parkinson Disease KW - Theoretical Sample KW - Theory Construction ER - TY - JOUR TI - Continuity of the self in later life: perceptions of informal caregivers AU - Aberg Anna C AU - Sidenvall Birgitta AU - Hepworth Mike AU - O'Reilly Karen AU - Lithell Hans T2 - Qualitative health research AB - The authors explore perceptions of informal caregivers of extremely elderly (80+) relatives or friends regarding the purpose of caregiving, including factors they considered important for the life satisfaction of the care recipients. They collected data mainly through qualitative interviewed and employed symbolic interactionism. The results revealed a general purpose of the informal caregiving: protection of the care recipient's self. This purpose was a significant aspect of the identified caregiving categories--social-emotional, proxy, and instrumental care--and the authors consider all four factors important for the care recipients' life satisfaction: activity, independence, and environmental and adaptive factors. Some informal caregivers gave forceful encouragement to care recipients in an attempt to get them to accept formal care and move to sheltered accommodation. This study underscores the value of informal caregiving and that the caregiving interaction should be balanced by reciprocity. DA - 2004/// PY - 2004 VL - 14 IS - 6 SP - 792 EP - 815 SN - 1049-7323 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=15200801 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Activities of Daily Living KW - Quality of Life KW - *Caregivers/px [Psychology] KW - Interviews as Topic KW - Attitude KW - Motor Activity KW - *Self Concept KW - Sweden KW - Personal Satisfaction KW - Adaptation, Psychological KW - Personal Autonomy KW - Homes for the Aged KW - *Social Perception KW - *Aged, 80 and over/px [Psychology] KW - eppi-reviewer4 ER - TY - JOUR TI - Costs of Malnutrition in Institutionalized and Community-Dwelling Older Adults: A Systematic Review. AU - Abizanda Pedro AU - Sinclair Alan AU - Barcons Núria AU - Lizán Luis AU - Rodríguez-Mañas Leocadio T2 - Journal of the American Medical Directors Association AB - Objectives The aim of this study was to assess health economics evidence published to date on malnutrition costs in institutionalized or community-dwelling older adults. Design A systematic search of the literature published until December 2013 was performed using standard literature, international and national electronic databases, including MedLine/PubMed, Cochrane Library, ISI WOK, SCOPUS, MEDES, IBECS, and Google Scholar. Publications identified referred to the economic burden and use of medical resources associated with malnutrition (or risk of malnutrition) in institutionalized or community-dwelling older adults, written in either English or Spanish. Costs were updated to 2014 (€). Results A total of 9 studies of 46 initially retrieved met the preestablished criteria and were submitted to thorough scrutiny. All publications reviewed involved studies conducted in Europe, and the results regarding the contents of all the studies showed that total costs associated with malnutrition in institutionalized and community-dwelling older adults were considerably higher than those of well-nourished ones, mainly due to a higher use of health care resources (GP consultations, hospitalizations, health care monitoring, and treatments). Interventions to reduce the prevalence of malnutrition, such as the use of oral nutritional supplements, showed an important decrease in-hospital admissions and medical visits. Conclusion Malnutrition is associated with higher health care costs in institutionalized or community-dwelling older adults. The adoption of nutritional interventions, such as oral nutritional supplements, may have an important impact in reducing annual health care costs per patient. DA - 2016/01// PY - 2016 DO - 10.1016/j.jamda.2015.07.005 VL - 17 IS - 1 SP - 17 EP - 23 SN - 1525-8610 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111878897&site=ehost-live&scope=site KW - Europe KW - Aged KW - Nutritional Status KW - Hospitalization KW - Inpatients KW - Office Visits KW - eppi-reviewer4 KW - Human KW - Funding Source KW - Dietary Supplementation KW - Geriatric Nutrition KW - Community Living -- In Old Age KW - Medline KW - Outpatients KW - Systematic Review KW - Cochrane Library KW - Databases, Health KW - Gerontologic Care -- Economics KW - Health Care Costs -- In Old Age KW - Health Resource Utilization -- In Old Age KW - Institutionalization -- In Old Age KW - Long Term Care -- Economics KW - Malnutrition -- Economics -- In Old Age KW - Nursing Home Patients KW - Nutritional Support -- In Old Age KW - PubMed ER - TY - JOUR TI - Improving interprofessional practice for vulnerable older people: gaining a better understanding of vulnerability AU - Abley Clare AU - Bond John AU - Robinson Louise T2 - Journal of interprofessional care AB - A key focus for professionals working with older people in the community is on those who are vulnerable, although this vulnerability is not well defined. This study sought the views of health and social care professionals and older people on vulnerability, identifying significant differences between professional and older people's perspectives. It found that for older people, vulnerability is an emotional response to being in a specific situation, whereas for professionals, the vulnerability of those on their case loads relates to them having certain or a combination of characteristics (physical, psychological and social). The paper concludes that interprofessional care for older people in the community could be improved firstly by asking older people if they ever feel vulnerable and if so, in what situations and secondly by focusing team efforts on addressing the issues raised by older people in response to these questions. DA - 2011/// PY - 2011 VL - 25 IS - 5 SP - 359 EP - 65 SN - 1469-9567 1356-1820 UR - https://dx.doi.org/10.3109/13561820.2011.579195 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - United Kingdom KW - Focus Groups KW - Age Factors KW - Risk Assessment/mt [Methods] KW - *Residence Characteristics KW - Health Services Needs and Demand/sn [Statistics & Numerical Data] KW - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] KW - *Health Services for the Aged/og [Organization & Administration] KW - Health Services Accessibility KW - *Health Services Needs and Demand/og [Organization & Administration] KW - eppi-reviewer4 ER - TY - JOUR TI - Responsibilities in elderly care: Mr Powell's narrative of duty and relations AU - Abma Tineke AU - Bruijn Anne AU - Kardol Tinie AU - Schols Jos AU - Widdershoven Guy T2 - Bioethics AB - In Western countries a considerable number of older people move to a residential home when their health declines. Institutionalization often results in increased dependence, inactivity and loss of identity or self-worth (dignity). This raises the moral question as to how older, institutionalized people can remain autonomous as far as continuing to live in line with their own values is concerned. Following Walker's meta-ethical framework on the assignment of responsibilities, we suggest that instead of directing all older people towards more autonomy in terms of independence, professional caregivers should listen to the life narrative of older people and attempt to find out how their personal identity, relations and values in life can be continued in the new setting. If mutual normative expectations between caregivers and older people are not carefully negotiated, it creates tension. This tension is illustrated by the narrative of Mr Powell, a retired successful public servant now living in a residential home. The narrative describes his current life, his need for help, his independent frame of mind, and his encounters with institutional and professional policies. Mr Powell sees himself as a man who has always cared for himself and others, and who still feels that he has to fulfil certain duties in life. Mr Powell's story shows that he is not always understood well by caregivers who respond from a one-sided view of autonomy as independence. This leads to misunderstanding and an underestimation of his need to be noticed and involved in the residential community. Copyright © 2011 Blackwell Publishing Ltd. DA - 2012/// PY - 2012 VL - 26 IS - 1 SP - 22 EP - 31 SN - 1467-8519 0269-9702 UR - https://dx.doi.org/10.1111/j.1467-8519.2011.01898.x KW - Humans KW - Male KW - Aged, 80 and over KW - Activities of Daily Living KW - *Homes for the Aged KW - *Interpersonal Relations KW - *Professional-Patient Relations KW - *Personal Autonomy KW - eppi-reviewer4 ER - TY - JOUR TI - Trajectory of physical activity after hip fracture: An analysis of community-dwelling individuals from the English Longitudinal Study of Ageing. AU - Aboelmagd Tariq AU - Dainty Jack R AU - MacGregor Alex AU - Smith Toby O T2 - Injury AB - INTRODUCTION: To analyse physical activity participation in a community-dwelling people in England with hip fracture the interval prior to fracture, in the fracture recovery period, and a minimum of two years post-fracture., MATERIALS AND METHODS: 215 individuals were identified from the English Longitudinal Study of Ageing cohort (2002-2014) who sustained a hip fracture following a fall and for whom data were available on physical activity participation relating to the period pre-fracture, within-fracture recovery phase and post-fracture (minimum of two years). Physical activity was assessed using the validated ELSA physical activity questionnaire. Prevalence of 'low' physical activity participation was calculated and multi-level modelling analyses were performed to explore physical activity trajectories over the follow-up phase, and whether age, depression, gender and frailty were associated with physical activity participation., RESULTS: Prevalence of low physical activity participation within two years prior to hip fracture was 16.7% (95% Confidence Intervals (CI): 11.6% to 21.8%). This increased at the final follow-up phase to 21.3% (95% CI: 15.1% to 27.6%). This was not a statistically significant change (P=0.100). Age (P=0.005) and frailty (P<0.001) were statistically significant explanatory variables (P=0.005) where older age and greater frailty equated to lower physical activity participation. Neither gender (P=0.288) nor depression (P=0.121) were significant explanatory variables., CONCLUSION: Physical activity levels do not significantly change between pre-fracture to a minimum of two years post-hip fracture for community-dwelling individuals. This contrasts with previous reports of reduced mobility post-hip fracture, suggesting that 'physical activity' and 'mobility' should be considered as separate outcomes in this population. Copyright © 2018 Elsevier Ltd. All rights reserved. DA - 2018/// PY - 2018 DO - 10.1016/j.injury.2018.02.010 VL - 49 IS - 3 SP - 697 EP - 701 SN - 0020-1383 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29452733 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Recovery of Function KW - Time Factors KW - Health Surveys KW - *Aging KW - *Exercise KW - Longitudinal Studies KW - Disability Evaluation KW - England KW - *Mobility Limitation KW - *Hip Fractures/rh [Rehabilitation] KW - Postoperative Period KW - Hip Fractures/su [Surgery] KW - Biomechanical Phenomena KW - Hip Fractures/pp [Physiopathology] KW - eppi-reviewer4 KW - Fracture Fixation, Internal ER - TY - JOUR TI - Temporal changes in importance of quality of life domains: a longitudinal study in community-dwelling Swiss older people. AU - Abolhassani Nazanin AU - Santos-Eggimann Brigitte AU - Bula Christophe AU - Goy Rene AU - Guessous Idris AU - Henchoz Yves T2 - Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation AB - PURPOSE: Population aging is a global phenomenon requiring interventions to improve quality of life (QoL), a subjective and dynamic concept. Such interventions should be based on QoL domains considered as important from older people's viewpoint. It is unclear whether and how much these domains may vary over time as people age. This study aims to assess the importance of QoL domains, their pattern and determinants of change among the non-institutionalized older population over a 5-year period., METHODS: This longitudinal study included community-dwelling older adults (N = 1947, aged 68-77 years at baseline) from the Lausanne cohort 65+. In 2011 and 2016, participants rated the importance of 28 QoL items in seven domains. The difference between scores (0-100) of importance attributed to each QoL domain between two assessments was calculated and used as a dependent variable to assess the associations with covariates in multivariable analysis for each domain., RESULTS: Importance scores slightly but significantly decreased in five of the seven QoL domains. Despite the majority of participants did not modify their ranking of importance for each QoL domain between the two time points, the proportion of change was still substantial. Bivariate and multivariable analyses showed that education and to a lesser extent age, living arrangement and morbidity, were associated with decrease in the importance of specific QoL domains; characteristics indicating vulnerability (e.g., low education or morbidity) were associated with a decline in the importance., CONCLUSION: Although aging individuals modified the importance they give to the seven QoL domains, at population level, changes in opposite directions overall resulted in only small decline; importance seems less stable over time among individuals with vulnerable sociodemographic and health profiles. DA - 2019/// PY - 2019 DO - 10.1007/s11136-018-1983-4 VL - 28 IS - 2 SP - 421 EP - 428 SN - 0962-9343 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30178431 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Cohort Studies KW - *Quality of Life/px [Psychology] KW - Longitudinal Studies KW - *Aging/px [Psychology] KW - Sweden KW - Ethnic Groups KW - eppi-reviewer4 ER - TY - JOUR TI - Screening for dementia in Arabic: normative data from an elderly Lebanese sample. AU - Abou-Mrad Fadi AU - Chelune Gordon AU - Zamrini Edward AU - Tarabey Lubna AU - Hayek Maryse AU - Fadel Patricia T2 - The Clinical neuropsychologist AB - OBJECTIVE: Prevention and treatment of dementia is a global concern that requires involvement of international samples. The purpose of this study is to develop culturally sensitive norms based on normal older Lebanese adults using multiple cognitive screening measures translated into Arabic for regional use., METHODS: Participants were 164 community dwelling older Lebanese adults without cognitive complaints. They were administered the following cognitive measures in Arabic: Alzheimer's Disease 8-item questionnaire, Montreal Cognitive Assessment, Mini Mental Status Exam, Modified Mini Mental Status, Brief Visuospatial Memory Test-Revised, Lebanese Digit Span, Cross-Linguistic Naming Test, and phonemic and semantic fluency tests., RESULTS: Sample characteristics and descriptive statistics for the demographically unadjusted raw scores are first presented (N = 164). Same-form test-retest reliability for each test were computed for 24 participants retested over 2-5 weeks, with reliabilities ranging from .55 to .90; Cronbach alpha coefficients ranged from .34 to .93. Two sets of normative data were constructed. First, base-rates for demographically unadjusted raw scores for the 5th, 10th and 15th percentiles are presented to identify relatively rare occurring performances. Second, using standardized regression-based procedures demographically corrected normative information adjusted for age, education and sex were generated for normative interpretation., CONCLUSIONS: Adapting cognitive tests for use in culturally and linguistically diverse regions of the world not only requires careful translation of test instructions and materials, but construction of culturally sensitive local norms. Our normative data should allow for more accurate identification of cognitive impairment and dementia in Arabic-speaking patients, especially those living in Lebanon. DA - 2017/// PY - 2017 DO - 10.1080/13854046.2017.1288270 VL - 31 IS - sup1 SP - 1 EP - 19 SN - 1385-4046 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=28276861 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Surveys and Questionnaires KW - Independent Living KW - Age Factors KW - *Dementia KW - *Cognitive Dysfunction KW - Cognitive Dysfunction/di [Diagnosis] KW - Neuropsychological Tests KW - Memory KW - Dementia/di [Diagnosis] KW - Translating KW - Translations KW - eppi-reviewer4 KW - Lebanon KW - Semantics ER - TY - JOUR TI - Three Different Outcomes in Older Community-dwelling Patients Receiving Intermediate Care in Nursing Home after Acute Hospitalization AU - Abrahamsen J F AU - Haugland C AU - Nilsen R M AU - Ranhoff A H T2 - The journal of nutrition, health & aging AB - OBJECTIVES: To evaluate the recovery and outcome of older communitydwelling patients admitted to intermediate care (IC) in nursing homes after acute hospitalization, and to compare patients who were able and unable to return directly to their own homes., DESIGN: Prospective, observational, cohort study conducted between June 2011 and 2014., SETTING: A 19- bed IC unit in a nursing home with increased multidisciplinary staffing., PARTICIPANTS: A total of 961 community-dwelling patients, >=70 years of age, considered to have a rehabilitation potential and no major cognitive impairment or delirium, transferred from internal medicine, cardiac, pulmonary and orthopaedic hospital departments., MEASUREMENTS: Demographic data, clinical information, comprehensive geriatric assessment (CGA), discharge destination and length of stay. Residence status and mortality 1 month, 2 months, 3 months, and 6 months after discharge from the hospital., RESULTS: The trajectory of recovery was divided into 3 groups: 1) Rapid recovery, able to return home after median 14 days in IC (n=785, 82%); 2) Slow recovery, requiring additional transfer to other nursing home after IC, but still able to return home within 2 months (n=106, 11%). 3) Poor recovery, requiring transfer to other nursing home after IC and still in a nursing home or dead at 2 months (n=66, 7%). Significant different clinical characteristics were demonstrated between the patients in the 3 groups. After 6 months, the recovery of patients with rapid or slow recovery was similar, 87% were living at home, compared to only 20% of the patients with poor recovery. In multiple logistic regression analysis, slow or poor recovery was significantly associated with low scores on the Barthel index and orthopaedic admission diagnosis., CONCLUSIONS: Although the majority of patients selected for treatment in the IC unit were able to recover and return home, a group of patients needed extra time, up to 2 months, to recover and another group had a poor chance of recovering and returning home. Different caring pathways for different patient groups may be considered in the PAC setting. DA - 2016/// PY - 2016 VL - 20 IS - 4 SP - 446 EP - 52 SN - 1760-4788 1279-7707 UR - https://dx.doi.org/10.1007/s12603-015-0592-y KW - Humans KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Length of Stay KW - Time Factors KW - *Nursing Homes KW - *Hospitalization/sn [Statistics & Numerical Data] KW - Prospective Studies KW - Geriatric Assessment KW - Home Care Services KW - *Patient Discharge KW - eppi-reviewer4 KW - *Intermediate Care Facilities KW - Hospital Departments KW - Hospital Units ER - TY - JOUR TI - Does race influence conflict between nursing home staff and family members of residents? AU - Abrahamson Kathleen AU - Pillemer Karl AU - Sechrist Jori AU - Suitor Jill T2 - The journals of gerontology. Series B, Psychological sciences and social sciences AB - OBJECTIVES: This study examines the influence of race on perceived similarity and conflict between nursing home staff and family members of residents. Despite evidence that the caregiving experience varies by race for both family and professional caregivers, little is known about how race plays a role in staff conflict with residents' family members., METHODS: We used a representative sample of Certified Nursing Assistants (CNAs) to test relationships between race, treatment from family members, similarity to family members in expectations for care by CNAs, and conflicts with family members concerning aspects of resident care., RESULTS: Results of structural equation modeling indicated that race was not a predictor of staff perception of conflict with family members or of poor treatment from residents' families. However, Black nursing assistants were more likely to perceive that their own expectations of nursing care are dissimilar from those of residents' family members. Dissimilarity predicted reports of poor treatment from family members, and poor treatment was a positive predictor of perception of conflict., DISCUSSION: The personal long-term nature of nursing home care necessitates a high level of connectedness between family caregivers and nursing home staff. Results highlight the importance of establishing organizational pathways for communication of expectations between nursing staff and residents' families. DA - 2011/// PY - 2011 VL - 66 IS - 6 SP - 750 EP - 5 SN - 1758-5368 1079-5014 UR - https://dx.doi.org/10.1093/geronb/gbr093 KW - Humans KW - Aged KW - Aged, 80 and over KW - *Caregivers/px [Psychology] KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Nurse-Patient Relations KW - *Professional-Family Relations KW - Conflict (Psychology) KW - Nursing Staff/px [Psychology] KW - eppi-reviewer4 KW - *Nursing Staff/og [Organization & Administration] KW - *Race Relations/px [Psychology] ER - TY - JOUR TI - Does the Volume of Post-Acute Care Affect Quality of Life in Nursing Homes?. AU - Abrahamson Kathleen AU - Shippee Tetyana P AU - Henning-Smith Carrie AU - Cooke Valerie T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - Although short-stay, post-acute nursing home stays are increasing, little is known about the impact of volume of post-acute care on quality of life (QOL) within nursing homes. We analyzed data from the 2010 Minnesota QOL and Consumer Satisfaction survey ( N = 13,433 residents within 377 facilities) and federal Minimum Data Set to determine the influence of living in a facility with an above-average proportion of post-acute care residents on six domains of resident QOL. In bivariate analyses, an above-average proportion of Medicare-funded post-acute care had a significant negative influence on four domains (mood, environment, food, engagement) and overall facility QOL. However, when resident and facility covariates were added to the model, only the food domain remained significant. Although the challenges of caring for residents with a diverse set of treatment and caregiving goals may negatively affect overall facility QOL, negative impacts are moderated by individual resident and nursing home characteristics. DA - 2017/// PY - 2017 DO - 10.1177/0733464815602110 VL - 36 IS - 10 SP - 1272 EP - 1286 SN - 0733-4648 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=26306909 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Nursing Homes KW - *Quality of Life KW - Minnesota KW - *Health Services for the Aged KW - Regression Analysis KW - Medicare/ec [Economics] KW - Homes for the Aged KW - *Continuity of Patient Care KW - eppi-reviewer4 KW - *Consumer Behavior/sn [Statistics & Numerical Data] KW - *Subacute Care ER - TY - JOUR TI - Likelihood that expectations of informal care will be met at onset of caregiving need: a retrospective study of older adults in the USA. AU - Abrahamson Kathleen AU - Hass Zachary AU - Sands Laura T2 - BMJ open AB - BACKGROUND: Ageing adults are likely to expect informal caregiving assistance from a friend or family member, reflecting the reality that most long-term care (LTC) is provided by family and friends. The purpose of the study was to determine the likelihood that expectations of care will be unmet at the onset of functional disability, and the factors that impact that likelihood., METHODS: Community-dwelling respondents from biannual repeated assessments (2006-2010) of the Health and Retirement Study over age 65 who expressed a caregiving expectation prior to need were included in the final analytical sample (n=1352). Logistic regression and change models were specified to address impact of variables on unmet expectations., RESULTS: Expectations of care were unmet for almost one-third (32%) of the sample, among whom 30% were not receiving needed care. Unmet expectations were associated with being unmarried, older and having a higher number of ADL deficits. Change over time in the number of predictor variables influenced the likelihood of unmet expectations., CONCLUSIONS: Unplanned dependence on formal care systems and/or having unmet care needs places elders at risk of negative outcomes. Knowledge of factors that impact whether expected care is eventually received provides robust evidence for counselling individuals regarding the need to plan for additional LTC services. Copyright © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. DA - 2017/// PY - 2017 DO - 10.1136/bmjopen-2017-017791 VL - 7 IS - 12 SP - e017791 SN - 2044-6055 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=29259058 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Activities of Daily Living KW - Logistic Models KW - Retrospective Studies KW - Longitudinal Studies KW - Long-Term Care KW - Socioeconomic Factors KW - *Family KW - *Caregivers KW - *Health Services Needs and Demand/sn [Statistics & Numerical Data] KW - Probability KW - eppi-reviewer4 KW - *Patient Care/px [Psychology] KW - Patient Care/st [Standards] ER - TY - JOUR TI - A statewide assessment of electronic health record adoption and health information exchange among nursing homes AU - Abramson Erika L AU - McGinnis Sandra AU - Moore Jean AU - Kaushal Rainu AU - investigators Hitec T2 - Health services research AB - OBJECTIVE: To determine rates of electronic health record (EHR) adoption and health information exchange (HIE) among New York State (NYS) nursing homes., DATA SOURCES/STUDY SETTING: Primary data collected from a novel survey administered between November 2011 and March 2012 to all NYS nursing homes., STUDY DESIGN: We used a cross-sectional study design to assess level of EHR implementation, automation of key functionalities, participation in HIE, and barriers to adoption., DATA COLLECTION/EXTRACTION METHODS: We used descriptive statistics to characterize rates of EHR adoption and participation in HIE and logistic regression to identify nursing home characteristics associated with EHR adoption and HIE., PRINCIPAL FINDINGS: We received responses from 375 of 632 nursing homes (59.3 percent). Of respondents, almost one in five (n=66, 18.0 percent) reported having a fully implemented and operational EHR and a majority (n=192, 54.4 percent) reported electronically exchanging information. Nursing homes with 100-159 beds were significantly less likely than other facilities to have implemented or be in the process of implementing an EHR (p=.011)., CONCLUSIONS: Our findings present an important systematic look at EHR adoption and HIE by NYS nursing homes. Although the nursing home sector has been reported to lag in health information technology adoption, our results are encouraging. However, they suggest much room for growth and highlight the need for targeted initiatives to achieve more widespread adoption in this important health care sector. Copyright © Health Research and Educational Trust. DA - 2014/// PY - 2014 VL - 49 IS - 1 Pt 2 SP - 361 EP - 72 SN - 1475-6773 0017-9124 UR - https://dx.doi.org/10.1111/1475-6773.12137 KW - Humans KW - Aged KW - Aged, 80 and over KW - Residence Characteristics KW - Cross-Sectional Studies KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Data Collection KW - New York KW - *Electronic Health Records/sn [Statistics & Numerical Data] KW - Ownership KW - *Information Dissemination KW - eppi-reviewer4 KW - *Health Facility Size/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Adherence to Bisphosphonates among People Admitted to an Orthopaedic and Geriatric Ward at a University Hospital in Sweden AU - Abramsson Linnea AU - Gustafsson Maria T2 - Pharmacy (Basel, Switzerland) AB - Oral bisphosphonates are the first choice of therapy to reduce the risk of osteoporotic fractures. These medications have generally poor oral bioavailability, which may further be reduced by concomitant intake of certain foods and drugs; therefore, it is vital to follow specific instructions. The aim with this study was to assess general adherence to oral bisphosphonates and adherence to specific administration instructions among people admitted to two wards at Umea University hospital in Sweden. This interview study focuses on elderly patients living at home and prescribed oral bisphosphonates. Invited were 27 patients admitted to an orthopaedic ward and a geriatric ward during the period 28 March 2017 and 5 December 2017. In total, 21 patients were interviewed regarding their adherence to oral bisphosphonates. Out of 21 patients, 13 (62%) were considered non-adherent. The most common reason was calcium intake less than 2 h after oral administration of bisphosphonate (54%). The number of regularly prescribed drugs was significantly higher among patients rated non-adherent to bisphosphonates compared to those rated adherent (p = 0.004). Adherence to bisphosphonates administration instruction among elderly people living at home was limited. More research is needed to confirm these results and to investigate the reasons for non-adherence and how adherence to bisphosphonates can be improved. DA - 2018/// PY - 2018 VL - 6 IS - 1 SN - 2226-4787 UR - https://dx.doi.org/10.3390/pharmacy6010020 KW - eppi-reviewer4 ER - TY - JOUR TI - Ageing-friendly cities for assessing older adults' decline: IoT-based system for continuous monitoring of frailty risks using smart city infrastructure. AU - Abril-Jimenez Patricia AU - Rojo Lacal AU - Javier AU - de Los Rios Perez AU - Silvia AU - Paramo Miguel AU - Montalva Colomer AU - Juan Bautista AU - Arredondo Waldmeyer AU - Maria Teresa T2 - Aging clinical and experimental research AB - BACKGROUND AND AIMS: Population ageing is a typical phenomenon of developed countries with a great influence in their economy and society, with an increment on age-related expenditures. Disruptive solutions are needed to deploy new cost-effective and sustainable solutions for aging well and independent living of our seniors. In this sense, new technological paradigms as IoT technologies and smart cities have the potential to become main drivers for innovation uptake. The purpose of this study is to describe a longitudinal cohort study in smart cities for assessing early frailty symptoms deploying an unobtrusive IoT-based system in the Madrid city., METHODS: A system was deployed in the Madrid city with the participation of 45 elderly users for an average of 71 weeks. Metrics were assessed by the available sensors in combination with the open data infrastructure of Madrid. Metrics include activity of the user, weekly visits pattern and transport daily usage pattern. System engagement was also monitored. Participants are assessed bimonthly with health and functional questionnaires., RESULTS: 45 older adults with a mean age of 79.1 years. Participants activity patterns monitor detected changes during potentially risky situations that usually were not reported by traditional assessment tools. Analysis of data collected enabled to identify absence of frailty (robust or post-robust status) DISCUSSION AND CONCLUSIONS: The results demonstrate the feasibility of engaging older adults with an IoT-based system and the successful collection of their activity metrics. Variation in the activity patterns may be a first sign of functional decline and enables to identify potential areas of early intervention. DA - 2019/// PY - 2019 DO - 10.1007/s40520-019-01238-y SN - 1594-0667 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medp&NEWS=N&AN=31228029 KW - eppi-reviewer4 ER - TY - JOUR TI - [The process of becoming bed bound: "not an inescapable fate"] AU - Abt-Zegelin Angelika T2 - Der Prozess des Bettlagerigwerdens: "Kein unausweichliches Schicksal". DA - 2006/// PY - 2006 VL - 59 IS - 2 SP - 107 EP - 9 SN - 0945-1129 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16503007 KW - Humans KW - Risk Factors KW - Social Environment KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - Disease Progression KW - Nurse-Patient Relations KW - *Mobility Limitation KW - Quality of Life/px [Psychology] KW - Chronic Disease/px [Psychology] KW - *Chronic Disease/nu [Nursing] KW - eppi-reviewer4 KW - *Bed Rest/nu [Nursing] KW - *Sick Role KW - Bed Rest/px [Psychology] ER - TY - JOUR TI - [The "3 step program" as part of an intervention and education concept for promoting mobility in homes for the aged. Step by step to autonomy] AU - Abt-Zegelin Angelika AU - Reuther Sven T2 - Das "Drei-Schritte-Programm" als Teil eines Interventions- und Erklarungskonzeptes fur Mobilitatsforderung im Altenheim. Schritt fur Schritt zur Autonomie. DA - 2014/// PY - 2014 VL - 67 IS - 1 SP - 10 EP - 3 SN - 0945-1129 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med10&NEWS=N&AN=24720165 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - Germany KW - *Frail Elderly KW - *Motor Activity KW - Personal Autonomy KW - *Mobility Limitation KW - Models, Nursing KW - *Patient Education as Topic/mt [Methods] KW - eppi-reviewer4 ER - TY - JOUR TI - Increasing access and affordability of produce improves perceived consumption of vegetables in low-income seniors AU - Abusabha Rayane AU - Namjoshi Dipti AU - Klein Amy T2 - Journal of the American Dietetic Association AB - High cost and limited access to food have been associated with lower intake of fruits and vegetables in limited-income individuals. The Veggie Mobile is a van that carries fresh produce and travels in low-income neighborhoods, selling fruits and vegetables at a fraction of regular supermarket prices. The purpose of this study was to determine whether participation in the Veggie Mobile increases fruit and vegetable intake in a group of seniors. The intervention, buying fruits and vegetables from the Veggie Mobile, was implemented between April and October 2008 in two senior housing sites that had not previously received Veggie Mobile services. Participants were asked about fruit and vegetable intake using a modified six-item questionnaire based on the Behavioral Risk Factor Surveillance System at preintervention and again at 3 to 5 months. The post-survey also included questions about perceived benefits and barriers to using the Veggie Mobile. The two cross-sections of seniors were matched using date of birth. Wilcoxon signed rank test and paired samples t tests examined change in pre- and post-intervention variables. Seventy-nine older adults completed the baseline survey and 63 completed the post-survey. Of these, 43 participants completed both surveys (70% white [n=30], mean age 69 +/- 9 years). Mean intake of fruits and vegetables after using the Veggie Mobile increased by 0.37 servings/day. Vegetable intake alone increased from 1.98 +/- 1.71 servings/day to 2.58 +/- 1.4 servings/day (P=0.027), half of which was potatoes. Change in fruit intake was not significant (P=0.358). At post-intervention, seniors visited the supermarket less often (P=0.001) and spent an average of $14.92 less during their last visit. The majority of participants who completed the post-survey (62 of 63) indicated being satisfied with the program. The Veggie Mobile provides an example of a simple community intervention that has potential to lead to positive behavior change among low-income seniors. Copyright © 2011 American Dietetic Association. Published by Elsevier Inc. All rights reserved. DA - 2011/// PY - 2011 VL - 111 IS - 10 SP - 1549 EP - 55 SN - 1878-3570 0002-8223 UR - https://dx.doi.org/10.1016/j.jada.2011.07.003 KW - Female KW - Humans KW - Male KW - United States KW - Program Evaluation KW - Health Promotion KW - Aged KW - Surveys and Questionnaires KW - Cost-Benefit Analysis KW - *Food Supply/sn [Statistics & Numerical Data] KW - *Poverty KW - Health Behavior KW - Diet Surveys KW - Diet/ec [Economics] KW - eppi-reviewer4 KW - *Diet/sn [Statistics & Numerical Data] KW - *Fruit/sd [Supply & Distribution] KW - *Vegetables/sd [Supply & Distribution] KW - Food Supply/ec [Economics] KW - Fruit/ec [Economics] KW - Vegetables/ec [Economics] ER - TY - JOUR TI - Abuse and Neglect Experienced by Aging Chinese in Canada. AU - Lai Daniel W. L T2 - Journal of Elder Abuse & Neglect AB - The traditional values of Chinese culture promote care and respect toward older adults. While it appears to be ironic to discuss issues of abuse and neglect in the Chinese culture, research findings in Chinese societies do indicate the occurrences of such problems. However, little research on the abuse and neglect of older Chinese in Western societies has been available. This study aims to examine the incidence of abuse and neglect and the associated correlates based on data collected from a random sample of 2,272 aging Chinese 55 years and older in seven Canadian cities. The findings show that 4.5% of the participants reported experiencing at least one incident of maltreatment or neglect within the past year. The most common forms of neglect and abuse experienced by the aging Chinese include being scolded, yelled at, treated impolitely all the time, and ridiculed. Close family members such as spouses and sons are those that most commonly maltreat older Chinese. Those who were more likely to report at least one incident of maltreatment or neglect were older adults living with others; they tended to have no education, more access barriers, more chronic illnesses, less favorable mental health, and a higher level of identification with Chinese cultural values. The findings implied that the face value of respect and care received by older people in Chinese culture should not be taken for granted. Culturally appropriate precautionary steps are needed for prevention and early problem identification. [ABSTRACT FROM AUTHOR] Copyright of Journal of Elder Abuse & Neglect is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 23 IS - 4 SP - 326 EP - 347 SN - 08946566 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=66356816&site=ehost-live&scope=site KW - Housing KW - Canada KW - Respect KW - eppi-reviewer4 KW - Interviewing KW - Research funding KW - Data analysis software KW - Statistical sampling KW - Abuse of older people KW - Abuse of older people -- Canada KW - Abuse of older people -- Prevention KW - Attitude (Psychology) KW - Canadian Chinese KW - Chinese -- Canada KW - Chronic diseases KW - Correlation (Statistics) KW - Cross-sectional method KW - Cultural pluralism KW - culture and values KW - elder maltreatment and neglect KW - Financial management KW - Logistic regression analysis KW - Malnutrition KW - older Chinese people KW - Scale analysis (Psychology) KW - Shame KW - Socioeconomic factors KW - Statistics KW - T-test (Statistics) KW - Telephones ER - TY - JOUR TI - Abuse of elders: toward a model of prediction. AU - Mulnard RA AU - Mosqeda L AU - Wiglesworth A T2 - Communicating Nursing Research VL - 41 SP - 207 EP - 207 SN - 0160-1652 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105240996&site=ehost-live&scope=site KW - Aged KW - Caregivers KW - Dementia KW - eppi-reviewer4 KW - Community Living KW - Logistic Regression KW - Nonexperimental Studies KW - Pilot Studies KW - Elder Abuse KW - Elder Abuse -- Risk Factors ER - TY - JOUR TI - Determinants of Health Related Quality of Life in Home Dwelling Elderly Population: Appetite and Nutritional Status. AU - Acar Tek AU - N AU - Karacil-Ermumcu M S T2 - The journal of nutrition, health & aging AB - OBJECTIVE: The present study aimed to examine nutritional risk factors such as poor appetite, malnutrition or obesity affecting health related quality of life in elderly., DESIGN AND PARTICIPANTS: This is a cross-sectional population-based study consisted of 407 elderly (142 men and 265 women) mean aged 71.7+/-6.54 years., MEASUREMENTS: Questionnaire including the demographic and general characteristics, health information, nutritional habits was performed by face-to-face interviews. Daily food consumption was assessed using 24-hour dietary recall. Mini Nutrition Assessment (MNA) and Mini Nutrition Assessment-Short Form (MNA-SF) were used for assessment of nutrition status. Appetite was evaluated using the Simplified Nutritional Appetite Questionnaire (SNAQ). Health related life quality scale (Short Form Health Survey -SF36) was used for evalution health related quality of life., RESULTS: According to MNA and MNA-SF 6.1%; 4.2% of elderly people were malnutrition and 40.3%; 21.9% of them were at risk of malnutrition respectively. Accordingly, SNAQ 28.7% of elderly were risk at loss of weight. Health related quality of life scores of women were significantly lower than men. Good nutritional (MNA-SF) and good appetite (SNAQ) status, increased 1.69, 1.48 fold in the mental component summary scale scores respectively. SNAQ was the best determinant of physical component summary scale score had the greatest positive effect, good appetite status increased approximately 2.2 fold in physical scores. Polypharmacy and high BMI decreased health related quality of life in elderly., CONCLUSION: Determinants of quality of life are preventable and treatable with early and appropriate interventions in elderly. DA - 2018/// PY - 2018 DO - 10.1007/s12603-018-1066-9 VL - 22 IS - 8 SP - 996 EP - 1002 SN - 1279-7707 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30272105 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - *Quality of Life/px [Psychology] KW - Geriatric Assessment KW - Nutrition Assessment KW - *Health Status KW - Polypharmacy KW - Diet KW - Homes for the Aged KW - *Nutritional Status/ph [Physiology] KW - *Food Preferences KW - eppi-reviewer4 KW - *Appetite/ph [Physiology] ER - TY - JOUR TI - ACC/AHA Pooled Cohort Risk Equations predicted 5-y risk for CV events in adults considered for statin initiation. AU - Navar-Boggan Ann Marie AU - Newby L Kristin T2 - ACP Journal Club VL - 161 IS - 4 SP - 1 EP - 1 SN - 1056-8751 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103992572&site=ehost-live&scope=site KW - Female KW - Male KW - United States KW - Aged KW - Risk Assessment KW - Prospective Studies KW - Confidence Intervals KW - Diabetes Mellitus KW - eppi-reviewer4 KW - Middle Age KW - Descriptive Statistics KW - Community Living KW - Outcome Assessment KW - Outcomes (Health Care) KW - Validation Studies KW - Chi Square Test KW - P-Value KW - Record Review KW - Lipoproteins, LDL Cholesterol -- Blood KW - Cardiovascular Risk Factors -- Evaluation KW - Coronary Arteriosclerosis -- Prevention and Control KW - Discriminant Validity KW - Hyperlipidemia -- Drug Therapy KW - Predictive Validity KW - Statins -- Therapeutic Use ER - TY - JOUR TI - Acceptability of the Components of a Loneliness Intervention Among Elderly Dutch People: A Qualitative Study. AU - Honigh-de Vlaming AU - R AU - Haveman-Nies A AU - Ziylan C AU - Renes R J T2 - American Journal of Health Education AB - Background: Healthy Ageing is a complex intervention aimed at reducing the prevalence of loneliness among elderly Dutch people. Purpose: This study aimed to assess how mass media communication materials, information meetings, and psychosocial courses were received by elderly people at high risk of loneliness. Methods: Face-to-face interviews with 17 independently living elderly persons at increased risk of loneliness were conducted. They provided information about factors influencing attention to and acceptability of the content of the intervention components. Interviews were audiotaped, transcribed, and analyzed with Atlas. ti. Results: The mass media communication materials were not successful in attracting attention because interviewees' expectations about the communication channels differed from what was provided, the perceived personal relevance of the message was low, and the presentation was not attractive. The content of the intervention components was not well received because the objectives and components did not connect with the priority group's perception of their environment. Discussion: This study showed that the classical health education approach with one-way communication did not succeed in reaching the priority group. Translation to Health Education Practice: To select appropriate theoretical methods and practical strategies, such as using storytelling and personal invitation, we recommend involvement of the priority group. DO - 10.1080/19325037.2013.767734 VL - 44 IS - 3 SP - 136 EP - 145 SN - 1932-5037 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107943750&site=ehost-live&scope=site KW - Female KW - Male KW - Health Promotion KW - Social Environment KW - Aged KW - Quality of Life KW - Netherlands KW - Recreation KW - Marital Status KW - Pamphlets KW - Teaching Materials KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Interviews KW - Qualitative Studies KW - Social Networks KW - Data Analysis Software KW - Support, Psychosocial KW - Descriptive Statistics KW - Gerontologic Care KW - Community Living KW - Coping KW - Self-Efficacy KW - Psychoeducation KW - Communication Skills Training KW - Health Education -- In Old Age KW - Loneliness -- Prevention and Control -- In Old Age KW - Newspapers KW - Posters KW - Reminiscence Therapy KW - Rural Areas KW - Social Participation -- In Old Age KW - Teaching Methods ER - TY - JOUR TI - Acceptance in the Domestic Environment: The Experience of Senior Housing for Lesbian, Gay, Bisexual, and Transgender Seniors. AU - Sullivan Kathleen M T2 - Journal of Gerontological Social Work AB - The social environment impacts the ability of older adults to interact successfully with their community and age-in-place. This study asked, for the first time, residents of existing Lesbian, Gay, Bisexual, and Transgender (LGBT) senior living communities to explain why they chose to live in those communities and what, if any, benefit the community afforded them. Focus groups were conducted at 3 retirement communities. Analysis found common categories across focus groups that explain the phenomenon of LGBT senior housing. Acceptance is paramount for LGBT seniors and social networks expanded, contrary to socioemotional selectivity theory. Providers are encouraged to develop safe spaces for LGBT seniors. [ABSTRACT FROM AUTHOR] Copyright of Journal of Gerontological Social Work is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 57 IS - 2-4 SP - 235 EP - 250 SN - 01634372 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=95992543&site=ehost-live&scope=site KW - aging in place KW - Housing KW - eppi-reviewer4 KW - Focus groups KW - senior housing KW - Thematic analysis KW - Social context KW - LGBT people KW - Questionnaires KW - Statistical sampling KW - Experience KW - LGBT populations/issues KW - qualitative KW - Social networks KW - support networks ER - TY - JOUR TI - Access to health care and health-related quality of life of elderly Chinese immigrants. AU - Chen Mei-Rong T2 - Communicating Nursing Research VL - 44 SP - 407 EP - 407 SN - 0160-1652 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108208949&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Washington KW - eppi-reviewer4 KW - Human KW - Interviews KW - Quality of Life -- In Old Age KW - Questionnaires KW - Thematic Analysis KW - Exploratory Research KW - Content Analysis KW - Community Living KW - Multimethod Studies KW - Immigrants -- In Old Age KW - Chinese -- In Old Age KW - Health Services Accessibility -- In Old Age ER - TY - JOUR TI - Access to health care and self-rated health among community-dwelling older adults. AU - Goins RT AU - Hays JC AU - Landerman LR AU - Hobbs G T2 - Journal of Applied Gerontology AB - Objective: This study examined the relationship between access to health care and self-rated health among community-dwelling persons aged 65 years and older. Data Source: The analyses mere based on a sample of 2,982 participants from the Duke Established Populations for Epidemiologic Studies of the Elderly. Study Design: This study was a secondary data analysis using longitudinal data collected in 1987 and again in 1990. Logistic regression was used to determine change to poor self-rated health from excellent, good, or fair self-rated health. Principal Finding: In a multivariate model, one of the seven access to health care indicators was found to be, significantly related to reporting poor self-rated health. Controlling for demographics and other potential confounders, the odds of reporting poor self-rated health were approximately 87% higher among those without private health coverage. VL - 20 IS - 3 SP - 307 EP - 321 SN - 0733-4648 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106889549&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Self Report KW - Psychological Tests KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Data Analysis Software KW - Whites KW - Descriptive Statistics KW - Blacks KW - Community Living KW - Health Status -- In Old Age KW - Hispanics KW - Research Instruments KW - Race Factors KW - Logistic Regression KW - Geriatric Functional Assessment KW - Center for Epidemiological Studies Depression Scale KW - Secondary Analysis KW - Data Analysis, Statistical KW - Health Services Accessibility -- Trends -- In Old Age KW - OARS Multidimensional Functional Assessment Questionnaire KW - Short Portable Mental Status Questionnaire ER - TY - JOUR TI - Accessibility in the housing environments of older tenants...Proceedings of the 10th Congress of the European Federation for Research in Rehabilitation, Riga, Latvia, 09-12 September 2009 AU - Lindahl L T2 - International Journal of Rehabilitation Research VL - 32 SP - S60 EP - 1 SN - 0342-5282 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105444943&site=ehost-live&scope=site KW - Aged KW - Sweden KW - eppi-reviewer4 KW - Human KW - Interviews KW - Case Studies KW - Architectural Accessibility -- In Old Age KW - Housing -- In Old Age KW - Real Estate -- Economics ER - TY - JOUR TI - Accessory Apartments: Are They a Realistic Alternative for Ageing in Place? AU - Chapman Nancy J AU - Howe Deborah A T2 - Housing Studies AB - ; Explores the extent to which accessory apartments are benefiting the elderly. Survey of accessory units built in the metropolitan area of Seattle, Washington, that were developed since legalization in 1994; Evidence that such apartments serve a higher proportion of older persons over time; Ways in which age restrictions within zoning ordinances may be counterproductive. VL - 16 IS - 5 SP - 637 EP - 650 SN - 02673037 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=5181222&site=ehost-live&scope=site KW - eppi-reviewer4 KW - HOUSING KW - OLDER people KW - ACCESSORY apartments KW - SEATTLE (Wash.) KW - WASHINGTON (State) ER - TY - JOUR TI - Accommodation options in later life: retirement village or community living? AU - Gardner Ian L AU - Browning Colette AU - Kendig Hal T2 - Australasian Journal on Ageing AB - Objectives: To assess retirement villages as an accommodation option for older people by examining the impact on quality of life of moving to a village. Method: A cross-sectional survey of three groups: residents of independent living units of two retirement villages and a group of older people who considered moving but decided to remain living in the community. Results: The quality of life of all groups at interview was high. However, the village group's overall satisfaction with life, and satisfaction with friendships and social life, was better after moving, whereas the community group were more likely to say that their quality of life was the same or worse since looking at moving to a village. Conclusions: Retirement villages can be a viable accommodation option in later life and enhance quality of life. The results of this study have implications for government policy, public and private housing providers, and older people. VL - 24 IS - 4 SP - 188 EP - 195 SN - 14406381 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=18904225&site=ehost-live&scope=site KW - eppi-reviewer4 KW - Quality of life KW - LONG-term care facilities KW - OLDER people -- Housing KW - RETIREMENT communities KW - Housing for the elderly KW - OLDER people -- Care KW - RETIREMENT, Places of ER - TY - JOUR TI - According to need? Predicting the amount of municipal home help allocated to elderly recipients in an urban area of Sweden AU - Meinow Bettina AU - Kåreholt Ingemar AU - Lagergren Mårten T2 - Health & Social Care in the Community AB - Given the cutbacks which have been carried out in the Swedish welfare state despite the unchanged official policy of allocation of home help services according to needs, it is essential to evaluate the factors which guide the allocation of home help today. Whereas numerous studies have identified factors which predict entry into the home help system, the present paper concentrates on predictors of the amount of home help amongst those allocated assistance. Data were obtained from the population-based care and services section of the 2002 Swedish National Study of Aging and Care – Kungsholmen (SNAC-K). All home help recipients (≥ 65 years of age) living in an inner city district of Stockholm (Kungsholmen) were analysed with ordinary least squares regressions to identify predictors of the number of hours of home help ( n = 943). Need indicators, i.e. dependency in activities of daily living (ADLs) and instrumental ADLs (IADLs), and cognitive impairment (Berger scale) were the strongest predictors of more hours of home help. The addition of sociodemographic (i.e. age, gender and income), environmental (i.e. informal care, housing adaptations and housing accessibility) and structural (i.e. variations in allocation decisions between one care manager and another) factors contributed only marginally to the explained variance. Hours of help entitlement increased slightly with greater age. Co-residing individuals were allocated significantly fewer home help hours than those living alone. Income and regular access to informal care were not significant predictors. The fact that services are provided according to need criteria does not necessarily mean that the provided services are adequate to meet needs. On the macro level, social policy decisions and available economic and manpower resources determine the allotment of municipal home help. However, this study in an urban sample suggests that, within the available resources, the amount of home help allocated is guided mainly by need indicators amongst those given assistance. VL - 13 IS - 4 SP - 366 EP - 377 SN - 09660410 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=17392504&site=ehost-live&scope=site KW - eppi-reviewer4 KW - PUBLIC welfare KW - WELFARE state KW - HOME care services KW - HOSPITALS -- Home care programs KW - PUBLIC welfare policy KW - SWEDEN ER - TY - JOUR TI - Accuracy of Timed Up and Go Test for screening risk of falls among community-dwelling elderly. AU - Alexandre Tiago S AU - Meira Débora M AU - Rico Natália C AU - Mizuta Simone K T2 - Brazilian Journal of Physical Therapy / Revista Brasileira de Fisioterapia AB - Objective: To determine the accuracy of the Timed Up and Go Test (TUGT) for screening the risk of falls among community-dwelling elderly individuals. Method: This is a prospective cohort study with a randomly by lots without reposition sample stratified by proportional partition in relation to gender involving 63 community-dwelling elderly individuals. Elderly individuals who reported having Parkinson´s disease, a history of transitory ischemic attack, stroke and with a Mini Mental State Exam lower than the expected for the education level, were on a wheelchair and that reported a single fall in the previous six months were excluded. The TUGT, a mobility test, was the measure of interested and the occurrence of falls was the outcome. The performance of basic activities of daily living (ADL) and instrumental activities of daily living (IADL) was determined through the Older American Resources and Services, and the socio-demographic and clinical data were determined through the use of additional questionnaires. Receiver Operating Characteristic Curves were used to analyze the sensitivity and specificity of the TUGT. Results: Elderly individuals who fell had greater difficulties in ADL and IADL (p<0.01) and a slower performance on the TUGT (p=0.02). No differences were found in socio-demographic and clinical characteristics between fallers and non-fallers. Considering the different sensitivity and specificity, the best predictive value for discriminating elderly individuals who fell was 12.47 seconds [(RR=3.2) 95%CI: 1.3-7.7]. Conclusions: The TUGT proved to be an accurate measure for screening the risk of falls among elderly individuals. Although different from that reported in the international literature, the 12.47 second cutoff point seems to be a better predictive value for Brazilian elderly individuals. VL - 16 IS - 5 SP - 381 EP - 388 SN - 1413-3555 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104438144&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Activities of Daily Living KW - Prospective Studies KW - ROC Curve KW - Brazil KW - Confidence Intervals KW - Sensitivity and Specificity KW - eppi-reviewer4 KW - Human KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Community Living -- In Old Age KW - Relative Risk KW - Clinical Assessment Tools KW - Chi Square Test KW - Power Analysis KW - OARS Multidimensional Functional Assessment Questionnaire KW - Accidental Falls -- Prevention and Control KW - Health Screening -- Methods KW - Mann-Whitney U Test ER - TY - JOUR TI - [Aging at home with telecare in Spain. A dicourse analysis] AU - Aceros Juan C AU - Cavalcante Maria Tereza Leal AU - Domenech Miquel T2 - Envejecer en casa con teleasistencia en Espana. Un analisis del discurso. AB - Caring for the elderly is turning to forms of community care and home care. Telecare is one of those emergent modalities of caring. This article will explore the meanings that older people give to the experience of staying at home in later life by using telecare. Discourse analysis is used to examine a set of focus groups and interviews with telecare users from different cities of Catalonia (Spain). The outcomes include three interpretative repertoires that we called: "Aging at home", "normal aging" and "unsafe aging". For each repertoire we examine how the permanence of older people in their homes is accounted, and which role telecare plays in such experience. DA - 2016/// PY - 2016 VL - 21 IS - 8 SP - 2413 EP - 22 SN - 1678-4561 1413-8123 UR - https://dx.doi.org/10.1590/1413-81232015218.13472015 KW - Female KW - Humans KW - Male KW - Aged KW - *Independent Living KW - Spain KW - *Telemedicine KW - *Home Care Services KW - eppi-reviewer4 ER - TY - JOUR TI - Acessibility in collective housing for the elderly: a case study in Portugal. AU - Soares Marcelo M AU - Jacobs Karen AU - Paiva Marie Monique Bruère AU - Villarouco Vilma T2 - Work AB - Physical spaces need to be adjusted to suit the changes of a physical, cognitive and emotional order occasioned by the natural aging of people. Ergonomics of the built environment contributes to improving the interaction of the user and physical environment, with a view to their comfort and safety. By thinking through the influence that environments have on the quality of life of the elderly, this article presents an assessment of accessibility in private units - bedrooms and bathrooms - of a Long-Stay Institution for the Elderly (ILPI in Portuguese) in Portugal. The analysis of the physical and spatial conditioning factors by means of the Ergonomics Methodology for the Built Environment (EMBE), proposed by VILLAROUCO (2008), gave evidence of the need for interventions to suitably adapt physical infrastructure, with the objective of promoting the physical well-being of the elderly, and thus, enhancing the autonomy and independence of a wider range of users. VL - 41 SP - 4174 EP - 4179 SN - 1051-9815 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104522709&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Portugal KW - eppi-reviewer4 KW - Human KW - Interviews KW - Qualitative Studies KW - Case Studies KW - Exploratory Research KW - Architectural Accessibility -- Evaluation KW - Architectural Accessibility -- In Old Age -- Portugal KW - Attitude -- Evaluation KW - Ergonomics -- Evaluation KW - Housing for the Elderly -- Evaluation KW - Housing for the Elderly -- Portugal ER - TY - JOUR TI - Distance from home to hospital and thrombolytic utilization for acute ischemic stroke AU - Acharya Aninda B AU - Nyirenda Joshua C AU - Higgs Gary B AU - Bloomfield Mark S AU - Cruz-Flores Salvador AU - Connor Lisa T AU - Lee Jin-Moo AU - Leet Terry L T2 - Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association AB - Treatment of acute stroke with thrombolytic therapy has been limited because of the narrow treatment window. Distance from home to hospital may affect arrival time and likelihood of receiving thrombolytic therapy for acute stroke. The present study included stroke subjects seen at Barnes Jewish Hospital in 2006-2007, residing in St Louis City/County, who were at home at the time of the stroke (n = 416). A network distance was calculated by mapping the best route from each subject's home to the hospital on a street network grid. Patients were grouped by distance into quintiles, and the group living the closest (group A, first quintile) was compared with the remainder of the cohort (group B). Outcomes of interest were rate of arrival within 3 hours of stroke onset (timely arrival) and rate of thrombolytic administration. The relative rate (RR) of each outcome was calculated for group A versus group B. A multivariate model of thrombolytic administration was created correcting for potential confounders. There was no difference in timely arrival between groups. The rate of thrombolytic administration was 13/100 for group B and 23/100 for group A, for an RR 0.55 (95% confidence interval [CI], 0.31-0.097) for group B versus group A. In the multivariate model, only National Institutes of Health Stroke Scale score was a significant confounder. The adjusted RR of thrombolytic treatment was 0.59 (95% CI, 0.34-0.99) for group B versus group A. Our data indicate that patients living in close proximity to the hospital are more likely to receive thrombolytic therapy for stroke compared with those living farther away. This finding cannot be explained by earlier arrival time. Copyright © 2011 National Stroke Association. Published by Elsevier Inc. All rights reserved. DA - 2011/// PY - 2011 VL - 20 IS - 4 SP - 295 EP - 301 SN - 1532-8511 1052-3057 UR - https://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2009.12.009 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Risk Assessment KW - Retrospective Studies KW - Time Factors KW - Residence Characteristics/sn [Statistics & Numerical Data] KW - *Residence Characteristics KW - Regression Analysis KW - *Quality of Health Care KW - Health Services Accessibility/sn [Statistics & Numerical Data] KW - Hospitals/sn [Statistics & Numerical Data] KW - *Hospitals KW - Quality of Health Care/sn [Statistics & Numerical Data] KW - *Health Services Accessibility KW - Chi-Square Distribution KW - Missouri KW - Drug Administration Schedule KW - Healthcare Disparities/sn [Statistics & Numerical Data] KW - Confounding Factors (Epidemiology) KW - *Stroke/dt [Drug Therapy] KW - eppi-reviewer4 KW - *Brain Ischemia/dt [Drug Therapy] KW - *Fibrinolytic Agents/ad [Administration & Dosage] KW - *Healthcare Disparities KW - *Thrombolytic Therapy/sn [Statistics & Numerical Data] KW - *Tissue Plasminogen Activator/ad [Administration & Dosage] KW - *Transportation of Patients KW - Transportation of Patients/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Association of Unrecognized Myocardial Infarction With Long-term Outcomes in Community-Dwelling Older Adults: The ICELAND MI Study. AU - Acharya Tushar AU - Aspelund Thor AU - Jonasson Torfi F AU - Schelbert Erik B AU - Cao Jane J AU - Sathya Bharath AU - Dyke Christopher K AU - Aletras Anthony H AU - Sigurdsson Sigurdur AU - Thorgeirsson Gudmundur AU - Eiriksdottir Gudny AU - Harris Tamara AU - Launer Lenore J AU - Gudnason Vilmundur AU - Arai Andrew E T2 - JAMA cardiology AB - Importance: Cardiac magnetic resonance (CMR) imaging can identify unrecognized myocardial infarction (UMI) in the general population. Unrecognized myocardial infarction by CMR portends poor prognosis in the short term but, to our knowledge, long-term outcomes are not known., Objective: To determine the long-term outcomes of UMI by CMR compared with clinically recognized myocardial infarction (RMI) and no myocardial infarction (MI)., Design, Setting, and Participants: Participants of the population-based, prospectively enrolled ICELAND MI cohort study (aged 67-93 years) were characterized with CMR at baseline (from January 2004-January 2007) and followed up for up to 13.3 years. Kaplan-Meier time-to-event analyses and a Cox regression were used to assess the association of UMI at baseline with death and future cardiovascular events., Main Outcomes and Measures: The primary outcome was all-cause mortality. Secondary outcomes were a composite of major adverse cardiac events (MACE: death, nonfatal MI, and heart failure)., Results: Of 935 participants, 452 (48.3%) were men; the mean (SD) age of participants with no MI, UMI, and RMI was 75.6 (5.3) years, 76.8 (5.2) years, and 76.8 (4.7) years, respectively. At 3 years, UMI and no MI mortality rates were similar (3%) and lower than RMI rates (9%). At 5 years, UMI mortality rates (13%) increased and were higher than no MI rates (8%) but still lower than RMI rates (19%). By 10 years, UMI and RMI mortality rates (49% and 51%, respectively) were not statistically different; both were significantly higher than no MI (30%) (P < .001). After adjusting for age, sex, and diabetes, UMI by CMR had an increased risk of death (hazard ratio [HR], 1.61; 95% CI, 1.27-2.04), MACE (HR, 1.56; 95% CI, 1.26-1.93), MI (HR, 2.09; 95% CI, 1.45-3.03), and heart failure (HR, 1.52; 95% CI, 1.09-2.14) compared with no MI and statistically nondifferent risk of death (HR, 0.99; 95% CI, 0.71-1.38) and MACE (HR, 1.23; 95% CI, 0.91-1.66) vs RMI., Conclusions and Relevance: In this study, all-cause mortality of UMI was higher than no MI, but within 10 years from baseline evaluation was equivalent with RMI. Unrecognized MI was also associated with an elevated risk of nonfatal MI and heart failure. Whether secondary prevention can alter the prognosis of UMI will require prospective testing. DA - 2018/// PY - 2018 DO - 10.1001/jamacardio.2018.3285 VL - 3 IS - 11 SP - 1101 EP - 1106 SN - 2380-6591 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30304454 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Prospective Studies KW - Prognosis KW - Survival Analysis KW - Case-Control Studies KW - Sensitivity and Specificity KW - Iceland/ep [Epidemiology] KW - eppi-reviewer4 KW - *Magnetic Resonance Imaging, Cine/mt [Methods] KW - *Myocardial Infarction/dg [Diagnostic Imaging] KW - *Myocardial Infarction/ep [Epidemiology] ER - TY - JOUR TI - Enforcement of science-using a Clostridium perfringens outbreak investigation to take legal action AU - Acheson Peter AU - Bell Vikki AU - Gibson Janet AU - Gorton Russell AU - Inns Thomas T2 - Journal of public health (Oxford, England) AB - BACKGROUND: We report an outbreak of Clostridium perfringens in a care home in North East England., METHODS: A retrospective cohort study was used to investigate this outbreak. Faecal samples were obtained from symptomatic residents. Environmental Health Officers carried out a food hygiene inspection and formal statements were taken., RESULTS: Fifteen residents reported illness and the epidemic curve was suggestive of a point source outbreak. Results suggest that illness was associated with consumption of mince & vegetable pie and/or gravy. There were a number of issues with food served, in particular the mince products had been cooked, cooled, reheated and served again over a period of several days. Faecal sampling revealed the presence of C.perfringens enterotoxin gene and four samples were indistinguishable by fluorescent amplified fragment length polymorphism, indicating a likely common source. The operator of the home was charged with three offences under the General Food Regulations 2004 and the Food Hygiene (England) Regulations 2006 and was convicted on all counts., CONCLUSIONS: An outbreak of C.perfringens occurred in a care home. The likely cause was consumption of mince & vegetable pie and/or gravy. Epidemiological evidence can be used to help prosecute businesses with food safety offences in such circumstances. Copyright © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 VL - 38 IS - 3 SP - 511 EP - 515 SN - 1741-3850 1741-3842 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=25972386 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - England KW - *Homes for the Aged/lj [Legislation & Jurisprudence] KW - *Clostridium Infections/ep [Epidemiology] KW - *Clostridium perfringens KW - *Disease Outbreaks/lj [Legislation & Jurisprudence] KW - *Foodborne Diseases/ep [Epidemiology] KW - *Liability, Legal KW - Clostridium Infections/et [Etiology] KW - Food Microbiology/lj [Legislation & Jurisprudence] KW - Food Safety KW - Foodborne Diseases/et [Etiology] KW - Nursing Homes/lj [Legislation & Jurisprudence] KW - eppi-reviewer4 ER - TY - JOUR TI - Depressive symptoms in newly admitted nursing home residents AU - Achterberg Wilco AU - Pot Anne Margriet AU - Kerkstra Ada AU - Ribbe Miel T2 - International journal of geriatric psychiatry AB - OBJECTIVES: To study the relationship between the prevalence of depressive symptoms in newly admitted nursing home residents and their previous place of residence., METHODS: In 65 nursing homes in the Netherlands trained physicians assessed 562 residents (mean age 78.5, range 28-101, 64.6% female) within 10 days after admission. Depressive symptoms were assessed with the Minimum Data Set (MDS) Depression Rating Scale (DRS), and the MDS items: 'diagnosis of major or minor depression', 'change in depression' and 'indicators of persistent depressed, sad or anxious mood disorder present'. Previous place of residence was categorized as 'own home', 'hospital' or 'sheltered living facility'. Adjustments were performed for demographic and health related factors measured with the MDS., RESULTS: The prevalence of depressive symptoms (DRS > or = 3) for all 562 residents was 26.9%; it was higher in residents admitted from their own home (34.3%) than in residents admitted from the hospital (19.7%) (p = 0.002). Residents who were admitted from the hospital have an adjusted Odds Ratio for having many depressive symptoms of 0.54 (95% CI 0.31-0.94) compared to residents admitted from their own home. There is, after adjustment, no statistical significant difference between residents admitted from their own home, or residents admitted from a sheltered living facility., CONCLUSIONS: Depressive symptoms are very prevalent in nursing homes. Residents who are admitted from their own home, or from a residential facility, have more depressive symptoms than residents admitted from the hospital. This may reflect different conceptualizations or different adjustment patterns for those groups. For a better understanding of the factors associated with nursing home depression, future studies in detection, prevention and management of depressive symptoms should start prior to or directly after admission, especially for those who have no prior institutional history. DA - 2006/// PY - 2006 VL - 21 IS - 12 SP - 1156 EP - 62 SN - 0885-6230 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16955443 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Hospitals KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment KW - Residence Characteristics/sn [Statistics & Numerical Data] KW - Psychiatric Status Rating Scales KW - *Depression/ep [Epidemiology] KW - Netherlands/ep [Epidemiology] KW - *Depressive Disorder/ep [Epidemiology] KW - *Inpatients/px [Psychology] KW - Referral and Consultation/sn [Statistics & Numerical Data] KW - Depressive Disorder, Major/ep [Epidemiology] KW - eppi-reviewer4 ER - TY - JOUR TI - [Prevalence of ulcers in Dutch nursing homes] AU - Achterberg W P AU - Frijters D H. M AU - Ribbe M W T2 - Het voorkomen van ulcera in verpleeghuizen. AB - INTRODUCTION: Earlier cross-sectional research in the Netherlands has found that one out of three nursing home patients has a pressure ulcer. The prevalence of other ulcers is unknown., METHODS: In eight nursing homes 2295 patients were assessed with the Minimum Data Set (MDS). The mean age of the patients was 82.9 years (SD 7.4) and 70% was female. One third had severe cognitive impairment and only 17% had no or little ADL impairment., RESULTS: Prevalence of pressure ulcers was: stage 1: 3,6%; stage 2: 2,5%; stage 3: 1,2%; stage 4: 0,8%. Having a pressure ulcer was strongly correlated with ADL dependency: Odds Ratio (OR) 8,4 for moderate ADL-dependency, and OR 35,4 for severe ADL-dependency. Patients with pressure ulcers had more often pain (OR 2,7) and depressive symptoms (OR 2,1). Bowel incontinence was significantly correlated (OR 2,6) with pressure ulcers, just as the presence of an indwelling catheter (OR 3,2) and the use of diapers (OR 2,2), but urinary incontinence was not correlated with pressure ulcers. The prevalence of a venous ulcers was 2,6% and 1,7% had a venous ulcer higher than stage 1. The combination of foot ulcers and diabetes occurred in 1,2%, the combination of a peripheral vascular disease and ulcers in only 0,7%. The use of pressure reducing interventions increased with ADL dependency, nevertheless only 44% of the very dependent patients used these interventions. DA - 2008/// PY - 2008 VL - 39 IS - 3 SP - 115 EP - 21 SN - 0167-9228 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med6&NEWS=N&AN=18637399 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Prevalence KW - *Activities of Daily Living KW - *Homes for the Aged KW - *Nursing Homes KW - Severity of Illness Index KW - *Pressure Ulcer/ep [Epidemiology] KW - Netherlands/ep [Epidemiology] KW - Urinary Incontinence/co [Complications] KW - eppi-reviewer4 KW - *Pressure Ulcer/pa [Pathology] KW - Catheterization/ae [Adverse Effects] KW - Fecal Incontinence/co [Complications] ER - TY - JOUR TI - Danger at every rung: Epidemiology and outcomes of ICU-admitted ladder-related trauma AU - Ackland Helen M AU - Pilcher David V AU - Roodenburg Owen S AU - McLellan Susan A AU - Cameron Peter A AU - Cooper D James T2 - Injury AB - INTRODUCTION: The incidence of ladder-related falls is increasing, and this represents a disturbing trend, particularly in the context of increased life expectancy and the impending retirement of the populous 'baby-boomer' generation. To date, there have been no critical illness-focused studies reporting on the incidence, severity and outcomes of severe ladder-related injuries requiring ICU management., METHODS: Major trauma patients admitted to ICU over a 5year period to June 2011 after ladder falls >1m were identified from prospectively collected trauma data at a Level 1 trauma service. Demographic and ICU clinical management data were collected and non-parametric statistical analyses were used to explore the relationships between variables in hospital mortality/survival., RESULTS: There were 584 ladder fall admissions, including 194 major trauma cases, of whom 29.9% (n=58) fell >1m and were admitted to ICU. Hospital mortality was 26%, and fatal cases were almost entirely older males in domestic falls of <=3m who died as a result of traumatic brain injury. Non-survivors had lower GCS at the scene (p=0.02), higher AIS head code (p=0.01), higher heart rate and lower mean arterial pressure (p<0.01) in the initial 24h period in ICU, and were >=55years of age (p=0.05). Only 46% of patients available for follow-up were living at home at 12months without requiring additional care., CONCLUSIONS: The incidence of ladder falls requiring ICU management is increasing, and severe traumatic brain injury was responsible for the majority of deaths and for poor outcomes in survivors. In-hospital costs attributable to the care of these patients are high, and fewer than half were living independently at home at 12months post-fall. A concerted public health campaign is required to alert the community to the potential consequences of this mechanism of injury. The use of helmets for ladder users in domestic settings, where occupational health and safety regulations are less likely to be applied, is strongly recommended to mitigate the risk of severe brain injury. The benefits of this simple strategy far outweigh any mild inconvenience for the wearer, and may prevent catastrophic injury. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved. DA - 2016/// PY - 2016 VL - 47 IS - 5 SP - 1109 EP - 17 SN - 1879-0267 0020-1383 UR - https://dx.doi.org/10.1016/j.injury.2015.12.016 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Health Knowledge, Attitudes, Practice KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Cross-Sectional Studies KW - Accidental Falls/pc [Prevention & Control] KW - Sex Factors KW - Age Factors KW - Incidence KW - Australia/ep [Epidemiology] KW - Accidents, Home/pc [Prevention & Control] KW - *Accidental Falls/mo [Mortality] KW - *Intensive Care Units/sn [Statistics & Numerical Data] KW - Injury Severity Score KW - *Brain Injuries, Traumatic/mo [Mortality] KW - *Accidents, Home/mo [Mortality] KW - Hospital Mortality/td [Trends] KW - eppi-reviewer4 KW - *Accidents, Occupational/mo [Mortality] KW - *Head Protective Devices/sn [Statistics & Numerical Data] KW - *Multiple Trauma/mo [Mortality] KW - *Trauma Centers KW - Accidents, Occupational/pc [Prevention & Control] KW - Brain Injuries, Traumatic/pc [Prevention & Control] KW - Multiple Trauma/pc [Prevention & Control] ER - TY - JOUR TI - Action Research Development of a Fall Prevention Program for Thai Community-dwelling Older Persons. AU - Narirat Jitramontree AU - Sirirat Chatchaisucha AU - Thanomkwan Thaweeboon AU - Benjamas Kutintara AU - Sunee Intanasak T2 - Pacific Rim International Journal of Nursing Research VL - 19 IS - 1 SP - 69 EP - 78 SN - 1906-8107 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103754784&site=ehost-live&scope=site KW - Female KW - Male KW - Health Education KW - Family KW - Aged KW - Risk Assessment KW - Focus Groups KW - Exercise KW - Thailand KW - Teaching Materials KW - eppi-reviewer4 KW - Human KW - Interviews KW - Qualitative Studies KW - Content Analysis KW - Funding Source KW - Community Health Nursing KW - Community Living KW - Home Environment KW - Physical Activity KW - Clinical Assessment Tools KW - Nursing Role KW - Conceptual Framework KW - Ambulation Aids KW - Accidental Falls -- Prevention and Control -- In Old Age KW - Accidental Falls -- Prevention and Control -- Thailand KW - Action Research KW - Community Role KW - Fall Risk Assessment Tool KW - Home Safety ER - TY - JOUR TI - Active Aging for L.I.F.E.: An Intergenerational Public Health Initiative Addressing Perceptions and Behaviors Around Longevity, Independence, Fitness, and Engagement. AU - Roberts Emily AU - Bishop Alex AU - Ruppert-Stroescu Mary AU - Clare Gregory AU - Hermann Janice AU - Singh Chitra AU - Balasubramanan Mahendran AU - Struckmeyer Kristopher M AU - Mihyun Kang AU - Slevitch Lisa T2 - Topics in Geriatric Rehabilitation AB - Objective: Active aging involves staying engaged in life in a number of ways, including maintaining independence, physical and mental fitness, and social engagement. This investigation highlights Active Aging for L.I.F.E., an intergenerational pilot health initiative developed and implemented in the state of Oklahoma. Subject and Methods: Program participants included college students 18 to 25 years of age (n = 20) and older adults older than 65 years (n = 23) who attended a 4-part speaker series focused on the domains of longevity, independence, fitness, and engagement and participated in a pre-/postsurvey. Results: College-aged students reported greater changes in their perception of an individual's role in the aging process than the older adults, and differences between genders were also identified. This pilot determined that attitudes about active aging can be changed through education for both college-aged students and older adults. DO - 10.1097/TGR.0000000000000157 VL - 33 IS - 3 SP - 211 EP - 222 SN - 0882-7524 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124529764&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Health Education KW - Adolescence KW - Aged KW - Longevity KW - Aging KW - Program Development KW - Intergenerational Relations KW - Life Style KW - Physical Fitness KW - eppi-reviewer4 KW - Human KW - Questionnaires KW - Data Analysis Software KW - Funding Source KW - Descriptive Statistics KW - Community Living KW - Comparative Studies KW - Summated Rating Scaling KW - Pretest-Posttest Design KW - Quasi-Experimental Studies KW - Knowledge -- Evaluation KW - Oklahoma KW - Unpaired T-Tests ER - TY - JOUR TI - Factors associating with shuttle walking test results in community-dwelling elderly people AU - Adachi Daiki AU - Nishiguchi Shu AU - Fukutani Naoto AU - Kayama Hiroki AU - Tanigawa Takanori AU - Yukutake Taiki AU - Hotta Takayuki AU - Tashiro Yuto AU - Morino Saori AU - Yamada Minoru AU - Aoyama Tomoki T2 - Aging clinical and experimental research AB - BACKGROUND: The shuttle walking test (SWT) is a simple, widely used method for assessing endurance performance in the elderly. Despite widespread community use, its associated factors are unclear., AIMS: We aim to identify previously undefined SWT association factors in community-dwelling elderly people., METHODS: Herein, 149 healthy elderly Japanese subjects performed the SWT, and were assessed for height, weight, smoking history, 10-m walk time, Timed Up and Go (TUG) scores, handgrip strength, skeletal mass index (SMI), forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), cardio-ankle vascular index, and ankle brachial index. We divided men and women into higher and lower SWT score groups, compared between-group parameters, and performed stepwise multivariate logistic regression analysis to identify factors independently associated with SWT scores., RESULTS: Age, BMI, 10-m walk time, TUG score, SMI, FVC (L; %-predicted), and FEV1 (L; %-predicted) were significantly different between SWT score groups for men, while in women, significant differences were observed in age, TUG score, handgrip strength, FVC (L; %-predicted), and FEV1 (L; %-predicted) (p < 0.05). In the multivariate logistic regression model, 10-m walk time, and FEV1 showed significant associations with SWT results in men; among women, age was the only significantly associated factor (p < 0.05)., CONCLUSIONS: Results indicate that better lung function and shorter walk time independently associate with SWT results in community-dwelling men; in women, age is the only association. Our findings may offer insight when considering the focus of community exercise programs among the elderly. DA - 2015/// PY - 2015 VL - 27 IS - 6 SP - 829 EP - 34 SN - 1720-8319 1594-0667 UR - https://dx.doi.org/10.1007/s40520-015-0342-3 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Aging/ph [Physiology] KW - Japan/ep [Epidemiology] KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - Hand Strength/ph [Physiology] KW - *Walking/ph [Physiology] KW - *Exercise Test/mt [Methods] KW - Physical Fitness/ph [Physiology] KW - *Forced Expiratory Volume/ph [Physiology] KW - *Physical Endurance/ph [Physiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Low plasma tryptophan is associated with olfactory function in healthy elderly community dwellers in Japan AU - Adachi Yusuke AU - Shimodaira Yoshiki AU - Nakamura Hidehiro AU - Imaizumi Akira AU - Mori Maiko AU - Kageyama Yoko AU - Noguchi Yasushi AU - Seki Asuka AU - Okabe Yuki AU - Miyake Yuko AU - Ono Kaori AU - Kumagai Shu T2 - BMC geriatrics AB - BACKGROUND: Decreased circulating tryptophan (Trp) levels are frequently observed in elderly patients with neurodegenerative disease including Alzheimer's disease. Trp may serve as a potential biomarker for monitoring disease risk in elderly people. We aimed to investigate the association between low plasma Trp levels and olfactory function, which is known to predict age-related diseases including dementia in elderly people., METHODS: A total of 144 healthy elderly Japanese community (>= 65 years old) dwellers from the Health, Aging and Nutritional Improvement study (HANI study) were the subjects of our analysis. Low Trp levels were classified using the lower limit values of the reference interval according to a previous report. Olfactory function was assessed using a card-type test called Open Essence, which includes 12 odour items that are familiar to Japanese people. The elderly subjects with low circulating Trp levels were compared to a control group with normal plasma Trp levels., RESULTS: We conducted the analyses using 144 people aged 65 years or older (mean age 73.7 +/- 5.5 years; 36.1% men). The subjects showed normal serum albumin levels (4.4 +/- 0.2 g/dL) and no daily living disabilities. Low plasma Trp levels (low Trp group) were found in 11.1% of the study population. The low Trp group showed a significantly lower correct-answer rate for the items india ink, perfume, curry and sweaty smelling socks than control group (P < 0.05). There was also a significant association between low Trp levels and low olfactory ability, after adjusting for age and sex., CONCLUSIONS: Lower plasma Trp levels were associated with a decrease in olfactory function in functionally competent older individuals. Because olfactory dysfunction predicts age-related diseases, low plasma Trp levels may represent a clinical sign of disease risk in elderly people. DA - 2017/// PY - 2017 VL - 17 IS - 1 SP - 239 SN - 1471-2318 UR - https://dx.doi.org/10.1186/s12877-017-0639-5 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Japan KW - Biomarkers/bl [Blood] KW - Dementia/pp [Physiopathology] KW - eppi-reviewer4 KW - *Alzheimer Disease/bl [Blood] KW - *Olfaction Disorders/bl [Blood] KW - *Tryptophan/bl [Blood] KW - Alzheimer Disease/pp [Physiopathology] KW - Dementia/bl [Blood] KW - Olfaction Disorders/pp [Physiopathology] KW - Smell/ph [Physiology] ER - TY - JOUR TI - Duration of moderate to vigorous daily activity is negatively associated with slow walking speed independently from step counts in elderly women aged 75 years or over: A cross-sectional study. AU - Adachi Takuji AU - Kono Yuji AU - Iwatsu Kotaro AU - Shimizu Yuko AU - Yamada Sumio T2 - Archives of gerontology and geriatrics AB - OBJECTIVES: This study aimed 1) to examine whether objectively measured duration of moderate to vigorous physical activity (MVPA) was associated with slow walking speed, independent from step counts, in elderly women aged 75 or over (old-old) and 2) to determine a possible cut-off value for duration of MVPA related to slow walking speed., METHODS: Participants were 350 community-dwelling old-old women. Slow walking speed was defined as usual walking speed <1.0m/s. Duration of MVPA (activity at an intensity >3 metabolic equivalents) and number of step counts were measured using a uniaxial accelerometer over 1 wk. Body mass index, grip strength, back and leg pain, cognitive function, executive function, and presence of depression were also assessed. Participants with missing data were excluded from the main analysis., RESULTS: The mean age of the participants was 79.9+/-3.6 y. The prevalence of slow walking speed was 14.9%. Multiple logistic regression analysis showed that the duration of MVPA was significantly and inversely associated with slow walking speed, independent from step counts and other confounding factors (adjusted odds ratio=0.94 per 1min/d increment, 95% confidence interval=0.73-0.99; p=0.031). This relationship was also observed in sensitivity analysis that included all participants. A MVPA cut-off value of 8.7min/d was determined using the receiver operating characteristic analysis., CONCLUSION: The findings from the present study suggest that promoting MVPA may be helpful to prevent slow walking speed. The validity of MVPA for predicting slow walking speed needs to be confirmed in future prospective studies. Copyright © 2017. Published by Elsevier B.V. DA - 2018/// PY - 2018 DO - 10.1016/j.archger.2017.10.003 VL - 74 SP - 94 EP - 99 SN - 0167-4943 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29053973 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Logistic Models KW - Time Factors KW - *Activities of Daily Living KW - Cross-Sectional Studies KW - *Walking Speed KW - *Walking KW - eppi-reviewer4 ER - TY - JOUR TI - Predicting the Future Need of Walking Device or Assistance by Moderate to Vigorous Physical Activity: A 2-Year Prospective Study of Women Aged 75 Years and Above. AU - Adachi Takuji AU - Kamiya Kuniyasu AU - Kono Yuji AU - Iwatsu Kotaro AU - Shimizu Yuko AU - Honda Ikumi AU - Yamada Sumio T2 - BioMed Research International AB - Objective. To examine the association between daily moderate to vigorous physical activity (MVPA) and the change in mobility function among community-dwelling Japanese women aged 75 years and above. Methods. This prospective study included 330 older women aged 75 years and above who could walk without a walking device or assistance. MVPA and light-intensity physical activity (LPA) were assessed using an accelerometer for seven consecutive days. MVPA was defined as an activity with an intensity of >3 metabolic equivalents. The study outcome was a change in mobility function, defined as the need of walking device or assistance, during the two-year period. Results. The results of the logistic regression analysis showed that MVPA was inversely associated with a decline in mobility function after controlling for LPA and potential confounders (adjusted odds ratio (OR) = 0.93 per 1 min/d, 95% confidence interval (CI) = 0.88–0.99; P = 0.017), whereas LPA was not when adjusted for MVPA and confounders (adjusted OR = 0.99 per 1 min/d, 95% CI = 0.96–1.01; P = 0.245). The receiver operating characteristics analysis identified a 7.9 min/d of MVPA as the cut-off value. Conclusions. The results of this study suggest the importance of promoting daily MVPA for preventing mobility limitation in older women aged 75 years and above. DA - 2018/06// PY - 2018 DO - 10.1155/2018/1340479 VL - 2018 SP - 1 EP - 7 SN - 2314-6133 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130253410&site=ehost-live&scope=site KW - Female KW - Aged KW - Needs Assessment KW - Japan KW - Prospective Studies KW - ROC Curve KW - Odds Ratio KW - Confidence Intervals KW - Oxygen Consumption KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Community Living KW - Functional Status KW - Logistic Regression KW - Exercise Intensity KW - Ambulation Aids KW - Accelerometers KW - Physical Activity -- In Old Age -- Japan ER - TY - JOUR TI - Association between plasma alpha-aminobutyric acid and depressive symptoms in older community-dwelling adults in Japan. AU - Adachi Yusuke AU - Toyoshima Kenji AU - Nishimoto Rumi AU - Ueno Satoko AU - Tanaka Takayuki AU - Imaizumi Akira AU - Arashida Naoko AU - Nakamura Marie AU - Abe Yasuko AU - Hakamada Tomomi AU - Kaneko Eiji AU - Takahashi Soichiro AU - Jinzu Hiroko AU - Shimokado Kentaro T2 - Geriatrics & gerontology international AB - AIM: To examine the association between depressive symptoms and plasma amino acid related metaboli in older adults., METHODS: A total of 152 older adults aged >=65 years, residing in Niigata, Japan, were used for analysis. We evaluated depressive symptoms using the Geriatric Depression Scale-15, which has been validated in older community-dwelling individuals, and used a cut off score of >=5 to classify participants as having depressive symptoms. We used high-performance liquid chromatography-electrospray ionization mass spectrometry to measure the concentrations of plasma amino acid-related metabolites, and carried out logistic regression analysis to assess the association between depressive symptoms and plasma amino acid-related metabolites., RESULTS: Of the 119 older adults (mean age 76.3 years) included in the analysis, 22 were classified as having depressive symptoms (depressive group). There were no significant differences in physical and cognitive impairments between participants in the depressive and non-depressive groups. The plasma alpha-aminobutyric acid (AABA) level was significantly lower in the depressive group than in the non-depressive group (P < 0.001). Logistic regression analysis showed the best-fit model, which included AABA, leucine, threonine, hydroxyl proline and histidine levels (area under the receiver operating characteristic curve 0.8346; 95% confidence interval 0.7365-0.9326). In particular, the plasma AABA level was strongly associated with depressive symptoms., CONCLUSIONS: Plasma AABA level is significantly associated with depression symptoms in older community-dwelling adults in Japan. Thus, plasma AABA might serve as a potential marker of depression in older adults aged >=65 years. Geriatr Gerontol Int 2019; 19: 254-258. Copyright © 2018 Japan Geriatrics Society. DA - 2019/// PY - 2019 DO - 10.1111/ggi.13585 VL - 19 IS - 3 SP - 254 EP - 258 SN - 1447-0594 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30561103 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - *Independent Living KW - Cross-Sectional Studies KW - Japan KW - Geriatric Assessment KW - Depression/di [Diagnosis] KW - *Aminobutyrates/bl [Blood] KW - *Depression/bl [Blood] KW - eppi-reviewer4 ER - TY - JOUR TI - Estimation of reduced walking speed using simple measurements of physical and psychophysiological function in community-dwelling elderly people: a cross-sectional and longitudinal study. AU - Adachi Takuji AU - Kamiya Kuniyasu AU - Kono Yuji AU - Iwatsu Kotaro AU - Shimizu Yuko AU - Honda Ikumi AU - Yamada Sumio T2 - Aging clinical and experimental research AB - BACKGROUND: Early detection of reduced mobility function is important in elderly people. Usual walking speed is useful to assess mobility function, but is often not feasible in a community setting., AIMS: This study aimed to explore a simple surrogate indicator of usual walking speed in elderly people., METHODS: The participants were 516 community-dwelling elderly people. As a baseline survey, the usual walking speed and candidates of surrogate indicators including physical function and psychophysiological function were measured. After 2 years, the occurrence of mobility limitation was assessed., RESULTS: In cross-sectional analysis, a linear regression model with maximum step length, age, and sex presented the most favourable adjusted R2 of 0.426 for estimating usual walking speed. Maximum step length (MSL) also showed good predictive accuracy for usual walking speed < 0.8 m/s {area under the curve [AUC] 0.908 [95% confidence interval (CI) 0.811, 1.000]} and < 1.0 m/s [AUC 0.883 (95% CI) 0.832, 0.933)] in receiver-operating characteristic (ROC) analysis. In longitudinal analysis, the predictive accuracy of MSL for mobility limitation [AUC 0.813 (95% CI 0.752, 0.874)] was similar to that of usual walking speed [AUC 0.808 (95% CI 0.747, 0.869)] in ROC analysis., CONCLUSIONS AND DISCUSSION: The results of this study suggest that MSL may serve as a simple surrogate indicator of UWS in elderly people. DA - 2019/// PY - 2019 DO - 10.1007/s40520-018-0938-5 VL - 31 IS - 1 SP - 59 EP - 66 SN - 1594-0667 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29594823 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cross-Sectional Studies KW - Geriatric Assessment/mt [Methods] KW - Longitudinal Studies KW - Independent Living/sn [Statistics & Numerical Data] KW - ROC Curve KW - Linear Models KW - *Mobility Limitation KW - *Walking Speed/ph [Physiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Effect of locale on health status and direct care time of rural versus urban home health patients. AU - Adams C E AU - Michel Y AU - DeFrates D AU - Corbett C F T2 - The Journal of nursing administration AB - OBJECTIVE: The study purpose was to determine if health status differed between rural versus urban home health patients and to identify if locale was a significant predictor of home health direct care time., BACKGROUND: Implemented in October 2000, the Medicare home health prospective payment system (PPS) made only temporary allowance for differences in cost of delivering home health services in rural versus urban environments. However, past research documented differences in health status and service utilization between rural and urban home health patients., METHODS: Data were collected retrospectively on a convenience sample of 2,788 patient episodes of care. Patient health status was measured using items form the Outcome Assessment and Information Set (OASIS). Obtained from itinerary records, direct care time was the time clinicians spent in the home., RESULTS: The results showed significant differences in rural versus urban patients health status, with urban patients being healthier than rural patients. Consistent with poorer health status, rural patients received more RN direct care time. Other study factors being equal, living in a rural locale increased total direct care time by 150 minutes over living in an urban environment., CONCLUSIONS: Given the poorer health status and increased time requirements for rural patients, the results support assertions that Medicare per episode reimbursement should be higher for rural than for urban home health patients. DA - 2001/// PY - 2001 VL - 31 IS - 5 SP - 244 EP - 51 SN - 0002-0443 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=11388160 KW - Adult KW - Female KW - Humans KW - Male KW - Outcome Assessment (Health Care) KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Retrospective Studies KW - Time and Motion Studies KW - *Health Status KW - *Home Care Services/sn [Statistics & Numerical Data] KW - Health Services Research KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - Medicare KW - Washington KW - *Rural Health Services/sn [Statistics & Numerical Data] KW - Episode of Care KW - eppi-reviewer4 KW - *Urban Health Services/sn [Statistics & Numerical Data] KW - *Workload KW - Prospective Payment System ER - TY - JOUR TI - Reminiscence therapy for older women with depression: effects of nursing intervention classification in assisted-living long-term care AU - Adams John T2 - Nursing older people AB - Many nurses working with older people in Britain have explored the various dimensions of reminiscence therapy in their nursing practice. In the USA, an attempt has been made to specify reminiscence-based activities in a Nursing Interventions Classification (NIC). This quasi-experimental study used a convenience sample of 30 female residents (mean age 81.7 years) to measure the effect of a three-week, six-session NIC reminiscence intervention on levels of depression as measured by the Geriatric Depression Scale. The control group received unstructured recreational activities based around current events. The post-test results showed that those attending the NIC reminiscence group had significantly lower depression scores than those in the control group. DA - 2003/// PY - 2003 VL - 15 IS - 6 SP - 8 SN - 1472-0795 UR - https://dx.doi.org/10.7748/nop.15.6.8.s7 KW - eppi-reviewer4 ER - TY - JOUR TI - Older patients with chronic heart failure within Swedish community health care: a record review of nursing assessments and interventions AU - Adams John T2 - Nursing older people AB - Nursing records can provide a valuable source of information for the researcher. In this study, community nursing records for two periods of two years were reviewed retrospectively in order to locate and analyse statements relating to the monitoring of patients with chronic heart failure. The older people being studied were drawn from nursing homes, specialist housing for older people, and those living in their own homes. The total number of records included in the sample was 161, and appropriate instruments were used to collect the data in a systematic manner. However, the records were found to be largely ordered in a chronological sequence, and written in a narrative form, but without a shared format or structure. Drug administration was the most commonly recorded nursing intervention, while only 12 per cent of records indicated that patients were being weighed, and 3 per cent recorded health promotion activities. DA - 2004/// PY - 2004 VL - 16 IS - 2 SP - 8 SN - 1472-0795 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=27707236 KW - eppi-reviewer4 ER - TY - JOUR TI - Loneliness and depression in independent living retirement communities: risk and resilience factors AU - Adams K B AU - Sanders S AU - Auth E A T2 - Aging & mental health AB - Socio-emotional selectivity theory posits that as individuals age, they desire less social stimulation and novelty, and tend to select close, reliable relationships to meet their emotional needs. Residence in congregate facilities affords social exposure, yet does not guarantee access to close relationships, so that loneliness may be a result. Further, the gerontology literature has suggested that loneliness in late life may be a risk factor for serious mental health concerns such as depression. This article examined data on loneliness and depressive symptoms from older adults aged 60-98, residing in two age-segregated independent living facilities. Overlap between those scoring in the depressed range on the Geriatric Depression Scale and those scoring more than one standard deviation above the mean on the UCLA Loneliness Scale was less than 50%, although zero-order correlation of the two continuous scores was moderately high. Potential risk and resilience factors were regressed on the continuous scores of the two scales in separate hierarchical multiple regression analyses. Depression was predicted by being older, number of chronic health conditions, grieving a recent loss, fewer neighbor visitors, less participation in organized social activities and less church attendance. Grieving a recent loss, receiving fewer visits from friends, and having a less extensive social network predicted loneliness. In addition, loneliness scores explained about 8% of the unique variance in depression scores, suggesting it is an independent risk factor for depressive symptoms. Loneliness scores were seen to be more widely dispersed in these respondents, with less variance explained by the available predictors. Suggestions are made for addressing loneliness in older adults as a means of preventing more serious mental health consequences. DA - 2004/// PY - 2004 VL - 8 IS - 6 SP - 475 EP - 85 SN - 1360-7863 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=15724829 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Status KW - Social Support KW - Geriatric Assessment KW - *Loneliness/px [Psychology] KW - *Depression/px [Psychology] KW - Data Collection KW - *Housing for the Elderly KW - Social Isolation KW - eppi-reviewer4 ER - TY - JOUR TI - How accurate are Townsend Deprivation Scores as predictors of self-reported health? A comparison with individual level data AU - Adams J AU - Ryan V AU - White M T2 - Journal of public health (Oxford, England) AB - OBJECTIVES: To determine the accuracy of area based Townsend Deprivation Scores (TDSs) as proxies for individual level deprivation and to compare the ability of TDSs and individual level measures of deprivation to predict selfreported health., METHODS: Using data from a self completed health and behaviour survey sent to a random sample of households in Newcastle upon Tyne, UK, the ability of TDSs, calculated at the enumeration district and ward level, to predict selfreported health was compared to that of an individual level measure of deprivation similar to TDSs. The correlation between each of these measures of deprivation was also investigated., RESULTS: Enumeration district TDSs were similarly predictive of self-reported health as the individual level measure of deprivation. Ward-level TDSs showed a much weaker association with self-reported health. Although statistically significant, no deprivation measure accounted for more than 3 per cent of the variation in self-reported health. There was a strong correlation between the individual level measure of deprivation and enumeration district, but not ward-level TDSs., CONCLUSIONS: TDSs calculated at the enumeration district level are strongly correlated with a similar measure of deprivation calculated at the individual level and are similarly predictive of health. This is not the case for TDSs calculated at the ward level. Enumeration district TDSs are good proxies for individual level deprivation in Newcastle upon Tyne. This may not be the case in more mobile populations. DA - 2005/// PY - 2005 VL - 27 IS - 1 SP - 101 EP - 6 SN - 1741-3842 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=15564276 KW - Adolescent KW - Adult KW - Humans KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - Socioeconomic Factors KW - Educational Status KW - *Health Status Indicators KW - Family Characteristics KW - *Poverty Areas KW - Social Class KW - Employment KW - Self Concept KW - Censuses KW - United Kingdom/ep [Epidemiology] KW - *Residence Characteristics/cl [Classification] KW - eppi-reviewer4 KW - *Income/cl [Classification] KW - Catchment Area (Health)/ec [Economics] KW - Small-Area Analysis ER - TY - JOUR TI - Subthreshold depression: characteristics and risk factors among vulnerable elders AU - Adams Kathryn Betts AU - Moon Heehyul T2 - Aging & mental health AB - OBJECTIVES: This study examines symptoms of subthreshold depression among older adults in congregate housing, compared with their nondepressed peers, and tests a conceptual model of subthreshold depression. Hypotheses included that subthreshold depression would be characterized and distinguished by low energy, social withdrawal, and depletion, rather than sadness, and that subthreshold depressed elders would be distinguished by poorer health and functioning, loneliness, and grieving a recent loss., METHOD: A self-administered survey was followed by a diagnostic interview by telephone to (N = 166) white and African-American residents of independent and assisted living apartments from six retirement communities, average age 82.9 years. The Mini International Neuropsychiatric Interview (MINI) determined depression status. The 30-item Geriatric Depression Scale was used to measure symptoms., RESULTS: Forty-six individuals (27.7%) were identified as subthreshold depressed, seven as suffering from major depression, and 113 as non-depressed. Subthreshold depression was characterized by low energy, difficulty with initiative, worries about the future, lack of positive affect, sadness and irritability. Negative affect symptoms such as sadness and irritability best discriminated the subthreshold group from the nondepressed. Risk factors for subthreshold depression in this sample included less education, lower socio-economic status, African-American race, grieving, and social loneliness., CONCLUSION: Subthreshold depression in this group of residents of congregate housing was similar to the depletion experienced by many nondepressed elders, but further characterized by negative affect and lack of hope for the future. Social factors, such as socioeconomic status and personal losses, constituted greater risks for subthreshold depression than did health and functioning. DA - 2009/// PY - 2009 VL - 13 IS - 5 SP - 682 EP - 92 SN - 1364-6915 1360-7863 UR - https://dx.doi.org/10.1080/13607860902774501 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged, 80 and over KW - Assisted Living Facilities KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - Depressive Disorder/px [Psychology] KW - Affect KW - *Depressive Disorder/ep [Epidemiology] KW - Loneliness/px [Psychology] KW - Social Isolation/px [Psychology] KW - Homes for the Aged KW - African Americans/sn [Statistics & Numerical Data] KW - Interviews as Topic/mt [Methods] KW - Ohio/ep [Epidemiology] KW - Irritable Mood KW - Depressive Disorder/di [Diagnosis] KW - Causality KW - European Continental Ancestry Group/sn [Statistics & Numerical Data] KW - Psychiatric Status Rating Scales/sn [Statistics & Numerical Data] KW - African Americans/px [Psychology] KW - European Continental Ancestry Group/px [Psychology] KW - Grief KW - eppi-reviewer4 KW - Interview, Psychological/mt [Methods] ER - TY - JOUR TI - Validation of the Neighborhood Environment Walkability Scale (NEWS) items using geographic information systems AU - Adams Marc A AU - Ryan Sherry AU - Kerr Jacqueline AU - Sallis James F AU - Patrick Kevin AU - Frank Lawrence D AU - Norman Gregory J T2 - Journal of physical activity & health AB - BACKGROUND: Concurrent validity of Neighborhood Environment Walkability Scale (NEWS) items was evaluated with objective measures of the built environment using geographic information systems (GIS)., METHODS: A sample of 878 parents of children 10 to 16 years old (mean age 43.5 years, SD = 6.8, 34.8% non-White, 63.8% overweight) completed NEWS and the International Physical Activity Questionnaire. GIS was used to develop 1-mile street network buffers around participants' residences. GIS measures of the built environment within participants' buffers included percent of commercial and institutional land uses; number of schools and colleges, recreational facilities, parks, transit stops, and trees; land topography; and traffic congestion., RESULTS: Except for trees and traffic, concordance between the NEWS and GIS measures were significant, with weak to moderate effect sizes (r = -0.09 to -0.36, all P < or = 01). After participants were stratified by physical activity level, stronger concordance was observed among active participants for some measures. A sensitivity analysis of self-reported distance to 15 neighborhood destinations found a 20-minute (compared with 10- or 30-minute) walking threshold generally had the strongest correlations with GIS measures., CONCLUSIONS: These findings provide evidence of the concurrent validity of self-reported built environment items with objective measures. Physically active adults may be more knowledgeable about their neighborhood characteristics. DA - 2009/// PY - 2009 VL - 6 Suppl 1 SP - S113 EP - 23 SN - 1543-3080 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med6&NEWS=N&AN=19998857 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Child KW - Reproducibility of Results KW - *Exercise KW - *Residence Characteristics KW - *Environment Design KW - California KW - Geographic Information Systems KW - *Walking KW - *Data Collection/mt [Methods] KW - eppi-reviewer4 KW - City Planning ER - TY - JOUR TI - Reported coping strategies and depressive symptoms among African American and white residents of congregate housing AU - Adams Kathryn Betts AU - Roberts Amy Restorick T2 - Journal of gerontological social work AB - Chronic health conditions and living in congregate housing, both stressors and losses, are risk factors for late life depressive symptoms. We examined self-reported coping strategies and their associations with depressive symptoms among residents of congregate living facilities. Despite demographic differences between the African American and the White participants, reported coping for the 2 groups was similar, though more African Americans reported spiritual coping. Participants who reported coping through either positive attitude and adaptations or activity participation had fewer depressive symptoms, after controlling for demographics, health, functioning, and other types of coping. DA - 2010/// PY - 2010 VL - 53 IS - 6 SP - 473 EP - 94 SN - 1540-4048 0163-4372 UR - https://dx.doi.org/10.1080/01634372.2010.486431 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Social Support KW - *Assisted Living Facilities KW - Socioeconomic Factors KW - Interviews as Topic KW - *Adaptation, Psychological KW - *Depression/ep [Epidemiology] KW - Depression/et [Etiology] KW - *Aging/px [Psychology] KW - Depression/px [Psychology] KW - Depression/eh [Ethnology] KW - *African Americans/px [Psychology] KW - Homes for the Aged KW - African Americans/sn [Statistics & Numerical Data] KW - Ohio/ep [Epidemiology] KW - European Continental Ancestry Group/sn [Statistics & Numerical Data] KW - Psychiatric Status Rating Scales/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Religion KW - *European Continental Ancestry Group/px [Psychology] ER - TY - JOUR TI - Do the GDS and the GDS-15 adequately capture the range of depressive symptoms among older residents in congregate housing? AU - Adams Kathryn Betts T2 - International psychogeriatrics AB - BACKGROUND: In light of inconsistencies in cut points for identifying non-major depression, this study examined the classification efficiency of the Geriatric Depression Scale (GDS and GDS-15) total scores and individual items, and four additional depressive symptoms for identification of subthreshold, minor, or criterion depression among 166 vulnerable residents of congregate housing., METHODS: Depression (combined categories of major depressive episode, minor, or subthreshold depression) was determined by the Mini-International Neuropsychiatric Interview (MINI) diagnostic interview depression module administered by telephone to 166 older residents of congregate housing facilities who also completed the 30-item GDS and four other yes/no potential indicators of geriatric depression. Classification agreement and ROC curve analysis for the full and 15-item GDS scale scores were calculated. Individual item hit rates for MINI criterion were calculated for GDS items and four new items., RESULTS: GDS and GDS-15 at standard cut points had 70-75% agreement with MINI. Best sensitivity and specificity were obtained at lower than standard cut points. Some GDS Withdrawal, Apathy, lack of Vigor (WAV) and cognitive items obtained very low hit rates. New items "I just don't feel like myself" and "I feel I am a burden to others" better discriminated MINI depression than most GDS items and had good item-to-total correlations with the GDS., CONCLUSIONS: Diagnostic criteria and GDS screen had partial agreement. Some GDS items did not adequately represent depression among functionally impaired or oldest old older adults. Feeling one is a burden and the sense of feeling "different" from usual may be useful indicators of depression among vulnerable older adults. DA - 2011/// PY - 2011 VL - 23 IS - 6 SP - 950 EP - 60 SN - 1741-203X 1041-6102 UR - https://dx.doi.org/10.1017/S1041610210002425 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Status KW - Age Factors KW - Severity of Illness Index KW - Depression/px [Psychology] KW - *Housing for the Elderly KW - *Depression/di [Diagnosis] KW - Sensitivity and Specificity KW - Housing for the Elderly/sn [Statistics & Numerical Data] KW - Interview, Psychological KW - Psychiatric Status Rating Scales/sn [Statistics & Numerical Data] KW - *Psychiatric Status Rating Scales KW - Depressive Disorder, Major/di [Diagnosis] KW - Depressive Disorder, Major/px [Psychology] KW - eppi-reviewer4 KW - Psychiatric Status Rating Scales/st [Standards] ER - TY - JOUR TI - Spirituality and Aging in Place: The Impact of Extreme Climatic Conditions on Domestic Gardening Practice AU - Adams Joanne AU - Pascal Jan AU - Dickson-Swift Virginia T2 - International journal of aging & human development AB - There is limited research exploring how domestic water restrictions imposed as a result of drought conditions impact upon the lives of independently living older people. Within this age group (60 years plus), the domestic garden frequently forms an intrinsic component of ongoing health and well-being. Gardening practice offers components of both mental and physical activity and, for many older people, leads to emotional and spiritual connection on a number of levels. The capacity of older people to maintain a garden during a period of water restrictions is greatly reduced, and the resulting impact on health and well-being is considerable. A recent study, conducted in south-eastern Australia, aimed to determine the benefits to health and well-being of maintaining a domestic garden for older people and the impact of water restrictions on garden practice. This occurred at a time following a prolonged period of drought and, in central Victoria, a complete ban on outside watering. In-depth qualitative interviews were conducted with 10 gardeners aged between 60 and 83 who had tended their garden over an extended period. The lived experience of gardening was explored through hermeneutic phenomenological analysis. Clear benefits to health and well-being were established, and yet, the essence of this experience lay in the capacity of gardeners to remain connected to their garden despite change. The crisis imposed by ongoing drought and restricted use of water generated a strong impetus for adaptation, resilience and acceptance of change. The spiritual nature of gardening practice clearly emerged and appeared to intensify the experience of gardening and consolidate adaption to change on a number of levels. Copyright © The Author(s) 2015. DA - 2014/// PY - 2014 VL - 80 IS - 1 SP - 10 EP - 26 SN - 0091-4150 UR - https://dx.doi.org/10.1177/0091415015591107 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living/px [Psychology] KW - *Personal Satisfaction KW - *Aging/px [Psychology] KW - *Spirituality KW - *Emotions/ph [Physiology] KW - eppi-reviewer4 KW - *Gardening ER - TY - JOUR TI - Estimating Dementia and Receipt of Informal Care Using Behavioral Risk Factor Surveillance System Data. AU - Adams Mary T2 - American Journal of Alzheimer's Disease & Other Dementias AB - Introduction: Estimates of US adults with dementia differ widely and don’t distinguish adults living in the community. Methods: Behavioral Risk Factor Surveillance System data from 120 485 households in 21 states that used a cognitive decline module in 2011 were used. Data for both respondents and other adults with subjective cognitive decline (SCD) were included through proxy responses. Using responses to questions about the receipt of informal care for their SCD and diagnosed dementia, estimates were made for each state. Results: Overall, 2.9% (range: 1.5% in Tennessee to 5.3% in Arkansas) of all noninstitutionalized adults in these states received informal care for their SCD and 0.9% (range: 0.5% in Tennessee to 2.0% in Arkansas) were estimated to have dementia. Limiting results to respondents reduced estimates significantly. Discussion: Combined results for respondents and nonrespondents from a representative telephone survey provide varying estimates of SCD-related measures across states, highlighting the need for state-specific estimates. DA - 2017/05// PY - 2017 DO - 10.1177/1533317517698792 VL - 32 IS - 3 SP - 129 EP - 136 SN - 1533-3175 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122718640&site=ehost-live&scope=site KW - Adult KW - Dementia KW - Cognition Disorders KW - Tennessee KW - eppi-reviewer4 KW - Human KW - Data Analysis Software KW - Descriptive Statistics KW - Alzheimer's Disease KW - Community Living KW - Arkansas KW - Behavior Rating Scales KW - Caring KW - Proxy ER - TY - JOUR TI - Off the Radar? Addressing housing disrepair to improve health in later life. AU - Adams Susan Marie T2 - Working with Older People: Community Care Policy & Practice AB - Purpose: The purpose of this paper is to highlight the pivotal role of initiatives that address housing disrepair, home improvements and adaptations as a way of improving health, independence and quality of life in older age. Design/methodology/approach: The author uses data from housing and health, combined with the author's experience of policy formulation as well as working with older people and developing practical services, particularly those which address private sector housing stock condition. Findings: As well as its massive economic impact, housing greatly affects people's health and wellbeing, not only in later life but across the life course. In England, there is a long history of systematic, government backed action to improve and maintain housing stock condition. There are significant economic and social gains from a coherent national response to addressing private sector housing disrepair, including creation of employment opportunities, economic stimulus through enabling best use of assets, as well as health and social care gains. In addition to increasing housing supply through building much needed new homes, existing housing stock disrepair needs once again to be "on the radar" of policy makers operating across health, social care and housing. Concerted action to make homes safe, healthy places to live in later life, whatever an older person's tenure, requires vision and innovation and is an essential element in the integration of health, social care - and housing. With significant funding constraints in local authorities, especially for adult social care, and in the context of growing pressures on the NHS, sustaining good health in later life is more important than ever. There is a compelling case for cross-sector action to reduce health hazards in ordinary, private housing, given that 79 per cent of older people who live in non-decent homes are owner occupiers. This is an opportune moment for Health and Wellbeing Boards to take a lead on this issue at a local level, as well as time to put housing stock condition back "On the Radar" of national government policy. Social implications: There is a need to embed practical housing services in the emerging integrated health and care systems in order to extend healthy later life for the majority of older people who live in mainstream housing. Originality/value: The author draws on over 30 years' experience of innovation, development and evaluation of older people's housing, services and policy development to provide a vision for greater integration across health, care and housing. [ABSTRACT FROM AUTHOR] Copyright of Working with Older People: Community Care Policy & Practice is the property of Emerald Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2017/10// PY - 2017 VL - 21 IS - 4 SP - 224 EP - 228 SN - 13663666 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=125846368&site=ehost-live&scope=site KW - England KW - Aging KW - Psychology KW - eppi-reviewer4 KW - Senior housing KW - Quality of life KW - Elder care KW - Older people KW - Independent living KW - Adaptability (Psychology) KW - Adaptation (Physiology) KW - Age friendly society KW - Ageing well KW - Economics KW - Health status indicators KW - Hospital admissions KW - Medical care KW - Medical policy KW - National health services KW - Social care KW - Social services KW - Well-being ER - TY - JOUR TI - Feasibility of trial procedures for a randomised controlled trial of a community based group exercise intervention for falls prevention for visually impaired older people: the VIOLET study. AU - Adams Nicola AU - Skelton Dawn A AU - Howel Denise AU - Bailey Cathy AU - Lampitt Rosy AU - Fouweather Tony AU - Gray Joanne AU - Coe Dorothy AU - Wilkinson Jennifer AU - Gawler Sheena AU - de Jong AU - Lex D AU - Waterman Heather AU - Deary Vincent AU - Clarke Michael AU - Parry Steve W T2 - BMC geriatrics AB - BACKGROUND: Visually impaired older people (VIOP) have a higher risk of falling than their sighted peers, and are likely to avoid physical activity. The aim was to adapt the existing Falls Management Exercise (FaME) programme for VIOP, delivered in the community, and to investigate the feasibility of conducting a definitive randomised controlled trial (RCT) of this adapted intervention., METHODS: Two-centre randomised mixed methods pilot trial and economic evaluation of the adapted group-based FaME programme for VIOP versus usual care. A one hour exercise programme ran weekly over 12 weeks at the study sites (Newcastle and Glasgow), delivered by third sector (voluntary and community) organisations. Participants were advised to exercise at home for an additional two hours over the week. Those randomised to the usual activities group received no intervention. Outcome measures were completed at baseline, 12 and 24 weeks. The potential primary outcome was the Short Form Falls Efficacy Scale - International (SFES-I). Participants' adherence was assessed by reviewing attendance records and self-reported compliance to the home exercises. Adherence with the course content (fidelity) by instructors was assessed by a researcher. Adverse events were collected in a weekly phone call., RESULTS: Eighteen participants, drawn from community-living VIOP were screened; 68 met the inclusion criteria; 64 participants were randomised with 33 allocated to the intervention and 31 to the usual activities arm. 94% of participants provided data at the 12 week visit and 92% at 24 weeks. Adherence was high. The intervention was found to be safe with 76% attending nine or more classes. Median time for home exercise was 50 min per week. There was little or no evidence that fear of falling, balance and falls risk, physical activity, emotional, attitudinal or quality of life outcomes differed between trial arms at follow-up., CONCLUSIONS: The intervention, FaME, was implemented successfully for VIOP and all progression criteria for a main trial were met. The lack of difference between groups on fear of falling was unsurprising given it was a pilot study but there may have been other contributory factors including suboptimal exercise dose and apparent low risk of falls in participants. These issues need addressing for a future trial., TRIAL REGISTRATION: Current Controlled Trials ISRCTN ID: 16949845 Registered: 21 May 2015. DA - 2018/// PY - 2018 DO - 10.1186/s12877-018-0998-6 VL - 18 IS - 1 SP - 307 SN - 1471-2318 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30541483 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Accidental Falls/pc [Prevention & Control] KW - *Exercise Therapy/mt [Methods] KW - Feasibility Studies KW - *Residence Characteristics KW - Exercise/px [Psychology] KW - Pilot Projects KW - *Exercise/ph [Physiology] KW - Quality of Life/px [Psychology] KW - Exercise Therapy/px [Psychology] KW - Fear/px [Psychology] KW - Fear/ph [Physiology] KW - eppi-reviewer4 KW - *Visually Impaired Persons/rh [Rehabilitation] KW - Visually Impaired Persons/px [Psychology] ER - TY - JOUR TI - Olfactory Dysfunction Predicts Subsequent Dementia in Older U.S. Adults. AU - Adams Dara R AU - Kern David W AU - Wroblewski Kristen E AU - McClintock Martha K AU - Dale William AU - Pinto Jayant M T2 - Journal of the American Geriatrics Society AB - Objectives: To investigate the relationship between olfactory dysfunction and subsequent diagnosis of dementia. Design: Longitudinal study of a population representative of U.S. older adults. Setting: Home interviews (National Social Life, Health, and Aging Project). Participants: Men and women aged 57 to 85 (N = 2,906). Measurements: Objective odor identification ability was measured at baseline using a validated five‐item test. Five years later, the respondent, or a proxy if the respondent was too sick to interview or had died, reported physician diagnosis of dementia. The association between baseline olfactory dysfunction and an interval dementia diagnosis was tested using multivariate logistic regression, controlling for age, sex, race and ethnicity, education, comorbidities (modified Charlson Comorbidity Index), and cognition at baseline (Short Portable Mental Status Questionnaire). Results: Older adults with olfactory dysfunction had more than twice the odds of having developed dementia 5 years later (odds ratio = 2.13, 95% confidence interval = 1.32–3.43), controlling for the above covariates. Having more odor identification errors was associated with greater probability of an interval dementia diagnosis (P = .04, 1‐degree of freedom linear‐trend test). Conclusion: We show for the first time in a nationally representative sample that home‐dwelling older adults with normal cognition and difficulty identifying odors face higher odds of being diagnosed with dementia 5 years later, independent of other significant risk factors. This validated five‐item odor identification test is an efficient, low‐cost component of the physical examination that can provide useful information while assessing individuals’ risk of dementia. Use of such testing may provide an opportunity for early interventions to reduce the attendant morbidity and public health burden of dementia. DA - 2018/01// PY - 2018 DO - 10.1111/jgs.15048 VL - 66 IS - 1 SP - 140 EP - 144 SN - 0002-8614 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127501142&site=ehost-live&scope=site KW - Female KW - Male KW - United States KW - Aged KW - Cognition KW - Prospective Studies KW - Comorbidity KW - Odds Ratio KW - Multivariate Analysis KW - Confidence Intervals KW - Physicians KW - Physical Examination KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Interviews KW - Questionnaires KW - Middle Age KW - Community Living -- In Old Age KW - Logistic Regression KW - Dementia -- Diagnosis KW - Short Portable Mental Status Questionnaire KW - Dementia -- Risk Factors KW - Dementia, Senile -- United States KW - Odors KW - Olfaction Disorders ER - TY - JOUR TI - Facilitating successful aging: encouraging older adults to be physically active. AU - Adams-Fryatt A T2 - Journal for Nurse Practitioners AB - Participation in regular physical activity has the potential to change the way we age. Evidence indicates that engaging in regular physical activity can provide dramatic physical, mental, and social benefits to older adults and decrease overall any-cause mortality. For older adults, the focus changes, and beside the promotion of health, maintenance of independent living becomes paramount. Nurse practitioners (NPs) must counsel older adults on the benefits of physical activity. The Stages of Change theory can be used to encourage older adults to change sedentary behavior and become more active. DA - 2010/03// PY - 2010 DO - 10.1016/j.nurpra.2009.11.007 VL - 6 IS - 3 SP - 187 EP - 192 SN - 1555-4155 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105150697&site=ehost-live&scope=site KW - Aged KW - Aging KW - eppi-reviewer4 KW - Health Promotion -- In Old Age KW - Physical Activity -- In Old Age KW - Transtheoretical Stages of Change Model ER - TY - JOUR TI - Exploring the experiences of patients attending day hospitals in the rural Scotland: capturing the patient's voice AU - Adamson Elizabeth AU - Pow Janette AU - Houston Fiona AU - Redpath Pamela T2 - Journal of clinical nursing AB - AIMS AND OBJECTIVES: To understand the meaning of person-centred compassionate care for people attending day hospitals in rural Scotland., BACKGROUND: Increasing numbers of older people are living with chronic conditions and require support to live at home. Intermediate care services such as day hospitals can enable this. Much previous research about day hospitals focused on organisational aspects of care. This study set out to capture the voice of the patient using this service., DESIGN: A descriptive qualitative study., METHODS: Individual interviews were undertaken in participant's homes using emotional touchpoints as prompts to help patients discuss their experience of care within a day hospital (n = 15). Data were analysed using thematic analysis., RESULTS: Four main themes were identified from the data: Relationships, Feeling Valued, Expectations and Perceived Benefits. The findings showed that relationships with staff and other patients were important. The patients also wanted to feel valued, and helping others was part of this. The patients had clear expectations of the service but had an acute awareness of the benefits of attending the day hospital such as coordination of their care. Overall, the patients were highly satisfied, felt that care was person-centred and recognised the advantages of remaining close to home., CONCLUSIONS: At a time when enabling health and social care integration is a priority, this study provides insight into the patient perspective of intermediate care. The findings reveal what matters to patients cared for in the community and how this service can respond to this., RELEVANCE TO CLINICAL PRACTICE: This study provides insight for healthcare practitioners caring for patients in the community and those responsible for planning and resourcing this service. It should also start a dialogue about how these services could be used more. Copyright © 2016 John Wiley & Sons Ltd. DA - 2017/// PY - 2017 VL - 26 IS - 19-20 SP - 3044 EP - 3055 SN - 1365-2702 0962-1067 UR - https://dx.doi.org/10.1111/jocn.13651 KW - Female KW - Humans KW - Male KW - Scotland KW - Aged KW - Aged, 80 and over KW - Qualitative Research KW - *Health Services for the Aged/st [Standards] KW - Chronic Disease/th [Therapy] KW - *Patient-Centered Care/mt [Methods] KW - Rural Population KW - Patient Satisfaction KW - eppi-reviewer4 KW - *Day Care, Medical/px [Psychology] ER - TY - JOUR TI - Quality improvement nursing facilities: a nursing leadership perspective. AU - Adams-Wendling Linda AU - Lee Robert T2 - Journal of gerontological nursing AB - The purposes of this study were to characterize the state of quality improvement (QI) in nursing facilities and to identify barriers to improvement from nursing leaders' perspectives. The study employed a non-experimental descriptive design, using closed- and open-ended survey questions in a sample of 51 nursing facilities in a midwestern state. Only two of these facilities had active QI programs. Furthermore, turnover and limited training among these nursing leaders represented major barriers to rapid implementation of such programs. This study is consistent with earlier findings that QI programs are limited in nursing homes. DA - 2005/// PY - 2005 VL - 31 IS - 11 SP - 36 EP - 41 SN - 0098-9134 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=16317992 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Attitude of Health Personnel KW - Surveys and Questionnaires KW - Health Care Surveys KW - Forecasting KW - Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - Nurse-Patient Relations KW - *Quality of Health Care KW - *Leadership KW - Homes for the Aged/td [Trends] KW - Nursing Homes/td [Trends] KW - Geriatric Nursing/st [Standards] KW - eppi-reviewer4 KW - *Nurse Administrators/st [Standards] KW - *Professional Competence KW - Geriatric Nursing/td [Trends] KW - Nurse Administrators/td [Trends] ER - TY - JOUR TI - Adaptations of public areas of blocks of flats...Proceedings of the 10th Congress of the European Federation for Research in Rehabilitation, Riga, Latvia, 09-12 September 2009 AU - Sorri L T2 - International Journal of Rehabilitation Research VL - 32 SP - S56 EP - 7 SN - 0342-5282 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105444938&site=ehost-live&scope=site KW - Aged KW - Housing KW - Finland KW - Architectural Accessibility KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Interviews KW - Case Studies KW - Home Environment KW - Disabled ER - TY - JOUR TI - Impact of senior center friendships on aging women who live alone AU - Aday Ronald H AU - Kehoe Gayle C AU - Farney Lori A T2 - Journal of women & aging AB - Elderly women who live alone are considered at greater risk for loneliness, depression, and decreased mobility. This paper examines the influences of late-life friendships and senior center activities on the health and well-being of aging women living alone. Based on the findings from 274 women living alone it was found that the senior center is an excellent environment where new supportive friendships can easily be formed. These friendships and other center activities have positive mental and physical outcomes. Using a comparison group of 171 elderly women living with their spouses, it was discovered that women who lived alone participated in center activities more frequently and, as a result, also created a social network that extended outside of the center environment. DA - 2006/// PY - 2006 VL - 18 IS - 1 SP - 57 EP - 73 SN - 0895-2841 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16635950 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Interpersonal Relations KW - Activities of Daily Living KW - Health Status KW - *Quality of Life KW - *Assisted Living Facilities KW - *Social Support KW - Mental Health KW - *Loneliness KW - Loneliness/px [Psychology] KW - Social Isolation/px [Psychology] KW - *Social Isolation KW - eppi-reviewer4 KW - *Friends KW - Friends/px [Psychology] ER - TY - JOUR TI - The health, social care and housing needs of lesbian, gay, bisexual and transgender older people: a review of the literature AU - Addis Samia AU - Davies Myfanwy AU - Greene Giles AU - Macbride-Stewart Sara AU - Shepherd Michael T2 - Health & social care in the community AB - This paper reports the findings of a literature review of the health, social care and housing needs of older lesbian, gay, bisexual and transgender (LGBT) adults undertaken in 2006 for the Welsh Assembly Government. Peer-reviewed literature was identified through database searches of BNI, PubMed, CINAHL, DARE, ASSIA and PsychInfo. Follow-up searches were conducted using references to key papers and journals as well as specific authors who had published key papers. A total of 187 papers or chapters were retrieved, of which 66 were included in the study; major themes were identified and the findings synthesised using a meta-narrative approach. The main themes that emerged from the review were isolation, health behaviours, mental health and sexual health behaviours. The literature indicates that the health, social care and housing needs of LGBT older people is influenced by a number of forms of discrimination which may impact upon the provision of, access to and take up of health, social care and housing services. Understanding of the health, social care and housing needs of older LGBT people is limited and research in this area is scarce. The research which exists has been criticised for using small samples and for tending to exclude participants from less affluent backgrounds. The focus of research tends to be on gay men and lesbians; consequently, the needs of bisexual and transgender people remain largely unknown. Additionally, research which does exist tends to focus on a narrow range of health issues, often related to the health needs of younger LGBT people. Discrimination in various forms has a major impact on needs and experiences, leading to marginalisation of LGBT people both in the provision of health and social care services and neglect of these groups in public health research. DA - 2009/// PY - 2009 VL - 17 IS - 6 SP - 647 EP - 58 SN - 1365-2524 0966-0410 UR - https://dx.doi.org/10.1111/j.1365-2524.2009.00866.x KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - *Social Support KW - *Health Services Needs and Demand KW - *Housing KW - *Delivery of Health Care KW - eppi-reviewer4 KW - *Bisexuality KW - *Homosexuality, Female KW - *Homosexuality, Male ER - TY - JOUR TI - Hip but not thigh intramuscular adipose tissue is associated with poor balance and increased temporal gait variability in older adults AU - Addison Odessa AU - Young Patricia AU - Inacio Mario AU - Bair Woei-Nan AU - Prettyman Michelle G AU - Beamer Brock A AU - Ryan Alice S AU - Rogers Mark W T2 - Current aging science AB - BACKGROUND: Intramuscular adipose tissue (IMAT) of the lower extremity is a strong negative predictor of mobility function. Variability in temporal gait factors is another important predictor of mobility function. The purpose of this study was to examine the relationships between IMAT in the hip and thigh muscles, balance, and temporal gait variability in older adults., METHODS: Forty-eight healthy community dwelling older adults (74 +/- 1 year) underwent a CT scan to quantify IMAT in the gluteus maximus (Gmax), gluteus medius/minimus (Gmed/min), hamstrings, vastus lateralis, and adductor muscles. Temporal Gait measures were collected on a GAITRite walkway and gait variability was determined by calculating intraindividual standard deviations. Individuals were divided by tertiles of temporal gait variability into categories of high, medium, and low variability. Differences in the IMAT of the hip abductors were calculated for those with high and low gait variability and partial correlations for gait variability and all muscle composition measures were determined for all variables with normalized gait speed as a covariate., RESULTS: Gmed/min IMAT was greater in those with higher gait variability compared to those with lower gait variability (p<0.05). Gmed/min IMAT was related to stride width variability (r=0.30, p<0.05). Gmax IMAT was also related to time variability of swing (r=0.42), stance (r=0.26), double limb support (r=0.43), double support loading (r=0.44), and double support unloading (r=0.50) (all p<0.05)., CONCLUSION: Increased IMAT in the proximal hip muscles, particularly the hip abductors, was associated with increased gait variability and poorer balance. These findings may have implications for the assessment and treatment of balance and falls such that interventions for enhancing balance and mobility among older individuals should take into account the importance of gluteal muscle composition. DA - 2014/// PY - 2014 VL - 7 IS - 2 SP - 137 EP - 43 SN - 1874-6128 1874-6098 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med10&NEWS=N&AN=24998419 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Independent Living KW - Time Factors KW - *Aging KW - Age Factors KW - *Postural Balance KW - *Gait KW - Predictive Value of Tests KW - *Sensation Disorders/pp [Physiopathology] KW - Sensation Disorders/et [Etiology] KW - Tomography, X-Ray Computed KW - *Muscle, Skeletal/pp [Physiopathology] KW - *Adiposity KW - Psoas Muscles/dg [Diagnostic Imaging] KW - Muscle, Skeletal/dg [Diagnostic Imaging] KW - eppi-reviewer4 KW - *Gait Disorders, Neurologic/pp [Physiopathology] KW - Gait Disorders, Neurologic/dg [Diagnostic Imaging] KW - Gait Disorders, Neurologic/et [Etiology] KW - Hip KW - Psoas Muscles/pp [Physiopathology] KW - Quadriceps Muscle/dg [Diagnostic Imaging] KW - Quadriceps Muscle/pp [Physiopathology] KW - Sensation Disorders/dg [Diagnostic Imaging] KW - Thigh KW - Ultrasonography ER - TY - JOUR TI - Sarcopenia in Peripheral Arterial Disease: Prevalence and Effect on Functional Status. AU - Addison Odessa AU - Prior Steven J AU - Kundi Rishi AU - Serra Monica C AU - Katzel Leslie I AU - Gardner Andrew W AU - Ryan Alice S T2 - Archives of Physical Medicine & Rehabilitation AB - Objectives (1) To determine the prevalence of sarcopenia in older men with peripheral arterial disease (PAD); (2) to compare a subgroup of the group with age-, race-, sex-, and body mass index (BMI)–matched non-PAD control counterparts, and (3) to compare the functional status of those with PAD with and without sarcopenia. Design Cohort study. Setting Medical center. Participants Sedentary community-dwelling men (N=108; age, >50y) with a confirmed diagnosis of PAD (44% blacks; BMI, 27.8±0.4kg/m 2 ; ankle-brachial index, .62±.01). Interventions Not applicable. Main Outcome Measures Dual-energy x-ray absorptiometry scans were used to assess appendicular lean mass and determine the prevalence of sarcopenia by/height 2 . Treadmill tests were used to determine claudication onset time, peak walking time, and claudication recovery time. 6-Minute walk distance was also measured. Results Sarcopenia prevalence in our PAD cohort was 25%. The PAD subgroup (n=42) matched with control counterparts in terms of race, sex, age, and BMI had higher prevalence rates than did their non-PAD counterparts (23.8% vs 2.4%; P <.05). Individuals with sarcopenia (n=28) had a shorter 6-minute walk distance (326±18.8m vs 380±9.7m; P <.05) and higher claudication recovery time (592±98s vs 395±29s; P <.05) than did individuals with PAD but without sarcopenia (n=80). There was no difference in claudication onset time or peak walking time between the PAD groups. Conclusions Men with PAD demonstrate a high prevalence of sarcopenia. Those with sarcopenia and PAD demonstrate decreased mobility function. DA - 2018/04// PY - 2018 DO - 10.1016/j.apmr.2017.10.017 VL - 99 IS - 4 SP - 623 EP - 628 SN - 0003-9993 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128647687&site=ehost-live&scope=site KW - Male KW - Prevalence KW - Body Mass Index KW - Walking KW - Absorptiometry, Photon KW - eppi-reviewer4 KW - Human KW - Middle Age KW - Descriptive Statistics KW - Community Living KW - Functional Status KW - Clinical Assessment Tools KW - P-Value KW - Physical Mobility KW - Intermittent Claudication KW - Life Style, Sedentary KW - Peripheral Vascular Diseases KW - Sarcopenia -- Diagnosis KW - Treadmills ER - TY - JOUR TI - Addressing ethical issues during data collection in long-term care communities. AU - Sharpp Tara AU - Young Heather M T2 - Communicating Nursing Research VL - 44 SP - 118 EP - 118 SN - 0160-1652 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108207739&site=ehost-live&scope=site KW - Aged KW - Caregivers KW - Dementia KW - Inpatients KW - eppi-reviewer4 KW - Human KW - Interviews KW - Assisted Living KW - Funding Source KW - Ethnographic Research KW - Participant Observation KW - Data Collection -- Ethical Issues KW - Ethics, Nursing KW - Long Term Care -- In Old Age KW - Nurse Researchers KW - Quality of Health Care -- In Old Age KW - Research Ethics ER - TY - JOUR TI - Cognitive Impairment Among the Aging Population in a Community in Southwest Nigeria AU - Adebiyi Akindele O AU - Ogunniyi Adesola AU - Adediran Babatunde A AU - Olakehinde Olaide O AU - Siwoku Akeem A T2 - Health education & behavior : the official publication of the Society for Public Health Education AB - BACKGROUND: Vascular risk models can be quite informative in assisting the clinician to make a prediction of an individual's risk of cognitive impairment. Thus, a simple marker is a priority for low-capacity settings. This study examines the association of selected simple to deploy vascular markers with cognitive impairment in an elderly population., METHOD: This cross-sectional study assessed the cognitive functions of older persons 65 years and older in southwest Nigeria. Vascular parameters and risk factors were also measured. Analysis was done using SPSS, and logistic regression was used to explore the association between cognitive impairment and certain vascular risk factors such as elevated blood pressure, diabetes, and pulse pressure., RESULTS: The study population comprised 623 participants (29.1% men) with mean age 73 +/- 8.9 years. Having mean arterial pressure (MAP) and pulse pressure in the fourth quartiles (27% and 29.9%, respectively) was significantly associated with cognitive impairment (p= .001,p< .001). Predicted cardiovascular risks of 10% or more was significantly associated with cognitive impairment (p< .001). After adjusting for age, gender, educational level, and years of smoking, those with MAP in the fourth quartile were up to 3 times more likely to have cognitive impairment compared to those within the first quartile., CONCLUSION: Our study demonstrated that among elderly Nigerians, MAPs of 114 mmHg and more was an independent predictor of cognitive impairment. This is a simple measure that is available in low-capacity areas. Copyright © 2016 Society for Public Health Education. DA - 2016/// PY - 2016 VL - 43 IS - 1 Suppl SP - 93S EP - 9S SN - 1552-6127 1090-1981 UR - https://dx.doi.org/10.1177/1090198116635561 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Cross-Sectional Studies KW - *Cognitive Dysfunction/ep [Epidemiology] KW - *Aging/px [Psychology] KW - Blood Pressure/ph [Physiology] KW - Nigeria/ep [Epidemiology] KW - eppi-reviewer4 KW - Hypertension ER - TY - JOUR TI - The effect of dental insurance on the ranking of dental treatment needs in older residents of Durham Region's homes for the aged AU - Adegbembo Albert O AU - Leake James L AU - Main Patricia A AU - Lawrence Herenia L AU - Chipman Mary L T2 - Journal (Canadian Dental Association) AB - The effect of dental insurance on the ranking of dental needs in older adults has not been reported previously. We examined this effect using data obtained from a cross-sectional survey of older adults living in homes for the aged in Durham Region, Ontario. History of dental insurance was obtained during interviews. Dental needs, assessed during clinical examinations, were ranked from no need to urgent need according to the guideline of the American Dental Association. The associations between the rank of dental needs, dental insurance and other factors were analyzed with the Kruskal Wallis test, chi-square test, analysis of variance and multiple logistic regression. Of the 252 participants, 80 (31.7%) had been insured continuously since 1974, 69 (27.4%) had no need for dental treatment and 59 (23.4%) needed urgent dental care. More of the continuously insured than the uninsured residents were dentate (46/80 [57.5%] vs. 75/172 [43.6%], p = 0.04). Ranking of the need for care was not significantly influenced by dental insurance; need of any kind was explained by being dentate (odds ratio 12.3, 95% confidence interval 5.6 27.3). DA - 2002/// PY - 2002 VL - 68 IS - 7 SP - 412 SN - 1488-2159 0709-8936 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=12119091 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - Cross-Sectional Studies KW - Analysis of Variance KW - Interviews as Topic KW - Statistics, Nonparametric KW - Sensitivity and Specificity KW - Homes for the Aged KW - Ontario KW - Attitude to Health KW - Chi-Square Distribution KW - *Health Services Needs and Demand/sn [Statistics & Numerical Data] KW - Health Services Needs and Demand/ec [Economics] KW - *Dental Care for Aged/sn [Statistics & Numerical Data] KW - *Dental Care for Aged/ec [Economics] KW - eppi-reviewer4 KW - *Insurance, Dental/sn [Statistics & Numerical Data] KW - Dental Care for Aged/px [Psychology] KW - Insurance Coverage ER - TY - JOUR TI - The influence of dental insurance on institutionalized older adults in ranking their oral health status AU - Adegbembo Albert O AU - Leake James L AU - Main Patricia A AU - Lawrence Herenia P AU - Chipman Mary L T2 - Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry AB - To assess whether dental insurance influences how institutionalized older adults ages 65 and older rank their oral health status, a census survey was designed for residents of Durham's (Canada) Municipal Homes for the Aged. The odds ratio (OR) and the Cochran & Mantel-Haenszel's OR were used to estimate the crude and adjusted effect of dental insurance on oral health status, respectively. Overall, 64 percent participated in the interview. Oral health status was ranked as "good," "very good" or "excellent" by 57 percent of the participants. This ranking was clearly unrelated to the residents having dental insurance, as only 28 percent had dental coverage. Significant effect modifiers included age, dental status and whether the participant had visited the dentist within the last year. Dental insurance positively influenced how dentate participants ranked their oral health status (OR = 2.26; 95 percent CI = 1.19; 4.28). In edentulous participants, age and visiting the dentist within the last year modified the effect of dental insurance on oral health status. Having dental insurance reduced the odds of reporting "good," "very good" or "excellent" oral health (OR = 0.20; 95 percent CI = 0.08; 0.49) among the participants ages 85 and older who did not visit the dentist within the last year; however, the opposite was true for their younger counterparts who visited the dentist within the last year (OR = 7.20; 95 percent CI = 1.08; 47.96). In this population, therefore, dental insurance was associated with higher oral health status rank among the dentate, but its effect on the edentulous population depended on age and the pattern of visiting the dentist. DA - 2005/// PY - 2005 VL - 25 IS - 6 SP - 275 EP - 85 SN - 0275-1879 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16463599 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - *Oral Health KW - Age Factors KW - *Attitude to Health KW - Canada KW - *Health Status KW - Personal Satisfaction KW - Social Class KW - Homes for the Aged KW - Health Behavior KW - Dentition KW - *Institutionalization KW - eppi-reviewer4 KW - Insurance Coverage KW - *Insurance, Dental KW - Dental Care KW - Mouth, Edentulous/px [Psychology] ER - TY - JOUR TI - "Please listen to me": A cross-sectional study of experiences of seniors and their caregivers making housing decisions. AU - Adekpedjou Rheda AU - Stacey Dawn AU - Briere Nathalie AU - Freitas Adriana AU - Garvelink Mirjam M AU - Turcotte Stephane AU - Menear Matthew AU - Bourassa Henriette AU - Fraser Kimberley AU - Durand Pierre J AU - Dumont Serge AU - Roy Lise AU - Legare France T2 - PloS one AB - BACKGROUND: Little is known about the decision-making experiences of seniors and informal caregivers facing decisions about seniors' housing decisions when objective decision making measures are used., OBJECTIVES: To report on seniors' and caregivers' experiences of housing decisions., DESIGN: A cross-sectional study with a quantitative approach supplemented by qualitative data., SETTING: Sixteen health jurisdictions providing home care services, Quebec province, Canada., PARTICIPANTS: Two separate samples of seniors aged >= 65 years and informal caregivers of cognitively impaired seniors who had made a decision about housing., MEASUREMENTS: Information on preferred choice and actual choice about housing, role assumed in the decision, decisional conflict and decision regret was obtained through closed-ended questionnaires. Research assistants paraphrased participants' narratives about their decision-making experiences and made other observations in standardized logbooks., RESULTS: Thirty-one seniors (median age: 85.5 years) and 48 caregivers (median age: 65.1 years) were recruited. Both seniors and caregivers preferred that the senior stay at home (64.5% and 71.7% respectively). Staying home was the actual choice for only 32.2% of participating seniors and 36.2% of the seniors cared for by the participating caregivers. Overall, 93% seniors and 71% caregivers reported taking an active or collaborative role in the decision-making process. The median decisional conflict score was 23/100 for seniors and 30/100 for caregivers. The median decision regret score was the same for both (10/100). Qualitative analysis revealed that the housing decision was influenced by factors such as seniors' health and safety concerns and caregivers' burden of care. Some caregivers felt sad and guilty when the decision did not match the senior's preference., CONCLUSION: The actual housing decision made for seniors frequently did not match their preferred housing option. Advanced care planning regarding housing and better decision support are needed for these difficult decisions. DA - 2018/// PY - 2018 DO - 10.1371/journal.pone.0202975 VL - 13 IS - 8 SP - e0202975 SN - 1932-6203 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=30161238 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Qualitative Research KW - *Caregivers/px [Psychology] KW - Cross-Sectional Studies KW - *Housing KW - *Decision Making KW - Emotions KW - Safety KW - Cost of Illness KW - Conflict (Psychology) KW - eppi-reviewer4 ER - TY - JOUR TI - The test-retest reliability of 10 meters maximal walking speed in older people living in a residential care unit AU - Adell Eva AU - Wehmhorner Silke AU - Rydwik Elisabeth T2 - Journal of geriatric physical therapy (2001) AB - BACKGROUND AND PURPOSE: It is very important to analyze and estimate physical limitations in older people to prevent falls and further physical decline. Walking speed can be used as an outcome measure for evaluating a physical exercise program, but to do so, relative and absolute reliability need to be established. No studies have evaluated the reliability of maximal walking speed in an aged population with different medical diagnoses. Therefore, the aim of this study was to investigate the reliability of walking speed through test retest in older people living in a residential care unit., METHODS: A sample of older people living in a residential care unit was invited to participate in the study. Maximal walking speed was measured for a distance of 10 m with an acceleration and deceleration phase of 2 m each. Data were collected twice for each individual within a 1-week interval., RESULTS: Thirty-one subjects participated on both test occasions. The mean age was 89 years (74-100 years); 25 women and 6 men participated. The test-retest analysis showed an intraclass correlation coefficient (1,1) of 0.86 between the 2 tests. The mean value of the first occasion was 0.97 m/s (SD = 0.30 m/s), and the mean value of the second occasion was 0.95 m/s (SD = 0.29 m/s). The mean difference was -0.03 m/s (SD = 0.16 m/s), and the 95% limits of agreement for the mean difference were -0.33 to 0.27., DISCUSSION AND CONCLUSION: A maximum walking speed test in institution-dwelling older people aged 65 years and older, with several different diagnoses, shows high reliability. The method is easy to perform in a clinical setting at a minimal cost and can be recommended for use in this group before and after a training period. However, the variance of -0.33 to +0.27 m/s needs to be considered when evaluating the effect of a training period. DA - 2013/// PY - 2013 VL - 36 IS - 2 SP - 74 EP - 7 SN - 2152-0895 1539-8412 UR - https://dx.doi.org/10.1519/JPT.0b013e318264b8ed KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - *Geriatric Assessment/mt [Methods] KW - *Homes for the Aged KW - *Nursing Homes KW - *Walking/ph [Physiology] KW - *Exercise Test/mt [Methods] KW - eppi-reviewer4 ER - TY - JOUR TI - Functional tooth units and nutritional status of older people in care homes in Indonesia AU - Adiatman Melissa AU - Ueno Masayuki AU - Ohnuki Mari AU - Hakuta Chiyoko AU - Shinada Kayoko AU - Kawaguchi Yoko T2 - Gerodontology AB - OBJECTIVES: To investigate the relationship between functional tooth units (FTUs) and nutritional status., METHODS: One hundred females (mean age: 72.4 +/- 8.2 years) at four private care homes in Jakarta, Indonesia were interviewed and clinically examined. The oral examination included the assessment of teeth, prosthetic status, and number of FTUs. The total number of FTUs was further divided by tooth composition: natural tooth against natural tooth (NN-FTUs), natural tooth against denture (ND-FTUs), and denture against denture (DD-FTUs). Nutritional status was evaluated using the body mass index (BMI) and the Mini Nutritional Assessment (MNA)., RESULTS: The mean numbers of teeth present, NN-FTUs, ND-FTUs, DD-FTUs, and total FTUs were 13.1 +/- 10.4, 1.7 +/- 3.0, 1.2 +/- 3.3, 0.4 +/- 1.2 and 3.3 +/- 4.4, respectively. The mean BMI and MNA scores were 24.8 +/- 5.0 and 22.6 +/- 2.8, respectively. Subjects with a normal BMI had a significantly higher total number of FTUs (3.6 +/- 4.6) compared with underweight subjects (0.1 +/- 0.3). Subjects with a normal MNA had a significantly higher number of NN-FTU (2.6 +/- 3.7) compared to those who were at risk or in a state of under-nutrition (1.2 +/- 2.4)., CONCLUSION: This study revealed significant relationships between the number of FTUs and nutritional status. Keeping the posterior occlusion should be emphasized in order to maintain good nutritional status in older subjects. Copyright © 2012 John Wiley & Sons A/S and The Gerodontology Society. Published by John Wiley & Sons Ltd. DA - 2013/// PY - 2013 VL - 30 IS - 4 SP - 262 EP - 9 SN - 1741-2358 0734-0664 UR - https://dx.doi.org/10.1111/j.1741-2358.2012.00673.x KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Status KW - *Nutritional Status KW - Cross-Sectional Studies KW - Oral Health KW - *Homes for the Aged KW - Geriatric Assessment KW - Nutrition Assessment KW - Body Mass Index KW - Educational Status KW - Dentures KW - Malnutrition/pp [Physiopathology] KW - Health Behavior KW - Indonesia KW - Marital Status KW - Oral Hygiene KW - eppi-reviewer4 KW - Dental Care KW - *Tooth/ph [Physiology] KW - Thinness/pp [Physiopathology] ER - TY - JOUR TI - Ophthalmic survey of an old people's home in Nigeria AU - Adio A O T2 - Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria AB - BACKGROUND: Old people's home is a relatively new experience in Nigeria. Data on the pattern of ocular morbidity among inmates are examined with the aim of making suitable recommendations., METHOD: An old people's home in Port Harcourt was the site of this survey carried out in February 2004. The following data was collected from all inmates-name, sex, age, length of stay, visual acuity, main cause of ocular morbidity, past medical history. Intraocular pressure was measured as indicated. Refractions were carried out on the spot., RESULTS: The male to female ratio of the 20 inmates was 2:3. The age range was from 70-105 years with a mean of 85 years, 7 months +/- 12.14 (SD). The mean duration of stay was 7 years with 50% staying there less than 5 years. 60% had associated systemic illnesses. 85% had visual acuity of less than 3/60 in the better eye. Cataract was the cause of 40% of the ocular morbidity and also caused 57% of the blindness., CONCLUSION: This study emphasizes the need for regular check up of our geriatric population to enable early detection of ocular health problems and thus prevent avoidable disability and dependency. Social support and health insurance could also improve outcome and uptake of treatment options. DA - 2006/// PY - 2006 VL - 15 IS - 3 SP - 288 EP - 90 SN - 1115-2613 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=17111761 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Institutionalization KW - *Geriatric Assessment KW - Pilot Projects KW - Visual Acuity KW - Nigeria/ep [Epidemiology] KW - *Length of Stay/sn [Statistics & Numerical Data] KW - *Vision Screening KW - eppi-reviewer4 KW - *Eye Diseases/ep [Epidemiology] KW - Eye Diseases/di [Diagnosis] ER - TY - JOUR TI - Third sector partnerships for older people: insights from live at home schemes in the UK. AU - Adisa Olumide T2 - Working with Older People: Community Care Policy & Practice AB - Purpose While there is a rich literature on the role of partnerships between statutory agencies and third sector organisations for public service delivery in health and social care, the evidence base on, partnerships between community-based groups and charities for older people in the UK is lacking. Drawing on quantitative and qualitative data, the purpose of this paper is to examines partnerships within 46 live at home (LAH) schemes. These schemes were specifically designed to tackle isolation and promote independence and wellbeing by providing a wide range of activities, based on the needs of its members.Design/methodology/approach This study is based on an online survey of 46 LAH schemes and face-to-face interviews with seven scheme managers to capture data on the various partnership initiatives within the LAH schemes.Findings Third sector partnerships for older people varied by type – formal, semi-formal and informal. In addition, third sector partnership working fosters the achievement of clear outcomes for older people who LAH and could be a mechanism for building social capital in communities. The study also identified barriers to developing third sector partnerships within this context. Mapping existing partnerships in LAH schemes were considered to be useful in engaging with partners. LAH scheme managers were better able to identify partnerships that could be deepened and broadened, depending on the desired outcomes.Originality/value To the author’s knowledge, there are few studies on third sector partnership working in LAH schemes for older people. According to Age UK, there are 1.2m chronically lonely older people in the UK. Over half of all people aged 75 and over live alone (ONS, 2015). Loneliness and social isolation in later life are considered to be two of the largest health concerns we face. Scaling up these third sector partnerships may offer a credible way to shore up support for older people who live alone or want to live at home. [ABSTRACT FROM AUTHOR] Copyright of Working with Older People: Community Care Policy & Practice is the property of Emerald Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2018/07// PY - 2018 VL - 22 IS - 3 SP - 148 EP - 153 SN - 13663666 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=132400922&site=ehost-live&scope=site KW - Loneliness KW - Psychology KW - eppi-reviewer4 KW - Thematic analysis KW - Interviewing KW - Research methodology KW - Older people KW - Social isolation KW - Independent living KW - Surveys KW - Data analysis software KW - Descriptive statistics KW - Great Britain KW - Ageing well KW - Social services KW - Active aging KW - Case study (Research) KW - Community building KW - Community health services KW - Institutional cooperation KW - Living at home KW - Old age KW - Quantitative research KW - Social capital KW - Third sector partnerships ER - TY - JOUR TI - Using a mindfulness-based procedure in the community: translating research to practice. AU - Adkins AD AU - Singh AN AU - Winton ASW AU - McKeegan GF AU - Singh J T2 - Journal of Child & Family Studies DA - 2010/04// PY - 2010 DO - 10.1007/s10826-009-9348-9 VL - 19 IS - 2 SP - 175 EP - 183 SN - 1062-1024 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105139878&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Prospective Studies KW - Virginia KW - Psychological Tests KW - eppi-reviewer4 KW - Human KW - Case Studies KW - Behavioral Changes KW - Community Living KW - Scales KW - Aggression KW - Pretest-Posttest Design KW - Cognitive Therapy -- Methods KW - Control (Psychology) KW - Disruptive Behavior KW - Experimental Studies KW - Meditation KW - Mentally Disabled Persons KW - State-Trait Anxiety Inventory ER - TY - JOUR TI - Pharmacy students' attitudes toward geriatric nursing home patients AU - Adkins Donna M AU - Mayhew Susan L AU - Gavaza Paul AU - Rahman Shams T2 - American journal of pharmaceutical education AB - OBJECTIVE: To determine the attitudes of second-year pharmacy students toward older people in general and geriatric patients in particular after attending an Early Pharmacy Practice Experiences 2 course., METHODS: One hundred forty-four second-year pharmacy students completed the Geriatrics Knowledge Test and Attitudes Survey between 2008 and 2010., RESULTS: On 11 of 14 items, most students had a favorable opinion of older people and providing geriatric care (mean > 3.0 on a 5-point scale). For example, students believed that treatment of chronically ill elderly patients is not hopeless ( 4.2 +/- 1.0) and that most older people are pleasant to be with ( 3.8 +/- 1.0). Gender, age, race/ethnicity, marital status, having children, and rural or non-rural upbringing were not related to the students' attitudes for most items., CONCLUSION: Although the majority of second-year pharmacy students had favorable attitudes toward older people and geriatric care, the lack of research in this area suggests that further studies are needed. DA - 2012/// PY - 2012 VL - 76 IS - 5 SP - 81 SN - 1553-6467 0002-9459 UR - https://dx.doi.org/10.5688/ajpe76581 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Age Factors KW - Nursing Homes/og [Organization & Administration] KW - *Attitude of Health Personnel KW - Homes for the Aged/og [Organization & Administration] KW - *Health Services for the Aged/og [Organization & Administration] KW - *Health Knowledge, Attitudes, Practice KW - eppi-reviewer4 KW - *Students, Pharmacy/px [Psychology] ER - TY - JOUR TI - The older driver with Parkinson's disease. AU - Adler G AU - Rottunda S AU - Bauer M AU - Kuskowski M T2 - Journal of Gerontological Social Work AB - This study surveyed older drivers with Parkinson's disease (PD) and a control group for the purpose of obtaining information about driving history, habits, and expectations about driving cessation. Compared to control subjects, PD drivers were more likely to have reduced their driving over the past 5 years (p = 0.002). In addition, PD drivers had significantly more crashes (p = 0.003). Not surprisingly, families of PD drivers expressed greater concern about patient driving (p = 0.0001). Because of the complexities of the issue of driving and PD, social workers have the responsibility to provide emotional and practical supports to their PD clients and family members. DA - 2000/12// PY - 2000 VL - 34 IS - 2 SP - 39 EP - 49 SN - 0163-4372 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107023866&site=ehost-live&scope=site KW - Aged KW - Odds Ratio KW - Social Workers KW - Confidence Intervals KW - Psychological Tests KW - eppi-reviewer4 KW - Human KW - Middle Age KW - Support, Psychosocial KW - Funding Source KW - Surveys KW - Community Living -- In Old Age KW - Comparative Studies KW - Logistic Regression KW - Psychomotor Performance -- In Old Age KW - Accidents, Traffic KW - Automobile Driving -- In Old Age KW - Cognition -- Evaluation -- In Old Age KW - Mental Status -- Evaluation -- In Old Age KW - Parkinson Disease -- In Old Age ER - TY - JOUR TI - Teaching massage to nursing students of geriatrics through active learning AU - Adler Patricia A T2 - Journal of holistic nursing : official journal of the American Holistic Nurses' Association AB - The use of massage in nursing practice has declined through the years in favor of high-tech interventions. This article describes a project using active learning to teach nursing students massage with dementia residents in assisted living. Students participated in a workshop to practice basic relaxation massage techniques with the guidance of their clinical instructor and then provided massages to resident volunteers. Afterward, students discussed their experience and completed a resident assessment form. The students requested more such activities, and the residents and facility management invited the students to return for another session. The instructor observed growth in the students' assessment skills and in their confidence. Use of massage to teach nursing students how to care for and relate to older adults with cognitive impairment is recommended. Further research is needed on the use of massage as an active learning method for nursing students in long-term care. DA - 2009/// PY - 2009 VL - 27 IS - 1 SP - 51 EP - 6 SN - 0898-0101 UR - https://dx.doi.org/10.1177/0898010108329132 KW - Humans KW - *Dementia/nu [Nursing] KW - *Geriatric Nursing/ed [Education] KW - *Clinical Competence KW - eppi-reviewer4 KW - *Competency-Based Education/mt [Methods] KW - *Education, Nursing, Baccalaureate/mt [Methods] KW - *Massage/ed [Education] KW - Students, Nursing/px [Psychology] ER - TY - JOUR TI - Driving decision-making in older adults with dementia. AU - Adler G T2 - Dementia (14713012) AB - Drivers with dementia, like most other drivers, are reluctant to relinquish their driving privileges, making discussions about driving cessation difficult and of great concern to family. To better understand how driving decisions are made 13 focus groups were held with 65 participants including current drivers with dementia, their spouses, and spouses of former drivers with dementia. Results documented the use of compensation strategies by drivers with dementia and their families to maintain safe driving behaviors given declining skills, identified a lack of planning for driving cessation even in light of expectations of cessation, confirmed a desire that driving decisions be a responsibility shared between families and professionals, and showed that diagnostic delays hamper families in making long-term plans. Given the desires and needs of drivers and their spouses, a shared, consistent, and unified approach to driving decisions between professionals and families is needed. DA - 2010/02// PY - 2010 DO - 10.1177/1471301209350289 VL - 9 IS - 1 SP - 45 EP - 60 SN - 1471-3012 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105213024&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Focus Groups KW - Neuropsychological Tests KW - Educational Status KW - Professional-Patient Relations KW - Family Relations KW - Adaptation, Psychological KW - Sensitivity and Specificity KW - Safety KW - Spouses KW - Professional Role KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Qualitative Studies KW - Data Analysis Software KW - Middle Age KW - Thematic Analysis KW - Exploratory Research KW - Descriptive Statistics KW - Gerontologic Care KW - Community Living KW - Decision Making, Patient KW - Support Groups KW - Dementia -- Diagnosis KW - Diagnosis, Delayed KW - Scales KW - Summated Rating Scaling KW - Psychomotor Performance -- In Old Age KW - Decision Making, Family KW - Accidents, Traffic KW - Automobile Driving -- In Old Age KW - Dementia -- Psychosocial Factors -- In Old Age KW - Family Role KW - Judgment ER - TY - JOUR TI - Factors associated with long-term urinary catheterisation and its impact on urinary tract infection among older people in the community: a population-based observational study in a city in Japan. AU - Adomi Motohiko AU - Iwagami Masao AU - Kawahara Takashi AU - Hamada Shota AU - Iijima Katsuya AU - Yoshie Satoru AU - Ishizaki Tatsuro AU - Tamiya Nanako T2 - BMJ open AB - OBJECTIVES: This study aimed to identify factors associated with long-term urinary catheterisation (LTUC) in community-dwelling older adults and to evaluate the risk of urinary tract infection (UTI) among people with LTUC., DESIGN: Population-based observational study., SETTING: Medical and long-term care insurance claims data from one municipality in Japan., PARTICIPANTS: People aged >=75 years living at home who used medical services between October 2012 and September 2013 (n=32 617)., OUTCOME MEASURES: (1) Use of LTUC, defined as urinary catheterisation for at least two consecutive months, to identify factors associated with LTUC and (2) the incidence of UTI, defined as a recorded diagnosis of UTI and prescription of antibiotics, in people with and without LTUC., RESULTS: The 1-year prevalence of LTUC was 0.44% (143/32 617). Multivariable logistic regression analysis showed that the male sex, older age, higher comorbidity score, previous history of hospitalisation with in-hospital use of urinary catheters and high long-term care need level were independently associated with LTUC. The incidence rate of UTI was 33.8 and 4.7 per 100 person-years in people with and without LTUC, respectively. According to multivariable Poisson regression analysis, LTUC was independently associated with UTI (adjusted rate ratio 2.58, 95% CI 1.68 to 3.96). Propensity score-matched analysis yielded a similar result (rate ratio 2.41, 95% CI 1.45 to 4.00)., CONCLUSIONS: We identified several factors associated with LTUC in the community, and LTUC was independently associated with the incidence of UTI. Copyright © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. DA - 2019/// PY - 2019 DO - 10.1136/bmjopen-2018-028371 VL - 9 IS - 6 SP - e028371 SN - 2044-6055 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=31221889 KW - eppi-reviewer4 ER - TY - JOUR TI - Effect of settlement on nutrition and health status of pastoral Gabra women of reproductive age in Kalacha Location, Marsabit County, Kenya. AU - Adongo Amos Otieno AU - Shell-Duncan Bettina AU - Prisca Tuitoek AU - J T2 - Public health nutrition AB - OBJECTIVE: The objective of the present study was to evaluate the effect of settlement on the nutrition and health status of pastoral women of reproductive age., DESIGN: A cross-sectional survey that included a 24 h dietary recall was administered to 224 randomly selected Gabra women. Height and weight were used to compute BMI. Whole capillary blood was used to measure Hb. Additional capillary blood was collected on filter paper and dried blood spots were analysed for transferritin receptor, C-reactive protein and a1-acid glycoprotein. Descriptive statistics were used to analyse population characteristics. The t test and the x2 test were used to determine population differences. Multiple criteria models were used to determine the prevalence of Fe deficiency, anaemia and inflammation., SETTING: Settled and semi-settled women in Kalacha Location in Marsabit County, Kenya., SUBJECT: Non-pregnant women aged 15-49 years., RESULTS: Fe repletion was observed in 43% of settled and 40% of semi-settled women. Fe-deficiency erythropoiesis in was found in 18% of settled and 20% of semi-settled women, whereas 15% of settled compared with 25% of semi-settled women were suffering from Fe-deficiency anaemia. Anaemia due to chronic diseases was more prevalent in semi-settled women than in settled women, and more common than Fe-deficiency anaemia., CONCLUSIONS: Settled women were significantly less anaemic than semi-settled women, but had similarly high levels of chronic energy deficiency. While anaemia and Fe deficiency were more pronounced in semi-settled than settled women, anaemia of chronic disease and chronic infection were highly prevalent in both communities. Policies should be put in place to improve overall nutrition among pastoral women. DA - 2013/// PY - 2013 DO - 10.1017/S136898001200496X VL - 16 IS - 9 SP - 1622 EP - 30 SN - 1368-9800 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=23218134 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Young Adult KW - Middle Aged KW - Chronic Disease KW - Prevalence KW - *Nutritional Status KW - Cross-Sectional Studies KW - *Health Status KW - *Residence Characteristics KW - *Women's Health KW - Anemia/bl [Blood] KW - *Anemia/ep [Epidemiology] KW - Hemoglobins/me [Metabolism] KW - eppi-reviewer4 KW - *Anemia, Iron-Deficiency/ep [Epidemiology] KW - *Iron/df [Deficiency] KW - Agriculture KW - Anemia, Iron-Deficiency/bl [Blood] KW - Erythropoiesis KW - Infection/co [Complications] KW - Kenya/ep [Epidemiology] ER - TY - JOUR TI - Adult day groups: addressing older people's needs for activity and companionship AU - Tse Tamara AU - Linsey Howie T2 - Australasian Journal on Ageing AB - Adult day groups (ADGs) are used by older adults living at home in the community in Australia. Their aim is to prevent social isolation and to maintain independence through supporting social networks and providing a program of activities that enhance the physical, intellectual and social well-being of the participants and carers. The purpose of this study was to examine the experience of and reasons why older people attend ADGs. An ethnographic study of four ADGs in Victoria, Australia was conducted over a 4-month period. The study included observation of the four ADGs and interviews with eight clients, comprising five women and three men. Four major themes were derived from data analysis. The first was related to the importance of companionship with staff and clients of the ADGs. The second revealed how participants valued keeping occupied in activities not achievable at home, while the third identified how home was experienced as a place where time passed slowly and there were insufficient things to do. Lastly, participants identified dissatisfactions with ADGs. Community based programs that foster companionship and meaningful and purposeful occupations in older age are desirable. Improvements to ADGs to better meet the occupational and activity needs of older people living at home are suggested. VL - 24 IS - 3 SP - 134 EP - 140 SN - 14406381 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=17922560&site=ehost-live&scope=site KW - eppi-reviewer4 KW - AUSTRALIA KW - COMMUNITY life KW - SOCIAL groups KW - Well-being KW - Activity participation KW - ADULTHOOD KW - Ageing KW - SOCIAL isolation KW - SOCIAL psychology ER - TY - JOUR TI - Past and present geographic location as oral health markers among older adults. AU - Adut Rina AU - Mann Jonathan AU - Sgan-Cohen Harold D T2 - Journal of public health dentistry AB - OBJECTIVES: This study evaluated the association between oral health status of community-dwelling elderly adults visiting day health centers in Israel and geographic living location., METHODS: Oral status was assessed through clinical examination, with additional data obtained using a questionnaire addressing demographic characteristics, dental utilization, and perceived oral health needs., RESULTS: A representative sample of 338 subjects was examined. Fifty-four percent of the sample was edentulous. Higher rates of edentulism were found among subjects living in urban areas compared to subjects living in rural areas (P<.01). More edentate subjects were found among European immigrants than among immigrants from North Africa or subjects born in Israel (P<.01). Among dentate subjects, the mean number of remaining teeth was 10.4. The mean periodontal loss of attachment was 5.8 mm. Less than 10 percent had mean attachment loss <4 mm. Among subjects living in rural areas, mean attachment loss was higher than among those living in urban areas (P=.05). The mean DF score was 1.9. Forty-seven percent had at least one tooth with untreated caries. Subjects living in urban areas tended to utilize dental services more than subjects living in rural areas (P<.01)., CONCLUSION: Results indicate that present (urban or rural) and past (country of origin) geographic location represented a significant oral health risk marker. The implementation of a comprehensive program for this target population was clearly indicated. DA - 2004/// PY - 2004 VL - 64 IS - 4 SP - 240 EP - 3 SN - 0022-4006 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=15562948 KW - Humans KW - Aged KW - Aged, 80 and over KW - *Oral Health KW - Residence Characteristics/sn [Statistics & Numerical Data] KW - *Health Status KW - *Residence Characteristics KW - Health Services Needs and Demand/sn [Statistics & Numerical Data] KW - Dental Care/sn [Statistics & Numerical Data] KW - Ethnic Groups/sn [Statistics & Numerical Data] KW - Dental Caries/ep [Epidemiology] KW - Jaw, Edentulous, Partially/ep [Epidemiology] KW - DMF Index KW - Urban Health/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Africa, Northern/eh [Ethnology] KW - Day Care, Medical KW - Europe/eh [Ethnology] KW - Israel/ep [Epidemiology] KW - Mouth, Edentulous/ep [Epidemiology] KW - Periodontal Attachment Loss/ep [Epidemiology] KW - Rural Health/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Medication regimen complexity in institutionalized elderly people in an aging society AU - Advinha Ana Margarida AU - de Oliveira-Martins AU - Sofia AU - Mateus Vanessa AU - Pajote Sara Grou AU - Lopes Manuel Jose T2 - International journal of clinical pharmacy AB - BACKGROUND: Complex medication regimens may adversely affect compliance and treatment outcomes. Complexity can be assessed with the medication regimen complexity index (MRCI), which has proved to be a valid, reliable tool, with potential uses in both practice and research., OBJECTIVE: To use the MRCI to assess medication regimen complexity in institutionalized elderly people., SETTING: Five nursing homes in mainland Portugal., METHODS: A descriptive, cross-sectional study of institutionalized elderly people (n = 415) was performed from March to June 2009, including all inpatients aged 65 and over taking at least one medication per day., MAIN OUTCOME MEASURE: Medication regimen complexity index., RESULTS: The mean age of the sample was 83.9 years (+/-6.6 years), and 60.2 % were women. The elderly patients were taking a large number of drugs, with 76.6 % taking more than five medications per day. The average medication regimen complexity was 18.2 (+/-SD = 9.6), and was higher in the females (p < 0.001). The most decisive factors contributing to the complexity were the number of drugs and dosage frequency. In regimens with the same number of medications, schedule was the most relevant factor in the final score (r = 0.922), followed by pharmaceutical forms (r = 0.768) and additional instructions (r = 0.742)., CONCLUSION: Medication regimen complexity proved to be high. There is certainly potential for the pharmacist's intervention to reduce it as part as the medication review routine in all the patients. DA - 2014/// PY - 2014 VL - 36 IS - 4 SP - 750 EP - 6 SN - 2210-7711 UR - https://dx.doi.org/10.1007/s11096-014-9963-4 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Nursing Homes KW - Cross-Sectional Studies KW - *Aging KW - *Polypharmacy KW - Sex Characteristics KW - *Prescription Drugs/tu [Therapeutic Use] KW - Homes for the Aged KW - Prescription Drugs/ad [Administration & Dosage] KW - Portugal KW - *Practice Patterns, Physicians' KW - Drug Administration Schedule KW - *Medication Reconciliation KW - Medical Records KW - eppi-reviewer4 ER - TY - JOUR TI - Assessment of the elderly's functional ability to manage their medication: a systematic literature review AU - Advinha Ana Margarida AU - Lopes Manuel Jose AU - de Oliveira-Martins AU - Sofia T2 - International journal of clinical pharmacy AB - Background The evaluation of the elderly's ability to manage medication through the use of a validated tool can be a significant step in identifying inabilities and needs, with the objective of increasing their self-care skills, and promoting successful aging. Aim of the review To identify studies assessing the elderly's functional ability to manage their own medication. Method For the search strategy, the PICO method was used: P-Population (elderly), I-Instruments (tools for assessing medication management ability), C-Context (community) and O-Outcomes (functional ability to manage medication). The final search query was run in MEDLINE/PubMed, CINAHL Plus, ISI Web of Science and Scopus. The whole process was developed according to the PRISMA statement. Results The search retrieved 8051 records. In each screening stage, the selection criteria were applied to eliminate records where at least one of the exclusion criteria was verified. At the end of this selection, we obtained a total of 18 papers (17 studies). The results allow the conclusion to be drawn that studies use several different instruments, most of them not validated. The authors agree that medication management abilities decrease as cognitive impairment increases, even if a lot of studies assess only the physical dimension. DRUGS was the instrument most often used. Conclusion Older adults' ability to manage their medication should be assessed using tools specifically built and validate for the purpose. DRUGS (which uses the real regimen taken by the elderly) was the most widely used assessment instrument in the screened studies. DA - 2017/// PY - 2017 VL - 39 IS - 1 SP - 1 EP - 15 SN - 2210-7711 UR - https://dx.doi.org/10.1007/s11096-016-0409-z KW - Humans KW - Aged KW - Cross-Sectional Studies KW - Independent Living/px [Psychology] KW - *Self Care/px [Psychology] KW - Cognition Disorders/ep [Epidemiology] KW - *Self Care/mt [Methods] KW - Cognition Disorders/px [Psychology] KW - *Disease Management KW - *Medication Adherence/px [Psychology] KW - eppi-reviewer4 KW - Cognition Disorders/dt [Drug Therapy] ER - TY - JOUR TI - Addressing the needs of terminally-ill patients in Bosnia-Herzegovina: patients' perceptions and expectations. AU - Aebischer Perone AU - S AU - Nikolic R AU - Lazic R AU - Dropic E AU - Vogel T AU - Lab B AU - Lachat S AU - Hudelson P AU - Matis C AU - Pautex S AU - Chappuis F T2 - BMC palliative care AB - BACKGROUND: Many terminally ill patients in Bosnia-Herzegovina (BiH) fail to receive needed medical attention and social support. In 2016 a primary healthcare centreer (PHCC) in Doboj (BiH) requested the methodological and technical support of a local partner (Fondacija fami) and the Geneva University Hospitals to address the needs of terminally ill patients living at home. In order to design acceptable, affordable and sustainable solutions, we involved patients and their families in exploring needs, barriers and available resources., METHODS: We conducted interviews with 62 purposely selected patients using a semi-structured interview guide designed to elicit patients' experiences, needs and expectations. Both qualitative and quantitative analyses were conducted, using an inductive thematic approach., RESULTS: While patients were aware that their illnesses were incurable, they were poorly informed about medical and social support resources available to them. Family members appeared to be patients' main source of support, and often suffered from exhaustion and financial strain. Patients expressed feelings of helplessness and lack of control over their health. They wanted more support from health professionals for pain and other symptom management, as well as for anxiety and depression. Patients who were bedridden or with reduced mobility expressed strong feelings of loneliness, social exclusion, and stigma from community members and - occasionally - from health workers., CONCLUSIONS: Our findings suggest a wide gap between patients' end-of-life care needs and existing services. In order to address the medical, psychological and social needs of terminally ill patients, a multi-pronged approach is called for, including not only better symptom management through training of health professionals and improved access to medication and equipment, but also a coordinated inter-professional, inter-institutional and multi-stakeholder effort aimed at offering comprehensive medical, psycho-social, educational and spiritual support. DA - 2018/// PY - 2018 DO - 10.1186/s12904-018-0377-2 VL - 17 IS - 1 SP - 123 SN - 1472-684X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30454032 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Communication KW - Qualitative Research KW - Social Support KW - Interviews as Topic KW - *Health Services Accessibility/sn [Statistics & Numerical Data] KW - *Palliative Care KW - Palliative Care/st [Standards] KW - *Patient Satisfaction/sn [Statistics & Numerical Data] KW - Physician-Patient Relations KW - eppi-reviewer4 KW - *Needs Assessment/og [Organization & Administration] KW - *Terminally Ill/px [Psychology] KW - Bosnia and Herzegovina ER - TY - JOUR TI - Substantiated Reports of Child Maltreatment From the Canadian Incidence Study of Reported Child Abuse and Neglect 2008: Examining Child and Household Characteristics and Child Functional Impairment AU - Afifi Tracie O AU - Taillieu Tamara AU - Cheung Kristene AU - Katz Laurence Y AU - Tonmyr Lil AU - Sareen Jitender T2 - Canadian journal of psychiatry. Revue canadienne de psychiatrie AB - OBJECTIVE: Identifying child and household characteristics that are associated with specific child maltreatment types and child functional impairment are important for informing prevention and intervention efforts. Our objectives were to examine the distribution of several child and household characteristics among substantiated child maltreatment types in Canada; to determine if a specific child maltreatment type relative to all other types was associated with increased odds of child functional impairment; and to determine which child and household characteristics were associated with child functional impairment., METHOD: Data were from the Canadian Incidence Study of Reported Child Abuse and Neglect (collection 2008) from 112 child welfare sites across Canada (n = 6163 children)., RESULTS: Physical abuse, sexual abuse, and emotional maltreatment were highly prevalent among children aged 10 to 15 years. For single types of child maltreatment, the highest prevalence of single-parent homes (50.6%), social assistance (43.0%), running out of money regularly (30.7%), and unsafe housing (30.9%) were reported for substantiated cases of neglect. Being male, older age, living in a single-parent home, household running out of money, moving 2 or more times in the past year, and household overcrowding were associated with increased odds of child functional impairment., CONCLUSIONS: More work is warranted to determine if providing particular resources for single-parent families, financial counselling, and facilitating adequate and stable housing for families with child maltreatment histories or at risk for child maltreatment could be effective for improving child functional outcomes. DA - 2015/// PY - 2015 VL - 60 IS - 7 SP - 315 EP - 23 SN - 1497-0015 0706-7437 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26175390 KW - Adolescent KW - Female KW - Humans KW - Male KW - Child KW - Child, Preschool KW - Cohort Studies KW - Cross-Sectional Studies KW - Sex Factors KW - Age Factors KW - *Social Class KW - Risk KW - Canada/ep [Epidemiology] KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - Infant KW - *Family Characteristics KW - eppi-reviewer4 KW - *Child Abuse/sn [Statistics & Numerical Data] KW - *Child Behavior ER - TY - JOUR TI - The effects of place attachment on social well-being in older adults. AU - Afshar Pouya Farokhnezhad AU - Foroughan Mahshid AU - Vedadhir AbouAli AU - Tabatabaei Mahmoud Ghazi T2 - Educational Gerontology AB - Social well-being and place attachment are two important concepts in health and quality of life of older adults. There are few studies on the relationship between these concepts at the individual level. Therefore, this study aimed to determine the effect of place attachment dimensions on social well-being dimensions in older adults. This study was a descriptive and cross-sectional study conducted on 550 community-dwelling older adults in a metropolitan area of Tehran. Participants were selected using a multistage cluster sampling approach. A Persian version of the Social Well-being Scale and the Place Attachment Scale were used to collect data. Data analysis was performed using an independentttest, ANOVA, Pearson correlation and multiple regression analysis by IBM SPSS statistics V.22 software. Findings showed that place identity, place dependence, and social relations in neighborhood explained, respectively: (β = .34), (β = .26), (β = .09) of the variance in social integration; (β = .36), (β = .23), (β = .18) of the variance in social acceptance; (β = .24), (β = .23), (β = .16) of the variance in social contribution; (β = .27), (β = .22), (β = .17) of the variance in the social actualization. In social coherence, place identity (β = .33) and social relations in the neighborhood (β = .13) were significant predictors (p < .05). The results of this study revealed that the place attachment is a strong predictor for the social well-being of older adults. Any change in the place of attachment leads to changes in the social well-being of the elderly. DA - 2017/01// PY - 2017 DO - 10.1080/03601277.2016.1260910 VL - 43 IS - 1 SP - 45 EP - 51 SN - 0360-1277 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120809308&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Analysis of Variance KW - Self Report KW - Iran KW - eppi-reviewer4 KW - Human KW - Interviews KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Assisted Living KW - Descriptive Statistics KW - Scales KW - Cross Sectional Studies KW - Coefficient Alpha KW - Summated Rating Scaling KW - T-Tests KW - Descriptive Research KW - Pearson's Correlation Coefficient KW - Attachment Behavior KW - Cluster Sample KW - Psychological Well-Being -- In Old Age KW - Random Sample ER - TY - JOUR TI - Productivity cost due to maternal ill health in Sri Lanka AU - Agampodi Suneth AU - Agampodi Thilini AU - Wickramasinghe Nuwan AU - Fernando Santhushya AU - Chathurani Umanga AU - Adhikari Wathsala AU - Dharshika Ishani AU - Nugegoda Dhanaseela AU - Dharmaratne Samath AU - Newlands David T2 - PloS one AB - BACKGROUND: The global impact of maternal ill health on economic productivity is estimated to be over 15 billion USD per year. Global data on productivity cost associated with maternal ill health are limited to estimations based on secondary data. Purpose of our study was to determine the productivity cost due to maternal ill health during pregnancy in Sri Lanka., METHODS AND FINDINGS: We studied 466 pregnant women, aged 24 to 36 weeks, residing in Anuradhapura, Sri Lanka. A two stage cluster sampling procedure was used in a cross sectional design and all pregnant women were interviewed at clinic centers, using the culturally adapted Immpact tool kit for productivity cost assessment. Of the 466 pregnant women studied, 421 (90.3%) reported at least one ill health condition during the pregnancy period, and 353 (83.8%) of them had conditions affecting their daily life. Total incapacitation requiring another person to carry out all their routine activities was reported by 122 (26.1%) of the women. In this study sample, during the last episode of ill health, total number of days lost due to absenteeism was 3,356 (32.9% of total loss) and the days lost due to presenteeism was 6,832.8 (67.1% of the total loss). Of the 353 women with ill health conditions affecting their daily life, 280 (60%) had coping strategies to recover loss of productivity. Of the coping strategies used to recover productivity loss during maternal ill health, 76.8% (n = 215) was an intra-household adaptation, and 22.8% (n = 64) was through social networks. Loss of productivity was 28.9 days per episode of maternal ill health. The mean productivity cost due to last episode of ill health in this sample was Rs.8,444.26 (95% CI-Rs.6888.74-Rs.9999.78)., CONCLUSIONS: Maternal ill health has a major impact on household productivity and economy. The major impact is due to, generally ignored minor ailments during pregnancy. DA - 2012/// PY - 2012 VL - 7 IS - 8 SP - e42333 SN - 1932-6203 UR - https://dx.doi.org/10.1371/journal.pone.0042333 KW - Adult KW - Female KW - Humans KW - Sri Lanka KW - *Cost of Illness KW - Family Characteristics KW - Pregnancy KW - eppi-reviewer4 KW - *Efficiency KW - *Maternal Welfare/ec [Economics] ER - TY - JOUR TI - Rationale and methods of a multicentre randomised controlled trial of the effectiveness of a Community Health Assessment Programme with Emergency Medical Services (CHAP-EMS) implemented on residents aged 55 years and older in subsidised seniors' housing buildings in Ontario, Canada. AU - Agarwal Gina AU - McDonough Beatrice AU - Angeles Ricardo AU - Pirrie Melissa AU - Marzanek Francine AU - McLeod Brent AU - Dolovich Lisa T2 - BMJ open AB - INTRODUCTION: Chronic diseases and falls substantially contribute to morbidity/mortality among seniors, causing this population to frequently seek emergency medical care. Research suggests the paramedic role can be successfully expanded to include community-based health promotion and prevention. This study implements a community paramedicine programme targeting seniors in subsidised housing, a high-risk population and frequent users of emergency medical services (EMS). The aims are to reduce EMS calls, improve health outcomes and healthcare utilisation., METHODS/ANALYSIS: This is a pragmatic clustered randomised control trial in four communities across Ontario, Canada. Within each, four to eight seniors' apartment buildings will be paired and within each pair one building will be randomly assigned to receive the Community Health Assessment Programme through EMS (CHAP-EMS) intervention, while the other building receives no intervention. During the 1-year intervention, paramedics will run weekly sessions in a common area of the building, assessing risk factors for cardiovascular disease, diabetes and falls; providing health education and referrals to community programmes; and communicating results to the participant's primary physician. The primary outcomes are rate of emergency calls per 100 residents, change in blood pressure and change in Canadian Diabetes Risk (CANRISK) score, as collected by the local EMS and study databases. The secondary outcomes are change in health behaviours, measured using a preintervention and postintervention survey and healthcare utilisation, available through administrative databases. Analysis will mainly consist of descriptive statistics and generalised estimating equations, including subgroup cluster analysis., ETHICS/DISSEMINATION: This study is approved by the Hamilton Integrated Research Ethics Board and will follow the Tri-Council Policy Statement. Findings will be disseminated through reports to local stakeholders, publication in peer-reviewed journals and conference presentations., TRIAL REGISTRATION NUMBER: NCT02152891. Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. DA - 2015/// PY - 2015 DO - 10.1136/bmjopen-2015-008110 VL - 5 IS - 6 SP - e008110 SN - 2044-6055 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=26068514 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Program Evaluation KW - Aged KW - Middle Aged KW - Public Health KW - Chronic Disease KW - *Accidental Falls/pc [Prevention & Control] KW - *Cardiovascular Diseases/ep [Epidemiology] KW - Ontario/ep [Epidemiology] KW - Comorbidity KW - *Housing for the Elderly KW - *Health Promotion KW - Pilot Projects KW - *Diabetes Mellitus/ep [Epidemiology] KW - *Emergency Medical Services/sn [Statistics & Numerical Data] KW - Hypertension/co [Complications] KW - *Hypertension/pc [Prevention & Control] KW - *Preventive Medicine/og [Organization & Administration] KW - eppi-reviewer4 ER - TY - JOUR TI - Outcomes after acute ischemic stroke in the United States: does residential ZIP code matter? AU - Agarwal Shikhar AU - Menon Venu AU - Jaber Wael A T2 - Journal of the American Heart Association AB - BACKGROUND: We sought to analyze the impact of socioeconomic status (SES) on in-hospital outcomes, cost of hospitalization, and resource use after acute ischemic stroke., METHODS AND RESULTS: We used the 2003-2011 Nationwide Inpatient Sample database for this analysis. All admissions with a principal diagnosis of acute ischemic stroke were identified by using International Classification of Diseases, Ninth Revision codes. SES was assessed by using median household income of the residential ZIP code for each patient. Quartile 1 and quartile 4 reflect the lowest-income and highest-income SES quartile, respectively. During a 9-year period, 775,905 discharges with acute ischemic stroke were analyzed. There was a progressive increase in the incidence of reperfusion on the first admission day across the SES quartiles (P-trend<0.001). In addition, we observed a significant reduction in discharge to nursing facility, across the SES quartiles (P-trend<0.001). Although we did not observe a significant difference in in-hospital mortality across the SES quartiles in the overall cohort (P-trend=0.22), there was a significant trend toward reduced in-hospital mortality across the SES quartiles in younger patients (<75 years) (P-trend<0.001). The mean length of stay in the lowest-income quartile was 5.75 days, which was significantly higher compared with other SES quartiles. Furthermore, the mean adjusted cost of hospitalization among quartiles 2, 3, and 4, compared with quartile 1, was significantly higher by $621, $1238, and $2577, respectively. Compared with the lowest-income quartile, there was a significantly higher use of echocardiography, invasive angiography, and operative procedures, including carotid endarterectomy, in the highest-income quartile., CONCLUSIONS: Patients from lower-income quartiles had decreased reperfusion on the first admission day, compared with patients from higher-income quartiles. The cost of hospitalization of patients from higher-income quartiles was significantly higher than that of patients from lowest-income quartiles, despite longer hospital stays in the latter group. This might be partially attributable to a lower use of key procedures among patients from lowest-income quartile. Copyright © 2015 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell. DA - 2015/// PY - 2015 VL - 4 IS - 3 SP - e001629 SN - 2047-9980 UR - https://dx.doi.org/10.1161/JAHA.114.001629 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Length of Stay KW - Retrospective Studies KW - Time Factors KW - United States/ep [Epidemiology] KW - Hospital Mortality KW - Databases, Factual KW - Income KW - *Socioeconomic Factors KW - *Residence Characteristics KW - Patient Discharge KW - Poverty KW - Stroke/mo [Mortality] KW - Stroke/di [Diagnosis] KW - *Stroke/th [Therapy] KW - Health Resources/sn [Statistics & Numerical Data] KW - *Stroke/ep [Epidemiology] KW - Hospital Costs KW - eppi-reviewer4 KW - *Healthcare Disparities KW - *Brain Ischemia/ep [Epidemiology] KW - *Brain Ischemia/th [Therapy] KW - *Process Assessment (Health Care) KW - *Reperfusion KW - Brain Ischemia/di [Diagnosis] KW - Brain Ischemia/ec [Economics] KW - Brain Ischemia/mo [Mortality] KW - Health Resources/ec [Economics] KW - Healthcare Disparities/ec [Economics] KW - Healthcare Disparities/td [Trends] KW - Process Assessment (Health Care)/ec [Economics] KW - Process Assessment (Health Care)/td [Trends] KW - Reperfusion/ae [Adverse Effects] KW - Reperfusion/ec [Economics] KW - Reperfusion/mo [Mortality] KW - Reperfusion/td [Trends] KW - Stroke/ec [Economics] ER - TY - JOUR TI - Assessing health literacy among older adults living in subsidized housing: a cross-sectional study. AU - Agarwal Gina AU - Habing Kendra AU - Pirrie Melissa AU - Angeles Ric AU - Marzanek Francine AU - Parascandalo Jenna T2 - Canadian journal of public health = Revue canadienne de sante publique AB - OBJECTIVES: This study aimed to assess functional health literacy levels among older adults living in subsidized housing in Hamilton, Ontario, and to assess the relationships between health literacy and other important health indicators, such as education level, age, ethnicity, body mass index (BMI), and self-reported health status., METHODS: Older adults (n = 237) living in subsidized housing buildings in Hamilton, ON, were assessed using the NVS-UK as a measure of functional health literacy in addition to a health indicator questionnaire through structured interview. Health literacy levels were analyzed using descriptive statistics and logistic regression to determine relationships between health literacy levels and other health indicators., RESULTS: Participants' mean age was 73 years, 67% were female, 70% were not educated beyond high school, and 91% were white. Over 82% of participants had below adequate health literacy levels using the NVS-UK. Multivariable logistic regression revealed significant relationships between functional health literacy and BMI, education level, and pain and discomfort levels. No significant relationships were found between health literacy level and age group, anxiety and depression levels, CANRISK (Diabetes risk) score, gender, marital status, mobility issues, self-care issues, self-reported health status, or performance of usual activities., CONCLUSIONS: As the population of older adults continues to grow, the appropriate resources must be available to both improve and support the health literacy level of the population. Future health research should gather information on the health literacy levels of target populations to ensure more equitable health service. This research provides a significant opportunity to better understand populations with health literacy barriers. DA - 2018/// PY - 2018 DO - 10.17269/s41997-018-0048-3 VL - 109 IS - 3 SP - 401 EP - 409 SN - 0008-4263 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29981094 KW - Female KW - Humans KW - Male KW - Aged KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - *Public Housing KW - *Health Literacy/sn [Statistics & Numerical Data] KW - Ontario KW - eppi-reviewer4 ER - TY - JOUR TI - Effects of a community health promotion program on social factors in a vulnerable older adult population residing in social housing. AU - Agarwal Gina AU - Brydges Madison T2 - BMC geriatrics AB - BACKGROUND: Supporting older adults' health and wellbeing in the community is an important policy goal that can be supported by health promotion. Despite widespread acceptance of the biopsychosocial model of health and its relation to health, many health promotion programs fail to realize this model in program design. Further, there is limited evidence to support program design targeting social determinants of health such as social isolation or connectedness. To fill this gap, we aimed to understand older adult's experiences participating in cardiovascular health promotion program in a subsidized residential building to capture unintended 'spin-off' psychosocial effects., METHODS: This study took a constructivist, ethnographic approach utilizing participant observation and semi-structured interviews with participants of the program to understand participant's lived experiences of a health promotion program. In total, we conducted eighty hours of field work and fifteen semi-structured interviews with participants of the program. Thematic analysis was used to analyze the data., RESULTS: Four themes emerged. First, the health promotion program filled a perceived gap caused by a constrained and impersonal health care system. Secondly, the program connected older adults with resources and provided regular and secure access to health information and support. Third, for some residents, the program facilitated social relationships between older adults, leaving participants feeling more socially connected to other residents. Lastly, a paradox of loneliness emerged where older adults talked openly about feelings of loneliness, however not in relation to themselves, but rather regarding their peers., CONCLUSIONS: Psychosocial aspects of health, such as loneliness, social connectedness, and social support may be of equal value as the physical health benefits to the older adults who participate in health promotion programs. Incorporating these elements into programming is a complex goal, and the complexity of targeting social determinants of health such as social loneliness or connectedness should not be under-estimated. Given the benefits of targeting social determinants of health, future research should be considered that measure both the objective and subjective aspects of social isolation, loneliness and connectedness in health promotion programming. DA - 2018/// PY - 2018 DO - 10.1186/s12877-018-0764-9 VL - 18 IS - 1 SP - 95 SN - 1471-2318 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=29661136 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Social Support KW - *Housing KW - *Loneliness/px [Psychology] KW - *Health Promotion/og [Organization & Administration] KW - *Motivation/ph [Physiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Strategies for reaching retirement communities and aging social networks: HIV/AIDS prevention activities among seniors in South Florida. AU - Agate Lisa L AU - Mullins Jolene M AU - Prudent Ella S AU - Liberti Thomas M T2 - Journal of acquired immune deficiency syndromes (1999) AB - Since 1993, the HIV/AIDS Program Office of the Broward County Health Department has recognized the importance of targeting the population of those aged 50 years and older. Close examination of epidemiological data for the south Florida area and requests from health care providers showed that targeted intervention had to address the needs of the seniors as well as the beliefs and perceptions of their health practitioners. Originally designed to provide community training, identify and train volunteer peer educators, and increase awareness and sensitivity among providers of health services, the senior initiative was officially expanded with funding from the Florida Department of Elder Affairs in 1997. The resulting Senior HIV Intervention Project (SHIP) is more comprehensive than the original senior training program, addressing the increased need for early intervention activities, HIV counseling, and testing. SHIP also links HIV-positive seniors to care and treatment services through a network of trained staff and volunteers. SHIP's considerable experience in serving the needs of older adults offers useful insight for others developing successful HIV/AIDS programming for people aged 50 years and older. DA - 2003/// PY - 2003 VL - 33 Suppl 2 SP - S238 EP - 42 SN - 1525-4135 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=12853876 KW - Humans KW - Health Education KW - Aged KW - Middle Aged KW - *HIV Infections/pc [Prevention & Control] KW - Social Behavior KW - *Housing for the Elderly KW - *Retirement KW - Culture KW - Florida KW - eppi-reviewer4 KW - *Acquired Immunodeficiency Syndrome/pc [Prevention & Control] ER - TY - JOUR TI - Service providers' modes of interacting with frail elders and their families: understanding the context for caregiving decisions AU - Agee Annabel AU - Blanton Priscilla White T2 - Journal of Aging Studies AB - The professional context within which frail elderly individuals and their families operate as they make decisions regarding caregiving was explored. Designed as an exploratory qualitative study, the research process involved one-on-one interviews, averaging 1 1/2 hours, with providers from nine areas of service related to elder caregiving; adult day care, aging services, assisted living, chaplain/hospice services, geriatric assessment, home health care, large-scale nursing home administration, small-scale nursing home administration, and geriatric medicine. Analysis of the data revealed four provider styles or modes of interacting with elders and their families: Listener, Educator, Encourager, and Advocate. The most frequent mode was Educator, with seven of the nine providers referencing it more often than any other mode. The least frequent mode was Listener, with five of the service providers referencing it the least often. Implications of these findings for service providers lie in better understanding of how preferences for one style or another may affect their communication with clients. For families, the implications lie in understanding ways to interact more effectively with the formal network of providers in order to have their needs adequately addressed. Educators or counselors may be able to use these results in helping families improve their access to resources and services, and in helping providers better serve the needs of clients. DA - 2000/// PY - 2000 VL - 14 IS - 3 SP - 313 EP - 333 SN - 08904065 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=SN125169&site=ehost-live&scope=site KW - Aged KW - eppi-reviewer4 KW - RETIREMENT communities KW - Adult day care KW - Assisted living communities KW - COUNSELORS KW - DECISION-MAKING KW - Family members KW - Family relationships and dynamics -- communication in families KW - Family relationships and dynamics -- decision making in families KW - Family relationships and dynamics -- later years and aging KW - GERIATRICS KW - Health care professionals KW - Home care KW - Hospice KW - INTERVIEWS KW - Living arrangements KW - MEDICAL care KW - MEDICAL personnel KW - MENTAL health personnel KW - Mental health sevices KW - NURSING homes KW - Organizations and services to families -- physical health services and families KW - SOCIAL workers ER - TY - JOUR TI - Ageing in Place in the United Kingdom. AU - Sixsmith Andrew AU - Sixsmith Judith T2 - Ageing International AB - Ageing in Place is a key component of UK policy on older people and housing. Helping older people to ‘age in place’ at home is seen to benefit the quality of life and also provide a cost-effective solution to the problems of an expanding population of very old people. However, the reality is not straightforward and in this paper, some results of qualitative research are presented to illustrate the benefits, problems and challenges that exist in relation to Ageing in Place in the United Kingdom. The research is based on qualitative data collected from 40 people age 80–89 in the north-west of England as part of the ENABLE-AGE Project 2002 to 2004. The research suggests that while Ageing in Place may bring social and psychological benefits, there can also be a significant downside on an everyday level. Home in old age can be a place of negative experiences, such as isolation and loneliness and there are often significant weaknesses in terms of informal support, physical environment of the home and neighbourhood and social network, which undermine the person’s ability to live independently. The paper reviews recent UK initiatives to use “telecare” to address some of these issues. [ABSTRACT FROM AUTHOR] Copyright of Ageing International is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 32 IS - 3 SP - 219 EP - 235 SN - 01635158 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=34614633&site=ehost-live&scope=site KW - UK KW - Aging KW - eppi-reviewer4 KW - Senior housing KW - Elder care KW - Telecare KW - Great Britain KW - Social networks KW - Ageing in place KW - Community KW - Social policy ER - TY - JOUR TI - Ageism and Sexism in the Workplace. AU - Barnett Rosalind Chait T2 - Generations AB - The article focuses on ageism in relation with sex discrimination in the workplace. It reflects that for most women, the attitudinal and structural factors in the workplace put them at a disadvantage of vulnerability than men to hardship as they get aged. Regarding American women, the article analyzes that the amount of sacrifices they have made for their families at home and in their workforce is higher than men. It views that these sacrifices are not limited to their share of child-rearing. It informs that generally women outlive their husbands so that they are more likely to care for their ill and dying parents, in-laws and spouses. They are often left widowed and impoverished at the end of their lives. The author comments that the problem of poverty in the old age is mainly a women's problem. As a result of ageism and sexism, women as a group are in double jeopardy as they grow older. It reflects a survey report, which found that women represent nearly three-quarters of those providing informal, uncompensated care for old people. Around 49 percent of these women have had to change their work schedules, 11 percent have had to take a leave of absence, 7 percent have had to take a less demanding job and some have had to leave the workforce entirely. VL - 29 IS - 3 SP - 25 EP - 30 SN - 07387806 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=19399879&site=ehost-live&scope=site KW - Ageism KW - eppi-reviewer4 KW - Older people KW - Attitude (Psychology) KW - Old age KW - Child rearing KW - Sex discrimination KW - Sexism KW - Women KW - Work environment ER - TY - JOUR TI - Public housing residents making their courtyard safe from drugs. AU - Ager RD AU - Parquet R T2 - Journal of Social Work Practice in the Addictions AB - This pilot study examines how children and their caretakers who live in public housing experience and manage drug activities that surround them. Consistent with social disorganization/collective efficacy models and defensible space theory, findings from 2 focus groups suggest that monitoring children, shared values about parenting, and screening strangers entering the community helped residents establish a safe environment with healthy principles. Residents insulated their courtyard neighborhood from outside public housing residents, presumably to minimize competition over resources and restrict what they see as negative influences. Social work community practitioners need to tap into the collective efficacy of these vital neighborhoods to help the broader public housing community. DA - 2008/03// PY - 2008 VL - 8 IS - 1 SP - 95 EP - 115 SN - 1533-256X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105804663&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Health Education KW - Child KW - Adolescence KW - Focus Groups KW - Residence Characteristics KW - Social Work KW - Safety KW - Public Housing KW - eppi-reviewer4 KW - Human KW - Qualitative Studies KW - Questionnaires KW - Funding Source KW - Louisiana KW - Pilot Studies KW - Substance Abuse -- Prevention and Control KW - Videorecording ER - TY - JOUR TI - Reactions to caregiving during an intervention targeting frailty in community living older people AU - Aggar Christina AU - Ronaldson Susan AU - Cameron Ian D T2 - BMC geriatrics AB - BACKGROUND: The demands and consequences of caregiving are considerable. However, such outcomes are not commonly investigated in the evaluation of interventions targeting frailty. This study aims to explore family carers' reactions to caregiving during an intervention targeting frailty in community living older people., METHOD: A study of carers (n=119) embedded in a 12 month randomised controlled intervention targeting frailty in people 70 years or older, compared to usual care. Reactions to caregiving were measured in the domains of health, finance, self-esteem, family support and daily schedule. Anxiety and depression levels were also evaluated. Carer outcomes were measured at baseline, 6 months and 12 months and at 3 months post frailty intervention., RESULTS: Carers of frail older people in the intervention group showed a sustained improvement in health scores during the intervention targeting frailty, while health scores for carers of the frail older people in the control group, decreased and therefore their health worsened (F=2.956, p=0.034). The carers of the frail older people in the intervention group reported overall better health (F=5.303, p=0.023) and self-esteem (F=4.158, p=0.044), and co-resident carers reported higher self-esteem (F=4.088, p=0.046). Anxiety levels increased for carers in both intervention and control groups (F=2.819, p=0.04)., CONCLUSION: The inclusion of carers in trials targeting frail older people may assist in the identification of at-risk carers and facilitate the provision of information and support that will assist them to continue providing care. Further research that explores the features of frailty interventions that impact on the caregiving experience is recommended., TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry: ACTRN12608000565347. DA - 2012/// PY - 2012 VL - 12 SP - 66 SN - 1471-2318 UR - https://dx.doi.org/10.1186/1471-2318-12-66 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Caregivers/px [Psychology] KW - Geriatric Assessment/mt [Methods] KW - *Frail Elderly KW - *Health Status KW - Frail Elderly/px [Psychology] KW - *Residence Characteristics KW - *Self Concept KW - *Early Medical Intervention/mt [Methods] KW - eppi-reviewer4 ER - TY - JOUR TI - Residential respite care is associated with family carers experiencing financial strain AU - Aggar Christina AU - Ronaldson Susan AU - Cameron Ian D T2 - Australasian journal on ageing AB - AIM: Care services for older people are provided with the expectation of supporting carers in their caregiving role. The aim of the study is to investigate the association between the utilisation of care services by older people and the caregiving experience., METHODS: Cross-sectional design, involving a cohort of family carers (n = 119) of frail older people (>=70 years) enrolled in a clinical trial of frailty treatment in metropolitan Sydney from 2008 to 2011. The caregiving experience was measured in five domains: health, daily schedule, finance, family support and self-esteem (Caregiver Reaction Assessment tool)., RESULTS: Multivariate regression analysis demonstrated an association between the utilisation of residential respite care and financial strain (beta = -0.613, P = 0.049), after controlling for functional ability, co-residence and age., CONCLUSION: There is a need to consider carers' financial barriers and concerns in regards to the utilisation of respite care services. Copyright © 2012 The Authors. Australasian Journal on Ageing © 2012 ACOTA. DA - 2014/// PY - 2014 VL - 33 IS - 2 SP - 93 EP - 8 SN - 1741-6612 1440-6381 UR - https://dx.doi.org/10.1111/j.1741-6612.2012.00637.x KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Frail Elderly KW - Activities of Daily Living KW - Health Status KW - Social Support KW - Cross-Sectional Studies KW - *Aging KW - Age Factors KW - Caregivers/px [Psychology] KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - *Homes for the Aged/ec [Economics] KW - Family Relations KW - *Health Care Costs KW - *Residential Facilities/ec [Economics] KW - Employment KW - Self Concept KW - Health Resources/sn [Statistics & Numerical Data] KW - *Health Resources/ec [Economics] KW - *Caregivers/ec [Economics] KW - Residential Facilities/sn [Statistics & Numerical Data] KW - Financing, Personal KW - eppi-reviewer4 KW - *Respite Care/ec [Economics] KW - Respite Care/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Prevalence of urinary incontinence among institutionalized patients: a cross-sectional epidemiologic study in a midsized city in northern Italy. AU - Aggazzotti G AU - Pesce F AU - Grassi D AU - Fantuzzi G AU - Righi E AU - De Vita AU - D AU - Santacroce S AU - Artibani W T2 - Urology AB - OBJECTIVES: To determine the prevalence of urinary incontinence among institutionalized elderly people., METHODS: A cross-sectional study was conducted on 839 subjects, resident in 14 residential or nursing homes. A questionnaire was administered to the study population and their clinical records were reviewed., RESULTS: The overall prevalence of urinary incontinence was 54.5%, higher in women (59.8%) than in men (39.2%). The prevalence increased significantly with age, from 26.5% in subjects 65 years old or younger to 73.7% in subjects 95 years old or older; with worsening of mental status, from 36.2% in well-oriented subjects to 76.7% in poorly oriented subjects; and with worsening of mobility, from 23.8% in self-sufficient subjects to 82.1% in bedridden patients. The prevalence was significantly associated with parity, from 54.1% in nulliparous women to 65.4% in multiparous women. Urinary incontinence was also associated with urinary tract infection, constipation, and fecal incontinence., CONCLUSIONS: The results of our study are in accordance with other similar studies. That more than one half of the elderly residents of nursing and residential homes have urinary incontinence shows the relevance of this condition. We believe that urinary incontinence in institutionalized elderly people can be managed essentially by measures of tertiary prevention, aimed at reducing the handicapping conditions and at slowing down the process of self-sufficiency impairment. DA - 2000/// PY - 2000 VL - 56 IS - 2 SP - 245 EP - 9 SN - 0090-4295 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=10925087 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - Cross-Sectional Studies KW - Sex Factors KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Age Factors KW - *Urinary Incontinence/ep [Epidemiology] KW - Urban Population/sn [Statistics & Numerical Data] KW - Italy/ep [Epidemiology] KW - Chi-Square Distribution KW - *Institutionalization KW - eppi-reviewer4 ER - TY - JOUR TI - Aging in a community of mutual support: the emergence of an elder intentional cohousing community in the United States. AU - Glass AP T2 - Journal of Housing for the Elderly AB - This initial report details the origin, development, and 'charter residents' of the new ElderSpirit Community, a resident-managed elder-only cohousing community focusing on mutual support and affordable housing. The 33 resident sample was white, 79% female, averaged 70.4 years of age (range = 63 to 84 years), and was more likely to be childless and/or divorced/never married compared to the general older population. Mutual support was significant in choosing the ElderSpirit Community, and this case demonstrates that elders can proactively choose this new option: living intentionally with neighbors to provide an added layer of support. The ElderSpirit Community is important given the caregiver shortage and desire for nursing home alternatives. DO - 10.1080/02763890903326970 VL - 23 IS - 4 SP - 283 EP - 303 SN - 0276-3893 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105274198&site=ehost-live&scope=site KW - Female KW - Male KW - United States KW - Aged KW - Health Status KW - Prospective Studies KW - Caregivers KW - Aging KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Interviews KW - Social Networks KW - Questionnaires KW - Middle Age KW - Communities KW - Support, Psychosocial KW - Funding Source KW - Descriptive Research KW - Housing for the Elderly -- Methods -- United States ER - TY - JOUR TI - Aging in community and local NGOs: Empowering marginalized older women in South Korea. AU - Yang Yunjeong T2 - Journal of Women & Aging AB - This article is based on an embedded case study of selected older people’s self-help groups in urban South Korea, which aim to assist community-dwelling older adults, particularly poor and marginalized women, to age in their community and remain active and contributing members. The study highlights the importance of the role and capacity of nongovernmental organizations (NGOs) as partner organizations. Implications are important for other aging societies, particularly in Asia, where older women have been often confined by patriarchal oppression. DO - 10.1080/08952841.2017.1392066 VL - 30 IS - 4 SP - 344 EP - 362 SN - 0895-2841 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130021683&site=ehost-live&scope=site KW - Female KW - Aged KW - Poverty KW - Aging KW - eppi-reviewer4 KW - Human KW - Empowerment KW - Community Living -- In Old Age KW - Support Groups KW - Organizations, Nonprofit KW - South Korea KW - Urban Areas -- South Korea KW - Women -- Psychosocial Factors ER - TY - JOUR TI - Aging in Place in a Retirement Community: 90+ Year Olds. AU - Paganini-Hill Annlia T2 - Journal of Housing for the Elderly DO - 10.1080/02763893.2012.754822 VL - 27 IS - 1/2 SP - 191 EP - 205 SN - 0276-3893 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107944107&site=ehost-live&scope=site KW - Health Status KW - Age Factors KW - Caregivers KW - Dementia KW - California KW - Retirement KW - Life Style KW - Marital Status KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Questionnaires KW - Support, Psychosocial KW - Descriptive Statistics KW - Community Living -- In Old Age KW - Functional Status KW - Scales KW - Physical Mobility KW - Communities -- Classification -- California KW - Cross Sectional Studies -- California KW - Diagnosis, Neurologic KW - Eating Behavior KW - Observational Methods ER - TY - JOUR TI - Aging in Place in Naturally Occurring Retirement Communities: Transforming Aging Through Supportive Service Programs. AU - Bedney BarbaraJoyce AU - Goldberg RobertBruce AU - Josephson Kate T2 - Journal of Housing for the Elderly AB - The NORC Supportive Services Program (NORC-SSP) model is a community-level intervention in which older adults, building owners and managers, service providers, funders, and other community partners create a network of services and volunteer opportunities to promote aging in place among older adults who live in 'naturally occurring retirement communities,' housing developments and residential areas not planned for older adults but in which large numbers of older adults reside. Because they promote aging in place as well as leadership and self-determination among older adults, NORC-SSPs can be simultaneously conceptualized as a service delivery mechanism, public policy strategy, and means to rewrite cultural meanings of aging. In this article, we provide an overview of the NORC-SSP model, review the potential impact of NORC-SSPs on cultural perceptions of aging, and discuss the impacts and implications of NORC-SSPs on public policy and the aging services arena. [ABSTRACT FROM AUTHOR] Copyright of Journal of Housing for the Elderly is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 24 IS - 3/4 SP - 304 EP - 321 SN - 02763893 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=55598163&site=ehost-live&scope=site KW - aging KW - eppi-reviewer4 KW - Government policy KW - community KW - Social services KW - Community-based programs KW - culture KW - Intervention (Social services) KW - Naturally occurring retirement communities KW - NORCs KW - public policy KW - Services for older people ER - TY - JOUR TI - Aging in Place or Relocation? Plans of Community-Dwelling Older Adults. AU - Ewen Heidi H AU - Hahn Sarah J AU - Erickson Mary Ann AU - Krout John A T2 - Journal of Housing for the Elderly AB - This study examines the anticipated housing options of 416 community-dwelling older adults from a semi-rural upstate New York county using data from the first two data collections of the Pathways to Life Quality Study. Aging in place, either with or without home modifications to meet special needs as they arise, is seen as the most likely anticipated housing, followed by moving to a retirement community and living with others. Measures of psychosocial well-being, variables assessing resident satisfaction with current homes, health status, and moving intentions were entered into structural equation models in an effort to predict perceived likelihood of living in select housing arrangements. Our findings indicate that those who were considering a move were more likely to consider retirement communities rather than moving closer to relatives. Home satisfaction measures were related to the anticipation of remaining in one's home with modifications. Factors that can be predictive of ability to successfully age in place, such as better health and social support networks, were not significant. Additional research on moving intentions in conjunction with housing options is needed. Although many new types of senior housing have emerged in recent years, marketing and educational materials may not be reaching the older adult populations. [ABSTRACT FROM AUTHOR] Copyright of Journal of Housing for the Elderly is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 28 IS - 3 SP - 288 EP - 309 SN - 02763893 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=97901642&site=ehost-live&scope=site KW - housing KW - Income KW - Intention KW - Time KW - eppi-reviewer4 KW - older adults KW - Interviewing KW - Research funding KW - Independent living KW - Long term health care KW - Descriptive statistics KW - Relocation KW - Correlation (Statistics) KW - Cross-sectional method KW - Social networks KW - Health status indicators KW - Well-being KW - Accessible design KW - Activities of daily living KW - Conceptual structures (Information theory) KW - Customer satisfaction KW - Decision making in old age KW - Educational attainment KW - Home environment KW - Hypothesis KW - Multiple regression analysis KW - New York (State) KW - Predictive validity KW - residential transitions KW - Rural population KW - Single people KW - Structural equation modeling ER - TY - JOUR TI - Aging in place: from the streets to assisted living...37th Annual Communicating Nursing Research Conference/18th Annual WIN Assembly, 'Hallmarks of Quality: Generating and Using Knowledge,' held April 22-24, 2004, Portland Marriott Downtown, Portland, Oregon AU - Decker SD AU - Cary P T2 - Communicating Nursing Research VL - 37 SP - 389 EP - 389 SN - 0160-1652 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106645033&site=ehost-live&scope=site KW - Aged KW - Quality of Health Care KW - Quality of Life KW - eppi-reviewer4 KW - Human KW - Structured Interview KW - Surveys KW - Assisted Living -- In Old Age KW - Special Populations ER - TY - JOUR TI - Aging Subsidized Housing Residents: A Growing Problem in U.S. Cities AU - Gibler Karen M T2 - Journal of Real Estate Research AB - Many low-income elderly live in subsidized housing in central cities. These aging tenants need adaptive physical structures and supportive services in order to age in place, but lack the resources to pay for them. The responses to the AHEAD Wave 2 survey are used to compare the housing conditions of elderly subsidized housing residents with unsubsidized tenants. Results indicate subsidized tenants have greater health and physical limitations. They are likely to have physically appropriate housing, but unlikely to have access to supportive services that would allow them to age in place, creating a problem policymakers must address. VL - 25 IS - 4 SP - 395 EP - 420 SN - 08965803 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=11686671&site=ehost-live&scope=site KW - eppi-reviewer4 KW - HOUSING KW - OLDER people KW - CITIES & towns KW - HOUSING subsidies KW - INNER cities ER - TY - JOUR TI - Aging Well at Home: Evaluation of a Neighborhood-based Pilot Project to “Put Connection Back into Community”. AU - Gonyea Judith G AU - Burnes Kathy T2 - Journal of Housing for the Elderly AB - There is growing interest, in the United States and globally, to transform communities to become more aging friendly. However, the majority of emerging initiatives lack a formal evaluation component, limiting our understanding of their effectiveness and the ability to replicate them. This study is an evaluation of a pilot project, the Aging Well at Home (AWAH) Program, which aimed to “put connection back into community” to support the psychological well-being of urban seniors who were aging in place. We examined AWAH's effect on stress, loneliness, and depression through interviews with 33 seniors at enrollment and at 9 months later. Findings revealed a significant decline in participants’ perceived stress (p < .001); however, AWAH was less successful in lessening loneliness (p < .09) and was not associated with any change in depression (p > .33). In self-assessments, the majority of participants reported a greater sense of self-efficacy and social connection as a result of AWAH participation. The study offers preliminary evidence of the utility of a neighborhood approach to improving older adults’ quality of life. DO - 10.1080/02763893.2013.813425 VL - 27 IS - 4 SP - 333 EP - 347 SN - 0276-3893 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104233602&site=ehost-live&scope=site KW - Depression KW - Aged KW - Quality of Life KW - Loneliness KW - Self Report KW - Massachusetts KW - Health Services Accessibility KW - Stress, Psychological KW - Psychological Tests KW - eppi-reviewer4 KW - Human KW - Interviews KW - Funding Source KW - Self-Efficacy KW - Geriatric Depression Scale KW - Outcomes (Health Care) KW - Scales KW - Paired T-Tests KW - Repeated Measures KW - Pretest-Posttest Design KW - Community Role KW - Psychological Well-Being -- In Old Age KW - Hypothesis KW - Community Living -- In Old Age -- Massachusetts KW - Pilot Studies -- Evaluation -- Massachusetts KW - Prospective Studies -- Massachusetts KW - Socialization ER - TY - JOUR TI - Aging Women of Color: Engagement and Place. AU - Nettles Saundra Murray T2 - Women & Therapy AB - The article focuses on productive and contemplative engagement in aging women of color in places in communities. It states that views on aging between different race and ethnic groups are varied, aspect of social engagement includes volunteering, grand parenting and caregiving. It mentions that elders of color move infrequently, home ground can exist in a suburban house and shared housing for an elderly woman of color and senior centers provide settings for activities related to elder health. VL - 39 IS - 3/4 SP - 337 EP - 353 SN - 02703149 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=113946522&site=ehost-live&scope=site KW - Aging KW - eppi-reviewer4 KW - Minorities KW - Blacks KW - Native Americans KW - Asians KW - aging minority women KW - Ethnic groups KW - Hispanic Americans KW - minority aging KW - women of color ER - TY - JOUR TI - Aging-in-place: exploring the transactional relationship between habits and participation in a community context. AU - Vrkljan Brenda H AU - Leuty Valerie AU - Law Mary T2 - OTJR: Occupation, Participation & Health AB - This study used a phenomenological approach to explore the relationship between habitual occupations and environmental features that can support aging-in-place with 10 community-dwelling older adults. In their respective interviews, participants were asked to consider community supports and other adaptations they used to maintain participation in response to changes as they grew older or encountered health difficulties. From the transcribed data, themes were identified using an open coding process and verified by an external peer auditor. Results underscore the inextricable link between older individuals, their environment, and maintaining participation in habits of meaning. Findings are discussed using a transactional model of occupation, namely dynamical systems theory. By using habits as the central focus, this study provides a unique opportunity to examine how key supports at a community level, including design of the physical environment and other policies, can promote continued participation in older adulthood. DO - 10.3928/15394492-20110218-01 VL - 31 IS - 3 SP - 151 EP - 159 SN - 1539-4492 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104658902&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - World Health Organization KW - Aging KW - Transportation KW - Self Concept KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Interviews KW - Snowball Sample KW - Communities KW - Urban Areas KW - Coding KW - Occupation (Human) KW - Phenomenology ER - TY - JOUR TI - A pilot study of Wii Fit exergames to improve balance in older adults AU - Agmon Maayan AU - Perry Cynthia K AU - Phelan Elizabeth AU - Demiris George AU - Nguyen Huong Q T2 - Journal of geriatric physical therapy (2001) AB - PURPOSE: To determine the safety and feasibility of using Nintendo Wii Fit exergames to improve balance in older adults., METHODS: Seven older adults aged 84 (5) years with impaired balance (Berg Balance Scale [BBS] score < 52 points) were recruited from 4 continuing care retirement communities to participate in a single group pre- and postevaluation of Wii Fit exergames. Participants received individualized instructions (at least 5 home visits) on playing 4 exergames (basic step, soccer heading, ski slalom, and table tilt) and were asked to play these games in their homes at least 30 minutes 3 times per week for 3 months and received weekly telephone follow-up. They also completed a paper log of their exergame play and rated their enjoyment immediately after each session. Participants completed the BBS, 4-Meter Timed Walk test, and the Physical Activity Enjoyment Scale at baseline and 3 months. Semistructured interviews were conducted at the 3-month evaluation., RESULTS: Participants safely and independently played a mean of 50 sessions, median session duration of 31 minutes. Two of the games were modified to ensure participants' safety. Participants rated high enjoyment immediately after exergame play and expressed experiencing improved balance with daily activities and desire to play exergames with their grandchildren. Berg Balance Scores increased from 49 (2.1) to 53 (1.8) points (P = .017). Walking speed increased from 1.04 (0.2) to 1.33 (0.84) m/s (P = .018)., CONCLUSIONS: Use of Wii Fit for limited supervised balance training in the home was safe and feasible for a selected sample of older adults. Further research is needed to determine clinical efficacy in a larger, diverse sample and ascertain whether Wii Fit exergames can be integrated into physical therapy practice to promote health in older adults. DA - 2011/// PY - 2011 VL - 34 IS - 4 SP - 161 EP - 7 SN - 2152-0895 1539-8412 UR - https://dx.doi.org/10.1519/JPT.0b013e3182191d98 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Exercise Therapy/mt [Methods] KW - *Postural Balance KW - *Gait KW - Pilot Projects KW - Patient Satisfaction KW - *Video Games KW - eppi-reviewer4 KW - Exercise Therapy/is [Instrumentation] ER - TY - JOUR TI - The role of gender in the association between personality and task priority in older adults' dual-tasking while walking. AU - Agmon Maayan AU - Armon Galit AU - Denesh Shani AU - Doumas Mihalis T2 - BMC geriatrics AB - BACKGROUND: Falls are a major problem for older adults. Many falls occur when a person's attention is divided between two tasks, such as a dual task (DT) involving walking. Most recently, the role of personality in walking performance was addressed; however, its association with DT performance remains to be determined., METHODS: This cross-sectional study of 73 older, community-dwelling adults explores the association between personality and DT walking and the role of gender in this relationship. Personality was evaluated using the five-factor model. Single-task (ST) and DT assessment of walking-cognitive DT performance comprised a 1-min walking task and an arithmetic task performed separately (ST) and concurrently (DT). Dual-task costs (DTCs), reflecting the proportional difference between ST and DT performance, were also calculated., RESULTS: Gender plays a role in the relationship between personality and DT. Extraversion was negatively associated with DTC-motor for men (DELTAR2 = 0.06, p < 0.05). Conscientiousness was positively associated with DTC-cognition for women (DELTAR2 = 0.08, p < 0.01)., CONCLUSION: These findings may lead to effective personality-based early detection and intervention for fall prevention. DA - 2018/// PY - 2018 DO - 10.1186/s12877-017-0691-1 VL - 18 IS - 1 SP - 1 SN - 1471-2318 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29291720 KW - Female KW - Humans KW - Male KW - Aged KW - Independent Living KW - *Accidental Falls/pc [Prevention & Control] KW - *Cognition/ph [Physiology] KW - Cross-Sectional Studies KW - Sex Factors KW - *Walking/px [Psychology] KW - Preventive Health Services/mt [Methods] KW - Walk Test/mt [Methods] KW - Personality Assessment KW - eppi-reviewer4 KW - *Personality/ph [Physiology] KW - Early Medical Intervention ER - TY - JOUR TI - Polypharmacy and sarcopenia in hospitalized older patients: results of the GLISTEN study. AU - Agosta Luca AU - Bo Mario AU - Bianchi Lara AU - Abete Pasquale AU - Belelli Giuseppe AU - Cherubini Antonio AU - Corica Francesco AU - Di Bari AU - Mauro AU - Maggio Marcello AU - Manca Giovanna Maria AU - Rizzo Maria Rosaria AU - Rossi Andrea AU - Landi Francesco AU - Volpato Stefano AU - GLISTEN Group Investigators T2 - Aging clinical and experimental research A2 - Brombo G A2 - Ortolani B A2 - Savino E A2 - Maietti E A2 - Fisichella A A2 - Butto V A2 - Zamboni M A2 - Caliari C A2 - Ferrari E A2 - Orso F A2 - Sacco F A2 - Di Meo L A2 - Cerri AP A2 - Motta M A2 - Pittella F A2 - Bonfanti A A2 - Fusco S A2 - Prestipino Giarritta V A2 - Soraci L A2 - Pili FG A2 - Basile C A2 - Coppola C A2 - Dalise AM A2 - Fava I A2 - Catte O A2 - Orru M A2 - Salaris P A2 - Martone AM A2 - Ortolani E A2 - Salini S A2 - dell'Aquila G A2 - Carrier B AB - BACKGROUND: Recently the Berlin Aging Study II (BASE-II) showed that polypharmacy is associated with clinically relevant sarcopenia among community-dwelling older persons. Here we report findings from the GLISTEN study about the association of polypharmacy with sarcopenia among older medical in-patients., METHODS: The GLISTEN study investigated prevalence and clinical correlates of sarcopenia in older patients admitted to geriatric and internal medicine acute care wards of 12 Italian hospitals., RESULTS: In this sample of older medical in-patients with high prevalence of sarcopenia (34.7%) and polypharmacy (70.2%) we did not observe a significant association of polypharmacy with sarcopenia., CONCLUSIONS: Present findings demonstrate that the association of polypharmacy with sarcopenia, observed in the BASE-II study, is not evident in the GLISTEN sample, being our patients significantly older, more multi-morbid, with high prevalence of sarcopenia and polypharmacy, suggesting that this association might vary according to the heterogeneous health, functional, and nutritional characteristics of older people. DA - 2019/// PY - 2019 DO - 10.1007/s40520-019-01136-3 VL - 31 IS - 4 SP - 557 EP - 559 SN - 1594-0667 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30778874 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Prevalence KW - Cross-Sectional Studies KW - *Sarcopenia/ep [Epidemiology] KW - Sarcopenia/et [Etiology] KW - *Polypharmacy KW - Independent Living/sn [Statistics & Numerical Data] KW - *Geriatric Assessment KW - Italy KW - eppi-reviewer4 ER - TY - JOUR TI - A quality-of-life scale for assistive technology: results of a pilot study of aging and technology AU - Agree Emily M AU - Freedman Vicki A T2 - Physical therapy AB - BACKGROUND: In an aging society, it is increasingly important to understand how assistive devices can be used by older people to maintain quality of life despite chronic disabilities. Assistive technology is a mainstay of physical therapist practice, but the potential for device use to affect psychosocial well-being is not yet understood at the population level., OBJECTIVE: The objective of this study was to develop a parsimonious indicator that can be used in population-based surveys to represent the effect of assistive technologies on quality of life for older people, separate from personal assistance., DESIGN: This study was a cross-sectional survey., METHODS: /b> The methods used in this study were psychometric scale development and structural equation modeling., RESULTS: The results indicated that a parsimonious, valid, and reliable scale reflecting quality of life related to assistive device use can be created from 3 questions designed to measure improvements in safety, control, and participation due to technology. The findings also suggested that assistive technology may more effectively improve quality of life for people with greater levels of functional limitations., LIMITATIONS: The data were derived from a cross-sectional survey conducted by telephone. The use of personal assistance, on average, was low; thus, the applicability to a population with more profound care needs has yet to be confirmed., CONCLUSIONS: Determining the broader impact of assistive technology on quality of life with population-level measures may provide insight into how best to leverage technologies to prevent dependence in aging adults. DA - 2011/// PY - 2011 VL - 91 IS - 12 SP - 1780 EP - 8 SN - 1538-6724 0031-9023 UR - https://dx.doi.org/10.2522/ptj.20100375 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Cross-Sectional Studies KW - *Quality of Life/px [Psychology] KW - Severity of Illness Index KW - Psychometrics KW - Independent Living/px [Psychology] KW - *Surveys and Questionnaires KW - Pilot Projects KW - Fatigue/px [Psychology] KW - Social Participation/px [Psychology] KW - Safety KW - Pain/px [Psychology] KW - Self-Help Devices/sn [Statistics & Numerical Data] KW - *Self-Help Devices/px [Psychology] KW - eppi-reviewer4 ER - TY - JOUR TI - Factors associated with occasional and recurrent falls in Mexican community-dwelling older people. AU - Agudelo-Botero Marcela AU - Giraldo-Rodriguez Liliana AU - Murillo-Gonzalez Juana Catalina AU - Mino-Leon Dolores AU - Cruz-Arenas Esteban T2 - PloS one AB - Falls are a frequent event among older adults that can cause wounds, disability, psychological disorders, and premature death. Although the large number of existing studies on the issue, few have been conducted in middle- and low-income countries. The objective of the present study is to identify the sociodemographic, medical, and functional performance factors associated with occasional and recurrent falls in Mexican older adults dwelling in community. Cross-sectional analysis of 9 598 adults >=60 years old who participated in the fourth round (2015) of the Mexican Health and Aging Study. Bivariate tests were performed to evaluate the differences between covariates by distinct fall groups (no falls, occasional falls, and recurrent falls). Multiple logistic regressions with unadjusted and adjusted models were estimated. Approximately 46% of older adults had had at least one fall during the previous two years (one fall 16% and recurrent falls 30%). Occasional falls were only associated with being a woman; in addition to the sex, recurrent falls were strongly associated with advanced age, rural residence, bad and very bad self-perception of health status, activity-limiting pain, urinary incontinence, depression, arthritis, limitations in basic activities of daily living, and limitations in advanced activities of daily living. Falls, primarily recurrent falls, deserve to be addressed through multifactorial strategies that include different areas of intervention. DA - 2018/// PY - 2018 DO - 10.1371/journal.pone.0192926 VL - 13 IS - 2 SP - e0192926 SN - 1932-6203 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29462159 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Independent Living KW - Logistic Models KW - Prevalence KW - Cross-Sectional Studies KW - *Accidental Falls KW - Mexico KW - eppi-reviewer4 ER - TY - JOUR TI - Biological air contamination in elderly care centers: geria project AU - Aguiar Livia AU - Mendes Ana AU - Pereira Cristiana AU - Neves Paula AU - Mendes Diana AU - Teixeira Joao Paulo T2 - Journal of toxicology and environmental health. Part A AB - Indoor air quality (IAQ) affects health particularly in susceptible individuals such as the elderly. It has been estimated that the older population spends approximately 19-20 h/d indoors, and the majority of the elderly spend all of their time indoors in elderly care centers (ECC). Older individuals may be particularly at risk of exposure to detrimental effects from pollutants, even at low concentrations, due to common and multiple underlying chronic diseases that increase susceptibility. This study, aimed to assess the impact of indoor biological agents in 22 ECC located in Porto, was conducted during summer and winter from November 2011 to August 2013 at a total of 141 areas within dining rooms, drawing rooms, medical offices, and bedrooms (including the bedridden). Air sampling was carried out with a microbiological air sampler (Merck MAS-100) and using tryptic soy agar for bacteria and malt extract agar for fungi. The results obtained were compared with the recently revised Portuguese standards. In winter, mean fungi concentration exceeded reference values, while bacteria concentrations were within the new standards in both seasons. The main fungi species found indoors were Cladosporium (73%) in summer and Penicillium (67%) in winter. Aspergillus fumigatus, Aspergillus niger, and Aspergillus flavus, known potential pathogenic/toxigenic species, were also identified. Although the overall rate and mean values of bacteria and fungi found in ECC indoor air met Portuguese legislation, some concern is raised by the presence of pathogenic microorganisms. Simple measures, like opening windows and doors to promote air exchange and renewal, may improve effectiveness in enhancing IAQ. DA - 2014/// PY - 2014 VL - 77 IS - 14-16 SP - 944 EP - 58 SN - 1528-7394 0098-4108 UR - https://dx.doi.org/10.1080/15287394.2014.911135 KW - Humans KW - *Homes for the Aged KW - Seasons KW - Temperature KW - *Environmental Monitoring/mt [Methods] KW - *Air Pollutants/an [Analysis] KW - *Air Microbiology KW - *Inhalation Exposure/an [Analysis] KW - *Air Pollution, Indoor/an [Analysis] KW - eppi-reviewer4 KW - Aspergillus/ip [Isolation & Purification] KW - Bacteria/ip [Isolation & Purification] KW - Carbon Dioxide/an [Analysis] KW - Cladosporium/ip [Isolation & Purification] KW - Colony Count, Microbial KW - Penicillium/ip [Isolation & Purification] ER - TY - JOUR TI - The quality of removable prostheses in dentate, community-dwelling elderly residing in Puerto Rico AU - Aguilar Maria L AU - Psoter Walter J AU - Montero Mauricio AU - Milord Fabiola AU - Joshipura Kaumudi J T2 - Journal of prosthodontics : official journal of the American College of Prosthodontists AB - PURPOSE: Edentulism has been decreasing in the US elderly population; however, due to the increasing number of elderly, the need for prostheses has been projected to rise over the next several decades. One of the aims of the Puerto Rican Elderly Dental Health Study (PREDHS) was to assess the quality of removable prostheses (RP) in the Puerto Rican (PR) elderly (>69 years of age) population., METHODS: A cross-sectional design, using a subgroup from the Puerto Rican Elderly: Health Conditions (PREHCO) study of dentate, community-dwelling older adults from the greater San Juan area was employed. Eligible participants were administered structured questionnaires and examined in their homes by three trained and calibrated dentists using National Institute of Dental and Craniofacial Research (NIDCR) criteria., RESULTS: One hundred and eighty three (183) participants were examined (61 males, 122 females) (p < 0.001). Overall, 64% were found to have a prosthetic problem with no statistical difference between genders. Unadjusted and age-adjusted logistic models were employed. Increasing age was associated with both upper and lower clinically defined abraded prostheses, (p = 0.007; p = 0.041, respectively). Maxillary (23%) and mandibular (27%) prostheses needed replacement due to deficiencies., CONCLUSION: RP deficiencies were found in almost two-thirds of a representative sample of dentate 70+ year-old people residing in PR. There was no difference in the proportion of deficiencies between elderly who reported a dental visit in the preceding year or not having seen a dentist. A quarter of the prostheses required replacement. The findings from this and the NHANES studies demonstrate that an engaged and recognized prosthodontic dental school faculty continues to be as important now as it was a generation ago. Copyright © 2013 by the American College of Prosthodontists. DA - 2013/// PY - 2013 VL - 22 IS - 7 SP - 556 EP - 560 SN - 1532-849X 1059-941X UR - https://dx.doi.org/10.1111/jopr.12025 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Cross-Sectional Studies KW - Age Factors KW - Geriatric Assessment KW - Puerto Rico KW - Urban Health KW - eppi-reviewer4 KW - *Denture, Partial, Removable/st [Standards] KW - Dental Clasps/st [Standards] KW - Dental Restoration Failure/sn [Statistics & Numerical Data] KW - Dental Restoration Wear/sn [Statistics & Numerical Data] KW - Denture Rebasing/sn [Statistics & Numerical Data] KW - Denture Retention/st [Standards] KW - Retreatment/sn [Statistics & Numerical Data] ER - TY - JOUR TI - The severity of urinary incontinence decreases health-related quality of life among community-dwelling elderly AU - Aguilar-Navarro Sara AU - Navarrete-Reyes Ana Patricia AU - Grados-Chavarria Bernardo Horacio AU - Garcia-Lara Juan Miguel Antonio AU - Amieva Helene AU - Avila-Funes Jose Alberto T2 - The journals of gerontology. Series A, Biological sciences and medical sciences AB - BACKGROUND: Urinary incontinence (UI) is an important geriatric syndrome that has been associated with a wide range of health-related outcomes. However, UI severity has rarely been examined in the context of a comprehensive geriatric assessment. Therefore, the aim of this study is to examine the association between UI severity and health-related quality of life (QoL) when frequent geriatric issues are taken into account., METHODS: We performed a cross-sectional study of 1,124 participants aged 70 y and older. UI was diagnosed when difficulty with urinary continence was reported, and its severity was assessed through a modified version of the Sandvik Index. Health-related QoL was measured using the SF-36, including its physical and mental component summaries. Multivariate linear regression was performed to determine the association between UI severity and health-related QoL., RESULTS: Prevalence of UI was 18%, and it was severe in 29.3% of cases. Severely incontinent subjects were older and had worse self-perceived health status, greater disability, and more depressive symptoms in comparison with continent participants or with those affected to a lesser degree. Multivariate regression analysis showed a significant inverse association between the physical component summaries and moderate (B = -4.54) as well as severe UI (B = -6.72). The mental component summaries showed similar results (B = -1.44 and -4.43, respectively)., CONCLUSIONS: UI severity is associated with lower QoL scores in both its components. This association appears to be more important as severity increases. UI severity must be evaluated thoroughly in the elderly because of its potential adverse effects on physical and mental health. DA - 2012/// PY - 2012 VL - 67 IS - 11 SP - 1266 EP - 71 SN - 1758-535X 1079-5006 UR - https://dx.doi.org/10.1093/gerona/gls152 KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Risk Assessment KW - Frail Elderly KW - Independent Living KW - Prevalence KW - Residence Characteristics KW - *Quality of Life KW - *Geriatric Assessment/mt [Methods] KW - Cross-Sectional Studies KW - Analysis of Variance KW - Socioeconomic Factors KW - Severity of Illness Index KW - *Urinary Incontinence/ep [Epidemiology] KW - Age Distribution KW - Sex Distribution KW - Linear Models KW - Multivariate Analysis KW - Urinary Incontinence/px [Psychology] KW - Mexico KW - Chi-Square Distribution KW - *Urinary Incontinence/di [Diagnosis] KW - eppi-reviewer4 ER - TY - JOUR TI - Relationships between symptoms, physical capacity and activity limitations in 1992 and 2002 AU - Ahacic Kozma AU - Kareholt Ingemar AU - Thorslund Mats AU - Parker Marti G T2 - Aging clinical and experimental research AB - BACKGROUND AND AIMS: Studies of health trends suggest that various components of health and disability follow different trends over time. This in turn suggests that the relations between different health outcomes may change. This study explores associations between three kinds of outcomes (symptoms, physical capacity, activity limitations) in order to evaluate whether relationships between them had changed over the past decade., METHODS: Ordered logistic regressions evaluated the relationships between variables in two collapsed representative samples of the Swedish oldest old (77+) in 1992 and 2002, living at home and in institutions (n=1115, non-response 15%, proxy interviews 13%). Interviews included symptoms (fatigue, pain and dizziness), physical capacity (tests of lung function + physical performance, and mobility, i.e., walking, running, and climbing stairs) and activity limitations (IADL, ADL)., RESULTS: Prevalence of symptoms and poor capacity was higher in 2002 than in 1992, whereas the prevalence of activity limitations did not change. All symptoms were related to physical capacity. Fatigue and pain were related to activity limitations with adjustments for physical capacity, as well as independently. All capacity measures had independent relationships with activity limitations. The relationship of fatigue with ADL was weaker in 2002 than in 1992. Adjusted for performance and lung function, the relationship of mobility with ADL was also weaker. Otherwise, relationships were not significantly different (p>0.05)., CONCLUSIONS: Among old people, symptoms are closely associated with activity limitations. Identifying the role of symptoms may enhance development of early interventions. The weakened relationship between ADL and functional limitations indicate that they follow different trends. DA - 2007/// PY - 2007 VL - 19 IS - 3 SP - 187 EP - 93 SN - 1594-0667 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=17607085 KW - Female KW - Humans KW - Male KW - Aged KW - Prevalence KW - Time Factors KW - *Activities of Daily Living KW - Motor Activity KW - *Pain/ep [Epidemiology] KW - Pain/pp [Physiopathology] KW - Fatigue/pp [Physiopathology] KW - *Dizziness/ep [Epidemiology] KW - Dizziness/pp [Physiopathology] KW - eppi-reviewer4 KW - *Fatigue/ep [Epidemiology] KW - Peak Expiratory Flow Rate ER - TY - JOUR TI - Institutional Elderly Care Services and Moroccan and Turkish Migrants in Belgium: A Literature Review AU - Ahaddour Chaima AU - van den Branden AU - Stef AU - Broeckaert Bert T2 - Journal of immigrant and minority health AB - In several European countries, including Belgium, the rapid ageing of the migrant population has emerged only recently on the political agenda. The aim of this literature review is threefold. Firstly, it provides a review of the available studies on the accessibility and use of institutional care services by Moroccan and Turkish migrants in the Flemish part of Belgium including Flanders and Brussels. Secondly, it identifies their specific needs regarding elderly care services. Finally, it provides an overview of the way in which Belgian policy has dealt with the issue of migration and elderly care. Literature published between 1965 and 2014 and relevant to the Belgian context has been included. This search yielded 21 references, of which 8 empirical studies, 5 policy literature, 3 theoretical studies, 3 news articles and 2 popularized reports. Mainstream elderly care remains relatively inaccessible for these migrants due to the language and a series of cultural and religious barriers, a low level of education, financial constraints, a lack of knowledge of health care systems, and the so-called return and care dilemmas. Their religious and cultural needs are currently not met by elderly care services. The inclusive and neutral Belgian policy seems to pay insufficient attention to these issues. DA - 2016/// PY - 2016 VL - 18 IS - 5 SP - 1216 EP - 27 SN - 1557-1920 1557-1912 UR - https://dx.doi.org/10.1007/s10903-015-0247-4 KW - Humans KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Socioeconomic Factors KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - *Health Services for the Aged/sn [Statistics & Numerical Data] KW - Communication Barriers KW - Belgium/ep [Epidemiology] KW - Health Services Accessibility KW - Language KW - Culture KW - eppi-reviewer4 KW - *Emigrants and Immigrants/sn [Statistics & Numerical Data] KW - Adult Day Care Centers/sn [Statistics & Numerical Data] KW - Health Knowledge, Attitudes, Practice/eh [Ethnology] KW - Morocco/eh [Ethnology] KW - Turkey/eh [Ethnology] ER - TY - JOUR TI - Preliminary study on activity monitoring using an android smart-watch AU - Ahanathapillai Vijayalakshmi AU - Amor James D AU - Goodwin Zoe AU - James Christopher J T2 - Healthcare technology letters AB - The global trend for increasing life expectancy is resulting in aging populations in a number of countries. This brings to bear a pressure to provide effective care for the older population with increasing constraints on available resources. Providing care for and maintaining the independence of an older person in their own home is one way that this problem can be addressed. The EU Funded Unobtrusive Smart Environments for Independent Living (USEFIL) project is an assistive technology tool being developed to enhance independent living. As part of USEFIL, a wrist wearable unit (WWU) is being developed to monitor the physical activity (PA) of the user and integrate with the USEFIL system. The WWU is a novel application of an existing technology to the assisted living problem domain. It combines existing technologies and new algorithms to extract PA parameters for activity monitoring. The parameters that are extracted include: activity level, step count and worn state. The WWU, the algorithms that have been developed and a preliminary validation are presented. The results show that activity level can be successfully extracted, that worn state can be correctly identified and that step counts in walking data can be estimated within 3% error, using the controlled dataset. DA - 2015/// PY - 2015 VL - 2 IS - 1 SP - 34 EP - 9 SN - 2053-3713 UR - https://dx.doi.org/10.1049/htl.2014.0091 KW - eppi-reviewer4 ER - TY - JOUR TI - Improving end of life care for nursing home residents: an analysis of hospital mortality and readmission rates AU - Ahearn D J AU - Jackson T B AU - McIlmoyle J AU - Weatherburn A J T2 - Postgraduate medical journal AB - INTRODUCTION: Despite concern that many nursing home residents who become acutely unwell are admitted to hospital for often futile and distressing treatment, no previous studies analysing survival and readmission rates of this cohort were found in the literature., OBJECTIVE: To study survival and readmission rates of nursing home patients admitted acutely to general medicine., METHOD: Analysis of all admissions to the acute medical unit of a busy district general hospital over a 94 day period, comparing nursing home residents with all admitted patients aged over 70 years., RESULTS: Nursing home residents were significantly less likely to survive the admission than elderly people living in the community. 33.9% of nursing home residents did not survive the admission and 51.6% died within 6 weeks of admission. Of those discharged alive, 41.5% were readmitted or died within 6 weeks. Patients with a higher level of comorbidity were less likely to survive the admission or live to 6 weeks., DISCUSSION: These findings raise the need for careful 'advance care planning'. This should become commonplace for nursing home residents to improve end of life care and reduce hospital admissions in patients unlikely to survive. The judicious use of 'Preferred Priorities for Care' documents, 'do-not-hospitalise' orders, and the establishment of a dedicated multidisciplinary team involving primary and secondary care is proposed to help achieve these aims., CONCLUSION: Survival rates in nursing home residents admitted to an acute medical unit are low, and measures are suggested to reduce inappropriate admissions and facilitate improved end of life care. DA - 2010/// PY - 2010 VL - 86 IS - 1013 SP - 131 EP - 5 SN - 1469-0756 0032-5473 UR - https://dx.doi.org/10.1136/pgmj.2008.076430 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Length of Stay KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - England/ep [Epidemiology] KW - *Quality of Health Care KW - Patient Readmission/sn [Statistics & Numerical Data] KW - *Terminal Care/st [Standards] KW - *Hospital Mortality KW - Unnecessary Procedures/sn [Statistics & Numerical Data] KW - eppi-reviewer4 ER - TY - JOUR TI - Social capital and trust in providers. AU - Ahern Melissa M AU - Hendryx Michael S T2 - Social science & medicine (1982) AB - Trust in providers has been in decline in recent decades. This study attempts to identify sources of trust in characteristics of health care systems and the wider community. The design is cross-sectional. Data are from (1) the 1996 Household Survey of the Community Tracking Study, drawn from 24 Metropolitan Statistical Areas; (2) a 1996 multi-city broadcast media marketing database including key social capital indicators; (3) Interstudy; (4) the American Hospital Association; and (5) the American Medical Association. Independent variables include individual socio-demographic variables, HMO enrollment, community-level health sector variables, and social capital. The dependent variable is self-reported trust in physicians. Data are merged from the various sources and analyzed using SUDAAN. Subjects include adults in the Household Survey who responded to the items on trust in physicians (N=17,653). Trust in physicians is independently predicted by community social capital (p<0.001). Trust is also negatively related to HMO enrollment and to many individual characteristics. The effect of HMOs is not uniform across all communities. Social capital plays a role in how health care is perceived by citizens, and how health care is delivered by providers. Efforts to build trust and collaboration in a community may improve trust in physicians, health care quality, access, and preserve local health care control. DA - 2003/// PY - 2003 VL - 57 IS - 7 SP - 1195 EP - 203 SN - 0277-9536 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=12899904 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - United States KW - Primary Health Care KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Care Surveys KW - Cross-Sectional Studies KW - *Social Support KW - *Attitude to Health KW - *Residence Characteristics KW - *Urban Population/sn [Statistics & Numerical Data] KW - Family Characteristics KW - *Physician-Patient Relations KW - *Trust KW - eppi-reviewer4 KW - *Health Maintenance Organizations/sn [Statistics & Numerical Data] KW - Attitude to Health/eh [Ethnology] KW - Catchment Area (Health) KW - Urban Population/cl [Classification] ER - TY - JOUR TI - Collective efficacy and major depression in urban neighborhoods. AU - Ahern Jennifer AU - Galea Sandro T2 - American journal of epidemiology AB - Depression contributes substantially to the global burden of disease and disability. Population-level factors that shape depression may be efficient targets for intervention to decrease the depression burden. The authors aimed to identify the relation between neighborhood collective efficacy and major depression. Analyses were conducted on data from the New York Social Environment Study (n = 4,000), a representative study of residents of New York, New York, conducted in 2005. Neighborhood collective efficacy was measured as the average neighborhood response on a well-established scale. Major depression was assessed with the Patient Health Questionnaire. A marginal modeling approach was applied to present results on the additive scale relevant to public health and intervention. Analyses were adjusted for demographic and socioeconomic characteristics, recent life events that could contribute to both depression and change in residence, and individual perception of collective efficacy. Collective efficacy was related to major depression among older adults; marginal models estimated a 6.2% (95% confidence interval: 0.1, 17.5) lower prevalence of depression if all older adults (65 years and older) had lived in high versus low collective efficacy neighborhoods. Similar results were suggested among younger adults; however, the confidence interval crossed the null. These and other study findings suggest that community-randomized trials targeting collective efficacy merit consideration. DA - 2011/// PY - 2011 DO - 10.1093/aje/kwr030 VL - 173 IS - 12 SP - 1453 EP - 62 SN - 0002-9262 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=21527512 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Cohort Studies KW - Socioeconomic Factors KW - Self Efficacy KW - *Residence Characteristics KW - *Social Environment KW - *Depressive Disorder/ep [Epidemiology] KW - *Urban Health KW - New York City KW - eppi-reviewer4 KW - Effect Modifier, Epidemiologic ER - TY - JOUR TI - Alcohol outlets and binge drinking in urban neighborhoods: the implications of nonlinearity for intervention and policy AU - Ahern Jennifer AU - Margerison-Zilko Claire AU - Hubbard Alan AU - Galea Sandro T2 - American journal of public health AB - OBJECTIVES: Alcohol outlet density has long been associated with alcohol-related harms, and policymakers have endorsed alcohol outlet restriction to reduce these harms. However, potential nonlinearity in the relation between outlet density and alcohol consumption has not been rigorously examined., METHODS: We used data from the New York Social Environment Study (n = 4000) to examine the shape of the relation between neighborhood alcohol outlet density and binge drinking by using a generalized additive model with locally weighted scatterplot smoothing, and applied an imputation-based marginal modeling approach., RESULTS: We found a nonlinear relation between alcohol outlet density and binge drinking; the association was stronger at densities of more than 80 outlets per square mile. Binge drinking prevalence was estimated to be 13% at 130 outlets, 8% at 80 outlets, and 8% at 20 outlets per square mile., CONCLUSIONS: This nonlinearity suggests that reductions in alcohol outlet density where density is highest and the association is strongest may have the largest public health impact per unit reduction. Future research should assess the impact of policies and interventions that aim to reduce alcohol outlet density, and consider nonlinearity in effects. DA - 2013/// PY - 2013 VL - 103 IS - 4 SP - e81 EP - 7 SN - 1541-0048 0090-0036 UR - https://dx.doi.org/10.2105/AJPH.2012.301203 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - *Commerce/sn [Statistics & Numerical Data] KW - *Residence Characteristics KW - *Urban Population/sn [Statistics & Numerical Data] KW - Models, Statistical KW - New York City/ep [Epidemiology] KW - *Alcoholic Beverages/sd [Supply & Distribution] KW - eppi-reviewer4 KW - *Binge Drinking/ep [Epidemiology] ER - TY - JOUR TI - Factors associated with older people's independent living from the viewpoint of health and functional capacity: a register-based study. AU - Ahlqvist Anette AU - Nyfors Hanna AU - Suhonen Riitta T2 - Nursing open AB - AIM: The aim of this study was to identify factors associated with independent living of older people from the point of view of health and functional capacity., BACKGROUND: Living independently at home is major wish for older people but is depending on health and functional capacity among others. Objective and subjective assessments have been considered important in determining threats for independent living but both of these views have rarely included in the same study., DESIGN: Descriptive, cross-sectional register-based study was conducted., METHODS: Data were collected using the Health and Functional Capacity survey by identifying the factors of health examinations of a cohort (N = 292) of 75-year old's, born in 1936 (N = 388), in one Finnish medium-sized municipality in 2011. This study is part of the Functional Ageing project Kaste 2013. The data were analysed statistically by using descriptive analysis, cross-tabulation and logistic regression., RESULTS: Partly, different factors were associated with subjective and objective health and functional capacity showing wide range of individuality. Worsening subjective health was associated with worsened self-assessment of life situation. Worsening subjective health threatens independent living. Factors statistically significantly associated with worsening subjective health were low physical activity, falls during the last 6 months, not managing heavy housework, being sometimes lonely or dejected, having diagnosed diseases or health problems and polypharmacy. DA - 2016/// PY - 2016 VL - 3 IS - 2 SP - 79 EP - 89 SN - 2054-1058 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=27708818 KW - eppi-reviewer4 ER - TY - JOUR TI - Occupational performance of persons who have suffered a stroke: a follow-up study. AU - Ahlström S AU - Bernspång B T2 - Scandinavian Journal of Occupational Therapy AB - The main purpose of this study was to describe the progress made in terms of occupational performance during a two-year period by persons who had suffered a stroke and had been discharged to their home after their initial hospital stay. The population of the study consisted of 49 persons, 30 men and 19 women, with a mean age of 69 years. The Assessment of Motor and Process Skills (AMPS) was used to assess their occupational performance. Of the whole population at discharge, 66% showed increased effort and 29% showed decreased efficiency and independency. The results also showed that the persons who had decreased the most in their efficiency dropped out from the study. Twenty-nine persons participated in the study for 2 years. The best ADL ability was seen in the population at 3 months after discharge. A decrease was seen at 18 months after discharge in AMPS ADL process ability and at 24 months in AMPS ADL motor ability. The results suggest that persons who have suffered a stroke and live in their homes maintain their AMPS ADL ability performance for 1.5 to 2 years. A low AMPS ADL process ability measure in persons who have suffered a stroke signifies a reduced possibility of living at home. DA - 2003/06// PY - 2003 VL - 10 IS - 2 SP - 88 EP - 94 SN - 1103-8128 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106711504&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Activities of Daily Living KW - Sex Factors KW - Age Factors KW - Prospective Studies KW - Occupational Therapy KW - Sweden KW - Psychomotor Performance KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Interviews KW - Middle Age KW - Funding Source KW - Descriptive Statistics KW - Functional Status KW - Outcomes (Health Care) KW - Clinical Assessment Tools KW - Interrater Reliability KW - Intrarater Reliability KW - Functional Assessment KW - Home Rehabilitation KW - Occupational Therapy Assessment KW - Rasch Analysis KW - Stroke -- Rehabilitation ER - TY - JOUR TI - Where older people die: a retrospective population-based study AU - Ahmad S AU - O'Mahony M S T2 - QJM : monthly journal of the Association of Physicians AB - BACKGROUND: Palliative medicine services have invested in the community to support people dying at home. To develop end-of-life care for older people, we need to know where they die., AIM: To examine trends in age and location of death over the last 20 years., DESIGN: Retrospective death certificate review., METHOD: All Wales death certificates from 1981 to 2001 were examined. Place of death and age were noted., RESULTS: Total deaths decreased from 35,015 in 1981 to 32,966 in 2001, and mortality decreased from 12.45 per 1000 population in 1981 to 11.33 in 2001. Deaths in the community decreased from 37.6% (n = 13,155) to 22.1% (n = 7293) (p < 0.001); deaths increased in hospital from 56.7% (n = 19,871) to 61.7% (n = 20,334) (p < 0.001) and in care homes from 5.7% (n = 1989) to 16.2% (n = 5339) (p < 0.001). Between 1981 and 2001, deaths in those aged 65-74 years dropped from 9752 to 6361, but increased in the over-85s from 5661 to 9779. Deaths amongst 75-84-year-olds remained stable at around 11,000. The biggest rise in hospital and care-home deaths was in those over 85: hospital deaths increased from 2928 in 1981, to 5438 in 2001; care-home deaths increased from 941 to 3141., DISCUSSION: The last 20 years have seen a significant shift in location of death from the community to hospitals and care homes. Those aged over 85 years account for the biggest rise in hospital and care-home deaths. End-of-life needs for older people need to be addressed in hospital and care homes, not just in the community. DA - 2005/// PY - 2005 VL - 98 IS - 12 SP - 865 EP - 70 SN - 1460-2725 1460-2393 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16299059 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Retrospective Studies KW - *Death KW - Age Distribution KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Hospitalization/sn [Statistics & Numerical Data] KW - Wales/ep [Epidemiology] KW - *Hospitalization/td [Trends] KW - *Palliative Care/td [Trends] KW - *Attitude to Death KW - Hospital Mortality/td [Trends] KW - Palliative Care/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Death Certificates ER - TY - JOUR TI - The influence of neighbourhood formality status and socio-economic position on self-rated health among adult men and women: a multilevel, cross sectional, population study from Aleppo, Syria AU - Ahmad Balsam AU - Ryan Vicky AU - Maziak Wasim AU - Pless-Mulloli Tanja AU - White Martin T2 - BMC public health AB - BACKGROUND: There is substantial evidence from high income countries that neighbourhoods have an influence on health independent of individual characteristics. However, neighbourhood characteristics are rarely taken into account in the analysis of urban health studies from developing countries. Informal urban neighbourhoods are home to about half of the population in Aleppo, the second largest city in Syria (population>2.5 million). This study aimed to examine the influence of neighbourhood socioeconomic status (SES) and formality status on self-rated health (SRH) of adult men and women residing in formal and informal urban neighbourhoods in Aleppo., METHODS: The study used data from 2038 survey respondents to the Aleppo Household Survey, 2004 (age 18-65 years, 54.8% women, response rate 86%). Respondents were nested in 45 neighbourhoods. Five individual-level SES measures, namely education, employment, car ownership, item ownership and household density, were aggregated to the level of neighbourhood. Multilevel regression models were used to investigate associations., RESULTS: We did not find evidence of important SRH variation between neighbourhoods. Neighbourhood average of household item ownership was associated with a greater likelihood of reporting excellent SRH in women; odds ratio (OR) for an increase of one item on average was 2.3 (95% CI 1.3-4.4 (versus poor SRH)) and 1.7 (95% CI 1.1-2.5 (versus normal SRH)), adjusted for individual characteristics and neighbourhood formality. After controlling for individual and neighbourhood SES measures, women living in informal neighbourhoods were less likely to report poor SRH than women living in formal neighbourhoods (OR= 0.4; 95% CI (0.2- 0.8) (versus poor SRH) and OR=0.5; 95%; CI (0.3-0.9) (versus normal SRH)., CONCLUSIONS: Findings support evidence from high income countries that certain characteristic of neighbourhoods affect men and women in different ways. Further research from similar urban settings in developing countries is needed to understand the mechanisms by which informal neighbourhoods influence women's health. DA - 2013/// PY - 2013 VL - 13 SP - 233 SN - 1471-2458 UR - https://dx.doi.org/10.1186/1471-2458-13-233 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - *Diagnostic Self Evaluation KW - Cross-Sectional Studies KW - Multilevel Analysis KW - *Social Class KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - Syria KW - *Urban Health/sn [Statistics & Numerical Data] KW - eppi-reviewer4 ER - TY - JOUR TI - Prevalence, transitions and factors predicting transition between frailty states among rural community-dwelling older adults in Malaysia. AU - Ahmad Nur Sakinah AU - Hairi Noran Naqiah AU - Said Mas Ayu AU - Kamaruzzaman Shahrul Bahyah AU - Choo Wan Yuen AU - Hairi Farizah AU - Othman Sajaratulnisah AU - Ismail Norliana AU - Peramalah Devi AU - Kandiben Shathanapriya AU - Mohd Ali AU - Zainudin AU - Ahmad Sharifah Nor AU - Abdul Razak AU - Inayah AU - Bulgiba Awang T2 - PloS one AB - OBJECTIVES: This study aims to describe the prevalence and transitions of frailty among rural-community dwelling older adults in Malaysia and to analyse factors associated with different states of frailty transition. Frailty was conceptualized using modified Fried phenotype from the Cardiovascular Health Study., DESIGN: This is a prospective longitudinal study with 12-months follow up among older adults in Malaysia., SETTING: Kuala Pilah, a district in Negeri Sembilan, which is one of the fourteen states in Malaysia., PARTICIPANTS: 2,324 community-dwelling older Malaysians aged 60 years and older., RESULTS: The overall prevalence of frailty in this study was 9.4% (95% CI 7.8-11.2). The prevalence increased at least three-fold with every 10 years of age. This increase was seen higher in women compared to men. Being frail was significantly associated with older age, women, and respondents with a higher number of chronic diseases, poor cognitive function and low socioeconomic status (p<0.05). During the 12-months follow-up, our study showed that the transition towards greater frailty states were more likely (22.9%) than transition toward lesser frailty states (19.9%) while majority (57.2%) remained unchanged. Multivariate logistic regression analysis showed that presence of low physical activity increased the likelihood of worsening transition towards greater frailty states by three times (OR 2.9, 95% CI 2.2-3.7) and lowered the likelihood of transition towards lesser frailty states (OR 0.3, 95% CI 0.2-0.4)., CONCLUSION: Frailty is reported among one in every eleven older adults in this study. The prevalence increased across age groups and was higher among women than men. Frailty possesses a dynamic status due to its potential reversibility. This reversibility makes it a cornerstone to delay frailty progression. Our study noted that physical activity conferred the greatest benefit as a modifiable factor in frailty prevention. DA - 2018/// PY - 2018 DO - 10.1371/journal.pone.0206445 VL - 13 IS - 11 SP - e0206445 SN - 1932-6203 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30395649 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Rural Population/sn [Statistics & Numerical Data] KW - Frail Elderly/sn [Statistics & Numerical Data] KW - Malaysia/ep [Epidemiology] KW - Prognosis KW - *Frailty/ep [Epidemiology] KW - Frailty/di [Diagnosis] KW - eppi-reviewer4 ER - TY - JOUR TI - Differences in cause-specific patterns of unintentional injury mortality among 15-44-year-olds in income-based country groups. AU - Ahmed Niaz AU - Andersson Ragnar T2 - Accident; analysis and prevention AB - OBJECTIVES: The aim of the present study was to investigate the cause-specific patterns of unintentional injury mortality among 15-44-year-olds in various income-based country groups, and to analyze which specific causes contribute the most to the unintentional injury mortality in each country group., MATERIALS AND METHODS: Cross-sectional data on the five most common causes of unintentional injury mortality by age-sex specific subgroups were compiled for 57 countries from the World Health Statistics Annuals for the year 1993 (1991-1994 if information for 1993 was unavailable). Data were categorized into four income-based country groups according to their gross national product (GNP) per capita for the year 1993. The differences between means and rate ratios of low, lower-middle, and upper-middle income countries were calculated by comparing them with those of the high-income countries. Regression analysis was performed to determine the trends in the direction of income for each specific cause of unintentional injury mortality by age-sex., RESULTS: For any of the specific causes of unintentional injury mortality there was an inverse relationship between mortality rates and GNP per capita except for motor vehicle traffic (MVT) among the 15-24-year-old age group. MVT accidents were the most common cause and contributed 26-77% of all unintentional injury mortality. The second most common cause was poisoning in all country groups except low-income countries where drowning dominated for males and mixed causes for females. Upper-middle income countries represented the highest MVT mortality in all age-sex subgroups except among 15-24-year-old females for which high-income countries displayed the highest rate. For other causes, lower-middle income represented the highest rates with a few exceptions. In the 15-24-year age group, the rate ratio of motor vehicle traffic mortality was higher in high-income countries compared to low-income countries, while in the 35-44-year age group, all other country groups showed a higher rate ratio than high-income countries. Drowning for males and burns for females in the low and middle-income countries were significantly higher than in high-income countries. DA - 2002/// PY - 2002 VL - 34 IS - 4 SP - 541 EP - 51 SN - 0001-4575 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=12067117 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Cross-Sectional Studies KW - Analysis of Variance KW - *Residence Characteristics KW - Age Distribution KW - Sex Distribution KW - Linear Models KW - *Cause of Death KW - *Developing Countries/sn [Statistics & Numerical Data] KW - Accidental Falls/mo [Mortality] KW - Accidents, Traffic/mo [Mortality] KW - *Wounds and Injuries/mo [Mortality] KW - Drowning/mo [Mortality] KW - eppi-reviewer4 KW - Economics KW - *Wounds and Injuries/ec [Economics] KW - Burns/mo [Mortality] KW - Developed Countries/sn [Statistics & Numerical Data] KW - Global Health KW - Poisoning/mo [Mortality] ER - TY - JOUR TI - Predictors of nursing home admission for older adults hospitalized with heart failure AU - Ahmed Ali AU - Allman Richard M AU - DeLong James F T2 - Archives of gerontology and geriatrics AB - The objective of this retrospective chart review study was to determine the prevalence and predictors of nursing home admission of older hospitalized heart failure patients. Subjects were Medicare beneficiaries discharged with a principal diagnosis of heart failure in 1994 in the state of Alabama, United States. The outcome variable was admission to a nursing home after hospital discharge. Using multivariable logistic regression analyses we determined patient and care variables independently associated with admission to a nursing home. Patients (n = 985) had a mean (+/- S.D.) age of 79 (+/- 7.5) years, 61% were female and 18% African-American. Eighty-three (8%) patients were admitted to a nursing home. Over 80% of those admitted to a nursing home had prior nursing home residence. After adjustment for various demographic, clinical and care variables, age (adjusted odds ratio [OR] = 1.14; 95% confidence interval [95%CI] = 1.06-1.23), pre-admission residence in a nursing home (adjusted OR = 1422; 95%CI = 341-5923), and length of hospital stay (adjusted OR = 1.11; 95%CI = 1.02-1.20) were independently associated with admission to a nursing home. Among patients with no prior nursing home residency (n = 908), 15 (2%) patients were newly admitted to a nursing home upon discharge. In addition to age and length of stay, diabetes (adjusted OR = 6.46; 95%CI = 1.58-26.41) was independently associated with new admission to a nursing home. In conclusion, nursing home admission rate for this cohort of older hospitalized heart failure patients was low. Age, length of hospital stay, and diabetes were associated with new nursing home admissions. Further studies are needed to identify modifiable risk factors for nursing home admissions and to develop appropriate interventions. DA - 2003/// PY - 2003 VL - 36 IS - 2 SP - 117 EP - 26 SN - 0167-4943 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=12849086 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Logistic Models KW - Retrospective Studies KW - Cohort Studies KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Survival Rate KW - Severity of Illness Index KW - Incidence KW - Age Distribution KW - Sex Distribution KW - Multivariate Analysis KW - Predictive Value of Tests KW - *Patient Admission/sn [Statistics & Numerical Data] KW - *Heart Failure/di [Diagnosis] KW - Heart Failure/th [Therapy] KW - eppi-reviewer4 KW - Heart Failure/mo [Mortality] ER - TY - JOUR TI - Geriatric heart failure, depression, and nursing home admission: an observational study using propensity score analysis AU - Ahmed Ali AU - Ali Mahmud AU - Lefante Christina M AU - Mullick M Syadul Islam AU - Kinney F Cleveland T2 - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry AB - OBJECTIVE: Heart failure (HF) and depression are both common in older adults, and the presence of depression is known to worsen HF outcomes. For community-dwelling older adults, admission to a nursing home (NH) is associated with loss of independent living and poor outcomes. The objective of this study was to examine the effect of depression on NH admission for older adults with HF., METHODS: Using the 2001-2003 National Hospital Discharge Survey datasets, the authors identified all community-dwelling older adults who were discharged alive with a primary discharge diagnosis of HF. The authors then identified those with a secondary diagnosis of depression. Using a multivariable logistic regression model, the authors then determined probability or propensity to have depression for each patient. The authors used propensity scores for depression to match all 680 depressed patients with 2,040 nondepressed patients. Finally, the authors estimated the association between depression and NH admission using bivariate and multivariable logistic regression analyses., RESULTS: Patients had a mean (+/- standard deviation) age of 79 (+/- 8) years, 72% were women, and 9% were blacks. Compared with 17% nondepressed patients, 25% depressed patients were discharged to a NH. Depression was associated with 50% increased risk of NH admission (unadjusted relative risk [RR]: 1.50; 95% confidence interval [CI]: 1.28-1.74). The association became somewhat stronger after multivariable adjustment for various demographic and care covariates (adjusted RR: 1.60; 95% CI: 1.35-1.68)., CONCLUSION: In ambulatory older adults hospitalized with HF, a secondary diagnosis of depression was associated with a significant increased risk of NH admission. DA - 2006/// PY - 2006 VL - 14 IS - 10 SP - 867 EP - 75 SN - 1064-7481 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=17001026 KW - Female KW - Humans KW - Male KW - Aged KW - Retrospective Studies KW - Cohort Studies KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Patient Admission/sn [Statistics & Numerical Data] KW - Observation KW - *Heart Failure/ep [Epidemiology] KW - International Classification of Diseases KW - *Heart Failure/pp [Physiopathology] KW - Depressive Disorder, Major/di [Diagnosis] KW - Depressive Disorder, Major/ep [Epidemiology] KW - Depressive Disorder, Major/px [Psychology] KW - eppi-reviewer4 KW - Community Mental Health Services/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Generational status and duration of residence predict diabetes prevalence among Latinos: the California Men's Health Study. AU - Ahmed Ameena T AU - Quinn Virginia P AU - Caan Bette AU - Sternfeld Barbara AU - Haque Reina AU - Van Den Eeden AU - Stephen K T2 - BMC public health AB - BACKGROUND: Diabetes disproportionately affects Latinos. However, examining Latinos as one group obscures important intra-group differences. This study examined how generational status, duration of US residence, and language preference are associated with diabetes prevalence and to what extent these explain the higher prevalence among Latinos., METHODS: We determined nativity, duration of US residence, language preference, and diabetes prevalence among 11 817 Latino, 6109 black, and 52 184 white participants in the California Men's Health Study. We combined generational status and residence duration into a single migration status variable with levels: > or = third generation; second generation; and immigrant living in the US for > 25, 16-25, 11-15, or < or = 10 years. Language preference was defined as language in which the participant took the survey. Logistic regression models were specified to assess the associations of dependent variables with prevalent diabetes., RESULTS: Diabetes prevalence was 22%, 23%, and 11% among Latinos, blacks, and whites, respectively. In age-adjusted models, we observed a gradient of risk of diabetes by migration status among Latinos. Further adjustment for socioeconomic status, obesity and health behaviors only partially attenuated this gradient. Language preference was a weak predictor of prevalent diabetes in some models and not significant in others. In multivariate models, we found that odds of diabetes were higher among US-born Latinos than US-born blacks., CONCLUSION: Generational status and residence duration were associated with diabetes prevalence among middle-aged Latino men in California. As the Latino population grows, the burden of diabetes-associated disease is likely to increase and demands public health attention. DA - 2009/// PY - 2009 DO - 10.1186/1471-2458-9-392 VL - 9 SP - 392 SN - 1471-2458 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=19840393 KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Health Status KW - Logistic Models KW - Prevalence KW - Cohort Studies KW - Health Services Research KW - *Diabetes Mellitus/ep [Epidemiology] KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - Social Class KW - Language KW - California/ep [Epidemiology] KW - Diabetes Mellitus/di [Diagnosis] KW - African Continental Ancestry Group/sn [Statistics & Numerical Data] KW - European Continental Ancestry Group/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - *Family Characteristics/eh [Ethnology] KW - *Men's Health/eh [Ethnology] KW - Acculturation KW - Latin America/eh [Ethnology] ER - TY - JOUR TI - Dyspnoea and mortality in older people in the community: a 10-year follow-up AU - Ahmed Tanvir AU - Steward John A AU - O'Mahony M Sinead T2 - Age and ageing AB - BACKGROUND: examine baseline dyspnoea and subsequent 10-year mortality adjusting for age and gender and determine whether dyspnoea is related to early or late mortality or both. Examine the relationship between dyspnoea and mortality adjusting for confounding effects of underlying diseases., METHODS: we sent modified Medical Research Council (MRC) dyspnoea questionnaire to identify breathlessness in 1,404 randomly selected subjects from general practitioner lists of 5,002 subjects aged 70 years and over living in the community. A further random sample of 500 subjects underwent clinical assessment including pulmonary function tests, electrocardiography and echocardiography. Subjects were followed up for 10 years and all deaths were recorded, using general practitioner records and the local death registry., RESULTS: prevalence of dyspnoea was 32.3%. Breathlessness was associated with early mortality and late mortality. At 2 years 10.1% breathless subjects died compared with 3.4% non-breathless (P=0.02). At 10 years 63.3% breathless had died compared with 40.5% non-breathless (P=0.0001). Increasing grade of MRC dyspnoea was associated with 10 mortality. Advancing age (OR: 2.27), male gender (OR: 1.95), breathlessness (OR: 2.53), left ventricular dysfunction (OR: 5.01) and chronic airways disease (OR: 3.04) were all significantly associated with 10-year mortality. After adjustment of age, gender and underlying diseases breathlessness was associated with 10-year mortality (P=0.02)., CONCLUSION: dyspnoea is a predictor of early and late mortality and increasing grade of dyspnoea is associated with a higher rate of mortality. Dyspnoea is an independent risk factor for mortality after adjustment for age, gender and underlying diseases. DA - 2012/// PY - 2012 VL - 41 IS - 4 SP - 545 EP - 9 SN - 1468-2834 0002-0729 UR - https://dx.doi.org/10.1093/ageing/afs049 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Registries KW - Surveys and Questionnaires KW - Logistic Models KW - Prevalence KW - *Independent Living KW - Time Factors KW - Follow-Up Studies KW - *Aging KW - Age Factors KW - Severity of Illness Index KW - Odds Ratio KW - Proportional Hazards Models KW - Multivariate Analysis KW - Wales/ep [Epidemiology] KW - General Practice KW - Kaplan-Meier Estimate KW - Dyspnea/di [Diagnosis] KW - eppi-reviewer4 KW - *Dyspnea/mo [Mortality] KW - Heart Function Tests KW - Respiratory Function Tests ER - TY - JOUR TI - The Role of an Acute Care for the Elderly Unit in Achieving Hospital Quality Indicators While Caring for Frail Hospitalized Elders. AU - Ahmed Nasiya AU - Taylor Kimberlee AU - McDaniel Yasmene AU - Dyer Carmel B T2 - Population Health Management AB - Acute Care for the Elderly (ACE) units have successfully decreased length of stay, hospital costs, and readmission rates. Furthermore, patients return home with increased functional capacity and improved satisfaction with their hospital stay. The ACE unit concept was geared toward patients returning to independent living, but the average hospitalized geriatric patient is increasingly more frail, vulnerable, and dependent. The purpose of this study is 2-fold: (1) to determine if the ACE unit continues to offer the same benefit to the frail, often bedbound elderly, and (2) to determine if such a unit is able to maintain standard hospital quality indicators. A total of 1096 cases discharged from the Memorial-Hermann ACE unit between July 2008 and June 2010 were compared to a sample of 383 patients with similar illness severity who were discharged between July 2007 and June 2008. Metrics measured include: average length of stay (ALOS), case mix index (CMI), case mix adjusted average length of stay (CMI adj ALOS), average direct costs per case, and readmission rate. Patient satisfaction was measured using Hospital Consumer Assessment of Healthcare Providers and Systems and Press-Ganey surveys; quality and safety data were provided by Memorial-Hermann's Quality and Safety Department. The ACE unit resulted in a statistically significant decrease in ALOS and CMI adj LOS with a simultaneous increase in Health Care Financing Administration CMI, indicating that the unit was serving a sicker, more frail population. The readmission rate was 11.95%. The decrease in length of stay, readmission rate, and direct cost translates into a decrease in cost per case. Furthermore, the ACE unit successfully met hospital quality indicators. ( Population Health Management 2012;15:236-240) DA - 2012/08// PY - 2012 DO - 10.1089/pop.2011.0055 VL - 15 IS - 4 SP - 236 EP - 240 SN - 1942-7891 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104493555&site=ehost-live&scope=site KW - Female KW - Male KW - Quality of Health Care KW - Patient Safety KW - Frail Elderly KW - Length of Stay KW - Prospective Studies KW - Patient Satisfaction KW - Health Care Costs KW - Texas KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Questionnaires KW - Data Analysis Software KW - Descriptive Statistics KW - Academic Medical Centers KW - Clinical Indicators KW - Record Review KW - Hospital Units KW - Observational Methods KW - Acute Care KW - Aged, Hospitalized KW - Case Mix KW - Multidisciplinary Care Team KW - Readmission KW - Retrospective Design ER - TY - JOUR TI - Population pharmacokinetics of unbound and total drug concentrations following intravenously administered carbamazepine in elderly and younger adult patients with epilepsy AU - Ahmed Ghada F AU - Brundage Richard C AU - Marino Susan E AU - Cloyd James C AU - Leppik Ilo E AU - Pennell Page B AU - Ramsay R Eugene AU - Birnbaum Angela K T2 - Journal of clinical pharmacology AB - The objective of the study was to investigate the pharmacokinetics (PK) of unbound and total plasma carbamazepine (CBZ) concentrations following simultaneous administration of intravenous and oral formulations. We tested the hypothesis that age-related alterations in physiology and patient characteristics influence CBZ disposition and protein binding. Patients (n = 113) on maintenance therapy received a 100 mg dose of a novel, intravenous, stable-labeled (SL) CBZ formulation as partial replacement of their morning CBZ dose. A two-compartment model described unbound and total SL-CBZ data. The stable-labeled intravenous dosing methodology enabled the estimation of the CBZ clearance (CL) and volumes of distribution. The CL of CBZ was dependent on race through the model equation unbound CL (L/hour) = 11.2 x (1.30)(Race); where Race = 1 for Caucasian, 0 for African American. Total body weight explained 57% and 70% of the interindividual variability in the central and peripheral volumes of distribution, respectively. Age, sex, smoking, plasma albumin, and alpha 1-acid glycoprotein concentrations had no effect on CL, binding or volumes of distribution. The model was evaluated via bootstrap and predictive check. Results may support race specific dosing for CBZ where an average African-American individual would receive 70% of the standard dose prescribed for the Caucasian person. Copyright © The Author(s) 2013. DA - 2013/// PY - 2013 VL - 53 IS - 3 SP - 276 EP - 84 SN - 1552-4604 0091-2700 UR - https://dx.doi.org/10.1002/jcph.8 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Independent Living KW - Continental Population Groups KW - Administration, Oral KW - Epilepsy/dt [Drug Therapy] KW - Models, Biological KW - eppi-reviewer4 KW - *Anticonvulsants/pk [Pharmacokinetics] KW - *Carbamazepine/pk [Pharmacokinetics] KW - *Epilepsy/bl [Blood] KW - Anticonvulsants/ad [Administration & Dosage] KW - Anticonvulsants/bl [Blood] KW - Carbamazepine/ad [Administration & Dosage] KW - Carbamazepine/bl [Blood] KW - Infusions, Intravenous ER - TY - JOUR TI - Prevalence and predictors of depression and anxiety among the elderly population living in geriatric homes in Cairo, Egypt AU - Ahmed Dalia AU - El Shair AU - Inas Helmi AU - Taher Eman AU - Zyada Fadia T2 - The Journal of the Egyptian Public Health Association AB - BACKGROUND: Anxiety and depression are common in the elderly and affect their quality of life. The rates of depression and anxiety are higher among those living in institutional settings and are usually undiagnosed., AIM: The aim of the study was to determine the prevalence and predictors of depression, anxiety and mixed form (i.e. depression and anxiety) in the elderly living at geriatric homes., PARTICIPANTS AND METHODS: A cross-sectional study was conducted on 240 elderly participants from four randomly selected geriatric homes in Cairo. A pretested interview questionnaire was used to collect data. A short version of the Geriatric Depression Scale (GDS-15), the Hamilton Anxiety Scale, the Katz scale for Activity of Daily living, the three-item loneliness scale and the Personal Wellbeing Index Scale were used., RESULTS: The prevalence of depression, anxiety and mixed disorder among the studied group were 37.5, 14.2 and 30%, respectively. Old age and the presence of comorbidities were predictors for depression and/or anxiety. Female sex, a lower social class, insufficient income, partial independence and loneliness feeling are significant predictors for depression. Being married and loneliness feeling are significant predictors for anxiety, whereas the functional status is a significant predictor for mixed depression and anxiety., CONCLUSION AND RECOMMENDATIONS: Depression and/or anxiety were found in more than 80% of the studied group. An older age, female sex, insufficient income, a lower social class, a partially independent functional status, the presence of comorbidities, more frequent loneliness feeling and being married or divorced were found to be significant predictors for these problems. This study reflects the need for the screening of the elderly in geriatric homes for depression and/or anxiety, especially among high-risk groups, and developing interventions to prevent and control such problems. DA - 2014/// PY - 2014 VL - 89 IS - 3 SP - 127 EP - 35 SN - 2090-262X 0013-2446 UR - https://dx.doi.org/10.1097/01.EPX.0000455729.66131.49 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Middle Aged KW - Logistic Models KW - Prevalence KW - Cross-Sectional Studies KW - Comorbidity KW - Geriatric Assessment KW - Socioeconomic Factors KW - Interviews as Topic KW - *Depression/ep [Epidemiology] KW - Anxiety/px [Psychology] KW - Depression/px [Psychology] KW - Sex Distribution KW - Sickness Impact Profile KW - Homes for the Aged KW - *Anxiety/ep [Epidemiology] KW - eppi-reviewer4 KW - Egypt/ep [Epidemiology] ER - TY - JOUR TI - Pharmacokinetics and Saturable Absorption of Gabapentin in Nursing Home Elderly Patients AU - Ahmed Ghada F AU - Bathena Sai Praneeth R AU - Brundage Richard C AU - Leppik Ilo E AU - Conway Jeannine M AU - Schwartz Janice B AU - Birnbaum Angela K T2 - The AAPS journal AB - Pharmacokinetic data of gabapentin (GBP) in community-dwelling elderly patients show a significant effect of advanced age on GBP pharmacokinetics due to altered renal function. However, there are no data in elderly nursing home (NH) patients to evaluate gabapentin absorption and elimination. Our objective was to characterize the pharmacokinetics of GBP in elderly nursing home patients maintained on GBP therapy. This was a prospective pharmacokinetic study in elderly nursing home patients (>=60 years) receiving GBP for the management of chronic pain or epilepsy from seven nursing homes. Pharmacokinetic parameters were estimated by nonlinear mixed-effects modeling. A one-compartment model described the data and clearance (CL) was associated with estimated glomerular filtration rate (eGFR) (p < 0.0001). The GBP CL in elderly nursing home patients was 2.93 L/h. After adjusting for the effect of GFR, GBP CL was not affected by age, sex, body weight, or comorbidity scores. No significant effects of body size measures, age, and sex were detected on volume of distribution. Dose-dependent bioavailability of GBP was demonstrated, and the saturable absorption profile was described by a nonlinear hyperbolic function. Prediction-corrected visual predictive check (pc-VPC) suggests adequate fixed- and random-effects models that successfully simulated the mean trend and variability in gabapentin concentration-time profiles. In this analysis, the parameters of the hyperbolic nonlinearity appear to be similar between elderly and younger adults. DA - 2017/// PY - 2017 VL - 19 IS - 2 SP - 551 EP - 556 SN - 1550-7416 UR - https://dx.doi.org/10.1208/s12248-016-0022-z KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Nursing Homes KW - Dose-Response Relationship, Drug KW - Prospective Studies KW - Glomerular Filtration Rate KW - Homes for the Aged KW - Nonlinear Dynamics KW - Biological Availability KW - *Models, Biological KW - eppi-reviewer4 KW - *Anticonvulsants/pk [Pharmacokinetics] KW - Anticonvulsants/ad [Administration & Dosage] KW - *Amines/pk [Pharmacokinetics] KW - *Cyclohexanecarboxylic Acids/pk [Pharmacokinetics] KW - *gamma-Aminobutyric Acid/pk [Pharmacokinetics] KW - Amines/ad [Administration & Dosage] KW - Analgesics/ad [Administration & Dosage] KW - Analgesics/pk [Pharmacokinetics] KW - Cyclohexanecarboxylic Acids/ad [Administration & Dosage] KW - Gabapentin KW - gamma-Aminobutyric Acid/ad [Administration & Dosage] KW - Tissue Distribution ER - TY - JOUR TI - The relationship between pain and disruptive behaviors in nursing home residents with dementia AU - Ahn Hyochol AU - Horgas Ann T2 - BMC geriatrics AB - BACKGROUND: Nursing home residents with dementia gradually lose the ability to process information so that they are less likely to express pain in typical ways. These residents may express pain through disruptive behaviors because they cannot appropriately verbalize their pain experience. The objective of this study was to investigate the effect of pain on disruptive behaviors in nursing home residents with dementia., METHODS: This is a secondary analysis of the Minimum Data Set (MDS 2.0) assessment data on long-term care from the state of Florida. The data used in this study were the first comprehensive assessment data from NH residents with dementia aged 65 and older (N = 56,577) in Medicare- or Medicaid-certified nursing homes between January 1, 2009 and December 31, 2009. Variables examined were pain, wandering, aggression, agitation, cognitive impairment, activities of daily living impairments, and demographic characteristics. Ordinal logistic regression was used to evaluate the effect of pain on disruptive behaviors., RESULTS: Residents with more severe pain are less likely to display wandering behaviors (OR = .77, 95% CI for OR = [0.73, 0.81]), but more likely to display aggressive and agitated behaviors (OR = 1.04, 95% CI for OR = [1.01, 1.08]; OR = 1.17, 95% CI for OR = [1.13, 1.20])., CONCLUSIONS: The relationship between pain and disruptive behaviors depends on the type of behaviors. Pain is positively correlated with disruptive behaviors that do not involve locomotion (e.g., aggression and agitation), but negatively related to disruptive behaviors that are accompanied by locomotion (e.g., wandering). These findings indicate that effective pain management may help to reduce aggression and agitation, and to promote mobility in persons with dementia. DA - 2013/// PY - 2013 VL - 13 SP - 14 SN - 1471-2318 UR - https://dx.doi.org/10.1186/1471-2318-13-14 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - Longitudinal Studies KW - Databases, Factual KW - *Dementia/ep [Epidemiology] KW - Dementia/px [Psychology] KW - Psychomotor Agitation/px [Psychology] KW - Dementia/di [Diagnosis] KW - *Wandering Behavior KW - Wandering Behavior/px [Psychology] KW - Pain Measurement/mt [Methods] KW - Pain/px [Psychology] KW - *Pain/ep [Epidemiology] KW - Pain/di [Diagnosis] KW - Psychomotor Agitation/di [Diagnosis] KW - Florida/ep [Epidemiology] KW - *Psychomotor Agitation/ep [Epidemiology] KW - eppi-reviewer4 KW - Attention Deficit and Disruptive Behavior Disorders/di [Diagnosis] KW - Attention Deficit and Disruptive Behavior Disorders/ep [Epidemiology] KW - Attention Deficit and Disruptive Behavior Disorders/px [Psychology] ER - TY - JOUR TI - Pressure ulcer-related pain in nursing home residents with cognitive impairment AU - Ahn Hyochol AU - Stechmiller Joyce AU - Horgas Ann T2 - Advances in skin & wound care AB - PURPOSE: To enhance the learner's competence by providing research about pressure ulcer-related pain in nursing home residents with cognitive impairment., TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care., OBJECTIVES: After participating in this educational activity, the participant should be better able to:1. Explain this study's methodology and tools.2. Predict levels of pressure ulcer pain in a nursing home population with dementia., ABSTRACT OBJECTIVE: The objective of this study was to examine how pain is reported in cognitively impaired nursing home residents with pressure ulcers using the Minimum Data Set 2.0 data set. The study design was cross-sectional, comparative stratified by 3 levels of cognitive impairment and 4 stages of PrUs., PARTICIPANTS: There were 56,577 participants in the study. DA - 2013/// PY - 2013 VL - 26 IS - 8 SP - 375 EP - 2 SN - 1538-8654 1527-7941 UR - https://dx.doi.org/10.1097/01.ASW.0000432050.51725.51 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Logistic Models KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Comorbidity KW - Severity of Illness Index KW - *Pressure Ulcer/ep [Epidemiology] KW - Animals KW - Multivariate Analysis KW - Cognition Disorders/di [Diagnosis] KW - Pain Measurement KW - *Cognition Disorders/ep [Epidemiology] KW - Education, Medical, Continuing KW - *Pain/ep [Epidemiology] KW - Pain/di [Diagnosis] KW - Pressure Ulcer/di [Diagnosis] KW - Pressure Ulcer/th [Therapy] KW - Cognition Disorders/th [Therapy] KW - Pain Management/mt [Methods] KW - eppi-reviewer4 ER - TY - JOUR TI - Incident chronic kidney disease and newly developed complications related to renal dysfunction in an elderly population during 5 years: a community-based elderly population cohort study AU - Ahn Shin Young AU - Ryu Jiwon AU - Baek Seon Ha AU - Kim Sejoong AU - Na Ki Young AU - Kim Ki Woong AU - Chae Dong-Wan AU - Chin Ho Jun T2 - PloS one AB - BACKGROUND: Few studies have evaluated the association between incident chronic kidney disease (CKD) and related complications, especially in elderly population. We attempted to verify the association between GFR and concurrent CKD complications and elucidate the temporal relationship between incident CKD and new CKD complications in a community-based prospective elderly cohort., METHOD: We analyzed the available data from 984 participants in the Korean Longitudinal Study on Health and Aging. Participants were categorized into 6 groups according to eGFR at baseline examination (>=90, 75-89, 60-74, 45-59, 30-44, and <30 ml/min/1.73 m(2))., RESULT: The mean age of study population was 76 +/- 9.1 years and mean eGFR was 72.3 +/- 17.0 ml/min/1.73 m(2). Compared to eGFR group 1, the odds ratio (OR) for hypertension was 2.363 (95% CI, 1.299-4.298) in group 4, 5.191 (2.074-12.995) in group 5, and 13.675 (1.611-115.806) in group 6; for anemia, 7.842 (2.265-27.153) in group 5 and 13.019 (2.920-58.047) in group 6; for acidosis, 69.580 (6.770-715.147) in group 6; and for hyperkalemia, 19.177 (1.798-204.474) in group 6. Over a 5-year observational period, CKD developed in 34 (9.6%) among 354 participants with GFR >= 60 ml/min/1.73 m(2) at basal examination. The estimated mean number of new complications according to analysis of co-variance was 0.52 (95% CI, 0.35-0.68) in subjects with incident CKD and 0.24 (0.19-0.29) in subjects without CKD (p = 0.002). Subjects with incident CKD had a 2.792-fold higher risk of developing new CKD complications. A GFR level of 52.4 ml/min/1.73 m(2) (p = 0.032) predicted the development of a new CKD complication with a 90% sensitivity., CONCLUSION: In an elderly prospective cohort, CKD diagnosed by current criteria is related to an increase in the number of concurrent CKD complications and the development of new CKD complications. DA - 2013/// PY - 2013 VL - 8 IS - 12 SP - e84467 SN - 1932-6203 UR - https://dx.doi.org/10.1371/journal.pone.0084467 KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cohort Studies KW - Prospective Studies KW - *Residence Characteristics KW - *Renal Insufficiency, Chronic/pp [Physiopathology] KW - Renal Insufficiency, Chronic/ep [Epidemiology] KW - Incidence KW - Glomerular Filtration Rate KW - Republic of Korea/ep [Epidemiology] KW - *Kidney/pp [Physiopathology] KW - eppi-reviewer4 KW - *Renal Insufficiency, Chronic/co [Complications] ER - TY - JOUR TI - Housing Satisfaction of Older (55+) Single-Person Householders in U.S. Rural Communities AU - Ahn Mira AU - Lee Sung-Jin T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - This study aims to understand the housing satisfaction of older (55+) single-person householders in U.S. rural communities using the available variables from a secondary data set, the 2011 American Housing Survey (AHS). In this study, housing satisfaction was considered to be an indicator of quality of life. Based on previous studies, we developed a model to test a hypothesized relationship between older (55+) single-person householders' (N = 1,017) housing satisfaction and their personal, physical, financial, and environmental characteristics. Multiple regression results showed that the model was supported, indicating that significant variables in housing satisfaction include age, gender, health status, age of house, structure type, and unit location. Among the significant variables, health status was revealed to be the strongest factor in housing satisfaction. Housing satisfaction was discussed as potential indicators of quality of life. Copyright © The Author(s) 2015. DA - 2016/// PY - 2016 VL - 35 IS - 8 SP - 878 EP - 911 SN - 1552-4523 0733-4648 UR - https://dx.doi.org/10.1177/0733464815577142 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Review Literature as Topic KW - Surveys and Questionnaires KW - *Quality of Life KW - *Aging KW - *Housing KW - Socioeconomic Factors KW - *Personal Satisfaction KW - Regression Analysis KW - Rural Population KW - *Single Person/px [Psychology] KW - eppi-reviewer4 ER - TY - JOUR TI - Association Between Small Decrease in Serum Sodium Concentration within the Normal Range and All-Cause and Cardiovascular Mortality in Elderly Adults over 5 Years. AU - Ahn Shin Y AU - Park Yoon S AU - Lee Seong W AU - Baek Seon H AU - Kim Sejoong AU - Na Ki Y AU - Kim Ki W AU - Chae Dong‐Wan AU - Chin Ho J T2 - Journal of the American Geriatrics Society AB - Objectives To determine the importance of a decrease in serum sodium concentration within the normal range in elderly adults. Design Prospective cohort. Setting The Korean Longitudinal Study on Health and Aging. Participants Randomly selected, community-based elderly population with a corrected serum sodium level between 135.0 and 145.0 mEq/L (N = 949). Measurements Survival status was determined during 63.3 ± 16.6 months of follow-up. Results Participants were divided into corrected sodium groups as follows: 73 (7.7%) in Group 1 (sodium 135.0-138.0 mEq/L), 635 (66.9%) in Group 2 (sodium 138.1-142.0 mEq/L), and 241 (25.4%) in Group 3 (sodium 142.1.0-145.0 mEq/L). There were 34 (46.6%) deaths in Group 1, 124 (19.5%) in Group 2, and 52 (21.6%) in Group 3 ( P < .001). In a Cox proportional hazards analysis, a 2-mEq/L higher sodium level reduced the risk of death by 14.9% (95% confidence interval (CI) = 0.1-27.4%, P = .048). Group 1 had risk of mortality that was 2.7 times as high as that of Group 2 (95% CI = 1.76-4.11, P < .001). Participants with a measured sodium level of 138.0 mEq/L or less and a corrected sodium level greater than 138.0 mEq/L had a better survival rate than those with a measured sodium level of 138.0 mEq/L or less and a corrected sodium level of 138.0 mEq/L or less. Conclusion A slightly lower serum sodium concentration within the normal range was a major risk factor for mortality in elderly adults. Sodium level corrected according to serum glucose concentration was a more meaningful risk factor than measured sodium level. DA - 2016/03// PY - 2016 DO - 10.1111/jgs.13937 VL - 64 IS - 3 SP - 510 EP - 517 SN - 0002-8614 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113900391&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Prospective Studies KW - Geriatric Assessment KW - Neuropsychological Tests KW - Survival Analysis KW - Glomerular Filtration Rate KW - Confidence Intervals KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Data Analysis Software KW - Funding Source KW - Descriptive Statistics KW - Community Living KW - Cox Proportional Hazards Model KW - Chi Square Test KW - Secondary Analysis KW - One-Way Analysis of Variance KW - Analysis of Covariance KW - Blood Glucose -- Analysis KW - Fisher's Exact Test KW - Random Sample KW - South Korea KW - Cardiovascular Diseases -- Mortality -- In Old Age KW - Creatinine -- Analysis KW - Diagnosis, Laboratory KW - Drug Therapy KW - Hyponatremia -- Classification KW - Kaplan-Meier Estimator KW - Mortality -- Risk Factors -- In Old Age KW - Multiple Linear Regression KW - Sodium -- Blood -- In Old Age ER - TY - JOUR TI - Supporting Aging-in-Place Well: Findings From a Cluster Analysis of the Reasons for Aging-in-Place and Perceptions of Well-Being. AU - Ahn Mira AU - Kwon Hyun Joo AU - Kang Jiyun T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - Prior research on gerontology and housing has frequently adopted a perspective that aging-in-place is the "goal." Despite these meaningful results and policy implications, opportunities to explore consequences of aging-in-place, such as the association of this with overall well-being, have been overlooked. This study aims to fill this gap by investigating perceptions of well-being that could act as a driver or result of aging-in-place. With a nationwide random sample of non-Hispanic White, older individuals (60+), living in their homes ( N = 328), three segments of senior residents based on their reasons for aging-in-place were identified. Results reinforce the importance of community-based integrative programs and policies by indicating that the three identified clusters were not homogeneous; however, inclusive community-based supports and services can provide what each cluster needs to successfully age-in-place. Discussion provides a perspective on how to support successful aging-in-place, including the role of the federal government in funding and legislation. DA - 2017/// PY - 2017 DO - 10.1177/0733464817748779 SP - 733464817748779 SN - 0733-4648 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medp&NEWS=N&AN=29277156 KW - eppi-reviewer4 ER - TY - JOUR TI - Iron supplements in nursing home patients associated with reduced carbamazepine absorption. AU - Ahn Jae Eun AU - Bathena Sai Praneeth R AU - Brundage Richard C AU - Conway Jeannine M AU - Leppik Ilo E AU - Birnbaum Angela K T2 - Epilepsy research AB - Persons in nursing homes receive a number of medications that may interfere with the pharmacokinetics of carbamazepine (CBZ). The aim of our study was to determine factors that may affect the pharmacokinetics of CBZ in elderly nursing home patients., METHODS: CBZ concentration data collected from 60 nursing homes across the US were evaluated. Inclusion criteria included residency in a nursing home for at least 2 months, age 65 years or older, a stable dosing regimen of CBZ for at least 4 weeks (considered steady state), available CBZ concentration, and complete information regarding all co-medications. Using a nonlinear mixed-effects model, the data were adequately described by a one-compartment model with first-order absorption and elimination. Goodness-of-fit plots, plausibility of parameter estimates, visual predictive check and nonparametric bootstrap were used to evaluate the models., MAIN FINDINGS: The final data set consisted of 345 CBZ concentrations from 99 subjects (38 males, 61 females). The population estimate of apparent clearance (CL/F) for a 70-kg person was 3.69 L/hr (RSE 6.9%). Residents were receiving either immediate (93.9%) or extended release (6.1%) formulation of CBZ and the Ka of each formulation was fixed to literature values. Age, sex, and co-medications had no effect on CL/F and apparent volume of distribution. Iron supplementation, which was taken by 16% of the residents, resulted in a 33% decrease in bioavailability (p < 0.001). No other medications were found to have an effect., CONCLUSIONS: Results from this pharmacokinetic study indicate that use of iron supplementation is associated with a reduction in absorption of CBZ and may need to be considered when dosing CBZ in patients taking iron supplementation. Copyright © 2018. Published by Elsevier B.V. DA - 2018/// PY - 2018 DO - 10.1016/j.eplepsyres.2018.07.015 VL - 147 SP - 115 EP - 118 SN - 0920-1211 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30327119 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Independent Living KW - *Nursing Homes KW - Health Services for the Aged KW - Dietary Supplements KW - Statistics, Nonparametric KW - *Epilepsy/dt [Drug Therapy] KW - eppi-reviewer4 KW - *Epilepsy/bl [Blood] KW - Anticonvulsants/bl [Blood] KW - Carbamazepine/bl [Blood] KW - *Anticonvulsants KW - *Carbamazepine KW - *Iron/ad [Administration & Dosage] KW - Anticonvulsants/pk [Pharmacokinetics] KW - Anticonvulsants/tu [Therapeutic Use] KW - Carbamazepine/pk [Pharmacokinetics] KW - Carbamazepine/tu [Therapeutic Use] KW - Drug Monitoring ER - TY - JOUR TI - Effects of an individualised nutritional education and support programme on dietary habits, nutritional knowledge and nutritional status of older adults living alone. AU - Ahn Jeong-Ah AU - Park JeeWon AU - Kim Chun-Ja T2 - Journal of clinical nursing AB - AIMS AND OBJECTIVES: The effects of an individualised nutritional education and support programme on dietary habits, nutritional knowledge and nutritional status of 71 older adults living alone were examined., BACKGROUND: Although a regular dietary meal plan is recommended for improving nutritional status of older adults living alone, little research is done in this field in Korea., DESIGN: A pre- and post-test controlled quasi-experimental design was used at public health centres., METHODS: The intervention group participated in an intensive nutritional education and support programme once a week for 8 weeks with dietary menus provided by home visiting nurses/dieticians; control group received usual care. Dietary habits and nutritional knowledge were assessed using structured questionnaires; nutritional intake status was analysed using Computer Aided Nutritional Analysis Program 5.0., RESULTS: The mean age of participants was 77.6 years, and 81.7% of the participants were women. At 8 weeks, there were significant interactions of group by time for dietary habits, nutritional knowledge and selected nutritional status of protein, iron and vitamins of B2 and C. Changes over time in the mean score of dietary habits and nutritional knowledge were significantly improved in the intervention group compared to the control group. The percentages of normal nutrition intake of protein, iron and vitamins A and C in the intervention group were significantly higher than the control group at 8 weeks., CONCLUSIONS: Nutritional education and support programme positively impacted dietary habits, nutritional knowledge and selected nutritional status in older adults living alone, and we highlight the need for community-based nutritional education and counselling programmes., RELEVANCE TO CLINICAL PRACTICE: Older adults living alone in a community have relatively poor nutritional status and thus require tailored nutritional intervention according to objective nutritional analysis. It is necessary to link visiting nurses with dieticians in the community to manage effective nutritional programme continuously. Copyright © 2017 John Wiley & Sons Ltd. DA - 2018/// PY - 2018 DO - 10.1111/jocn.14068 VL - 27 IS - 9-10 SP - 2142 EP - 2151 SN - 0962-1067 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=28885755 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Independent Living KW - Nutritional Status KW - Republic of Korea KW - *Feeding Behavior KW - *Self Care/mt [Methods] KW - *Health Education/mt [Methods] KW - *Patient Education as Topic/mt [Methods] KW - eppi-reviewer4 ER - TY - JOUR TI - Effects of an individualised nutritional education and support programme on dietary habits, nutritional knowledge and nutritional status of older adults living alone. AU - Ahn Jeong‐Ah AU - Park JeeWon AU - Kim Chun‐Ja T2 - Journal of Clinical Nursing (John Wiley & Sons, Inc.) AB - Aims and objectives: The effects of an individualised nutritional education and support programme on dietary habits, nutritional knowledge and nutritional status of 71 older adults living alone were examined. Background: Although a regular dietary meal plan is recommended for improving nutritional status of older adults living alone, little research is done in this field in Korea. Design: A pre‐ and post‐test controlled quasi‐experimental design was used at public health centres. Methods: The intervention group participated in an intensive nutritional education and support programme once a week for 8 weeks with dietary menus provided by home visiting nurses/dieticians; control group received usual care. Dietary habits and nutritional knowledge were assessed using structured questionnaires; nutritional intake status was analysed using Computer Aided Nutritional Analysis Program 5.0. Results: The mean age of participants was 77.6 years, and 81.7% of the participants were women. At 8 weeks, there were significant interactions of group by time for dietary habits, nutritional knowledge and selected nutritional status of protein, iron and vitamins of B2 and C. Changes over time in the mean score of dietary habits and nutritional knowledge were significantly improved in the intervention group compared to the control group. The percentages of normal nutrition intake of protein, iron and vitamins A and C in the intervention group were significantly higher than the control group at 8 weeks. Conclusions: Nutritional education and support programme positively impacted dietary habits, nutritional knowledge and selected nutritional status in older adults living alone, and we highlight the need for community‐based nutritional education and counselling programmes. Relevance to clinical practice: Older adults living alone in a community have relatively poor nutritional status and thus require tailored nutritional intervention according to objective nutritional analysis. It is necessary to link visiting nurses with dieticians in the community to manage effective nutritional programme continuously. DA - 2018/05// PY - 2018 DO - 10.1111/jocn.14068 VL - 27 IS - 9-10 SP - 2142 EP - 2151 SN - 0962-1067 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129933112&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Analysis of Variance KW - Socioeconomic Factors KW - eppi-reviewer4 KW - Human KW - Questionnaires KW - Data Analysis Software KW - Convenience Sample KW - Funding Source KW - Descriptive Statistics KW - Community Living KW - Chi Square Test KW - Summated Rating Scaling KW - T-Tests KW - Repeated Measures KW - Pretest-Posttest Design KW - Quasi-Experimental Studies KW - Fisher's Exact Test KW - South Korea KW - Food Habits -- In Old Age KW - Inferential Statistics KW - Nursing Knowledge -- In Old Age KW - Nutrition Education -- In Old Age KW - Nutritional Status -- In Old Age ER - TY - JOUR TI - The Concept of Aging in Place as Intention. AU - Ahn Mira AU - Kang Jiyun AU - Kwon Hyun Joo T2 - The Gerontologist AB - Objectives: This study aimed to frame the aging in place (AIP) concept within an extended theory of planned behavior (TPB) model incorporating environmental domains. The proposed model depicts the direct and indirect effects of environmental domains on AIP intention. The environmental domains related to meanings of home embrace personal, built, and interpersonal environments. As partial mediators between the environmental domains and AIP intention, TPB components (attitude, subjective norm, and perceived behavioral control toward AIP) were included to the model., Methods: The study sample comprised older adults aged 60 and older living in their own homes in the United States. Participants (N = 650) were obtained through an online survey with a nationwide sample. Path analyses were used to test hypothesized relationships within the proposed model., Results: The results confirmed the significant mediating role of the TPB components between the path from personal, built, and interpersonal environments to AIP intention. Except for one built environmental construct (housing satisfaction), personal and interpersonal environmental constructs were found to indirectly affect AIP intention. One of the interpersonal environmental constructs, social connectedness, was revealed as the strongest factor in this relationship., Implications: One major implication was drawn from the role of social connectedness and neighborhood satisfaction toward AIP intention. These factors operate beyond an individual level and are closely interrelated. Because social connectedness can be promoted or discouraged by community-level physical or social interventions, the findings of this study confirm the critical role of community-level planning and programs to support healthy aging among older adults. DA - 2019/// PY - 2019 DO - 10.1093/geront/gny167 SN - 0016-9013 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medp&NEWS=N&AN=30605499 KW - eppi-reviewer4 ER - TY - JOUR TI - Sarcopenia and sarcopenic obesity in Spanish community-dwelling middle-aged and older women: Association with balance confidence, fear of falling and fall risk. AU - Aibar-Almazan Agustin AU - Martinez-Amat Antonio AU - Cruz-Diaz David AU - Jimenez-Garcia Jose D AU - Achalandabaso Alexander AU - Sanchez-Montesinos Indalecio AU - de la Torre-Cruz AU - Manuel AU - Hita-Contreras Fidel T2 - Maturitas AB - OBJECTIVES: To analyze the association of sarcopenia, obesity, and sarcopenic obesity (SO) with fear of falling (FoF) and balance confidence in a Spanish sample of middle-aged and older community-dwelling women., STUDY DESIGN AND OUTCOME MEASURES: A total of 235 women (69.21+/-7.56 years) participated in this study. Body composition (bioelectrical impedance analysis), hand-grip strength, and physical performance (gait speed) were evaluated for the diagnosis of sarcopenia, obesity, and SO. Anxiety and depression were measured using the Hospital Anxiety and Depression Scale. The Activities-Specific Balance Confidence Scale (ABC) and the Falls Efficacy Scale-International (FES-I) were employed to assess FoF and balance confidence, respectively. Scores of >26 on the FES-I and <67% on the ABC were used to identify women at risk of falling. The independent associations of sarcopenia, obesity and SO with FoF, balance confidence, and fall risk were evaluated by multivariate linear and logistic regressions, adjusting for potential confounding variables., RESULTS: 27.23% and 18.72% of women presented with sarcopenia and SO, respectively. Gait speed, body mass index (BMI), and fall history were independently associated with ABC score (adjusted-R2=0.152) and fall risk (ABC) (adjusted-R2=0.115). FES-I score was independently associated (adjusted-R2=0.193) with fall history, gait speed, BMI, and depression, which, together with obesity (BMI) and SO, remained independent factors for fall risk measured as FES-I score (adjusted-R2=0.243)., CONCLUSION: In community-dwelling middle-aged and older Spanish women, BMI, gait speed, and fall history were independently associated with FoF, balance confidence, and fall risk. Depression was related only to FoF, and, together with obesity (BMI) and SO, was an independent predictor of fall risk as assessed by the FES-I. Copyright © 2017 Elsevier B.V. All rights reserved. DA - 2018/// PY - 2018 DO - 10.1016/j.maturitas.2017.10.001 VL - 107 SP - 26 EP - 32 SN - 0378-5122 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29169576 KW - Female KW - Humans KW - Aged KW - Middle Aged KW - Spain KW - *Independent Living/px [Psychology] KW - *Postural Balance KW - Hand Strength KW - Body Mass Index KW - *Accidental Falls KW - *Fear KW - Walking Speed KW - *Sarcopenia/px [Psychology] KW - *Obesity/px [Psychology] KW - eppi-reviewer4 ER - TY - JOUR TI - Do Residents Need All Their Medications? A Cross-Sectional Survey of RNs' Views on Deprescribing and the Role of Clinical Pharmacists AU - Ailabouni Nagham AU - Tordoff June AU - Mangin Dee AU - Nishtala Prasad S T2 - Journal of gerontological nursing AB - A cross-sectional survey was mailed to 307 RNs of a nationally representative sample of residential aged care facilities to investigate their views and perceptions on medication use and deprescribing in older adults. Questions were grouped according to each stage of the medication use process, and a dedicated section to explore nurses' views on deprescribing was included. Ninety-one questionnaires were received, yielding a 29.6% response rate. Respondents highlighted several challenges including achieving medication reconciliation for new residents, access to physicians to admit patients in a timely fashion, and issues pertaining to lack of clear medical information transcribing when transferring patients between health care settings. More than one half (67.4%) of nurses agreed or strongly agreed that deprescribing implemented with the help of a clinical pharmacist would be beneficial to residents and could improve medication adherence (44%), benefit residents' quality of life (50.5%), and reduce the length of time spent by nurses on medication administration (35.2%). Increased awareness regarding polypharmacy and potential deprescribing benefits is necessary to improve appropriate prescribing and medication use. [Journal of Gerontological Nursing, 43(10), 13-20.]. Copyright 2017, SLACK Incorporated. DA - 2017/// PY - 2017 VL - 43 IS - 10 SP - 13 EP - 20 SN - 0098-9134 UR - https://dx.doi.org/10.3928/00989134-20170914-05 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - *Polypharmacy KW - Nursing Homes/sn [Statistics & Numerical Data] KW - *Attitude of Health Personnel KW - *Nurses/px [Psychology] KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - *Practice Guidelines as Topic KW - *Geriatrics/st [Standards] KW - eppi-reviewer4 KW - *Prescription Drugs/st [Standards] ER - TY - JOUR TI - DEFEAT-polypharmacy: deprescribing anticholinergic and sedative medicines feasibility trial in residential aged care facilities. AU - Ailabouni Nagham AU - Mangin Dee AU - Nishtala Prasad S T2 - International journal of clinical pharmacy AB - Background Prolonged use of anticholinergic and sedative medicines is correlated with worsening cognition and physical function decline. Deprescribing is a proposed intervention that can help to minimise polypharmacy whilst potentially improving several health outcomes in older people. Objective This study aimed to examine the feasibility of implementing a deprescribing intervention that utilises a patient-centred pharmacist-led intervention model; in order to address major deprescribing challenges such as general practitioner time constraints and lack of accessible deprescribing guidelines and processes. Setting Three residential care facilities. Methods The intervention involved a New Zealand registered pharmacist utilising peer-reviewed deprescribing guidelines to recommend targeted deprescribing of anticholinergic and sedative medicines to GPs. Main outcome measure The change in the participants' Drug Burden Index (DBI) total and DBI 'as required' (PRN) was assessed 3 and 6 months after implementing the deprescribing intervention. Results Seventy percent of potential participants were recruited for the study (n = 46), and 72% of deprescribing recommendations suggested by the pharmacist were implemented by General Pratitioners (p = 0.01; Fisher's exact test). Ninety-six percent of the residents agreed to the deprescribing recommendations, emphasising the importance of patient centred approach. Deprescribing resulted in a significant reduction in participants' DBI scores by 0.34, number of falls and adverse drug reactions, 6 months post deprescribing. Moreover, participants reported lower depression scores and scored lower frailty scores 6 months after deprescribing. However, cognition did not improve; nor did participants' reported quality of life. Conclusion This patient-centred deprescribing approach, demonstrated a high uptake of deprescribing recommendations and success rate. After 6 months, significant benefits were noted across a range of important health measures including mood, frailty, falls and reduced adverse reactions. This further supports deprescribing as a possible imperative to improve health outcomes in older adults. DA - 2019/// PY - 2019 DO - 10.1007/s11096-019-00784-9 VL - 41 IS - 1 SP - 167 EP - 178 SN - 2210-7711 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30659492 KW - Female KW - Humans KW - Male KW - Aged KW - Follow-Up Studies KW - Accidental Falls/pc [Prevention & Control] KW - *Polypharmacy KW - *Homes for the Aged/st [Standards] KW - Feasibility Studies KW - *Cholinergic Antagonists/ad [Administration & Dosage] KW - *Deprescriptions KW - *Hypnotics and Sedatives/ad [Administration & Dosage] KW - *Residential Facilities/st [Standards] KW - Cholinergic Antagonists/ae [Adverse Effects] KW - Drug-Related Side Effects and Adverse Reactions/ep [Epidemiology] KW - Drug-Related Side Effects and Adverse Reactions/pc [Prevention & Control] KW - Hypnotics and Sedatives/ae [Adverse Effects] KW - New Zealand/ep [Epidemiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Fine particulate matter air pollution and cognitive function among U.S. older adults AU - Ailshire Jennifer A AU - Clarke Philippa T2 - The journals of gerontology. Series B, Psychological sciences and social sciences AB - OBJECTIVES: There is growing interest in understanding how exposures in the residential environment relate to cognitive function in older adults. The goal of this study is to determine if neighborhood-level exposure to fine particulate matter air pollution (PM2.5) is associated with cognitive function in a diverse, national sample of older U.S. adults., METHODS: We use cross-sectional data on non-Hispanic black and white men and women aged 55 and older from the 2001/2002 Americans' Changing Lives Study (N = 780). EPA air monitoring data were linked to respondents using census tract identifiers. Cognitive function was assessed with tests of working memory and orientation. Negative binomial regression models were used to examine the association between PM2.5 and the number of errors on the cognitive assessment., RESULTS: Older adults living in areas with high concentrations of PM2.5 had an error rate 1.5 times greater than those exposed to lower concentrations, net of individual and neighborhood-level demographic and socioeconomic characteristics., DISCUSSION: This study adds to a growing body of research demonstrating the importance of air pollution to cognitive function in older adults. Improvements to air quality may be an important mechanism for reducing age-related cognitive decline. Copyright © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2015/// PY - 2015 VL - 70 IS - 2 SP - 322 EP - 8 SN - 1758-5368 1079-5014 UR - https://dx.doi.org/10.1093/geronb/gbu064 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Aging/ph [Physiology] KW - *Cognition/ph [Physiology] KW - United States/ep [Epidemiology] KW - Longitudinal Studies KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - *Environmental Exposure/ae [Adverse Effects] KW - *Particulate Matter/ae [Adverse Effects] KW - *Air Pollution/ae [Adverse Effects] KW - eppi-reviewer4 ER - TY - JOUR TI - Neighborhood social stressors, fine particulate matter air pollution, and cognitive function among older U.S. adults AU - Ailshire Jennifer AU - Karraker Amelia AU - Clarke Philippa T2 - Social science & medicine (1982) AB - A growing number of studies have found a link between outdoor air pollution and cognitive function among older adults. Psychosocial stress is considered an important factor determining differential susceptibility to environmental hazards and older adults living in stressful neighborhoods may be particularly vulnerable to the adverse health effects of exposure to hazards such as air pollution. The objective of this study is to determine if neighborhood social stress amplifies the association between fine particulate matter air pollution (PM2.5) and poor cognitive function in older, community-dwelling adults. We use data on 779 U.S. adults ages 55 and older from the 2001/2002 wave of the Americans' Changing Lives study. We determined annual average PM2.5 concentration in 2001 in the area of residence by linking respondents with EPA air monitoring data using census tract identifiers. Cognitive function was measured using the number of errors on the Short Portable Mental Status Questionnaire (SPMSQ). Exposure to neighborhood social stressors was measured using perceptions of disorder and decay and included subjective evaluations of neighborhood upkeep and the presence of deteriorating/abandoned buildings, trash, and empty lots. We used negative binomial regression to examine the interaction of neighborhood perceived stress and PM2.5 on the count of errors on the cognitive function assessment. We found that the association between PM2.5 and cognitive errors was stronger among older adults living in high stress neighborhoods. These findings support recent theoretical developments in environmental health and health disparities research emphasizing the synergistic effects of neighborhood social stressors and environmental hazards on residents' health. Those living in socioeconomically disadvantaged neighborhoods, where social stressors and environmental hazards are more common, may be particularly susceptible to adverse health effects of social and physical environmental exposures. Copyright © 2016 Elsevier Ltd. All rights reserved. DA - 2017/// PY - 2017 VL - 172 SP - 56 EP - 63 SN - 1873-5347 0277-9536 UR - https://dx.doi.org/10.1016/j.socscimed.2016.11.019 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Stress, Psychological/co [Complications] KW - *Residence Characteristics KW - *Cognition KW - Aging/px [Psychology] KW - Air Pollution/an [Analysis] KW - Particulate Matter/an [Analysis] KW - *Air Pollution/ae [Adverse Effects] KW - eppi-reviewer4 KW - *Stress, Psychological/et [Etiology] ER - TY - JOUR TI - Neighbourhood effects in health behaviours: a test of social causation with repeat-measurement longitudinal data. AU - Airaksinen Jaakko AU - Hakulinen Christian AU - Pulkki-Räback Laura AU - Lehtimäki Terho AU - Raitakari Olli T AU - Keltikangas-Järvinen Liisa AU - Jokela Markus T2 - European Journal of Public Health AB - Background: Neighbourhood characteristics have been associated with health behaviours of residents. We used longitudinal data to examine whether neighbourhood characteristics (level of urbanization and socioeconomic status) are related to within-individual variations in health behaviours (alcohol consumption, smoking, exercise and self-interest in health) as people live in different neighbourhoods over time. Methods: Participants were from the Young Finns prospective cohort study (N = 3145) with four repeated measurement times (1992, 2001, 2007 and 2011/2012). Neighbourhood socioeconomic status and level of urbanization were measured on the level of municipality and zip code area. Within-individual (i.e. fixed-effect) regression was used to examine whether these associations were observed within individuals who lived in different neighbourhood in different measurement times. Results: People living in more urban zip code areas were more likely to smoke (b=0.06; CI=0.03-0.09) and drink alcohol (b = 0.11; CI =0.08-0.14), and these associations were replicated in within-individual analysis--supporting social causation. Neighbourhood socioeconomic status and urbanization were associated with higher interest in maintaining personal health (b = 0.05; CI = 0.03-0.08 and b = 0.05; CI =0.02-0.07, respectively), and these associations were also similar in within-individual analysis. Physical exercise was not associated with neighbourhood characteristics. Conclusions: These data lend partial support for the hypothesis that neighbourhood differences influence people's health behaviours. DA - 2016/06// PY - 2016 DO - 10.1093/eurpub/ckv210 VL - 26 IS - 3 SP - 417 EP - 421 SN - 1101-1262 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115850744&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Alcohol Drinking KW - Finland KW - Odds Ratio KW - Self Report KW - Confidence Intervals KW - Smoking KW - Health Behavior KW - eppi-reviewer4 KW - Human KW - Questionnaires KW - Data Analysis Software KW - Funding Source KW - Descriptive Statistics KW - Physical Activity KW - P-Value KW - Secondary Analysis KW - Repeated Measures KW - Regression KW - Association (Research) KW - Causal Attribution KW - Geographic Factors KW - Residence Characteristics -- Psychosocial Factors -- Finland ER - TY - JOUR TI - Quadriceps muscle tone, elasticity and stiffness in older males: reliability and symmetry using the MyotonPRO AU - Aird Lucy AU - Samuel Dinesh AU - Stokes Maria T2 - Archives of gerontology and geriatrics AB - BACKGROUND: The MyotonPRO (Myoton Ltd; London) is a new portable device for measuring muscle mechanical properties (e.g. tone) and its reliability has yet to be established. Little is known about between-limb symmetry of mechanical properties in healthy older people, despite symmetry often being used as a measure of unilateral abnormalities in clinical assessment. Since quadriceps is important for mobility, it was selected for the present study., AIMS: To investigate: (i) between-day intra-rater reliability of a novice user of MyotonPRO; (ii) between-side symmetry of mechanical properties of quadriceps in older males., METHODS: Twenty healthy, community dwelling, right-lower-limb-dominant males (mean age 71.7, range 65-82 years) were studied. With the participant in relaxed supine lying, the MyotonPRO applied two consecutive sets of 10 taps to induce muscle oscillations of rectus femoris, from which measurements of decrement (elasticity), frequency (tone), and stiffness were obtained. Tests were performed on two occasions at the same time and day of the week, one week apart., RESULTS: Repeated measurements had very high within-day (intraclass correlation coefficient, ICC 3,1>0.90) and high between-day (ICC 3,2>0.70; mean of two measurement sets) reliability. There was no statistically significant difference between muscle mechanical properties of the dominant and non-dominant muscles (<2.5% difference; p>0.05), thereby indicating symmetry., CONCLUSIONS: High intra-rater reliability was established for MyotonPRO measurements of quadriceps in healthy older males, which were symmetrical between sides. These findings indicate that larger studies are warranted to establish normal reference ranges of data with which to compare patients with muscle abnormalities. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved. DA - 2012/// PY - 2012 VL - 55 IS - 2 SP - e31 EP - 9 SN - 1872-6976 0167-4943 UR - https://dx.doi.org/10.1016/j.archger.2012.03.005 KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Independent Living KW - eppi-reviewer4 KW - *Muscle Tonus/ph [Physiology] KW - *Quadriceps Muscle/ph [Physiology] KW - Elasticity/ph [Physiology] ER - TY - JOUR TI - [Heart failure and nursing homes] AU - Aissat-Bessalem Ouarda AU - Francois Fasille AU - Veronique T2 - L'insuffisance cardiaque en Ehpad. AB - Heart failure is a very common condition in elderly people, particularly those living away from home, in institutional care. The main objective of a study was to find out whether patients with heart failure admitted to a nursing home benefit or not from the same ultrasound assessment as the general population. The secondary objective was to analyse the management of residents with heart failure living in institutional care. Copyright © 2017 Elsevier Masson SAS. All rights reserved. DA - 2017/// PY - 2017 VL - 22 IS - 126 SP - 12 EP - 15 SN - 1268-6034 UR - https://dx.doi.org/10.1016/j.sger.2017.05.003 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Interdisciplinary Communication KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Age Factors KW - Comorbidity KW - Heart Failure/ep [Epidemiology] KW - France KW - General Practice KW - *Echocardiography, Doppler/nu [Nursing] KW - *Heart Failure/dg [Diagnostic Imaging] KW - *Heart Failure/nu [Nursing] KW - Intersectoral Collaboration KW - eppi-reviewer4 ER - TY - JOUR TI - Housing options for the future: Older people's preferences and views on villages with care and support. AU - Aitken Dominic AU - Cook Glenda AU - Lawson Allison T2 - Health & social care in the community AB - A growing older population worldwide means there is a need to ensure there are sufficient housing options to meet a broad spectrum of need and aspiration. There is little understanding of the relative importance of the "pull factors" that might attract older people to relocate to a new environment. Older people's views of the relative level of attractiveness of potential features of a specialist housing development offering care and support were investigated using Q methodology. Forty-one participants aged 53-89 living in a locality in Northern England rank-ordered 70 statements from April to August 2016. The analysis revealed four viewpoints: adaptation and care seekers, comprising prioritisation of care provision, specialist accommodation and accessibility; care-indifferent luxurians, which encompasses attraction to some "luxury" features and less emphasis on care provision; connected separatists, emphasising a distinct environment with good public transport connections; and independent engagers, comprising attraction towards social opportunities and remaining independent. Broad agreement was found on some topics, such as the generally high prioritisation of safety and security. The research provides a deeper understanding of differences in views towards housing options among older people which developers, planners and funders will need to recognise. While providing high-quality care may be a key objective for some organisations, this may not be the most important concern for some older people contemplating relocation, with many other features considered more attractive. Copyright © 2019 John Wiley & Sons Ltd. DA - 2019/// PY - 2019 DO - 10.1111/hsc.12805 VL - 27 IS - 5 SP - e769 EP - e780 SN - 0966-0410 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=31237745 KW - eppi-reviewer4 ER - TY - JOUR TI - [FALLS IN PATIENTS WITH DEMENTIA] AU - Aizen Efraim T2 - Harefuah AB - Older people with dementia are at increased risk of falls and their consequences. Patients with dementia fall twice as often as elderly cognitively intact people and are at greater risk of injurious falls. Falls in older people with dementia cause higher rates of morbidity, mortality and institutionalization. There is limited literature attempting to show specific risk factors for falls in this population, mainly: Lewy body dementia, dementia related to Parkinson's disease and depression, psychotropic medication, functional disability and behavioral disturbances. The Physiological Profile Assessment (PPAJ has been found to be a good fall risk screening tool in this population. There are few trials that have shown limited effectiveness of targeted fall prevention programs in community-dwelling cognitively impaired elderly. The evidence from hospitals and residential care is not conclusive. However, it has been demonstrated that some interventions, primarily exercise interventions, can modify certain risk factors in patients with dementia. Further research is required in specifically targeting fall prevention in older people with dementia. DA - 2015/// PY - 2015 VL - 154 IS - 5 SP - 323 EP - 338 SN - 0017-7768 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26168645 KW - Humans KW - Risk Factors KW - Aged KW - Risk Assessment KW - *Accidental Falls/pc [Prevention & Control] KW - *Dementia KW - Independent Living/px [Psychology] KW - Dementia/px [Psychology] KW - Dementia/pp [Physiopathology] KW - Disabled Persons/rh [Rehabilitation] KW - Wounds and Injuries/et [Etiology] KW - Disabled Persons/px [Psychology] KW - Psychotropic Drugs/ae [Adverse Effects] KW - Dementia/et [Etiology] KW - Dementia/co [Complications] KW - Preventive Health Services/mt [Methods] KW - Preventive Health Services/og [Organization & Administration] KW - Institutionalization/mt [Methods] KW - Depressive Disorder/co [Complications] KW - Wounds and Injuries/pc [Prevention & Control] KW - eppi-reviewer4 KW - Parkinson Disease/co [Complications] KW - *Behavioral Symptoms/co [Complications] KW - Lewy Body Disease/co [Complications] ER - TY - JOUR TI - [MEDICATIONS DEPRESCRIBING IN ELDERLY NURSING HOME RESIDENTS] AU - Aizen Efraim AU - Hindawil Eman AU - Hijazi Mohammed AU - Merih Atef AU - Shahla Hatim AU - Elyounes Ahmad Abu T2 - Harefuah AB - INTRODUCTION: Polypharmacy, inappropriate prescribing and adverse drug reactions are frequent and important among elderly nursing home residents. Few clinical trials have evaluated systematic withdrawal of medications in nursing homes., OBJECTIVES: To compare the effect of a controlled deprescribing intervention against the usual care in elderly nursing home residents., METHODS: The present deprescribing intervention was conducted in two departments at the Shfaram Geriatric Center (Beet Alenaya). Two departments at the "Hemdat Avot" nursing home were the control arm. The intervention was a withdrawal or stepwise tapering of a target medication. The main outcome was the number of participants in whom medication withdrawal or tapering could be achieved., RESULTS: A total of 55 participants completed the intervention and follow-up. The results showed that 65.5 % of the intervention group had discontinued a medication use compared with 27% of the control group (risk difference, 73% [95%CI, 58%-85%]; intracluster correlation, 0.001; number needed to treat, 2.60). Dose reduction occurred in an additional 11%. In multivariate sub-analyses, age greater than 80 years, sex and concomitant polypharmacy (10 drugs or more per day) did not have a significant interaction effect with medication therapy discontinuation., CONCLUSION: A controlled deprescribing intervention in nursing homes was feasible and acceptable to participants. Such interventions should be further evaluated in larger randomized controlled trials. DA - 2016/// PY - 2016 VL - 155 IS - 3 SP - 145 EP - 197 SN - 0017-7768 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27305746 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Nursing Homes KW - Follow-Up Studies KW - Sex Factors KW - Age Factors KW - Feasibility Studies KW - *Deprescriptions KW - Drug-Related Side Effects and Adverse Reactions/ep [Epidemiology] KW - Polypharmacy KW - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] KW - Israel KW - Homes for the Aged KW - *Inappropriate Prescribing/sn [Statistics & Numerical Data] KW - *Drug-Related Side Effects and Adverse Reactions/pc [Prevention & Control] KW - Practice Patterns, Physicians'/st [Standards] KW - eppi-reviewer4 ER - TY - JOUR TI - Analysis of comprehensive geriatric assessment of elderly residents in a social welfare home for the aged compared with those in a residential care home in an urban are in Japan. AU - Akamatsu K AU - Saito A AU - Wada T AU - Ishine M AU - Roriz-Cruz M AU - Okumiya K AU - Matsubayashi K T2 - Geriatrics & Gerontology International AB - The purpose of the present study was to clarify the influence of the socioeconomic factors during the middle age on the results of comprehensive geriatric assessments in later stage of life.A cross-sectional, questionnaire-based study was conducted of elderly residents in a welfare home for the aged in Osaka and those in a residential care home in Kyoto. Results of questionnaires pertaining to activities of daily living (ADL), quality of life (QOL) and a 15-item Geriatric Depression Scale as well as medical and social histories of the two groups were compared by unpairedT-test andχ2 test.Elderly residents in the welfare home were significantly younger and more were both male and unmarried or divorced than among those in the residential care home. Scores in ADLs and QOLs were significantly lower and the prevalence of depression was significantly higher in residents in the welfare home than in the residential care home.The ADLs, mental mood and subjective QOLs of residents in the welfare home were significantly lower than those of residents in the residential care home. The reason for these differences is suggested to be due to both the differences in the lifestyles of the residents in their middle age and the difference in the quality and quantity of care the residents are receiving. Local social welfare government should pay more attention to lower ADLs and QOLs of residents in welfare homes and increase efforts to improve the quality and quantity of care for them. DA - 2005/03// PY - 2005 VL - 5 IS - 1 SP - 53 EP - 58 SN - 1444-1586 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106366702&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Activities of Daily Living KW - Japan KW - Sex Factors KW - Age Factors KW - Geriatric Assessment KW - Socioeconomic Factors KW - Self Report KW - Psychological Tests KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Questionnaires KW - Data Analysis Software KW - Descriptive Statistics KW - Geriatric Depression Scale KW - Comparative Studies KW - Scales KW - Clinical Assessment Tools KW - Cross Sectional Studies KW - Chi Square Test KW - Urban Areas KW - Unpaired T-Tests KW - Depression -- Ethnology KW - Japanese KW - Public Housing -- In Old Age KW - Quality of Health Care -- Evaluation KW - Quality of Life -- Evaluation KW - Residential Care -- In Old Age KW - Visual Analog Scaling ER - TY - JOUR TI - Reported expectations for nursing home placement among older adults and their role as risk factors for nursing home admissions. AU - Akamigbo Adaeze B AU - Wolinsky Frederic D T2 - The Gerontologist AB - PURPOSE: Individual expectations among community-dwelling older adults and their subsequent effect on placement status have recently been considered. Previous studies, however, have been limited by eligibility and exclusion criteria, treating expectations as a continuous measure, omitting potential confounders, and ignoring Race x Gender interactions., DESIGN AND METHODS: We used data on 6,242 Black or White self-respondents who were 70 years old or older when they were enrolled in the survey of Assets and Health Dynamics Among the Oldest Old. We modeled expectations for nursing home placement over the next 5 years, as well as actual placement status, by using multivariable multinomial and binomial logistic regression models., RESULTS: Expectations are not normally distributed: 14% of the participants refused to answer, 51% estimated no chance, 10% indicated a 1% to 50% chance, 21% indicated an 11% to 50% chance and 4% indicated a 51% to 100% chance. Age, gender, education, social supports, and health status were associated with expectations, as well as an interaction effect for Black men. Age, social supports, health status, prior hospital or nursing home use, and expectations were associated with subsequent placement., IMPLICATIONS: Black and White older adults' expectations for nursing home placement rationally reflect their individual risk profiles and are associated with subsequent placement status. The expectations question may facilitate the early identification of high-risk individuals for further evaluation. DA - 2006/// PY - 2006 VL - 46 IS - 4 SP - 464 EP - 73 SN - 0016-9013 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc2&NEWS=N&AN=16921000 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Health Status KW - Social Support KW - *Homes for the Aged KW - *Nursing Homes KW - Sex Factors KW - Age Factors KW - Socioeconomic Factors KW - *Patient Admission KW - eppi-reviewer4 ER - TY - JOUR TI - New evidence of racial differences in access and their effects on the use of nursing homes among older adults AU - Akamigbo Adaeze B AU - Wolinsky Fredric D T2 - Medical care AB - BACKGROUND: Historical disparities in rates of nursing home placement between blacks and whites have been well documented, and are thought to result from more extensive and supportive social networks, cultural aversion, and poorer geographic access among African Americans. A few recent studies, however, suggest that these racial disparities may no longer exist. We used comprehensive data to assess whether racial differences in nursing home placement remain, and if so, to identify the reasons for them., METHODS: Data on 6242 black and white self-respondents to the Survey of Assets and Health Dynamics Among the Oldest Old cohort who were 70 years old or older at baseline (1993) were used. Placement status was ascertained at each biennial follow-up through 2004, and discrete-time hazards models were estimated., RESULTS: After adjusting for baseline covariates, it was found that blacks were 26% (lambda = 0.74, P < 0.001) less likely to use a nursing home over an 11-year period than whites. Moreover, the supply of skilled nursing beds was more salient for nursing home placement for blacks than whites, as was the increasing supply of assisted living beds., CONCLUSIONS: The racial gap in nursing home placement remains, despite the increased supply of nursing home beds and the emergence of assisted living facilities as the preferred alternative. As the supply of skilled nursing beds increases, in part due to whites choosing assisted living facilities, the racial gap in the risks of nursing home placement may be lessening. Blacks, however, remain less likely to be placed in a nursing home than whites. DA - 2007/// PY - 2007 VL - 45 IS - 7 SP - 672 EP - 9 SN - 0025-7079 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=17571016 KW - Female KW - Humans KW - Male KW - Aged KW - Health Status KW - Time Factors KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Health Services Accessibility/sn [Statistics & Numerical Data] KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - *African Americans/sn [Statistics & Numerical Data] KW - *European Continental Ancestry Group/sn [Statistics & Numerical Data] KW - Assisted Living Facilities/td [Trends] KW - Homes for the Aged/td [Trends] KW - Nursing Homes/td [Trends] KW - Attitude to Health KW - eppi-reviewer4 KW - *Health Services Accessibility/td [Trends] ER - TY - JOUR TI - HUZUREVİNDE KALAN YAŞLILARDA FİZİKSEL AKTİVİTELERİN YAŞAM DOYUM DÜZEYLERİNE ETKİSİ. AU - AKANDERE Mehibe T2 - Selcuk University Social Sciences Institute Journal AB - Olds who stayed at Konya Central Rest Home and Akşehir Rest Home in 2003 have formed the cosmos of the study, which have been made in order to search the effect of olds' who stayed at Resd Home phsical activities to the level of life sataisfaction a Life satisfaction scale (Diener 1985 ) which developed by Diener and his friendis , applied to the participants who were 21 women and 57 men ,totally 78 olds peaple and selected by random modelling method at the beginniny and at the end of the searching. The exercise programme which was prepored with 3 days in a weeh and 45 minutes each days for the guinea pigs applied to them . Taken data was statistically examired with t test f test varyans analysis and pearson moments product correlation coefficient and was searched meaning fulness at the level of p<0,05 At the results of the findings; At the analysis of olds' who stayed at Reset Home hopelessness levels, the exercise activities which have applied to them for 8 weeks declined their level of hopelessnes, their level of satisfaction increased( p<0,05 ). According to the sex variable of old people, at the end of the analysis of Life satisfaction ,it has been seen that olds of both sex, male and female ,showed the at the sawe level.(p>0.05) As a result, it has been appeared that the phsical activities which applied to olds who stayed at Rest Home increased their Life satisfaction level, again at positive side. (English) [ABSTRACT FROM AUTHOR] Huzurevinde kalan yaşlılarda fiziksel aktivitelerin yaşam doyum ve düzeylerine etkisini araştırmak amacı ile yapılan çalışmanın evrenini 2003 yılında Konya merkez huzurevinde ve Akşehir huzurevinde kalan yaşlılar oluşturmuştur. Rasgele örneklem yöntemi ile seçilen 21 bayan, 57 erkek olmak üzere toplam 78 yaşlıya Diener ve arkadaşlarının geliştirdiği(Diener 1985), Yaşam doyum ölçeği deneklere araştırmanın başında ve sonunda uygulandı. Deneklere haftada 3 gün ve 45'er dakika süre ile hazırlanan egzersiz programı 8 hafta uygulandı. Elde edilen veriler istatistiksel olarak t testi, f testi, varyans analizi ve Pearson momentler çarpımı korelasyon katsayısı ile sınandı ve p<0,05 düzeyinde anlamlılık arandı. Elde edilen bulgular sonucunda; huzurevinde kalan bayan ve erkek yaşlılara 8 hafta uygulanan egzersiz aktivitelerinin onların yaşam doyum düzeylerini arttırdığı tespit edilmiştir(p<0,05 ). Yaşlıların cinsiyet değişkenine göre yaşam doyum düzeyleri analizi sonucunda erkek ve bayan yaşlıların aynı seviyede yaşam doyum düzeyi sergiledikleri görülmüştür(p>0,05). Sonuç olarak, huzurevinde kalan yaşlılara uygulanan fiziksel aktivitelerin, onların yaşam doyum düzeylerini arttırarak olumlu yönde etkilediği ortaya çıkmıştır. (Turkish) [ABSTRACT FROM AUTHOR] Copyright of Selcuk University Social Sciences Institute Journal is the property of Selcuk University Social Sciences Institute Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2007/11// PY - 2007 VL - 18 SP - 1 EP - 9 SN - 13021796 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=34753863&site=ehost-live&scope=site KW - eppi-reviewer4 KW - Senior housing KW - Quality of life KW - Huzurevi yaşlıları KW - Life Satiety KW - Long-term care facilities KW - Rest homes KW - Retirement communities KW - Satisfaction KW - Spor KW - Sport.Staying at Rest Home KW - Yaşam doyumu ER - TY - JOUR TI - The oral hygiene and denture status among residential home residents AU - Akar Gulcan Coskun AU - Ergul Safak T2 - Clinical oral investigations AB - The aim of this study was to investigate the oral hygiene practices and denture status of elderly people living in a residential home. One hundred one elderly people living in Gurcesme Zubeyde Hanim Residential Home, Izmir-52 women (mean age 75.5 +/- 7.8) and 49 men (mean age 75.3 +/- 8.8)-participated in an interview. Their oral hygiene practices, self-perceived oral health, denture status, and needs of denture were noted down. Self-perceived oral health was very bad in 9.9%, bad in 47.5%, good in 33.7%, and very good in 8.9%. From 69 people who reported maintaining oral hygiene, the incidence of oral hygiene practice was 36.2% once a day, 31.9% three times a day, 21.8% once a week, and 10.1% seldom. The majority, 60 people (59.4%), were dentate. Among the dentate, 47 people (78.3%) had full denture, 4 (6.6%) removable partial denture, 2 (3.3%) fixed/removable partial denture, 5 (8.3%) full/removable partial denture, and 2 (3.3%) one or more fixed partial dentures. By gender, 57.6% female and 61.2% male subjects were dentate. The relationship between having a social security and having a denture was significant (p = 0.02); having a denture and needing a denture was also significantly related (p = 0.00). The high prevalence of needs for denture pointed to the requirement for frequent dental check ups. The most important need within the residents of the residential home was daily oral hygiene. Nurses trained on this subject are required. DA - 2008/// PY - 2008 VL - 12 IS - 1 SP - 61 EP - 5 SN - 1432-6981 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med6&NEWS=N&AN=17636354 KW - Female KW - Humans KW - Male KW - Aged KW - Time Factors KW - Oral Health KW - *Homes for the Aged KW - Sex Factors KW - Turkey KW - Attitude to Health KW - Dentition KW - *Dentures/sn [Statistics & Numerical Data] KW - *Oral Hygiene/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Dental Care for Aged/sn [Statistics & Numerical Data] KW - Denture, Complete/sn [Statistics & Numerical Data] KW - Denture, Partial, Fixed/sn [Statistics & Numerical Data] KW - Denture, Partial, Removable/sn [Statistics & Numerical Data] KW - Insurance, Health/sn [Statistics & Numerical Data] KW - Needs Assessment/sn [Statistics & Numerical Data] KW - Social Security/sn [Statistics & Numerical Data] ER - TY - JOUR TI - [The consciousness survey and the effect of educational intervention of Advance Care Planning (ACP) including post-mortem to elderly residents living in old New Town of big city]. AU - Akatsu Hiroyasu AU - Manabe Toshie AU - Takeo Jun AU - Kawade Yoshihiro AU - Kimura Yuko AU - Kondo Mao AU - Ito Sadayoshi AU - Nagano Koki AU - Nozaki Yoshiro AU - Dhoi Manami AU - Masaki Yoshiyuki AU - Tanaka Hajime AU - Kanematsu Takayoshi AU - Kojima Masayo AU - Akashi Keiko AU - Iwata Akira AU - Suzuki Tadashi AU - Kimura Kazunori AU - Asai Kiyofumi AU - Ohara Hirotaka T2 - Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics AB - AIM: Awareness reform aims to enable survival in an aging society, and ultimately, improve healthcare. An ideal way to achieve this is by implementing Advance directive (Ad) and Advance Care Planning (ACP), which do not usually include postmortem events. This study aims to create opportunities for Ad and ACP to include the postmortem period as a trigger for this awareness reform., METHODS: We conducted an Ad/ACP enlightenment lecture, and a questionnaire survey pre- and post-lecture for the elderly in old New Town, which is known for its aging society. The questionnaire comprised 38 multiple-choice questions covering 6 themes assuming an advanced state of dementia., RESULTS: There were 35 participants (7 men and 22 women) aged 40-89 years. Several people left during the lecture, making it difficult to capture the precise transformation effect with regard to changing of mind. However, the effect of enlightenment was identified as a result of the consciousness survey. A statistically significant change in consciousness occurred in response to social contribution after death. Furthermore, notably more people wanted emergency transportation compared to those wanting resuscitation and extension of life., CONCLUSIONS: The medical treatment desired might vary over time. Even the desire for life extension may differ significantly among individuals. This survey indicated a divergent view between the general public and medical staff, regarding a series of medical actions. We must persistently promote opportunities for enlightenment in cooperation with the general public (i.e., the communities and families we serve). DA - 2018/// PY - 2018 DO - 10.3143/geriatrics.55.358 VL - 55 IS - 3 SP - 358 EP - 366 SN - 0300-9173 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30122702 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Advance Directives KW - *Advance Care Planning KW - *Patient Education as Topic KW - eppi-reviewer4 KW - Directed Tissue Donation KW - Health Records, Personal ER - TY - JOUR TI - "When you got nothing to do, you do somebody": A community's perceptions of neighborhood effects on adolescent sexual behaviors AU - Akers Aletha Y AU - Muhammad Melvin R AU - Corbie-Smith Giselle T2 - Social science & medicine (1982) AB - This study explores community members' perspectives regarding the relationship between neighborhood characteristics and adolescent sexual behaviors in two rural, African American communities. The data were collected as part of a community needs assessment to inform the development of HIV prevention interventions in two contiguous counties in northeastern North Carolina, USA. We conducted eleven focus groups with three population groups: adolescents and young adults aged 16-24 (N = 38), adults over age 25 (N = 42), and formerly incarcerated individuals (N = 13). All focus groups were audio-recorded, transcribed and analyzed using a grounded theory approach to content analysis and a constant comparison method. Six major themes emerged from the discussions linking neighborhood context and adolescents sexual behavior: the overwhelming absence of recreational options for community members; lack of diverse leisure-time activities for adolescents; lack of recreational options for adolescents who are dating; adolescent access to inappropriate leisure time activities that promote multiple risk behaviors; limited safe environments for socializing; and cost-barriers to recreational activities for adolescents. In addition, lack of adequate parental supervision of adolescents' time alone and with friends of the opposite sex, as well as ineffective community monitoring of adolescent social activities, were thought to create situations that promoted sexual and other risk behaviors. These findings allowed us to develop a conceptual model linking neighborhood structural and social organization factors to adolescent sexual behaviors and provided insights for developing interventions tailored to address local socioeconomic realities. Copyright © 2010 Elsevier Ltd. All rights reserved. DA - 2011/// PY - 2011 VL - 72 IS - 1 SP - 91 EP - 9 SN - 1873-5347 0277-9536 UR - https://dx.doi.org/10.1016/j.socscimed.2010.09.035 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Risk-Taking KW - Young Adult KW - Focus Groups KW - North Carolina KW - *Rural Population KW - Health Status Disparities KW - *African Americans/px [Psychology] KW - *Leisure Activities KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - African Americans/sn [Statistics & Numerical Data] KW - Social Perception KW - *HIV Infections/eh [Ethnology] KW - HIV Infections/pc [Prevention & Control] KW - eppi-reviewer4 KW - *Adolescent Behavior/eh [Ethnology] KW - *Sexual Behavior/eh [Ethnology] KW - Leisure Activities/ec [Economics] KW - Parent-Child Relations KW - Poverty Areas KW - Prisoners ER - TY - JOUR TI - Construct Validation of Three Nutrition Questions Using Health and Diet Ratings in Older Canadian Males Living in the Community. AU - AKHTAR USMAN AU - KELLER HEATHER H AU - TATE ROBERT B AU - LENGYEL CHRISTINA O T2 - Canadian Journal of Dietetic Practice & Research AB - Brief nutrition screening tools are desired for research and practice. Seniors in the Community: Risk Evaluation for Eating and Nutrition (SCREEN-II, 14 items) and the abbreviated version SCREEN-II-AB (8 items) are valid and reliable nutrition screening tools for older adults. This exploratory study used a retrospective cross-sectional design to determine the construct validity of a subset of 3 items (weight loss, appetite, and swallowing difficulty) currently on the SCREEN-II and SCREEN-II-AB tools. Secondary data on community-dwelling senior males (n = 522, mean ± SD age = 86.7 ± 3.0 years) in the Manitoba Follow-up Study (MFUS) study were available for analysis. Participants completed the mailed MFUS Nutrition Survey that included SCREEN-II items and questions pertaining to self-rated health, diet healthiness, and rating of the importance of nutrition towards successful aging as the constructs for comparison. Self-perceived health status (F = 14.7, P < 0.001), diet healthiness (ρ = 0.17, P = 0.002) and the rating of nutrition's importance to aging (ρ = 0.10, P = 0.03) were correlated with the 3-item score. Inferences were consistent with associations between these construct variables and the full SCREEN-II. Three items from SCREEN-II and SCREEN-II-AB demonstrate initial construct validity with self-perceived health status and diet healthiness ratings by older males; further exploration for criterion and predictive validity in more diverse samples is needed. Des outils rapides d'évaluation nutritionnelle sont souhaitables pour la recherche et la pratique. Les aînés dans la communauté : le Risk Evaluation for Eating and Nutrition [évaluation du risque nutritionnel] (SCREEN-II, 14 questions) et sa version abrégée, le SCREEN-II-AB (8 questions), sont des outils d'évaluation nutritionnelle valides et fiables pour les aînés. Cette étude exploratoire a été conçue sur un modèle transversal rétrospectif afin de déterminer la validité de construit d'un sous-ensemble de 3 questions (perte de poids, appétit et difficulté de déglutition) présentement inclus dans le SCREEN-II et le SCREEN-II-AB. Des données secondaires sur des hommes âgés vivant dans la communauté (n = 522, moyenne d'âge ± S = 86,7 ± 3,0 ans) provenant de la Manitoba Follow-up Study (MFUS) [étude de suivi du Manitoba] étaient disponibles aux fins d'analyse. Les participants ont répondu au sondage sur la nutrition de la MFUS reçu par la poste. Celui-ci incluait les éléments du SCREEN-II de même que des questions sur l'état de santé autoévalué, la qualité nutritionnelle du régime alimentaire et l'évaluation de l'importance de la nutrition pour un vieillissement sain. Ces éléments servaient de construits aux fins de comparaison. L'état de santé autoévalué (F = 14,7, P < 0,001), la qualité nutritionnelle du régime alimentaire (ρ = 0,17, P = 0,002) et l'évaluation de l'importance de la nutrition pour un vieillissement sain (ρ = 0,10, P = 0,03) étaient corrélés au score des 3 questions. Les inférences correspondaient aux associations entre ces variables de construit et le SCREEN-II complet. Trois questions du SCREEN-II et du SCREEN-II-AB démontrent la validité de construit initiale relativement à l'évaluation de l'état de santé et de la qualité nutritionnelle du régime alimentaire par les hommes âgés; une analyse plus approfondie des critères et de la validité prédictive auprès d'échantillons plus diversifiés est nécessaire. DA - 2015/12// PY - 2015 DO - 10.3148/cjdpr-2015-025 VL - 76 IS - 4 SP - 194 EP - 199 SN - 1486-3847 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110966806&site=ehost-live&scope=site KW - Male KW - Aged KW - Prospective Studies KW - Analysis of Variance KW - Canada KW - Manitoba KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Questionnaires KW - Data Analysis Software KW - Exploratory Research KW - Descriptive Statistics KW - Geriatric Nutrition KW - Construct Validity KW - Health Status -- In Old Age KW - Instrument Validation KW - Community Living -- In Old Age KW - Scales KW - Cross Sectional Studies KW - Validation Studies KW - Spearman's Rank Correlation Coefficient KW - P-Value KW - Secondary Analysis KW - Post Hoc Analysis KW - Retrospective Design KW - Appetite -- Evaluation -- In Old Age KW - Deglutition -- Evaluation -- In Old Age KW - Diet -- In Old Age KW - Health Beliefs -- In Old Age KW - Men's Health KW - Nutritional Assessment -- In Old Age KW - Self Report -- In Old Age KW - Weight Loss -- Evaluation -- In Old Age ER - TY - JOUR TI - Aging at Home: A Portrait of Home-Based Primary Care Across Canada. AU - Akhtar Sabrina AU - Loganathan Mayura AU - Nowaczynski Mark AU - Sinha Samir AU - Condon Amanda AU - Ewa Vivian AU - Kirk John C AU - Pham Thuy-Nga T2 - Healthcare quarterly (Toronto, Ont.) AB - Older adults and their families often struggle in navigating an increasingly fragmented healthcare system when it becomes increasingly difficult to receive care beyond their homes in the face of advanced illness, frailty and complex care needs. The provision of integrated home-based primary care has demonstrated improved patient and caregiver experiences and reduced healthcare costs when primary care providers collaborate in delivering care as part of larger interprofessional teams. In this trans-Canada portrait of five urban home-based primary care programs, their core features are highlighted to provide a roadmap on how to integrate this form of care into a Patient's Medical Home in partnership with acute and home-care providers. Copyright © 2019 Longwoods Publishing. DA - 2019/// PY - 2019 DO - 10.12927/hcq.2019.25839 VL - 22 IS - 1 SP - 30 EP - 35 SN - 1710-2774 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=31244465 KW - eppi-reviewer4 ER - TY - JOUR TI - Eliminating health disparities associated with long-term care to promote graceful aging in place AU - Akhter Mohammad N AU - Levinson Richard A T2 - Care management journals : Journal of case management ; The journal of long term home health care AB - The aging of the population in the United States along with the high prevalence of chronic diseases among them requires that a system of care be developed that will permit seniors to age gracefully in place even when in ill health. Such a system will encourage healthy lifestyles, provide expert coordination of care, involve friends and family, and make seniors informed and active participants in decisions about their health care. Overcoming the barriers to the establishment of such a system is a challenge for the 21st century. DA - 2003/// PY - 2003 VL - 4 IS - 2 SP - 88 EP - 93 SN - 1521-0987 1938-9019 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=14655326 KW - Humans KW - Aged KW - Aged, 80 and over KW - Patient Participation KW - Activities of Daily Living KW - *Quality of Life KW - United States/ep [Epidemiology] KW - Socioeconomic Factors KW - Chronic Disease/th [Therapy] KW - *Health Services for the Aged/og [Organization & Administration] KW - Population Dynamics KW - *Chronic Disease/ep [Epidemiology] KW - eppi-reviewer4 KW - *Social Justice ER - TY - JOUR TI - Feasibility and effectiveness of home-based exercise programs on physical performance and health-related quality of life of the older people dwelling on an isolated, doctor-less island. AU - Akihiro Shintaro AU - Taira Yaeko AU - Maeda Keita AU - Natsume Keisuke AU - Sakakima Harutoshi T2 - Geriatrics & gerontology international AB - AIM: To promote preventive care among older individuals dwelling on an isolated, doctor-less island, we investigated the feasibility and the efficacy of a home-based exercise program, depending on their functional status and health-related quality of life., METHODS: A total of 23 older (mean age 72.6 years) participants were assigned to a home-based exercise program (intervention group), and 34 older (mean age 74.2 years) participants were assigned to a group without any intervention (control group). The participants of the intervention group attended the exercise program three times a week for 3 months. The exercise program consisted of various exercises involving stretching, muscle strengthening, balance retraining and walking. The physical performance, Functional Independence Measure and Short-Form 36-item health survey were used to assess the physical and the mental wellbeing of the participants., RESULTS: There was no significant difference between the changes in physical performance at baseline and post 3 months in both groups. However, the motor and the cognitive Functional Independence Measure scores significantly improved in the intervention group post 3 months. The domains of the Short-Form 36-item health survey improved post 3 months; particularly, significant improvement was observed in the physical functions, general health, vitality, mental health and mental component summary., CONCLUSIONS: Although an isolated island has several problems to support preventive care services, such as a lack of medical resources and availability of only a few healthcare workers, the present study provides evidence on the feasibility and efficacy of nurse-led home-based exercise programs for improving the physical and mental health of the older people dwelling on an isolated, doctor-less island. Geriatr Gerontol Int 2018; 18: 1313-1317. Copyright © 2018 Japan Geriatrics Society. DA - 2018/// PY - 2018 DO - 10.1111/ggi.13459 VL - 18 IS - 9 SP - 1313 EP - 1317 SN - 1447-0594 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29984893 KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - *Exercise Therapy/mt [Methods] KW - *Quality of Life KW - Japan KW - Geriatric Assessment KW - Mental Health KW - Feasibility Studies KW - *Physical Functional Performance KW - Home Care Services KW - Case-Control Studies KW - Statistics, Nonparametric KW - eppi-reviewer4 KW - *Medically Underserved Area KW - *Preventive Health Services/og [Organization & Administration] KW - Islands ER - TY - JOUR TI - The prevalence of frailty and related factors in community-dwelling Turkish elderly according to modified Fried Frailty Index and FRAIL scales AU - Akin Sibel AU - Mazicioglu Mumtaz M AU - Mucuk Salime AU - Gocer Semsinnur AU - Deniz Safak AU - Elif AU - Arguvanli Sibel AU - Ozturk Ahmet T2 - Aging clinical and experimental research AB - AIM: The purpose of this study is to determine the prevalence of frailty with the Fried Frailty Index (FFI) and FRAIL scales (Fatigue, Resistance, Ambulation, Illness, Low weight) and also its associated factors in the community-dwelling Turkish elderly., METHODS: This is a cross-sectional population-based study in an urban area with a population of over 1,200,000. We sampled 1/100 of the elderly population. Frailty prevalence was assessed with a modified version of the FFI and FRAIL scale. Nutritional status was assessed by Mini Nutritional Assessment. Cognitive function was assessed by Mini-Mental State Examination. Depressive mood was assessed by GDS. Functional capacity was assessed by the instrumental activities of daily living scale. Falls and fear of falling were noted. Uni- and multivariate analyses were done to determine associated factors for frailty., RESULTS: A total of 906 community-dwelling elderly were included, in whom the mean age and standard deviation (SD) of age were 71.5 (5.6) years (50.6 % female). We detected frailty (female 30.4 %, male 25.2 %), pre-frailty and non-frailty prevalence with FFI as 27.8, 34.8, and 37.4 %, respectively. The prevalence of frailty (female 14.5 %, male 5.4 %), pre-frailty and non-frailty with the FRAIL scale was detected as 10, 45.6, and 44.4 %. Coexisting associated factors related with frailty in both models were found as depressive mood, cognitive impairment, and malnutrition in multivariate analysis., CONCLUSIONS: According to both scales, frailty was strongly associated with cognitive impairment, depressive mood, and malnutrition in the community-dwelling Turkish elderly population. DA - 2015/// PY - 2015 VL - 27 IS - 5 SP - 703 EP - 9 SN - 1720-8319 1594-0667 UR - https://dx.doi.org/10.1007/s40520-015-0337-0 KW - Female KW - Humans KW - Male KW - Aged KW - Activities of Daily Living KW - Prevalence KW - *Nutritional Status KW - Cross-Sectional Studies KW - Cognition KW - *Aging KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - *Independent Living/sn [Statistics & Numerical Data] KW - Geriatric Assessment/mt [Methods] KW - *Frail Elderly KW - Frail Elderly/sn [Statistics & Numerical Data] KW - Aging/ph [Physiology] KW - Frail Elderly/px [Psychology] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Cognition Disorders/di [Diagnosis] KW - Cognition Disorders/ep [Epidemiology] KW - Aging/px [Psychology] KW - *Cognition Disorders KW - Turkey/ep [Epidemiology] KW - Intelligence Tests KW - eppi-reviewer4 ER - TY - JOUR TI - Diagnosis and treatment of depression in older community-dwelling adults: 1992-2005 AU - Akincigil Ayse AU - Olfson Mark AU - Walkup James T AU - Siegel Michele J AU - Kalay Ece AU - Amin Shahla AU - Zurlo Karen A AU - Crystal Stephen T2 - Journal of the American Geriatrics Society AB - OBJECTIVE: To examine evolving patterns of depression diagnosis and treatment in older U.S. adults in the era of newer-generation antidepressants., DESIGN: Trend analysis using data from the Medicare Current Beneficiary Survey, a nationally representative survey of Medicare enrollees, from 1992 to 2005., SETTING: Community, usual care., PARTICIPANTS: Older Medicare fee-for-service beneficiaries., MEASUREMENTS: Depression diagnoses and psychotherapy use identified from Medicare claims; antidepressant use identified from detailed medication inventories conducted by interviewers., RESULTS: The proportion of older adults who received a depression diagnosis doubled, from 3.2% to 6.3%, with rates increasing substantially across all demographic subgroups. Of those diagnosed, the proportion receiving antidepressants increased from 53.7% to 67.1%, whereas the proportion receiving psychotherapy declined from 26.1% to 14.8%. Adjusting for other characteristics, odds of antidepressant treatment in older adults diagnosed with depression were 86% greater for women, 53% greater for men, 89% greater for whites, 13% greater for African Americans, 84% greater for metropolitan-area residents, and 55% greater for nonmetropolitan-area residents. Odds of antidepressant treatment were 54% greater for those diagnosed with major depressive disorder (MDD) and 83% greater for those with other depression diagnoses, whereas the odds of receiving psychotherapy was 29% lower in those with MDD diagnoses and 74% lower in those with other depression diagnoses., CONCLUSION: Overall diagnosis and treatment rates increased over time. Antidepressants are assuming a more-prominent and psychotherapy a less-prominent role. These shifts are most pronounced in groups with less-severe depression, in whom evidence of efficacy of treatment with antidepressants alone is less clear. © 2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society. DA - 2011/// PY - 2011 VL - 59 IS - 6 SP - 1042 EP - 51 SN - 1532-5415 0002-8614 UR - https://dx.doi.org/10.1111/j.1532-5415.2011.03447.x KW - Female KW - Humans KW - Male KW - United States KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Cross-Sectional Studies KW - Health Surveys KW - *Social Environment KW - Medicare/sn [Statistics & Numerical Data] KW - Combined Modality Therapy KW - Depressive Disorder/ep [Epidemiology] KW - Antidepressive Agents/ae [Adverse Effects] KW - *Depressive Disorder/di [Diagnosis] KW - Drug Utilization/sn [Statistics & Numerical Data] KW - *Antidepressive Agents/tu [Therapeutic Use] KW - *Depressive Disorder/dt [Drug Therapy] KW - Depressive Disorder, Major/di [Diagnosis] KW - Depressive Disorder, Major/ep [Epidemiology] KW - Psychotherapy/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Antidepressive Agents/cl [Classification] KW - Depressive Disorder, Major/dt [Drug Therapy] ER - TY - JOUR TI - Comparison of the incidence of norovirus infection in homes for the elderly AU - Akizuki Mika AU - Nakagawa Kazue AU - Kato Tatsuya AU - Ogata Tsuyoshi AU - Nakamura Yoshikazu T2 - Japanese journal of infectious diseases DA - 2005/// PY - 2005 VL - 58 IS - 5 SP - 326 SN - 1344-6304 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16249632 KW - Humans KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Japan/ep [Epidemiology] KW - Homes for the Aged KW - *Caliciviridae Infections/ep [Epidemiology] KW - *Gastroenteritis/ep [Epidemiology] KW - *Norovirus KW - eppi-reviewer4 ER - TY - JOUR TI - Usefulness of an unstable board balance test to accurately identify community-dwelling elderly individuals with a history of falls. AU - Akizuki Kazunori AU - Echizenya Yuki AU - Kaneno Tatsuya AU - Ohashi Yukari T2 - Journal of rehabilitation medicine AB - OBJECTIVE: To determine the usefulness of an un-stable board balance test in identifying a fall history among high-functioning community-dwelling elderly individuals., DESIGN: Case-control study., SUBJECTS: Sixty-one community-dwelling elderly aged >= 65 years and having the capacity to walk independently without an assistive device., METHODS: Subjects completed 3 balance performance tests: the Unstable Board Balance Test, Functional Reach Test, and Timed Up and Go. For analysis, subjects were classified as fallers or non-fallers based on the history of falls over the previous year, and performance outcomes were compared between the 2 groups. Subjects classified as fallers were then matched 1:1 with non-fallers (for sex, age, body weight and height), and the optimal cut-off score and area under the receiver operating characteristic curve (AUC) for each test were calculated., RESULTS: Functional reach test and Timed Up and Go did not reliably discriminate between fallers and non-fallers. In contrast, the score on the unstable board balance test was significantly different between the 2 groups (p = 0.040). Among all 3 tests, AUC was largest for the unstable board balance test (0.78), with superior sensitivity (0.67) and specificity (0.87)., CONCLUSION: For high-functioning elderly subjects, the unstable board balance test was useful in discriminating between fallers and non-fallers. DA - 2019/// PY - 2019 DO - 10.2340/16501977-2504 VL - 51 IS - 1 SP - 71 EP - 76 SN - 1650-1977 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30406266 KW - Female KW - Humans KW - Male KW - Aged KW - Independent Living KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Case-Control Studies KW - *Postural Balance/ph [Physiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Individual assessment of intake of energy, nutrients and water in 54 elderly multidiseased nursing-home residents AU - Akner G AU - Floistrup H T2 - The journal of nutrition, health & aging AB - PURPOSE: Examination of the individual intake of energy, nutrients and water in clinically stable multidiseased nursing-home residents., METHODS: Comprehensive clinical assessment of 54 elderly nursing-home residents (80 +/- 10 years, mean +/- SD). The intake of food and beverages was measured by the weighed food intake method during five consecutive week days followed by computerized transformation to energy, 21 different nutrients, dietary fiber, alcohol and water. The resting energy expenditure was determined by indirect calorimetry., RESULTS: There was at least 2-3-fold, variation in intake of energy, nutrients and water, present also when expressed per kg body weight. For some micronutrients the relative intake variation was more than 8-fold. The results are compared with the present swedish recommended dietary allowances as well as with seven other studies of dietary intake in elderly using the weighed food intake method. The residents had on average 14.1 (range 6-31) different current clinical problems and were treated with a mean of 9.5 different drugs. The nursing staff spent 40 % of the total daytime working hours (7 am to 7 pm) on nutrition related issues., CONCLUSIONS: The nursing-home residents exhibited a large interindividual heterogeneity regarding intake of energy, nutrients and water. More emphasis should be given to individualized nutrition assessment in clinical geriatric care as a more solid base for nutrition treatment programmes integrated with the regular medical management and evaluation. DA - 2003/// PY - 2003 VL - 7 IS - 1 SP - 1 EP - 12 SN - 1279-7707 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=12679834 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Status KW - Nursing Homes KW - Body Mass Index KW - *Nutrition Assessment KW - Homes for the Aged KW - *Dietary Proteins/ad [Administration & Dosage] KW - eppi-reviewer4 KW - *Dietary Carbohydrates/ad [Administration & Dosage] KW - *Dietary Fats/ad [Administration & Dosage] KW - *Drinking/ph [Physiology] KW - *Energy Intake/ph [Physiology] KW - *Micronutrients/ad [Administration & Dosage] KW - *Nutrition Disorders/pc [Prevention & Control] ER - TY - JOUR TI - Analysis of multimorbidity in individual elderly nursing home residents. Development of a multimorbidity matrix AU - Akner Gunnar T2 - Archives of gerontology and geriatrics AB - The chronic multimorbidity in individual elderly people is rarely documented in its entirety in present medical records, neither as cross-sectional overview nor as longitudinal time-course of various health problems. This obviously hampers an integrated clinical analysis. This work was aimed at evaluating the chronic multimorbidity in individual elderly patients and developing a method to map, quantify and grade the prevalence of the multimorbidity. An explorative study in 70 nursing home residents (55 women), mean age 85 was performed. Information on health problems was obtained through history, clinical examination and medical records. A 19-item multimorbidity matrix that maps, quantifies and grades the chronic morbidity in individual patients is presented. The 70 residents exhibited 275 different health problems; the top 3 items being neuropsychiatric, cardiovascular and gastrointestinal ones. The residents had a mean of 17 different chronic health problems and were prescribed a mean of 6.6 continuous medications per day. There was a significant correlation between the number of continuous drug prescriptions and both quantitative and graded multimorbidity-scores. The presented multimorbidity matrix provides a useful taxonomic overview over the health situation in individual multimorbid elderly and constitutes the basis for ongoing work to develop and renew the electronic health record into an "interactive health analysis system". DA - 2009/// PY - 2009 VL - 49 IS - 3 SP - 413 EP - 9 SN - 1872-6976 0167-4943 UR - https://dx.doi.org/10.1016/j.archger.2008.12.009 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment KW - Sweden/ep [Epidemiology] KW - *Comorbidity KW - eppi-reviewer4 ER - TY - JOUR TI - Closing the heart failure management gap in the community: managing hypotension and impact on outcomes AU - Akosah Kwame O AU - McHugh Vicki L AU - Mathiason Michelle A AU - Kallies Kara J AU - Pinter Ross AU - Thayer Virginia B T2 - Journal of cardiac failure AB - BACKGROUND: Perception of risk in using recommended therapy in heart failure (HF) patients with hypotension adds to the problems of undertreatment in management. We aimed to determine the feasibility and outcomes of therapy in hypotensive HF patients., METHODS AND RESULTS: Data were collected from HF clinic patients between 1999 and 2003. Exclusion criteria were: left ventricular ejection fraction (LVEF) >45%; myocardial infarction or revascularization within 3 months of referral; and consult-only visits. Criteria were met by 500 patients. Median follow-up was 6.8 years, with end points of total mortality and combined death and hospitalizations. Blood pressure measurements were done by the nursing staff after the patient was seated for at least 5minutes. Two measures were taken per each patient encounter and the average of 2 systolic values is recorded for group categorization. Group 1 (hypotension, n=112) subjects were younger (65+/-14 vs. 69+/-12; P=.003) and had lower mean LVEF (22+/-10% vs. 25+/-9%; P=.012) than group 2 (no hypotension, n=338). Drug utilization was similar at 3 months, 1 year, and long-term. Systolic blood pressure (SBP) increased in group 1, but decreased in group 2. Mortality was similar at years 1 and 5 (12.8% vs. 9.9%, P=NS; 45.5% vs. 41.4%, P=.507); however, combined death and hospitalizations were negatively and independently affected by failure to receive therapy., CONCLUSIONS: When treated successfully with recommended therapy, SBP improved and patients with hypotension at baseline enjoyed significant benefits in outcomes. More effort is needed on mechanisms to implement guidelines to improve HF management. DA - 2009/// PY - 2009 VL - 15 IS - 10 SP - 906 EP - 11 SN - 1532-8414 1071-9164 UR - https://dx.doi.org/10.1016/j.cardfail.2009.06.438 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Retrospective Studies KW - Survival Rate/td [Trends] KW - Follow-Up Studies KW - *Residence Characteristics KW - Disease Management KW - *Heart Failure/co [Complications] KW - *Heart Failure/th [Therapy] KW - eppi-reviewer4 KW - Heart Failure/mo [Mortality] KW - *Hypotension/co [Complications] KW - *Hypotension/th [Therapy] KW - Hypotension/mo [Mortality] ER - TY - JOUR TI - Fear of falling and quality of life of apparently-healthy elderly individuals from a Nigerian population AU - Akosile Christopher O AU - Anukam Gabriel O AU - Johnson Olubusola E AU - Fabunmi Ayodeji A AU - Okoye Emmanuel C AU - Iheukwumere Ngozi AU - Akinwola Mojisola O T2 - Journal of cross-cultural gerontology AB - Ageing is associated with increased morbidity, increased fear of falling (FOF) and reduced activity. These may consequently impair the quality of life (QOL) of the elderly. Studies from Africa investigating FOF and its relationship with QOL among elderly individuals are rare. This study investigated the prevalence of FOF and QOL of apparently-healthy elderly residents of two Local Government Areas (LGAs) from Anambra State, Nigeria and also determined the relationship between the two variables. Two hundred and sixty-one (131 males and 130 females) volunteering elderly individuals, from three randomly-selected communities from each of the LGAs, participated in this cross-sectional survey. The Modified Fall Efficacy Scale (MFES) and the Short-Form Health Survey 36-item (SF-36) questionnaire were used to evaluate FOF and QOL respectively. Data were analysed using frequency, percentage, mean and standard deviation, Chi-square, Independent t-test, Pearson correlation and multivariate regression analysis statistics. Alpha level was set at 0.05. FOF was markedly prevalent in the population at 23.4 % and the QOL score of 55.27 +/- 17.28 was just modest. QOL was particularly low in the role limitations due to the physical and emotional problems domains but high in the mental health, social function and bodily pain domains. Significant relationship was found between FOF and all the QOL domains. FOF was present in nearly one of every four elderly individuals in the sample and was related to their QOL. FOF should be routinely investigated in community-dwelling elderly and strategies devised to combat it. DA - 2014/// PY - 2014 VL - 29 IS - 2 SP - 201 EP - 9 SN - 1573-0719 0169-3816 UR - https://dx.doi.org/10.1007/s10823-014-9228-7 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Health Status KW - *Accidental Falls/pc [Prevention & Control] KW - *Activities of Daily Living KW - Cross-Sectional Studies KW - *Quality of Life/px [Psychology] KW - Postural Balance KW - Geriatric Assessment/mt [Methods] KW - *Health Behavior KW - *Residence Characteristics KW - *Fear KW - Nigeria KW - eppi-reviewer4 ER - TY - JOUR TI - Privacy for defecation and fecal incontinence in older adults AU - Akpan Asangaedem AU - Gosney M A AU - Barrett James T2 - Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society AB - INTRODUCTION: Privacy during defecation is important to individuals and society at large and it has not been studied in older people with fecal incontinence., METHODS: One hundred twenty adults aged 65 years and with fecal incontinence who were either living in their own homes or in a nursing home or receiving care in an acute or rehabilitation elderly care ward were surveyed with a questionnaire that included questions on privacy during defecation., RESULTS: Privacy while defecating was often least achieved in the patients with fecal incontinence living in nursing homes (NH) (n=7, 23%) but usually was achieved in those living at home (H) (n=28, 93%) and by some being cared for in rehabilitation wards (R) (n=16, 53%) or in acute wards (AC) (n=15, 50%; P<.001). Very few participants with fecal incontinence were aware of leakage (NH: n=3, 10%; R: n=9, 30%; AC: n=9, 30%; H: n=15, 50%), able to clean themselves (NH: n=0, 0%; R: n=2, 7%; AC: n=5, 17%; H: n=24, 80%) or had access to patient information leaflets about fecal incontinence (NH: n=3, 10%; R: n=4, 13%; AC: n=1, 3%; H: n=16, 53%)., CONCLUSION: Older people, especially those who are dependent, lack privacy during bowel movements. They are usually unaware of being incontinent of stool and are unable to clean themselves afterwards. Access to information about fecal incontinence is poor. DA - 2006/// PY - 2006 VL - 33 IS - 5 SP - 536 EP - 40 SN - 1071-5754 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=17133142 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Hospitals KW - Surveys and Questionnaires KW - Health Services Needs and Demand KW - Nursing Homes KW - Follow-Up Studies KW - Cross-Sectional Studies KW - Geriatric Assessment KW - *Attitude to Health KW - England KW - Self Care/mt [Methods] KW - Self Care/px [Psychology] KW - Activities of Daily Living/px [Psychology] KW - Patient Education as Topic KW - Rehabilitation Centers KW - *Aged/px [Psychology] KW - Fecal Incontinence/px [Psychology] KW - Mental Status Schedule KW - Nursing Methodology Research KW - eppi-reviewer4 KW - *Defecation KW - *Fecal Incontinence KW - *Privacy/px [Psychology] KW - Fecal Incontinence/pc [Prevention & Control] ER - TY - JOUR TI - Factors contributing to fecal incontinence in older people and outcome of routine management in home, hospital and nursing home settings AU - Akpan Asangaedem AU - Gosney Margot A AU - Barret James T2 - Clinical interventions in aging AB - OBJECTIVE: Fecal loading, cognitive impairment, loose stools, functional disability, comorbidity and anorectal incontinence are recognized as factors contributing to loss of fecal continence in older adults. The objective of this project was to assess the relative distribution of these factors in a variety of settings along with the outcome of usual management., METHODS: One hundred and twenty adults aged 65 years and over with fecal incontinence recruited by convenience sampling from four different settings were studied. They were either living at home or in a nursing home or receiving care on an acute or rehabilitation elderly care ward. A structured questionnaire was used to elicit which factors associated with fecal incontinence were present from subjects who had given written informed consent or for whom assent for inclusion in the study had been obtained., RESULTS: Fecal loading (Homes 6 [20%]; Acute care wards 17 [57%]; Rehabilitation wards 19 [63%]; Nursing homes 21 [70%]) and functional disability (Homes 5 [17%]; Acute care wards 25 [83%]; Rehabilitation wards 25 [83%]; Nursing homes 20 [67%]) were significantly more prevalent in the hospital and nursing home settings than in those living at home (P < 0.01). Loose stools were more prevalent in the hospital setting than in the other settings (Homes 11 [37%]; Acute care wards 20 [67%]; Rehabilitation wards 17 [57%]; Nursing homes 6 [20%]) (P < 0.01). Cognitive impairment was significantly more common in the nursing home than in the other settings (Nursing homes 26 [87%], Homes 5 [17%], Acute care wards 13 [43%], Rehabilitation wards 14 [47%]) (P < 0.01). Loose stools were the most prevalent factor present at baseline in 13 of the 19 (68%) subjects whose fecal incontinence had resolved at 3 months., CONCLUSION: The distribution of the factors contributing to fecal incontinence in older people living at home differs from those cared for in nursing home and hospital wards settings. These differences need to be borne in mind when assessing people in different settings. Management appears to result in a cure for those who are not significantly disabled with loose stools as a cause for their fecal incontinence, but this would need to be confirmed by further research. DA - 2007/// PY - 2007 VL - 2 IS - 1 SP - 139 EP - 45 SN - 1176-9092 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=18044086 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Prevalence KW - Time Factors KW - *Homes for the Aged KW - *Nursing Homes KW - *Hospitals KW - United Kingdom/ep [Epidemiology] KW - *Fecal Incontinence/th [Therapy] KW - Fecal Incontinence/ep [Epidemiology] KW - Software Design KW - eppi-reviewer4 KW - *Fecal Incontinence/et [Etiology] KW - Fecal Incontinence/mo [Mortality] ER - TY - JOUR TI - The Wheat Valley assisted living culture: rituals and rules. AU - Al Omari AU - Hasan AU - Kramer Kelli AU - Hronek Carla AU - Rempusheski Veronica F T2 - Journal of gerontological nursing AB - This ethnographic study describes the cultural knowledge individuals use to organize their behaviors at one assisted living facility, Wheat Valley. Data were comprised of transcribed interviews with residents, family members, and staff; field notes of observations and informal interviews; and abstracted information from facility documents. The Wheat Valley culture is described as having six cultural categories, a single theme, a threat to the culture, and a conceptualization of resident decision-making. The cultural description provides the basis for a discussion of practice implications. DA - 2005/// PY - 2005 VL - 31 IS - 1 SP - 9 EP - 16 SN - 0098-9134 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=15675779 KW - Adult KW - Female KW - Humans KW - Male KW - Health Knowledge, Attitudes, Practice KW - Social Environment KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Attitude of Health Personnel KW - Organizational Objectives KW - Surveys and Questionnaires KW - Activities of Daily Living KW - *Attitude to Health KW - Decision Making, Organizational KW - Organizational Culture KW - Midwestern United States KW - *Assisted Living Facilities/og [Organization & Administration] KW - Anthropology, Cultural KW - Nurse's Role KW - Organizational Policy KW - Nursing Methodology Research KW - eppi-reviewer4 KW - *Ceremonial Behavior KW - *Guidelines as Topic KW - *Social Values ER - TY - JOUR TI - Sexually inappropriate behaviour in demented elderly people AU - Alagiakrishnan K AU - Lim D AU - Brahim A AU - Wong A AU - Wood A AU - Senthilselvan A AU - Chimich W T AU - Kagan L T2 - Postgraduate medical journal AB - AIM: To determine the prevalence, aetiology, and treatment profile of abnormal sexual behaviour in subjects with dementia in psychogeriatric practices., METHODS: A retrospective cross sectional study was conducted in a long term care psychiatry consultation service, community based geriatric psychiatry service, and an inpatient dementia behavioural unit in Edmonton, Canada., RESULTS: Forty one subjects (1.8%) had sexually inappropriate behaviour. Of those cognitively impaired subjects with sexually inappropriate behaviour, 20 (48.8%) were living in nursing homes and the rest, 21 (51.2%) in the community. Of these subjects, 53.7% had vascular dementia, 22% had Alzheimer's, and 9.8% had mild cognitive impairment. History of alcohol misuse and psychosis were reported in 14.6% and 9.8% of subjects respectively. Twenty seven (65.7%) had verbally inappropriate behaviour and 36 (87.8%) had physically inappropriate behaviour. In this study, verbally inappropriate behaviour was more commonly seen in the community sample (81%) than in the nursing home sample (50%) (p = 0.04). Behavioural treatment was also more commonly seen in the community sample (81%) than in the nursing home sample (45%) (p = 0.01)., CONCLUSION: In this study sexually inappropriate behaviour was seen in all stages of dementia, more commonly associated with subjects of vascular aetiology, and is as commonly seen in community dwelling subjects with dementia as in nursing home subjects. DA - 2005/// PY - 2005 VL - 81 IS - 957 SP - 463 EP - 6 SN - 1469-0756 0032-5473 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=15998824 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Nursing Homes KW - Prevalence KW - Residence Characteristics KW - Retrospective Studies KW - Cross-Sectional Studies KW - *Dementia/px [Psychology] KW - Alzheimer Disease/px [Psychology] KW - Dementia, Vascular/px [Psychology] KW - *Sexual Behavior/sn [Statistics & Numerical Data] KW - Homes for the Aged KW - eppi-reviewer4 KW - *Social Behavior Disorders/et [Etiology] KW - Alberta/ep [Epidemiology] KW - Social Behavior Disorders/ep [Epidemiology] KW - Social Behavior Disorders/th [Therapy] ER - TY - JOUR TI - Orthostatic hypotension and incident heart failure in community-dwelling older adults AU - Alagiakrishnan Kannayiram AU - Patel Kanan AU - Desai Ravi V AU - Ahmed Momanna B AU - Fonarow Gregg C AU - Forman Daniel E AU - White Michel AU - Aban Inmaculada B AU - Love Thomas E AU - Aronow Wilbert S AU - Allman Richard M AU - Anker Stefan D AU - Ahmed Ali T2 - The journals of gerontology. Series A, Biological sciences and medical sciences AB - OBJECTIVES: To examine the association of orthostatic hypotension with incident heart failure (HF) in older adults., METHODS: Of the 5,273 community-dwelling adults aged 65 years and older free of baseline prevalent HF in the Cardiovascular Health Study, 937 (18%) had orthostatic hypotension, defined as >=20 mmHg drop in systolic or >=10 mmHg drop in diastolic blood pressure from supine to standing position at 3 minutes. Of the 937, 184 (20%) had symptoms of dizziness upon standing and were considered to have symptomatic orthostatic hypotension. Propensity scores for orthostatic hypotension were estimated for each of the 5,273 participants and were used to assemble a cohort of 3,510 participants (883 participants with and 2,627 participants without orthostatic hypotension) who were balanced on 40 baseline characteristics. Cox regression models were used to estimate the association of orthostatic hypotension with centrally adjudicated incident HF and other outcomes during 13 years of follow-up., RESULTS: Participants (n = 3,510) had a mean (+/-standard deviation) age of 74 (+/-6) years, 58% were women, and 15% nonwhite. Incident HF occurred in 25% and 21% of matched participants with and without orthostatic hypotension, respectively (hazard ratio, 1.24; 95% confidence interval, 1.06-1.45; p = .007). Among matched participants, hazard ratios for incident HF associated with symptomatic (n = 173) and asymptomatic (n = 710) orthostatic hypotension were 1.57 (95% confidence interval, 1.16-2.11; p = .003) and 1.17 (95% confidence interval, 0.99-1.39; p = .069), respectively., CONCLUSIONS: Community-dwelling older adults with orthostatic hypotension have higher independent risk of developing new-onset HF, which appeared to be more pronounced in those with symptomatic orthostatic hypotension. DA - 2014/// PY - 2014 VL - 69 IS - 2 SP - 223 EP - 30 SN - 1758-535X 1079-5006 UR - https://dx.doi.org/10.1093/gerona/glt086 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Health Status KW - Cohort Studies KW - Socioeconomic Factors KW - *Residence Characteristics KW - Incidence KW - Case-Control Studies KW - *Heart Failure/ep [Epidemiology] KW - Heart Failure/di [Diagnosis] KW - eppi-reviewer4 KW - *Hypotension, Orthostatic/co [Complications] KW - Hypotension, Orthostatic/di [Diagnosis] ER - TY - JOUR TI - What is the proper use of hemoglobin A1c monitoring in the elderly? AU - Alam Tarannum AU - Weintraub Nancy AU - Weinreb Jane T2 - Journal of the American Medical Directors Association AB - Diabetes mellitus (DM) is a major health problem for the aging population. Glycemic control is fundamental to the management of diabetes, as glycemic levels are closely linked to development of diabetes-related complications. Measurement of the hemoglobin A1c (A1c) to assess chronic glycemic control is an integral component of diabetes care. Currently, there is no clear evidence that age alters the relationship between A1c and average blood glucose. The Diabetes Control and Complications trial and the United Kingdom Prospective Diabetes Study are the 2 main studies that have provided evidence leading to the widespread recommendation of A1c monitoring. The American Diabetes Association recommends achieving an A1c level of 7% or lower. However, older diabetics represent a heterogeneous population ranging from frail nursing home residents to active community-dwelling elderly with variable life expectancies. One needs to look at the individual in order to best balance risk versus benefit associated with tight glycemic control. Benefits of intensive therapy in an effort to lower A1c must always be weighed against the greater risk of disabling and unpredictable hypoglycemia, as the geriatric population is less likely to benefit from reducing the risk of microvascular complications and more likely to suffer serious adverse effects from hypoglycemia. DA - 2005/// PY - 2005 VL - 6 IS - 3 SP - 200 EP - 4 SN - 1538-9375 1525-8610 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=15894250 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Nursing Homes KW - *Geriatric Assessment/mt [Methods] KW - Age Factors KW - *Glycated Hemoglobin A/an [Analysis] KW - Biomarkers/bl [Blood] KW - Sensitivity and Specificity KW - Homes for the Aged KW - Mass Screening/mt [Methods] KW - Primary Prevention/mt [Methods] KW - Blood Glucose/an [Analysis] KW - Monitoring, Physiologic/mt [Methods] KW - *Diabetes Mellitus, Type 2/di [Diagnosis] KW - eppi-reviewer4 KW - *Diabetes Mellitus, Type 2/pc [Prevention & Control] ER - TY - JOUR TI - Older adults' views and experiences of doll therapy in residential care homes AU - Alander Heidi AU - Prescott Tim AU - James Ian A T2 - Dementia (London, England) AB - BACKGROUND AND PURPOSE: The mechanisms underlying the success of doll therapy are poorly understood. The aims of this study were to explore how people in care, doll users and non-users, make sense of doll use in their settings., METHODOLOGY: A grounded theory approach was used, recruiting participants from three residential care homes involving four male and 12 female residents. Data collection occurred in two phases; five participants took part in a focus group and later 11 participants were interviewed individually. Eight of the 11 participants had dementia, and four participants were actively using dolls., RESULTS AND CONCLUSION: The results are presented as themes, and sub-themes, consisting of four main categories (intrapersonal features, interpersonal features, behavioural benefits, ethical and moderating factors). This thematic analysis shows that residents generally support the use of dolls, believing that dolls can have a positive impact on some users. The mechanisms by which this impact is achieved are discussed together with the ethical concerns. Copyright © The Author(s) 2013. DA - 2015/// PY - 2015 VL - 14 IS - 5 SP - 574 EP - 88 SN - 1741-2684 1471-3012 UR - https://dx.doi.org/10.1177/1471301213503643 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Focus Groups KW - *Homes for the Aged KW - Grounded Theory KW - *Dementia/th [Therapy] KW - *Patient Satisfaction KW - eppi-reviewer4 KW - *Play Therapy KW - Play and Playthings KW - Play Therapy/es [Ethics] ER - TY - JOUR TI - Use of antipsychotic medications among elderly residents in long-term institutional care: a three-year follow-up AU - Alanen Hanna-Mari AU - Finne-Soveri Harriet AU - Noro Anja AU - Leinonen Esa T2 - International journal of geriatric psychiatry AB - OBJECTIVE: To analyse the use of antipsychotic medications, change over time and associated factors in a three-year follow-up among elderly residents in long-term institutional care., DESIGN: Retrospective study was designed with three identical cross-sectional samples originating from the same long-term care facilities, and collected 1 July to 31 December in 2001, 2002 and 2003, in Finland. These were extracted from the Resident Assessment Instrument (RAI) database, based on Minimum Data Set (MDS) assessments., SETTING: Of the data providers 16 were hospital-based institutions and 25 residential homes., PARTICIPANTS: Each of the data sets included 3,662-3,867 resident assessments., RESULTS: The prevalence use of one or more antipsychotic decreased from 42% in 2001 to 39% in 2003. The overall confounder-adjusted decrease in antipsychotic use was not statistically significant. However, the use of antipsychotics decreased among residents who had wandering as a behavioural problem (OR 0.79, 95% CI 0.63-0.99) and increased among residents with concomitant use of anxiolytic medications (OR 1.23, 95% CI 1.03-1.48)., CONCLUSIONS: The use of antipsychotic medications among residents in long-term institutional care was common and the caring patterns were quite stable during the observation period. Adequate indications may not have been achieved in all cases. More attention should be paid to the appropriate use of antipsychotics in this frail population. DA - 2006/// PY - 2006 VL - 21 IS - 3 SP - 288 EP - 95 SN - 0885-6230 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16477588 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Sex Factors KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Age Factors KW - Drug Utilization/td [Trends] KW - Geriatric Assessment KW - *Antipsychotic Agents/ad [Administration & Dosage] KW - Antipsychotic Agents/tu [Therapeutic Use] KW - Finland/ep [Epidemiology] KW - Long-Term Care/mt [Methods] KW - Mental Disorders/ep [Epidemiology] KW - Drug Utilization/sn [Statistics & Numerical Data] KW - Epidemiologic Methods KW - eppi-reviewer4 KW - *Mental Disorders/dt [Drug Therapy] ER - TY - JOUR TI - Use of antipsychotics among nonagenarian residents in long-term institutional care in Finland AU - Alanen Hanna-Mari AU - Finne-Soveri Harriet AU - Noro Anja AU - Leinonen Esa T2 - Age and ageing AB - BACKGROUND: There is a paucity of information about the use of antipsychotic medication in long-term care, especially among the oldest-old residents., OBJECTIVE: To analyse the factors associated with the use of antipsychotic medication among nonagenarian residents in long-term institutional care., DESIGN: A retrospective study was designed from cross-sectional data, gathered in the period 1 January 2003 to 30 June 2003, in Finland. Data were extracted from the Resident Assessment Instrument database, based on Minimum Data Set 2.0 assessments., SETTING: Data were provided by 23 hospital-based institutions and 43 residential homes., SUBJECTS: Residents aged >or=90 years were included, consisting of 1,334 resident assessments., RESULTS: Almost a third of the residents received one or more antipsychotic medication. In the logistic regression analysis, factors associated with the use of antipsychotics among nonagenarian residents were as follows: socially inappropriate or disruptive behavioural symptoms [odds ratio (OR) 1.86, 95% confidence interval (CI) 1.36-2.54], concomitant anxiolytic medication (OR 1.83, 95% CI 1.39-2.42), recurring anxious complaints (OR 1.61, 95% CI 1.17-2.22), recurring physical movements (OR 1.43, 95% CI 1.08-1.91) and unsettled relationships (OR 1.35, 95% CI 1.15-1.57). A good sense of initiative or involvement was significantly less likely to be associated with antipsychotics (OR 0.86, 95% CI 0.80-0.94). There were no associations between any psychiatric diagnoses or symptoms and the use of antipsychotics., CONCLUSIONS: Antipsychotic medication use in nonagenarians in long-term institutions was common and seemed in many cases to be associated with residents' negative attitudes to others. Querulous residents received antipsychotics more commonly than those with good social skills. Clearly defined indications may not be fulfilled in many cases, and an evaluation of treatment may be lacking. These may indicate that in Finland, there could be a considerable gap between antipsychotic medication recommendations and actual clinical practice. DA - 2006/// PY - 2006 VL - 35 IS - 5 SP - 508 EP - 13 SN - 0002-0729 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16807310 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - *Antipsychotic Agents/tu [Therapeutic Use] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Finland KW - Geriatric Assessment KW - Long-Term Care KW - Attitude KW - *Drug Utilization/sn [Statistics & Numerical Data] KW - Mental Disorders/dt [Drug Therapy] KW - eppi-reviewer4 ER - TY - JOUR TI - Further experience of nonagenarians with hip fractures. AU - Alarcon T AU - Gonzalez-Montalvo J I AU - Barcena A AU - Saez P T2 - Injury AB - Our purpose was to investigate the factors after predictive outcome 3 months after the injury in terms of mortality and effective independent walking of nonagenarians with hip fracture. A prospective study was carried out for 2 yr in the orthopaedic wards on patients referred to geriatricians. The data were subjected to logistic regression forward stepwise analysis. Eighty-nine patients were included in the study; 55 (61.8%) had a trochanteric fracture and 86 required a surgical procedure. Before the fracture, 83 patients (93.3%) were able to walk by themselves or with minimal supervision. Forty-three patients (48.3%) had an American Society of Anaesthesiologists' of III-IV score. The mean number of postoperative complications was four. Mean hospital stay was 18.2 days. Within 3 months, 19 patients (21.3%) had died and 58 (69%) were living in their previous residence. Thirty-three (50% of living patients) were able to walk by themselves or with minimal help within 3 months of the fracture. Predictive variables for 3-month mortality were pre-fracture dependence on others for personal toilet and the presence of cognitive impairment. Predictive variables for independent efficient walking were bowel control and absence of cognitive impairment before the fracture, as well as no development of bed sores during hospitalization.These nonagenarian patients with hip fractures show low perioperative mortality, frequently return to their previous accommodation and present a limited recovery of walking ability. DA - 2001/// PY - 2001 VL - 32 IS - 7 SP - 555 EP - 8 SN - 0020-1383 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=11524088 KW - Female KW - Humans KW - Male KW - Aged KW - Activities of Daily Living KW - Logistic Models KW - Length of Stay KW - Prospective Studies KW - Walking KW - Spain/ep [Epidemiology] KW - Housing for the Elderly KW - *Hip Fractures/rh [Rehabilitation] KW - Hip Fractures/mo [Mortality] KW - Cognition Disorders/co [Complications] KW - Postoperative Complications/et [Etiology] KW - *Aged, 80 and over KW - eppi-reviewer4 KW - Cognition Disorders/mo [Mortality] KW - Hip Fractures/co [Complications] ER - TY - JOUR TI - The Elders Risk Assessment Index, an electronic administrative database-derived frailty index, can identify risk of hip fracture in a cohort of community-dwelling adults AU - Albaba Mohammad AU - Cha Stephen S AU - Takahashi Paul Y T2 - Mayo Clinic proceedings AB - OBJECTIVE: To determine whether an Elders Risk Assessment (ERA) index can predict incident hip fractures without the need for physician-patient encounter or bone mineral density testing., PATIENTS AND METHODS: A retrospective cohort study was conducted in a community-based cohort of 12,650 patients aged 60 years and older. An ERA score was computed for each subject at index time (January 1, 2005). Incidents of hip fracture from January 1, 2005, through December 31, 2006, were obtained from electronic medical records. We divided the cohort into 5 groups, with the lowest ERA scores forming group A (<15%); 15% to 49%, group B; 50% to 74%, group C; 75% to 89%, group D; and the top 11%, group E. With group A as a reference group, we used logistic regression to compute odds ratios of sustaining hip fracture during a 2-year period (January 1, 2005, through December 31, 2006) for groups B, C, D, and E. Sensitivity and specificity of each possible ERA score were calculated, and a receiver operating characteristic curve was created., RESULTS: Two hundred sixty-five patients (2.1%) sustained at least 1 hip fracture from January 1, 2005, through December 31, 2006. Odds ratios (95% confidence intervals) for groups B, C, D, and E were 1.6 (0.7-3.4), 4.5 (2.2-9.4), 6.9 (3.3-14.3), and 18.4 (8.9-37.9), respectively. The area under the receiver operating characteristic curve was 74.5%., CONCLUSION: An electronic medical record-based, easily derived ERA index might be useful in hip fracture risk stratification. Copyright © 2012 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved. DA - 2012/// PY - 2012 VL - 87 IS - 7 SP - 652 EP - 8 SN - 1942-5546 0025-6196 UR - https://dx.doi.org/10.1016/j.mayocp.2012.01.020 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Risk Assessment KW - Logistic Models KW - *Independent Living KW - Retrospective Studies KW - Cohort Studies KW - ROC Curve KW - Odds Ratio KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - Predictive Value of Tests KW - *Databases, Factual KW - Sensitivity and Specificity KW - Hip Fractures/et [Etiology] KW - *Hip Fractures/ep [Epidemiology] KW - eppi-reviewer4 KW - *Medical Records Systems, Computerized ER - TY - JOUR TI - Automatic assessment of functional health decline in older adults based on smart home data. AU - Alberdi Aramendi AU - Ane AU - Weakley Alyssa AU - Aztiria Goenaga AU - Asier AU - Schmitter-Edgecombe Maureen AU - Cook Diane J T2 - Journal of biomedical informatics AB - In the context of an aging population, tools to help elderly to live independently must be developed. The goal of this paper is to evaluate the possibility of using unobtrusively collected activity-aware smart home behavioral data to automatically detect one of the most common consequences of aging: functional health decline. After gathering the longitudinal smart home data of 29 older adults for an average of >2years, we automatically labeled the data with corresponding activity classes and extracted time-series statistics containing 10 behavioral features. Using this data, we created regression models to predict absolute and standardized functional health scores, as well as classification models to detect reliable absolute change and positive and negative fluctuations in everyday functioning. Functional health was assessed every six months by means of the Instrumental Activities of Daily Living-Compensation (IADL-C) scale. Results show that total IADL-C score and subscores can be predicted by means of activity-aware smart home data, as well as a reliable change in these scores. Positive and negative fluctuations in everyday functioning are harder to detect using in-home behavioral data, yet changes in social skills have shown to be predictable. Future work must focus on improving the sensitivity of the presented models and performing an in-depth feature selection to improve overall accuracy. Copyright © 2018 Elsevier Inc. All rights reserved. DA - 2018/// PY - 2018 DO - 10.1016/j.jbi.2018.03.009 VL - 81 SP - 119 EP - 130 SN - 1532-0464 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29551743 KW - Humans KW - Aged KW - Reproducibility of Results KW - Health Status KW - *Independent Living KW - *Activities of Daily Living KW - Algorithms KW - *Aging KW - Longitudinal Studies KW - *Monitoring, Ambulatory/is [Instrumentation] KW - Data Collection KW - Health Services for the Aged KW - Regression Analysis KW - Automation KW - Decision Trees KW - Health Behavior KW - eppi-reviewer4 ER - TY - JOUR TI - Antibiotic use and infections in nursing homes AU - Alberg Torunn AU - Holen Oyunn AU - Blix Hege Salvesen AU - Lindbaek Morten AU - Bentele Horst AU - Eriksen Hanne Merete T2 - Antibiotikabruk og infeksjoner i sykehjem. AB - BACKGROUND: Residents in nursing homes have a higher risk of developing infections that require antibiotic treatment than elderly people living at home. Use of antibiotics may cause adverse effects and result in the development of antimicrobial resistance., MATERIAL AND METHOD: Data on healthcare-associated infections and antibiotic use in 540 Norwegian nursing homes were retrieved from the Norwegian Institute of Public Health's point prevalence survey in the spring of 2016. Based on information on drug, dosage and indication, we assessed whether the use of antibiotics for the treatment of UTIs was in accordance with the National Guidelines for the Use of Antibiotics in Primary Care., RESULTS: UTI was the most commonly occurring type of infection, with a prevalence of 2.7 %. Prescription of first-line antibiotics accounted for approximately 60 % of the prescriptions for treatment of this illness. Choice of drug, dosage and microbiological testing when treating lower UTIs was not always in accordance with the national guidelines. The study showed widespread use of methenamine in Norwegian nursing homes., INTERPRETATION: The survey indicates that compliance with the national guidelines when treating lower UTIs could be improved with regard to the choice of drug, dosage and microbiological testing. Norwegian nursing home doctors should also consider whether their use of methenamine is in accordance with national and international recommendations. DA - 2017/// PY - 2017 VL - 137 IS - 5 SP - 357 EP - 361 SN - 0807-7096 0029-2001 UR - https://dx.doi.org/10.4045/tidsskr.16.0621 KW - Humans KW - Aged KW - *Drug Prescriptions/sn [Statistics & Numerical Data] KW - Cross-Sectional Studies KW - *Nursing Homes KW - Cross Infection/ep [Epidemiology] KW - *Anti-Bacterial Agents/tu [Therapeutic Use] KW - Norway/ep [Epidemiology] KW - Guideline Adherence KW - Drug Utilization KW - Urinary Tract Infections/ep [Epidemiology] KW - Cross Infection/pc [Prevention & Control] KW - Urinary Tract Infections/pc [Prevention & Control] KW - Urinary Tract Infections/dt [Drug Therapy] KW - Bacterial Infections/dt [Drug Therapy] KW - *Cross Infection KW - Drug Prescriptions/st [Standards] KW - Cross Infection/dt [Drug Therapy] KW - Bacteriuria/ep [Epidemiology] KW - Bacteriuria/pc [Prevention & Control] KW - eppi-reviewer4 KW - *Bacterial Infections KW - Anti-Infective Agents, Urinary/tu [Therapeutic Use] KW - Bacterial Infections/ep [Epidemiology] KW - Bacterial Infections/pc [Prevention & Control] KW - Bacteriuria/dt [Drug Therapy] KW - Methenamine/tu [Therapeutic Use] ER - TY - JOUR TI - Disparities Between Ambient, Standard Lighting and Retinal Acuities in Community-Dwelling Older People: Implications for Disability. AU - Albert Steven M AU - Bear-Lehman Jane AU - Burkhardt Ann T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To examine three types of visual ability—ambient acuity, standard lighting acuity, and retinal acuity—and their relationship with self-reported disability. DESIGN: Cross-sectional prevalence survey. SETTING: New York, New York. PARTICIPANTS: Community-dwelling older people. MEASUREMENTS: Ambient acuity assessed using a near reading card; standard lighting acuity and retinal acuity assessed using the Retinal Acuity Meter. Difficulty in activities of daily living was assessed according to self-report. RESULTS: Mean logMAR acuities were 0.44 (20/56) for ambient acuity, 0.33 (20/44) for standard lighting acuity, and 0.19 (20/31) for retinal acuity (all pairwise differences, P<.001). Given the distribution of disability by ambient acuity in this sample, improving ambient acuity to the level of retinal acuity could potentially reduce self-care disability 22%. CONCLUSION: Better utilization of retinal acuity through optimal ophthalmologic care and improvement in lighting would likely reduce disability in older adults. [ABSTRACT FROM AUTHOR] Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2006/11// PY - 2006 VL - 54 IS - 11 SP - 1713 EP - 1718 SN - 00028614 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=22952895&site=ehost-live&scope=site KW - disability KW - Lighting KW - eppi-reviewer4 KW - older adults KW - Senior housing KW - Health self-care KW - lighting KW - Ophthalmologic emergencies KW - People with disabilities KW - RAM KW - retinal acuity KW - retinal acuity meter KW - screening KW - vision KW - Vision disorders in old age KW - Visual acuity ER - TY - JOUR TI - Emergency department visits by persons aged 65 and over: United States, 2009-2010 AU - Albert Michael AU - McCaig Linda F AU - Ashman Jill J T2 - NCHS data brief AB - KEY FINDINGS: Data from the National Hospital Ambulatory Medical Care Survey, 2009-2010. In 2009-2010, a total of 19.6 million emergency department (ED) visits in the United States were made by persons aged 65 and over. The visit rate for this age group was 511 per 1,000 persons and increased with age. The percentage of ED visits made by nursing home residents, patients arriving by ambulance, and patients admitted to the hospital increased with age. Twenty-nine percent of ED visits by persons aged 65 and over were related to injury, and the percentage was higher among those aged 85 and over than among those aged 65-74 or 75-84. The percentage of ED visits caused by falls increased with age. Copyright All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated. DA - 2013/// PY - 2013 IS - 130 SP - 1 EP - 8 SN - 1941-4927 1941-4935 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med9&NEWS=N&AN=24152709 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Health Care Surveys KW - United States/ep [Epidemiology] KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - Patient Admission/sn [Statistics & Numerical Data] KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Age Distribution KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Wounds and Injuries/ep [Epidemiology] KW - eppi-reviewer4 KW - Ambulances/sn [Statistics & Numerical Data] KW - Wounds and Injuries/th [Therapy] ER - TY - JOUR TI - Design and Recruitment for a Randomized Controlled Trial of Problem-Solving Therapy to Prevent Depression among Older Adults with Need for Supportive Services AU - Albert Steven M AU - King Jennifer AU - Dew Mary Amanda AU - Begley Amy AU - Anderson Stewart AU - Karp Jordan AU - Gildengers Ari AU - Butters Meryl AU - Reynolds Charles F AU - 3rd T2 - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry AB - OBJECTIVE: Addressing subthreshold depression (indicated prevention) and vulnerabilities that increase the risk of major depression or anxiety disorders (selective prevention) is important for protecting mental health in old age. The Depression-Agency Based Collaborative (Dep-ABC) is a prevention trial involving older adults recruited from aging services sites (home care agencies, senior housing, senior centers) who meet criteria for subthreshold depression and disability. Therefore, the authors examine the effectiveness of partnerships with aging services sites for recruiting at-risk older adults, the quality of recruitment and acceptability of the Dep-ABC assessment and intervention, and the baseline status of participants., METHODS: Dep-ABC is a single-blind randomized controlled prevention trial set in aging services settings but with centralized screening, randomization, in-home assessments, and follow-up. Its intervention arm involves six to eight sessions of problem-solving therapy, in which older adults aged 60+ learn to break down problems that affect well-being and develop strategies to address them. We examined participation rates to assess quality of recruitment across sites and level of disability according to service use., RESULTS: Dep-ABC randomized 104 participants, 68.4% of eligible older adults. Screening using self-reported disability successfully netted a sample in which 74% received home care agency services, with remaining participants similarly impaired in structured self-reports of impairment and on observed performance tests., CONCLUSION: Direct outreach to aging services providers is an effective way to identify older adults with service needs at high risk of major depression. Problem-solving therapy is acceptable to this population and can be added to current services. Copyright © 2015 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved. DA - 2016/// PY - 2016 VL - 24 IS - 1 SP - 94 EP - 102 SN - 1545-7214 1064-7481 UR - https://dx.doi.org/10.1016/j.jagp.2015.11.003 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Research Design KW - Single-Blind Method KW - Psychiatric Status Rating Scales KW - Mental Health KW - Disability Evaluation KW - Home Care Services KW - Patient Selection KW - *Psychotherapy/mt [Methods] KW - *Depression/pc [Prevention & Control] KW - *Depressive Disorder, Major/pc [Prevention & Control] KW - *Problem Solving KW - eppi-reviewer4 ER - TY - JOUR TI - Effectiveness of statewide falls prevention efforts with and without group exercise AU - Albert S M AU - King J T2 - Preventive medicine AB - Group-based falls prevention programs vary in use of exercise, education, home modification, and other program elements. Pennsylvania's Department of Aging offers two large-scale falls prevention programs that differ in these components, allowing a strong test of the effectiveness of exercise in reducing falls incidence relative to less intensive education-based programs. In 2016-2017, we followed three groups of older adults attending senior centers: (i) older adults who completed Healthy Steps in Motion (HSIM, n=560), an 8-week exercise program, (ii) older adults completing Healthy Steps for Older Adults (HSOA, n=651), a falls education workshop with assessment and referral; and (iii) older adults not completing falls prevention programs (n=787). Participants were followed for up to 6months with monthly ascertainment of falls. We estimated Poisson regression models to compare incidence rate ratios. The groups did not differ in falls risk at baseline or attrition over follow-up. HSIM participants reported 5.3 fall months per 100 person-months of follow-up. The group not completing falls prevention programming reported 7.3 (incidence rate ratio [IRR], 0.72 [0.59, 0.89]), and the group completing HSOA 6.5 (IRR, 0.82 [0.66, 1.02]). In stratified analyses, falls incidence was lower in HSIM for older adults reporting better balance and no falls in the prior 12months. Non-exercise-based falls prevention programs may also reduce falls, perhaps through indirect physical benefits such as greater social engagement and increased activity. Copyright © 2017 Elsevier Inc. All rights reserved. DA - 2017/// PY - 2017 VL - 105 SP - 5 EP - 9 SN - 1096-0260 0091-7435 UR - https://dx.doi.org/10.1016/j.ypmed.2017.08.010 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Accidental Falls/pc [Prevention & Control] KW - *Exercise Therapy/mt [Methods] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Incidence KW - Pennsylvania KW - *Patient Education as Topic/mt [Methods] KW - eppi-reviewer4 ER - TY - JOUR TI - Efficacy of the Otago Exercise Programme to reduce falls in community-dwelling adults aged 65-80 years old when delivered as group or individual training. AU - Albornos-Muñoz Laura AU - Moreno-Casbas María Teresa AU - Sánchez-Pablo Clara AU - Bays-Moneo Ana AU - Fernández-Domínguez Juan Carlos AU - Rich-Ruiz Manuel AU - Gea-Sánchez Montserrat T2 - Journal of Advanced Nursing (John Wiley & Sons, Inc.) AB - Aim: This study will compare how falls can be reduced in non-institutionalized older Spanish adults aged 65-80 years by providing group or individual exercise sessions using the Otago Exercise Programme. Background: The Otago Exercise Programme is a progressive home-based exercise programme, where trained health professionals help people engage in strength, balance and endurance exercises. Its format is based on the evidence from four clinical trials. The benefits of the Otago Exercise Programme are the same for people who have and have not suffered falls and it can also be used for visually impaired people. Design: A multicentre, simply blinded, randomized, non-inferiority clinical trial, with two arms-group training and individual training-that started in January 2017 and will continue until December 2019. Methods: Each study group has 364 subjects, who will take part in four individual or group sessions delivered mainly by nurses over an 8-week period, with a reinforcement session 6 months later. Data will be collected at baseline and after 6 and 12 months. The fall percentage will be the most relevant clinical variable and we will also consider safety, viability, compliance, economic analysis and therapeutic value. Approval and funding was granted in December 2016 for this 3-year study by the Spanish Health Research Fund (PI16CIII/00031). Discussion: Older people from 65-80 years old tend to be more isolated and tackling worries about falls can improve social activities and independence. It has been shown that group training provides better adherence to exercise than individual training and this study will test that hypothesis for the Otago Exercise Programme DA - 2018/07// PY - 2018 DO - 10.1111/jan.13583 VL - 74 IS - 7 SP - 1700 EP - 1711 SN - 0309-2402 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130452279&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Health Policy KW - Spain KW - Muscle Strength KW - Neuropsychological Tests KW - Patient Compliance KW - Physical Endurance KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Questionnaires KW - Data Analysis Software KW - Convenience Sample KW - Funding Source KW - Gerontologic Care KW - Community Living KW - Randomized Controlled Trials KW - Multicenter Studies KW - Scales KW - Geriatric Functional Assessment KW - Chi Square Test KW - Therapeutic Exercise -- In Old Age KW - Balance, Postural KW - T-Tests KW - Mann-Whitney U Test KW - Accidental Falls -- Prevention and Control -- In Old Age KW - Community Health Centers KW - Diaries KW - Group Exercise -- In Old Age KW - Home Rehabilitation -- In Old Age ER - TY - JOUR TI - Change in waist circumference with longer time in the United States among Hispanic and Chinese immigrants: the modifying role of the neighborhood built environment AU - Albrecht Sandra S AU - Osypuk Theresa L AU - Kandula Namratha R AU - Gallo Linda C AU - Le-Scherban Felice AU - Shrager Sandi AU - Diez Roux AU - Ana V T2 - Annals of epidemiology AB - PURPOSE: We examined whether living in neighborhoods supportive of healthier diets and more active lifestyles may buffer immigrants against the unhealthy weight gain that is purported to occur with longer length of US residence., METHODS: Neighborhood data referring to a 1-mile buffer around participants' baseline home addresses were linked to longitudinal data from 877 Hispanic and 684 Chinese immigrants aged 45 to 84 years in the Multi-Ethnic Study of Atherosclerosis. We used ethnicity-stratified linear mixed models to examine whether food and activity-based neighborhood measures (healthy food stores, walkability, and recreational facilities) were associated with change in waist circumference (WC) over a 9-year follow-up., RESULTS: Among Hispanics, living in neighborhoods with more resources for healthy food and recreational activity was related to lower baseline WC. However, there was no association with change in WC over time. Among Chinese, living in more walkable neighborhoods was associated with lower baseline WC and with slower increases in WC over time, especially among the most recent immigrant arrivals., CONCLUSIONS: Where immigrants reside may have implications for health patterns that emerge with longer time in the United States. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 VL - 25 IS - 10 SP - 767 EP - 72.e2 SN - 1873-2585 1047-2797 UR - https://dx.doi.org/10.1016/j.annepidem.2015.07.003 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Time Factors KW - United States/ep [Epidemiology] KW - Exercise KW - Longitudinal Studies KW - Prospective Studies KW - Socioeconomic Factors KW - Body Mass Index KW - Dietary Supplements KW - Diet KW - Weight Gain KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - Health Behavior KW - Life Style KW - *Waist Circumference KW - China/eh [Ethnology] KW - *Asian Continental Ancestry Group/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - *Emigrants and Immigrants/sn [Statistics & Numerical Data] KW - Acculturation KW - *Hispanic Americans/sn [Statistics & Numerical Data] KW - Public Facilities ER - TY - JOUR TI - Motherhood in the context of spinal cord injury. AU - Albright KJ AU - Duggan CH AU - Rahman RO T2 - Topics in Spinal Cord Injury Rehabilitation AB - This exploratory study examines the experience of motherhood in the context of spinal cord injury (SCI), utilizing data from survey measures and qualitative interviews. Based on scores on standardized measures of perceived stress and life satisfaction, 19 mothers with SCI were assigned to one of four quadrants in a 2 x 2 matrix depicting various patterns of adjustment involving high or low satisfaction with life and high or low levels of perceived stress. Content analysis of the women's narratives further describes their social adjustment, psychological adaptation, and quality of life following SCI in connection with the role of 'mother.' DA - 2009/05// PY - 2009 VL - 15 IS - 1 SP - 43 EP - 58 SN - 1082-0744 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105368085&site=ehost-live&scope=site KW - Adult KW - Female KW - Adolescence KW - Parenting KW - Activities of Daily Living KW - Quality of Life KW - Caregivers KW - Self Report KW - Personal Satisfaction KW - Family Relations KW - Adaptation, Psychological KW - Self Concept KW - Stress, Psychological KW - Marital Status KW - Mothers KW - Psychological Tests KW - eppi-reviewer4 KW - Human KW - Qualitative Studies KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Thematic Analysis KW - Whites KW - Exploratory Research KW - Support, Psychosocial KW - Content Analysis KW - Funding Source KW - Semi-Structured Interview KW - Surveys KW - Descriptive Statistics KW - Blacks KW - Community Living KW - Caregiver Burden KW - Coping KW - Functional Status KW - Scales KW - Summated Rating Scaling KW - Secondary Analysis KW - Conceptual Framework KW - Narratives KW - Spinal Cord Injuries -- Psychosocial Factors KW - Outpatients KW - Quantitative Studies KW - Constant Comparative Method KW - Discipline KW - Family Functioning KW - International Classification of Functioning, Disability, and Health KW - Maternal Role KW - Motherhood KW - Parents, Disabled KW - Severity of Injury KW - Spinal Cord Injuries -- Rehabilitation KW - Triangulation ER - TY - JOUR TI - Going flat: examining heterogeneity in the soda-obesity relationship by subgroup and place of birth among Asian Americans. AU - Alcala Hector E AU - Sharif Mienah Z T2 - Public health nutrition AB - OBJECTIVE: To determine if the association between soda consumption and obesity is uniform among Asian-American population subgroups., DESIGN: We conducted multivariate logistic regression analyses on odds of being obese among seven Asian subgroups and by place of birth using data from the 2009 California Health Interview Survey., SETTING: An omnibus population-based health survey., SUBJECTS: Non-institutionalized adults, aged 18 years or over, residing in California (n 36 271)., RESULTS: Despite low levels of soda consumption in several Asian-American ethnic groups, soda consumption increased the odds of being obese among Chinese, Koreans and Other Asians but not for Whites. Obesity risk varied across Asian subgroups and by place of birth within these subgroups., CONCLUSIONS: More public health efforts addressing soda consumption in Asian-American communities are needed as a strategy for not only preventing chronic diseases but also disparities, considering the varying levels of soda intake across subgroups. Results support the growing body of literature critiquing acculturation theory in immigrant health research by documenting inconsistent findings by place of birth. Future research should take into account the heterogeneity among Asian Americans to advance our understanding of health outcomes and disparities. DA - 2017/// PY - 2017 DO - 10.1017/S1368980017000106 VL - 20 IS - 8 SP - 1380 EP - 1387 SN - 1368-9800 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=28233506 KW - Adult KW - Female KW - Humans KW - Male KW - Middle Aged KW - Public Health KW - Chronic Disease KW - Logistic Models KW - Cross-Sectional Studies KW - Health Surveys KW - Socioeconomic Factors KW - European Continental Ancestry Group KW - *Residence Characteristics KW - Obesity/pc [Prevention & Control] KW - California/ep [Epidemiology] KW - eppi-reviewer4 KW - Acculturation KW - *Asian Americans/cl [Classification] KW - *Carbonated Beverages/ae [Adverse Effects] KW - *Obesity/eh [Ethnology] KW - Emigrants and Immigrants KW - Obesity/et [Etiology] ER - TY - JOUR TI - A cross-sectional study of oral health-related quality of life of Piracicaba's elderly population. AU - Alcarde ACB AU - Bittar TO AU - Fornazari DH AU - Meneghim MC AU - Ambrosano GMB AU - Pereira AC T2 - Revista Odonto Ciencia AB - Purpose: This paper aimed to assess the self-perceived oral health status in 137 elderly from Piracicaba city, São Paulo state, Brazil, and to investigate the influence of socio-demographic variables, institutionalization status and access to dental care services on the Geriatric Oral Health Assessment Index (GOHAI) index final score. Methods: The sample comprised institutionalized and non-institutionalized elderly, from 60 to 92 years old, socially independent or partially dependent, without significant cognitive alterations, with different educational and monthly income levels. An oral examination and two questionnaires were employed as instruments to gather subject characteristics. The first questionnaire included the 12 items of the GOHAI, and the second questionnaire gathered socio-demographic variables. The data were evaluated with a Chi-square test and logistic regression, with p < 0.05 as the significance cut-off. Results: The GOHAI final mean score of 27.49 indicated a low oral health self-perception, and the score was significantly associated with life style and institutionalization. The risk indicators for low oral health self-perception were the demand for urgent dental care and the self-perceived need for dental treatment. These indicators correlated with a lower GOHAI score, and the differences were statistically significant (P<0.0001), demonstrating that a low oral health self-perception is directly correlated with a worse oral health clinical status. This information can be useful for planning public health policies. Conclusion: The GOHAI final score in this study was considered low. Self-motivation and self-perception of the need for dental treatment were considered risk indicators for a low final GOHAI score. DA - 2010/04// PY - 2010 VL - 25 IS - 2 SP - 126 EP - 131 SN - 0102-9460 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105083622&site=ehost-live&scope=site KW - Aged KW - Socioeconomic Factors KW - Perception KW - Brazil KW - Hospitalization KW - Health Services Accessibility KW - Self Concept KW - Physical Examination KW - eppi-reviewer4 KW - Research KW - Human KW - Convenience Sample KW - Community Living KW - Logistic Regression KW - Multiple Logistic Regression KW - Clinical Assessment Tools KW - Chi Square Test KW - Outpatients KW - Statistical Significance KW - Independent Variable KW - Oral Health -- In Old Age KW - Quality of Life -- Evaluation -- In Old Age ER - TY - JOUR TI - The sit-to-stand muscle power test: An easy, inexpensive and portable procedure to assess muscle power in older people. AU - Alcazar Julian AU - Losa-Reyna Jose AU - Rodriguez-Lopez Carlos AU - Alfaro-Acha Ana AU - Rodriguez-Manas Leocadio AU - Ara Ignacio AU - Garcia-Garcia Francisco J AU - Alegre Luis M T2 - Experimental gerontology AB - INTRODUCTION: Skeletal muscle power has been demonstrated to be a stronger predictor of functional limitations than any other physical capability. However, no validated alternatives exist to the usually expensive instruments and/or time-consuming methods to evaluate muscle power in older populations. Our aim was to validate an easily applicable procedure to assess muscle power in large cohort studies and the clinical setting and to assess its association with other age-related outcomes., METHODS: Forty community dwelling older adults (70-87years) and 1804 older subjects (67-101years) participating in the Toledo Study for Healthy Aging were included in this investigation. Sit-to-stand (STS) velocity and muscle power were calculated using the subject's body mass and height, chair height and the time needed to complete five STS repetitions, and compared with those obtained in the leg press exercise using a linear position transducer. In addition, STS performance, physical (gait speed) and cognitive function, sarcopenia (skeletal muscle index (SMI)) and health-related quality of life (HRQoL) were recorded to assess the association with the STS muscle power values., RESULTS: No significant differences were found between STS velocity and power values and those obtained from the leg press force-velocity measurements (mean difference+/-95% CI=0.02+/-0.05m.s-1 and 6.9+/-29.8W, respectively) (both p>0.05). STS muscle power was strongly associated with maximal muscle power registered in the leg press exercise (r=0.72; p<0.001). In addition, cognitive function and SMI, and physical function, were better associated with absolute and relative STS muscle power, respectively, than STS time values after adjusting by different covariates. In contrast, STS time was slightly more associated with HRQoL than STS muscle power measures., CONCLUSION: The STS muscle power test proved to be a valid, and in general, a more clinically relevant tool to assess functional trajectory in older people compared to traditional STS time values. The low time, space and material requirements of the STS muscle power test, make this test an excellent choice for its application in large cohort studies and the clinical setting. Copyright © 2018 Elsevier Inc. All rights reserved. DA - 2018/// PY - 2018 DO - 10.1016/j.exger.2018.08.006 VL - 112 SP - 38 EP - 43 SN - 0531-5565 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30179662 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Quality of Life KW - *Geriatric Assessment/mt [Methods] KW - Spain KW - *Muscle, Skeletal/ph [Physiology] KW - Walking Speed KW - Linear Models KW - Sarcopenia/pp [Physiopathology] KW - *Sitting Position KW - *Standing Position KW - *Exercise Test/mt [Methods] KW - eppi-reviewer4 ER - TY - JOUR TI - Public-sector service provision for older people affected by homelessness in England. AU - ALDEN SARAH T2 - Ageing & Society AB - This paper assesses provision for older people affected by homelessness in England, giving regard to research findings, such as those developed through a pathways model, which show that the experiences of this group are qualitatively distinct when compared to younger households. Current conceptualisations of older age held by Local Authority Housing Option Service professionals are considered, alongside factors relating to government policy and resource issues. It was found that some practitioners adopted an age-blind approach when assessing older groups, despite this being contrary to policy guidance on assessing vulnerability in England. Further, services and housing options aimed at older groups were viewed as inadequate due to a mixture of lack of awareness, targeting and resources. It is concluded that assessment of vulnerability based on older age is complex, as whilst gerontological discourse may discourage viewing age as a number, homelessness scholars stress that rooflessness causes poor health conditions consistent with premature ageing. It is therefore asserted that policy makers must focus greater attention to developing suitable provision for older service users and look to incorporate a richer conceptualisation of how older age may impact upon the homelessness experience. [ABSTRACT FROM PUBLISHER] Copyright of Ageing & Society is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2017/02// PY - 2017 VL - 37 IS - 2 SP - 410 EP - 434 SN - 0144686X UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=120529709&site=ehost-live&scope=site KW - England KW - Ageism KW - eppi-reviewer4 KW - Public housing KW - Qualitative research KW - Thematic analysis KW - Interviewing KW - Research methodology KW - Homeless persons KW - Research funding KW - Government policy KW - Homelessness KW - Surveys KW - Data analysis software KW - Socioeconomic factors KW - active ageing KW - English homelessness policy KW - Geriatric assessment KW - homelessness pathways KW - lifecourse KW - Needs assessment KW - older homelessness KW - Public welfare KW - Vulnerability (Psychology) ER - TY - JOUR TI - Factors affecting dengue fever knowledge, attitudes and practices among selected urban, semi-urban and rural communities in Malaysia AU - Al-Dubai Sami Abdo Radman AU - Ganasegeran Kurubaran AU - Mohanad Rahman AU - Alwan AU - Alshagga Mustafa Ahmed AU - Saif-Ali Riyadh T2 - The Southeast Asian journal of tropical medicine and public health AB - Dengue fever is a major public health problem in Malaysia. This study aimed to assess factors affecting knowledge, attitudes, and practices regarding dengue fever among a selected population in Malaysia. A descriptive, community-based, cross sectional study was conducted with 300 participants from three different geographical settings in urban, semi-urban, and rural areas within the states of Selangor and Kuala Lumpur. The questionnaire included questions on demographic data, knowledge, attitudes, and practices regarding dengue fever. Mean age of respondents was 34.4 (+/- 5.7) years, and the age ranged from 18 to 65 years. The majority of respondents were married (54.7%), Malays (72.7%) and heard about dengue fever (89.7%). Television was the common source of information about dengue fever (97.0%). Participants answered 4 out of 15 items of knowledge incorrectly. There was no significant association between knowledge score and socio-demographic factors. About one-fifth of the respondents (24%) believed that immediate treatment is not necessary for dengue fever, and the majority of them were not afraid of the disease (96.0%). Attitudes toward dengue fever were significantly associated with the level of education and employment status (p < 0.05). Practice was associated significantly with age, marital status, and geographic area (p < 0.05) and knowledge on dengue fever (p = 0.030). There is a need to increase health promotion activities through campaigns and social mobilization to increase knowledge regarding dengue fever. This would help to mold positive attitudes and cultivate better preventive practices among the public to eliminate dengue in the country. DA - 2013/// PY - 2013 VL - 44 IS - 1 SP - 37 EP - 49 SN - 0125-1562 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med9&NEWS=N&AN=23682436 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Cross-Sectional Studies KW - Age Factors KW - Socioeconomic Factors KW - Malaysia/ep [Epidemiology] KW - *Health Knowledge, Attitudes, Practice KW - *Dengue/ep [Epidemiology] KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Consumer Health Information/mt [Methods] KW - Dengue/dt [Drug Therapy] KW - Dengue/pc [Prevention & Control] ER - TY - JOUR TI - Longitudinal evidence on the association between interleukin-6 and C-reactive protein with the loss of total appendicular skeletal muscle in free-living older men and women AU - Aleman Heliodoro AU - Esparza Julian AU - Ramirez Fatima Araceli AU - Astiazaran Humberto AU - Payette Helene T2 - Age and ageing AB - BACKGROUND: there is no longitudinal evidence about the association between the loss of total appendicular skeletal muscle (TASM) and cytokines., OBJECTIVE: to investigate whether high levels of the inflammatory markers such as interleukin-6 (IL-6) and C-reactive protein (CRP) are associated with the loss of TASM in free-living non-sarcopenic older people., DESIGN: five-year prospective cohort study., SUBJECTS: one hundred and fifteen free-living non-sarcopenic older men and women aged 60-84 years at baseline and 5-year follow-up were included., METHODS: TASM was measured by dual-energy X-ray absorptiometry, and the relative change in TASM was calculated. The response variable was the loss of TASM defined as the lowest sex-specific 15th percentile of the cohort distribution of percentage of change in TASM. The exposure variables were the baseline serum IL-6 and CRP levels measured by ELISA., RESULTS: sixteen subjects were below the sex-specific 15th percentile of the cohort. The mean absolute loss of TASM in these men and women subjects was 1.9 and 1.3 kg, respectively. The risk of loss TASM was 1.29 times higher (95% confidence interval [CI], 1.01-1.64) (P = 0.03) per unit of increase in IL-6 (pg/ml) and 1.28 times higher (95% CI, 1.04-1.58) (P = 0.01) per unit of increase in CRP (mg/l). As a categorical variable, the risk of loss TASM was 4.85 times higher (95% CI, 1.24-18.97) among subjects with serum IL-6 >2.71 pg/ml and 3.97 times higher (CI 95%, 1.09-14.39) among subjects with serum CRP >3.74 mg/l. These findings remained after adjusting for age, sex and 5-year weight change., CONCLUSIONS: inflammation is associated with the loss of TASM in free-living non-sarcopenic older men and women. DA - 2011/// PY - 2011 VL - 40 IS - 4 SP - 469 EP - 75 SN - 1468-2834 0002-0729 UR - https://dx.doi.org/10.1093/ageing/afr040 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Independent Living KW - Logistic Models KW - Time Factors KW - Age Factors KW - Prospective Studies KW - *Muscle, Skeletal/pa [Pathology] KW - Biomarkers/bl [Blood] KW - Organ Size KW - Aging/pa [Pathology] KW - Absorptiometry, Photon KW - *Inflammation Mediators/bl [Blood] KW - *Interleukin-6/bl [Blood] KW - Mexico KW - Enzyme-Linked Immunosorbent Assay KW - Chi-Square Distribution KW - Muscle, Skeletal/dg [Diagnostic Imaging] KW - Inflammation/dg [Diagnostic Imaging] KW - *C-Reactive Protein/me [Metabolism] KW - eppi-reviewer4 KW - *Aging/im [Immunology] KW - *Inflammation/im [Immunology] KW - Inflammation/pa [Pathology] ER - TY - JOUR TI - Covariate Balancing through Naturally Occurring Strata. AU - Alemi Farrokh AU - ElRafey Amr AU - Avramovic Ivan T2 - Health services research AB - OBJECTIVE: To provide an alternative to propensity scoring (PS) for the common situation where there are interacting covariates., SETTING: We used 1.3 million assessments of residents of the United States Veterans Affairs nursing homes, collected from January 1, 2000, through October 9, 2012., DESIGN: In stratified covariate balancing (SCB), data are divided into naturally occurring strata, where each stratum is an observed combination of the covariates. Within each stratum, cases with, and controls without, the target event are counted; controls are weighted to be as frequent as cases. This weighting procedure guarantees that covariates, or combination of covariates, are balanced, meaning they occur at the same rate among cases and controls. Finally, impact of the target event is calculated in the weighted data. We compare the performance of SCB, logistic regression (LR), and propensity scoring (PS) in simulated and real data. We examined the calibration of SCB and PS in predicting 6-month mortality from inability to eat, controlling for age, gender, and nine other disabilities for 296,051 residents in Veterans Affairs nursing homes. We also performed a simulation study, where outcomes were randomly generated from treatment, 10 covariates, and increasing number of covariate interactions. The accuracy of SCB, PS, and LR in recovering the simulated treatment effect was reported., FINDINGS: In simulated environment, as the number of interactions among the covariates increased, SCB and properly specified LR remained accurate but pairwise LR and pairwise PS, the most common applications of these tools, performed poorly. In real data, application of SCB was practical. SCB was better calibrated than linear PS, the most common method of PS., CONCLUSIONS: In environments where covariates interact, SCB is practical and more accurate than common methods of applying LR and PS. Copyright © Health Research and Educational Trust. DA - 2018/// PY - 2018 DO - 10.1111/1475-6773.12628 VL - 53 IS - 1 SP - 273 EP - 292 SN - 0017-9124 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=27976388 KW - Adult KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Propensity Score KW - Comorbidity KW - *Computer Simulation/sn [Statistics & Numerical Data] KW - *Feeding and Eating Disorders/mo [Mortality] KW - Data Interpretation, Statistical KW - Monte Carlo Method KW - United States Department of Veterans Affairs KW - eppi-reviewer4 ER - TY - JOUR TI - Frailty and cognitive impairment among community-dwelling elderly AU - Alencar Mariana Asmar AU - Dias Joao Marcos Domingues AU - Figueiredo Luisa Costa AU - Dias Rosangela Correa T2 - Arquivos de neuro-psiquiatria AB - The aim was to evaluate associations between frailty status and cognitive decline and the incidence of cognitive impairment over 12-month period. Two hundred seven older adults were assessed. Frailty was defined as having at least three of the following criteria: weight loss, weakness, exhaustion, slowness, and low level of activity. Cognitive decline was assessed using the Mini Mental State Examination (MMSE) and Clinical Dementia Rating Scale (CDR). Relative risk (RR) was calculated with a 95% confidence interval (CI). Frailty was associated with subsequent cognitive decline in 12-month when assessed using the MMSE (p=;0.005; RR=;4.6; 95%CI 1.93-11.2). No association was found between frailty and cognitive decline measured by the CDR (p=;0.393; RR=;2.1; 95%CI 0.68-6.7) or between frailty and the incidence of cognitive impairment (p=;0.675; RR=;1.2; 95%CI 0.18-8.3). These findings reveal an association between frailty and subsequent cognitive decline when measured by the MMSE, even within a short period of time. DA - 2013/// PY - 2013 VL - 71 IS - 6 SP - 362 EP - 7 SN - 1678-4227 0004-282X UR - https://dx.doi.org/10.1590/0004-282X20130039 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Independent Living KW - Time Factors KW - *Frail Elderly/px [Psychology] KW - Geriatric Assessment KW - Analysis of Variance KW - Socioeconomic Factors KW - Severity of Illness Index KW - Body Mass Index KW - Dementia/pp [Physiopathology] KW - Statistics, Nonparametric KW - *Cognition Disorders/pp [Physiopathology] KW - eppi-reviewer4 ER - TY - JOUR TI - More daytime sleeping predicts less functional recovery among older people undergoing inpatient post-acute rehabilitation AU - Alessi Cathy A AU - Martin Jennifer L AU - Webber Adam P AU - Alam Tarannum AU - Littner Michael R AU - Harker Judith O AU - Josephson Karen R T2 - Sleep AB - STUDY OBJECTIVES: To study the association between sleep/wake patterns among older adults during inpatient post-acute rehabilitation and their immediate and long-term functional recovery, DESIGN: Prospective, observational cohort study., SETTING: Two inpatient post-acute rehabilitation sites (one community and one Veterans Administration)., PARTICIPANTS: Older patients (aged > or = 65 years, N = 245) admitted for inpatient post-acute rehabilitation., INTERVENTIONS: None., MEASUREMENTS AND RESULTS: Based on 7-day wrist actigraphy during the rehabilitation stay, mean nighttime percent sleep was only 52.2% and mean daytime percent sleep was 15.8% (16.3% based on structured behavioral observations). Using the Pittsburgh Sleep Quality Index (PSQI), participants reported their sleep was worse during rehabilitation compared to their premorbid sleep. Functional recovery between admission and discharge from rehabilitation (measured by the motor component of the Functional Independence Measure) was not significantly associated with reported sleep quality (PSQI scores) or actigraphically measured nighttime sleep. However, more daytime percent sleep (estimated by actigraphy and observations) during the rehabilitation stay was associated with less functional recovery from admission to discharge, even after adjusting for other significant predictors of functional recovery (mental status, hours of rehabilitation therapy received, rehospitalization, and reason for admission; adjusted R2= 0.267, P < 0.0001). More daytime sleeping during rehabilitation remained a significant predictor of less functional recovery in adjusted analyses at 3-month follow-up., CONCLUSIONS: Sleep disturbance is common among older people undergoing inpatient post-acute rehabilitation. These data suggest that more daytime sleeping during the rehabilitation stay is associated with less functional recovery for up to three months after admission for rehabilitation. DA - 2008/// PY - 2008 VL - 31 IS - 9 SP - 1291 EP - 300 SN - 0161-8105 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med6&NEWS=N&AN=18788654 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cohort Studies KW - *Activities of Daily Living KW - Follow-Up Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Prospective Studies KW - Geriatric Assessment KW - Monitoring, Ambulatory KW - Prognosis KW - Patient Satisfaction KW - *Circadian Rhythm KW - *Sleep KW - *Rehabilitation Centers KW - *Chronic Disease/rh [Rehabilitation] KW - eppi-reviewer4 KW - *Wakefulness ER - TY - JOUR TI - Cognitive Behavioral Therapy for Insomnia in Older Veterans Using Nonclinician Sleep Coaches: Randomized Controlled Trial. AU - Alessi Cathy AU - Martin Jennifer L AU - Fiorentino Lavinia AU - Fung Constance H AU - Dzierzewski Joseph M AU - Rodriguez Tapia AU - Juan C AU - Song Yeonsu AU - Josephson Karen AU - Jouldjian Stella AU - Mitchell Michael N T2 - Journal of the American Geriatrics Society AB - Objectives To test a new cognitive behavioral therapy for insomnia ( CBT-I) program designed for use by nonclinicians. Design Randomized controlled trial. Setting Department of Veterans Affairs healthcare system. Participants Community-dwelling veterans aged 60 and older who met diagnostic criteria for insomnia of 3 months duration or longer (N = 159). Intervention Nonclinician 'sleep coaches' delivered a five-session manual-based CBT-I program including stimulus control, sleep restriction, sleep hygiene, and cognitive therapy (individually or in small groups), with weekly telephone behavioral sleep medicine supervision. Controls received five sessions of general sleep education. Measurements Primary outcomes, including self-reported (7-day sleep diary) sleep onset latency ( SOL-D), wake after sleep onset ( WASO-D), total wake time ( TWT-D), and sleep efficiency ( SE-D); Pittsburgh Sleep Quality Index ( PSQI); and objective sleep efficiency (7-day wrist actigraphy, SE-A) were measured at baseline, at the posttreatment assessment, and at 6- and 12-month follow-up. Additional measures included the Insomnia Severity Index ( ISI), depressive symptoms (Patient Health Questionnaire-9 ( PHQ-9)), and quality of life (Medical Outcomes Study 12-item Short-form Survey version 2 ( SF-12v2)). Results Intervention subjects had greater improvement than controls between the baseline and posttreatment assessments, the baseline and 6-month assessments, and the baseline and 12-month assessments in SOL-D (−23.4, −15.8, and −17.3 minutes, respectively), TWT-D (−68.4, −37.0, and −30.9 minutes, respectively), SE-D (10.5%, 6.7%, and 5.4%, respectively), PSQI (−3.4, −2.4, and −2.1 in total score, respectively), and ISI (−4.5, −3.9, and −2.8 in total score, respectively) (all P < .05). There were no significant differences in SE-A, PHQ-9, or SF-12v2. Conclusion Manual-based CBT-I delivered by nonclinician sleep coaches improves sleep in older adults with chronic insomnia. DA - 2016/09// PY - 2016 DO - 10.1111/jgs.14304 VL - 64 IS - 9 SP - 1830 EP - 1838 SN - 0002-8614 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118169784&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Actigraphy KW - Confidence Intervals KW - Polysomnography KW - Veterans KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Funding Source KW - Descriptive Statistics KW - Community Living KW - Patient Education KW - Treatment Outcomes KW - Randomized Controlled Trials KW - Chi Square Test KW - P-Value KW - T-Tests KW - Repeated Measures KW - Pretest-Posttest Design KW - Behavior Therapy -- Education KW - Cognitive Therapy -- Education KW - Insomnia -- Therapy ER - TY - JOUR TI - Resilience among old Sami women. AU - ALÉX LENA T2 - Ageing & Society AB - There is lack of research on old indigenous women's experiences. The aim of this study was to explore how old women narrate their experiences of wellbeing and lack of wellbeing using the salutogenetic concept of resilience. Interviews from nine old Sami women were analysed according to grounded theory with the following themes identified: contributing to resilience and wellbeing built up from the categories feeling connected, feeling independent and creating meaning; and contributing to lack of lack of resilience and wellbeing built up from the category experiencing lack of connectedness. The old Sami women's narratives showed that they were to a high extent resilient and experienced wellbeing. They felt both connected and independent and they were able to create meaning of being an old Sami woman. Having access to economic and cultural capital were for the old Sami women valuable for experiencing resilience. Lack of resilience was expressed as experiences of discrimination, lack of connectedness and living on the border of the dominant society. Analysis of the Sami women's narratives can give wider perspectives on women's health and deepen the perspectives on human resilience and increase the understanding of minority groups in a multicultural world. DA - 2016/09// PY - 2016 DO - 10.1017/S0144686X15000719 VL - 36 IS - 8 SP - 1738 EP - 1756 SN - 0144-686X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117145596&site=ehost-live&scope=site KW - Female KW - Aged KW - Grounded Theory KW - Women's Health KW - Sweden KW - eppi-reviewer4 KW - Human KW - Thematic Analysis KW - Community Living KW - Narratives KW - Psychological Well-Being KW - Hardiness -- In Old Age -- Sweden KW - Indigenous Peoples ER - TY - JOUR TI - Cross-sectional analysis of ethnic differences in fall prevalence in urban dwellers aged 55 years and over in the Malaysian Elders Longitudinal Research study. AU - Alex Deepa AU - Khor Hui Min AU - Chin Ai Vyrn AU - Hairi Noran Naqiah AU - Othman Sajaratulnisah AU - Khoo Selina Phaik Kin AU - Bahyah Kamaruzzaman AU - Shahrul AU - Tan Maw Pin T2 - BMJ open AB - OBJECTIVES: Falls represent major health issues within the older population. In low/middle-income Asian countries, falls in older adults remain an area which has yet to be studied in detail. Using data from the Malaysian Elders Longitudinal Research (MELoR), we have estimated the prevalence of falls among older persons in an urban population, and performed ethnic comparisons in the prevalence of falls., DESIGN: Cross-sectional analysis was carried out using the first wave data from MELoR which is a longitudinal study., SETTING: Urban community dwellers in a middle-income South East Asian country., PARTICIPANTS: 1565 participants aged >=55 years were selected by simple random sampling from the electoral rolls of three parliamentary constituencies., OUTCOME MEASURES: Consenting participants from the MELoR study were asked the question 'Have you fallen down in the past 12 months?' during their computer-assisted home-based interviews. Logistic regression analyses were conducted to compare the prevalence of falls among various ethnic groups., RESULTS: The overall estimated prevalence of falls for individuals aged 55 years and over adjusted to the population of Kuala Lumpur was 18.9%. The estimated prevalence of falls for the three ethnic populations of Malays, Chinese and Indian aged 55 years and over was 16.2%, 19.4% and 23.8%, respectively. Following adjustment for ethnic discrepancies in age, gender, marital status and education attainment, the Indian ethnicity remained an independent predictor of falls in our population (relative risk=1.45, 95% CI 1.08 to 1.85)., CONCLUSION: The prevalence of falls in this study is comparable to other previous Asian studies, but appears lower than Western studies. The predisposition of the Indian ethnic group to falls has not been previously reported. Further studies may be needed to elucidate the causes for the ethnic differences in fall prevalence. Copyright © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. DA - 2018/// PY - 2018 DO - 10.1136/bmjopen-2017-019579 VL - 8 IS - 7 SP - e019579 SN - 2044-6055 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30018093 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Prevalence KW - Cross-Sectional Studies KW - Longitudinal Studies KW - Independent Living/sn [Statistics & Numerical Data] KW - Malaysia/ep [Epidemiology] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - *Urban Population/sn [Statistics & Numerical Data] KW - *European Continental Ancestry Group/sn [Statistics & Numerical Data] KW - China/eh [Ethnology] KW - India/eh [Ethnology] KW - *Asian Continental Ancestry Group/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Asian Continental Ancestry Group/eh [Ethnology] KW - European Continental Ancestry Group/eh [Ethnology] ER - TY - JOUR TI - Self-neglect in the case of the elderly. Where are we now? AU - Alexa Ioana Dana AU - Ilie Adina Carmen AU - Alexandroaie B AU - Costin G AU - Emmanouil-Stamos Papaioannou AU - Raiha Ismo T2 - Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi AB - UNLABELLED: Self-neglect in an elderly person is a behavior that threatens his/her own health and safety. It is present when a person refuses to adequately feed, water, shelter, or clothe himself, refuses medication or medical care, and personal safety measures., MATERIAL AND METHOD: This is a multicentric study of self-neglect in three geriatric units from Finland, Greece and Romania The medical, social, psychological and behavioral profile analysis was based on a questionnaire; this questionnaire relied on existing studies and social, economic and medical facts in the three countries. The cognitive function, nutritional status, and the presence or absence of depression have also been assessed., RESULTS AND DISCUSSIONS: The data obtained until now support the importance of self-neglect among the elderly. The social-medical network should not only identify, diagnose, prevent, and treat the elderly affected by the phenomenon of self-neglect, but also educate the society to help them and, moreover, to prevent their marginalization. DA - 2011/// PY - 2011 VL - 115 IS - 2 SP - 337 EP - 40 SN - 0048-7848 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med7&NEWS=N&AN=21870720 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Social Support KW - *Activities of Daily Living KW - *Frail Elderly/px [Psychology] KW - Prospective Studies KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Depression/ep [Epidemiology] KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - *Self Care/px [Psychology] KW - *Geriatric Assessment KW - Finland/ep [Epidemiology] KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Activities of Daily Living/px [Psychology] KW - Elder Abuse/px [Psychology] KW - Elder Abuse/sn [Statistics & Numerical Data] KW - Greece/ep [Epidemiology] KW - *Self Care/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Romania/ep [Epidemiology] ER - TY - JOUR TI - Self-reported walking ability predicts functional mobility performance in frail older adults. AU - Alexander N B AU - Guire K E AU - Thelen D G AU - Ashton-Miller J A AU - Schultz A B AU - Grunawalt J C AU - Giordani B T2 - Journal of the American Geriatrics Society AB - OBJECTIVE: To determine how self-reported physical function relates to performance in each of three mobility domains: walking, stance maintenance, and rising from chairs., DESIGN: Cross-sectional analysis of older adults., SETTING: University-based laboratory and community-based congregate housing facilities., PARTICIPANTS: Two hundred twenty-one older adults (mean age, 79.9 years; range, 60-102 years) without clinical evidence of dementia (mean Folstein Mini-Mental State score, 28; range, 24-30)., INTERVENTION AND MAIN OUTCOME MEASURES: We compared the responses of these older adults on a questionnaire battery used by the Established Populations for the Epidemiologic Study of the Elderly (EPESE) project, to performance on mobility tasks of graded difficulty. Responses to the EPESE battery included: (1) whether assistance was required to perform seven Katz activities of daily living (ADL) items, specifically with walking and transferring; (2) three Rosow-Breslau items, including the ability to walk up stairs and walk a half mile; and (3) five Nagi items, including difficulty stooping, reaching, and lifting objects. The performance measures included the ability to perform, and time taken to perform, tasks in three summary score domains: (1) walking ("Walking," seven tasks, including walking with an assistive device, turning, stair climbing, tandem walking); (2) stance maintenance ("Stance," six tasks, including unipedal, bipedal, tandem, and maximum lean); and (3) chair rise ("Chair Rise," six tasks, including rising from a variety of seat heights with and without the use of hands for assistance). A total score combines scores in each Walking, Stance, and Chair Rise domain. We also analyzed how cognitive/ behavioral factors such as depression and self-efficacy related to the residuals from the self-report and performance-based ANOVA models., RESULTS: Rosow-Breslau items have the strongest relationship with the three performance domains, Walking, Stance, and Chair Rise (eta-squared ranging from 0.21 to 0.44). These three performance domains are as strongly related to one Katz ADL item, walking (eta-squared ranging from 0.15 to 0.33) as all of the Katz ADL items combined (eta-squared ranging from 0.21 to 0.35). Tests of problem solving and psychomotor speed, the Trails A and Trails B tests, are significantly correlated with the residuals from the self-report and performance-based ANOVA models., CONCLUSIONS: Compared with the rest of the EPESE self-report items, self-report items related to walking (such as Katz walking and Rosow-Breslau items) are better predictors of functional mobility performance on tasks involving walking, stance maintenance, and rising from chairs. Compared with other self-report items, self-reported walking ability may be the best predictor of overall functional mobility. DA - 2000/// PY - 2000 VL - 48 IS - 11 SP - 1408 EP - 13 SN - 0002-8614 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=11083316 KW - Humans KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - *Activities of Daily Living KW - Cross-Sectional Studies KW - Cognition KW - *Frail Elderly KW - Analysis of Variance KW - Michigan KW - Walking KW - *Geriatric Assessment KW - Predictive Value of Tests KW - eppi-reviewer4 ER - TY - JOUR TI - Chair and bed rise performance in ADL-impaired congregate housing residents. AU - Alexander N B AU - Galecki A T AU - Nyquist L V AU - Hofmeyer M R AU - Grunawalt J C AU - Grenier M L AU - Medell J L T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To examine the ability of activity of daily living (ADL)-impaired older adults to successfully rise, and, when successful, the time taken to rise, from a bed and chair under varying rise task demands., SETTING: Seven congregate housing facilities, SUBJECTS: Congregate housing residents (n = 116, mean age 82) who admitted to requiring assistance (such as from a person, equipment, or device) in performing at least one of the following mobility-related ADLs: transferring, walking, bathing, and toileting., METHODS: Subjects performed a series of bed and chair rise tasks where the rise task demand varied according to the head of bed (HOB) height, chair seat height, and use of hands. Bed rise tasks included supine to sit-to-edge, sit up in bed with hand use, and sit up in bed without hands, all performed from a bed where the HOB was adjusted to 0, 30, and 45 degrees elevations; roll to side-lying then rise (HOB 0 degrees); and supine to stand (HOB 0 degrees). Chair seat heights were adjusted according to the percent of the distance between the floor and the knee (% FK), and included rises (1) with hands and then without hands at 140, 120, 100, and 80% FK; (2) from a reclining (105 degrees at chair back) and tilting (seat tilted 10 degrees posteriorly) chair (100% FK); and (3) from a 80% FK seat height with a 4-inch cushion added, with and then without hands. Logistic regression for repeated measures was used to test for differences between tasks in the ability to rise. After log transformation of rise time, a linear effects model was used to compare rise time between tasks., RESULTS: The median total number of tasks successfully completed was 18 (range, 3-21). Nearly all subjects were able to rise from positions where the starting surface was elevated as long as hand use was unlimited. With the HOB at 30 or 45 degrees essentially all subjects could complete supine to sit-to-edge and sit up with hands. Essentially all subjects could rise from a seat height at 140, 120, and 100% FK as long as hand use was allowed. A small group (8-10%) of subjects was dependent upon hand use to perform the least challenging tasks, such as 140% FK without hands chair rise and 45 degrees sit up without hands. This dependency upon hand use increased significantly as the demand of the task increased, that is, as the HOB or seat height was lowered. Approximately three-quarters of the sample could not rise from a flat (0 degrees HOB elevation) bed or low (80% FK) chair when hand use was not allowed. Similar trends were seen in rise performance time, that is, performance times tended to increase as the HOB or chair seat elevation declined and as hand use was limited. Total self-reported ADL disability, compared to the single ADL transferring item, was a stronger predictor of rise ability and timed rise performance, particularly for chair rise tasks., CONCLUSIONS: Lowering HOB height and seat height increased bed and chair rise task difficulty, particularly when hand use was restricted. Restricting hand use in low HOB height or lowered seat height conditions may help to identify older adults with declining rise ability. Yet, many of those who could not rise under "without hands" conditions could rise under "with hands" conditions, suggesting that dependency on hand use may be a marker of progressive rise impairment but may not predict day-to-day natural milieu rise performance. Intertask differences in performance time may be statistically significant but are clinically small. Given the relationship between self-reported ADL disability and rise performance, impaired rise performance may be considered a marker for ADL disability. These bed and chair rise tasks can serve as outcomes for an intervention to improve bed and chair rise ability and might also be used in future studies to quantify improvements or declines in function over time, to refine physical therapy protocols, and to examine the effect of bed and chair design modifications on bed and chai DA - 2000/// PY - 2000 VL - 48 IS - 5 SP - 526 EP - 33 SN - 0002-8614 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=10811546 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Time Factors KW - *Activities of Daily Living KW - Body Mass Index KW - *Geriatric Assessment KW - Housing for the Elderly KW - Interior Design and Furnishings KW - eppi-reviewer4 ER - TY - JOUR TI - Bed mobility task performance in older adults AU - Alexander N B AU - Grunawalt J C AU - Carlos S AU - Augustine J T2 - Journal of rehabilitation research and development AB - Difficulty in transferring, the ability to rise in and out of a bed and chair, is a common problem in older adults, particularly those residing in skilled nursing facilities. Focusing on one aspect of transferring, rising from supine to sitting position, we devised a set of bed mobility tasks to test key arm, leg, and trunk movements that likely contribute to successful rising from bed. Healthy young controls (YC, n=22, mean age 23), and older adults (aged 60 and over) either residing independently in congregate housing (CH, n=29, mean age 84) or undergoing rehabilitation in a skilled nursing facility (SNF, mean age 77) were assessed in the time to rise from supine to sitting and in the ability or inability to perform 16 other bed mobility tasks. Trunk function-related tasks, specifically those requiring trunk elevation and trunk balance, were most difficult for the SNF, followed by CH, and then YC. Tasks focusing on trunk flexion strength (sit up arms crossed, bilateral heel raise) and lateral trunk strength/balance were the most difficult for both SNF and CH, although there was minimal difference in the percent unable to complete each task. The major CH-SNF differences occurred in trunk elevation tasks where the upper limb was important in facilitating trunk elevation (sit up with head of bed elevation with use of arms, sit up with the use of a trapeze, or sit up with use of arms from a flat bed position). These findings suggest that to improve frail older adult performance on bed mobility tasks, and specifically in rising from supine to sitting, training should move beyond improving trunk function (i.e., trunk strength). There should be an additional focus, either through therapy or bed design modifications, on how upper limb movements and positioning can be used to assist in trunk elevation. DA - 2000/// PY - 2000 VL - 37 IS - 5 SP - 633 EP - 8 SN - 0748-7711 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=11322161 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Activities of Daily Living KW - *Movement KW - *Posture KW - *Task Performance and Analysis KW - eppi-reviewer4 KW - Beds ER - TY - JOUR TI - Task-Specific Resistance Training to Improve the Ability of Activities of Daily Living–Impaired Older Adults to Rise from a Bed and from a Chair. AU - Alexander Neil B AU - Galecki Andrzej T AU - Grenier Martina L AU - Nyquist Linda V AU - Hofmeyer Mark R AU - Grunawalt Julie C AU - Medell Judi L AU - Fry-Welch Donna T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To determine the effect of a 12-week intervention to improve the ability of disabled older adults to rise from a bed and from a chair. DESIGN: Subjects were randomly allocated to either a 12-week task-specific resistance-training intervention (training in bed- and chair-rise subtasks, such as sliding forward to the edge of a chair with the addition of weights) or a control flexibility intervention. SETTING: Seven congregate housing facilities. PARTICIPANTS: Congregate housing residents age 65 and older (n = 161, mean age 82) who reported requiring assistance (such as from a person, equipment, or device) in performing at least one of the following mobility-related activities of daily living: transferring, walking, bathing, and toileting. MEASUREMENTS: At baseline, 6 weeks, and 12 weeks, subjects performed a series of bed- and chair-rise tasks where the rise task demand varied according to height of the head of the bed, chair seat height, and use of hands. Outcomes were able or unable to rise and, if able, the time taken to rise. Logistic regression for repeated measures was used to test for differences between tasks in the ability to rise. Following log transformation of rise time, a linear effects model was used to compare rise time between tasks. RESULTS: Regarding the maximum total number of bed- and chair-rise tasks that could be successfully completed, a significant training effect was seen at 12 weeks (P = .03); the training effect decreased as the total number of tasks increased. No statistically significant training effects were noted for rise ability according to individual tasks. Bed- and chair-rise time showed a significant training effect for each rise task, with analytic models suggesting a range of approximately 11% to 20% rise-time (up to 1.5 seconds) improvement in the training group over controls. Training effects were also noted in musculoskeletal capacities, particularly in trunk range of motion, strength, and balance. CONCLUSIONS: Task-specific resistance training increased the overall ability and decreased the rise time required to perform a series of bed- and chair-rise tasks. The actual rise-time improvement was clinically small but may be useful over the long term. Future studies might consider adapting this exercise program and the focus on trunk function to a frailer cohort, such as in rehabilitation settings. In these settings, the less challenging rise tasks (such as rising from an elevated chair) and the ability to perform intermediate tasks (such as hip bridging) may become important intermediate rehabilitation goals. [ABSTRACT FROM AUTHOR] Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2001/11// PY - 2001 VL - 49 IS - 11 SP - 1418 EP - 1427 SN - 00028614 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=5928606&site=ehost-live&scope=site KW - disability KW - eppi-reviewer4 KW - Geriatric assessment KW - activities of daily living KW - exercise KW - Isometric exercise ER - TY - JOUR TI - Sensor systems for monitoring functional status in assisted living facility residents AU - Alexander Gregory L AU - Rantz Marilyn AU - Skubic Marjorie AU - Aud Myra A AU - Wakefield Bonnie AU - Florea Elena AU - Paul Anindita T2 - Research in gerontological nursing AB - This article provides results of an expert review of data displays for a sensor system used to monitor functional abilities in older adults. The research took place at TigerPlace, an assisted living facility where the sensor system is currently being evaluated. A checklist of 16 heuristic criteria was used to evaluate the sensor data displays, with consideration to the users of the system: residents, their families, and health care providers. Results of this expert review indicate that flexibility and efficiency of use, help and documentation, navigation, and skills were not well developed in the sensor data displays. Conversely, sensor data displays were rated highly for their aesthetic value and the ample visual contrast on the main display components. Through the use of a sensor system, new ways of detecting functional decline in elderly residents of assisted living facilities can be accomplished. DA - 2008/// PY - 2008 VL - 1 IS - 4 SP - 238 EP - 44 SN - 1940-4921 1938-2464 UR - https://dx.doi.org/10.3928/19404921-20081001-01 KW - Humans KW - Attitude to Computers KW - User-Computer Interface KW - *Activities of Daily Living KW - *Geriatric Assessment/mt [Methods] KW - *Assisted Living Facilities KW - *Monitoring, Physiologic/mt [Methods] KW - Pilot Projects KW - Nursing Evaluation Research KW - Technology Assessment, Biomedical KW - *Diagnosis, Computer-Assisted/mt [Methods] KW - Missouri KW - Early Diagnosis KW - Aged/px [Psychology] KW - Nursing Assessment/mt [Methods] KW - eppi-reviewer4 KW - *Data Display KW - Aged/ph [Physiology] KW - Data Display/st [Standards] ER - TY - JOUR TI - A descriptive analysis of a nursing home clinical information system with decision support AU - Alexander Gregory L T2 - Perspectives in health information management AB - Clinical information systems are absent in most nursing homes. Therefore, the vast numbers of elderly people who reside in the facilities are not reaping the benefits that these systems are thought to have, including better management of chronic conditions, greater efficiencies, and improved access to information. It is important for early adopters of nursing home information systems to share experiences to foster implementation of other systems and improve design and evaluation of these systems. The purpose of this study is to describe the activity of clinical decision support alerts and associated triggers during an analysis of an information system implemented in three nursing homes. The proportion of triggers used for each active alert in each alert category is described across resident diagnoses within the nursing home decision support system during six months of data collection. DA - 2008/// PY - 2008 VL - 5 SP - 12 SN - 1559-4122 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med6&NEWS=N&AN=18784850 KW - Humans KW - United States KW - Outcome Assessment (Health Care) KW - Attitude of Health Personnel KW - Diffusion of Innovation KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Decision Support Systems, Clinical/og [Organization & Administration] KW - eppi-reviewer4 KW - *Needs Assessment/og [Organization & Administration] KW - *Point-of-Care Systems/og [Organization & Administration] KW - Computers, Handheld/sn [Statistics & Numerical Data] KW - Information Storage and Retrieval/mt [Methods] KW - Medical Records Systems, Computerized/og [Organization & Administration] ER - TY - JOUR TI - Passive sensor technology interface to assess elder activity in independent living AU - Alexander Gregory L AU - Wakefield Bonnie J AU - Rantz Marilyn AU - Skubic Marjorie AU - Aud Myra A AU - Erdelez Sanda AU - Ghenaimi Said Al T2 - Nursing research AB - BACKGROUND: The effectiveness of clinical information systems to improve nursing and patient outcomes depends on human factors, including system usability, organizational workflow, and user satisfaction., OBJECTIVE: The aim of this study was to examine to what extent residents, family members, and clinicians find a sensor data interface used to monitor elder activity levels usable and useful in an independent living setting., METHODS: Three independent expert reviewers conducted an initial heuristic evaluation. Subsequently, 20 end users (5 residents, 5 family members, 5 registered nurses, and 5 physicians) participated in the evaluation. During the evaluation, each participant was asked to complete three scenarios taken from three residents. Morae recorder software was used to capture data during the user interactions., RESULTS: The heuristic evaluation resulted in 26 recommendations for interface improvement; these were classified under the headings content, aesthetic appeal, navigation, and architecture, which were derived from heuristic results. Total time for elderly residents to complete scenarios was much greater than for other users. Family members spent more time than clinicians but less time than residents did to complete scenarios. Elder residents and family members had difficulty interpreting clinical data and graphs, experienced information overload, and did not understand terminology. All users found the sensor data interface useful for identifying changing resident activities., DISCUSSION: Older adult users have special needs that should be addressed when designing clinical interfaces for them, especially information as important as health information. Evaluating human factors during user interactions with clinical information systems should be a requirement before implementation. DA - 2011/// PY - 2011 VL - 60 IS - 5 SP - 318 EP - 25 SN - 1538-9847 0029-6562 UR - https://dx.doi.org/10.1097/NNR.0b013e318225f3e1 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - User-Computer Interface KW - Needs Assessment KW - *Independent Living KW - *Activities of Daily Living KW - *Geriatric Assessment/mt [Methods] KW - *Monitoring, Physiologic/is [Instrumentation] KW - *Nursing Assessment/mt [Methods] KW - Technology Assessment, Biomedical KW - Monitoring, Physiologic/mt [Methods] KW - Diagnosis, Computer-Assisted/mt [Methods] KW - eppi-reviewer4 ER - TY - JOUR TI - Generating sensor data summaries to communicate change in elders' health status AU - Alexander G L AU - Wilbik A AU - Keller J M AU - Musterman K T2 - Applied clinical informatics AB - BACKGROUND: Sensor systems detect critical health changes of frail residents in the community. However, sensor systems alone may not allow users to identify data trends fast enough. Linguistic summaries of sensor data describing elder activity in their apartment provide a useful solution so clinicians can respond quicker., OBJECTIVES: This paper describes two case studies of independent elders living with sensors in their assisted living apartment. Residents experienced declining health status and activity level over a period of approximately 24 months. Linguistic summaries were assessed iteratively by engineers and nurses working with the sensor system., METHODS: We created summaries of activity data collected from sensors located in resident apartments during a period of health status change. Engineers distilled information from heterogeneous data sources including bedroom motion and bed restlessness sensors during the summarization process. Engineers used fuzzy measures to compare two different periods of nighttime activity. Using iterative approaches a registered nurse worked with the team to develop algorithms and short phrases that appropriately capture and describe changes in activity levels., RESULTS: Total activity levels captured by sensors were graphed for two elderly residents experiencing health problems over a period of months. In the first case study (resident 3004), an elderly resident had knee surgery and onset of backspasms postoperatively. Graphed dissimilar measures show changes from baseline when backspasms occur. In the second case study (resident 3003), there were increased periods of bed restlessness before and after a resident had a major surgical procedure. During these periods, graphs of dissimilarity measures indicate that there were changes from usual baseline periods of restlessness postoperatively indicating the health problems were persisting. Nurse care coordination notes indicate these episodes were related to poor pain control., CONCLUSIONS: Summaries of activity change are useful for care coordinators to detect resident health status for community dwelling residents. DA - 2014/// PY - 2014 VL - 5 IS - 1 SP - 73 EP - 84 SN - 1869-0327 UR - https://dx.doi.org/10.4338/ACI-2013-07-RA-0050 KW - Humans KW - Male KW - Aged, 80 and over KW - *Health Status KW - *Communication KW - *Telemedicine/is [Instrumentation] KW - Motion KW - eppi-reviewer4 KW - Linguistics ER - TY - JOUR TI - 'Why can't they be in the community?' A policy and practice analysis of transforming care for offenders with intellectual disability. AU - Alexander Regi AU - Devapriam John AU - Michael Dasari AU - McCarthy Jane AU - Chester Verity AU - Rai Rahul AU - Naseem Aezad AU - Roy Ashok T2 - Advances in Mental Health & Intellectual Disabilities AB - Purpose – The purpose of this paper is to describe key policy and practice issues regarding a significant subgroup of people with intellectual disability – those with offending behaviour being treated in forensic hospitals. Design/methodology/approach – The reasons why psychiatrists continue to be involved in the treatment of people with intellectual disability and mental health or behavioural problems and the factors that may lead to patients needing hospital admission are examined. Using two illustrative examples, three key questions – containment vs treatment, hospital care vs conditional discharge and hospital treatment vs using deprivation of liberty safeguards usage in the community are explored. Findings – Patients with intellectual disability, mental health problems and offending behaviours who are treated within forensic inpatient units tend to have long lengths of stay. The key variable that mediates this length of stay is the risk that they pose to themselves or others. Clinicians work within the framework of mental health law and have to be mindful that pragmatic solutions to hasten discharge into the community may not fall within the law. Originality/value – This paper makes practical suggestions for the future on how to best integrate hospital and community care for people with intellectual disability, mental health and offending behaviours. DA - 2015/05// PY - 2015 DO - 10.1108/AMHID-02-2015-0011 VL - 9 IS - 3 SP - 139 EP - 148 SN - 2044-1282 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109798698&site=ehost-live&scope=site KW - Adult KW - Male KW - United Kingdom KW - Comorbidity KW - Institutionalization KW - Hospitalization KW - Public Policy KW - eppi-reviewer4 KW - Community Living KW - Mental Disorders -- Rehabilitation KW - Child Abuse, Sexual KW - Forensic Psychiatry KW - Intellectual Disability KW - Mental Disorders -- Legislation and Jurisprudence -- United Kingdom KW - Patient Discharge -- Psychosocial Factors KW - Public Offenders KW - Social Behavior Disorders -- Rehabilitation ER - TY - JOUR TI - Gender differences in incidence and determinants of disability in activities of daily living among elderly individuals: SABE study AU - Alexandre Tiago da Silva AU - Corona Ligiana Pires AU - Nunes Daniella Pires AU - Santos Jair Licio Ferreira AU - Duarte Yeda Aparecida de Oliveira AU - Lebrao Maria Lucia T2 - Archives of gerontology and geriatrics AB - Determining the groups that are most susceptible to developing disability is essential to establishing effective prevention and rehabilitation strategies. The aim of the present study was to determine gender differences in the incidence of disability regarding activities of daily living (ADL) and determinants among elderly residents of Sao Paulo, Brazil. In 2000, 1634 elderly with no difficulties regarding ADL (modified Katz Index) were selected. These activities were reassessed in 2006 and disability was the outcome for the analysis of determinants. The following characteristics were analyzed at baseline: socio-demographic, behavioral, health status, medications, falls, hospitalizations, depressive symptoms, cognition, handgrip, mobility and balance. The incidence density was 42.4/1000 women/year and 17.5/1000 men/year. After adjusting for socioeconomic status and health conditions, women with chronic diseases and social vulnerability continued to have a greater incidence of disability. The following were determinants of the incidence of disability: age and depressive symptoms in both genders; stroke and slowness on the sit-and-stand test among men; and osteoarthritis and sedentary lifestyle among women. Better cognitive performance and handgrip strength were protective factors among men and women, respectively. Adverse clinical and social conditions determine differences between genders regarding the incidence of disability. Decreased mobility and balance and health conditions that affect the central nervous system or lead to impaired cognition disable men more, whereas a sedentary lifestyle, reduction in muscle strength and conditions that affect the osteoarticular system disable women more. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved. DA - 2012/// PY - 2012 VL - 55 IS - 2 SP - 431 EP - 7 SN - 1872-6976 0167-4943 UR - https://dx.doi.org/10.1016/j.archger.2012.04.001 KW - Female KW - Humans KW - Male KW - Aged KW - Chronic Disease KW - Mobility Limitation KW - *Activities of Daily Living KW - Accidental Falls/sn [Statistics & Numerical Data] KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - Postural Balance KW - Sex Factors KW - Independent Living/sn [Statistics & Numerical Data] KW - Hand Strength KW - Depression/ep [Epidemiology] KW - Brazil/ep [Epidemiology] KW - Incidence KW - Cognition Disorders/ep [Epidemiology] KW - *Disability Evaluation KW - *Disabled Persons/sn [Statistics & Numerical Data] KW - Exercise Test/mt [Methods] KW - Osteoarthritis/ep [Epidemiology] KW - Sedentary Behavior KW - Osteoarthritis/co [Complications] KW - Dependency (Psychology) KW - eppi-reviewer4 ER - TY - JOUR TI - Prevalence and associated factors of sarcopenia, dynapenia, and sarcodynapenia in community-dwelling elderly in Sao Paulo - SABE Study. AU - Alexandre Tiago da Silva AU - Duarte Yeda Aparecida de Oliveira AU - Santos Jair Licio Ferreira AU - Lebrao Maria Lucia T2 - Prevalencia e fatores associados a sarcopenia, dinapenia e sarcodinapenia em idosos residentes no Municipio de Sao Paulo - Estudo SABE. AB - OBJECTIVES: To estimate the prevalence of sarcopenia, dynapenia, and sarcodynapenia and associated factors in older adults in the city of Sao Paulo, Brazil., METHODS: A population-based, cross-sectional study was conducted with 1,168 older adults who participated in the third wave of the Health, Well-being, and Aging study in 2010 (SABE study). Men and women with skeletal muscle mass <= 8.90 and <= 6.37 kg/m2, respectively, were considered sarcopenic. Men and women with grip strength < 30 and < 20 kg, respectively, were considered dynapenic. Those with both conditions were considered sarcodynapenic. Sociodemographic, behavioral, clinical, nutritional, and biochemical characteristics were investigated as factors associated with each of the three conditions using multinomial logistic regression., RESULTS: Theprevalence of sarcopenia, dynapenia, and sarcodynapenia was 4.8% (95%CI 3.6 - 6.3), 30.9% (95%CI 27.5 - 34.6) and 9.0% (95%CI 7.2-11.3), respectively. An increase in age and malnutrition was associated with all the three conditions. Cognitive impairment was associated with both dynapenia and sarcodynapenia. Schooling, current smoking habit, and not having a marital life were associated with sarcopenia. Osteoarthritis, schooling, being an ex-smoker, and low hemoglobin were associated with dynapenia. Smoking habit and the risk of malnutrition were associated with sarcodynapenia., CONCLUSION: Dynapenia is more prevalent among older adults, followed by sarcodynapenia, and sarcopenia. With the exception of age, schooling, and malnutrition, the factors associated with sarcopenia and dynapenia are different. However, there are similarities in some associations regarding the presence of sarcodynapenia. DA - 2019/// PY - 2019 DO - 10.1590/1980-549720180009.supl.2 VL - 21Suppl 02 IS - Suppl 02 SP - e180009 SN - 1415-790X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30726354 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - Prevalence KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Sarcopenia/ep [Epidemiology] KW - Sarcopenia/et [Etiology] KW - *Muscle Weakness/ep [Epidemiology] KW - Geriatric Assessment KW - Socioeconomic Factors KW - Nutrition Assessment KW - Brazil/ep [Epidemiology] KW - Age Distribution KW - Sex Distribution KW - Muscle Weakness/eh [Ethnology] KW - Muscle, Skeletal/pp [Physiopathology] KW - eppi-reviewer4 ER - TY - JOUR TI - Ambivalence among staff regarding ageing with intellectual disabilities: Experiences and reflections. AU - Alftberg Asa AU - Johansson Maria AU - Ahlstrom Gerd T2 - Journal of intellectual disabilities : JOID AB - This study explores the experiences and reflections of staff in intellectual disability (ID) services concerning ageing with ID. Qualitative interviews were conducted with 24 staff members in group homes and daily activity centres. The findings showed that the staff were uncertain about the signs of ageing in people with intellectual disabilities; they compared the life conditions of these people with conditions in older people without intellectual disabilities. Their emphasis on an active lifestyle was very strong. The staff members also mentioned uncertainty about how to facilitate assistive devices and whether 'ageing in place' was the best solution. The overall theme was manifested as ambivalence where notions of older people with intellectual disabilities seemed incompatible with notions of old age in general and could be explained by the theoretical concept of age coding. The findings of this study indicate the need to provide education about ageing to staff working in ID services. DA - 2019/// PY - 2019 DO - 10.1177/1744629519874997 SP - 1744629519874997 SN - 1744-6295 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medp&NEWS=N&AN=31570036 KW - eppi-reviewer4 ER - TY - JOUR TI - The Algase Wandering Scale: initial psychometrics of a new caregiver reporting tool AU - Algase D L AU - Beattie E R AU - Bogue E L AU - Yao L T2 - American journal of Alzheimer's disease and other dementias AB - This paper reports on the Algase wandering scale (AWS), a 28-item questionnaire, based on five dimensions of wandering. With factor analysis, an eight-factor solution explained nearly 70 percent of the variance in ratings for 151 long-term care subjects and confirmed three of the structuring dimensions. Reliability of the AWS was examined for internal consistency and for inter-rater reliability. The AWS had an alpha of .86; subscale alphas ranged between .88 (persistent walking) and .57 (routinized walking). Inter-rater reliabilities, estimated through cross-rater comparisons of the AWS and subscales with a four-point judgement of wandering status, were moderately strong and no significant differences existed between two sets of raters. Validity of the AWS and its subscales was supported by examining their ability to differentiate wanderers and nonwanderers, by positive correlation with measures of cognitive impairment and with multiple parameters of observed wandering, and by negative or no correlations with nonwandering locomotion. Although the AWS may be a useful measure of wandering in long-term care settings, validation of its factor structure and evaluation in cross-cultural samples is needed. DA - 2001/// PY - 2001 VL - 16 IS - 3 SP - 141 EP - 52 SN - 1533-3175 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=11398562 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Nursing Homes KW - *Caregivers/px [Psychology] KW - Psychometrics KW - *Motor Activity KW - Alzheimer Disease/px [Psychology] KW - Homes for the Aged KW - *Alzheimer Disease/di [Diagnosis] KW - eppi-reviewer4 KW - Locomotion KW - *Neuropsychological Tests/sn [Statistics & Numerical Data] KW - *Sleep Disorders, Circadian Rhythm/di [Diagnosis] KW - Sleep Disorders, Circadian Rhythm/px [Psychology] ER - TY - JOUR TI - Empirical derivation and validation of a wandering typology AU - Algase Donna L AU - Antonakos Cathy AU - Beattie Elizabeth R. A AU - Beel-Bates Cynthia A AU - Yao Lan T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To develop and validate a wandering typology., DESIGN: Cross-sectional, correlational descriptive design., SETTING: Twenty-two nursing homes and six assisted living facilities., PARTICIPANTS: One hundred forty-two residents with dementia who spoke English, met Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition, criteria for dementia, scored less than 24 on the Mini-Mental State Examination (MMSE), were ambulatory (with or without assistive device), and maintained a stable regime of psychotropic medications were studied., MEASUREMENTS: Data on wandering were collected using direct observations, plotted serially according to rate and duration to yield 21 parameters, and reduced through factor analysis to four components: high rate, high duration, low to moderate rate and duration, and time of day. Other measures included the MMSE, Minimum Data Set 2.0 mobility items, Cumulative Illness Rating Scale-Geriatric, and tympanic body temperature readings., RESULTS: Three groups of wanderers were identified through cluster analysis: classic, moderate, and subclinical. MMSE, mobility, and cardiac and upper and lower gastrointestinal problems differed between groups of wanderers and in comparison with nonwanderers., CONCLUSION: Results have implications for improving identification of wanderers and treatment of possible contributing factors. DA - 2009/// PY - 2009 VL - 57 IS - 11 SP - 2037 EP - 45 SN - 1532-5415 0002-8614 UR - https://dx.doi.org/10.1111/j.1532-5415.2009.02491.x KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Nursing Homes KW - Cross-Sectional Studies KW - Geriatric Assessment KW - Alzheimer Disease/px [Psychology] KW - Homes for the Aged KW - *Alzheimer Disease/di [Diagnosis] KW - Observation KW - Statistics as Topic KW - Mental Status Schedule KW - eppi-reviewer4 KW - Circadian Rhythm KW - *Wandering Behavior/px [Psychology] KW - Body Temperature KW - Wandering Behavior/cl [Classification] ER - TY - JOUR TI - Wandering and the physical environment AU - Algase Donna L AU - Beattie Elizabeth R. A AU - Antonakos Cathy AU - Beel-Bates Cynthia A AU - Yao Lan T2 - American journal of Alzheimer's disease and other dementias AB - BACKGROUND/RATIONALE: Guided by the need-driven dementia-compromised behavior (NDB) model, this study examined influences of the physical environment on wandering behavior., METHODS: Using a descriptive, cross-sectional design, 122 wanderers from 28 long-term care (LTC) facilities were videotaped 10 to 12 times; data on wandering, light, sound, temperature and humidity levels, location, ambiance, and crowding were obtained. Associations between environmental variables and wandering were evaluated with chi-square and t tests; the model was evaluated using logistic regression., RESULTS: In all, 80% of wandering occurred in the resident's own room, dayrooms, hallways, or dining rooms. When observed in other residents' rooms, hallways, shower/baths, or off-unit locations, wanderers were likely (60%-92% of observations) to wander. The data were a good fit to the model overall (LR [logistic regression] chi(2) (5) = 50.38, P < .0001) and by wandering type., CONCLUSIONS: Location, light, sound, proximity of others, and ambiance are associated with wandering and may serve to inform environmental designs and care practices. DA - 2010/// PY - 2010 VL - 25 IS - 4 SP - 340 EP - 6 SN - 1938-2731 1533-3175 UR - https://dx.doi.org/10.1177/1533317510365342 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Nursing Homes KW - Cross-Sectional Studies KW - *Dementia KW - Michigan KW - Dementia/px [Psychology] KW - *Health Facility Environment KW - Homes for the Aged KW - *Wandering Behavior KW - Pennsylvania KW - eppi-reviewer4 KW - Health Facility Environment/sn [Statistics & Numerical Data] KW - Wandering Behavior/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Estimates of crowding in long-term care: comparing two approaches AU - Algase Donna L AU - Antonakos Cathy AU - Beattie Elizabeth AU - Beel-Bates Cynthia AU - Song Jun-Ah T2 - HERD AB - OBJECTIVE: Because studies of crowding in long-term care settings are lacking, the authors sought to: (1) generate initial estimates of crowding in nursing homes and assisted living facilities; and (2) evaluate two operational approaches to its measurement., BACKGROUND: Reactions to density and proximity are complex. Greater density intensifies people's reaction to a situation in the direction (positive or negative) that they would react if the situation were to occur under less dense conditions. People with dementia are especially reactive to the environment., METHODS: Using a cross-sectional correlational design in nursing homes and assisted living facilities involving 185 participants, multiple observations (N = 6,455) of crowding and other environmental variables were made. Crowding, location, and sound were measured three times per observation; ambiance was measured once. Data analyses consisted of descriptive statistics, t-tests, and one-way analysis of variance., RESULTS: Crowding estimates were higher for nursing homes and in dining and activity rooms. Crowding also varied across settings and locations by time of day. Overall, the interaction of location and time affected crowding significantly (N = 5,559, df [47, 511], F = 105.69, p < .0001); effects were greater within location-by-hour than between location-by-hour, but the effect explained slightly less variance in Long-Term Care Crowding Index (LTC-CI) estimates (47.41%) than location alone. Crowding had small, direct, and highly significant correlations with sound and with the engaging subscale for ambiance; a similar, though inverse, correlation was seen with the soothing subscale for ambiance., CONCLUSIONS: Crowding fluctuates consistent with routine activities such as meals in long-term care settings. Furthermore, a relationship between crowding and other physical characteristics of the environment was found. The LTC-CI is likely to be more sensitive than simple people counts when seeking to evaluate the effects of crowding on the behavior of elders-particularly those with dementia-in long-term care settings. aging in place. DA - 2011/// PY - 2011 VL - 4 IS - 2 SP - 61 EP - 74 SN - 1937-5867 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med7&NEWS=N&AN=21465435 KW - Humans KW - United States KW - Aged KW - Aged, 80 and over KW - Time Factors KW - Cross-Sectional Studies KW - *Long-Term Care/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Analysis of Variance KW - Dementia/px [Psychology] KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - Environment Design KW - Long-Term Care/px [Psychology] KW - Observation KW - eppi-reviewer4 KW - *Crowding/px [Psychology] KW - Sound Spectrography ER - TY - JOUR TI - An interactive ICT platform for early assessment and management of patient-reported concerns among older adults living in ordinary housing - development and feasibility. AU - Algilani Samal AU - Langius‐Eklöf Ann AU - Kihlgren Annica AU - Blomberg Karin T2 - Journal of Clinical Nursing (John Wiley & Sons, Inc.) AB - Aims and objectives To develop and test feasibility and acceptability of an interactive ICT platform integrated in a tablet for collecting and managing patient-reported concerns of older adults in home care. Background Using different ICT applications, for example interactive tablets for self-assessment of health and health issues based on health monitoring as well as other somatic and psychiatric monitoring systems may improve quality of life, staff and patient communication and feelings of being reassured. The European Commission hypothesises that introduction of ICT applications to the older population will enable improved health. However, evidence-based and user-based applications are scarce. Design The design is underpinned by the Medical Research Council's complex intervention evaluation framework. A mixed-method approach was used combining interviews with older adults and healthcare professionals, and logged quantitative data. Methods In cooperation with a health management company, a platform operated by an interactive application for reporting and managing health-related problems in real time was developed. Eight older adults receiving home care were recruited to test feasibility. They were equipped with the application and reported three times weekly over four weeks, and afterwards interviewed about their experiences. Three nurses caring for them were interviewed. The logged data were extracted as a coded file. Results The older adults reported as instructed, in total 107 reports (Mean 13). The most frequent concerns were pain, fatigue and dizziness. The older adults experienced the application as meaningful with overall positive effects as well as potential benefits for the nurses involved. Conclusions The overall findings in this study indicated high feasibility among older adults using the ICT platform. The study's results support further development of the platform, as well as tests in full-scale studies and in other populations. Relevance to clinical practice An ICT platform increased the older adults' perception of involvement and facilitated communication between the patient and nurses. DA - 2017/06// PY - 2017 DO - 10.1111/jocn.13468 VL - 26 IS - 11-12 SP - 1575 EP - 1583 SN - 0962-1067 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122941404&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Aged KW - Risk Assessment KW - Communication KW - Quality of Life KW - Patients KW - Self Report KW - Sweden KW - Nurse-Patient Relations KW - Monitoring, Physiologic KW - Nurses KW - Self Care KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Audiorecording KW - Middle Age KW - Content Analysis KW - Funding Source KW - Semi-Structured Interview KW - Descriptive Statistics KW - Gerontologic Care KW - Community Living KW - Information Technology KW - Multimethod Studies KW - Purposive Sample KW - Computers, Portable KW - Data Collection Methods KW - Home Health Care KW - Nursing Care KW - Patient Assessment KW - Text Messaging ER - TY - JOUR TI - Exploring undergraduate nursing students' perceptions of working in aged care settings: A review of the literature AU - Algoso Maricris AU - Peters Kath AU - Ramjan Lucie AU - East Leah T2 - Nurse education today AB - OBJECTIVES: To explore undergraduate nursing students' perceptions of working in the aged care setting through a review of the literature., DESIGN: A review of available literature relating to undergraduate nursing students' attitudes, perceptions and experiences in the aged care setting, or in the care of older adults., DATA SOURCES: CINAHL Plus with Full Text was the primary database used. Other databases include PsycINFO and Health Source: Nursing/Academic Edition., REVIEW METHODS: Studies focused on undergraduate nursing students and their experiences in the aged care setting and on the perceptions and attitudes of nursing students toward older adults, were included. Studies that did not present an original study or those that did not meet the aim of the study were excluded from the review., RESULTS: Following removal of duplicates and exclusion of articles not meeting the aim of this paper, 24 articles remained. Three main themes emerged from the review of the literature: perceptions of aged care placement, attitudes to working in aged care, and experiences in aged care., CONCLUSION: The experiences of nursing students employed as undergraduate AINs in the aged care setting can provide an immersive clinical learning experience in preparation for their new graduate (NG) year. Furthermore, it is an opportunity to challenge ageist attitudes and instil core nursing values in novice nurses such as promoting compassionate care. Copyright © 2015 Elsevier Ltd. All rights reserved. DA - 2016/// PY - 2016 VL - 36 SP - 275 EP - 80 SN - 1532-2793 0260-6917 UR - https://dx.doi.org/10.1016/j.nedt.2015.08.001 KW - Humans KW - Curriculum KW - *Homes for the Aged/og [Organization & Administration] KW - Clinical Competence KW - *Students, Nursing/px [Psychology] KW - Education, Nursing/og [Organization & Administration] KW - eppi-reviewer4 ER - TY - JOUR TI - Health-risk behaviour among residents in deprived neighbourhoods compared with those of the general population in Denmark: A cross-sectional study AU - Algren Maria Holst AU - Ekholm Ola AU - van Lenthe AU - Frank AU - Mackenbach Johan AU - Bak Carsten Kronborg AU - Andersen Pernille Tanggaard T2 - Health & place AB - This study compares health-risk behaviours (including the co-occurrence of health-risk behaviours) of residents in the deprived neighbourhoods with those of the general population of Denmark. It also examines associations between sociodemographic and socioeconomic characteristics and health-risk behaviours in deprived neighbourhoods in Denmark. Even after adjustment for socioeconomic characteristics there were large differences in health-risk behaviours between residents in deprived neighbourhoods and the general population. In the deprived neighbourhoods large sociodemographic and socioeconomic differences in health-risk behaviours were found among the residents. Our findings highlight the need for health promotion programmes targeting residents in deprived neighbourhoods. Copyright © 2017 Elsevier Ltd. All rights reserved. DA - 2017/// PY - 2017 VL - 45 SP - 189 EP - 198 SN - 1873-2054 1353-8292 UR - https://dx.doi.org/10.1016/j.healthplace.2017.03.014 KW - Adult KW - Female KW - Humans KW - Male KW - Risk-Taking KW - Health Promotion KW - Denmark KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - *Health Behavior KW - *Health Status KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - *Poverty Areas KW - eppi-reviewer4 ER - TY - JOUR TI - Oral health patterns of independently living dentate older people: a cross-sectional survey of dental attendees in south-east London AU - Al-Haboubi Mustafa AU - Zoitopoulos Liana AU - Beighton David AU - Gallagher Jennifer T2 - Gerodontology AB - BACKGROUND: The oral health needs of older adults present increasing challenges to dental services., OBJECTIVES: To examine the clinical oral health status of dentate older people living in the community and attending dental services., METHODS: One hundred and eighty-six dentate adults, aged >=60 years, underwent clinical examination (DMFS, Plaque and Gingival Indexes), salivary analysis and completed a questionnaire., RESULTS: Participants had an average of 21.4 (+/-6.2) teeth present and 1.2 (+/-3.0) decayed, 51.0 (+/-28.8) missing and 32.6 (+/-20.5) restored surfaces. Individuals living in the most deprived areas had significantly lower numbers of teeth than those in the least deprived areas (19.1 +/- 7.5 cf 23.8 +/- 4.1; p < 0.001). Whilst there were no significant differences in DMFS score, residents in the most deprived areas had significantly more missing and fewer filled surfaces than those in the least deprived areas (p = 0.001 and p < 0.001, respectively). Participants with >=21 teeth (64%) had lower plaque scores, fewer decayed root surfaces, higher stimulated saliva flow rates and lower salivary lactobacilli and yeast counts than those with <21 teeth (p < 0.05 for all)., CONCLUSIONS: The findings highlight differences in clinical oral health by age and deprivation status and underline the importance of saliva and retaining a functional dentition. Copyright © 2013 The Gerodontology Society and John Wiley & Sons A/S. DA - 2014/// PY - 2014 VL - 31 IS - 4 SP - 265 EP - 73 SN - 1741-2358 0734-0664 UR - https://dx.doi.org/10.1111/ger.12033 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - Cross-Sectional Studies KW - Age Factors KW - *Oral Health/sn [Statistics & Numerical Data] KW - Dental Caries/ep [Epidemiology] KW - *Health Services Needs and Demand/sn [Statistics & Numerical Data] KW - Vulnerable Populations/sn [Statistics & Numerical Data] KW - London/ep [Epidemiology] KW - Tooth Loss/ep [Epidemiology] KW - Dental Plaque Index KW - Periodontal Index KW - Saliva/ch [Chemistry] KW - *Dental Care for Aged/sn [Statistics & Numerical Data] KW - DMF Index KW - eppi-reviewer4 KW - Bacterial Load KW - Dental Restoration, Permanent/sn [Statistics & Numerical Data] KW - Lactobacillus/ip [Isolation & Purification] KW - Root Caries/ep [Epidemiology] KW - Saliva/mi [Microbiology] KW - Secretory Rate/ph [Physiology] KW - Streptococcus mutans/ip [Isolation & Purification] ER - TY - JOUR TI - How effectively are your patients taking their medicines? A critical review of the Strathclyde Compliance Risk Assessment Tool in relation to the ' MMAS' and ' MARS'. AU - Alhomoud Faten AU - Alhomoud Farah AU - Millar Ian T2 - Journal of Evaluation in Clinical Practice AB - Rationale, aims and objectives A useful assessment tool that can support health care professionals in anticipating elderly patients' care needs regarding additional support in managing their own medicines is essential, but currently lacking. Thus, the aim of the study was to assess whether the 13-item Strathclyde Compliance Risk Assessment Tool ( SCRAT) is an appropriate instrument for identifying community-dwelling elderly people who may be at risk of medication non-adherence. Method An 8-week survey was performed from October to November 2009. Patients were ≥65 years old, receiving ≥3 medications and were either using multi-compartment compliance aids or receiving social care support, or both. The data were collected in 45 face-to-face structured interviews using the 13-item SCRAT, 5-item Medication Adherence Rating Scale ( MARS) and 8-item Modified Morisky Adherence Scale ( MMAS) in sheltered housing complexes in Glasgow, Scotland. Interviews were analysed quantitatively using SPSS version 21 software. Results The SCRAT instrument showed substantial inter-rater reliability ( Cohen's kappa of 0.730 for the 13-item scale). There was a significant strong negative correlation between the 13-item SCRAT total risk score and 8-item MMAS ( r = −0.654; P = 0.0036), and the 13-item SCRAT total risk score and 5-item MARS ( r = −0.481; P = 0.0084). The SCRAT instrument showed satisfactory internal consistency ( Cronbach's alpha of 0.853 for the 13-item scale). The area under the receiver operator characteristic curve ( AUC ± standard error; 95% confidence interval) showed that the SCRAT had good discriminatory capacity and was able to distinguish between adherent and non-adherent participants on the MARS (0.729 ± 0.17; 0.39, 1.00). The best cut-off (sensitivity, specificity) was <3 (75%, 45%). In the sub-analyses, there was a significant difference in total risk score (3 vs. 2, P = 0.011) between users and non-users of multi-compartment compliance aids. Conclusion The study shows that the 13-item SCRAT has the potential to be used in identifying elderly participants who may have problems managing their own medicines and it may help to determine the level and type of assistance that patients require to manage their medicines. DA - 2016/06// PY - 2016 DO - 10.1111/jep.12501 VL - 22 IS - 3 SP - 411 EP - 420 SN - 1356-1294 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114604573&site=ehost-live&scope=site KW - Scotland KW - Aged KW - Health Personnel KW - ROC Curve KW - Confidence Intervals KW - Sensitivity and Specificity KW - eppi-reviewer4 KW - Human KW - Data Analysis Software KW - Interview Guides KW - Support, Psychosocial KW - Semi-Structured Interview KW - Descriptive Statistics KW - Internal Consistency KW - Instrument Validation KW - Scales KW - Clinical Assessment Tools KW - Kappa Statistic KW - Chi Square Test KW - Criterion-Related Validity KW - Interrater Reliability KW - Spearman's Rank Correlation Coefficient KW - Mann-Whitney U Test KW - Community Living -- Psychosocial Factors -- In Old Age KW - Medication Compliance -- In Old Age ER - TY - JOUR TI - Self-reported stigma and its association with socio-demographic factors and physical disability in people with intellectual disabilities: results from a cross-sectional study in England AU - Ali Afia AU - King Michael AU - Strydom Andre AU - Hassiotis Angela T2 - Social psychiatry and psychiatric epidemiology AB - PURPOSE: The aim of this study was to investigate whether socio-demographic variables and physical disability (e.g. sensory impairment and mobility problems) were associated with self-reported stigma in people with intellectual disabilities (ID), and to examine whether age, sex and ethnicity modified the relationship between severity of intellectual disability and self-reported stigma., METHODS: 229 participants with mild or moderate intellectual disabilities were recruited from 12 centres/sites in England from community intellectual disability services, day centres, supported housing schemes, voluntary organisations and invitation letters. Information on physical disability and socio-demographic variables were obtained using a structured data collection form. Self-reported stigma was measured using a validated questionnaire., RESULTS: Age was associated with self-reported stigma, with older adults reporting more stigmatising experiences. Participants with moderate intellectual disabilities were more likely to report being treated differently such as being made fun of and being treated like children. Physical disability such as sensory, mobility and speech problems were not associated with self-reported stigma. Gender modified the relationship between severity of ID and self-reported stigma as participants who were male and had moderate ID were more likely to report stigma compared to females with moderate ID. Categorical age also modified the relationship between severity of ID and self-reported stigma as older participants who had moderate ID were more likely to report stigma compared to younger people with moderate ID., CONCLUSIONS: Older adults and those with moderate ID are potentially at higher risk of being targets of public stigma or are more likely to report stigma. Interventions to help individuals cope with stigma could be targeted to this group. DA - 2016/// PY - 2016 VL - 51 IS - 3 SP - 465 EP - 74 SN - 1433-9285 0933-7954 UR - https://dx.doi.org/10.1007/s00127-015-1133-z KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Cross-Sectional Studies KW - Disabled Persons/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Severity of Illness Index KW - Self Report KW - *Disabled Persons/px [Psychology] KW - England KW - Ethnic Groups/sn [Statistics & Numerical Data] KW - *Intellectual Disability/px [Psychology] KW - *Social Stigma KW - African Continental Ancestry Group/sn [Statistics & Numerical Data] KW - European Continental Ancestry Group/sn [Statistics & Numerical Data] KW - African Continental Ancestry Group/px [Psychology] KW - Ethnic Groups/px [Psychology] KW - European Continental Ancestry Group/px [Psychology] KW - eppi-reviewer4 ER - TY - JOUR TI - Risk assessment of wandering behavior in mild dementia AU - Ali N AU - Luther S L AU - Volicer L AU - Algase D AU - Beattie E AU - Brown L M AU - Molinari V AU - Moore H AU - Joseph I T2 - International journal of geriatric psychiatry AB - OBJECTIVE: This prospective longitudinal study aims to determine the risk factors of wandering-related adverse consequences in community-dwelling persons with mild dementia. These adverse consequences include negative outcomes of wandering (falls, fractures, and injuries) and eloping behavior., METHODS: We recruited 143 dyads of persons with mild dementia and their caregivers from a veteran's hospital and memory clinic in Florida. Wandering-related adverse consequences were measured using the Revised Algase Wandering Scale - Community Version. Variables such as personality (Big Five Inventory), behavioral response to stress, gait, and balance (Tinetti Gait and Balance), wayfinding ability (Wayfinding Effectiveness Scale), and neurocognitive abilities (attention, cognition, memory, language/verbal skills, and executive functioning) were also measured. Bivariate and logistic regression analyses were performed to assess the predictors of these wandering-related adverse consequences., RESULTS: A total of 49% of the study participants had falls, fractures, and injuries due to wandering behavior, and 43.7% demonstrated eloping behaviors. Persistent walking (OR = 2.6) and poor gait (OR = 0.9) were significant predictors of negative outcomes of wandering, while persistent walking (OR = 13.2) and passivity (OR = 2.55) predicted eloping behavior. However, there were no correlations between wandering-related adverse consequences and participants' characteristics (age, gender, race, ethnicity, and education), health status (Charlson comorbidity index), or neurocognitive abilities., CONCLUSION: Our results highlight the importance of identifying at-risk individuals so that effective interventions can be developed to reduce or prevent the adverse consequences of wandering. Copyright © 2015 John Wiley & Sons, Ltd. DA - 2016/// PY - 2016 VL - 31 IS - 4 SP - 367 EP - 74 SN - 1099-1166 0885-6230 UR - https://dx.doi.org/10.1002/gps.4336 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Independent Living KW - Logistic Models KW - United States/ep [Epidemiology] KW - Accidental Falls/sn [Statistics & Numerical Data] KW - Longitudinal Studies KW - Prospective Studies KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Psychometrics KW - Stress, Psychological/co [Complications] KW - Dementia/px [Psychology] KW - Psychiatric Status Rating Scales KW - Risk Assessment/mt [Methods] KW - Fractures, Bone/ep [Epidemiology] KW - Fractures, Bone/et [Etiology] KW - Gait/ph [Physiology] KW - *Dementia/co [Complications] KW - Wounds and Injuries/et [Etiology] KW - Wandering Behavior/px [Psychology] KW - Wounds and Injuries/ep [Epidemiology] KW - eppi-reviewer4 KW - *Wandering Behavior/sn [Statistics & Numerical Data] ER - TY - JOUR TI - An approach to the management of unintentional weight loss in elderly people AU - Alibhai Shabbir M. H AU - Greenwood Carol AU - Payette Helene T2 - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne AB - Unintentional weight loss, or the involuntary decline in total body weight over time, is common among elderly people who live at home. Weight loss in elderly people can have a deleterious effect on the ability to function and on quality of life and is associated with an increase in mortality over a 12-month period. A variety of physical, psychological and social conditions, along with age-related changes, can lead to weight loss, but there may be no identifiable cause in up to one-quarter of patients. We review the incidence and prevalence of weight loss in elderly patients, its impact on morbidity and mortality, the common causes of unintentional weight loss and a clinical approach to diagnosis. Screening tools to detect malnutrition are highlighted, and nonpharmacologic and pharmacologic strategies to minimize or reverse weight loss in older adults are discussed. DA - 2005/// PY - 2005 VL - 172 IS - 6 SP - 773 EP - 80 SN - 1488-2329 0820-3946 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=15767612 KW - Female KW - Humans KW - Male KW - Aged KW - Prevalence KW - Geriatric Assessment KW - Aging/ph [Physiology] KW - Mortality KW - Prognosis KW - Malnutrition/di [Diagnosis] KW - *Weight Loss KW - Malnutrition/co [Complications] KW - eppi-reviewer4 KW - Appetite/de [Drug Effects] KW - Appetite/ph [Physiology] KW - Weight Loss/de [Drug Effects] KW - Weight Loss/ph [Physiology] ER - TY - JOUR TI - Elder Abuse: Risk Factors of Abuse in Elderly Community-Dwelling Iranians. AU - Alizadeh-Khoei Mahtab AU - Sharifi Farshad AU - Hossain Syeda Zakia AU - Fakhrzadeh Hossein AU - Salimi Zahra T2 - Educational Gerontology AB - Elder abuse is currently recognized internationally as a common problem with serious consequences for the health and wellbeing of old people. This study sought to produce an estimate of the prevalence of, and risk factors for, elder mistreatment and types of abuse in an urban Iranian population. A cross-sectional, population-based, descriptive study was conducted on 300 elderly, aged 60+ years, utilizing two health centers in Ahvaz, a province in central Iran in 2012. The participants were interviewed in their homes to collect data on risk factors and mistreatment, elder mistreatment being defined as abuse belonging to any of the four major forms: psychological, financial, physical or neglect by an immediate family member, in-laws, or relatives. Elder mistreatment was reported by 14.7% of the participants. Physical (70.4%) and neglect (61.4%) were the most common subtypes of total mistreatments. Univariate analysis showed the most consistent associations of abuse types to be with being female (OR = 2.34,CI1.17–4.69), with education (OR = 0.36, CI 0.17–0.71), and with dependency on children for an income to live (OR = 3.18, CI 1.57–6.41). A multivariable logistic model indicated income dependency to be the only predictor of mistreatment (OR = 2.30,CI1.10–4.81). Our data shows abuse of the elderly to be prevalent. That income dependency is the most important predictor of mistreatment of Iranian elderly suggests that addressing their income status with preventive intervention by establishing a social security system in Iran that provides for the elderly would have significant social welfare benefits. DA - 2014/07// PY - 2014 DO - 10.1080/03601277.2013.857995 VL - 40 IS - 7 SP - 543 EP - 554 SN - 0360-1277 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104039555&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Prevalence KW - Sex Factors KW - Odds Ratio KW - Educational Status KW - Income KW - Iran KW - Family Relations KW - Confidence Intervals KW - Dependency (Psychology) KW - eppi-reviewer4 KW - Human KW - Interviews KW - Descriptive Statistics KW - Multiple Logistic Regression KW - Cross Sectional Studies KW - Elder Abuse -- Risk Factors KW - Predictive Validity KW - Assault and Battery KW - Community Living -- In Old Age -- Iran KW - Descriptive Research -- Iran KW - Economic and Social Security -- In Old Age KW - Fraud KW - Univariate Statistics KW - Urban Population -- Iran KW - Verbal Abuse KW - Vulnerability -- Classification ER - TY - JOUR TI - Factors associated with carotid Intima media thickness and carotid plaque score in community-dwelling and non-diabetic individuals. AU - Alizargar Javad AU - Bai Chyi-Huey T2 - BMC cardiovascular disorders AB - BACKGROUND: The carotid intima media thickness (cIMT) and carotid plaque score (cPS) are respective markers of early and late stage subclinical atherosclerosis. Relationships between some laboratory parameters and subclinical atherosclerosis are not yet clear in community dwelling individuals and non-diabetic subjects, so we try to elucidate these relationships and find a model to predict early and late stage subclinical atherosclerosis., METHODS: We examined relationships of the cIMT and cPS with different laboratory and demographic data of 331 subjects from a community-based prospective cohort study, using univariate and multivariate analyses., RESULTS: In regression models and after multiple adjustments, only systolic blood pressure (SBP), age, glycated hemoglobin (HBA1c), and waist circumference (WC) were determinants of the cIMT, and only age, SBP, HBA1c, and blood urea nitrogen (BUN) were determinants of a cPS of > 2 in all individuals. Only HBA1c lost its association with regard to predicting the cIMT in non-diabetic subjects., CONCLUSIONS: HBA1c at > 5.9% can determine early and late stage subclinical atherosclerosis in community dwelling individuals, but only late stage subclinical atherosclerosis in non-diabetic subjects. DA - 2018/// PY - 2018 DO - 10.1186/s12872-018-0752-1 VL - 18 IS - 1 SP - 21 SN - 1471-2261 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29409453 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Risk Assessment KW - Logistic Models KW - *Independent Living KW - Age Factors KW - Prospective Studies KW - Odds Ratio KW - China/ep [Epidemiology] KW - Linear Models KW - Biomarkers/bl [Blood] KW - Diabetes Mellitus/ep [Epidemiology] KW - Multivariate Analysis KW - Predictive Value of Tests KW - Hypertension/ep [Epidemiology] KW - Diabetes Mellitus/bl [Blood] KW - Blood Pressure KW - Hypertension/pp [Physiopathology] KW - Obesity/ep [Epidemiology] KW - Waist Circumference KW - Obesity/pp [Physiopathology] KW - *Carotid Arteries/dg [Diagnostic Imaging] KW - *Carotid Artery Diseases/dg [Diagnostic Imaging] KW - *Carotid Intima-Media Thickness KW - *Plaque, Atherosclerotic KW - Blood Urea Nitrogen KW - Carotid Arteries/pa [Pathology] KW - Carotid Artery Diseases/ep [Epidemiology] KW - Carotid Artery Diseases/pa [Pathology] KW - Glycated Hemoglobin A/an [Analysis] KW - eppi-reviewer4 ER - TY - JOUR TI - Prevalence of undetected cognitive impairment and depression in residents of an elderly care home AU - Al-Jawad M AU - Rashid A K AU - Narayan K A T2 - The Medical journal of Malaysia AB - The elderly population in Malaysia is growing rapidly. Some of the most vulnerable are in residential care. Research is needed into the characteristics of this population to aid clinicians and policy makers in addressing the needs of this group. This observational, cross-sectional study aims to determine prevalence of undetected cognitive impairment and depression in elderly care home residents in Malaysia. One hundred and sixty-seven people over 60 years of age living in a state run residential home were interviewed. Validated assessment tools were used to measure dependency, cognitive impairment and depression. The prevalence of probable dementia is 36.5%, with increasing prevalence with age and level of dependence. Prevalence of depression is 67.0% (major depression 13.2%), with more depression in males and in the Indian population. None of the identified cases had been previously investigated or treated for dementia or depression. DA - 2007/// PY - 2007 VL - 62 IS - 5 SP - 375 EP - 9 SN - 0300-5283 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=18705469 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - Cross-Sectional Studies KW - *Homes for the Aged KW - Malaysia/ep [Epidemiology] KW - *Depression/ep [Epidemiology] KW - *Cognition Disorders/ep [Epidemiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Housing environment and women's health in a Palestinian refugee camp AU - Al-Khatib Issam A AU - Arafat Rania N AU - Musmar Mohamed T2 - International journal of environmental health research AB - This study was carried out during January and February 2002 in Al-Ein Refugee Camp in Nablus city in Palestine. Interviews were held with 150 women of different age groups and different marital status. The results show a positive relationship between women's physical and mental health and housing conditions. There is a statistically significant relationship between the family size represented by the number of children in the household, the number of children that sleep in one room, and the number of children that sleep in one bed, the house size, and number of rooms and women's feeling of privacy (mental health and well-being). Most of the houses in the camp are unhealthy and overcrowded. The family income is very low and there is a general poor health status of women in the camp. Most of the women do not know the conditions of a healthy house. The study shows the importance of housing reforms on the health of the family in general and women's health in particular, mainly in refugee camps. DA - 2005/// PY - 2005 VL - 15 IS - 3 SP - 181 EP - 91 SN - 0960-3123 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16134481 KW - Adult KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Surveys KW - *Housing KW - Mental Health KW - *Population Density KW - Family Relations KW - *Women's Health KW - eppi-reviewer4 KW - *Refugees KW - Arabs ER - TY - JOUR TI - Privacy in Aged Care Monitoring Devices (ACMD): The Developers' Perspective. AU - Alkhatib Sami AU - Waycott Jenny AU - Buchanan George T2 - Studies in health technology and informatics AB - "Aging in place" refers to older adults remaining in their home as they age to maintain their independence and attachment with their community. The preference to "age in place" has led to increasing use of aged care monitoring devices to monitor the health, safety and wellbeing of older adults while living alone in their home. However, these devices raise privacy concerns as they are designed to collect, use and share sensitive data from the older adults' private life in order to provide its real-time monitoring capabilities. This study involved interviewing developers from companies that design or deploy aged care monitoring devices about how they view privacy. The study found that developers mostly link privacy to unauthorized/uncontrolled access to users' data, data security risks and human errors. We advocate aged care monitoring devices companies to expand their view of privacy and to adopt a sociotechnical approach when addressing privacy in their developed devices. This involves considering human issues when addressing privacy, rather than focusing exclusively on technical solutions for privacy problems. DA - 2019/// PY - 2019 DO - 10.3233/SHTI190765 VL - 266 SP - 7 EP - 12 SN - 0926-9630 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=31397294 KW - Humans KW - Aged KW - Independent Living KW - Monitoring, Physiologic KW - *Privacy KW - eppi-reviewer4 KW - *Computer Security ER - TY - JOUR TI - Evaluation of adherence by elderly nursing home patients to regular consumption of apple compote enriched with protein and soluble fiber AU - Allaert F A AU - Guerin-Deremaux L AU - Mauray-Soulier A AU - Saniez-Degrave M H T2 - Aging clinical and experimental research AB - BACKGROUND: An increase in daily doses of protein and fiber for the elderly is relevant in preventing sarcopenia and preserving intestinal balance. However, such intake of supplements is often compromised by the lack of adherence among the elderly., OBJECTIVES: The main objective was to evaluate the perception of the hedonic qualities of compote enriched with NUTRALYS() pea protein, NUTRALYS()W hydrolyzed wheat gluten and NUTRIOSE() soluble fiber and the changes in that perception due to repeated consumption. The secondary objectives were to evaluate the evolution in the quantity of compote eaten, satisfaction with consumption and any changes in fatigue, digestive comfort and digestive tolerance when eating compote every other day for 3 weeks., METHOD: An observational study was conducted in nursing homes on volunteers aged 70-90 years. The compote was proposed as a lunchtime dessert every two days for a period of three consecutive weeks. All criteria were evaluated at days D0 and/or D1, D7, D15 and D21, except for the amount of compote eaten, evaluated after each meal at which it was served., RESULTS: When first tasted, the compote was judged 'rather pleasant' to 'very pleasant' by 91.6 % and this rating held up at 79.2 % (p = 0.1797) after 1 week, 83.3 % (p = 0.3173) after 2 weeks and 79.2 % (p = 0.2568) after 3 weeks. Average consumption of compote was stable and varied between a maximum of 79.5 % of the total quantity at inclusion to a minimum of 61.5 % recorded on D17. The other parameters did not change significantly., CONCLUSION: Pea protein, hydrolyzed wheat gluten and soluble fiber seem to provide an appropriate form of protein and fiber supplementation in the diets of elderly people in nursing homes. DA - 2016/// PY - 2016 VL - 28 IS - 2 SP - 189 EP - 95 SN - 1720-8319 1594-0667 UR - https://dx.doi.org/10.1007/s40520-015-0415-3 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Sarcopenia KW - Dietary Supplements KW - France KW - *Eating/px [Psychology] KW - *Patient Compliance/sn [Statistics & Numerical Data] KW - *Dextrins/ad [Administration & Dosage] KW - *Dietary Fiber/ad [Administration & Dosage] KW - Malus KW - Plant Proteins, Dietary/ad [Administration & Dosage] KW - Portion Size KW - Sarcopenia/dh [Diet Therapy] KW - Sarcopenia/pc [Prevention & Control] KW - eppi-reviewer4 ER - TY - JOUR TI - Mild cognitive impairment and objective instrumental everyday functioning: the everyday cognition battery memory test AU - Allaire Jason C AU - Gamaldo Alyssa AU - Ayotte Brian J AU - Sims Regina AU - Whitfield Keith T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To examine the performance subjects with and without mild cognitive impairment (MCI) on an objective measure of everyday or real-world memory and subjective items assessing competency within the same instrumental domains; to determine whether the Everyday Cognition Battery (ECB) can uniquely predict MCI status., DESIGN: Cross-sectional., SETTING: Independent-living sample of urban dwelling elders in Baltimore Maryland., PARTICIPANTS: The sample consisted of 555 subjects ranging in age from 50 to 95 (mean 68.8 +/- 9.6)., MEASUREMENTS: Objective performance in three instrumental domains (medication use, financial management, nutrition and food preparation) was assessed using the ECB Memory Test. Subjective performance within the same instrumental domains was also assessed., RESULTS: No difference was found between elderly subjects with and without MCI on the subjective items of instrumental activity of daily living (IADL) competency. A significant multivariate effect for cognitive status group (F(3, 507)=21.88, P<.05, eta(2)=.12) was observed for the objective measure, with participants with MCI performing, on average, significantly worse than those without on all thee instrumental domain subscales. The medicine use (odds ratio (OR)=0.96, 95% confidence interval (CI)=0.94-0.99) and financial management (OR=0.93, 95% CI=0.91-0.96) subscales of the ECB Memory Test were unique and significant predictors of MCI., CONCLUSION: This study adds to the growing body of literature suggesting that cognitively complex IADLs might be compromised in elderly people with MCI. Moreover, the ECB Memory Test might be a clinically useful tool in evaluating real-world competency. DA - 2009/// PY - 2009 VL - 57 IS - 1 SP - 120 EP - 5 SN - 1532-5415 0002-8614 UR - https://dx.doi.org/10.1111/j.1532-5415.2008.02054.x KW - Humans KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Activities of Daily Living KW - Cross-Sectional Studies KW - African Americans KW - Psychiatric Status Rating Scales KW - *Geriatric Assessment KW - *Disability Evaluation KW - Urban Population KW - Baltimore KW - *Cognition Disorders/di [Diagnosis] KW - eppi-reviewer4 ER - TY - JOUR TI - The role of postural instability/gait difficulty and fear of falling in predicting falls in non-demented older adults. AU - Allali Gilles AU - Ayers Emmeline I AU - Holtzer Roee AU - Verghese Joe T2 - Archives of Gerontology & Geriatrics AB - Introduction Postural instability/gait difficulty (PIGD) and fear of falling (FoF) frequently co-exist, but their individual predictive values for falls have not been compared in aging. This study aims to determine both independent and combined effect of PIGD and FoF to falls in older adults without dementia. Methods PIGD and other extrapyramidal signs were systematically assessed in 449 community-dwelling participants without Parkinson’s disease (76.48 ± 6.61 ys; 56.8% female) enrolled in this longitudinal cohort study. Presence of FoF was measured by a single-item question (Do you have a FoF?) and self-confidence by the Activities-specific Balance Confidence scale (ABC scale). Results One hundred sixty-nine participants (38%) had an incident fall over a mean follow-up of 20.1 ± 12.2 months. PIGD was present in 32% and FoF in 23% of the participants. Both PIGD (adjusted hazard ratio (aHR): 2.28; p = 0.016) and self-confidence (aHR: 0.99; p = 0.040) predicted falls when entered simultaneously in the Cox model. However, presence of FoF (aHR: 1.99; p = 0.021) and self-confidence (aHR: 0.98; p = 0.006) predicted falls only in individuals with PIGD. Conclusions PIGD and FoF were associated with future falls in older adults without dementia but FoF was a fall’s predictor only in individuals with PIGD. DA - 2017/03// PY - 2017 DO - 10.1016/j.archger.2016.09.008 VL - 69 SP - 15 EP - 20 SN - 0167-4943 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120404083&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Prospective Studies KW - Dementia KW - Fear KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Questionnaires KW - Descriptive Statistics KW - Community Living KW - Scales KW - Accidental Falls -- Prevention and Control KW - Balance, Postural -- Evaluation KW - Confidence KW - Gait Disorders, Neurologic -- Physiopathology ER - TY - JOUR TI - DriveSafe and DriveAware Assessment Tools Are a Measure of Driving-Related Function and Predicts Self-Reported Restriction for Older Drivers AU - Allan Claire AU - Coxon Kristy AU - Bundy Anita AU - Peattie Laura AU - Keay Lisa T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - Safety concerns together with aging of the driving population has prompted research into clinic-based driving assessments. This study investigates the relationship between the DriveSafe and DriveAware assessments and restriction of driving. Community-dwelling adults aged more than 75 (n = 380) were recruited in New South Wales, Australia. Questionnaires were administered to assess driving habits and functional assessments to assess driving-related function. Self-reported restriction was prevalent in this cross-sectional sample (62%) and was related to DriveSafe scores and personal circumstances but not DriveAware scores. DriveSafe scores were correlated with better performance on the Trail-Making Test (TMT; beta = -2.94, p < .0001) and better contrast sensitivity (beta = 48.70, p < .0001). Awareness was associated with better performance on the TMT (beta = 0.08, p < .0001). Our data suggest that DriveSafe and DriveAware are sensitive to deficits in vision and cognition, and drivers with worse DriveSafe scores self-report restricting their driving. Copyright © The Author(s) 2015. DA - 2016/// PY - 2016 VL - 35 IS - 6 SP - 583 EP - 600 SN - 1552-4523 0733-4648 UR - https://dx.doi.org/10.1177/0733464815570666 KW - Female KW - Humans KW - Male KW - Aged KW - Australia KW - Task Performance and Analysis KW - Independent Living KW - *Geriatric Assessment/mt [Methods] KW - Cross-Sectional Studies KW - Cognition KW - *Aging KW - Aging/ph [Physiology] KW - *Automobile Driving KW - Self Report KW - Aging/px [Psychology] KW - Safety KW - *Cognition Disorders/di [Diagnosis] KW - Habits KW - *Vision Disorders/di [Diagnosis] KW - eppi-reviewer4 ER - TY - JOUR TI - The recording of drug sensitivities for older people living in care homes AU - Alldred David P AU - Standage Claire AU - Zermansky Arnold G AU - Barber Nicholas D AU - Raynor D K AU - Petty Duncan R T2 - British journal of clinical pharmacology AB - AIMS: The aims of this study were to determine the recording of drug sensitivities of elderly care home residents, to describe the nature of sensitivities and to identify and describe discrepancies in the documentation of drug sensitivity status in general practices, pharmacies and care homes., METHODS: A random sample of residents within a purposive sample of care homes (nursing and residential) was selected. A clinical pharmacist inspected the GP medical record, the medicines administration record, and the care home record for each resident to identify drug sensitivities and discrepancies between records and to describe the nature of the recorded sensitivities., RESULTS: The records of 121 residents in 31 care homes were studied. Thirty-one (26%) residents had at least one documented drug sensitivity in one of the sources inspected, with 48 sensitivities in total recorded. There was no description of the nature of the sensitivities recorded in 39/48 (81%) cases. The number of sensitivities recorded on the medicines administration record, care home record and the GP record were 3 (6%), 29 (60%) and 35 (73%), respectively. Only two sensitivities were simultaneously recorded on all three records., CONCLUSIONS: It was of concern that over 90% of drug sensitivities were not recorded on the medicines administration record which is the final checking document when administering medication. The reason for this was that the dispensing pharmacy was responsible for generating the medicines administration record; however, drug sensitivity status is seldom shared between the GP and the dispensing pharmacy. Printing sensitivities on prescriptions would help to resolve this. DA - 2010/// PY - 2010 VL - 69 IS - 5 SP - 553 EP - 7 SN - 1365-2125 0306-5251 UR - https://dx.doi.org/10.1111/j.1365-2125.2010.03631.x KW - Humans KW - Aged KW - *Homes for the Aged KW - *Nursing Homes KW - *Prescription Drugs/tu [Therapeutic Use] KW - eppi-reviewer4 KW - *Adverse Drug Reaction Reporting Systems/st [Standards] KW - *Drug Hypersensitivity/et [Etiology] KW - Adverse Drug Reaction Reporting Systems/td [Trends] KW - Medical Records/st [Standards] KW - Pharmacies/st [Standards] ER - TY - JOUR TI - The influence of formulation and medicine delivery system on medication administration errors in care homes for older people AU - Alldred David Phillip AU - Standage Claire AU - Fletcher Olivia AU - Savage Imogen AU - Carpenter James AU - Barber Nick AU - Raynor David Kenneth T2 - BMJ quality & safety AB - INTRODUCTION: Older people in care homes are at increased risk of medication errors and adverse drug events. The effect of formulation on administration errors is not known, that is whether the medicine is a tablet or capsule, liquid or device such as an inhaler. Also, the impact on administration errors of monitored dosage systems (MDS), commonly used in UK care homes to dispense tablets and capsules, is not known. This study investigated the influence of formulation and MDS on administration errors., METHODS: Administration errors were identified by pharmacists (using validated definitions) observing two drug rounds of residents randomly selected from a purposive sample of UK nursing and residential homes. Errors were classified and analysed by formulation and medicine delivery system., RESULTS: The odds of administration errors by formulation, when compared with tablets and capsules in MDS, were: liquids 4.31 (95% CI 2.02 to 9.21; p = 0.0002); topicals/transdermals/injections 19.61 (95% CI 6.90 to 55.73; p < 0.0001); inhalers 33.58 (95% CI 12.51 to 90.19; p < 0.0001). The odds of administration errors for tablets and capsules not in MDS were double those that were dispensed in MDS (adjusted OR 2.14, 95% CI 1.02 to 4.51; p = 0.04)., CONCLUSIONS: Inhalers and liquid medicines were associated with significantly increased odds of administration errors. Training of staff in safe administration of these formulations needs implementing. Although there was some evidence that MDS reduced the odds of an administration error, the use of MDS impacts on other aspects of medicines management. Because of this, and as the primary topic of our study was not MDS, a prospective trial specifically designed to evaluate the overall impact of MDS on medicine management in care homes is needed. DA - 2011/// PY - 2011 VL - 20 IS - 5 SP - 397 EP - 401 SN - 2044-5423 2044-5415 UR - https://dx.doi.org/10.1136/bmjqs.2010.046318 KW - Humans KW - Aged KW - Aged, 80 and over KW - United Kingdom KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Medication Errors/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - *Dosage Forms KW - *Drug Delivery Systems KW - Capsules/ae [Adverse Effects] KW - Tablets/ae [Adverse Effects] ER - TY - JOUR TI - Interventions to optimise prescribing for older people in care homes. AU - Alldred David P AU - Raynor David K AU - Hughes Carmel AU - Barber Nick AU - Chen Timothy F AU - Spoor Pat T2 - The Cochrane database of systematic reviews AB - BACKGROUND: There is a substantial body of evidence that prescribing for care home residents is suboptimal and requires improvement. Consequently, there is a need to identify effective interventions to optimise prescribing and resident outcomes in this context., OBJECTIVES: The objective of the review was to determine the effect of interventions to optimise prescribing for older people living in care homes., SEARCH METHODS: We searched the Cochrane Effective Practice and Organisation of Care (EPOC) Group Specialised Register; Cochrane Central Register of Controlled Trials (CENTRAL), The Cochrane Library (Issue 11, 2012); Cochrane Database of Systematic Reviews, The Cochrane Library (Issue 11, 2012); MEDLINE OvidSP (1980 on); EMBASE, OvidSP (1980 on); Ageline, EBSCO (1966 on); CINAHL, EBSCO (1980 on); International Pharmaceutical Abstracts, OvidSP (1980 on); PsycINFO, OvidSP (1980 on); conference proceedings in Web of Science, Conference Proceedings Citation Index - SSH & Science, ISI Web of Knowledge (1990 on); grey literature sources and trial registries; and contacted authors of relevant studies. We also reviewed the references lists of included studies and related reviews (search period November 2012)., SELECTION CRITERIA: We included randomised controlled trials evaluating interventions aimed at optimising prescribing for older people (aged 65 years or older) living in institutionalised care facilities. Studies were included if they measured one or more of the following primary outcomes, adverse drug events; hospital admissions;mortality; or secondary outcomes, quality of life (using validated instrument); medication-related problems; medication appropriateness (using validated instrument); medicine costs., DATA COLLECTION AND ANALYSIS: Two authors independently screened titles and abstracts, assessed studies for eligibility, assessed risk of bias and extracted data. A narrative summary of results was presented., MAIN RESULTS: The eight included studies involved 7653 residents in 262 (range 1 to 85) care homes in six countries. Six studies were cluster-randomised controlled trials and two studies were patient-randomised controlled trials. The interventions evaluated were diverse and often multifaceted. Medication review was a component of seven studies, three studies involved multidisciplinary case-conferencing, two studies involved an educational element for care home staff and one study evaluated the use of clinical decision support technology. Due to heterogeneity, results were not combined in a meta-analysis. There was no evidence of an effect of the interventions on any of the primary outcomes of the review (adverse drug events, hospital admissions and mortality). No studies measured quality of life. There was evidence that the interventions led to the identification and resolution of medication-related problems. There was evidence from two studies that medication appropriateness was improved. The evidence for an effect on medicine costs was equivocal., AUTHORS' CONCLUSIONS: Robust conclusions could not be drawn from the evidence due to variability in design, interventions, outcomes and results. The interventions implemented in the studies in this review led to the identification and resolution of medication-related problems, however evidence of an effect on resident-related outcomes was not found. There is a need for high-quality cluster-randomised controlled trials testing clinical decision support systems and multidisciplinary interventions that measure well-defined, important resident-related outcomes. DA - 2013/// PY - 2013 DO - 10.1002/14651858.CD009095.pub2 IS - 2 SP - CD009095 SN - 1361-6137 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=23450597 KW - Humans KW - Randomized Controlled Trials as Topic KW - Aged KW - *Homes for the Aged KW - *Nursing Homes KW - *Quality Improvement/st [Standards] KW - Medication Reconciliation KW - *Drug Prescriptions/st [Standards] KW - *Inappropriate Prescribing/pc [Prevention & Control] KW - eppi-reviewer4 ER - TY - JOUR TI - Interventions to optimise prescribing for older people in care homes. AU - Alldred David P AU - Kennedy Mary-Claire AU - Hughes Carmel AU - Chen Timothy F AU - Miller Paul T2 - The Cochrane database of systematic reviews AB - BACKGROUND: There is a substantial body of evidence that prescribing for care home residents is suboptimal and requires improvement. Consequently, there is a need to identify effective interventions to optimise prescribing and resident outcomes in this context. This is an update of a previously published review (Alldred 2013)., OBJECTIVES: The objective of the review was to determine the effect of interventions to optimise overall prescribing for older people living in care homes., SEARCH METHODS: For this update, we searched the Cochrane Central Register of Controlled Trials (CENTRAL) (including the Cochrane Effective Practice and Organisation of Care (EPOC) Specialised Register), MEDLINE, EMBASE and CINAHL to May 2015. We also searched clinical trial registries for relevant studies., SELECTION CRITERIA: We included randomised controlled trials evaluating interventions aimed at optimising prescribing for older people (aged 65 years or older) living in institutionalised care facilities. Studies were included if they measured one or more of the following primary outcomes: adverse drug events; hospital admissions; mortality; or secondary outcomes, quality of life (using validated instrument); medication-related problems; medication appropriateness (using validated instrument); medicine costs., DATA COLLECTION AND ANALYSIS: Two authors independently screened titles and abstracts, assessed studies for eligibility, assessed risk of bias and extracted data. We presented a narrative summary of results., MAIN RESULTS: The 12 included studies involved 10,953 residents in 355 (range 1 to 85) care homes in ten countries. Nine studies were cluster-randomised controlled trials and three studies were patient-randomised controlled trials. The interventions evaluated were diverse and often multifaceted. Medication review was a component of ten studies. Four studies involved multidisciplinary case-conferencing, five studies involved an educational element for health and care professionals and one study evaluated the use of clinical decision support technology. We did not combine the results in a meta-analysis due to heterogeneity across studies. Interventions to optimise prescribing may lead to fewer days in hospital (one study out of eight; low certainty evidence), a slower decline in health-related quality of life (one study out of two; low certainty evidence), the identification and resolution of medication-related problems (seven studies; low certainty evidence), and may lead to improved medication appropriateness (five studies out of five studies; low certainty evidence). We are uncertain whether the intervention improves/reduces medicine costs (five studies; very low certainty evidence) and it may make little or no difference on adverse drug events (two studies; low certainty evidence) or mortality (six studies; low certainty evidence). The risk of bias across studies was heterogeneous., AUTHORS' CONCLUSIONS: We could not draw robust conclusions from the evidence due to variability in design, interventions, outcomes and results. The interventions implemented in the studies in this review led to the identification and resolution of medication-related problems and improvements in medication appropriateness, however evidence of a consistent effect on resident-related outcomes was not found. There is a need for high-quality cluster-randomised controlled trials testing clinical decision support systems and multidisciplinary interventions that measure well-defined, important resident-related outcomes. DA - 2016/// PY - 2016 DO - 10.1002/14651858.CD009095.pub3 VL - 2 SP - CD009095 SN - 1361-6137 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=26866421 KW - Humans KW - Randomized Controlled Trials as Topic KW - Aged KW - *Homes for the Aged KW - *Nursing Homes KW - *Quality Improvement/st [Standards] KW - Medication Reconciliation KW - *Drug Prescriptions/st [Standards] KW - *Inappropriate Prescribing/pc [Prevention & Control] KW - eppi-reviewer4 ER - TY - JOUR TI - Drug prescription appropriateness in the elderly: an Italian study AU - Allegri Nicola AU - Rossi Federica AU - Del Signore AU - Federica AU - Bertazzoni Paolo AU - Bellazzi Roberto AU - Sandrini Giorgio AU - Vecchi Tomaso AU - Liccione Davide AU - Pascale Alessia AU - Govoni Stefano T2 - Clinical interventions in aging AB - PURPOSE: Correct drug prescription in the elderly is a difficult task that requires careful survey of the current pharmacological therapies. In this article, we reviewed the drug prescriptions provided to 860 persons aged 65 years or over, residing in a small city of Lombardy, Italy., METHODS: Subjects were recruited from a local nursing home, the Pavia and Vigevano Neuropsychological Center for Alzheimer's Disease, general practitioners' offices, and the local University of the Third Age. For each patient, the amount of potentially inappropriate prescriptions (PIPs), sedative and anticholinergic load (SL and AL, respectively), and drug-drug interactions were evaluated., RESULTS: Widespread polypharmacy, giving rise to 10.06% of PIPs in the whole collection of prescriptions, was observed. In particular, PIPs mainly concern drugs acting at the central nervous system level, mostly benzodiazepines and antipsychotics. Moreover, approximately one-fourth of the subjects had an elevated SL and approximately one-tenth a high AL. Drug-drug interactions were frequent (266 requiring medical attention), up to five for each single patient. Of concern was the underuse of antidementia drugs: only 20 patients received a cholinesterase inhibitor or memantine, although 183 patients were potentially suitable for this treatment., CONCLUSION: These results demonstrate the need to develop novel strategies aimed at improving the quality of drug prescription. DA - 2017/// PY - 2017 VL - 12 SP - 325 EP - 333 SN - 1178-1998 1176-9092 UR - https://dx.doi.org/10.2147/CIA.S109125 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Nursing Homes KW - *Polypharmacy KW - Italy KW - Homes for the Aged KW - *Inappropriate Prescribing/sn [Statistics & Numerical Data] KW - Drug Interactions KW - eppi-reviewer4 KW - Central Nervous System Agents/ad [Administration & Dosage] ER - TY - JOUR TI - A refuge for rough sleepers. AU - Allen D T2 - Nursing Older People AB - Homelessness is a difficult, dispiritng, even dangerous experience, particularly for older people. But could nurses do more to help? Daniel Allen reports. DA - 2002/02// PY - 2002 VL - 13 IS - 10 SP - 10 EP - 13 SN - 1472-0795 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106918392&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - United Kingdom KW - Health Services Needs and Demand KW - Housing KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Middle Age KW - Life Experiences KW - Alcoholism KW - Homeless Persons -- In Old Age -- United Kingdom ER - TY - JOUR TI - Prescription and dosage of analgesic medication in relation to resident behaviors in the nursing home. AU - Allen Rebecca S AU - Thorn Beverly E AU - Fisher Susan E AU - Gerstle John AU - Quarles Karen AU - Bourgeois Michelle S AU - Dijkstra Katinka AU - Burgio Louis D T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To examine correlates of analgesic medication prescription and administration in communicative, cognitively impaired nursing home residents. Residents' behaviors were assessed using computer-assisted real-time observations as potential adjunctive indicators of pain., DESIGN: Cross-sectional study over a 4-week period., SETTING: Five nursing homes in the greater Birmingham, Alabama, area., PARTICIPANTS: Ninety-two residents (mean age +/- standard deviation = 83.86 +/- 8.55) with a mean Mini-Mental State Examination (MMSE) score of 13.81 +/- 6.34., MEASUREMENTS: Data were obtained via chart review, resident assessments, questionnaire completion by certified nursing assistants familiar with residents' care, and direct observation of residents' daily behaviors., RESULTS: Receipt of analgesic medication was related to self-report of pain (F2,89 = 9.89, P =.0001), MMSE (F2,88 = 3.98, P =.022), and time spent inactive (F2,89 = 3.04, P =.053). Residents who received analgesic medication reported greater intensity of pain than other residents. Residents who received analgesics had higher MMSE scores than those who did not receive analgesics. Residents who received analgesics spent less time being inactive than those not prescribed analgesics. Receipt of higher dosage of opioid analgesic medication was associated with more time spent with others in verbal interaction (r =.22, P =.03)., CONCLUSION: This study refines the methodology of measuring analgesic medication dosage and its effect on resident behavior. Analgesic prescription and administration patterns are related to time residents spend being inactive. Results suggest that opioid analgesics may hold particular promise in alleviating pain, as indicated by resident behaviors. DA - 2003/// PY - 2003 VL - 51 IS - 4 SP - 534 EP - 8 SN - 0002-8614 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=12657075 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - *Communication KW - Cognition Disorders KW - Analgesics, Opioid/tu [Therapeutic Use] KW - Computers KW - Alabama KW - Anti-Inflammatory Agents, Non-Steroidal/tu [Therapeutic Use] KW - Pain/dt [Drug Therapy] KW - eppi-reviewer4 KW - *Analgesics, Opioid/pd [Pharmacology] KW - *Anti-Inflammatory Agents, Non-Steroidal/pd [Pharmacology] KW - *Behavior/de [Drug Effects] ER - TY - JOUR TI - Advance care planning in nursing homes: correlates of capacity and possession of advance directives. AU - Allen Rebecca S AU - DeLaine Shermetra R AU - Chaplin William F AU - Marson Daniel C AU - Bourgeois Michelle S AU - Dijkstra Katinka AU - Burgio Louis D T2 - The Gerontologist AB - PURPOSE: The identification of nursing home residents who can continue to participate in advance care planning about end-of-life care is a critical clinical and bioethical issue. This study uses high quality observational research to identify correlates of advance care planning in nursing homes, including objective measurement of capacity., DESIGN AND METHODS: The authors used cross-sectional, cohort study between 1997 and 1999. Seventy-eight residents (M age = 83.97, SD = 8.2) and their proxies (M age = 59.23, SD = 11.77) were included across five nursing homes. The authors obtained data via chart review, proxy interviews, resident assessments, survey completion by certified nursing assistants, and direct observation of residents' daily behaviors., RESULTS: Capacity assessments revealed that most residents could state a simple treatment preference (82.4%), but a sizable number did not retain capacity to understand treatment alternatives or appreciate the consequences of their choice. Global cognitive ability (Mini-Mental State Examination score) was related to understanding and appreciation. When the authors removed the effects of global cognitive ability, understanding and appreciation were related to time spent by residents in verbal interaction with others. Residents were more likely to possess advance directives when proxies possessed advance directives, proxies were less religious, and residents were socially engaged., IMPLICATIONS: Assessment of proxy beliefs and direct determination of residents' decisional capacity and social engagement may help nursing home staff identify families who may participate in advance planning for end-of-life medical care. Measures of global cognitive ability offer limited information about resident capacity for decision making. Decisional capacity assessments should enhance the verbal ability of individuals with dementia by reducing reliance on memory in the assessment process. Interventions to engage residents and families in structured discussions for end-of-life planning are needed. DA - 2003/// PY - 2003 VL - 43 IS - 3 SP - 309 EP - 17 SN - 0016-9013 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc2&NEWS=N&AN=12810894 KW - Female KW - Humans KW - Male KW - United States KW - Health Knowledge, Attitudes, Practice KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Reproducibility of Results KW - Cohort Studies KW - Cross-Sectional Studies KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Advance Care Planning/sn [Statistics & Numerical Data] KW - *Advance Directives/sn [Statistics & Numerical Data] KW - Proxy/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Religion KW - Informed Consent/st [Standards] KW - Mental Competency/st [Standards] ER - TY - JOUR TI - Respect the past--plan for the future AU - Allen Daniel T2 - Nursing older people DA - 2003/// PY - 2003 VL - 15 IS - 1 SP - 10 EP - 3 SN - 1472-0795 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=12673996 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - United Kingdom KW - Quality of Health Care KW - Geriatric Assessment KW - *Nursing Homes/og [Organization & Administration] KW - Forecasting KW - Homes for the Aged/og [Organization & Administration] KW - Geriatric Nursing/st [Standards] KW - Prejudice KW - eppi-reviewer4 KW - *Attitude to Health/eh [Ethnology] KW - *Geriatric Nursing/td [Trends] KW - *Jews/px [Psychology] KW - *Patient Care Planning/td [Trends] KW - Holocaust/eh [Ethnology] KW - Patient Care Planning/st [Standards] ER - TY - JOUR TI - Behavioral characteristics of agitated nursing home residents with dementia at the end of life. AU - Allen Rebecca S AU - Burgio Louis D AU - Fisher Susan E AU - Michael Hardin AU - J AU - Shuster John L Jr T2 - The Gerontologist AB - PURPOSE: The purpose of this study was to examine group differences in verbal agitation, verbal interaction, bed restraint, pain, analgesic and neuroleptic medication use, and medical comorbidity among agitated nursing home residents who died during a 6-month clinical trial compared with residents of the same gender and similar initial cognitive status who did not die during the trial., DESIGN AND METHODS: We conducted a two-group secondary data analysis of prospective observational data from 10 nursing homes in Birmingham, Alabama. By means of chart review, resident assessments, surveys of certified nursing assistants, and direct observation of residents' daily behaviors and environment, 32 residents (87.34 +/- 7.29 years) with a Mini-Mental State Examination (MMSE) score = 4.31 (+/-5.54) who died were compared with 32 residents (84 +/- 6.96 years) with a mean MMSE score = 4.28 (+/-5.49) who did not die during the clinical trial., RESULTS: Residents who died displayed more verbal agitation, less time in verbal interaction with staff, and almost twice as much time restrained in bed during observation time in comparison with residents who did not die during the clinical trial. However, groups did not differ significantly in severity of comorbid illness, functional status, number of painful diagnoses, certified nursing assistants' reports of residents' pain, or opioid or nonopioid analgesic prescription or dosage. Surviving residents were more likely to receive neuroleptic medication than residents who died., IMPLICATIONS: Results suggest that agitated nursing home residents may exhibit a heightened level of verbal agitation, decreased verbal interaction with staff, and increased bed restraint up to 3 months prior to death. Prospective observational studies are needed to identify markers for imminent mortality among nursing home residents. DA - 2005/// PY - 2005 VL - 45 IS - 5 SP - 661 EP - 6 SN - 0016-9013 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc2&NEWS=N&AN=16199401 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - *Terminal Care KW - Comorbidity KW - *Dementia/ep [Epidemiology] KW - *Activities of Daily Living/px [Psychology] KW - Antipsychotic Agents/tu [Therapeutic Use] KW - Analgesics/tu [Therapeutic Use] KW - Psychomotor Agitation/px [Psychology] KW - Alabama KW - *Psychomotor Agitation/dt [Drug Therapy] KW - *Psychomotor Agitation/ep [Epidemiology] KW - Pain/pc [Prevention & Control] KW - eppi-reviewer4 KW - *Behavior KW - Restraint, Physical KW - Verbal Behavior ER - TY - JOUR TI - End-of-life decision-making, decisional conflict, and enhanced information: race effects AU - Allen Rebecca S AU - Allen Jessica Y AU - Hilgeman Michelle M AU - DeCoster Jamie T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To examine the effect of enhanced information regarding the risks, benefits, and life-sustaining treatment alternatives on hypothetical medical decisions and decisional conflict in older, community-dwelling Caucasian and African-American adults., DESIGN: Two-group (enhanced information; no information) between-subjects design., SETTING: Community-based dwellings, two assisted living facilities, and one senior citizen center., PARTICIPANTS: Seventy-eight adults (aged 74.5+/-7.18) with a mean Telephone Interview for Cognitive Status--Modified (TICS-m) score of 31.5+/-4.7 were recruited through personal contacts and informational talks held at the recruitment sites., MEASUREMENTS: Measures included the Life Support Preferences/Predictions Questionnaire--modified (LSPQ-m); the Decisional Conflict Scale; and enhanced information, including detailed descriptions of life-sustaining treatment options for each LSPQ-m illness scenario, risks of the treatment, benefits of the treatment, and alternatives for each treatment (called medical information stimuli)., RESULTS: Enhanced information (e.g., medical information stimuli) reduced decisional conflict (P=.049, d=0.47) for hypothetical life-sustaining treatment decisions. A mixed analysis of variance with group and race as between-subjects variables and illness and treatment as within-subjects variables revealed significant main effects of race, illness, and treatment, as well as a significant race-by-illness-by-group interaction (Wilk's lambda=0.923, F(2, 73)=3.05, P=.05, partial eta(2)=0.08). Enhanced information produced different patterns of desire for life-sustaining treatments in African Americans and Caucasians., CONCLUSION: Physicians and other healthcare professionals can reduce decisional conflict in patients by providing enhanced information regarding treatment risks, benefits, and alternatives. Such decision aids may provide new information or knowledge and thus reduce desire for treatment in African Americans. DA - 2008/// PY - 2008 VL - 56 IS - 10 SP - 1904 EP - 9 SN - 1532-5415 0002-8614 UR - https://dx.doi.org/10.1111/j.1532-5415.2008.01929.x KW - Female KW - Humans KW - Male KW - Aged KW - *Decision Making KW - *African Americans/px [Psychology] KW - Advance Care Planning KW - *Patient Education as Topic KW - *Life Support Care KW - Conflict (Psychology) KW - eppi-reviewer4 KW - *European Continental Ancestry Group/px [Psychology] ER - TY - JOUR TI - Self-reported ageism in social work practitioners and students AU - Allen Priscilla D AU - Cherry Katie E AU - Palmore Erdman T2 - Journal of gerontological social work AB - In this study, we focus on self-reported ageism in college students and social service providers using the Relating to Older People Evaluation (ROPE; Cherry & Palmore, 2008). The ROPE is a 20-item questionnaire that measures positive and negative ageist behaviors that people engage in during everyday life. Participants included undergraduate and graduate social work students and practicing social service providers in the nursing home and mental health setting. Findings indicate that people of varying educational backgrounds and occupational experience in social services readily admit to positive ageist behaviors. Item analyses revealed similarities and differences between groups in the most and least frequent forms of ageism endorsed. Ageism as a social phenomenon with implications related to social work policy and practice is discussed. DA - 2009/// PY - 2009 VL - 52 IS - 2 SP - 124 EP - 34 SN - 0163-4372 UR - https://dx.doi.org/10.1080/01634370802561927 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Nursing Homes KW - Educational Status KW - *Social Work KW - *Students/px [Psychology] KW - Homes for the Aged KW - *Geriatrics KW - *Prejudice KW - eppi-reviewer4 KW - Mental Health Services ER - TY - JOUR TI - Having a father with young onset dementia: the impact on well-being of young people. AU - Allen J AU - Oyebode JR T2 - Dementia (14713012) AB - In the UK, it is estimated that there are over 16,000 people under 65 years with dementia. These people often have children still living at home and previous research indicates that 75% of parents report that their children have suffered psychological or emotional problems as a consequence of a parent having dementia. This study interviewed 12 participants aged 13 to 23 years, whose father had younger onset dementia. Grounded theory methodology identified five major themes: damage of dementia, reconfiguration of relationships, caring, strain and coping. An overarching theme of one day at a time, reflecting a response to the perception of severe threats in the future, appeared to run throughout the young people's experiences. It is suggested that the emergent grounded theory has some similarity to stress-process models of caregiving with distinctive features arising from the interaction of young onset dementia and the developmental stage of the young people. DA - 2009/11// PY - 2009 DO - 10.1177/1471301209349106 VL - 8 IS - 4 SP - 455 EP - 480 SN - 1471-3012 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105297518&site=ehost-live&scope=site KW - Female KW - Male KW - Young Adult KW - Adolescence KW - Parenting KW - United Kingdom KW - Grounded Theory KW - Stress, Psychological KW - Behavioral Symptoms KW - Fathers KW - Mothers KW - Grief KW - Age of Onset KW - eppi-reviewer4 KW - Human KW - Interviews KW - Middle Age KW - Thematic Analysis KW - Descriptive Statistics KW - Family Attitudes KW - Caregiver Burden KW - Caregiver Support KW - Dementia -- Symptoms KW - Diagnosis, Delayed KW - Cross Sectional Studies KW - Long Term Care KW - Family Role KW - Parent-Child Relations KW - Parents, Disabled KW - Attitude to Mental Illness KW - Caregivers -- Psychosocial Factors KW - Children of Impaired Parents -- Psychosocial Factors KW - Dementia -- Psychosocial Factors -- In Middle Age KW - Family Coping KW - Stigma ER - TY - JOUR TI - Association of health professional shortage areas and cardiovascular risk factor prevalence, awareness, and control in the Multi-Ethnic Study of Atherosclerosis (MESA) AU - Allen Norrina B AU - Diez-Roux Ana AU - Liu Kiang AU - Bertoni Alain G AU - Szklo Moyses AU - Daviglus Martha T2 - Circulation. Cardiovascular quality and outcomes AB - BACKGROUND- Individuals living in primary care health professional shortage areas (PC-HPSA), often have difficulty obtaining medical care; however, no previous studies have examined association of pc-hpsa residence with prevalence of cardiovascular disease risk factors. METHODS AND RESULTS- To examine this question, the authors used data from the Multi-Ethnic Study of Atherosclerosis baseline examination (2000-2002). Outcomes included the prevalence of diabetes, hypertension, hyperlipidemia, smoking, and obesity as well as the awareness and control of diabetes, hypertension, and hyperlipidemia. Multivariable Poisson models were used to examine the independent association of PC-HPSA residence with each outcome. Models were sequentially adjusted for demographics, acculturation, socioeconomic status, access to health care, and neighborhood socioeconomic status. Similar to the national average, 16.7% of Multi-Ethnic Study of Atherosclerosis participants lived in a PC-HPSA. In unadjusted analyses, prevalence rates of diabetes (14.8% versus 11.0%), hypertension (48.2% versus 43.1%), obesity (35.7% versus 31.1%), and smoking (15.5% versus 12.1%) were significantly higher among residents of PC-HPSAs. There were no significant differences in the awareness or control of diabetes, hypertension, or hyperlipidemia. After adjustment, residence in a PC-HPSA was not independently associated with cardiovascular disease risk factor prevalence, awareness, or control. CONCLUSIONS - This study suggests that increased prevalence of cardiovascular disease risk factors in PC-HPSAs are explained by the demographic and socioeconomic characteristics of their residents. Future interventions aimed at increasing the number of primary care physicians may not improve cardiovascular risk without first addressing other factors underlying health care disparities. DA - 2011/// PY - 2011 VL - 4 IS - 5 SP - 565 EP - 72 SN - 1941-7705 1941-7713 UR - https://dx.doi.org/10.1161/CIRCOUTCOMES.111.960922 KW - Female KW - Humans KW - Male KW - Risk Factors KW - United States KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - Obesity KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - Health Services Accessibility KW - *Healthcare Disparities/sn [Statistics & Numerical Data] KW - *Ethnic Groups KW - Diabetes Mellitus KW - eppi-reviewer4 KW - Hypertension KW - *Atherosclerosis/ep [Epidemiology] KW - *Health Workforce/sn [Statistics & Numerical Data] KW - Atherosclerosis/pp [Physiopathology] ER - TY - JOUR TI - Primary Caregiver Characteristics and Transitions in Community-Based Care. AU - Allen Susan M AU - Lima Julie C AU - Goldscheider Frances K AU - Roy Jason T2 - Journals of Gerontology Series B: Psychological Sciences & Social Sciences AB - Objectives. To identify informal primary caregiver characteristics associated with care transitions of community-dwelling older persons with impairments in daily living activities. Method. Data for this study were pooled to observe transitions from Wave 1–Wave 2 and Wave 2–Wave 3 of the Second Longitudinal Survey on Aging (LSOA II). The sample includes respondents with at least one impairment in daily living activities and with an informal caregiver at baseline of each transition period (n = 2,990). Primary caregiver transitions to another informal caregiver, to formal care, to a nursing home, or to no care were modeled using multinomial logistic regression. Results. More than half (54%) of the surviving respondents experienced a care transition for a period of 2 years. Multivariate results indicate that husband and son primary caregivers are more likely to transfer care than wives and daughters, although children caring for same-gender parents were less likely to transfer out of the primary caregiver role than children caring for parents of the opposite sex. Respondents with primary caregivers who are “other” relatives or nonrelatives, who are not coresident with the care receiver, or who are assisted by secondary helpers were at elevated risk for care transitions over the 2-year study period. Discussion. The results of this study suggest that older persons’ care transitions result from complex informal network dynamics, with primary caregiver gender and relationship to the care receiver playing key roles. DA - 2012/05// PY - 2012 DO - 10.1093/geronb/gbs032 VL - 67B IS - 3 SP - 362 EP - 371 SN - 1079-5014 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=74494962&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Sex Factors KW - Prospective Studies KW - Educational Status KW - Confidence Intervals KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Data Analysis Software KW - Funding Source KW - Descriptive Statistics KW - Community Living KW - Relative Risk KW - Multiple Logistic Regression KW - P-Value KW - Repeated Measures KW - Data Analysis, Statistical KW - Adult Children -- Evaluation KW - Caregivers -- Evaluation KW - Spouses -- Evaluation KW - Transitional Programs -- Evaluation ER - TY - JOUR TI - Community stroke rehabilitation teams: providing home-based stroke rehabilitation in Ontario, Canada AU - Allen L AU - Richardson M AU - McIntyre A AU - Janzen S AU - Meyer M AU - Ure D AU - Willems D AU - Teasell R T2 - The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques AB - BACKGROUND: Community stroke rehabilitation teams (CSRTs) provide a community-based, interdisciplinary approach to stroke rehabilitation. Our objective was to assess the effectiveness of these teams with respect to client outcomes., METHODS: Functional, psychosocial, and caregiver outcome data. were available at intake, discharge from the program, and six-month follow-up. Repeated measures analysis of covariance was performed to assess patient changes between time points for each outcome measure., RESULTS: A total of 794 clients met the inclusion criteria for analysis (54.4% male, mean age 68.5+/-13.0 years). Significant changes were found between intake and discharge on the Hospital Anxiety and Depression Scale total score (p=0.017), Hospital Anxiety and Depression Scale Anxiety subscale (p<0.001), Functional Independence Measure (p<0.001), Reintegration to Normal Living Index (p=0.01), Bakas Caregiver Outcomes Scale (p<0.001), and Caregiver Assistance and Confidence Scale assistance subscale (p=0.005). Significant gains were observed on the strength, communication, activities of daily living, social participation, memory, and physical domains of the Stroke Impact Scale (all p<0.001). These improvements were maintained at the 6-month follow-up. No significant improvements were observed upon discharge on the memory and thinking domain of the Stroke Impact Scale; however, there was a significant improvement between admission and follow-up (p=0.002). All significant improvements were maintained at the 6-month follow-up., CONCLUSIONS: Results indicate that the community stroke rehabilitation teams were effective at improving the functional and psychosocial recovery of patients after stroke. Importantly, these gains were maintained at 6 months postdischarge from the program. A home-based, stroke-specific multidisciplinary rehabilitation program should be considered when accessibility to outpatient services is limited. DA - 2014/// PY - 2014 VL - 41 IS - 6 SP - 697 EP - 703 SN - 0317-1671 UR - https://dx.doi.org/10.1017/cjn.2014.31 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Retrospective Studies KW - Cohort Studies KW - *Activities of Daily Living KW - Ontario/ep [Epidemiology] KW - Stroke/ep [Epidemiology] KW - *Residence Characteristics KW - *Stroke Rehabilitation KW - Stroke/di [Diagnosis] KW - *Home Care Services/td [Trends] KW - *Patient Care Team/td [Trends] KW - *Caregivers/td [Trends] KW - eppi-reviewer4 ER - TY - JOUR TI - Impact of serving method on the consumption of nutritional supplement drinks: randomized trial in older adults with cognitive impairment AU - Allen Victoria J AU - Methven Lisa AU - Gosney Margot T2 - Journal of advanced nursing AB - AIM: To analyse the influence of serving method on compliance and consumption of nutritional supplement drinks in older adults with cognitive impairment., BACKGROUND: Oral nutritional supplement drinks have positive benefits on increasing nutritional status in undernourished older people leading to weight gain. However, consumption of these drinks is low and therefore limits their effectiveness., DESIGN: This study was a non-blind randomized control trial where participants either consumed nutritional supplement drinks in a glass/beaker or consumed them through a straw inserted directly into the container., METHOD: Participants with long-standing cognitive impairment were recruited from nursing homes (n = 31) and hospitals (n = 14). Participants were randomized to serving method. Nursing and care staff were instructed to give the supplement drinks three times per day on alternate days over a week by the allocated serving method. The researcher weighed the amount of supplement drink remaining after consumption. Data were collected over 12 months in 2011-2012., RESULTS: Forty-five people participated in this study, mean age 86.7 (sd 7.5) years. After randomization, there was no significant difference between the baseline characteristics of the two groups. Participants randomized to consume nutritional drinks from a glass/beaker drank statistically significantly more than those who consumed them via a straw inserted directly into the container. However, supplements allocated to be given in a glass/beaker were more frequently omitted., CONCLUSION: Nutritional supplement drinks should be given to people with dementia who are able to feed themselves in a glass or a beaker if staffing resources allow (NIHR CSP ref 31101). Copyright © 2013 John Wiley & Sons Ltd. DA - 2014/// PY - 2014 VL - 70 IS - 6 SP - 1323 EP - 33 SN - 1365-2648 0309-2402 UR - https://dx.doi.org/10.1111/jan.12293 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Nursing Homes KW - *Cognition Disorders/co [Complications] KW - Patient Compliance KW - England KW - Homes for the Aged KW - *Dietary Supplements KW - Administration, Oral KW - *Energy Intake KW - *Dietary Proteins/ad [Administration & Dosage] KW - eppi-reviewer4 KW - *Nursing Care/mt [Methods] KW - *Nutrition Disorders/dh [Diet Therapy] KW - *Nutrition Disorders/nu [Nursing] KW - Nutrition Disorders/et [Etiology] ER - TY - JOUR TI - Depression in assisted living. AU - Allen Josh T2 - Geriatric nursing (New York, N.Y.) DA - 2015/// PY - 2015 VL - 36 IS - 1 SP - 78 EP - 80 SN - 0197-4572 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=25806394 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - *Quality of Life KW - *Assisted Living Facilities KW - Severity of Illness Index KW - Incidence KW - *Depressive Disorder/ep [Epidemiology] KW - Geriatric Nursing/mt [Methods] KW - Depressive Disorder/di [Diagnosis] KW - *Depressive Disorder/nu [Nursing] KW - Societies, Nursing/og [Organization & Administration] KW - eppi-reviewer4 ER - TY - JOUR TI - Clinical and Functional Characteristics of Nursing Facility Residents with Opioid-Induced Constipation AU - Allen Carrie AU - Zarowitz Barbara J AU - O'Shea Terrence AU - Datto Catherine AU - Olufade Temitope T2 - The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists AB - OBJECTIVE: Our goal was to determine the prevalence, clinical characteristics, and treatment differences of opioid-induced constipation (OIC) in older adults with noncancer pain compared with opioid-treated patients without OIC., DESIGN: Retrospective database analysis., SETTING: United States nursing facilities: Patients, Participants, facility residents., INTERVENTIONS: None., MAIN OUTCOME MEASURE(S): Minimum data set and prescription claims, pain, impaired cognition, falls, delirium, and drug treatment., RESULTS: We found an OIC prevalence of 8.9%. Nursing facility residents with OIC are more likely to have severe pain (31.3% vs. 29%; P < 0.001), pain in the last 5 days (71.2% vs. 69.2%; P < 0.001), almost constant pain (18.1% vs.13.3%; P < 0.001), and pain interfering with daily activities (36.1% vs. 30%; P < 0.001). Strong opioids were more likely prescribed and the duration of use was longer than in non-OIC nursing facility residents. Cognitive impairment (56.3% vs. 49.8%; P < 0.001), fall rate (4.8% vs. 2.5%; P = 0.023), delirium indicators (confusion assessment method; P < 0.001), urinary incontinence (59.1% vs. 54.9%; P < 0.001), depression (66.5% vs. 61.6%; P < 0.001), and depression severity score (4.7% vs. 4.3%; P < 0.001) were higher in nursing facility residents with OIC. Nursing facility residents with OIC had a higher percentage of concomitantly prescribed anticholinergic medications (76.7% vs. 70.0%; P < 0.001) and a higher mean anticholinergic burden score (1.4% vs. 1.1%; P < 0.001). Over-the-counter laxatives were used more often than prescription laxatives: polyethylene glycol (43%), docusate (31.1%), and senna/sennosides (23%) vs. lactulose (18.1%) and lubiprostone (2.2%)., CONCLUSION: Nursing facility residents with OIC experience suboptimal pain relief, additional anticholinergic adverse drug-related effects, and a decreased quality of life. DA - 2017/// PY - 2017 VL - 32 IS - 5 SP - 285 EP - 298 SN - 0888-5109 UR - https://dx.doi.org/10.4140/TCP.n.2017.285 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Young Adult KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - Quality of Life KW - Retrospective Studies KW - United States/ep [Epidemiology] KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Comorbidity KW - Databases, Factual KW - Severity of Illness Index KW - *Pain/dt [Drug Therapy] KW - Constipation/ep [Epidemiology] KW - Cholinergic Antagonists/ae [Adverse Effects] KW - Polypharmacy KW - Pain/di [Diagnosis] KW - *Analgesics, Opioid/ae [Adverse Effects] KW - *Constipation/ci [Chemically Induced] KW - *Defecation/de [Drug Effects] KW - *Inpatients KW - Constipation/dt [Drug Therapy] KW - Constipation/pp [Physiopathology] KW - Laxatives/tu [Therapeutic Use] KW - eppi-reviewer4 ER - TY - JOUR TI - User experience and care for older people transitioning from hospital to home: Patients' and carers' perspectives. AU - Allen Jacqueline AU - Hutchinson Alison M AU - Brown Rhonda AU - Livingston Patricia M T2 - Health expectations : an international journal of public participation in health care and health policy AB - BACKGROUND: Transitioning from hospital to home is challenging for many older people living with chronic health conditions. Transitional care facilitates safe and timely transfer of patients between levels of care and across care settings and includes communication between practitioners, assessment and planning, preparation, medication reconciliation, follow-up care and self-management education. To date, there is limited understanding of how to actively involve care recipient service users in transitional care., OBJECTIVE: This study was part of a larger research project. The objective of this article was to report the first study phase, in which we aimed to describe user experience pertaining to patients and carers., DESIGN, SETTING AND PARTICIPANTS: The study design was qualitative descriptive using interviews. Patients (n = 19) and carers (n = 7) participated in semi-structured interviews about their experience of transition from hospital to home in an urban Australian health-care setting. Interview data were analysed using thematic analysis., FINDINGS: All participants reported that they needed to become independent in transition. Participants perceived a range of social processes supported their independence at home: supportive relationships with carers, caring relationships with health-care practitioners, seeking information, discussing and negotiating the transitional care plan and learning to self-care., DISCUSSION: Findings contribute to our understanding that quality transitional care should focus on patients' need to regain independence. Social processes supporting the capacities of patients and carers should be emphasized in future initiatives., CONCLUSION: Future transitional care interventions should emphasize strategies to enable negotiation for suitable supports and assist care recipients to overcome barriers identified in this study. Copyright © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd. DA - 2018/// PY - 2018 DO - 10.1111/hex.12646 VL - 21 IS - 2 SP - 518 EP - 527 SN - 1369-6513 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29120529 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Hospitals KW - Victoria KW - Chronic Disease KW - Housing KW - *Caregivers/px [Psychology] KW - *Social Support KW - *Independent Living/px [Psychology] KW - Interviews as Topic KW - *Self Care/px [Psychology] KW - Patient Discharge KW - Health Personnel/px [Psychology] KW - Self Care/mt [Methods] KW - *Patients/px [Psychology] KW - *Transitional Care KW - eppi-reviewer4 ER - TY - JOUR TI - How People with Dementia and their Carers Adapt their Homes. A Qualitative Study. AU - Allen Frances AU - Cain Rebecca AU - Meyer Caroline T2 - Dementia (London, England) AB - The objective was to explore the ways in which people with dementia and their carers adapt their homes, including the barriers and use of available information. Semi-structured interviews were conducted with 10 people with dementia and their informal carer. The collected data were analysed using thematic analysis. Three core themes emerged: Maintaining familiarity and coping with change, Having knowledge and finding knowledge and Meeting challenges through home adaptation. The most significant barriers to making home adaptations were lack of knowledge and maintaining familiarity. Having more information and making home modifications earlier might enable individuals with dementia to adjust to their adapted environment. DA - 2019/// PY - 2019 DO - 10.1177/1471301217712294 VL - 18 IS - 3 SP - 1199 EP - 1215 SN - 1471-3012 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=28595457 KW - Adult KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Qualitative Research KW - *Dementia KW - Interviews as Topic KW - *Caregivers KW - *Adaptation, Psychological KW - eppi-reviewer4 ER - TY - JOUR TI - Relative deprivation between neighbouring wards is predictive of coronary heart disease mortality after adjustment for absolute deprivation of wards AU - Allender Steven AU - Scarborough Peter AU - Keegan Thomas AU - Rayner Mike T2 - Journal of epidemiology and community health AB - BACKGROUND: The aims of this study were to assess whether deprivation inequality at small area level in England is associated with coronary heart disease (CHD) mortality rates and to assess whether this provides evidence of an association between area-level and individual-level risk., METHODS: Mortality rates for all wards in England were calculated using all CHD deaths between 2001 and 2006. Ward-level deprivation was measured using the Carstairs Index. Deprivation inequality within local authorities (LAs) was measured by the IQR of deprivation for wards within the LA. Relative deprivation for wards was measured as the modulus of the difference between deprivation for the ward and average deprivation for all neighbouring wards., RESULTS: Deprivation inequality within LAs was positively associated with CHD mortality rates per 100000 (eg, all men beta; 95% CI=2.7; 1.1 to 4.3) after adjustment for absolute deprivation (p<0.001 for all models). Relative deprivation for wards was positively associated with CHD mortality rates per 100000 (eg, all men 1.4; 0.7 to 2.1) after adjustment for absolute deprivation (p<0.001 for all models). Subgroup analyses showed that relative deprivation was independently associated with CHD mortality rates in both affluent and deprived wards., CONCLUSIONS: Rich wards surrounded by poor areas have higher CHD mortality rates than rich wards surrounded by rich areas, and poor wards surrounded by rich areas have worse CHD mortality rates than poor wards surrounded by poor areas. Local deprivation inequality has a similar adverse impact on both rich and poor areas, supporting the hypothesis that income inequality of an area has an impact on individual-level health outcomes. DA - 2012/// PY - 2012 VL - 66 IS - 9 SP - 803 EP - 8 SN - 1470-2738 0143-005X UR - https://dx.doi.org/10.1136/jech.2010.116723 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Coronary Disease/ep [Epidemiology] KW - Socioeconomic Factors KW - *Health Status Disparities KW - *Health Status Indicators KW - *Residence Characteristics KW - Regression Analysis KW - England/ep [Epidemiology] KW - Predictive Value of Tests KW - Vulnerable Populations/sn [Statistics & Numerical Data] KW - Confounding Factors (Epidemiology) KW - eppi-reviewer4 KW - Small-Area Analysis KW - *Coronary Disease/mo [Mortality] KW - *Psychosocial Deprivation ER - TY - JOUR TI - Material resources and population health: disadvantages in health care, housing, and food among adults over 50 years of age AU - Alley Dawn E AU - Soldo Beth J AU - Pagan Jose A AU - McCabe John AU - DeBlois Madeleine AU - Field Samuel H AU - Asch David A AU - Cannuscio Carolyn T2 - American journal of public health AB - OBJECTIVES: We examined associations between material resources and late-life declines in health., METHODS: We used logistic regression to estimate the odds of declines in self-rated health and incident walking limitations associated with material disadvantages in a prospective panel representative of US adults aged 51 years and older (N = 15,441)., RESULTS: Disadvantages in health care (odds ratio [OR] = 1.39; 95% confidence interval [CI] = 1.23, 1.58), food (OR = 1.69; 95% CI = 1.29, 2.22), and housing (OR = 1.20; 95% CI = 1.07, 1.35) were independently associated with declines in self-rated health, whereas only health care (OR = 1.43; 95% CI = 1.29, 1.58) and food (OR = 1.64; 95% CI = 1.31, 2.05) disadvantage predicted incident walking limitations. Participants experiencing multiple material disadvantages were particularly susceptible to worsening health and functional decline. These effects were sustained after we controlled for numerous covariates, including baseline health status and comorbidities. The relations between health declines and non-Hispanic Black race/ethnicity, poverty, marital status, and education were attenuated or eliminated after we controlled for material disadvantage., CONCLUSIONS: Material disadvantages, which are highly policy relevant, appear related to health in ways not captured by education and poverty. Policies to improve health should address a range of basic human needs, rather than health care alone. DA - 2009/// PY - 2009 VL - 99 Suppl 3 SP - S693 EP - 701 SN - 1541-0048 0090-0036 UR - https://dx.doi.org/10.2105/AJPH.2009.161877 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Middle Aged KW - Logistic Models KW - Health Surveys KW - *Housing KW - *Health Status Disparities KW - *Poverty KW - *Food Supply KW - eppi-reviewer4 KW - *Healthcare Disparities ER - TY - JOUR TI - Mortgage delinquency and changes in access to health resources and depressive symptoms in a nationally representative cohort of Americans older than 50 years AU - Alley Dawn E AU - Lloyd Jennifer AU - Pagan Jose A AU - Pollack Craig E AU - Shardell Michelle AU - Cannuscio Carolyn T2 - American journal of public health AB - OBJECTIVES: We evaluated associations between mortgage delinquency and changes in health and health-relevant resources over 2 years, with data from the Health and Retirement Study, a longitudinal survey representative of US adults older than 50 years., METHODS: In 2008, participants reported whether they had fallen behind on mortgage payments since 2006 (n = 2474). We used logistic regression to compare changes in health (incidence of elevated depressive symptoms, major declines in self-rated health) and access to health-relevant resources (food, prescription medications) between participants who fell behind on their mortgage payments and those who did not., RESULTS: Compared with nondelinquent participants, the mortgage-delinquent group had worse health status and less access to health-relevant resources at baseline. They were also significantly more likely to develop incident depressive symptoms (odds ratio [OR] = 8.60; 95% confidence interval [CI] = 3.38, 21.85), food insecurity (OR = 7.53; 95% CI = 3.01, 18.84), and cost-related medication nonadherence (OR = 8.66; 95% CI = 3.72, 20.16) during follow-up., CONCLUSIONS: Mortgage delinquency was associated with significant elevations in the incidence of mental health impairments and health-relevant material disadvantage. Widespread mortgage default may have important public health implications. DA - 2011/// PY - 2011 VL - 101 IS - 12 SP - 2293 EP - 8 SN - 1541-0048 0090-0036 UR - https://dx.doi.org/10.2105/AJPH.2011.300245 KW - Female KW - Humans KW - Male KW - United States KW - Middle Aged KW - Socioeconomic Factors KW - Depression/di [Diagnosis] KW - *Economic Recession KW - *Health Status KW - *Depression/et [Etiology] KW - Stress, Psychological/et [Etiology] KW - *Housing/ec [Economics] KW - *Health Services Accessibility KW - Medication Adherence KW - eppi-reviewer4 KW - Drug Costs ER - TY - JOUR TI - [Screening for depression in nursing homes: validity of the WHO (Five) Well-Being Index] AU - Allgaier Antje-Kathrin AU - Liwowsky Iris AU - Kramer Dietmar AU - Mergl Roland AU - Fejtkova Sabina AU - Hegerl Ulrich T2 - Der WHO-5-Fragebogen zum Wohlbefinden als Screeninginstrument fur Depression bei Altenheimbewohnern. AB - OBJECTIVE: Depression is common in nursing home residents, but is still underrecognized. Screening for depression could be a first step to increase recognition rates within this high-risk group. Therefore, we investigated the validity of the WHO (Five) Well-Being Index (WHO-5) for early detection of depression in nursing home residents., METHODS: The Structural Clinical Interview for DSM-IV (SCID) was used as the gold standard for the validation of the WHO-5. The diagnoses covered in this assessment were both current major depression as well as minor depression according to DSM-IV research criteria., RESULTS: In our sample of 92 nursing home residents in Munich aged 65-97 years, (73.9% female, 26.1% male) 14.1% fulfilled the criteria of major depression and again 14.1% fulfilled the criteria of minor depression in the SCID. Overall diagnostic validity (area under the ROC curve) of the WHO-5 was .90 (95% confidence interval: .84- .97). The best cut-off-point according to Youden's index yielded a sensitivity of .92 and a specificity of .79., CONCLUSIONS: The diagnostic accuracy of the WHO-5 in our study is promising. The WHO-5 might be an efficient screening tool for nursing home residents, but results have to be replicated in a larger sample. DA - 2011/// PY - 2011 VL - 25 IS - 4 SP - 208 EP - 15 SN - 0948-6259 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med7&NEWS=N&AN=22136943 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Cross-Sectional Studies KW - *Quality of Life/px [Psychology] KW - *Homes for the Aged KW - *Nursing Homes KW - Germany KW - *Surveys and Questionnaires KW - Depressive Disorder/px [Psychology] KW - Diagnostic and Statistical Manual of Mental Disorders KW - Depressive Disorder/ep [Epidemiology] KW - *Depressive Disorder/di [Diagnosis] KW - Psychometrics/sn [Statistics & Numerical Data] KW - *World Health Organization KW - eppi-reviewer4 ER - TY - JOUR TI - [Validity of the geriatric depression scale in nursing home residents: comparison of GDS-15, GDS-8, and GDS-4] AU - Allgaier Antje-Kathrin AU - Kramer Dietmar AU - Mergl Roland AU - Fejtkova Sabina AU - Hegerl Ulrich T2 - Validitat der Geriatrischen Depressionsskala bei Altenheimbewohnern: Vergleich von GDS-15, GDS-8 und GDS-4. AB - OBJECTIVE: To assess and compare the validity of the German 15-item version and shortened versions of the Geriatric Depression Scale (GDS) for early detection of depression in nursing home residents with mild to moderate cognitive impairment (MMSE >= 15)., METHODS: Data from 92 patients were analysed. The Structural Clinical Interview for DSM-IV (SCID) was used as the gold standard. The diagnoses covered in this assessment were current major depression (MD) and minor depression (MinD). The performance of the GDS scales was evaluated using receiver operating characteristics (ROC). Main outcome measures were AUC (area under curve) values, as well as sensitivity and specificity., RESULTS: Overall diagnostic validity of the GDS-15 was better for MD than for MinD (AUC: 89.7 % and 73.4 %, respectively). In assessing MD, AUC values as well as sensitivity and specificity were comparable for the GDS-15 and the GDS-8. A cut-off point >= 5 on the GDS-8 gave optimum performance (sensitivity: 76.9 %, specificity: 88.6 %). For the best cut-off point >= 2, the corresponding values of the GDS-4 were 53.8 % and 92.4 %., CONCLUSIONS: The GDS-8 appears to be a less time-consuming alternative for the nursing home setting. However, the GDS-4 is not suitable for this population. Copyright © Georg Thieme Verlag KG Stuttgart . New York. DA - 2011/// PY - 2011 VL - 38 IS - 6 SP - 280 EP - 6 SN - 1439-0876 0303-4259 UR - https://dx.doi.org/10.1055/s-0030-1266105 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - *Homes for the Aged KW - *Nursing Homes KW - Area Under Curve KW - *Geriatric Assessment/sn [Statistics & Numerical Data] KW - Depressive Disorder/px [Psychology] KW - *Mass Screening/sn [Statistics & Numerical Data] KW - *Depressive Disorder/di [Diagnosis] KW - Psychometrics/sn [Statistics & Numerical Data] KW - Early Diagnosis KW - eppi-reviewer4 KW - *Personality Assessment/sn [Statistics & Numerical Data] ER - TY - JOUR TI - High and odd impact exercise training improved physical function and fall risk factors in community-dwelling older men. AU - Allison Sarah J AU - Brooke-Wavell Katherine AU - Folland Jonathan T2 - Journal of musculoskeletal & neuronal interactions AB - High impact exercise programmes can improve bone strength, but little is known about whether this type of training further benefits fracture risk by improving physical function in older people., OBJECTIVES: This study investigated the influence of high impact exercise on balance, muscle function and morphology in older men., METHODS: Fifty, healthy men (65-80 years) were assigned to a 6-month multidirectional hopping programme (TG) and twenty age and physical activity matched volunteers served as controls (CG). Before and after training, muscle function (hop performance, leg press and plantar- and dorsiflexion strength) and physiological determinants (muscle thickness and architecture) as well as balance control (sway path, one leg stance duration) were measured. Resting gastrocnemius medialis (GM) muscle thickness and architecture were assessed using ultrasonography., RESULTS: Significant improvements in hop impulse (+12%), isometric leg-press strength (+4%) and ankle plantarflexion strength (+11%), dorsiflexor strength (+20%) were found in the TG compared to the CG (ANOVA interaction, P<0.05) and unilateral stance time improved over time for TG. GM muscle thickness indicated modest hypertrophy (+4%), but muscle architecture was unchanged., CONCLUSION: The positive changes in strength and balance after high impact and odd impact training would be expected to improve physical function in older adults. DA - 2018/// PY - 2018 VL - 18 IS - 1 SP - 100 EP - 107 SN - 1108-7161 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29504585 KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Accidental Falls/pc [Prevention & Control] KW - *Independent Living KW - *Exercise Therapy KW - *Muscle Strength/ph [Physiology] KW - *Postural Balance/ph [Physiology] KW - Muscle, Skeletal/ph [Physiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Anxiety and depression in an older research population and their impact on clinical outcomes in a randomised controlled trial. AU - Allsup S J AU - Gosney M A T2 - Postgraduate medical journal AB - INTRODUCTION: Anxiety and depression are common in older people living in the community. The aim of the study was to investigate their impact on clinical outcomes during a randomised controlled trial investigating the cost benefits of influenza vaccination in fit and healthy, independent living 65-74 year olds., SUBJECTS AND METHODS: A total of 729 people were recruited. Participants completed the hospital anxiety and depression scale (HADS) and EuroQol EQ-5D quality of life questionnaire immediately before receiving vaccination and every two months for the next six months after this. Side effects three days after vaccination and Barthel score at baseline were also recorded., RESULTS: At baseline the prevalence of "definite" anxiety in this sample (HADS score > or =11) was 4% and 1.2% of individuals had definite depression (HADS score > or =11). Individuals with anxiety or depression (HADS score > or =8) were more likely to complain of systemic side effects after vaccination and have a lower Barthel index score (p<0.001). Quality of life as measured by the EQ-5D visual analogue scale was reduced (p<0.001) at all time periods in those individuals with both anxiety and depression (HADS score > or =8 on both scales)., CONCLUSION: Although the prevalence of anxiety and depression in this sample was low, people with anxiety or depression were more likely to suffer from perceived side effects after influenza vaccine and have a lower Barthel and EQ-5D visual analogue score. In future studies the effect of anxiety and depression on older participants should be remembered and care taken to ensure that they do not affect results more than the intervention under study. DA - 2002/// PY - 2002 VL - 78 IS - 925 SP - 674 EP - 7 SN - 0032-5473 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc2&NEWS=N&AN=12496325 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Surveys and Questionnaires KW - Quality of Life KW - *Depressive Disorder/ep [Epidemiology] KW - Influenza, Human/pc [Prevention & Control] KW - *Anxiety Disorders/ep [Epidemiology] KW - *Vaccination/px [Psychology] KW - eppi-reviewer4 KW - *Influenza Vaccines/ae [Adverse Effects] KW - Anxiety Disorders/et [Etiology] KW - Depressive Disorder/et [Etiology] KW - Influenza, Human/px [Psychology] ER - TY - JOUR TI - [Outbreak of gastroenteritis caused by Norwalk virus at a senior citizens assisted living facility in Granada, Spain] AU - Almagro Nievas AU - Diego AU - Conti Cuesta AU - Francisco AU - Espinola Garcia AU - Esther AU - Morcillo Rodenas AU - Carolina AU - Nunez Sevilla AU - Cristina AU - Linares Torres AU - Juan AU - Ortiz Espinosa AU - Juan T2 - Brote de gastroenteritis por virus Norwalk en una residencia de ancianos de Granada. AB - BACKGROUND: The outbreaks of acute gastroenteritis caused by a virus are currently one of the health problems having the greatest impact on those living in senior citizen facilities. The objective of this study is that of investigating the causes of the start and contagion of an outbreak of acute gastroenteritis caused by a Norwalk-Like virus., METHOD: At a senior citizen living facility with 141 residents and 71 employees exposed, the relations between the disease in question and different independent variables: personal traits, features of location, date of onset of symptoms, clinical pattern of the disease and causal factors (food and drinking water intake). A descriptive study, a contingency table and a hypothesis ?2 test, design of cases and controls with the calculation of the unprocessed and subsequently adjusted Odds Ratio (IC 95%) were carried out using logic regression., RESULTS: No significant differences were found in the personal trait and features of location variables. The attack rate among the residents was 30.1%, being 21.12% among the employees. In the adjusted Odds Ratio calculation, solely the whipped cream mousse showed causal relationship values (adjusted Odds Ratio = 4.66; IC-95% 1.15-18.91; p = 0.031). Ten patient stool samples were sent for analysis, no disease-causing bacteria having been detected, Norwalk-Like virus however having been isolated in three samples., CONCLUSIONS: The whipped cream mousse having been found to possibly have been responsible for the outbreak is a first involving Norwalk virus, but this result is subject to limitations, such as the possible bias of classification due to failing to recall having eaten foods. Even so, this is an element to be taken into account in the control of acute viral gastroenteritis. DA - 2003/// PY - 2003 VL - 77 IS - 2 SP - 283 EP - 91 SN - 1135-5727 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=12728663 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Assisted Living Facilities KW - Sex Factors KW - Age Factors KW - Odds Ratio KW - Spain/ep [Epidemiology] KW - *Disease Outbreaks KW - Acute Disease KW - *Caliciviridae Infections/ep [Epidemiology] KW - *Gastroenteritis/ep [Epidemiology] KW - eppi-reviewer4 KW - *Norwalk virus KW - Gastroenteritis/et [Etiology] ER - TY - JOUR TI - Challenging the motor control of walking: Gait variability during slower and faster pace walking conditions in younger and older adults. AU - Almarwani Maha AU - VanSwearingen Jessie M AU - Perera Subashan AU - Sparto Patrick J AU - Brach Jennifer S T2 - Archives of gerontology and geriatrics AB - BACKGROUND: Gait variability is a measure of motor control of gait. Little is known about age-related changes in the motor control of gait (gait variability) during challenging walking conditions, such as slower and faster pace walking., OBJECTIVE: The purpose of this study was to examine the impact of challenging walking conditions (slower and faster speeds) on gait variability in younger and older adults., DESIGN: This study was a cross-sectional, observational design., METHODS: Forty younger (mean age=26.6+/-6.0years) and 111 community-dwelling older adults (mean age=77.3+/-6.0years), independent in ambulation, were studied. Gait characteristics were collected using a computerized walkway (GaitMat IITM). Step length, step width, step time, swing time, stance time and double support time variability were derived as the standard deviation of all steps across the 4 passes., RESULTS: Compared to younger, older adults had a significant change in their gait variability from usual to slower in step width (-0.006+/-0.003), step time (0.028+/-0.006), swing time (0.023+/-0.004), stance time (0.042+/-0.008), and double support time (0.024+/-0.005). Changes in gait variability from usual to faster were not significantly different between younger and older adults., LIMITATION: Gait variability was examined during self-selected over-ground walking, where subjects directed to walk "slower", "usual" and "faster"., CONCLUSIONS: Walking slowly is more challenging to the motor control of gait and may be more sensitive to age-related declines in gait than usual and faster speed walks. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. DA - 2016/// PY - 2016 DO - 10.1016/j.archger.2016.05.001 VL - 66 SP - 54 EP - 61 SN - 0167-4943 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=27255348 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Cross-Sectional Studies KW - Age Factors KW - Gait/ph [Physiology] KW - *Walking Speed/ph [Physiology] KW - Biomechanical Phenomena KW - eppi-reviewer4 ER - TY - JOUR TI - The quality of life of aged people living in homes for the aged. AU - Almeida Antonio Jose Pereira Dos Santos AU - Rodrigues Vitor Manuel Costa Pereira T2 - Revista latino-americana de enfermagem AB - This is a descriptive cross-sectional study. The sample consisted of 93 aged people, divided among four institutions in the municipality of Lamego (Portugal). The purpose of this study was to investigate the quality of life of the sample and the factors affecting it, and identify the degree of dependence in basic daily living activities. The data was collected using the following: i) a bio-relational questionnaire, ii) a quality of life evaluation scale, and iii) the Katz Index. In terms of the quality of life of the institutionalized aged people, 51.6% include themselves in the group with quality of life, and it was observed there was a positive correlation between the Katz index and the quality of life index in the institutionalized aged people. There were no differences in the quality of life index regarding gender, marital status, degree of education, and the presence of pain in the institutionalized aged people. DA - 2008/// PY - 2008 VL - 16 IS - 6 SP - 1025 EP - 31 SN - 0104-1169 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=19229407 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Quality of Life KW - Cross-Sectional Studies KW - *Homes for the Aged KW - eppi-reviewer4 ER - TY - JOUR TI - Mortality among people with severe mental disorders who reach old age: a longitudinal study of a community-representative sample of 37,892 men AU - Almeida Osvaldo P AU - Hankey Graeme J AU - Yeap Bu B AU - Golledge Jonathan AU - Norman Paul E AU - Flicker Leon T2 - PloS one AB - BACKGROUND: Severe mental illnesses are leading causes of disability worldwide. Their prevalence declines with age, possibly due to premature death. It is unclear, however, if people with severe mental disorders who reach older age still have lower life expectancy compared with their peers and if their causes of death differ., METHODS AND FINDINGS: Cohort study of a community-representative sample of 37892 Australian men aged 65-85 years in 1996-1998. Follow up was censored on the 31st December 2010. Lifetime prevalence of schizophrenia spectrum, bipolar, depressive and alcohol-induced disorder was established through record linkage. A subsample of 12136 consented to a face-to-face assessment of sociodemographic, lifestyle and clinical variables. Information about causes of death was retrieved from the Australian Death Registry. The prevalence of schizophrenia spectrum, bipolar, depressive and alcohol-induced disorders was 1.2%, 0.3%, 2.5% and 1.8%. The mortality hazard for men with a severe mental disorder was 2.3 and their life expectancy was reduced by 3 years. Mortality rates increased with age, but the gap between men with and without severe mental disorders was not attenuated by age. Cardiovascular diseases and cancer were the most frequent causes of death. The excess mortality associated with severe mental disorders could not be explained by measured sociodemographic, lifestyle or clinical variables., CONCLUSIONS: The excess mortality associated with severe mental disorders persists in later life, and the causes of death of younger and older people with severe mental disorders are similar. Hazardous lifestyle choices, suboptimal access to health care, poor compliance with treatments, and greater severity of medical comorbidities may all contribute to this increased mortality. Unlike young adults, most older people will visit their primary care physician at least once a year, offering health professionals an opportunity to intervene in order to minimise the harms associated with severe mental disorders. DA - 2014/// PY - 2014 VL - 9 IS - 10 SP - e111882 SN - 1932-6203 UR - https://dx.doi.org/10.1371/journal.pone.0111882 KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Follow-Up Studies KW - Longitudinal Studies KW - Cause of Death KW - Australia/ep [Epidemiology] KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - *Mental Disorders/mo [Mortality] ER - TY - JOUR TI - Depression, frailty, and all-cause mortality: a cohort study of men older than 75 years AU - Almeida Osvaldo P AU - Hankey Graeme J AU - Yeap Bu B AU - Golledge Jonathan AU - Norman Paul E AU - Flicker Leon T2 - Journal of the American Medical Directors Association AB - BACKGROUND: Depression is associated with increased mortality, but it is unclear if this relationship is truly causal., OBJECTIVES: To determine the relative mortality associated with past and current depression, taking into account the effect of frailty., DESIGN, SETTING, AND PARTICIPANTS: Prospective longitudinal cohort study of 2565 men aged 75 years or over living in metropolitan Perth, Western Australia, who completed the third wave of assessments of the Health In Men Study throughout 2008., MAIN OUTCOME AND MEASURES: All-cause mortality data were derived from Australian death records up to June 17, 2013. History of past depression and age of onset of symptoms were obtained from direct questioning and from electronic health record linkage. Diagnosis of current major depressive symptoms followed Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision guidelines. We considered that participants were frail if they showed evidence of impairment in 3 or more of the 5 domains on the fatigue, resistance, ambulation, illnesses, and loss of weight (FRAIL) scale. Other measured factors included age, education, living arrangements, smoking and alcohol history, and physical activity., RESULTS: 558 participants died during mean period of follow-up of 4.2 +/- 1.1 years. The annual death rate per thousand was 50 for men without depression, 52 for men with past depression, and 201 for men with major depressive symptoms at baseline. The crude mortality hazard was 4.26 (95% confidence interval = 2.98, 6.09) for men with depression at baseline compared with never depressed men, and 1.79 (95% confidence interval = 1.21, 2.62) after adjustment for frailty. Further decline in mortality hazard was observed after adjustment for other measured factors., CONCLUSIONS: Current, but not past, depression is associated with increased mortality, and this excess mortality is strongly associated with frailty. Interventions designed to decrease depression-related mortality in later life may need to focus on ameliorating frailty in addition to treating depression. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 VL - 16 IS - 4 SP - 296 EP - 300 SN - 1538-9375 1525-8610 UR - https://dx.doi.org/10.1016/j.jamda.2014.10.023 KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Independent Living KW - Cohort Studies KW - *Frail Elderly/px [Psychology] KW - Geriatric Assessment/mt [Methods] KW - Longitudinal Studies KW - Prospective Studies KW - *Aging/px [Psychology] KW - Proportional Hazards Models KW - Survival Analysis KW - Disease Progression KW - *Cause of Death KW - Western Australia KW - Depressive Disorder/di [Diagnosis] KW - Depressive Disorder/th [Therapy] KW - eppi-reviewer4 KW - *Depressive Disorder/mo [Mortality] ER - TY - JOUR TI - Reliability of Physical Activity Measures During Free-Living Activities in People After Total Knee Arthroplasty. AU - Almeida Gustavo J AU - Irrgang James J AU - Fitzgerald G Kelley AU - Jakicic John M AU - Piva Sara R T2 - Physical therapy AB - BACKGROUND: Few instruments that measure physical activity (PA) can accurately quantify PA performed at light and moderate intensities, which is particularly relevant in older adults. The evidence of their reliability in free-living conditions is limited., OBJECTIVE: The study objectives were: (1) to determine the test-retest reliability of the Actigraph (ACT), SenseWear Armband (SWA), and Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire in assessing free-living PA at light and moderate intensities in people after total knee arthroplasty; (2) to compare the reliability of the 3 instruments relative to each other; and (3) to determine the reliability of commonly used monitoring time frames (24 hours, waking hours, and 10 hours from awakening)., DESIGN: A one-group, repeated-measures design was used., METHODS: Participants wore the activity monitors for 2 weeks, and the CHAMPS questionnaire was completed at the end of each week. Test-retest reliability was determined by using the intraclass correlation coefficient (ICC [2,k]) to compare PA measures from one week with those from the other week., RESULTS: Data from 28 participants who reported similar PA during the 2 weeks were included in the analysis. The mean age of these participants was 69 years (SD=8), and 75% of them were women. Reliability ranged from moderate to excellent for the ACT (ICC=.75-.86) and was excellent for the SWA (ICC=.93-.95) and the CHAMPS questionnaire (ICC=.86-.92). The 95% confidence intervals (95% CI) of the ICCs from the SWA were the only ones within the excellent reliability range (.85-.98). The CHAMPS questionnaire showed systematic bias, with less PA being reported in week 2. The reliability of PA measures in the waking-hour time frame was comparable to that in the 24-hour time frame and reflected most PA performed during this period., LIMITATIONS: Reliability may be lower for time intervals longer than 1 week., CONCLUSIONS: All PA measures showed good reliability. The reliability of the ACT was lower than those of the SWA and the CHAMPS questionnaire. The SWA provided more precise reliability estimates. Wearing PA monitors during waking hours provided sufficiently reliable measures and can reduce the burden on people wearing them. Copyright © 2016 American Physical Therapy Association. DA - 2016/// PY - 2016 DO - 10.2522/ptj.20150407 VL - 96 IS - 6 SP - 898 EP - 907 SN - 0031-9023 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=26586856 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Reproducibility of Results KW - Independent Living KW - Time Factors KW - *Actigraphy/is [Instrumentation] KW - *Exercise KW - *Surveys and Questionnaires KW - Postoperative Period KW - *Arthroplasty, Replacement, Knee KW - eppi-reviewer4 ER - TY - JOUR TI - Risk of dementia and death in community-dwelling older men with bipolar disorder AU - Almeida Osvaldo P AU - McCaul Kieran AU - Hankey Graeme J AU - Yeap Bu B AU - Golledge Jonathan AU - Flicker Leon T2 - The British journal of psychiatry : the journal of mental science AB - BACKGROUND: Bipolar disorder has been associated with cognitive decline, but confirmatory evidence from a community-derived sample of older people is lacking., AIMS: To investigate the 13-year risk of dementia and death in older adults with bipolar disorder., METHOD: Cohort study of 37 768 men aged 65-85 years. Dementia (primary) and death (secondary), as recorded by electronic record linkage, were the outcomes of interest., RESULTS: Bipolar disorder was associated with increased adjusted hazard ratio (HR) of dementia (HR = 2.30, 95% CI 1.80-2.94). The risk of dementia was greatest among those with <5 years of history of bipolar disorder or who had had illness onset after 70 years of age. Bipolar disorder was also associated with increased mortality (HR = 1.51, 95% CI 1.28-1.77). Competing risk regression showed that bipolar disorder was associated with increased hazard of death by suicide, accidents, pneumonia or influenza, and diseases of the liver and digestive system., CONCLUSIONS: Bipolar disorder in later life is associated with increased risk of dementia and premature death. Copyright © The Royal College of Psychiatrists 2016. DA - 2016/// PY - 2016 VL - 209 IS - 2 SP - 121 EP - 6 SN - 1472-1465 0007-1250 UR - https://dx.doi.org/10.1192/bjp.bp.115.180059 KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Comorbidity KW - *Dementia/ep [Epidemiology] KW - Dementia/mo [Mortality] KW - eppi-reviewer4 KW - *Bipolar Disorder/ep [Epidemiology] KW - Bipolar Disorder/mo [Mortality] ER - TY - JOUR TI - Determination of airborne nanoparticles in elderly care centers AU - Almeida-Silva M AU - Almeida S M AU - Gomes J F AU - Albuquerque P C AU - Wolterbeek H T T2 - Journal of toxicology and environmental health. Part A AB - According to numerous studies, airborne nanoparticles have a potential to produce serious adverse human health effects when deposited into the respiratory tract. The most important parts of the lung are the alveolar regions with their enormous surface areas and potential to transfer nanoparticles into the blood stream. These effects may be potentiated in case of the elderly, since this population is more susceptible to air pollutants in general and more to nanoparticles than larger particles. The main goal of this investigation was to determine the exposure of institutionalized elders to nanoparticles using Nanoparticle Surface Area Monitor (NSAM) equipment to calculate the deposited surface area (DSA) of nanoparticles into elderly lungs. In total, 193 institutionalized individuals over 65 yr of age were examined in four elderly care centers (ECC). The occupancy daily pattern was achieved by applying a questionnaire, and it was concluded that these subjects spent most of their time indoors, including the bedroom and living room, the indoor microenvironments with higher prevalence of elderly occupancy. The deposited surface area ranged from 10 to 46 mum(2)/cm(3). The living rooms presented significantly higher levels compared with bedrooms. Comparing PM10 concentrations with nanoparticles deposited surface area in elderly lungs, it is conceivable that living rooms presented the highest concentration of PM10 and were similar to the highest average DSA. The temporal distribution of DSA was also assessed. While data showed a quantitative fluctuation in values in bedrooms, high peaks were detected in living rooms. DA - 2014/// PY - 2014 VL - 77 IS - 14-16 SP - 867 EP - 78 SN - 1528-7394 0098-4108 UR - https://dx.doi.org/10.1080/15287394.2014.910157 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Housing for the Elderly KW - *Environmental Monitoring/mt [Methods] KW - *Air Pollutants/an [Analysis] KW - Particulate Matter/an [Analysis] KW - eppi-reviewer4 KW - *Air Pollution, Indoor/ae [Adverse Effects] KW - *Nanoparticles/an [Analysis] ER - TY - JOUR TI - The incidence of depression among residents of assisted living: prevalence and related risk factors AU - Almomani Fidaa M AU - Bani-Issa Wegdan T2 - Clinical interventions in aging AB - AIM: This study aims to recognize and estimate the prevalence of depression and its risk factors among residents of assisted living facilities (ALs) in Jordan., BACKGROUND: Depression is commonly experienced by residents of ALs. The condition is, however, often misunderstood as a part of normal aging and may be overlooked by health care professionals. Little is known about the extent of depression and its risk factors among AL residents in Jordan., SUBJECTS AND METHODS: A national representative sample of 221 residents selected from all AL units across Jordan was recruited to the study. Data on expected risk factors for depression were collected, including sociodemographics; smoking status; number of roommates; number of family members; assessments for cognitive functioning, for lower limb functioning, for hand, shoulder, and arm impairments; and oral health status. Levels of depression among the sample respondents were also assessed., RESULTS: The study found that around 60% of the participants reported depressive manifestations, with 48.0% of AL residents exhibiting impaired cognitive functions, one-third (33.2%) having >50% upper limb disability, two-thirds (63.2%) being at moderate risk of falls, and 69.7% having fair to poor oral health status. Being female, and having a higher level of education, disability of the upper limbs, and impairment of cognitive functions were found to be independent risk factors for depression in participants., CONCLUSION: Depression is relatively common among residents of AL units in Jordan. Health care professionals, nurses, physiotherapists, and dentists working in these facilities need to work cooperatively to identify the manifestations of depression in residents and collaboratively implement the best practice in the treatment of depression and circumvent its long-term impacts on the health of residents. DA - 2017/// PY - 2017 VL - 12 SP - 1645 EP - 1653 SN - 1178-1998 1176-9092 UR - https://dx.doi.org/10.2147/CIA.S147436 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - *Assisted Living Facilities KW - Cognition KW - *Depression/ep [Epidemiology] KW - *Disabled Persons/sn [Statistics & Numerical Data] KW - *Cognition Disorders/ep [Epidemiology] KW - Depressive Disorder/ep [Epidemiology] KW - Jordan/ep [Epidemiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Differences in perceptions and fast food eating behaviours between Indians living in high- and low-income neighbourhoods of Chandigarh, India AU - Aloia Christopher Robert AU - Gasevic Danijela AU - Yusuf Salim AU - Teo Koon AU - Chockalingam Arun AU - Patro Binod Kumar AU - Kumar Rajesh AU - Lear Scott Alexander T2 - Nutrition journal AB - UNLABELLED:, BACKGROUND: Increased density of fast food restaurants is associated with increased prevalence of obesity in developed countries. However, less is known about this relationship in developing countries undergoing rapid urbanization and how differences in neighbourhood income affect the patronage of fast food outlets. The purpose of the study is to explore the differences in fast food preferences, perceptions, and patronage between Indians living in high- and low-income neighbourhoods., METHODS: This cross-sectional study recruited 204 men and women (35 to 65 years in age) from high- and low-income neighbourhoods who completed a questionnaire on fast food consumption. The questionnaire asked participants to define fast food and to provide reasons for and frequency of visits to fast food restaurants. The differences were analyzed using Chi square and t-tests for categorical and continuous variables, respectively., RESULTS: Participants from a high-income neighbourhood were more likely to perceive Western -style fast food as fast food, while people from the low-income neighbourhood were more likely to identify food sold by street vendors as fast food (p <0.001). Furthermore, compared to participants from the high-income neighbourhood, people from the low-income neighbourhood were more likely to report buying food from street vendors while less likely to dine out at both fast food and non-fast food restaurants (p<0.001). Although the high-income neighbourhood group was more likely to report enjoying eating at fast food restaurants than their low-income neighbourhood counterparts, there were no significant differences in the reasons for visiting fast food restaurants (convenience, price, social enjoyment, and quality of meals) between the two groups. Both groups preferred home cooked over restaurant meals, and they recognized that home cooked food was healthier., CONCLUSIONS: Overall, consumption of fast food was low. People from a high-income neighbourhood dined out more frequently and were more likely to perceive Western-style food as fast food compared to their counterparts from the low-income neighbourhood. DA - 2013/// PY - 2013 VL - 12 SP - 4 SN - 1475-2891 UR - https://dx.doi.org/10.1186/1475-2891-12-4 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Cross-Sectional Studies KW - Socioeconomic Factors KW - *Residence Characteristics KW - *Feeding Behavior KW - India KW - eppi-reviewer4 KW - *Fast Foods KW - Food Preferences KW - Restaurants ER - TY - JOUR TI - Fatal and non-fatal injury outcomes: results from a purposively sampled census of seven rural subdistricts in Bangladesh AU - Alonge Olakunle AU - Agrawal Priyanka AU - Talab Abu AU - Rahman Qazi S AU - Rahman Akm Fazlur AU - Arifeen Shams El AU - Hyder Adnan A T2 - The Lancet. Global health AB - BACKGROUND: 90% of the global burden of injuries is borne by low-income and middle-income countries (LMICs). However, details of the injury burden in LMICs are less clear because of the scarcity of data and population-based studies. The Saving of Lives from Drowning project, implemented in rural Bangladesh, did a census on 1.2 million people to fill this gap. This Article describes the epidemiology of fatal and non-fatal injuries from the study., METHODS: In this study, we used data from the baseline census conducted as part of the Saving of Lives from Drowning (SoLiD) project. The census was implemented in 51 unions from seven purposively sampled rural subdistricts of Bangladesh between June and November, 2013. Sociodemographic, injury mortality, and morbidity information were collected for the whole population in the study area. We analysed the data for descriptive measures of fatal and non-fatal injury outcomes. Age and gender distribution, socioeconomic characteristics, and injury characteristics such as external cause, intent, location, and body part affected were reported for all injury outcomes., FINDINGS: The census covered a population of 1 169 593 from 270 387 households and 451 villages. The overall injury mortality rate was 38 deaths per 100 000 population per year, and 104 703 people sustained major non-fatal injuries over a 6-month recall period. Drowning was the leading external cause of injury death for all ages, and falls caused the most number of non-fatal injuries. Fatal injury rates were highest in children aged 1-4 years. Non-fatal injury rates were also highest in children aged 1-4 years and those aged 65 years and older. Males had more fatal and non-fatal injuries than females across all external causes except for burns. Suicide was the leading cause of injury deaths in individuals aged 15-24 years, and more than 50% of the suicides occurred in females. The home environment was the most common location for most injuries., INTERPRETATION: The burden of fatal and non-fatal injuries in rural Bangladesh is substantial, accounting for 44 050 deaths and 21 million people suffering major events annually. Targeted approaches addressing drowning in children (especially those aged 1-4 years), falls among the elderly, and suicide among young female adults are urgently needed to reduce injury deaths and morbidity in Bangladesh., FUNDING: Bloomberg Philanthropies. Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved. DA - 2017/// PY - 2017 VL - 5 IS - 8 SP - e818 EP - e827 SN - 2214-109X UR - https://dx.doi.org/10.1016/S2214-109X(17)30244-9 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Child KW - Aged KW - Child, Preschool KW - Middle Aged KW - Accidental Falls/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Educational Status KW - *Accidents, Traffic/mo [Mortality] KW - Age Distribution KW - Sex Distribution KW - Rural Population KW - *Violence/sn [Statistics & Numerical Data] KW - Social Class KW - *Accidental Falls/mo [Mortality] KW - Infant KW - Censuses KW - Accidents, Traffic/sn [Statistics & Numerical Data] KW - Bangladesh/ep [Epidemiology] KW - *Accidents, Home/mo [Mortality] KW - *Poisoning/mo [Mortality] KW - *Wounds and Injuries/mo [Mortality] KW - Accidents, Home/sn [Statistics & Numerical Data] KW - Drowning/ep [Epidemiology] KW - Drowning/mo [Mortality] KW - Poisoning/ep [Epidemiology] KW - Wounds and Injuries/ep [Epidemiology] KW - eppi-reviewer4 ER - TY - JOUR TI - [Adaptive behaviour of persons with functional limitation: Housing adaptations in Spain]. AU - Alonso Lopez AU - Fernando T2 - Comportamiento adaptativo de las personas con limitacion funcional: la adaptacion funcional de la vivienda en Espana. AB - INTRODUCTION: Most elderly people or those with disabilities wish to stay in their own home rather than any other residential option, even when long-term care is required. The functional adaptation of homes is one of the key factors in doing this with safety and quality of life. This paper investigates whether people with disabilities (arising mainly from their advanced age) develop adaptive behaviours aimed at compensating for their functional loss through improvements in their home and environment, as well as knowing the covariables that explain it., MATERIAL AND METHODS: It starts from the so-called Lewin equation, which relates individual behaviours to personal and environmental characteristics. In this case the adaptive behaviour would be the economic expenditure on the home for its adaptation or improvement. The microdata of the Spanish EDAD 2008 survey are used, to which a bivariate logit model is applied to estimate the relationship between this adaptive expenditure and different explanatory covariates., RESULTS: The results show that the Lewin model is fulfilled. The resulting coefficients and odds ratios show that the functional, economic, and environmental characteristics are what determine, above others of a personal or socioeconomic type, the adaptive expenditure., CONCLUSIONS: Housing adaptation is a voluntary adjustment behaviour justified by the functional conditions of the person and those of the housing and building environment. Given the importance of promoting better conditions for <>, there is a need to stimulate private expenditure on adaptation as a complementary formula to the necessary increase in existing public subsidy programs. Copyright © 2018 SEGG. Publicado por Elsevier Espana, S.L.U. All rights reserved. DA - 2018/// PY - 2018 DO - 10.1016/j.regg.2018.02.009 VL - 53 IS - 5 SP - 285 EP - 292 SN - 0211-139X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29929868 KW - Humans KW - Aged KW - *Independent Living KW - *Activities of Daily Living KW - Spain KW - *Adaptation, Psychological KW - *Mobility Limitation KW - *Housing/st [Standards] KW - eppi-reviewer4 ER - TY - JOUR TI - Acceptance and Commitment Therapy and Selective Optimization with Compensation for Institutionalized Older People with Chronic Pain AU - Alonso-Fernandez Miriam AU - Lopez-Lopez Almudena AU - Losada Andres AU - Gonzalez Jose Luis AU - Wetherell Julie Loebach T2 - Pain medicine (Malden, Mass.) AB - OBJECTIVE: Recent studies support the efficacy of Acceptance and Commitment Therapy (ACT) with people with chronic pain. In addition, Selective Optimization with Compensation strategies (SOC) can help the elderly with chronic pain to accept their chronic condition and increase functional autonomy. Our aim was to analyze the efficacy of an ACT treatment program combined with training in SOC strategies for elderly people with chronic pain living in nursing homes., METHODS: 101 participants (mean age = 82.26; SD = 10.00; 78.6% female) were randomized to the intervention condition (ACT-SOC) or to a minimal support group (MS). Complete data are available for 53 participants (ACT-SOC: n = 27; MS: n = 26). Assessments of functional performance, pain intensity, pain acceptance, SOC strategies, emotional well being and catastrophizing beliefs were done preintervention and postintervention., RESULTS: Significant time by intervention changes (P = 0.05) were found in acceptance, pain related anxiety, compensation strategies, and pain interference in walking ability. Simple effects changes were found in acceptance (P = 0.01), selection strategies (P = 0.05), catastrophizing beliefs (P = 0.03), depressive symptoms (P = 0.05), pain anxiety (P = 0.01) and pain interference in mood and walking ability (P = 0.03) in the ACT-SOC group. No significant changes were found in the MS group., CONCLUSIONS: These results suggest that an ACT intervention combined with training in SOC strategies could help older people with pain to improve their emotional well being and their functional capability. DA - 2016/// PY - 2016 VL - 17 IS - 2 SP - 264 EP - 77 SN - 1526-4637 1526-2375 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=26304771 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged KW - *Nursing Homes KW - Age Factors KW - Homes for the Aged/st [Standards] KW - Nursing Homes/st [Standards] KW - Spain/ep [Epidemiology] KW - Chronic Pain/ep [Epidemiology] KW - *Chronic Pain/px [Psychology] KW - *Acceptance and Commitment Therapy/mt [Methods] KW - *Chronic Pain/th [Therapy] KW - Acceptance and Commitment Therapy/st [Standards] KW - eppi-reviewer4 ER - TY - JOUR TI - Impact and economic assessment of assistive technology in care homes in Norfolk, UK. AU - Al-Oraibi Saleh AU - Fordham Ric AU - Lambert Rod T2 - Journal of Assistive Technologies DA - 2012/09// PY - 2012 DO - 10.1108/17549451211261317 VL - 6 IS - 3 SP - 192 EP - 201 SN - 1754-9450 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104417232&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Nursing Homes KW - Housing for the Elderly KW - Cost Savings KW - Health Care Costs KW - Rehabilitation Centers KW - Sample Size KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Data Analysis Software KW - Chi Square Test KW - Health Resource Utilization KW - P-Value KW - T-Tests KW - Purposive Sample KW - Accidental Falls -- Prevention and Control KW - Retrospective Design KW - Assistive Technology -- Utilization KW - Audit KW - Case Control Studies KW - Incident Reports ER - TY - JOUR TI - Deployment of assistive living technology in a nursing home environment: methods and lessons learned AU - Aloulou Hamdi AU - Mokhtari Mounir AU - Tiberghien Thibaut AU - Biswas Jit AU - Phua Clifton AU - Kenneth Lin AU - Jin Hong AU - Yap Philip T2 - BMC medical informatics and decision making AB - BACKGROUND: With an ever-growing ageing population, dementia is fast becoming the chronic disease of the 21st century. Elderly people affected with dementia progressively lose their autonomy as they encounter problems in their Activities of Daily Living (ADLs). Hence, they need supervision and assistance from their family members or professional caregivers, which can often lead to underestimated psychological and financial stress for all parties. The use of Ambient Assistive Living (AAL) technologies aims to empower people with dementia and relieve the burden of their caregivers.The aim of this paper is to present the approach we have adopted to develop and deploy a system for ambient assistive living in an operating nursing home, and evaluate its performance and usability in real conditions. Based on this approach, we emphasise on the importance of deployments in real world settings as opposed to prototype testing in laboratories., METHODS: We chose to conduct this work in close partnership with end-users (dementia patients) and specialists in dementia care (professional caregivers). Our trial was conducted during a period of 14 months within three rooms in a nursing home in Singapore, and with the participation of eight dementia patients and two caregivers. A technical ambient assistive living solution, consisting of a set of sensors and devices controlled by a software platform, was deployed in the collaborating nursing home. The trial was preceded by a pre-deployment period to organise several observation sessions with dementia patients and focus group discussions with professional caregivers. A process of ground truth and system's log data gathering was also planned prior to the trial and a system performance evaluation was realised during the deployment period with the help of caregivers. An ethical approval was obtained prior to real life deployment of our solution., RESULTS: Patients' observations and discussions allowed us to gather a set of requirements that a system for elders with mild-dementia should fulfil. In fact, our deployment has exposed more concrete requirements and problems that need to be addressed, and which cannot be identified in laboratory testing. Issues that were neither forecasted during the design phase nor during the laboratory testing surfaced during deployment, thus affecting the effectiveness of the proposed solution. Results of the system performance evaluation show the evolution of system precision and uptime over the deployment phases, while data analysis demonstrates the ability to provide early detection of the degradation of patients' conditions. A qualitative feedback was collected from caregivers and doctors and a set of lessons learned emerged from this deployment experience., CONCLUSION: Lessons learned from this study were very useful for our research work and can serve as inspiration for developers and providers of assistive living services. They confirmed the importance of real deployment to evaluate assistive solutions especially with the involvement of professional caregivers. They also asserted the need for larger deployments. Larger deployments will allow to conduct surveys on assistive solutions social and health impact, even though they are time and manpower consuming during their first phases. DA - 2013/// PY - 2013 VL - 13 SP - 42 SN - 1472-6947 UR - https://dx.doi.org/10.1186/1472-6947-13-42 KW - Humans KW - Aged KW - Aged, 80 and over KW - *Assisted Living Facilities KW - *Homes for the Aged KW - *Nursing Homes KW - *Self-Help Devices KW - *Dementia/rh [Rehabilitation] KW - eppi-reviewer4 ER - TY - JOUR TI - [Use of information technology to support the oral care of older people living at home]. AU - Alpay L AU - Parisius K G H AU - Post X AU - Hubeek L AU - Giessen N T2 - Gebruik van informatietechnologie ter ondersteuning van de mondzorg van thuiswonende ouderen. AB - The use of eHealth has increased rapidly in recent years and is also being deployed in several ways in care for older people. Little is still known, however, about the use and acceptance of oral care related applications of eHealth by older people. By means of interviews, qualitative research was carried out on the use of digital devices and the needs of older people living at home for oral care related information and instruction via eHealth. Results indicate that older people are technically capable of receiving and making use of this information via eHealth. Slightly more than half of those questioned were interested in receiving this information via an eHealth app. It was considered to be useful when reduced mobility hindered visits to the dentist. Furthermore, those questioned expressed the opinion that the healthcare they are familiar with and the personal contacts should not be replaced by unfamiliar digital alternatives. DA - 2018/// PY - 2018 DO - 10.5177/ntvt.2018.09.18113 VL - 125 IS - 9 SP - 461 EP - 466 SN - 0028-2200 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=30221641 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Netherlands KW - *Telemedicine KW - eppi-reviewer4 KW - *Dental Care for Aged/td [Trends] KW - *Information Technology ER - TY - JOUR TI - Effect of Community-Based Group Exercise Interventions on Standing Balance and Strength in Independent Living Older Adults. AU - Alqahtani Bader A AU - Sparto Patrick J AU - Whitney Susan L AU - Greenspan Susan L AU - Perera Subashan AU - VanSwearingen Jessie AU - Brach Jennifer S T2 - Journal of geriatric physical therapy (2001) AB - BACKGROUND AND PURPOSE: Many interventions to improve mobility in older adults often include exercises to address underlying impairments such as strength deficits. Task-oriented exercise interventions that focus more on walking and stepping tasks that may be encountered in the community have been considered for improving mobility in older adults. The main purpose was to examine the effect of task-oriented and impairment-based group exercise interventions on standing balance and lower extremity muscle strength., METHODS: This is an ancillary study to a cluster-randomized clinical trial. Participants included 107 older adults. Participants were randomized by facility to 1 of 2 different interventions, or a waitlist control group. The On the Move (OTM) task-oriented intervention consisted of warm-up, timing and coordination (stepping and walking patterns), strengthening, and stretching exercises. The standard of care impairment-based exercise intervention (STD) consisted of warm-up, strength, endurance, and stretching exercises. Postural sway and balance measures were recorded before and after the 12-week interventions. An accelerometer was used to collect postural sway for 6 different standing balance conditions. A portable load cell was used to assess lower extremity muscle strength for 3 muscle groups., RESULTS AND DISCUSSION: The OTM group had a significant reduction in sway acceleration during most of the balance conditions over the 12-week period, whereas the STD had smaller, nonsignificant reductions. Both exercise interventions had a significant reduction in sway compared with the waitlist control group in at least 1 balance condition. The OTM and STD groups had significant increases in hip abduction strength during the intervention and the STD group also had an increase in knee extension strength. The waitlist group had a significant reduction in strength in all muscle groups during the 12-week period. Strength changes in both exercise groups were significantly different from the waitlist group but not from each other., CONCLUSION: Both exercise intervention groups had an improvement in standing balance and lower extremity strength when compared with a waitlist group that did not receive exercise. Although the exercise groups did not significantly differ from each other, the OTM exercise group showed a trend toward improvement in static standing balance conditions. DA - 2019/// PY - 2019 DO - 10.1519/JPT.0000000000000221 VL - 42 IS - 4 SP - E7 EP - E15 SN - 1539-8412 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=31592997 KW - eppi-reviewer4 ER - TY - JOUR TI - Cross-cultural adaptation and validation of the Arabic version of the Physical Activity Scale for the Elderly among community-dwelling older adults in Saudi Arabia. AU - Alqarni Ayidh M AU - Vennu Vishal AU - Alshammari Sulaiman A AU - Bindawas Saad M T2 - Clinical interventions in aging AB - Purpose: Older adults are the fastest growing population group worldwide. Regular physical activity (PA) is reported to reduce the risk of health conditions and improve personal well-being. Few validated instruments can be used to measure the PA levels among older adults in Saudi Arabia. The Physical Activity Scale for the Elderly (PASE) is used worldwide for evaluating the PA levels of the elderly in epidemiological studies. However, this scale has not been translated into Arabic. This study aimed to cross-culturally adapt the PASE into Arabic language and evaluate its reliability and validity among community-dwelling older adults in Saudi Arabia., Patients and methods: This study was a cross-sectional one following Beaton guidelines to translate and perform cultural adaptation, as well as test the reliability and validity of the PASE Arabic version (PASE-A). Elderly (N=74) people from both genders, who lived in a community dwelling in Riyadh city, were selected from several primary health care centers. The study used Cronbach's alpha coefficient to assess the internal consistency reliability, while intraclass correlation coefficient (ICC2,1) was used for test-retest reliability and the Spearman's rank correlation coefficient (r) was used to evaluate the correlation among PASE-A and grip strength, Timed Up and Go test, body mass index, and fat percentage., Results: Out of 74 older adults, 59 (79.7%) completed the PASE-A questionnaire twice. The internal consistency of the PASE-A components was good (Cronbach's alpha 0.70-0.75), and the reliability of the components was excellent (ICC2,1 0.90-0.98). A higher PASE-A score was associated with higher grip strength (r=0.28, p=0.05) and with shorter Timed Up and Go test times (r=-0.45, p=0.01)., Conclusion: The PASE-A version was easy, understandable, and relevant for Saudi older adults' culture. This scale was a reliable and valid tool for evaluating and assessing the PA level among community-dwelling older adults in Saudi Arabia. DA - 2018/// PY - 2018 DO - 10.2147/CIA.S157007 VL - 13 SP - 419 EP - 427 SN - 1176-9092 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29593384 KW - Female KW - Humans KW - Male KW - Aged KW - Reproducibility of Results KW - Independent Living KW - Cross-Sectional Studies KW - *Exercise KW - Body Mass Index KW - *Health Behavior KW - *Surveys and Questionnaires/st [Standards] KW - Translating KW - Cross-Cultural Comparison KW - eppi-reviewer4 KW - Saudi Arabia ER - TY - JOUR TI - Seroprevalence of dengue fever and the associated sociodemographic, clinical, and environmental factors in Makkah, Madinah, Jeddah, and Jizan, Kingdom of Saudi Arabia. AU - Al-Raddadi Rajaa AU - Alwafi Osama AU - Shabouni Omima AU - Akbar Naeema AU - Alkhalawi Mohammed AU - Ibrahim Adel AU - Hussain Raheela AU - Alzahrani Mohammed AU - Al Helal AU - Mohammed AU - Assiri Abdullah T2 - Acta tropica AB - This study aimed to estimate the seroprevalence of anti-dengue IgG antibodies in Makkah, Al Madinah, Jeddah, and Jizan; and to identify the associated demographic, clinical, and environmental independent risk factors. A community-based household serosurvey conducted between September 20, 2016 and January 31, 2017. A multi-stage stratified cluster sampling was used to select 6596 participants from Makkah, Madinah, Jeddah, and Jizan. Blood samples were drawn from all participants to detect anti-dengue IgG antibodies. A semi-structured questionnaire was used to collect information on demographic, clinical, and environmental data. Multivariate logistic regression was carried out to identify independent risk factors of dengue seropositivity. The dengue seroprevalence (95% confidence intervalI) was 26.7% (25.6%, 27.8%), with the highest (33.6%) and lowest (14.8%) rates in Jizan and Madinah, respectively, and reaching 50% or more in several districts of the four cities. Demographic predictors of seroprevalence included: dwelling in Makkah (odds ratio [OR] = 2.19, p < 0.001) or Jizan (OR = 2.17, p < 0.001); older age (OR = 3.91, p < 0.001 for age>30 years); housing type (OR = 1.84 and 1.82, p < 0.001 for popular and social houses, respectively); and number of household occupants (OR = 0.86 and 0.71 for 6-10 [p = 0.042] and 11-20 [p = 0.002] occupants, respectively). Environmental predictors included the absence of pest control works in residency area (OR = 1.39, p = 0.002), presence of mosquitoes in the home (OR = 1.39, p = 0.001), and absence of awareness campaigns (OR = 1.97, p < 0.001). One in four inhabitants of the Western region of Saudi Arabia was seropositive for the dengue virus. Implementation of behavior-based educational programs is recommended, involving the population in the identification and eradication of vector sources and promoting appropriate behaviors that prevent the spread. Copyright © 2018. Published by Elsevier B.V. DA - 2019/// PY - 2019 DO - 10.1016/j.actatropica.2018.09.009 VL - 189 SP - 54 EP - 64 SN - 0001-706X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30244133 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Young Adult KW - Health Knowledge, Attitudes, Practice KW - Child KW - Middle Aged KW - Housing KW - Age Factors KW - Family Characteristics KW - *Antibodies, Viral/bl [Blood] KW - *Dengue Virus/im [Immunology] KW - *Dengue/bl [Blood] KW - *Dengue/ep [Epidemiology] KW - *Immunoglobulin G/bl [Blood] KW - Mosquito Control KW - Mosquito Vectors KW - Saudi Arabia/ep [Epidemiology] KW - Seroepidemiologic Studies KW - eppi-reviewer4 ER - TY - JOUR TI - Predictors of early mortality among hospitalized nursing home residents AU - Alrawi Y A AU - Parker R A AU - Harvey R C AU - Sultanzadeh S J AU - Patel J AU - Mallinson R AU - Potter J F AU - Trepte N J. B AU - Myint P K T2 - QJM : monthly journal of the Association of Physicians AB - BACKGROUND: Emergency admissions from nursing homes (NHs) are associated with high mortality. Understanding the predictors of early mortality in these patients may guide clinicians in choosing appropriate site and level of care., METHODS: We identified all consecutive admissions from NHs (all ages) to an Acute Medical Assessment Unit between January 2005 and December 2007. Analysis was performed at the level of the admission. The predictors of in-patient mortality at 7 days were examined using a generalized estimating equations analysis., RESULTS: A total of 314 patients [32% male, mean age: 84.2 years (SD: 8.3 years)] were admitted during the study period constituting 410 emergency episodes. Twenty-three percent of admissions resulted in hospital mortality with 73% of deaths occurring within 1 week (50% within the first 3 days). For 7-day mortality outcome, patients with a modified early warning score (MEWS) of 4-5 on admission had 12 times the odds of death [95% confidence interval (CI) 1.40-103.56], whereas those with a score of >=6 had 21 times the odds of death (95% CI 2.71-170.57) compared with those with a score of <=1. An estimated glomerular filtration rate (eGFR) of 30-60 and <30 ml/min/m(2) was associated with nearly a 3-fold increase in the odds of death at 1 week (95% CI 1.10-7.97) and a 5-fold increase in the odds of death within 1 week (95% CI 1.75-14.96), respectively, compared with eGFR > 60 ml/min/m(2). C-reactive protein (CRP) >100 mg/l on admission was also associated with a 2.5 times higher odds of death (95% CI 1.23-4.95). Taking eight or more different medication items per day was associated with only a third of the odds of death (95% CI 0.09-0.98) compared with patients taking only three or fewer per day., CONCLUSION: In acutely ill NH residents, MEWS is an important predictor of early hospital mortality and can be used in both the community and the hospital settings to identify patients whose death maybe predictable or unavoidable, thus allowing a more holistic approach to management with discussion with patient and relatives for planning of immediate care. In addition, CRP and eGFR levels on admission have also been shown to predict early hospital mortality in these patients and can be used in conjunction with MEWS in the same way to allow decision making on the appropriate level of care at the point of hospital admission. DA - 2013/// PY - 2013 VL - 106 IS - 1 SP - 51 EP - 7 SN - 1460-2393 UR - https://dx.doi.org/10.1093/qjmed/hcs188 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Nursing Homes KW - Geriatric Assessment/mt [Methods] KW - Risk Assessment/mt [Methods] KW - *Health Status Indicators KW - *Hospitalization KW - Prognosis KW - England/ep [Epidemiology] KW - Biomarkers/bl [Blood] KW - Homes for the Aged KW - Emergencies KW - C-Reactive Protein/an [Analysis] KW - Medical Audit KW - *Hospital Mortality KW - eppi-reviewer4 ER - TY - JOUR TI - Disability levels and correlates among older mobile home dwellers, an NHATS analysis AU - Al-Rousan Tala M AU - Rubenstein Linda M AU - Wallace Robert B T2 - Disability and health journal AB - BACKGROUND: Although remarkably understudied, manufactured or mobile homes are the housing choice for nearly 20 million Americans and little is known about the health of older persons living in mobile homes., OBJECTIVE: We sought to investigate disability levels and other health correlates among older adults living in mobile or manufactured homes compared to their counterparts living in other types of homes., METHODS: We sampled non-institutional adults aged 65 years or older (n = 7609), of whom 344 lived in mobile homes, from the 2011 National Health and Aging Trends Study (NHATS)., RESULTS: Respondents living in mobile homes (average age = 75.1 years; SD = 0.5) had lower education and income and medical insurance than older adults living in other types of community residence (average age = 77.5 years; SD = 0.2). They were more likely to smoke, have lung and heart disease, and report fair or poor general health status. Mobile home dwellers reported more difficulty or inability in performing the following activities of daily living when compared to their counterparts: stooping and kneeling (64.9% vs 60.8%, p = 0.007), walking 6 blocks (46.5% vs 41.5%, p = 0.001), walking 3 blocks (37.7% vs 33.5%, p = 0.002), and climbing up to 20 stairs (39.2% vs 34.8%, p = 0.02). Among those reporting disability, mobile home dwellers had fewer bathroom safety modifications., CONCLUSION: There is higher prevalence of chronic conditions, functional and cognitive impairment in older mobile home dwellers compared to older adults living in other types of housing. Copyright Published by Elsevier Inc. DA - 2015/// PY - 2015 VL - 8 IS - 3 SP - 363 EP - 71 SN - 1876-7583 UR - https://dx.doi.org/10.1016/j.dhjo.2015.01.002 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Activities of Daily Living KW - *Disabled Persons KW - *Housing KW - Walking KW - *Health Status KW - Aging KW - Smoking KW - Social Class KW - Movement KW - Medically Uninsured KW - eppi-reviewer4 ER - TY - JOUR TI - Trends in prevalence, incidence and pharmacologic management of diabetes mellitus among seniors newly admitted to long-term care facilities in Saskatchewan between 2003 and 2011 AU - Alsabbagh Mhd Wasem AU - Mansell Kerry AU - Lix Lisa M AU - Teare Gary AU - Shevchuk Yvonne AU - Lu Xinya AU - Champagne Anne AU - Blackburn David F T2 - Canadian journal of diabetes AB - OBJECTIVE: We aimed to describe trends in the prevalence and incidence of diabetes mellitus and also report the overall use of diabetes medications among patients newly admitted to a long-term care facility (LTCF)., METHODS: A retrospective cohort study was done using health administrative databases in Saskatchewan. Eligible patients were newly admitted to LTCF in Saskatchewan between 2003 and 2011 and maintained LTCF residency for at least 6 months. Prevalence of diabetes was defined with physician or hospital claims in the 2 years preceding admission. Antihyperglycemic medication use was estimated from prescription claims data during the first 6 months after LTCF admission. All data were descriptively analyzed., RESULTS: The validated case definition for diabetes (>=2 diagnostic claims) in the 2 years before or 6 months after admission was met by 16.9% of patients (2471 of 14,624). An additional 965 patients (6.6%) had a single diabetes diagnostic claim or antihyperglycemic prescriptions only. Among patients receiving antihyperglycemic therapies, 64.9% (1518 of 2338) were exclusively managed with oral medications, and metformin was the most commonly used medication. Glyburide was commonly withdrawn after LTCF admission. Insulin use was observed in 23.9% of diabetes patients, with a mean daily average consumption of 54.7 units per day., CONCLUSIONS: Use of diabetes medications appear to generally align with Canadian practice recommendations as evidenced by declining use of glyburide and frequent use of metformin. Future studies should examine clinical benefits and safety of hypoglycemic agent use in LTCFs. Copyright © 2015 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 VL - 39 IS - 2 SP - 138 EP - 45 SN - 2352-3840 1499-2671 UR - https://dx.doi.org/10.1016/j.jcjd.2014.10.002 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - Retrospective Studies KW - *Homes for the Aged KW - Long-Term Care KW - Incidence KW - *Diabetes Mellitus/ep [Epidemiology] KW - *Diabetes Mellitus/dt [Drug Therapy] KW - *Hypoglycemic Agents/tu [Therapeutic Use] KW - Glyburide/tu [Therapeutic Use] KW - Insulin/tu [Therapeutic Use] KW - Metformin/tu [Therapeutic Use] KW - Saskatchewan/ep [Epidemiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Years of able life in older persons--the role of cardiovascular imaging and biomarkers: the Cardiovascular Health Study AU - Alshawabkeh Laith I AU - Yee Laura M AU - Gardin Julius M AU - Gottdiener John S AU - Odden Michelle C AU - Bartz Traci M AU - Arnold Alice M AU - Mukamal Kenneth J AU - Wallace Robert B T2 - Journal of the American Heart Association AB - BACKGROUND: As the U.S. population grows older, there is greater need to examine physical independence. Previous studies have assessed risk factors in relation to either disability or mortality, but an outcome that combines both is still needed., METHODS AND RESULTS: The Cardiovascular Health Study is a population-based, prospective study where participants underwent baseline echocardiogram, measurement of carotid intima-media thickness (IMT), and various biomarkers, then followed for up to 18 years. Years of able life (YAL) constituted the number of years the participant was able to perform all activities of daily living. Linear regression was used to model the relationship between selected measures and outcomes, adjusted for confounding variables. Among 4902 participants, mean age was 72.6 +/- 5.4 years, median YAL for males was 8.8 (interquartile range [IQR], 4.3 to 13.8) and 10.3 (IQR, 5.8 to 15.8) for females. Reductions in YAL in the fully adjusted model for females and males, respectively, were: -1.34 (95% confidence interval [CI], -2.18, -0.49) and -1.41 (95% CI, -2.03, -0.8) for abnormal left ventricular (LV) ejection fraction, -0.5 (95% CI, -0.78, -0.22) and -0.62 (95% CI, -0.87, -0.36) per SD increase in LV mass, -0.5 (95% CI, -0.7, -0.29) and -0.79 (95% CI, -0.99, -0.58) for IMT, -0.5 (95% CI, -0.64, -0.37) and -0.79 (95% CI, -0.94, -0.65) for N-terminal pro-brain natriuretic peptide, -1.08 (95% CI, -1.34, -0.83) and -0.73 (95% CI, -0.97, -0.5) for high-sensitivity troponin-T, and -0.26 (95% CI, -0.42, -0.09) and -0.23 (95% CI, -0.41, -0.05) for procollagen-III N-terminal propeptide. Most tested variables remained significant even after adjusting for incident cardiovascular (CV) disease., CONCLUSIONS: In this population-based cohort, variables obtained by CV imaging and biomarkers of inflammation, coagulation, atherosclerosis, myocardial injury and stress, and cardiac collagen turnover were associated with YAL, an important outcome that integrates physical ability and longevity in older persons. Copyright © 2015 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell. DA - 2015/// PY - 2015 VL - 4 IS - 4 SN - 2047-9980 UR - https://dx.doi.org/10.1161/JAHA.114.001745 KW - Female KW - Humans KW - Male KW - Aged KW - Activities of Daily Living KW - *Independent Living/sn [Statistics & Numerical Data] KW - Prospective Studies KW - Biomarkers/bl [Blood] KW - Cardiovascular Diseases/ep [Epidemiology] KW - Cardiovascular Diseases/di [Diagnosis] KW - Natriuretic Peptide, Brain/bl [Blood] KW - Peptide Fragments/bl [Blood] KW - *Carotid Intima-Media Thickness/sn [Statistics & Numerical Data] KW - *Echocardiography KW - Procollagen/bl [Blood] KW - Stroke Volume KW - Troponin I/bl [Blood] KW - eppi-reviewer4 ER - TY - JOUR TI - The impact of self-perceived masticatory function on nutrition and gastrointestinal complaints in the elderly AU - Altenhoevel A AU - Norman K AU - Smoliner C AU - Peroz I T2 - The journal of nutrition, health & aging AB - OBJECTIVES: Impaired masticatory function is generally considered to be a contributing factor in the development of malnutrition (1, 2). Furthermore, the exclusion of essential and high-fibre foods from the subjects' diets, due to chewing problems, may induce gastrointestinal disorders (3-5)., OBJECTIVE: The impact of masticatory function on malnutrition and gastrointestinal symptoms was evaluated., DESIGN, SETTING, AND PARTICIPANTS: This prospective cross-sectional study was conducted in four nursing homes in Berlin, Germany. 119 residents (mean 86, +/- 8.0 years, 62-102) took part in the study., MEASUREMENTS: Dental status, denture quality, prosthetic condition as well as masticatory ability and gastrointestinal symptoms were evaluated by clinical examination or interview. Nutritional state was determined according to Mini Nutritional Assessment (MNA)., RESULTS: The mean Body Mass Index was 24.4, +/-4.9 kg/m2 (17% < 20 kg/m2). The mean MNA was 22.5, +/-4.3, 51.3% below normal. 54.5% of the dentures were poorly fitting. No significant relationships were found between the MNA and dental parameters except loose fit of dentures. However, there was significantly more food avoidance among the subjects with stated chewing problems, discomfort with dentures or ill-fitting dentures and there were significantly more digestive complaints among this group., CONCLUSIONS: Impairments of masticatory function may lead to food avoidance and to a higher incidence of digestive complaints. DA - 2012/// PY - 2012 VL - 16 IS - 2 SP - 175 EP - 8 SN - 1760-4788 1279-7707 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med8&NEWS=N&AN=22323354 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Nursing Homes KW - *Nutritional Status KW - Cross-Sectional Studies KW - Prospective Studies KW - Geriatric Assessment KW - Nutrition Assessment KW - Body Mass Index KW - *Malnutrition/ep [Epidemiology] KW - *Self Concept KW - Malnutrition/et [Etiology] KW - Homes for the Aged KW - Germany/ep [Epidemiology] KW - Self-Assessment KW - eppi-reviewer4 KW - *Gastrointestinal Diseases/ep [Epidemiology] KW - *Mastication/ph [Physiology] KW - Dentures/ae [Adverse Effects] KW - Dentures/px [Psychology] ER - TY - JOUR TI - Success of a home-based oncology rehabilitation program for a geriatric patient living in an assisted Living facility: a case report. AU - Altieri Caren T2 - Rehabilitation Oncology AB - Background and Purpose: Due to improved screenings, earlier detection, and advancements in treatment strategies, people are living longer with the diagnosis of cancer; therefore, cancer is becoming more of a chronic disease with persistent impairments and functional limitations that remain long after treatment of the disease is complete. Case Description: An 85-year-old man residing in an assisted living facility (ALF) was referred to physical and occupational therapy with a diagnosis of debility due to recent chemotherapy, radiation therapy, and a fall due to weakened debilitated status. Prior to admission to the ALF and his fall, the patient was living in his home independently. Outcomes: After 6 weeks of therapy intervention, the patient showed significant improvements in balance, mobility, gait and transfers, as well as activities of daily living. Despite complaints of fatigue, the patient tolerated consistent therapy and was able to overcome the deleterious effects of immobility due to cancer related fatigue. Discussion: Consistent rehabilitation in the home setting, regardless of where the person lives, can significantly improve quality of life in patients dealing with cancer related fatigue and the debilitating side effects of cancer treatment. DA - 2012/06// PY - 2012 VL - 30 IS - 2 SP - 8 EP - 12 SN - 2168-3808 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108097146&site=ehost-live&scope=site KW - Male KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Assisted Living -- In Old Age KW - Home Rehabilitation -- Methods -- In Old Age KW - Lymphoma, Non-Hodgkin's -- Therapy -- In Old Age ER - TY - JOUR TI - [Motivational orientation and depressive symptoms in the elderly] AU - Altintas E AU - Guerrien A T2 - Orientation motivationnelle et symptomatologie depressive chez la personne agee. AB - This article is focused on motivation and depression in later life. For about 20 years, research on the motivation of elders has underlined the importance of the cognitive evaluation of life contexts, notably in terms of self-determination. This cognitive evaluation determines the motivational orientation for daily activities (notably the levels of intrinsic and extrinsic motivation). The purpose of this research was specifically to study the relationships between the existence of four types of motivation (intrinsic, self-determined extrinsic, nonself-determined extrinsic and amotivation) and the consequences for adaptation and well-being. The study, therefore, focused on the possible links between motivation and geriatric-depression level and explored the nature of this link. Forty persons aged 60 or over (31 women: 80.48+/-9.24; nine men: 80.56+/-9.48) who live in nursing homes (20 elderly) or in their own homes (20 elderly) were enrolled. Elderly persons were assessed with specific and standardized tools: the Elderly Motivation Scale (EMS, in the French version: EMPA) and the Geriatric Depression Scale (GDS). For the statistical analyses of the results, correlations and Mann-Whitney test were used. We found that in elderly people, the motivational styles (the four types of motivation) can be reliably measured and are related to geriatric depression. First, significant positive links were noticed between intrinsic motivation and depression scores and between self-determined extrinsic motivation and depression scores. Conversely, significant negative links were noticed between nonself-determined extrinsic motivation and depression scores and between amotivation and depression scores. The most self-determined elders presented low-depression levels, whereas the more nonself-determined elders showed high-depression levels. Moreover, motivational styles significantly differed in the two groups (depressive or not depressive). The most depressive elders showed significantly lower-intrinsic and self-determined motivation levels. Our results support the hypothesis that motivational styles are related to important aspects (adaptation, well-being and depression) of the life of elderly people. Self-determination theory appears of high interest in research on aging and especially on the determinants of well-being in the elders. DA - 2009/// PY - 2009 VL - 35 IS - 2 SP - 115 EP - 20 SN - 0013-7006 UR - https://dx.doi.org/10.1016/j.encep.2008.03.006 KW - Female KW - Humans KW - Male KW - Social Environment KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Residence Characteristics KW - Assisted Living Facilities KW - Psychometrics KW - Personal Autonomy KW - Quality of Life/px [Psychology] KW - Activities of Daily Living/px [Psychology] KW - *Motivation KW - *Depressive Disorder/px [Psychology] KW - Internal-External Control KW - Depressive Disorder/di [Diagnosis] KW - eppi-reviewer4 KW - Personality Inventory/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Leisure Activities and Motivational Profiles in Adaptation to Nursing Homes. AU - Altintas Emin AU - Guerrien Alain AU - Vivicorsi Bruno AU - Clement Evelyne AU - Vallerand Robert J T2 - Canadian journal on aging = La revue canadienne du vieillissement AB - ABSTRACTBased on self-determination theory, this study examined the relationship between leisure activities, motivation, and adjustment to institutional living by older adults who live in nursing homes. We hypothesized that motivational profiles with higher levels of self-determined motivation represent the optimal profiles regarding participation in leisure activities, adaptation to nursing home living, and satisfaction with life. Participants completed questionnaires assessing motivation, leisure activity participation, life satisfaction, and adaptation to the nursing home. Results showed a relationship between the latter three factors. A latent profile analysis based on the different forms of motivation indicated four distinct profiles. Although no differences were found between the high self-determined profile (high self-determined motivation and low non-self-determined motivation) and the additive profile (high self-determined motivation and non-self-determined motivation), participants with a moderate profile and a low self-determined profile reported the lowest levels in leisure activity participation, adaptation to the nursing home, and satisfaction with life. DA - 2018/// PY - 2018 DO - 10.1017/S0714980818000156 VL - 37 IS - 3 SP - 333 EP - 344 SN - 0714-9808 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30001754 KW - Humans KW - Aged KW - Aged, 80 and over KW - Cohort Studies KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Analysis of Variance KW - *Adaptation, Psychological KW - Self Report KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Personal Satisfaction KW - *Leisure Activities/px [Psychology] KW - *Motivation KW - *Personal Autonomy KW - eppi-reviewer4 ER - TY - JOUR TI - Effects of Pain and Sleep Quality on Falls Among Nursing Home Residents in Turkey. AU - Altintas Hulya Kulakci AU - Aslan Gulbahar Korkmaz AU - Sisman Nuriye Yildirim AU - Kesgin Makbule Tokur T2 - Research in gerontological nursing AB - The current study was conducted to detect the incidence of falls among individuals in nursing homes, as well as the impact of pain and sleep quality on falls. The sample for this cross-sectional study comprised 291 older adults. Pain was assessed using the Geriatric Pain Measure and insomnia was assessed using the Insomnia Severity Index. Incidence of falls within the past 1 year was 40.9%. Risk factors for falling were determined using logistic regression analysis. Based on the analysis, being single (odds ratio [OR] = 2.502, 95% confidence interval [CI] [1.155, 6.195]) and experiencing pain (OR = 2.841, 95% CI [1.195-6.754]) were risk factors for falling. In the current study, falling was seen as a common problem among older adults. Pain in particular should be addressed when planning the prevention of falls in nursing homes. [Res Gerontol Nurs. 2018; 11(5):257-264.]. Copyright 2018, SLACK Incorporated. DA - 2018/// PY - 2018 DO - 10.3928/19404921-20180810-01 VL - 11 IS - 5 SP - 257 EP - 264 SN - 1938-2464 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30230519 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Incidence KW - Pain Measurement KW - *Pain/pp [Physiopathology] KW - *Sleep KW - *Sleep Initiation and Maintenance Disorders/pp [Physiopathology] KW - Turkey/ep [Epidemiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Drug-using behaviors of the elderly living in nursing homes and community-dwellings in Manisa, Turkey AU - Altiparmak Saliha AU - Altiparmak Osman T2 - Archives of gerontology and geriatrics AB - AIM: The study aimed to investigate drug-taking behaviors of the elderly living in a nursing home or community dwelling and to determine the factors affecting their behaviors., MATERIALS AND METHODS: This cross-sectional study was conducted on the elderly living at homes (n=106) or in nursing homes (n=220) in the city center of Manisa located in the Aegean region of Turkey. The study data were collected between February 2011 and May 2011. For data collection, three survey forms were used: the socio-demographic questionnaire, the standardized mini mental test and the questionnaire which enquires drug-using behavior. The data were evaluated with SPSS for 15.00 Windows statistical package program. Data descriptive statistics were evaluated with the chi-square test, Student's t-test and logistic regression analysis., RESULTS: The mean age of the whole group was 73.4+/-6.3 (65-94). In the study group, the mean numbers of chronic diseases and medications used were 1.2+/-0.9 (0-5) and 2.6+/-1.8 (0-10), respectively. According to the survey results, those living in nursing homes, males and those with education higher than primary school education displayed better drug-taking behaviors than those living at home, females and those with less than primary school education, respectively., CONCLUSION: The appropriate use of medicine is a major problem in old age. Living at home or in a nursing home, gender and education are important factors affecting the correct use of medicine in old age. Copyright A© 2011 Elsevier Ireland Ltd. All rights reserved. DA - 2012/// PY - 2012 VL - 54 IS - 2 SP - e242 EP - 8 SN - 1872-6976 0167-4943 UR - https://dx.doi.org/10.1016/j.archger.2011.09.014 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - Cross-Sectional Studies KW - Medication Adherence/px [Psychology] KW - Sex Factors KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Age Factors KW - Independent Living/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Independent Living/px [Psychology] KW - Educational Status KW - Turkey/ep [Epidemiology] KW - Chi-Square Distribution KW - *Drug Therapy/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Drug Therapy/px [Psychology] KW - Medication Adherence/sn [Statistics & Numerical Data] ER - TY - JOUR TI - PART I: INTERNATIONAL, NATIONAL AND COMMUNITY ENVIRONMENTAL PATTERNS: THE EXPERIENCE OF ENVIRONMENTAL BARRIERS AMONG ADULTS WITH DISABILITIES: A NATIONAL DESCRIPTION. AU - Altman Barbara M AU - Lollar Donald J AU - Rasch Elizabeth K T2 - Research in Social Science & Disability AB - Purpose -- In recent years, recognition of environmental influences in public health has expanded to include more components of the environ-ment such as the built environment, attitudes, and public policies. This environmental attention has addressed the need for healthier housing, schools, roads, and work sites, as some examples. Paralleling the devel-opment of awareness of the impact of environment on health and health behaviors, the influence of the environment and its contribution to the experience of disability has become more apparent. This national descriptive analysis of environmental barriers contributes to our under-standing of the extent of environmental considerations for the entire U.S. adult population, not just older individuals, and will document those pro-blems for those with self-reported functional limitations (i.e., disability). Design/methodology/approach -- This analysis uses the 2002 National Health Interview data to examine physical, social, and policy barriers experienced by the U.S. national population of adults age 18 or over. Focusing specifically on those who report a physical, activity, participa-tion, or mental health limitation, the experience of barriers in the home, workplace, school, and the community is examined using descriptive analyses. Findings -- Results indicate that approximately 11% of the population with disabilities and 2% of the nondisabled adult population experience barriers in their daily lives. Severity of limitations and poor health status among those with disabilities increase the experience of barriers. The only sociodemographic factor related to reporting barriers was income. Depending on the kind of limitation, up to 28.6% of the population with disabilities experience barriers. The two most frequently reported types of barriers were building design and attitudes of other people. Social implications -- This analysis provides an indication of how the environment is experienced by adults with disabilities and identifies per-ceived barriers found in the home, the work/school environment and the community. It starts to provide a baseline for understanding of the envir-onment as experienced by persons with disabilities and suggests the most pressing areas for attention. Originality/value -- To our knowledge, this is among the first nationally representative analysis of barriers that interfere with daily activities experienced by adults in the United States. It highlights the experience of adults with disabilities and describes numerous types of potential barriers. [ABSTRACT FROM AUTHOR] Copyright of Research in Social Science & Disability is the property of Emerald Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2014/01// PY - 2014 VL - 8 SP - 33 EP - 53 SN - 14793547 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=99625897&site=ehost-live&scope=site KW - Public health KW - Housing KW - eppi-reviewer4 KW - Descriptive statistics KW - Disability KW - environment KW - Health behavior KW - People with disabilities -- United States KW - School environment -- United States ER - TY - JOUR TI - Disability in U.S. Households, 2000-2010: Findings from the National Health Interview Survey AU - Altman Barbara M AU - Blackwell Debra L T2 - Family relations AB - Understanding the demographic structure of households containing members with disabilities is of key importance in policy planning for populations with disabilities at state and national levels. Yet, most, but not all, previous family-level studies of disability have excluded persons living alone or with unrelated persons (e.g., a housemate or an unmarried partner) because they are not considered families. To address this gap, the authors utilize National Health Interview Survey data to produce household-level estimates of disability using a detailed household type variable that includes households omitted from previous reports. Findings indicate that one-person households made up 24.7% of all households with an adult aged 18-64 with a disability, and 42.9% of all households with an adult aged 65 or older with a disability. Including nonfamily households provides a clearer picture of the association between living arrangements and disability in the U.S. DA - 2016/// PY - 2016 VL - 63 IS - 1 SP - 20 EP - 38 SN - 0197-6664 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=26962270 KW - eppi-reviewer4 ER - TY - JOUR TI - Comparing the Satisfaction of Rural Seniors with Housing Co-Ops and Congregate Apartments: Is Home Ownership Important? AU - Altus Deborah E AU - Mathews R Mark T2 - Journal of Housing for the Elderly AB - This study examined the satisfaction of rural seniors with two types of group living situations: housing co-ops and congregate apartments. Previous research has suggested that co-op members are more satisfied with their living situation than residents of other types of housing due to the participatory nature of cooperative living. The purpose of this study was to see if co-op members, who own and manage their own housing, would report greater benefits and higher levels of satisfaction with their housing than congregate apartment tenants whose housing is not resident-owned or managed. Residents of three housing co-ops and two congregate apartment facilities in small midwestern towns responded to a questionnaire broken into four areas: satisfaction with housing; impact of housing on well-being; social and governmental opportunities; and monetary benefits. Results suggested that: (1) both groups of respondents were satisfied with their housing situation; (2) both types of housing had a positive impact on residents' well-being; (3) both types of housing provided social and governmental opportunities; and (4) both types of housing provided monetary benefits. No significant differences were found between the two groups of residents except in the area of monetary benefits, with significantly more congregate apartment residents reporting that their facility provided monetary benefits. This study suggests that while senior housing co-ops are well-liked by their members, having ownership and managerial control may not be necessary for seniors to be satisfied with, and reap benefits from, their housing situation. [ABSTRACT FROM PUBLISHER] Copyright of Journal of Housing for the Elderly is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2002/02// PY - 2002 VL - 16 IS - 1/2 SP - 39 SN - 02763893 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=27645893&site=ehost-live&scope=site KW - eppi-reviewer4 KW - Senior housing KW - Congregate housing KW - Home ownership KW - Well-being KW - Communal living KW - Cooperative housing KW - cooperative living KW - group shared housing KW - Housing satisfaction KW - Residence requirements KW - Rural elderly ER - TY - JOUR TI - Descubriendo los sentimientos y comportamientos que experimenta el adulto mayor con dolor crónico benigno. AU - Alvarado García AU - Alejandra María AU - Salazar Maya AU - Ángela María T2 - Gerokomos DA - 2016/12// PY - 2016 VL - 27 IS - 4 SP - 142 EP - 146 SN - 1134-928X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121048543&site=ehost-live&scope=site KW - Aged KW - Colombia KW - eppi-reviewer4 KW - Human KW - Interviews KW - Qualitative Studies KW - Community Living KW - Attitude -- Evaluation -- In Old Age KW - Chronic Pain -- Psychosocial Factors -- In Old Age ER - TY - JOUR TI - Prevalence of dementia and Alzheimer's disease in elders of nursing homes and a senior center of Durango City, Mexico AU - Alvarado-Esquivel Cosme AU - Hernandez-Alvarado Ana Berthina AU - Tapia-Rodriguez Rosa Oralia AU - Guerrero-Iturbe Angel AU - Rodriguez-Corral Karina AU - Martinez Sergio Estrada T2 - BMC psychiatry AB - BACKGROUND: Epidemiological reports about dementia and Alzheimer's disease (AD) in elderly people from developing countries are scarce. Therefore, we sought to determine the prevalences of dementia and AD in a population of nursing home residents and senior center attendees of Durango City, Mexico, and to determine whether any socio-demographic characteristics from the subjects associated with dementia or AD exist., METHODS: One hundred and fifty-five residents of two nursing homes and 125 attendees of a senior center were examined for dementia and Alzheimer's disease. All subjects were tested by the mini-mental state examination, and those who scored twenty-four or less underwent psychiatric and neurological evaluations. Diagnosis of dementia, AD and vascular dementia (VaD) was based on the DSM-IV criteria. Socio-demographic characteristics from each participant were also obtained., RESULTS: Residents of nursing homes found to suffer from dementia were 25 out of 155 (16.1%). Eighteen of them (11.6%) had AD, and seven (4.5%) had VaD. None of the attendees of the senior center suffered from dementia. Dementia (pooled AD and VaD cases) correlated with white ethnicity (OR = 3.2; 95%CI = 1.28-8.31), and a history of unemployment (OR = 6.46; 95%CI = 1.42-25.97), while AD correlated with journeymen occupations (OR = 4.55; 95%CI = 1.00-19.29)., CONCLUSION: Prevalence of dementia in residents of nursing homes found in this study is much lower than reported from more industrialized countries. AD was more frequent than VaD. Ethnicity and occupation showed effects on the prevalence figures. The prevalence of dementia found has implications for the optimum kind of health care that nursing homes should provide to their residents. DA - 2004/// PY - 2004 VL - 4 SP - 3 SN - 1471-244X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=15070420 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Comorbidity KW - Continental Population Groups KW - *Dementia/ep [Epidemiology] KW - Mexico/ep [Epidemiology] KW - *Alzheimer Disease/ep [Epidemiology] KW - Unemployment KW - eppi-reviewer4 KW - Occupations ER - TY - JOUR TI - [Falls by elderly people living in long-term care institutions in Pelotas, Rio Grande do Sul State, Brazil]. AU - Alvares Liege Mata AU - Lima Rosangela da Costa AU - Silva Ricardo Azevedo da T2 - Ocorrencia de quedas em idosos residentes em instituicoes de longa permanencia em Pelotas, Rio Grande do Sul, Brasil. AB - This study focuses on the occurrence of falls and related factors among elderly individuals living in long-term care institutions in Pelotas, Rio Grande do Sul State, Brazil. A structured questionnaire on demographic characteristics, morbidity, use of psychoactive drugs, and occurrence of falls was used. In December 2006, all 21 long-term care institutions for the elderly registered in the city were contacted, and 19 agreed to participate. A total of 377 elderly were identified, but 96 were unable to answer the questionnaire and 38 refused to answer. Most of the 243 elderly in the sample were women (72.8%), and mean age was 77.7 years (SD = 8.9). Nearly one-third of the sample (32.5%) had suffered at least one fall in the previous year. Falls were twice as frequent in women, individuals with rheumatism or back problems, and those on psychoactive medication. The aim is for the findings to encourage further discussion on the health of elderly residents in long-term care institutions. DA - 2010/// PY - 2010 VL - 26 IS - 1 SP - 31 EP - 40 SN - 0102-311X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=20209207 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - Long-Term Care KW - Socioeconomic Factors KW - Brazil/ep [Epidemiology] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - eppi-reviewer4 ER - TY - JOUR TI - Falls Reduction and Exercise Training in an Assisted Living Population. AU - Alvarez Kimberly J AU - Kirchner Shannen AU - Chu Serena AU - Smith Sarah AU - Winnick-Baskin Wendy AU - Mielenz Thelma J T2 - Journal of Aging Research AB - Multicomponent exercise programs are currently an efficacious fall prevention strategy among community dwelling older adults although research documents differential falls susceptibility among frail older adults. This study aimed to examine the association between the Boston FICSIT (Frailty and Injuries: Cooperative Studies of Intervention Techniques) exercise program (the original exercise program to demonstrate that nursing home residents can increase strength) and falls incidents in an assisted living community. A descriptive cross-sectional study matched exercise charts for frequency and duration of training with number of reported fall incidents. Among 39 participants, 33% (n=13) reported a fall incident. Adults without a fall history reported more time in aerobic (26.30 versus 20.00, P value =0.71) and strength (1.50 versus 0.50, P value =0.01) training sessions compared to those with a fall history. Multivariate models adjusting for covariates illustrated a significant protective association between strength training and fall incidents (OR=0.25; 95% CI=0.07, 0.85). In this cross-sectional study, this progressive resistance exercise training program into an assisted living population was associated with a decrease in the number of fall incidents. DA - 2015/08// PY - 2015 DO - 10.1155/2015/957598 VL - 2015 SP - 1 EP - 4 SN - 2090-2204 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109050580&site=ehost-live&scope=site KW - Adult KW - Frail Elderly KW - Exercise KW - Odds Ratio KW - Confidence Intervals KW - eppi-reviewer4 KW - Human KW - Middle Age KW - Assisted Living KW - Descriptive Statistics KW - Cross Sectional Studies KW - Multivariate Analysis of Covariance KW - Descriptive Research KW - Nursing Home Patients KW - Accidental Falls -- Prevention and Control KW - Incident Reports ER - TY - JOUR TI - VIVIR JUNTAS: ARQUITECTURAS DEL CUIDADO EN EL CORDÓN DE MONTEVIDEO. AU - Álvarez Pedrosian AU - Eduardo AU - Blanco Latierro AU - María Verónica T2 - LIVE TOGETHER: ARCHITECTURES OF CARE IN THE CORDON OF MONTEVIDEO. AB - The subject of our paper is the architectures of care from an ethnographic approach and psychosocial intervention in a building for retirees and pensioners in the Cordon neighborhood of Montevideo, Uruguay. This experience is part of a wider investigation device, about the subjectivation process and mediations in relation of his historic second enlargement. In first place, we characterized the phenomenon in the context of capitalistic city. In second term, we dive into the histories of dwell of the residents, mostly woman. Then, we focalized in the emergent conditions to the live in the housing complex, for advanced on a micro-politics of everyday care. For last, we realized considerations on urban scale about the centrality and the redefinition to the territorialities involved on the zone. We conclude reflecting about the defiance for this housing policy and the city which is promoted. (English) [ABSTRACT FROM AUTHOR] Nuestro artículo se focaliza en la temática de las arquitecturas del cuidado desde una aproximación etnográfica y un trabajo de intervención psicosocial en un edifi- cio para jubilados y pensionistas en el barrio Cordón de Montevideo, Uruguay. La experiencia es parte de un dispositivo de investigación más amplio sobre procesos de subjetivación y mediaciones relativos a su segundo ensanche histórico. En primer lugar, caracterizamos el fenómeno en el contexto de la ciudad capitalista. En segundo término, nos sumergimos en las historias del habitar de los residentes, en su gran mayoría mujeres. Luego, nos centramos en las condiciones emergentes de la vida en el conjunto habitacional, para avanzar en una micropolítica del cuidado cotidiano. Por último, realizamos una serie de consideraciones a escala urbana sobre la centralidad y las redefiniciones de las territorialidades involucradas en la zona. Concluimos reflexionando sobre los desafíos de esta política de vivienda y la ciudad que promueve. (Spanish) [ABSTRACT FROM AUTHOR] Copyright of Athenea Digital (Revista de Pensamiento e Investigación Social) is the property of Athenea Digital (Revista de Pensamiento e Investigacion Social) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2019/11// PY - 2019 VL - 19 IS - 3 SP - 1 EP - 24 SN - 20144539 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=139619572&site=ehost-live&scope=site KW - Housing KW - eppi-reviewer4 KW - Architectures of care KW - Arquitecturas del cuidado KW - Capitalism KW - Care of people KW - Ciudad consolidada KW - Consolidate city KW - Habitar urbano KW - Procesos de subjetivación KW - Processes of subjectivation KW - Psychosocial factors KW - Retirees KW - Urban dwelling ER - TY - JOUR TI - Alvarez, A.M. Having to care for someone: the living experience of the elder and the carer family in the caring and being cared process in a family home context: Florianópolis: PEN/UFSC, 2001 [sic]. AU - Schier J AU - Gonçalves LHT T2 - Revista Brasileira de Enfermagem VL - 55 IS - 5 SP - 606 EP - 606 SN - 0034-7167 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106787979&site=ehost-live&scope=site KW - Aged KW - Models, Theoretical KW - Frail Elderly KW - Brazil KW - eppi-reviewer4 KW - Human KW - Caregiver Burden KW - Caring KW - Caregivers -- Psychosocial Factors KW - Patient-Family Relations ER - TY - JOUR TI - [Methodology and fieldwork logistics of a multilevel research study on the influence of neigbourdhood's characteristics on natives and Ecuadorian's mental health in Spain] AU - Alvarez-Del Arco AU - Debora AU - Llacer Gil de Ramales AU - Alicia AU - Valero Julia Del Amo AU - Garcia-Fulgueiras Ana AU - Garcia-Pina Rocio AU - Garcia-Ortuzar Visitacion AU - Rodriguez-Arenas M Angeles AU - Mazarrasa Alvear AU - Lucia AU - Ibanez-Rojo Vicente AU - Diaz del Peral AU - Domingo AU - Jarrin Vera AU - Inmaculada AU - Fernandez Liria AU - Alberto AU - Zunzunegui Pastor AU - Maria Victoria T2 - Metodologia y logistica de campo de un estudio multinivel sobre la influencia en Espana de las caracteristicas medioambientales en la salud mental de poblacion autoctona y ecuatoriana inmigrante. AB - The methodological design, characteristics and fieldwork stage of a multilevel research study on the impact of the environmental characteristics on mental health in an autochthonous and immigrant population are described in this paper. Individual data were obtained using a core questionnaire 40 minutes length from home interviews of Spanish and Ecuadorian adults from September 2006 to January 2007. A random sample of 1186 people aged 18-55, with equal distribution of gender and nationality was obtained from Civil Registers of 33 areas (municipalities or neighbourhoods) of Madrid, Alicante, Almeria and Murcia, chosen by ethnic density and socioeconomic criteria. Previously, a pilot study was carried out. Socioeconomic indicators of neighbourhoods and selected communities were obtained from Municipal Registers and other secondary sources. Finally, 1144 people were interviewed (96%). Each person was contacted at home at two different times. The global response rate was 61%, higher among Ecuadorians (69%), who presented more problems of localisation (34%). Analyzing methods and fieldwork process the conclusion is that sample strategies for this type of population studies should be evaluated using feasibility criteria given time and money constraints, against the need to obtain representative samples of the target populations. There were serious shortcomings in the availability of social integration indicators at the neighbourhood level. DA - 2009/// PY - 2009 VL - 83 IS - 4 SP - 493 EP - 508 SN - 1135-5727 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med6&NEWS=N&AN=19893878 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Middle Aged KW - *Residence Characteristics KW - Spain/ep [Epidemiology] KW - *Mental Disorders/ep [Epidemiology] KW - eppi-reviewer4 KW - *Epidemiologic Research Design KW - *Transients and Migrants KW - Ecuador/eh [Ethnology] ER - TY - JOUR TI - Effectiveness of a psychoeducational programme for informal caregivers of older adults. AU - Alves Sara AU - Teixeira Laetitia AU - Azevedo Maria J AU - Duarte Mafalda AU - Paúl Constança T2 - Scandinavian Journal of Caring Sciences AB - Purpose of the study This study explored the effectiveness of psychoeducational programme for informal caregivers called 'Caring at home'. Design and methods The sample included 60 informal caregivers of elderly people (≥60 years) living in the community. Socio-demographic information of informal caregivers and care receivers was collected with the COPE Index. The assessment protocol comprised four scales: 12-item Short-Form Health Survey, General Health Questionnaire-12, Positive Aspects of Caregiving and Caregiver Strain Index Modified. There were five assessment moments: a pretest, a post-test and three follow-ups. Results Informal caregivers had an average age of 52.08 years ( SD = 9.11) and were mainly women (90.0%), married/partnered (75.0%) and children of the care recipients (61.7%). The median time spent in care was 12 hours/day ( IQR = 18). Results showed a favourable evolution after the psychoeducational intervention, a significant improvement in caregivers' mental health (p = 0.03) from pretest to 1st follow-up (2/3 months after the psychoeducational intervention) and the maintenance of the other assessed dimensions of the caregivers' behaviour. Implications The psychoeducational intervention seems to promote improvements in mental health and the maintenance of other favourable conditions at baseline. These results may indicate that psychoeducational programme are beneficial to minimise or prevent adverse effects of caregiving. DA - 2016/03// PY - 2016 DO - 10.1111/scs.12222 VL - 30 IS - 1 SP - 65 EP - 73 SN - 0283-9318 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113306727&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Aged KW - Activities of Daily Living KW - Health Status KW - Quality of Life KW - Prospective Studies KW - Analysis of Variance KW - Socioeconomic Factors KW - Portugal KW - eppi-reviewer4 KW - Human KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Nonprobability Sample KW - Snowball Sample KW - Funding Source KW - Descriptive Statistics KW - Community Living KW - Caregiver Burden KW - Caregiver Support KW - Outcomes (Health Care) KW - Psychoeducation KW - Scales KW - Coefficient Alpha KW - Summated Rating Scaling KW - Repeated Measures KW - Pretest-Posttest Design KW - Caregivers -- Education KW - Family -- Education KW - Home Nursing -- In Old Age ER - TY - JOUR TI - Functional change in the pattern of swallowing through the performance of orofacial exercises AU - Alves Irina Claudia Fernandes AU - Andrade Claudia Regina Furquim de T2 - Mudanca funcional no padrao de degluticao por meio da realizacao de exercicios orofaciais. AB - Purpose: The objective was to determine if there was functional improvement of swallowing pattern in subjects identified with risk of oropharyngeal dysphagia after four weeks of specific oropharyngeal exercises. These exercises have pre-determined intensity and duration., Methods: It is a longitudinal study of functional effect, determined by initial and final comparative measures. Participants were adults and elderly, selected in a period of 24 months. A total of 68 participants were included. All subjects had a clinical evaluation of swallowing, and an initial measure in a functional scale. The individuals were split into two groups, according to the initial levelling of ASHA NOMS scale. In Group 1 (G1) - ASHA NOMS, initial of levels 1 and 2; Group 2 (G2) - ASHA NOMS, initial of levels 3, 4 and 5. All subjects executed an exercise protocol performed for four weeks. The protocol includes sessions with a speech therapist, and continuity of activities in home environment. Finally, new measurement of swallowing performance was held., Results: For G2 group there was statistically significant improvement. For G1, the relation was insignificant, despite the intense change in ASHA NOMS scale, however, in this group there was a reduced number of individuals due to the profile severity., Conclusion: The program was effective because after four exercise sessions, there was significant improvement in swallowing pattern, demonstrated by functional scale. DA - 2017/// PY - 2017 VL - 29 IS - 3 SP - e20160088 SN - 2317-1782 UR - https://dx.doi.org/10.1590/2317-1782/20172016088 KW - Adult KW - Humans KW - Risk Factors KW - Middle Aged KW - *Exercise Therapy/mt [Methods] KW - Longitudinal Studies KW - Severity of Illness Index KW - Brazil KW - *Deglutition KW - Deglutition Disorders/di [Diagnosis] KW - *Deglutition Disorders/rh [Rehabilitation] KW - eppi-reviewer4 ER - TY - JOUR TI - Evaluation of pharmacotherapy complexity in residents of long-term care facilities: a cross-sectional descriptive study. AU - Alves-Conceicao Vanessa AU - Silva Daniel Tenorio da AU - Santana Vanessa Lima de AU - Santos Edileide Guimaraes Dos AU - Santos Lincoln Marques Cavalcante AU - Lyra Divaldo Pereira de Jr T2 - BMC pharmacology & toxicology AB - BACKGROUND: Polypharmacy is a reality in long-term care facilities. However, number of medications used by the patient should not be the only predictor of a complex pharmacotherapy. Although the level of complexity of pharmacotherapy is considered an important factor that may lead to side effects, there are few studies in this field. The aim of this study was to evaluate the complexity of pharmacotherapy in residents of three long-term care facilities., METHODS: A cross-sectional study was performed to evaluate the complexity of pharmacotherapy using the protocols laid out in the Medication Regimen Complexity Index instrument in three long-term care facilities in northeastern Brazil. As a secondary result, potential drug interactions, potentially inappropriate medications, medication duplication, and polypharmacy were evaluated. After the assessment, the association among these variables and the Medication Regimen Complexity Index was performed., RESULTS: In this study, there was a higher prevalence of women (64.4%) with a high mean age among the study population of 81.8 (+/-9.7) years. The complexity of pharmacotherapy obtained a mean of 15.1 points (+/-9.8), with a minimum of 2 and a maximum of 59. The highest levels of complexity were associated with dose frequency, with a mean of 5.5 (+/-3.6), followed by additional instructions of use averaging 4.9 (+/-3.7) and by the dosage forms averaging 4.6 (+/-3.0)., CONCLUSIONS: The present study evaluated some factors that complicate the pharmacotherapy of geriatric patients. Although polypharmacy was implicated as a factor directly related to complexity, other indicators such as drug interactions, potentially inappropriate medications, and therapeutic duplication can also make the use of pharmacotherapy in such patients more difficult. DA - 2017/// PY - 2017 DO - 10.1186/s40360-017-0164-3 VL - 18 IS - 1 SP - 59 SN - 2050-6511 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=28743294 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Inappropriate Prescribing KW - *Assisted Living Facilities KW - *Long-Term Care KW - Brazil KW - Polypharmacy KW - *Drug Utilization KW - Drug Interactions KW - Medication Errors KW - eppi-reviewer4 ER - TY - JOUR TI - Are school and home environmental characteristics associated with oral health-related quality of life in Brazilian adolescents and young adults? AU - Alwadi Maram Ali M AU - Vettore Mario Vianna T2 - Community dentistry and oral epidemiology AB - OBJECTIVES: The aim of this study was to test the association of contextual school and home environmental characteristics and individual factors with oral health-related quality of life (OHRQoL) in a representative sample of Brazilian adolescents and young adults., METHODS: Individual-level data from 3854 fifteen- to nineteen-year-olds who participated in the Brazilian Oral Health Survey were pooled with contextual city-level data. The dependent variable was the frequency of impacts of oral disorders on daily performances (OIDP extent), as a measure of OHRQoL. Contextual school and home environmental characteristics were categorized into three equal groups according to tertiles of the contextual variable's scores (low, moderate and high). Individual demographic, socioeconomic and oral clinical measures were the covariates. The association between contextual and individual characteristics and OIDP extent was estimated using multilevel Poisson regression models., RESULTS: The mean of OIDP extent was 0.9 (standard error 0.1). Adolescents and young adults living in the cities with high levels of lack of security at school (RR 1.33; 95% CI=1.02-1.74), moderate levels of bullying at school (RR 1.56; 95% CI=1.20-2.03) and moderate levels of low maternal schooling (RR 1.43; 95% CI=1.06-1.92) had a higher mean OIDP extent. Male sex, higher age, skin colour, poor individual socioeconomic status and worse oral clinical measures were also associated with higher mean of OIDP extent., CONCLUSIONS: Poor school and home environmental characteristics were independently associated with poor OHRQoL in individuals aged between 15 and 19 years. Our findings suggest the place where they study and the maternal level of education are meaningful aspects for their oral health. Copyright © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. DA - 2017/// PY - 2017 VL - 45 IS - 4 SP - 356 EP - 364 SN - 1600-0528 0301-5661 UR - https://dx.doi.org/10.1111/cdoe.12298 KW - Adolescent KW - Female KW - Humans KW - Male KW - Young Adult KW - *Quality of Life KW - Residence Characteristics/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Brazil/ep [Epidemiology] KW - *Residence Characteristics KW - *Oral Health/sn [Statistics & Numerical Data] KW - *Schools KW - Mouth Diseases/ep [Epidemiology] KW - eppi-reviewer4 KW - Bullying/sn [Statistics & Numerical Data] KW - Schools/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Impact of monitoring technology in assisted living: outcome pilot AU - Alwan Majd AU - Dalal Siddharth AU - Mack David AU - Kell Steven W AU - Turner Beverely AU - Leachtenauer Jon AU - Felder Robin T2 - IEEE transactions on information technology in biomedicine : a publication of the IEEE Engineering in Medicine and Biology Society AB - This paper describes a study designed to assess the acceptance and some psychosocial impacts of monitoring technology in assisted living. Monitoring systems were installed in 22 assisted living units to track the activities of daily living (ADLs) and key alert conditions of residents (15 of whom were nonmemory care residents). Activity reports and alert notifications were sent to professional caregivers who provided care to residents participating in the study. Diagnostic use of the monitoring data was assessed. Nonmemory care residents were surveyed and assessed using the Satisfaction With Life Scale (SWLS) instrument. Pre- and post-installation SWLS scores were compared. Older adult participants accepted monitoring. The results suggest that monitoring technologies could provide care coordination tools that are accepted by residents and may have a positive impact on their quality of life. DA - 2006/// PY - 2006 VL - 10 IS - 1 SP - 192 EP - 8 SN - 1089-7771 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16445264 KW - Female KW - Humans KW - Program Evaluation KW - Outcome Assessment (Health Care) KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Activities of Daily Living KW - United States/ep [Epidemiology] KW - *Patient Acceptance of Health Care/sn [Statistics & Numerical Data] KW - *Telemedicine/mt [Methods] KW - *Motor Activity KW - Pilot Projects KW - *Monitoring, Ambulatory/mt [Methods] KW - *Telemedicine/sn [Statistics & Numerical Data] KW - *Monitoring, Ambulatory/sn [Statistics & Numerical Data] KW - Diagnosis, Computer-Assisted/mt [Methods] KW - eppi-reviewer4 KW - Biotechnology/mt [Methods] KW - Diagnosis, Computer-Assisted/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Impact of passive health status monitoring to care providers and payers in assisted living AU - Alwan Majd AU - Sifferlin Elena Brito AU - Turner Beverely AU - Kell Steve AU - Brower Peter AU - Mack David C AU - Dalal Siddharth AU - Felder Robin A T2 - Telemedicine journal and e-health : the official journal of the American Telemedicine Association AB - The objective of this study was to assess the impact of passive health status monitoring on the cost of care, as well as the efficiencies of professional caregivers in assisted living. We performed a case-controlled study to assess economic impact of passive health status monitoring technology in an assisted-living facility. Passive monitoring systems were installed in the assisted-living units of 21 residents to track physiological parameters (heart rate and breathing rate), the activities of daily living (ADLs), and key alert conditions. Professional caregivers were provided with access to the wellness status of the monitored residents they serve. The monitored individuals' cost of medical care was compared to that of an age, gender, and health status matched cohort. Similarly, efficiency and workloads of professional caregivers providing care to the monitored individuals were compared to those of caregivers providing care to the control cohort in the control site. Over the 3-month period of the study, a comparison between the monitored and control cohorts showed reductions in billable interventions (47 vs. 73, p = 0.040), hospital days (7 vs. 33, p = 0.004), and estimated cost of care (21,187.02 dollars vs. 67,753.88 dollars with monitoring cost included, p = 0.034). A comparison between efficiency normalized workloads of monitoring and control sites' caregivers revealed significant differences both at the beginning (0.6 vs. 1.38, p = 0.041) and the end (0.84 vs. 1.94, p = 0.002) of the study. The results demonstrate that monitoring technologies have significantly reduced billable interventions, hospital days, and cost of care to payers, and had a positive impact on professional caregivers' efficiency. DA - 2007/// PY - 2007 VL - 13 IS - 3 SP - 279 EP - 85 SN - 1530-5627 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=17603830 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Efficiency, Organizational KW - Activities of Daily Living KW - Minnesota KW - Case-Control Studies KW - Health Care Costs KW - *Assisted Living Facilities/ec [Economics] KW - Workload KW - Nursing Assistants/og [Organization & Administration] KW - Nursing Staff/sn [Statistics & Numerical Data] KW - Monitoring, Ambulatory/is [Instrumentation] KW - eppi-reviewer4 KW - *Nursing Staff/og [Organization & Administration] KW - *Monitoring, Ambulatory/ec [Economics] KW - *Telemetry/ec [Economics] KW - Nursing Assistants/sn [Statistics & Numerical Data] KW - Telemetry/is [Instrumentation] ER - TY - JOUR TI - Ability to negotiate stairs predicts free-living physical activity in community-dwelling people with stroke: an observational study AU - Alzahrani Matar Abdullah AU - Dean Catherine M AU - Ada Louise T2 - The Australian journal of physiotherapy AB - QUESTION: Which clinical measures of walking performance best predict free-living physical activity in community-dwelling people with stroke?, DESIGN: Cross-sectional observational study., PARTICIPANTS: 42 community-dwelling stroke survivors., OUTCOME MEASURES: Predictors were four clinical measures of walking performance (speed, automaticity, capacity, and stairs ability). The outcome of interest was free-living physical activity, measured as frequency (activity counts) and duration (time on feet), collected using an activity monitor called the Intelligent Device for Energy Expenditure and Physical Activity., RESULTS: Time on feet was predicted by stairs ability alone (B 166, 95% CI 55 to 278) which accounted for 48% of the variance. Activity counts were also predicted by stairs ability alone (B 6486, 95% CI 2922 to 10 050) which accounted for 58% of the variance., CONCLUSION: The best predictor of free-living physical activity in community-dwelling people with stroke was stairs ability. DA - 2009/// PY - 2009 VL - 55 IS - 4 SP - 277 EP - 81 SN - 0004-9514 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med6&NEWS=N&AN=19929771 KW - Female KW - Humans KW - Male KW - Outcome Assessment (Health Care) KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - Quality of Life KW - *Activities of Daily Living KW - *Motor Activity/ph [Physiology] KW - Cross-Sectional Studies KW - Predictive Value of Tests KW - *Stroke Rehabilitation KW - *Stroke/pp [Physiopathology] KW - *Walking/ph [Physiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Mood and Balance are Associated with Free-Living Physical Activity of People after Stroke Residing in the community. AU - Alzahrani Matar A AU - Dean Catherine M AU - Ada Louise AU - Dorsch Simone AU - Canning Colleen G T2 - Stroke Research & Treatment DA - 2012/01// PY - 2012 SP - 1 EP - 8 SN - 2042-0056 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104267145&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Sex Factors KW - Age Factors KW - Body Mass Index KW - Affect KW - Patient Compliance KW - Confidence Intervals KW - Language Tests KW - Psychological Tests KW - eppi-reviewer4 KW - Human KW - Community Living KW - Stroke Patients KW - Self-Efficacy KW - Physical Activity KW - Scales KW - Clinical Assessment Tools KW - Cross Sectional Studies KW - Dynamometry KW - Intraclass Correlation Coefficient KW - P-Value KW - Balance, Postural KW - Pearson's Correlation Coefficient KW - Multiple Regression KW - Knee Joint KW - Stroke -- Physiopathology KW - Accelerometers KW - Univariate Statistics KW - Contracture KW - Hemiplegia KW - Muscle Spasticity KW - Muscle Strength -- Evaluation KW - Nonparticipant Observation KW - Proprioception KW - Stroke -- Complications ER - TY - JOUR TI - Polypharmacy, potentially inappropriate medication and cognitive status in Austrian nursing home residents: results from the OSiA study AU - Alzner Reinhard AU - Bauer Ulrike AU - Pitzer Stefan AU - Schreier Maria Magdalena AU - Osterbrink Jurgen AU - Iglseder Bernhard T2 - Wiener medizinische Wochenschrift (1946) AB - There is little research investigating polypharmacy and potentially inappropriate medications (PIM) in connection with cognitive status in residents of Austrian nursing homes. Our findings result from a cross-sectional survey of 425 residents (315 women, 110 men, mean 83.6 years) from 12 Austrian nursing homes. The number of systemically administered permanent prescription drugs was 8.99 +/- 3.9 and decreased significantly with increasing cognitive impairment. Irrespective of cognitive status, polypharmacy (> 5 individual substances) was present in approximately 75% of the residents. Hyper-polypharmacy (> 10 individual substances) was present among almost 50% of the cognitively intact residents, and hence, significantly more frequent as compared with the group with the lowest cognitive performance (23.4%). At least one PIM was found in 72.4% of residents regardless of cognitive status. Predominantly, PIMs consisted of tranquilizers, antipsychotics, osmotic laxatives, non-steroidal anti-inflammatory drugs (NSAIDs) and anticholinergics, where only the number of NSAIDs decreased significantly with increasing cognitive impairment. In summary, our study shows a continued high prevalence of polypharmacy and PIM in long-term care institutions in Austria. DA - 2016/// PY - 2016 VL - 166 IS - 5-6 SP - 161 EP - 5 SN - 1563-258X 0043-5341 UR - https://dx.doi.org/10.1007/s10354-015-0428-8 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - *Polypharmacy KW - *Frail Elderly KW - *Cognitive Dysfunction/ep [Epidemiology] KW - *Inappropriate Prescribing/sn [Statistics & Numerical Data] KW - Inappropriate Prescribing/pc [Prevention & Control] KW - Austria KW - Drug Utilization/sn [Statistics & Numerical Data] KW - eppi-reviewer4 ER - TY - JOUR TI - Discharge destination from an acute care for the elderly (ACE) unit AU - Amador Luis F AU - Reyes-Ortiz Carlos A AU - Reed Diana AU - Lehman Cheryl T2 - Clinical interventions in aging AB - Older adults age 65 and over account for a disproportional number of hospital stays and discharges compared to other age groups. The objective of this paper is to describe placement and characteristics of older patients discharged from an acute care for the elderly (ACE) unit. The study sample consists of 1,351 men and women aged 65 years or older that were discharged from the ACE Unit during a 12-month period. The mean number of discharges per month was 109.2 +/- 28.4. Most of the subjects were discharged home or home with home health 841, 62.3%. The oldest elderly and patients who had been admitted from long-term care institutions or from skilled nursing facilities to the ACE unit were less likely to return to home. DA - 2007/// PY - 2007 VL - 2 IS - 3 SP - 395 EP - 9 SN - 1176-9092 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=18044190 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Models, Theoretical KW - Activities of Daily Living KW - Time Factors KW - Age Factors KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Residence Characteristics/sn [Statistics & Numerical Data] KW - *Patient Discharge/sn [Statistics & Numerical Data] KW - Mortality KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - *Health Services for the Aged/sn [Statistics & Numerical Data] KW - Length of Stay/sn [Statistics & Numerical Data] KW - Texas KW - eppi-reviewer4 KW - *Hospital Units/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Exploring resource use and associated costs in end-of-life care for older people with dementia in residential care homes AU - Amador Sarah AU - Goodman Claire AU - King Derek AU - Ng Yi Ting AU - Elmore Natasha AU - Mathie Elspeth AU - Machen Ina AU - Knapp Martin T2 - International journal of geriatric psychiatry AB - OBJECTIVE: The goals of this study are to describe end-of-life care costs of older people with dementia (OPWD) residents in care homes (CHs) with no on-site nursing and evaluate the economic case for an intervention designed to improve end-of-life care for OPWD in CHs., METHODS: Phase 1 tracked for a year, from March 2009, health services received by 133 OPWD in six residential CHs in the East of England. CH and resident characteristics were obtained through standardised assessment tools, interviews with CH managers and publicly available information from the independent regulator of social care services in England. Phase 2 used a modified Appreciative Inquiry intervention that ran for 6 months from January 2011, in three of the six CHs. Wilcoxon matched-pairs sign-rank tests were conducted to compare total cost and cost components during Phases 1 and 2 for those residents who had participated in both., RESULTS: Costs for each resident in Phase 1 were about 2800 per month, including service, accommodation and medication. Resource use was associated with resident characteristics. The intervention was perceived as having a positive impact on working relationships between CHs and visiting health care practitioners. Following the intervention total service costs fell by 43%. Hospital care costs fell by 88%., CONCLUSIONS: Results presented here represent early work in an under-researched area of care. Appreciative Inquiry appears to improve and change working relationships with promising outcomes, but more research is needed to test these findings further with larger samples and more robust controls. Copyright © 2013 John Wiley & Sons, Ltd. DA - 2014/// PY - 2014 VL - 29 IS - 7 SP - 758 EP - 66 SN - 1099-1166 0885-6230 UR - https://dx.doi.org/10.1002/gps.4061 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prospective Studies KW - *Homes for the Aged/ec [Economics] KW - England KW - *Health Care Costs KW - Dementia/nu [Nursing] KW - *Dementia/ec [Economics] KW - *Terminal Care/ec [Economics] KW - Cooperative Behavior KW - eppi-reviewer4 ER - TY - JOUR TI - Factors influencing decision-making processes for unwell residents in residential aged care: Hospital transfer or Residential InReach referral?. AU - Amadoru Sanka AU - Rayner Jo-Anne AU - Joseph Rajni AU - Yates Paul T2 - Australasian journal on ageing AB - OBJECTIVE: To investigate decision-making around hospital transfer and/or referral of residents to a Residential InReach (RiR) service in north-eastern metropolitan Melbourne, Australia, from the perspectives of residential aged care facility (RACF) staff, general practitioners (GPs) and RiR registered nurses (RNs)., METHODS: Thirty-one staff from eight RACFs, five GPs and four RiR RNs participated in individual or group interviews., RESULTS: Residential aged care facility staff and GPs valued and relied upon RiR to manage unwell residents. Thematic analysis identified RiR utilisation was driven by the following: (i) complexity of decision-making processes in RACFs; (ii) variability in facility-based medical and nursing care; and (iii) impact of RiR service outcomes on patients and referrers., CONCLUSION: Availability of timely and appropriate medical and nursing care in RACFs was reported to influence transfers to the hospital and/or referrals to RiR. RiR was used to complement or substitute usual care available to residents. Further research and improvements in RACF and RiR resources are required. Copyright © 2018 AJA Inc. DA - 2018/// PY - 2018 DO - 10.1111/ajag.12512 VL - 37 IS - 2 SP - E61 EP - E67 SN - 1440-6381 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29476607 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Victoria KW - *Geriatric Assessment/mt [Methods] KW - *Homes for the Aged KW - *Nursing Homes KW - Interviews as Topic KW - *Health Services for the Aged KW - Nurses KW - *Patient Transfer KW - *Patient Care Team KW - General Practitioners KW - *Clinical Decision-Making KW - *Referral and Consultation KW - eppi-reviewer4 ER - TY - JOUR TI - Supervised exercise to reduce agitation in severely cognitively impaired persons AU - Aman Edris AU - Thomas David R T2 - Journal of the American Medical Directors Association AB - BACKGROUND: Several studies have shown an improvement in depression, activities of daily living, and agitation in cognitively impaired subjects who undergo a long-term exercise program. These studies have not considered the short-term effects of exercise., OBJECTIVES: The purpose of this study was to investigate the short-term effects of a limited, supervised exercise program on agitation, depression, and activities of daily living in cognitively impaired patients residing in the special needs unit of a nursing home., METHODS: This study was a prospective comparative study. A 3-week exercise program was implemented at the special needs units of 2 nursing homes. The exercise program involved 30 minutes of exercise (15 minutes of aerobic and 15 minutes of resistance), 3 days per week. There were 50 residents in this study (76% female, 24% male) and they had a mean age of 79.2 +/- 9.7 years. The subjects had a mean SLUMS (Saint Louis Mental Status Examination) score of 1.5 +/- 2.1 (SLUM score range 0-30, 30 meaning full cognitive faculty). Each subject had his or her depression, agitation, activities of daily living, and 6-meter walk time measured before and after the 3-week exercise program. The Cornell Scale for Depression, Pittsburgh Agitation Scale (PAS)/Cohen-Mansfield Agitation Inventory, and ADCS-ADL (Alzheimer's disease cooperative study-activities of daily living) were used to measure depression, agitation, and activities of daily living, respectively. Multiple paired t tests were calculated for each outcome measurement., RESULTS: The post-study scales showed an improvement in the 6-meter walk test and, using the PAS (0-16, 0 meaning no agitation), an improvement in agitation. The improvement in agitation in the entire population was P less than .05; mean PAS pre-study scores were 5.8 +/- 4.8 and mean PAS poststudy scores were 4.5 +/- 3.7 . Among the patients with PAS Pre-Exercise Program Scores greater than 3, thus categorized as agitated, there was a greater decrease in agitation; PAS Pre-Study Scores were 9.1 +/- 3.4 and PAS Study Scores were 6.1 +/- 3.4 (P < .001). There was also an improvement in 6-meter walk times; pre-study times were 12.5 +/- 5.2 and post-exercise program times were 10.1 +/- 4.4 (P < .001)., CONCLUSION: There was an improvement in agitation scores and the 6-meter walk times in the subjects after their engagement in the 3-week exercise program. Further study is needed in order to expand on these results. DA - 2009/// PY - 2009 VL - 10 IS - 4 SP - 271 EP - 6 SN - 1538-9375 1525-8610 UR - https://dx.doi.org/10.1016/j.jamda.2008.12.053 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Nursing Homes KW - Time Factors KW - *Exercise KW - Prospective Studies KW - Severity of Illness Index KW - *Dementia/th [Therapy] KW - Depression/th [Therapy] KW - Dementia/pp [Physiopathology] KW - Homes for the Aged KW - Depression/pp [Physiopathology] KW - Missouri KW - eppi-reviewer4 KW - *Psychomotor Agitation/pp [Physiopathology] ER - TY - JOUR TI - Health behaviours and quality of life in independently living South Australians aged 75 years or older. AU - Amarasena N AU - Keuskamp D AU - Balasubramanian M AU - Brennan D S T2 - Australian dental journal AB - BACKGROUND: This study evaluated the associations between oral and general health behaviours, self-reported health and quality of life of adults aged 75 years or older living independently in South Australia., METHODS: A cross sectional study based on a self-report mailed questionnaire was conducted in 590 independently living adults aged 75 years or older. Self-ratings of oral health and general health were assessed using single-item global ratings. Quality of life was measured using the Oral Health Impact Profile and the EuroQol instrument for health utility., RESULTS: The overall response rate was 78%. The current analyses were restricted to 354 dentate older adults. Increasing age and being female were negatively associated with EuroQol scores. Good self-rated oral and general health were more prevalent in participants with higher social status who also had lower oral health impact and higher EuroQol scores. Good self-rated oral and general health were less prevalent while oral health impact was greater in participants who ate few fruits, vegetables or dairy products., CONCLUSIONS: Self-rated health and quality of life were poor in older adults with inadequate fruit/vegetables/dairy intake and lower social status. These findings suggest that nutrition and socioeconomic factors may be important to the oral and general health of adults aged 75 years or older. Copyright © 2018 Australian Dental Association. DA - 2018/// PY - 2018 DO - 10.1111/adj.12583 VL - 63 IS - 2 SP - 156 EP - 162 SN - 0045-0421 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29369369 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Australia KW - Surveys and Questionnaires KW - Independent Living KW - *Quality of Life KW - Cross-Sectional Studies KW - Oral Health KW - Socioeconomic Factors KW - *Self Report KW - *Health Behavior KW - Fruit KW - Vegetables KW - *Health Status KW - Risk KW - South Australia/ep [Epidemiology] KW - Aging KW - eppi-reviewer4 KW - Dairy Products ER - TY - JOUR TI - Feasibility, acceptability and diagnostic test accuracy of frailty screening instruments in community-dwelling older people within the Australian general practice setting: a study protocol for a cross-sectional study. AU - Ambagtsheer Rachel AU - Visvanathan Renuka AU - Cesari Matteo AU - Yu Solomon AU - Archibald Mandy AU - Schultz Timothy AU - Karnon Jonathon AU - Kitson Alison AU - Beilby Justin T2 - BMJ open AB - INTRODUCTION: Frailty is one of the most challenging aspects of population ageing due to its association with increased risk of poor health outcomes and quality of life. General practice provides an ideal setting for the prevention and management of frailty via the implementation of preventive measures such as early identification through screening., METHODS AND ANALYSIS: Our study will evaluate the feasibility, acceptability and diagnostic test accuracy of several screening instruments in diagnosing frailty among community-dwelling Australians aged 75+ years who have recently made an appointment to see their general practitioner (GP). We will recruit 240 participants across 2 general practice sites within South Australia. We will invite eligible patients to participate and consent to the study via mail. Consenting participants will attend a screening appointment to undertake the index tests: 2 self-reported (Reported Edmonton Frail Scale and Kihon Checklist) and 5 (Frail Scale, Groningen Frailty Index, Program on Research for Integrating Services for the Maintenance of Autonomy (PRISMA-7), Edmonton Frail Scale and Gait Speed Test) administered by a practice nurse (a Registered Nurse working in general practice). We will randomise test order to reduce bias. Psychosocial measures will also be collected via questionnaire at the appointment. A blinded researcher will then administer two reference standards (the Frailty Phenotype and Adelaide Frailty Index). We will determine frailty by a cut-point of 3 of 5 criteria for the Phenotype and 9 of 42 items for the AFI. We will determine accuracy by analysis of sensitivity, specificity, predictive values and likelihood ratios. We will assess feasibility and acceptability by: 1) collecting data about the instruments prior to collection; 2) interviewing screeners after data collection; 3) conducting a pilot survey with a 10% sample of participants., ETHICS AND DISSEMINATION: The Torrens University Higher Research Ethics Committee has approved this study. We will disseminate findings via publication in peer-reviewed journals and presentation at relevant conferences. Copyright © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. DA - 2017/// PY - 2017 DO - 10.1136/bmjopen-2017-016663 VL - 7 IS - 8 SP - e016663 SN - 2044-6055 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=28775191 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Research Design KW - Activities of Daily Living KW - *Independent Living KW - Quality of Life KW - *Geriatric Assessment/mt [Methods] KW - Cross-Sectional Studies KW - *Frailty/di [Diagnosis] KW - *Frail Elderly KW - Gait KW - South Australia KW - Self Report KW - Aging KW - Checklist KW - *General Practice KW - Frailty/pc [Prevention & Control] KW - *Diagnostic Tests, Routine/mt [Methods] KW - eppi-reviewer4 ER - TY - JOUR TI - Diagnostic test accuracy of self-reported frailty screening instruments in identifying community-dwelling older people at risk of frailty and pre-frailty: a systematic review protocol. AU - Ambagtsheer Rachel C AU - Thompson Mark Q AU - Archibald Mandy M AU - Casey Mavourneen G AU - Schultz Timothy J T2 - JBI database of systematic reviews and implementation reports AB - REVIEW QUESTION/OBJECTIVE: The question of this systematic review is: What is the diagnostic test accuracy of self-reported frailty screening instruments among community-dwelling older people against any of the following reference standard tests: the frailty phenotype, frailty index and comprehensive geriatric assessment? DA - 2017/// PY - 2017 DO - 10.11124/JBISRIR-2017-003363 VL - 15 IS - 10 SP - 2464 EP - 2468 SN - 2202-4433 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=29035957 KW - Humans KW - Aged KW - Systematic Reviews as Topic KW - Surveys and Questionnaires KW - *Independent Living KW - *Geriatric Assessment/mt [Methods] KW - *Diagnostic Self Evaluation KW - *Frailty KW - eppi-reviewer4 ER - TY - JOUR TI - A comparison of community-residing older adults with frontal and parkinsonian gaits AU - Ambrose Anne AU - Levalley Aaron AU - Verghese Joe T2 - Journal of the neurological sciences AB - Frontal gaits (FG) and parkinsonian gaits (PG) are common neurological gait abnormalities in older adults. It may be difficult to distinguish these gaits as they share common clinical characteristics such as unsteadiness, slowing, and shuffling. Of 488 community-residing subjects in an aging study, 11 were diagnosed with FG and 9 with PG at baseline clinical evaluations. Subjects with FG were older than subjects with PG (84.5 vs. 77.7 years, p<0.001). As expected, parkinsonian signs such as tremor and rigidity were associated with PG and frontal release signs with FG. Subjects with PG had more falls (67% vs. 18%, p=0.02). They performed worse on a panel of executive function tests, although the scores were significantly different only on the verbal fluency test (17.0 vs. 28.3, p=0.009). Advancing age was associated with FG (OR=1.3, 95% CI=1.1-1.4) but not PG (OR=1, 95% CI=0.9-1.1). Medical illnesses were not significantly associated with FG. Diabetes (OR=4.1, 95% CI=1.1-15.5), strokes (OR=4.3, 95% CI=1.1-17.3), and depression (OR=5.1, 95% CI=1.2-20.8) were associated with PG. Despite similar gait characteristics, FG may be distinguished from PG by associated clinical signs, frequency of falls, and the neuropsychological profile. Vascular risk factors and depression were strongly associated with PG, and should be explored further. DA - 2006/// PY - 2006 VL - 248 IS - 1-2 SP - 215 EP - 8 SN - 0022-510X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16765380 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - *Aging/ph [Physiology] KW - *Residence Characteristics KW - Regression Analysis KW - *Gait/ph [Physiology] KW - Neuropsychological Tests/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - *Gait Disorders, Neurologic/pp [Physiopathology] KW - *Parkinsonian Disorders/pp [Physiopathology] KW - Neurologic Examination ER - TY - JOUR TI - Felt Age, Desired, and Expected Lifetime in the Context of Health, Well-Being, and Successful Aging. AU - Ambrosi-Randic Neala AU - Nekic Marina AU - Tucak Junakovic AU - Ivana T2 - International journal of aging & human development AB - This study examines the interrelations of three different aspects of the subjective age: felt, desired and expected, as well as their relations with the chronological age (CA), health, and psychological well-being variables. Four hundred and twenty-three community-dwelling Croatian adults, aged 60-95 years, participated in the study. All three subjective age measures significantly correlated with the CA. Self-rated health were better predictors of the subjective age compared to the psychological variables. Among psychological variables, successful aging was the only significant predictor of the felt and expected age, while optimism showed to be the only significant predictor of the desired age. Results indicate the importance of some sociodemographic, psychological, and health variables for understanding older persons' subjective age identity and their desires and expectations regarding length of life. Besides the CA, it is very useful to include subjective age measures in research with elderly people. DA - 2018/// PY - 2018 DO - 10.1177/0091415017720888 VL - 87 IS - 1 SP - 33 EP - 51 SN - 0091-4150 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=28718299 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Independent Living KW - Health Status KW - *Quality of Life/px [Psychology] KW - Geriatric Assessment KW - *Aging/px [Psychology] KW - *Self Concept KW - Emotions KW - Croatia KW - eppi-reviewer4 ER - TY - JOUR TI - Does place matter? A multilevel analysis of victimization and satisfaction with personal safety of seniors in Canada. AU - Amegbor Prince M AU - Rosenberg Mark W AU - Kuuire Vincent Z T2 - Health & place AB - Studies on the victimization and abuse of seniors in Canada have largely ignored the influence of place-based variations in social bonds and socioeconomic characteristics. Using the 2014 General Social Survey (GSS) data on Canadians' safety, we examine neighborhood, social capital, and socioeconomic characteristics as predictors of the incidence of victimization among seniors and their satisfaction with personal safety from crime. Generally, seniors with poor neighborhood ties and social capital were more likely to have experienced victimization and have a lower satisfaction with personal safety. Seniors who viewed people in their neighborhood as unhelpful were more likely to have experienced some form of victimization and more likely to have a lower satisfaction with personal safety. Highly educated and high-income seniors were also more likely to have experienced some form of victimization. Paradoxically, such seniors were less likely to have lower satisfaction with personal safety. The results also show that place, defined as population centers (urban and rural) may have a significant influence on variations in victimization and satisfaction with personal safety. A significant proportion of the variance in victimization (38%) and satisfaction with personal safety (23%) are largely the result of differences in place of residence (urban and rural). Our findings suggest that there is the need to improve neighborhood social capital, reduce neighborhood disorder and improve the socioeconomic status of community-dwelling seniors in order to minimize their susceptibility to victimization as well as to improve their sense of safety from crime. Copyright © 2018 Elsevier Ltd. All rights reserved. DA - 2018/// PY - 2018 DO - 10.1016/j.healthplace.2018.07.005 VL - 53 SP - 17 EP - 25 SN - 1353-8292 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30048827 KW - Female KW - Humans KW - Male KW - Aged KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - Socioeconomic Factors KW - Canada KW - *Personal Satisfaction KW - *Social Capital KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Crime KW - *Crime Victims/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Socioeconomic status and improvement in functional ability among older adults in Japan: a longitudinal study. AU - Amemiya Airi AU - Kondo Naoki AU - Saito Junko AU - Saito Masashige AU - Takagi Daisuke AU - Haseda Maho AU - Tani Yukako AU - Kondo Katsunori T2 - BMC public health AB - BACKGROUND: Recovery from functionally disabled status is an important target of public health measures for older adults. This study aimed to examine socioeconomic inequalities in the improvement of functional ability among older adults stratified by the level of disability at baseline., METHODS: In the Japan Gerontological Evaluation Study, we conducted a mail survey of community-dwelling older adults (1937 men and 2212 women) who developed functional impairment during 2010-2014. The survey data were individually linked to the longitudinal records of changes in the levels of functional disability based on the Public Long-Term Care Insurance System., RESULTS: The mean (standard deviation) follow-up period was 316 (269) days. During follow-up, 811 participants (19.5%) showed improved functional ability. Among those with severe disabilities at baseline, men with 13 or more years of education were more likely to improve functional ability than men with 9 or fewer years of education (hazard ratio: 1.97, 95% confidence interval: 1.12-3.45). A similar association was observed among women (hazard ratio: 2.16, 95% confidence interval: 1.03-4.53). Neither income nor occupation was statistically associated with improved functional ability., CONCLUSIONS: There are education-related inequalities in the improvement of functional ability, especially among older adults with severe disabilities. Health policy makers and practitioners should consider the educational background of individuals with reduced functionality in formulating strategies to improve their functional ability. DA - 2019/// PY - 2019 DO - 10.1186/s12889-019-6531-9 VL - 19 IS - 1 SP - 209 SN - 1471-2458 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30782149 KW - Female KW - Humans KW - Male KW - Aged KW - Surveys and Questionnaires KW - Independent Living KW - *Activities of Daily Living KW - Japan KW - Longitudinal Studies KW - *Disabled Persons KW - Disabled Persons/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - *Educational Status KW - Income KW - Disability Evaluation KW - Proportional Hazards Models KW - *Physical Functional Performance KW - Social Class KW - eppi-reviewer4 ER - TY - JOUR TI - Social Capital and the Improvement in Functional Ability among Older People in Japan: A Multilevel Survival Analysis Using JAGES Data. AU - Amemiya Airi AU - Saito Junko AU - Saito Masashige AU - Takagi Daisuke AU - Haseda Maho AU - Tani Yukako AU - Kondo Katsunori AU - Kondo Naoki T2 - International journal of environmental research and public health AB - We investigated the contextual effects of community social capital on functional ability among older people with functional disability in Japan, and the cross-level interaction effects between community social capital and individual psychosocial characteristics. We used data from the Japan Gerontological Evaluation Study for 1936 men and 2207 women nested within 320 communities and followed for 46 months. We used objective data for functional ability trajectories derived from the national long-term care-insurance system, and a validated measure of health-related community social capital comprising three components: civic participation, social cohesion, and reciprocity. A multilevel survival analysis with a community-level random intercept showed that in communities with high civic participation, women who actively participated in any community group showed greater functional ability improvement than did women who did not participate (pinteraction = 0.05). In communities with high social cohesion, older men who perceived that their communities' social cohesion was high showed greater functional ability improvement than men who perceived it to be low (pinteraction = 0.02). Community social capital can thus affect functional ability improvements variously, depending on individual psychosocial characteristics and gender. Community interventions aiming to foster social capital should focus on people who are excluded from existing opportunities to participate. DA - 2019/// PY - 2019 DO - 10.3390/ijerph16081310 VL - 16 IS - 8 SN - 1660-4601 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=31013681 KW - Female KW - Humans KW - Male KW - Aged KW - Activities of Daily Living KW - Japan KW - *Social Support KW - Multilevel Analysis KW - *Social Capital KW - *Residence Characteristics KW - *Interpersonal Relations KW - Survival Analysis KW - Aging KW - eppi-reviewer4 ER - TY - JOUR TI - Resources as a protective factor for negative outcomes of frailty in elderly people AU - Ament Bart H. L AU - de Vugt AU - Marjolein E AU - Koomen Floortje M. K AU - Jansen Maria W. J AU - Verhey Frans R. J AU - Kempen Gertrudis I. J. M T2 - Gerontology AB - BACKGROUND: Although frailty is often conceptualized in terms of deficits, the level of frailty can be perceived as a complex interplay between deficits and resources., OBJECTIVE: We studied whether resources such as educational level, financial situation, and living-alone status moderate the negative effects of deficits on two potentially adverse consequences of frailty: self-perceived health and receiving professional care., METHODS: Logistic regression analysis was performed with data from a cross-sectional survey, designed by the public health service in the south of the Netherlands. The questionnaire was completed by a representative sample of people aged 70 and over (n = 5,559). Interaction effects between deficits (multimorbidity, difficulty performing ADLs, psychological distress, loneliness) and resources (educational level, financial situation, living-alone status) were studied in relation to self-perceived health and receiving professional care., RESULTS: We found that in males the effect of difficulty in performing ADLs on self-perceived health was modified by educational level (p < 0.05, indicating that difficulty in performing ADLs is more strongly related to moderate/bad self-perceived health for those with higher education). In females, the effect of psychological distress on self-perceived health was modified by educational level (p < 0.05, indicating that suffering from psychological distress is more strongly related to moderate/bad self-perceived health for those with higher education) and the effect of difficulty in performing ADLs on receiving professional care was modified by living-alone status (p < 0.05, indicating that difficulty in performing ADLs was more strongly related to receiving professional care for those women who lived alone)., CONCLUSIONS: Resources moderate the impact of personal deficits on self-perceived health and receiving professional care. Some frail people seem to be more vulnerable as they lack resources such as a high level of education. This should be taken into account in deciding when elderly people are at risk of negative outcomes of frailty and is therefore important for health professionals and policy-makers. Copyright © 2012 S. Karger AG, Basel. DA - 2012/// PY - 2012 VL - 58 IS - 5 SP - 391 EP - 7 SN - 1423-0003 0304-324X UR - https://dx.doi.org/10.1159/000336041 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Public Health KW - Independent Living KW - Activities of Daily Living KW - Health Status KW - Logistic Models KW - Cross-Sectional Studies KW - *Frail Elderly KW - *Health Services for the Aged KW - Frail Elderly/px [Psychology] KW - Netherlands KW - Health Resources KW - Social Class KW - Health Services for the Aged/sn [Statistics & Numerical Data] KW - Self Concept KW - Public Policy KW - eppi-reviewer4 ER - TY - JOUR TI - Does self-reported sleep quality predict poor cognitive performance among elderly living in elderly homes? AU - Amer Motassem S AU - Hamza Sarah A AU - El Akkad AU - Rania M AU - Abdel Galeel AU - Yamen I I T2 - Aging & mental health AB - OBJECTIVES: Sleep complaints are common among elderly, especially institutionalized elderly, as they experience poorer sleep quality and higher use of sedative hypnotics, when compared to community-dwelling elderly. Recent findings suggest that there may be a relationship between poor quality of sleep and cognitive deficits. This study aimed at studying the relation between sleep quality and cognitive performance in older adults living in elderly homes., METHOD: 100 elderly living in an elderly home in El Mansoura, Egypt, were recruited in this study, 50 cases with subjective poor quality of sleep and 50 controls with subjective good quality of sleep as assessed by Pittsburgh sleep quality index (PSQI). Each participant went through comprehensive geriatric assessment (CGA), including geriatric depression scale (GDS), assessment of cognitive function by mini mental state examination (MMSE)., RESULTS: 52% of poor sleepers showed impaired MMSE, while only 24% of good sleepers had impaired MMSE. Both orientation and (attention and calculation) were more affected (P = 0.027 and 0.035, respectively). Linear correlation coefficient between PSQI and different variables revealed significant negative correlation with total MMSE score, attention and calculation., CONCLUSION: Poor quality of sleep is related to cognitive impairment among elderly living in elderly homes and this problem should be taken in consideration among this group of elders. DA - 2013/// PY - 2013 VL - 17 IS - 7 SP - 788 EP - 92 SN - 1364-6915 1360-7863 UR - https://dx.doi.org/10.1080/13607863.2013.790930 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Sleep/ph [Physiology] KW - *Homes for the Aged KW - Geriatric Assessment/mt [Methods] KW - Self Report KW - Case-Control Studies KW - Cognitive Dysfunction/pp [Physiopathology] KW - *Sleep Wake Disorders/co [Complications] KW - *Cognitive Dysfunction/et [Etiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Targeting at risk older adults in residential care facilities for specialized geriatric services. AU - Aminzadeh F AU - Dalziel WB AU - Molnar FJ AU - Alie J T2 - Clinical Gerontologist AB - This study involved multidimensional geriatric assessment of a representative sample of 178 older adults living in residential care facilities in the City of Ottawa, Canada. The main objective of this paper was to test the utility of two geriatric screening tools to identify appropriate candidates for specialized geriatric services: Geriatric Status Scale (GSS) and Probability of Repeated Hospital Admissions (Pra). Both scales showed limited criterion validity as screening tools for the selection of appropriate candidates for specialized geriatric services. However, a modified GSS target range improved the scale's performance considerably and it emerged as one of the four statistically significant predictors of a referral to these services in the multivariate analyses. DA - 2006/05// PY - 2006 VL - 29 IS - 3 SP - 3 EP - 17 SN - 0731-7115 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106269345&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Frail Elderly KW - Activities of Daily Living KW - ROC Curve KW - Odds Ratio KW - Housing for the Elderly KW - Confidence Intervals KW - Sensitivity and Specificity KW - Referral and Consultation KW - Ontario KW - Marital Status KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Interviews KW - Questionnaires KW - Data Analysis Software KW - Descriptive Statistics KW - Gerontologic Care KW - Functional Status KW - Geriatric Depression Scale KW - Multiple Logistic Regression KW - Clinical Assessment Tools KW - Cross Sectional Studies KW - Geriatric Functional Assessment KW - Chi Square Test KW - Criterion-Related Validity KW - Two-Tailed Test KW - Long Term Care KW - P-Value KW - Record Review KW - Predictive Validity KW - Random Sample KW - Risk Assessment -- In Old Age ER - TY - JOUR TI - Meanings, functions, and experiences of living at home for individuals with dementia at the critical point of relocation AU - Aminzadeh Faranak AU - Dalziel William B AU - Molnar Frank J AU - Garcia Linda J T2 - Journal of gerontological nursing AB - The sociophysical home environment is an integral component of everyday coping, self-identity, and well-being for individuals with dementia; however, residential discontinuity is a common experience for many of these individuals. This article examined the meanings, functions, and experiences associated with living at home for individuals with dementia at the critical point of relocation to a residential care facility. Qualitative research methods were used to analyze in-depth interviews with 16 individuals with dementia at their homes within 2 months prior to relocation. At the time of relocation, living at home had become a paradoxical experience for most participants. The findings inform practice and policy interventions at both individual and societal levels to help individuals with dementia age in place for as long as possible and to maximize their efforts to "place" themselves in their new living environments after relocation. Copyright 2010, SLACK Incorporated. DA - 2010/// PY - 2010 VL - 36 IS - 6 SP - 28 EP - 7 SN - 0098-9134 UR - https://dx.doi.org/10.3928/00989134-20100303-02 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Nursing Homes KW - Qualitative Research KW - *Attitude to Health KW - *Housing KW - Self Efficacy KW - Institutionalization KW - *Dementia/px [Psychology] KW - *Adaptation, Psychological KW - *Activities of Daily Living/px [Psychology] KW - Personal Satisfaction KW - Ontario KW - Internal-External Control KW - Patient Admission KW - Nursing Methodology Research KW - eppi-reviewer4 KW - Freedom KW - Object Attachment ER - TY - JOUR TI - [The quality of life of elderly citizens in Kazakhstan (by the example of Astana)] AU - Amirgaliyev Y R T2 - Advances in gerontology = Uspekhi gerontologii AB - The article presents the results of the study of self-assessment of quality of life of older Kazakhstan citizens. The differences between the self-assessment of quality of life of older people living in institutional care in the hospital and outside the hospital are discussed. The results show that elderly people who live in institutional care in a hospital, assess the quality of life is better than older people living independently. DA - 2015/// PY - 2015 VL - 28 IS - 3 SP - 586 EP - 588 SN - 1561-9125 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=28509501 KW - Female KW - Humans KW - Male KW - Aged KW - Activities of Daily Living KW - Qualitative Research KW - *Independent Living KW - *Quality of Life KW - *Aging KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Independent Living/sn [Statistics & Numerical Data] KW - Aging/ph [Physiology] KW - Independent Living/px [Psychology] KW - *Assisted Living Facilities/sn [Statistics & Numerical Data] KW - Aging/px [Psychology] KW - Self-Assessment KW - Kazakhstan/ep [Epidemiology] KW - eppi-reviewer4 ER - TY - JOUR TI - [Patients with Alzheimer's disease living alone at home in the cohort of REAL.FR]. AU - Amouyal-Barkate K AU - Nourhashemi F AU - Andrieu S AU - Cantet C AU - Vellas B T2 - Les patients atteints de maladie d'Alzheimer vivant seuls a domicile dans la cohorte REAL.FR. AB - OBJECTIVE: Despite the French population's growing, we reported an increasing numbers of older adults living alone and an increasing number of older adults with Alzheimer's disease. Social and medical problems may be exacerbated with subjects with both phenomena. The objective is to identify differences in patterns between persons with dementia who live alone versus living with some people at home., METHOD: 700 subjects with mild to moderate Alzheimer's disease from the French Alzheimer network (REAL.FR). We studied social and demographic feature, nutritional and cognitive statute and a comprehensive geriatric assessment., RESULTS: In this study, 28% of subjects with probable or possible Alzheimer's disease live alone. They are more likely to be women (p < 0.001) with few physical impairments (p < 0.02). Subject are more frailty: lower incomes, impairment in the nutritional status and balance, and are more likely to use medical and non medical services (p < 0.0001). They are more likely to be malnourished than the others. On the other hand, there is no association between disability's cognitive levels and living alone., CONCLUSION: We need longitudinal survey to follow up this population to determine predicting factors for keeping them alone at home and to anticipate long-term care placement. DA - 2003/// PY - 2003 VL - 24 Suppl 3 SP - 301s EP - 306s SN - 0248-8663 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=14710448 KW - Female KW - Humans KW - Male KW - Aged KW - *Alzheimer Disease KW - Multicenter Studies as Topic KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - France KW - eppi-reviewer4 ER - TY - JOUR TI - Satisfaction With Life Over Time in People With Burn Injury: A National Institute on Disability, Independent Living, and Rehabilitation Research Burn Model System Study. AU - Amtmann Dagmar AU - Bocell Fraser D AU - McMullen Kara AU - Bamer Alyssa M AU - Johnson Kurt L AU - Wiechman Shelley A AU - Schneider Jeffrey C T2 - Archives of physical medicine and rehabilitation AB - OBJECTIVE: To examine trajectories of satisfaction with life (SWL) of burn survivors over time and their clinical, demographic, and other predictors., DESIGN: Longitudinal survey., SETTING: Not applicable., PARTICIPANTS: Individuals >=18 years of age who underwent burn-related surgery and met one of the following criteria: (1) >10% total body surface area (TBSA) burn and >=65 years of age; (2) >20% TBSA burn and 18 to 64 years of age; (3) electrical high voltage/lightning injury; or (4) burn injury to the hands, face, or feet. The participants (N=378) had data on all variables of interest and were included in the analyses., INTERVENTIONS: Not applicable., MAIN OUTCOME MEASURE: Satisfaction With Life Scale., RESULTS: Growth mixture modeling identified 2 classes with different trajectories of SWL. The mean SWL of the unchanged class (n=224, 60%) was flat over 2 years with high initial SWL scores. The SWL of the dissatisfied class (n=154, 40%) was at the low end of average and got progressively worse over time., CONCLUSIONS: SWL after burn injury can be described by 2 different trajectories with substantially different outcomes. Older age, worse mental health, and unemployment prior to injury predicted membership in the dissatisfied class. Additional services could be provided to those at high risk for low SWL to achieve better outcomes. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. DA - 2017/// PY - 2017 DO - 10.1016/j.apmr.2017.09.119 SN - 0003-9993 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medp&NEWS=N&AN=29050789 KW - eppi-reviewer4 ER - TY - JOUR TI - Influence of area and individual lifecourse deprivation on health behaviours: findings from the British Women's Heart and Health Study AU - Amuzu Antoinette AU - Carson Claire AU - Watt Hilary C AU - Lawlor Debbie A AU - Ebrahim Shah T2 - European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology AB - BACKGROUND: Variable findings have been reported on the contribution of census-based measures of area deprivation over and above that of individual socioeconomic position (SEP) on health outcomes. This study aims to examine the association between residence in a deprived area and health behaviours (diet, smoking and physical inactivity), and how this association is influenced by lifecourse SEP of individuals., DESIGN: A population-based longitudinal study of women aged 60-79 years in 1999-2001 recruited from one general practice in each of 23 British towns., METHODS: Three thousand five hundred twenty-two women were included in the analyses. Area deprivation scores were derived from postcode for residence and lifecourse SEP scores were calculated using 10 individual level indicators of childhood and adult circumstances. To allow direct comparisons of effect of area deprivation and individual SEP, we standardized both measures by generating relative indices of inequality., RESULTS: Both area deprivation and lifecourse SEP were independent predictors of eating fruit and vegetables [odds ratio (OR): 2.87, 95% confidence interval (CI): 2.22-3.72; comparing highest with lowest area Index of Multiple Deprivation of inequality (OR: 3.07, 95% CI: 2.33-4.06) for lifecourse SEP index of inequality] and exercise habits (OR: 2.39, 95% CI: 1.86-3.06 area deprivation; OR: 2.7, 95% CI: 2.07-3.51 individual SEP). Area deprivation was a stronger predictor of smoking behaviour (OR: 2.34, 95% CI: 1.91-3.08) than individual lifecourse SEP (OR: 1.51, 95% CI: 1.17-1.95)., CONCLUSION: Most health behaviours among older women were independently associated with both living in deprived areas and individual lifecourse SEP. This suggests that additional health promotion approaches focusing on improving environments would have potential to improve health behaviour. DA - 2009/// PY - 2009 VL - 16 IS - 2 SP - 169 EP - 73 SN - 1741-8275 1741-8267 UR - https://dx.doi.org/10.1097/HJR.0b013e328325d64d KW - Female KW - Humans KW - Risk Factors KW - Risk Reduction Behavior KW - Health Promotion KW - Aged KW - Middle Aged KW - Risk Assessment KW - Surveys and Questionnaires KW - Health Surveys KW - Exercise KW - *Cardiovascular Diseases/ep [Epidemiology] KW - Longitudinal Studies KW - Residence Characteristics/sn [Statistics & Numerical Data] KW - Odds Ratio KW - *Health Status Disparities KW - *Life Style KW - *Health Behavior KW - *Residence Characteristics KW - *Health Knowledge, Attitudes, Practice KW - Smoking/ep [Epidemiology] KW - *Poverty Areas KW - Social Class KW - Diet/ae [Adverse Effects] KW - United Kingdom/ep [Epidemiology] KW - Cardiovascular Diseases/pc [Prevention & Control] KW - *Women's Health KW - eppi-reviewer4 KW - Cardiovascular Diseases/et [Etiology] ER - TY - JOUR TI - Life satisfaction, self-esteem, and perceived health status among elder Korean women: focus on living arrangements AU - An Ji-Young AU - An Kyungeh AU - O'Connor Linda AU - Wexler Sharon T2 - Journal of transcultural nursing : official journal of the Transcultural Nursing Society AB - The purpose of this study was to examine whether living arrangements significantly affect life satisfaction, self-esteem, and perceived health status of elder Korean women. A total of 121 women aged 65 to 89 was interviewed in an urban community senior center in Korea. The convenience sample was obtained by face-to-face interviews using a structured questionnaire. Life satisfaction, self-esteem, and perceived health status were strongly correlated with each other. Living arrangements significantly affected life satisfaction, self-esteem, and perceived health status. Women who live with their married son had the highest life satisfaction and self-esteem and perceived themselves to be healthier in comparison to their counterparts. Therefore, government programs need to be developed to assist children in caring for their parents to improve their overall well-being. DA - 2008/// PY - 2008 VL - 19 IS - 2 SP - 151 EP - 60 SN - 1043-6596 UR - https://dx.doi.org/10.1177/1043659607313070 KW - Female KW - Humans KW - Cross-Sectional Studies KW - *Personal Satisfaction KW - *Health Status KW - *Residence Characteristics KW - *Self Concept KW - Multivariate Analysis KW - *Asian Continental Ancestry Group/px [Psychology] KW - Aged/px [Psychology] KW - eppi-reviewer4 KW - Aged, 80 and over/px [Psychology] KW - Korea ER - TY - JOUR TI - An Assessment of a Home-Based Program for Children Orphaned by HIV/AIDS in Cameroon Africa. AU - Ndzibidtu Denis Bambo AU - Meyer Dorothy J AU - Tih Pius M T2 - Journal of HIV/AIDS & Social Services AB - More than four-fifths of all children orphaned by AIDS worldwide live in Sub-Saharan Africa. In response to the growing number of orphans, governments, civil society, and international organizations have implemented programs to provide protection, care, and support to these children. However, few of these programs have assessed their effectiveness. The Cameroon Baptist Convention Health Service Chosen Children Program provides home-based services, which include HIV screening, payment of school fees and medical care, nutritional assistance, psychosocial support and counseling, and monitoring through home visitation. Quantitative and qualitative data are provided that show that orphans served by the Chosen Children's Program stayed within their family homes, were in school longer, and achieved more school success than did orphans not receiving services. DO - 10.1080/15381501.2013.765169 VL - 12 IS - 1 SP - 63 EP - 80 SN - 1538-1501 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104249704&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Young Adult KW - Child KW - Adolescence KW - Focus Groups KW - Caregivers KW - Socioeconomic Factors KW - eppi-reviewer4 KW - Human KW - Attitude to Illness KW - Interviews KW - Questionnaires KW - Data Analysis Software KW - Funding Source KW - Cultural Values KW - Chi Square Test KW - Multimethod Studies KW - Cameroon KW - Fees and Charges KW - HIV-Infected Patients -- In Infancy and Childhood KW - HIV-Infected Patients -- Statistics and Numerical Data KW - Home Health Agencies -- Evaluation KW - Literacy -- Evaluation KW - Orphans and Orphanages -- In Infancy and Childhood -- Cameroon KW - United Nations ER - TY - JOUR TI - An Assessment of Sheltered Housing Design in Belfast, Northern Ireland. AU - Hadjri Karim T2 - Journal of Housing for the Elderly AB - This article presents a UK-based research that has studied the existing sheltered or assisted living housing population and its future housing options and preferences. This meets an identified need to know and understand users' needs and requirements in much more detail that outlines what is liked and disliked by older people about sheltered housing, so that those who plan and design such housing can be aware of their views. The study also sought to understand the architects' challenges in designing and adapting this type of housing. The sheltered housing managed by housing associations in Belfast, Northern Ireland, was assessed through a series of site visits, structured interviews, and a focus group with stakeholders. Findings revealed older users' keen interest in participating in their housing needs assessment, identified building design concerns and provided recommendations for potential design guidelines. [ABSTRACT FROM AUTHOR] Copyright of Journal of Housing for the Elderly is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 24 IS - 2 SP - 171 EP - 192 SN - 02763893 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=50652117&site=ehost-live&scope=site KW - UK KW - Northern Ireland KW - eppi-reviewer4 KW - Senior housing KW - Great Britain KW - Needs assessment KW - Architect-designed house design & construction KW - architecture KW - assisted living KW - Belfast KW - Belfast (Northern Ireland) KW - Consumer preferences KW - Housing design & construction KW - Housing policy KW - sheltered housing ER - TY - JOUR TI - An ethnography of under weight, community dwelling, older adults...37th Annual Communicating Nursing Research Conference/18th Annual WIN Assembly, 'Hallmarks of Quality: Generating and Using Knowledge,' held April 22-24, 2004, Portland Marriott Downtown, Portland, Oregon AU - Martin CT T2 - Communicating Nursing Research VL - 37 SP - 325 EP - 325 SN - 0160-1652 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106644464&site=ehost-live&scope=site KW - Aged KW - California KW - Health Behavior KW - eppi-reviewer4 KW - Human KW - Interviews KW - Audiorecording KW - Community Living KW - Health Beliefs KW - Ethnographic Research KW - Participant Observation KW - Field Notes KW - Nutritional Status -- In Old Age KW - Weight Loss -- In Old Age ER - TY - JOUR TI - An Exploratory Study of the Profile and Perceived Needs of People With Mental Illness Who Are Caring for Young Children in Singapore. AU - Poon Weng Cheong AU - Lee Cheng AU - Mark Lilian T2 - Social Work in Mental Health AB - There is limited information on the perceived needs and living circumstances of people with mental illness (PMI) who are caring for young children in Singapore. An exploratory survey was conducted to identify the profile and perceived needs of PMI living in the community who have young children to improve clinical services. Screening in three outpatient clinics was conducted to identify PMI with young children. PMI with young children completed questionnaires regarding their bio-data, living circumstances, and perceived needs. The results show the need to develop integrative and innovative programs for PMI with young children and customized services for female parents. DO - 10.1080/15332985.2013.851058 VL - 12 IS - 2 SP - 174 EP - 193 SN - 1533-2985 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104044582&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Aged KW - Needs Assessment KW - Singapore KW - Perception KW - Language KW - Literacy KW - Unemployment KW - eppi-reviewer4 KW - Human KW - Questionnaires KW - Middle Age KW - Exploratory Research KW - Funding Source KW - Surveys KW - Community Living KW - Help Seeking Behavior KW - Reading KW - Mental Disorders -- Psychosocial Factors KW - Outpatients KW - Mental Health Services KW - Child Custody KW - Child Rearing KW - Child Welfare KW - Children of Impaired Parents KW - Fertility KW - Mental Disorders -- Therapy KW - Parenting Education KW - Parents -- Psychosocial Factors KW - Social Work, Psychiatric ER - TY - JOUR TI - An ICT-Driven Hybrid Automation System for Elderly Care Support: A Rehabilitation Facility Study Case. AU - Evchina Yulia AU - Martinez Lastra AU - Jose Luis T2 - Journal of Housing for the Elderly AB - The demographic statistics in developed countries suggest growth in the elderly segment of the population. At the same time, other studies forecast a shortage of nurses, increasing the pressure on hospitals to provide treatment for longer periods of time. These trends suggest a need for new ways of taking care of the elderly population that support safe, comfortable, and independent living. Meanwhile, prominent advances in information and communications technology (ICT) have enabled new systems that address various needs of the elderly. This article presents a case study of a rehabilitation facility located in Tampere, Finland, that uses an automation system in which ambient assisted living (AAL) and building automation (BA) system functionalities are combined. It details a field study summarizing the needs of the users, describes functional scenarios supported by the system, and reports the results of the first usability tests suggesting acceptance of a new technology by residents and caregivers. The unique combination of ambient assisted living and building automation offers a safer and more comfortable environment for the elderly as well as helps caregivers on-site in managing their workloads. DO - 10.1080/02763893.2015.1129382 VL - 30 IS - 1 SP - 52 EP - 74 SN - 0276-3893 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113946587&site=ehost-live&scope=site KW - Developing Countries KW - Aged KW - Nurses KW - Rehabilitation KW - Automation KW - eppi-reviewer4 KW - Information Technology KW - Almanacs KW - Automation, Laboratory KW - Edit and Review KW - Nursing Shortage ER - TY - JOUR TI - An Intersectional Approach to Services and Care for LGBT Elders. AU - Adams Michael T2 - Generations AB - A one-dimensional analysis of LGBT aging has increased attention to LGBT elder needs. But many elders' lives are shaped not just by being LGBT, but also by race, gender, and other social conditions. The time has come for an intersectional approach that takes into full account all of these life experiences. This approach will prove invaluable to practitioners committed to working effectively with vulnerable older adults. It also will fuel policy progress by supporting shared agendas and advocacy based on the intersecting interests of diverse elder communities. [ABSTRACT FROM AUTHOR] Copyright of Generations is the property of American Society on Aging and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 40 IS - 2 SP - 94 EP - 100 SN - 07387806 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=118292967&site=ehost-live&scope=site KW - Aging KW - eppi-reviewer4 KW - Minorities KW - Senior housing KW - LGBT people KW - Health status indicators KW - Medical care KW - Ethnic groups KW - Cultural competence KW - diversity among LGBT populations KW - Health services accessibility KW - intersectional approach KW - LGBT aging ER - TY - JOUR TI - An Occupational Therapist's Interdisciplinary Approach to a Geriatric Psychiatry Activity Group: A Case Study. AU - Kimball-Carpenter Amy AU - Smith Maureen T2 - Occupational Therapy in Mental Health AB - Occupational therapy has long recognized the usefulness of activity groups to promote functional outcomes for clients in mental-health settings. An occupational therapist used an interdisciplinary approach (working with a psychiatric nurse practitioner and a manual arts therapist) to conduct a biweekly geriatric psychiatry activity group. A case study is presented to demonstrate the success and longevity of the interdisciplinary activity group. Each clinician contributed unique skills to provide occupation which provided positive outcomes for the clients. Practically, the employing of different disciplines allowed group coverage for each other in times of cost-containment and limited resources. DO - 10.1080/0164212X.2013.819731 VL - 29 IS - 3 SP - 293 EP - 298 SN - 0164-212X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104218209&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Interpersonal Relations KW - Teamwork KW - Activities of Daily Living KW - Quality of Life KW - Social Behavior KW - Occupational Therapists KW - Self Concept KW - Psychiatric Nursing KW - Inpatients KW - eppi-reviewer4 KW - Human KW - Case Studies KW - Assisted Living KW - Geriatric Functional Assessment KW - Multidisciplinary Care Team KW - Group Processes -- Evaluation KW - Hallucinations KW - Model of Human Occupation KW - Psychiatric Care -- In Old Age KW - Risperidone -- Therapeutic Use KW - Schizophrenia -- Drug Therapy KW - Suicide, Attempted ER - TY - JOUR TI - Living in an older adult community: a pharmacy student's experience AU - Anastasia Emily AU - Estus Erica T2 - The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists AB - Interacting with older adults is a daily practice for pharmacists. It is important to understand how medications affect their wellbeing, but there are many other factors that affect quality of life. To truly understand some of the challenges facing older adults, Emily Anastasia, a sixth-year pharmacy student at the University of Rhode Island, moved into South Bay Retirement Living, a senior living community, for an eight-day immersion experience as a special project within one of her advanced pharmacy practice experience rotations. During her stay, she did not attend classes nor leave the facility unless on the South Bay bus with the other assisted living residents. She lived with a 92-year-old roommate, developed close friendships with many of the residents, and kept a detailed journal of her experience. The purpose of this reflection is to share her experience and recognize lifestyle as well as social and physical environment as factors in understanding the aging process. Immersing a pharmacy student within an assisted living community provides a unique opportunity to observe and appreciate characteristics of older adults that cannot be learned within a classroom setting. DA - 2013/// PY - 2013 VL - 28 IS - 12 SP - 762 EP - 9 SN - 2331-0936 0888-5109 UR - https://dx.doi.org/10.4140/TCP.n.2013.762 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged, 80 and over KW - *Residential Facilities KW - Life Style KW - eppi-reviewer4 KW - *Students, Pharmacy KW - Education, Pharmacy/mt [Methods] ER - TY - JOUR TI - Expressions of Identity and Self in Daily Life at a Group Home for Older Persons With Dementia in Japan AU - Anbacken Els-Marie AU - Minemoto Kayoko AU - Fujii Miwa T2 - Care management journals : Journal of case management ; The journal of long term home health care AB - This study focuses on expressions of identity and self among residents at a group home for older persons with dementia in Japan--a study, which started as an explorative study on spirituality--and how residents make meaning of life. Although aware of stages of dementia illness and briefly commenting on these, the analysis does not make any specific point of it. This article views dementia from a sociocultural perspective and is based on participant observations at a group home with 19 residents, combined with interviews with 6 of them. Two central concepts for the study are discussed and drawn on in the analysis: ie, meaning home and family, and dementia and boke, senility. The study examines how the group home is ie and concludes that it is "home enough" in the sense that one's identity and self are honored here. The old word boke represents a state in which one has "given up" any attempts to keep one's mental health. This concept was used by some residents to mark the line between those who were "helpless" with boke and those who could manage by themselves without boke. Identities are analyzed in different terms: as profession, as feeling secure, as being physically close, in social interactions, and as being cared for properly also after death. The analysis of self and identity showed that contentment in life was expressed in various ways, as a whole or as a patchwork with light and dark colors, and that it is still in process. Here, the supportive but discreet scaffolding of staff seems to matter. Life is lived until death, and the farewell ceremonies are analyzed as existential closures for many--and for life finalized here at Ie, the group home. DA - 2015/// PY - 2015 VL - 16 IS - 2 SP - 64 EP - 78 SN - 1521-0987 1938-9019 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26171507 KW - Humans KW - Aged KW - Qualitative Research KW - *Activities of Daily Living KW - Japan KW - Interviews as Topic KW - *Dementia/px [Psychology] KW - *Self Concept KW - Homes for the Aged KW - eppi-reviewer4 ER - TY - JOUR TI - Coupled changes in hippocampal structure and cognitive ability in later life. AU - Anblagan Devasuda AU - Valdes Hernandez AU - Maria C AU - Ritchie Stuart J AU - Aribisala Benjamin S AU - Royle Natalie A AU - Hamilton Iona F AU - Cox Simon R AU - Gow Alan J AU - Pattie Alison AU - Corley Janie AU - Starr John M AU - Munoz Maniega AU - Susana AU - Bastin Mark E AU - Deary Ian J AU - Wardlaw Joanna M T2 - Brain and behavior AB - Introduction: The hippocampus plays an important role in cognitive abilities which often decline with advancing age., Methods: In a longitudinal study of community-dwelling adults, we investigated whether there were coupled changes in hippocampal structure and verbal memory, working memory, and processing speed between the ages of 73 (N = 655) and 76 years (N = 469). Hippocampal structure was indexed by hippocampal volume, hippocampal volume as a percentage of intracranial volume (H_ICV), fractional anisotropy (FA), mean diffusivity (MD), and longitudinal relaxation time (T1)., Results: Mean levels of hippocampal volume, H_ICV, FA, T1, and all three cognitive abilities domains decreased, whereas MD increased, from age 73 to 76. At baseline, higher hippocampal volume was associated with better working memory and verbal memory, but none of these correlations survived correction for multiple comparisons. Higher FA, lower MD, and lower T1 at baseline were associated with better cognitive abilities in all three domains; only the correlation between baseline hippocampal MD and T1, and change in the three cognitive domains, survived correction for multiple comparisons. Individuals with higher hippocampal MD at age 73 experienced a greater decline in all three cognitive abilities between ages 73 and 76. However, no significant associations with changes in cognitive abilities were found with hippocampal volume, FA, and T1 measures at baseline. Similarly, no significant associations were found between cognitive abilities at age 73 and changes in the hippocampal MRI biomarkers between ages 73 and 76., Conclusion: Our results provide evidence to better understand how the hippocampus ages in healthy adults in relation to the cognitive domains in which it is involved, suggesting that better hippocampal MD at age 73 predicts less relative decline in three important cognitive domains across the next 3 years. It can potentially assist in diagnosing early stages of aging-related neuropathologies, because in some cases, accelerated decline could predict pathologies. DA - 2018/// PY - 2018 DO - 10.1002/brb3.838 VL - 8 IS - 2 SP - e00838 SN - 2162-3279 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=29484252 KW - Female KW - Humans KW - Male KW - Aged KW - Independent Living KW - *Aging KW - Longitudinal Studies KW - *Cognition Disorders/ep [Epidemiology] KW - Organ Size KW - Scotland/ep [Epidemiology] KW - Neuropsychological Tests/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - *Hippocampus/pa [Pathology] KW - Anisotropy KW - Hippocampus/dg [Diagnostic Imaging] KW - Magnetic Resonance Imaging/mt [Methods] ER - TY - JOUR TI - Effect of light treatment on sleep and circadian rhythms in demented nursing home patients. AU - Ancoli-Israel Sonia AU - Martin Jennifer L AU - Kripke Daniel F AU - Marler Matthew AU - Klauber Melville R T2 - Journal of the American Geriatrics Society AB - OBJECTIVES: To determine whether fragmented sleep in nursing home patients would improve with increased exposure to bright light., DESIGN: Randomized controlled trial., SETTING: Two San Diego-area nursing homes., PARTICIPANTS: Seventy-seven (58 women, 19 men) nursing home residents participated. Mean age +/- standard deviation was 85.7 +/- 7.3 (range 60-100) and mean Mini-Mental State Examination was 12.8 +/- 8.8 (range 0-30)., INTERVENTIONS: Participants were assigned to one of four treatments: evening bright light, morning bright light, daytime sleep restriction, or evening dim red light., MEASUREMENTS: Improvement in nighttime sleep quality, daytime alertness, and circadian activity rhythm parameters., RESULTS: There were no improvements in nighttime sleep or daytime alertness in any of the treatment groups. Morning bright light delayed the peak of the activity rhythm (acrophase) and increased the mean activity level (mesor). In addition, subjects in the morning bright light group had improved activity rhythmicity during the 10 days of treatment., CONCLUSION: Increasing exposure to morning bright light delayed the acrophase of the activity rhythm and made the circadian rhythm more robust. These changes have the potential to be clinically beneficial because it may be easier to provide nursing care to patients whose circadian activity patterns are more socially acceptable. DA - 2002/// PY - 2002 VL - 50 IS - 2 SP - 282 EP - 9 SN - 0002-8614 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=12028210 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Nursing Homes KW - Analysis of Variance KW - *Dementia/co [Complications] KW - Homes for the Aged KW - Circadian Rhythm/ph [Physiology] KW - eppi-reviewer4 KW - *Phototherapy KW - *Sleep Disorders, Circadian Rhythm/th [Therapy] KW - Sleep Disorders, Circadian Rhythm/co [Complications] ER - TY - JOUR TI - [Screening of fall risk in frail, but still independently living senior citizens] AU - Anders Jennifer AU - Dapp Ulrike AU - Laub Susann AU - von Renteln-Kruse AU - Wolfgang AU - Juhl Katharina T2 - Einschatzung der Sturzgefahrdung gebrechlicher, noch selbststandig lebender, alterer Menschen. AB - Mobility is one of the most important factors for well-being and autonomy in old age. Impairments in mobility, falls and fear of falling are, therefore, of prognostic value. Falls generally result from an interaction of multiple risk factors. However, older people are often not aware of the risks of falling. They neither recognize risk factors nor report these factors to their physicians. The aim of this study was to develop and to test a self-reported multidimensional screening instrument to evaluate risk factors of falling in community-dwelling older people. Therefore, we identified multiple risk factors of falls based on a systematic literature review and then developed a new questionnaire - the Senior Citizen Risk of Falling Check. Risk factors, i.e. cognitive disorders, that are closely associated with the demand of nursing care were not covered in this relatively healthy target group. We pretested this instrument and adapted it before its use in a pilot test in residents of a sheltered housing complex in Hamburg. A group of 117 residents (average age 82.9 years, range 68.2-98.2 years, 83.8% women), all without care needs (assessed by the German health and care insurance system) returned the Senior Citizen Risk of Falling Check. Within 2 weeks all 117 participants were interviewed by telephone to analyze the test-retest reliability of the instrument (Cohen's kappa). We administered 13 questions on visual and hearing deficits, neurological impairment, depressive mood, medication use, muscle weakness, gait and balance deficits, nutrition, and history of falls. On average, 6 risk factors were reported (range 0-12). Reductions in gait speed (64.1%) was most frequently mentioned. Of the participants, 30.8% fell at least once during the last year and 22.2% of these falls resulted in injuries (fractures, hematomas, laceration, pain). Cohen's kappa was good (2/13 questions) to excellent (10/13 questions) with one exception (balance question kappa=0.20). The study results confirm good test-retest reliability of the fall risk screening Senior Citizen Risk of Falling Check. At the moment we are working on the validation of this questionnaire to provide it to senior citizens throughout Hamburg in cooperation with the City of Hamburg. DA - 2006/// PY - 2006 VL - 39 IS - 4 SP - 268 EP - 76 SN - 0948-6704 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16900445 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Surveys and Questionnaires KW - Residence Characteristics KW - Geriatric Assessment/mt [Methods] KW - *Frail Elderly KW - Interviews as Topic KW - Gait KW - *Accidental Falls KW - *Geriatric Assessment KW - Pilot Projects KW - Data Interpretation, Statistical KW - *Risk Assessment KW - eppi-reviewer4 ER - TY - JOUR TI - [Impact of fall risk and fear of falling on mobility of independently living senior citizens transitioning to frailty: screening results concerning fall prevention in the community] AU - Anders J AU - Dapp U AU - Laub S AU - von Renteln-Kruse AU - W T2 - Einfluss von Sturzgefahrdung und Sturzangst auf die Mobilitat selbststandig lebender, alterer Menschen am Ubergang zur Gebrechlichkeit: Screeningergebnisse zur kommunalen Sturzpravention. AB - PROBLEM: There is a strong relation between mobility, walking safety and living independently in old age. People with walking problems suffer from fear of falling and tend to restrict their mobility and performance level in the community environment--even before falls occur. This study was planned to test the validity and prognostic value of a fall risk screening instrument ("Sturz-Risiko-Check") that has already shown its feasibility, acceptance and reliability, targeting independently living senior citizens., METHODS: The study sample was recruited from a sheltered housing complex in Hamburg (with written consent). Persons with need of professional care ("Pflegestufe" in Germany) were excluded. The residents were asked to fill in the multidimensional questionnaire ("Sturz-Risiko- Check"). In a second step, a trained nurse asked the participants in a phone call about their competence in the instrumental activities of daily living (I-ADL mod. from Lawton, Brody 1969) and about their usual mobility performance level (e.g. frequency and distance of daily walks, use of public transport). According to the number and weight of self-reported risk factors for falling, three groups: "low fall risk", "medium fall risk" and "high fall risk" were classified. Finally, this classification was re-tested after one year, asking for falls and fall related injuries., RESULTS: A total of 112 senior citizens without need of personal care, living in a sheltered housing facility were asked to participate. Acceptance was high (76.1%). Self-reported data from 79 participants concerning falls, fall-risk, mobility and instrumental activities of daily living were included in the statistical analyses. Mean age was 78 (64 to 93) years and associated by a high percentage of women (75.9%) in this sample. The older participants reported 0 to 13 different factors (mean 5) related to a high risk of future falls. Most participants (78.5%) quit cycling because of fear of falling. There was a high incidence in the study sample and over the three risk groups of chronic disorders like cardiac failure (75.9%) and disturbed vision or hearing (64.6%). According to the rising risk of falling over the three risk groups (low, medium and high), there were symptoms of fast functional decline or frailty like diminished walking speed (6.3 vs 36.8 vs 72.0%), sarcopenia (failed chairrise test: 0 vs 18.4 vs 28%) or already perceived fall events (0 vs 5.3 vs 56.0%) and ongoing restriction in basic activities. Those results were proven by the data on fall frequencies after one year (follow-up). We found an increase in falls over all three risk groups (12.5 vs 31.6 vs 28%) with fall-related severe injuries (fractures) in two persons classified in the high fall-risk group., DISCUSSION: The results of the fall-risk screening were useful to classify groups with different probability to fall in the near future. Fear-offalling and symptoms of frailty were related to an increasing risk of falling and loss of mobility and autonomy in still independently living senior citizens., CONCLUSION: The fall-risk screening instrument ("Sturz-Risiko-Check" questionnaire) was useful and valid to predict risk of falling and functional decline in independently living senior citizens transitioning to frailty. This screening will be part of a prevention approach in the City of Hamburg to offer primary and secondary prevention interventions adapted to special target groups of community- dwelling elder people (robust in contrast to frail elderly). The implementation should be accompanied by training sessions for physicians in the primary care sector and health improvement programmes for elder citizens. DA - 2007/// PY - 2007 VL - 40 IS - 4 SP - 255 EP - 67 SN - 0948-6704 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=17701116 KW - Female KW - Humans KW - Male KW - Health Promotion KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Patient Acceptance of Health Care KW - *Accidental Falls/pc [Prevention & Control] KW - Follow-Up Studies KW - *Frail Elderly/px [Psychology] KW - Assisted Living Facilities KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - Germany KW - Muscle Strength KW - Feasibility Studies KW - Walking KW - *Activities of Daily Living/px [Psychology] KW - *Fear KW - Exercise/px [Psychology] KW - Prognosis KW - Disease Progression KW - Health Services Research KW - *Mobility Limitation KW - Physical Fitness/px [Psychology] KW - *Mass Screening KW - eppi-reviewer4 ER - TY - JOUR TI - Walker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment AU - Andersen Daniel A AU - Roos Bernard A AU - Stanziano Damian C AU - Gonzalez Natasha M AU - Signorile Joseph F T2 - Clinical interventions in aging AB - The relationship between perceived health and walker use has seldom been addressed. Concerns over falls and falls risk are precursors to walker use. We compared the SF-36 scores of 26 women and 14 men, mean age 86.8 +/- 6.0 years based on walker use and faller status. An analysis of covariance (ANCOVA) with age as the covariate, compared groups for the SF-36 constructs and totals score. Significant differences were noted between walker users and nonusers in physical functioning, role limitations due to physical problems, general health, and the total SF-36 score. Pairwise comparisons favored nonusers, while no differences were seen due to faller status. Walker use is associated with lower self-perceptions of physical functioning, role limitations due to physical problems, and general health in assisted-living residents. Faller status is not associated with self-perceived health status. Although walker use aids mobility and lowers the probability of falls, further research is needed to determine if the prescription of assistive devices has a more negative impact on self-perceived health than does falling. This possibility could be explained, in part, by the greater activity levels of those individuals who do not depend on walkers. DA - 2007/// PY - 2007 VL - 2 IS - 1 SP - 123 EP - 37 SN - 1176-9092 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=18044085 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Health Surveys KW - *Assisted Living Facilities KW - *Accidental Falls KW - *Health Status KW - *Residence Characteristics KW - *Physical Fitness KW - *Walkers/sn [Statistics & Numerical Data] KW - eppi-reviewer4 ER - TY - JOUR TI - Co-morbidity and drug treatment in Alzheimer's disease. A cross sectional study of participants in the dementia study in northern Norway AU - Andersen Fred AU - Viitanen Matti AU - Halvorsen Dag S AU - Straume Bjorn AU - Engstad Torgeir A T2 - BMC geriatrics AB - BACKGROUND: Inappropriate medical treatment of co-morbidities in Alzheimer's disease (AD) is an increasing concern in geriatric medicine. The objective of this study was to compare current drug use related to co-morbidity between individuals with a recent diagnosis of AD and a cognitively healthy control group in a population based clinical trial in Northern Norway., METHODS:, SETTING: Nine rural municipalities with 70,000 inhabitants in Northern Norway., PARTICIPANTS: PARTICIPANTS with and without AD recruited in general practice and by population based screening.187 participants with a recent diagnosis of AD were recruited among community dwellers. Of 791 respondents without cognitive symptoms, 500 were randomly selected and invited to further clinical and cognitive testing. The final control group consisted of 200 cognitively healthy individuals from the same municipalities. Demographic characteristics, data on medical history and current medication were included, and a physical and cognitive examination was performed. The statistical analyses were carried out by independent sample t-test, chi-square, ANCOVA and logistic regression., RESULTS: A co-morbidity score was significantly higher in AD participants compared to controls. The mean number of drugs was higher for AD participants compared to controls (5.1+/-3.6 and 2.9+/-2.4 respectively, p<0.001 age and gender adjusted), also when adjusted for co-morbidity. AD participants used significantly more anticholinergic, sedative and antidepressant drugs. For nursing home residents with AD the mean number of drugs was significantly higher compared to AD participants living at home (6.9+/-3.9 and 4.5+/-3.3, respectively, p<0.001)., CONCLUSIONS: AD participants were treated with a significantly higher number of drugs as compared to cognitively healthy controls, even after adjustment for co-morbidity. An inappropriate use of anticholinergic and sedative drugs was identified, especially among nursing home residents with AD. The drug burden and the increased risk of adverse reactions among individuals suffering from AD need more attention from prescribing doctors. DA - 2011/// PY - 2011 VL - 11 SP - 58 SN - 1471-2318 UR - https://dx.doi.org/10.1186/1471-2318-11-58 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Polypharmacy KW - Comorbidity KW - Dementia/ep [Epidemiology] KW - *Alzheimer Disease/dt [Drug Therapy] KW - *Prescription Drugs/tu [Therapeutic Use] KW - Dementia/dt [Drug Therapy] KW - *Alzheimer Disease/ep [Epidemiology] KW - *Population Surveillance KW - Population Surveillance/mt [Methods] KW - Norway/ep [Epidemiology] KW - Prescription Drugs/ae [Adverse Effects] KW - eppi-reviewer4 ER - TY - JOUR TI - The Relationship Between the Social Environment and Lifestyle-Related Physical Activity in a Low-Income African American Inner-City Southern Neighborhood. AU - Andersen Lori AU - Gustat Jeanette AU - Becker Adam T2 - Journal of Community Health AB - The social ecological model was used to examine individual, interpersonal, and neighborhood characteristics related to lifestyle-related physical activity (PA) in a low-income African American (AA) population in New Orleans, Louisiana. Interviewers administered surveys to randomly-sampled household participants from three low-income, AA neighborhoods in New Orleans, Louisiana. Questions included the social and physical environment, physical activity, interpersonal factors, demographics, height and weight. Logistic regression multivariable models were built predicting whether the respondent met PA guidelines, controlling for neighborhood. Females were less as likely to engage in lifestyle-related PA compared to males (OR 0.46, CI 0.30-0.70). Support specific for PA was correlated with engaging in lifestyle-related PA (OR 1.45, CI 1.14-1.83). The individual and social environment should be considered for increasing PA in AA. Interventions targeting the AA population could consider ways of enhancing social support for PA. DA - 2015/10// PY - 2015 DO - 10.1007/s10900-015-0019-z VL - 40 IS - 5 SP - 967 EP - 974 SN - 0094-5145 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109208165&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Social Environment KW - Residence Characteristics KW - Body Mass Index KW - Odds Ratio KW - Self Report KW - Poverty KW - Confidence Intervals KW - Life Style KW - Models, Psychological KW - eppi-reviewer4 KW - Human KW - Interviews KW - Questionnaires KW - Data Analysis Software KW - Support, Psychosocial KW - Funding Source KW - Descriptive Statistics KW - Louisiana KW - Physical Activity KW - Logistic Regression KW - Coefficient Alpha KW - Summated Rating Scaling KW - Stratified Random Sample KW - Coding KW - Obesity -- Prevention and Control ER - TY - JOUR TI - Healthy Centenarians Do Not Exist, but Autonomous Centenarians Do: A Population-Based Study of Morbidity Among Danish Centenarians. AU - Andersen-Ranberg Karen AU - Schroll Marianne AU - Jeune Bernard T2 - Journal of the American Geriatrics Society AB - OBJECTIVE: To assess the prevalence of common illnesses in an unselected population of centenarians. DESIGN: A population-based survey. SETTING: Denmark. PARTICIPANTS: All Danes who celebrated their 100th anniversary between April 1, 1995 and May 31, 1996: 276 persons. MEASUREMENTS: All participants (including proxies) were visited at their domicile for an interview (sociodemographic characteristics, activities of daily living, living conditions, need of assistance from other people, former health and current diseases, current medication) and a clinical examination (dementia screening test, heart and lung auscultation, neurological assessment, height and weight, electrocardiogram, arm and ankle blood pressure, assessment of hearing and vision capacity, a short physical performance test, bio-impedance, lung function test, blood test). Further health information was retrieved from medical files and national health registers. RESULTS: Seventy-five percent (207) of eligible subjects participated in the study. Cardiovascular disease was present in 149 (72%) subjects. Osteoarthritis (major joints) was present in 54%, hypertension (≥140/≥90) in 52%, dementia in 51%, and ischemic heart disease in 28%. The mean number of illness was 4.3 (standard deviation (SD) 1.86). Only one subject was identified as being free from any chronic condition or illness. Sixty percent had been treated for illness with high mortality. In 25 autonomous (nondemented, functioning well physically, living at home) and 182 nonautonomous centenarians, comorbidities were equivalent. CONCLUSION: Because they have a high prevalence of several common diseases and chronic conditions, Danish centenarians are not healthy. However, a minor proportion was identified as being cognitively intact and functioning well. [ABSTRACT FROM AUTHOR] Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2001/07// PY - 2001 VL - 49 IS - 7 SP - 900 EP - 908 SN - 00028614 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=5928492&site=ehost-live&scope=site KW - Denmark KW - dementia KW - eppi-reviewer4 KW - Age factors in disease KW - centenarians KW - Centenarians KW - comorbidity KW - longevity KW - successful aging ER - TY - JOUR TI - Treating depression in old age: the reasons to be positive. AU - Anderson D N T2 - Age and ageing AB - Depression affects 10-15% of people over 65 living at home in the United Kingdom. It is the commonest and the most reversible mental health problem in old age. Depression is associated with physical illness and disability, life events, social isolation and loneliness. Depression in old age carries an increased risk of suicide and natural mortality. Recognition and simple intervention can reduce morbidity, demand on health and social services and the cost of community care. Despite a favourable response to treatment, depression remains largely undetected and untreated. DA - 2001/// PY - 2001 VL - 30 IS - 1 SP - 13 EP - 7 SN - 0002-0729 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc2&NEWS=N&AN=11322666 KW - Female KW - Humans KW - Male KW - Aged KW - Cross-Sectional Studies KW - *Frail Elderly/px [Psychology] KW - Antidepressive Agents/tu [Therapeutic Use] KW - England/ep [Epidemiology] KW - Combined Modality Therapy KW - Depressive Disorder/ep [Epidemiology] KW - Depressive Disorder/di [Diagnosis] KW - *Depressive Disorder/th [Therapy] KW - Suicide/pc [Prevention & Control] KW - Suicide/px [Psychology] KW - eppi-reviewer4 KW - Psychotherapy KW - Electroconvulsive Therapy ER - TY - JOUR TI - Health, age, and gender: how do women with intellectual disabilities fare? AU - Anderson DJ T2 - Journal of Gerontological Social Work AB - The 1994-1995 Disability Supplement to the National Health Interview Survey (administered to a representative sample of the U.S. population) was analyzed for women age 30 and older with intellectual disabilities (ID), developmental disabilities (DD) or both, in order to describe their functioning as they aged in the community. Definitions of ID and DD consistent with professional and legal standards were developed and adapted to the NHIS-D questions. An estimated .56% of the approximately 77 million civilian, noninstitutionalized, women age 30 and older in the United States have one of these disabilities. Compared with women in general, women with these disabilities had negative perceptions of their health status, particularly women with DD and health indicators tended to support their perceptions. Most were independent in activities of daily living (ADL), but instrumental activities of daily living (IADLs) posed more of a challenge, and limitations in major activities were common as was a high rate of distress and psychosocial difficulties. The findings suggest that the needs of these women are multiple in nature, involving economic resources, psychological support, possibly work assistance (e.g., job placement), education, social and family supports, in addition to rehabilitative supports more directly linked to specific disabilities. DA - 2002/05// PY - 2002 VL - 38 IS - 1/2 SP - 137 EP - 160 SN - 0163-4372 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106690601&site=ehost-live&scope=site KW - Adult KW - United States KW - Aged KW - Activities of Daily Living KW - Health Status KW - Body Mass Index KW - eppi-reviewer4 KW - Human KW - Interviews KW - Data Analysis Software KW - Middle Age KW - Funding Source KW - Surveys KW - Community Living KW - Functional Status KW - Chi Square Test KW - Disabled KW - Cluster Sample KW - Women KW - Intellectual Disability KW - Demography -- United States KW - Employment Status KW - Probability Sample ER - TY - JOUR TI - Fatigue and sleep disturbance in patients with cancer, patients with clinical depression, and community-dwelling adults. AU - Anderson Karen O AU - Getto Carl J AU - Mendoza Tito R AU - Palmer Stephen N AU - Wang Xin Shelley AU - Reyes-Gibby Cielito C AU - Cleeland Charles S T2 - Journal of pain and symptom management AB - This study compared the severity of fatigue in patients with cancer to the fatigue reported by depressed psychiatric patients and community-dwelling adults. Data were collected for this study during the process of validating a new fatigue assessment tool, the Brief Fatigue Inventory (BFI). The sample included 354 cancer patients, 72 psychiatric patients, and 290 non-patient volunteers. Study subjects reported severity of fatigue and the degree to which fatigue interfered with various aspects of life. Data were also collected on sleep disturbance and demographic variables that might correlate with fatigue. The psychiatric patients reported significantly higher levels of fatigue and fatigue-related interference than the cancer patients, who reported more severe fatigue and interference than the community subjects. The sleep disturbance scores of the cancer patients and the community subjects were significantly correlated with fatigue severity. Although the majority of the psychiatric patients reported sleep disturbance, their sleep disturbance scores were not significantly associated with fatigue severity. DA - 2003/// PY - 2003 VL - 25 IS - 4 SP - 307 EP - 18 SN - 0885-3924 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=12691682 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Severity of Illness Index KW - *Residence Characteristics KW - *Neoplasms/co [Complications] KW - *Sleep Wake Disorders/et [Etiology] KW - *Fatigue/et [Etiology] KW - eppi-reviewer4 KW - *Depressive Disorder/co [Complications] ER - TY - JOUR TI - Validity and reliability of the Minimum Data Set Depression Rating Scale (MDSDRS) for older adults in nursing homes. AU - Anderson Rachel L AU - Buckwalter Kathleen C AU - Buchanan Robert J AU - Maas Meridean L AU - Imhof Sara L T2 - Age and ageing AB - OBJECTIVE: this research examined the psychometric properties of the Minimum Data Set Depression Rating Scale for use among older adults living in nursing homes., METHODS: interviews with 145 older adults in three nursing homes were conducted to complete the Hamilton Depression Rating Scale and the Geriatric Depression Scale. Information relevant to completing the Minimum Data Set Depression Rating Scale was gathered from the Minimum Data Set., RESULTS: the Minimum Data Set Depression Rating Scale did not perform well when validated against the Hamilton Depression Rating Scale and the Geriatric Depression Scale. Minimum Data Set Depression Rating Scale cut-off levels of > or =2 and > or =3 were associated with relatively low total score correlations and sensitivity rates, but acceptable specificity., CONCLUSIONS: findings suggest that the Minimum Data Set Depression Rating Scale may be of limited clinical value to identify depression among older adults living in nursing homes. DA - 2003/// PY - 2003 VL - 32 IS - 4 SP - 435 EP - 8 SN - 0002-0729 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc2&NEWS=N&AN=12851189 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Reproducibility of Results KW - *Homes for the Aged KW - *Nursing Homes KW - Psychiatric Status Rating Scales KW - Data Collection KW - *Depressive Disorder/di [Diagnosis] KW - eppi-reviewer4 ER - TY - JOUR TI - Transition through the continuum of care in a continuing care retirement community: can a functional rating scale be a decision-making tool? AU - Anderson Barbara J AU - Tom Linda T2 - Journal of the American Medical Directors Association AB - This retrospective descriptive study was done to determine if the Geriatric Functional Rating Scale (GFRS) can be used as an objective measure of a resident's need for a higher level of care in a continuing care retirement community (CCRC). A total of 290 of the 300 available independent living residents in a CCRC underwent assessment with the GFRS. At the end of the study period (February 2000 through December 2003), 84% of those who initially had a score of > or =40 were still living independently (alone or with a spouse), of those scoring 20 to <40, 11% were living independently, 40% required some assistance, and 20% entered a Long-Term Care Facility (LTC). Of those scoring <20 initially, none were living independently at the end of the study period. GFRS scores of > or =40 seemed to correlate with continued independence and <40 with an increasing need for assistance. The GFRS provides a functional database on each resident and may be a good objective predictor of future level of care. The sensitivity and specificity of GFRS scores <40 were 42% and 96%, respectively, for either admission to a facility or death. The positive predictive value was 87% and the negative predictive value was 72%. DA - 2005/// PY - 2005 VL - 6 IS - 3 SP - 205 EP - 8 SN - 1538-9375 1525-8610 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=15894251 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Decision Making KW - Retrospective Studies KW - Cohort Studies KW - *Activities of Daily Living KW - *Aging/ph [Physiology] KW - *Geriatric Assessment/mt [Methods] KW - Patient Compliance KW - *Housing for the Elderly/og [Organization & Administration] KW - Aging/px [Psychology] KW - *Assisted Living Facilities/og [Organization & Administration] KW - *Continuity of Patient Care KW - Self Care KW - Patient Care Planning/og [Organization & Administration] KW - eppi-reviewer4 ER - TY - JOUR TI - Residents' satisfaction with multi-purpose services AU - Anderson Judith K AU - Rae John B AU - Grenade Linda E AU - Boldy Duncan P T2 - Australian health review : a publication of the Australian Hospital Association AB - AIM: To establish a system for measuring resident satisfaction in multi-purpose services, benchmarking and performance improvement., SETTING: Six multi-purpose services in rural New South Wales were involved in the project., DESIGN: Residents were surveyed and the results benchmarked. Benchmarking included a comparison of results along with an exploration of work processes across participating sites. This preceded quality improvement activities conducted by individual multi-purpose services. Resident surveys were repeated and staff and managers interviewed., OUTCOMES: Benchmarking was a useful method for identifying performance leaders and enabling the dissemination of better practice. The majority of staff members were comfortable with the PDSA (Plan, Do, Study, Act) quality improvement cycle to guide their improvement efforts. The ability of staff to complete quality improvement cycles was related to the management styles of their supervisors. Resident satisfaction was related to the understanding and confidence of staff., CONCLUSION: A resident satisfaction survey can provide the direction for effective quality improvement activities. Benchmarking results with other sites not only empowers staff members at those sites recognised as leaders, but can also stimulate dissemination of leading practice. Management styles which empower staff enhance their ability to implement quality improvement projects. DA - 2008/// PY - 2008 VL - 32 IS - 2 SP - 349 EP - 55 SN - 0156-5788 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med6&NEWS=N&AN=18447826 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Health Care Surveys KW - Cross-Sectional Studies KW - Long-Term Care KW - *Homes for the Aged/st [Standards] KW - *Health Services for the Aged KW - New South Wales KW - *Residential Facilities/st [Standards] KW - *Quality of Health Care KW - *Consumer Behavior KW - eppi-reviewer4 KW - Benchmarking ER - TY - JOUR TI - Know thy residents: an exploration of long-term care nursing staff's knowledge AU - Anderson Keith A AU - Taha Rebecca D AU - Hosier Amy F T2 - Research in gerontological nursing AB - Nursing staff's knowledge of residents' lives in long-term care is critical to the provision of quality care, the formation of strong relationships between staff and residents, and the promotion of psychosocial well-being for residents. This study examines the degree to which nursing staff in assisted living facilities and nursing homes know residents in terms of their lives and occupations, family members, tastes and interests, and medical conditions. Quantitative surveys were administered to nursing staff-resident dyads (N = 199) as part of a larger study on quality of life in long-term care. Results indicated that while nursing staff generally knew residents fairly well, a significant percentage of nursing staff reported knowing nothing at all in each of the categorical areas of residents' lives. Implications center on eliminating barriers to knowledge attainment and implementing educational interventions that may augment nursing staff's knowledge of residents. Copyright 2009, SLACK Incorporated. DA - 2009/// PY - 2009 VL - 2 IS - 1 SP - 69 EP - 76 SN - 1940-4921 1938-2464 UR - https://dx.doi.org/10.3928/19404921-20090101-03 KW - Adult KW - Humans KW - Aged KW - Aged, 80 and over KW - Attitude of Health Personnel KW - Nursing Assessment KW - Geriatric Assessment KW - Nursing Homes/og [Organization & Administration] KW - *Long-Term Care KW - Holistic Health KW - *Nursing Staff KW - *Nurse-Patient Relations KW - Long-Term Care/mt [Methods] KW - Assisted Living Facilities/og [Organization & Administration] KW - Long-Term Care/px [Psychology] KW - Educational Measurement KW - Nursing Staff/ed [Education] KW - Nursing Staff/px [Psychology] KW - Patient Care Planning KW - *Nursing Assistants KW - Nursing Assistants/px [Psychology] KW - Nursing Methodology Research KW - eppi-reviewer4 KW - Kentucky KW - *Nursing, Practical KW - Medical History Taking KW - Nursing Assistants/ed [Education] KW - Nursing, Practical/ed [Education] ER - TY - JOUR TI - Civic engagement for nursing home residents: a call for social work action AU - Anderson Keith A AU - Dabelko-Schoeny Holly I T2 - Journal of gerontological social work AB - Civic engagement has been found to be associated with a number of emotional and physical benefits for older adults. For those residing in nursing homes, however, opportunities for civic engagement are limited. Societal barriers such as ageism and practical issues such as transportation can limit their access to activities that promote civic engagement. In this article, we review past research on civic engagement for older adults and explore the challenges and barriers faced by nursing home residents. We conclude with a call for social work professionals to develop, implement, and evaluate interventions that increase civic engagement opportunities for this undervalued group. DA - 2010/// PY - 2010 VL - 53 IS - 3 SP - 270 EP - 82 SN - 1540-4048 0163-4372 UR - https://dx.doi.org/10.1080/01634371003648323 KW - Humans KW - Social Environment KW - Aged KW - Aged, 80 and over KW - Quality of Life KW - *Homes for the Aged KW - *Nursing Homes KW - Facility Design and Construction KW - Feasibility Studies KW - *Social Work KW - Motivation KW - Politics KW - *Prejudice KW - eppi-reviewer4 KW - *Volunteers KW - Public Opinion ER - TY - JOUR TI - Findings from a pilot investigation of the effectiveness of a snoezelen room in residential care: should we be engaging with our residents more? AU - Anderson Katrina AU - Bird Michael AU - Macpherson Sarah AU - McDonough Vikki AU - Davis Terri T2 - Geriatric nursing (New York, N.Y.) AB - There is increasing literature on multisensory therapy or Snoezelen, with some evidence suggesting it promotes positive mood and reduces maladaptive behavior in people with dementia. We undertook a pilot evaluation of a Snoezelen room in residential care and compared effects with a condition in which staff took residents out to a garden. This study was therefore a comparison between a Snoezelen room containing prescriptive, expensive equipment and a more everyday existing location that, inevitably, also contained several sensory stimuli. The study was difficult to implement, with low numbers because some staff failed to attend sessions, and the frequent although rarely reported difficulty of introducing psychosocial interventions and doing research in residential care is one of the main stories of this study. No staff member used the room outside of the study, and we found no significant difference between Snoezelen and garden conditions. Results , although highly equivocal because of low numbers, raised the issue of the implementation of standard therapies in dementia care outpacing the evidence, possibly at the expense of less elaborate practices. Copyright © 2011 Mosby, Inc. All rights reserved. DA - 2011/// PY - 2011 VL - 32 IS - 3 SP - 166 EP - 77 SN - 1528-3984 0197-4572 UR - https://dx.doi.org/10.1016/j.gerinurse.2010.12.011 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Affect KW - *Housing for the Elderly KW - Dementia/pp [Physiopathology] KW - *Residential Facilities KW - *Dementia/rh [Rehabilitation] KW - *Perception KW - Behavioral Symptoms KW - eppi-reviewer4 ER - TY - JOUR TI - CONNECT for quality: protocol of a cluster randomized controlled trial to improve fall prevention in nursing homes AU - Anderson Ruth A AU - Corazzini Kirsten AU - Porter Kristie AU - Daily Kathryn AU - McDaniel Reuben R AU - Jr AU - Colon-Emeric Cathleen T2 - Implementation science : IS AB - BACKGROUND: Quality improvement (QI) programs focused on mastery of content by individual staff members are the current standard to improve resident outcomes in nursing homes. However, complexity science suggests that learning is a social process that occurs within the context of relationships and interactions among individuals. Thus, QI programs will not result in optimal changes in staff behavior unless the context for social learning is present. Accordingly, we developed CONNECT, an intervention to foster systematic use of management practices, which we propose will enhance effectiveness of a nursing home Falls QI program by strengthening the staff-to-staff interactions necessary for clinical problem-solving about complex problems such as falls. The study aims are to compare the impact of the CONNECT intervention, plus a falls reduction QI intervention (CONNECT + FALLS), to the falls reduction QI intervention alone (FALLS), on fall-related process measures, fall rates, and staff interaction measures., METHODS/DESIGN: Sixteen nursing homes will be randomized to one of two study arms, CONNECT + FALLS or FALLS alone. Subjects (staff and residents) are clustered within nursing homes because the intervention addresses social processes and thus must be delivered within the social context, rather than to individuals. Nursing homes randomized to CONNECT + FALLS will receive three months of CONNECT first, followed by three months of FALLS. Nursing homes randomized to FALLS alone receive three months of FALLs QI and are offered CONNECT after data collection is completed. Complexity science measures, which reflect staff perceptions of communication, safety climate, and care quality, will be collected from staff at baseline, three months after, and six months after baseline to evaluate immediate and sustained impacts. FALLS measures including quality indicators (process measures) and fall rates will be collected for the six months prior to baseline and the six months after the end of the intervention. Analysis will use a three-level mixed model., DISCUSSION: By focusing on improving local interactions, CONNECT is expected to maximize staff's ability to implement content learned in a falls QI program and integrate it into knowledge and action. Our previous pilot work shows that CONNECT is feasible, acceptable and appropriate., TRIAL REGISTRATION: ClinicalTrials.gov: NCT00636675. DA - 2012/// PY - 2012 VL - 7 SP - 11 SN - 1748-5908 UR - https://dx.doi.org/10.1186/1748-5908-7-11 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Communication KW - Evidence-Based Practice KW - *Accidental Falls/pc [Prevention & Control] KW - Cluster Analysis KW - Accidental Falls/sn [Statistics & Numerical Data] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Homes for the Aged/st [Standards] KW - Nursing Homes/st [Standards] KW - Quality Improvement KW - *Geriatric Nursing/mt [Methods] KW - Learning KW - Geriatric Nursing/ed [Education] KW - *Clinical Protocols KW - Problem Solving KW - Mentors KW - eppi-reviewer4 KW - Accident Prevention ER - TY - JOUR TI - Associations of Computed Tomography-Based Trunk Muscle Size and Density With Balance and Falls in Older Adults AU - Anderson Dennis E AU - Quinn Emily AU - Parker Emily AU - Allaire Brett T AU - Muir Jesse W AU - Rubin Clinton T AU - Magaziner Jay AU - Hannan Marian T AU - Bouxsein Mary L AU - Kiel Douglas P T2 - The journals of gerontology. Series A, Biological sciences and medical sciences AB - BACKGROUND: Deficits in balance and muscle function are important risk factors for falls in older adults. Aging is associated with significant declines in muscle size and density, but associations of trunk muscle size and density with balance and falls in older adults have not been previously examined., METHODS: Trunk muscle size (cross-sectional area) and attenuation (a measure of tissue density) were measured in computed tomography scans (at the L2 lumbar level) in a cohort of older adults (mean +/- SD age of 81.9+/-6.4) residing in independent living communities. Outcome measures were postural sway measured during quiet standing and Short Physical Performance Battery (SPPB) at baseline, and falls reported by participants for up to 3 years after baseline measurements., RESULTS: Higher muscle density was associated with reduced postural sway, particularly sway velocities, in both men and women, and better Short Physical Performance Battery score in women, but was not associated with falls. Larger muscle size was associated with increased postural sway in men and women and with increased likelihood of falling in men., CONCLUSIONS: The results suggest that balance depends more on muscle quality than on the size of the muscle. The unexpected finding that larger muscle size was associated with increased postural sway and increased fall risk requires further investigation, but highlights the importance of factors besides muscle size in muscle function in older adults. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 VL - 71 IS - 6 SP - 811 EP - 6 SN - 1758-535X 1079-5006 UR - https://dx.doi.org/10.1093/gerona/glv185 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged, 80 and over KW - Independent Living KW - *Aging/ph [Physiology] KW - *Muscle, Skeletal/ph [Physiology] KW - *Accidental Falls KW - *Geriatric Assessment KW - *Postural Balance/ph [Physiology] KW - *Tomography, X-Ray Computed KW - *Muscle, Skeletal/dg [Diagnostic Imaging] KW - *Torso/dg [Diagnostic Imaging] KW - *Torso/ph [Physiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Help-seeking intentions for anxiety among older adults. AU - Anderson Katrina AU - Wickramariyaratne Tushara AU - Blair Annaliese T2 - Australian journal of primary health AB - Mental health practices are not working for older people with anxiety in residential care, as there is a persistent lack of recognition and treatment. This suggests that alternative ways of reaching and meeting the needs of this population need to be explored. One possibility involves enabling older adults themselves to seek help. The current work explored various factors impacting on help-seeking behaviours. In total, 105 participants from independent living units in a residential care setting completed a questionnaire focusing on attitudes and stigma towards anxiety, likelihood to seek help, help-seeking barriers and literacy around the symptoms of anxiety. Participants in the main did not hold negative attitudes towards other people with anxiety, despite concerns that other people could view them negatively if they were experiencing anxiety. Barriers to help-seeking included: difficulties recognising physical anxiety symptoms as being indicative of anxiety; the effectiveness of treatments; costs; misdiagnosis; privacy; medication usage and the associated side-effects; and, uneasiness about the skills and knowledge of health professionals. Although concerns were not held by all participants, the fact remains that anxiety is largely undiagnosed and untreated for this population and these stoppages to appropriate care must be addressed. DA - 2017/// PY - 2017 DO - 10.1071/PY15185 VL - 23 IS - 5 SP - 489 EP - 495 SN - 1448-7527 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=28514989 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Independent Living KW - *Health Knowledge, Attitudes, Practice KW - Anxiety/th [Therapy] KW - *Patient Acceptance of Health Care/px [Psychology] KW - Residential Facilities KW - *Anxiety/px [Psychology] KW - Australian Capital Territory/ep [Epidemiology] KW - Intention KW - Anxiety/ep [Epidemiology] KW - Factor Analysis, Statistical KW - Social Stigma KW - eppi-reviewer4 ER - TY - JOUR TI - Should I Stay or Go: Rural Ageing, a Time for Reflection. AU - Anderson Emily M AU - Larkins Sarah AU - Beaney Sarah AU - Ray Robin A T2 - Geriatrics (Basel, Switzerland) AB - (1) Background: Studies have shown that older people prefer to continue living in their own home and community as they age; however this is dependent upon available services and social support. In Australia about two thirds of people will age at home. The Australian Government provides home care packages to support ageing in place yet in rural areas not all services are available. The lack of employment opportunities in rural areas often results in family residing at a distance reducing available social support. This study aims to evaluate informal social support and its influence on ageing in place amongst older people in three Australian rural communities in Australia. (2) Methods : A multiple embedded case study was undertaken in three diverse rural communities. Eleven older rural residents ageing in place aged 65+ were interviewed about their ageing experience and plans for their future in the light of available social support along with 15 members of their social networks. Social networks were then visually depicted with the use of ecomaps and network members were interviewed. (3) Results show that kin and non-kin social networks support ageing in place however ageing is a time of change and reflection. (4) Conclusions: There is a need for more discussion within these networks when it comes to future planning. DA - 2018/// PY - 2018 DO - 10.3390/geriatrics3030049 VL - 3 IS - 3 SN - 2308-3417 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=31011086 KW - eppi-reviewer4 ER - TY - JOUR TI - The effects of a control-enhancing intervention for nursing home residents: cognition and locus of control as moderators AU - Anderson-Hanley Cay AU - Meshberg Sarah R AU - Marsh Melissa A T2 - Palliative & supportive care AB - OBJECTIVE: This study aimed to clarify which older adults benefit most from a control-enhancing intervention; in particular, whether cognitive functioning or locus of control might moderate the benefit derived., METHODS: Nursing home residents were randomly assigned to two conditions: (1) a control-enhanced condition that provided the option of caring for a plant (n=10), and (2) a comparison condition that monitored any change under the standard of care (n=10). Comparison group participants were subsequently offered the intervention, which led to a total of 17 intervention participants., RESULTS: Cognitive function and locus of control were found to significantly moderate the effects of the control-enhancing intervention on residents' perceived health competency, but not depression or life satisfaction., SIGNIFICANCE OF RESULTS: Interventions for nursing home residents could be tailored to fit specific needs. Screening for cognitive function and locus of control may help predict who is likely to benefit from control-enhancing interventions. DA - 2003/// PY - 2003 VL - 1 IS - 2 SP - 111 EP - 20 SN - 1478-9515 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=16594273 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Nursing Homes KW - *Personal Satisfaction KW - *Depression/th [Therapy] KW - *Cognition KW - Homes for the Aged KW - *Geriatrics KW - eppi-reviewer4 KW - *Internal-External Control KW - Plants ER - TY - JOUR TI - Exergaming and older adult cognition: a cluster randomized clinical trial AU - Anderson-Hanley Cay AU - Arciero Paul J AU - Brickman Adam M AU - Nimon Joseph P AU - Okuma Naoko AU - Westen Sarah C AU - Merz Molly E AU - Pence Brandt D AU - Woods Jeffrey A AU - Kramer Arthur F AU - Zimmerman Earl A T2 - American journal of preventive medicine AB - BACKGROUND: Dementia cases may reach 100 million by 2050. Interventions are sought to curb or prevent cognitive decline. Exercise yields cognitive benefits, but few older adults exercise. Virtual reality-enhanced exercise or "exergames" may elicit greater participation., PURPOSE: To test the following hypotheses: (1) stationary cycling with virtual reality tours ("cybercycle") will enhance executive function and clinical status more than traditional exercise; (2) exercise effort will explain improvement; and (3) brain-derived neurotrophic growth factor (BDNF) will increase., DESIGN: Multi-site cluster randomized clinical trial (RCT) of the impact of 3 months of cybercycling versus traditional exercise, on cognitive function in older adults. Data were collected in 2008-2010; analyses were conducted in 2010-2011., SETTING/PARTICIPANTS: 102 older adults from eight retirement communities enrolled; 79 were randomized and 63 completed., INTERVENTIONS: A recumbent stationary ergometer was utilized; virtual reality tours and competitors were enabled on the cybercycle., MAIN OUTCOME MEASURES: Executive function (Color Trails Difference, Stroop C, Digits Backward); clinical status (mild cognitive impairment; MCI); exercise effort/fitness; and plasma BDNF., RESULTS: Intent-to-treat analyses, controlling for age, education, and cluster randomization, revealed a significant group X time interaction for composite executive function (p=0.002). Cybercycling yielded a medium effect over traditional exercise (d=0.50). Cybercyclists had a 23% relative risk reduction in clinical progression to MCI. Exercise effort and fitness were comparable, suggesting another underlying mechanism. A significant group X time interaction for BDNF (p=0.05) indicated enhanced neuroplasticity among cybercyclists., CONCLUSIONS: Cybercycling older adults achieved better cognitive function than traditional exercisers, for the same effort, suggesting that simultaneous cognitive and physical exercise has greater potential for preventing cognitive decline., TRIAL REGISTRATION: This study is registered at Clinicaltrials.gov NCT01167400. Copyright © 2012 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved. DA - 2012/// PY - 2012 VL - 42 IS - 2 SP - 109 EP - 19 SN - 1873-2607 0749-3797 UR - https://dx.doi.org/10.1016/j.amepre.2011.10.016 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Cognition/ph [Physiology] KW - *Exercise/px [Psychology] KW - Biomarkers/me [Metabolism] KW - *Executive Function KW - eppi-reviewer4 KW - *Brain-Derived Neurotrophic Factor/me [Metabolism] KW - Bicycling KW - Neuronal Plasticity ER - TY - JOUR TI - Neuropsychological benefits of stationary bike exercise and a cybercycle exergame for older adults with diabetes: an exploratory analysis AU - Anderson-Hanley Cay AU - Arciero Paul J AU - Westen Sarah C AU - Nimon Joseph AU - Zimmerman Earl T2 - Journal of diabetes science and technology AB - OBJECTIVE: This quasi-experimental exploratory study investigated neuropsychological effects of exercise among older adults with diabetes mellitus (DM) compared with adults without diabetes (non-DM), and it examined the feasibility of using a stationary bike exergame as a form of exercise for older adults with and without diabetes. It is a secondary analysis that uses a small dataset from a larger randomized clinical trial (RCT) called the Cybercycle Study, which compared cognitive and physiological effects of traditional stationary cycling versus cybercycling., METHODS: In the RCT and the secondary analysis, older adults living in eight independent living retirement facilities in the state of New York were enrolled in the study and assigned to exercise five times per week for 45 min per session (two times per week was considered acceptable for retention in the study) by using a stationary bicycle over the course of 3 months. They were randomly assigned to use either a standard stationary bicycle or a "cybercycle" with a video screen that displayed virtual terrains, virtual tours, and racing games with virtual competitors. For this secondary analysis, participants in the RCT who had type 2 DM (n = 10) were compared with age-matched non-DM exercisers (n = 10). The relationship between exercise and executive function (i.e., Color Trials 2, Digit Span Backwards, and Stroop C tests) was examined for DM and non-DM patients., RESULTS: Older adults with and without diabetes were able to use cybercycles successfully and complete the study, so the feasibility of this form of exercise for this population was supported. However, in contrast with the larger RCT, this small subset did not demonstrate statistically significant differences in executive function between the participants who used cybercycles and those who used stationary bikes with no games or virtual content on a video screen. Therefore, the study combined the two groups and called them "exercisers" and compared cognitive outcomes for DM versus non-DM patients. As predicted, exercisers with DM exhibited significant gains in executive function as measured by the Color Trails 2 test, controlling for age and education, while non-DM exercisers did not significantly gain in this measure [group x time interaction, F(1,16]) = 9.75; p = .007]., CONCLUSIONS: These preliminary results support the growing literature that finds that exercise may improve cognition among older adult with DM. Additional research is needed to clarify why certain aspects of executive function might be differentially affected. The current findings may encourage physicians to prescribe exercise for diabetes management and may help motivate DM patients' compliance for engaging in physical activity. Copyright © 2012 Diabetes Technology Society. DA - 2012/// PY - 2012 VL - 6 IS - 4 SP - 849 EP - 57 SN - 1932-2968 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med8&NEWS=N&AN=22920811 KW - Adult KW - Female KW - Humans KW - Male KW - Randomized Controlled Trials as Topic KW - Aged KW - Middle Aged KW - *Exercise Therapy/mt [Methods] KW - Retrospective Studies KW - Neuropsychological Tests KW - Feasibility Studies KW - Cognition/ph [Physiology] KW - *Diabetes Mellitus/th [Therapy] KW - *Diabetes Mellitus/px [Psychology] KW - *Video Games/px [Psychology] KW - Neuropsychology/mt [Methods] KW - eppi-reviewer4 KW - Exercise Therapy/is [Instrumentation] KW - *Bicycling/px [Psychology] ER - TY - JOUR TI - The fuld object-memory evaluation: development and validation of an alternate form AU - Anderson-Hanley Cay AU - Miele Andrea S AU - Dunnam Mina T2 - Applied neuropsychology. Adult AB - The Fuld Object-Memory Evaluation (FOME) uses multisensory (tactile, visual, and verbal) encoding of objects for assessing memory, with particular clinical and research application in older adults. This preliminary study reports the first known psychometric data on the development of an alternate form of the FOME. Data were drawn from 102 independent-living older adults participating in a larger clinical trial. Seventy participants completed three versions of the shortened administration of the FOME, and comparability of forms was established by significant, moderate intraclass correlation coefficients for immediate and delayed recall scores. Reliable change indexes indicate the new alternate form performs well, with minimal practice or learning effects. Evidence of convergent and discriminant validity was documented using the Rey Auditory Verbal Learning Test, category fluency task, and North American Adult Reading Test. Normative data are provided stratified by age for participants completing at least one of three time points (n = 96). Results of this preliminary study provide evidence for the comparability and construct validity of a new alternate form of the FOME with prior forms. An additional well-validated form of the FOME has practical implications for serial testing often required in clinical practice and research design. DA - 2013/// PY - 2013 VL - 20 IS - 1 SP - 1 EP - 6 SN - 2327-9109 2327-9095 UR - https://dx.doi.org/10.1080/09084282.2012.670156 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Reproducibility of Results KW - Residence Characteristics KW - Time Factors KW - *Cognition/ph [Physiology] KW - Psychometrics KW - *Neuropsychological Tests KW - Reference Values KW - *Mental Recall/ph [Physiology] KW - eppi-reviewer4 KW - Semantics ER - TY - JOUR TI - Increasing the knowledge, identification and treatment of osteoporosis through education and shared decision-making with residents living in a retirement village community. AU - Anderson-Wurf Jane AU - Harding Catherine AU - Seal Alexa T2 - Australasian journal on ageing AB - OBJECTIVE: This pilot study explored whether individual goal setting in a retirement village setting could improve strategies to strengthen bones in an ageing population and help prevent osteoporosis., METHODS: A two-phased osteoporosis prevention program was developed, piloted and evaluated involving a group education session followed by the development of individualised Bone Plans based upon personal understanding of individual fracture risk and lifestyle factors., RESULTS: A significant improvement in knowledge and understanding of factors to prevent and manage osteoporosis was achieved, and changes in lifestyle behaviours were sustained at six months., CONCLUSION: Success was due to education by specialist medical and health personnel, flexibility of goal setting, use of group sessions and location of the program within the retirement community setting. The 'Mind Your Bones' program is a feasible and acceptable way to translate preventative bone health messages to a large number of people via the retirement village network. Copyright © 2018 AJA Inc. DA - 2018/// PY - 2018 DO - 10.1111/ajag.12494 VL - 37 IS - 1 SP - E17 EP - E22 SN - 1440-6381 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29336098 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Risk Reduction Behavior KW - Aged KW - Aged, 80 and over KW - Protective Factors KW - *Independent Living KW - Age Factors KW - *Health Promotion/mt [Methods] KW - *Decision Making KW - *Health Behavior KW - *Health Knowledge, Attitudes, Practice KW - Pilot Projects KW - *Osteoporosis/pc [Prevention & Control] KW - Healthy Aging KW - *Retirement KW - Life Style KW - Osteoporosis/di [Diagnosis] KW - Goals KW - *Group Processes KW - Osteoporosis/ep [Epidemiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Meals and energy intake among elderly women--an analysis of qualitative and quantitative dietary assessment methods AU - Andersson J C AU - Gustafsson K AU - Fjellstrom C AU - Sidenvall B AU - Nydahl M T2 - Journal of human nutrition and dietetics : the official journal of the British Dietetic Association AB - OBJECTIVE: The objective of this study was to analyse whether a qualitative method, in relation to traditional dietary assessment methods, was adequate to establish sufficient energy intake and energy content in separate meals in a population of elderly women., METHODS: One hundred and thirty-five elderly women, aged 63-88 years, living at home from three communities in mid-eastern Sweden participated in the present study. The quantitative methods used were a combination of repeated 24-h recall and a 3-day estimated food diary. The qualitative method used was the Food-Based Classification of Eating episodes model (FBCE)., RESULTS: The mean intake of energy estimated by the 5-day registration was 6.8 +/- 1.9 MJ. The total number of eating events was 5.22 +/- 1.04 per day. On a group level, FBCE was useful to describe the diet among a group of elderly women; however, on an individual level, some complete meals were low or very low in energy, due to small portion sizes., CONCLUSION: The main conclusion was that a qualitative method, such as FBCE, must be supplemented with a dietary assessment method giving the energy intake to ensure that it is sufficient, especially when studying groups at risk for malnutrition. DA - 2001/// PY - 2001 VL - 14 IS - 6 SP - 467 EP - 76 SN - 0952-3871 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=11906589 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Evaluation Studies as Topic KW - Sweden KW - *Nutrition Assessment KW - Diet Records KW - *Eating/ph [Physiology] KW - eppi-reviewer4 KW - *Energy Intake/ph [Physiology] ER - TY - JOUR TI - Oral health problems in elderly rehabilitation patients AU - Andersson P AU - Hallberg I R AU - Lorefalt B AU - Unosson M AU - Renvert S T2 - International journal of dental hygiene AB - A combination of poor oral hygiene and dry mouth may be hazardous to the oral health status. However, systematic assessments in order to detect oral health problems are seldom performed in the nursing care of the elderly. The aims of this study were to investigate the occurrence of oral health problems measured using the Revised Oral Assessment Guide (ROAG) and to analyse associations between oral health problems and age, gender, living conditions, cohabitation, reason for admission, number of drugs, and functional and nutritional status. One registered nurse performed oral health assessments using ROAG in 161 newly admitted elderly patients in rehabilitation care. Oral health problems were found in 71% of the patients. Thirty per cent of these patients had between four and eight problems. Low saliva flow and problems related to lips were the most frequent oral health problems. Problems in oral health status were significantly associated with presence of respiratory diseases (problems with gums, lips, alterations on the tongue and mucous membranes), living in special accommodation (low saliva flow, problems with teeth/dentures and alterations on the tongue), being undernourished (alterations on the tongue and low saliva flow) and being a woman (low saliva flow). The highest Odds ratio (OR) was found in problems with gums in relation with prevalence of respiratory diseases (OR 8.9; confidence interval (CI) 2.8-27.8; P < 0.0005). This study indicates the importance of standardised oral health assessments in order to detect oral health problems which can otherwise be hidden when the patients are admitted to the hospital ward. DA - 2004/// PY - 2004 VL - 2 IS - 2 SP - 70 EP - 7 SN - 1601-5029 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16451465 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Geriatric Assessment/mt [Methods] KW - Sex Factors KW - Age Factors KW - Analysis of Variance KW - Nutritional Status KW - Rehabilitation KW - Health Services for the Aged/sn [Statistics & Numerical Data] KW - Chi-Square Distribution KW - eppi-reviewer4 KW - *Mouth Diseases/ep [Epidemiology] ER - TY - JOUR TI - Health care consumption and place of death among old people with public home care or in special accommodation in their last year of life AU - Andersson Magdalena AU - Hallberg Ingalill R AU - Edberg Anna-Karin T2 - Aging clinical and experimental research AB - BACKGROUND AND AIMS: Developing care for older people in the last phase of life requires knowledge about the type and extent of care and factors associated with the place of death. The aim of this study was to examine age, living conditions, dependency, care and service among old people during their last year of life, but also their place of death and factors predicting it., METHODS: The sample (n=1198) was drawn from the care and services part of the Swedish National Study on Ageing and Care (SNAC). Criteria for inclusion were being 75+ years, dying in 2001-2004, and having public care and services at home or in special accommodation., RESULTS: In the last year of life, 82% of persons living at home and 51% living in special accommodation were hospitalized; median stays were 10 and 6.7 days respectively. Those living at home were younger and less dependent in ADL than those living in special accommodation. Those living at home and those having several hospital stays more often died in hospital. In the total sample, more visits to physicians in outpatient care predicted dying in hospital, whereas living in special accommodation and PADL dependency predicted dying outside hospital., CONCLUSIONS: Old people in their last year of life consumed a considerable amount of both municipal care and outpatient and in-hospital medical care, especially those living at home, which in several cases ended with death in hospital. DA - 2007/// PY - 2007 VL - 19 IS - 3 SP - 228 EP - 39 SN - 1594-0667 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=17607092 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Logistic Models KW - *Terminal Care KW - Age Factors KW - Hospitalization KW - Home Care Services KW - *Delivery of Health Care/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - *Hospice Care ER - TY - JOUR TI - Architecture for the silver generation: exploring the meaning of appropriate space for ageing in a Swedish municipality AU - Andersson Jonas E T2 - Health & place AB - This paper focuses on an architecture competition for the silver generation, namely those aged 65 years and older. Twenty-seven Swedish informants were interviewed using an interviewing guide that included a photographic survey. The informants emphasised aesthetic dimensions in architecture for the prolongation of ageing in place and independent living in a residential home. This study highlights the individual adjustment of space, and the integrated location in existing urban settings near nature. Based on the findings, a habitational model for exploring the appropriate space for ageing is formulated. It suggests that architecture through location and spatial features needs to generate positive associations with the users. Copyright © 2010 Elsevier Ltd. All rights reserved. DA - 2011/// PY - 2011 VL - 17 IS - 2 SP - 572 EP - 87 SN - 1873-2054 1353-8292 UR - https://dx.doi.org/10.1016/j.healthplace.2010.12.015 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Models, Theoretical KW - *Aging/ph [Physiology] KW - *Homes for the Aged KW - Interviews as Topic KW - Sweden KW - eppi-reviewer4 KW - *Architecture ER - TY - JOUR TI - Changing residential mobility rates of older people in Sweden. AU - ANDERSSON EVA AU - ABRAMSSON MARIANNE T2 - Ageing & Society AB - The lifestyle of the baby boomers as retirees has been assumed to differ from older cohorts due to them being financially more stable and having grown up during the welfare state expansion. Many baby boomers live in large houses with gardens that require maintenance and labour. Recent studies have indicated that a growing share of those born in the 1940s in Sweden express a wish to change residence at retirement or in old age. A need to verify such results statistically was identified to confirm whether there has been an increase in residential mobility among older people. As a result, moves that took place during 2001–06 of the total cohort born in the 1940s were compared to similar moves by those born in the 1930s, ten years earlier during 1991–96, i.e. those aged 57–66 in 1996 and 2006. The study used a register database, Geoswede, containing the entire Swedish population. The study showed increased residential mobility rates among the 1940s cohort compared to the cohort born in the 1930s. However, explanations for the differences between the cohorts were not evident. [ABSTRACT FROM PUBLISHER] Copyright of Ageing & Society is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2012/08// PY - 2012 VL - 32 IS - 6 SP - 963 EP - 982 SN - 0144686X UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=77678201&site=ehost-live&scope=site KW - older people KW - housing KW - Residential mobility KW - Sweden KW - Aging KW - eppi-reviewer4 KW - Older people KW - Old age KW - Baby boom generation KW - baby boomers KW - residential mobility ER - TY - JOUR TI - Exploring the function and use of common spaces in assisted living for older persons AU - Andersson Morgan AU - Ryd Nina AU - Malmqvist Inga T2 - HERD AB - OBJECTIVE: This exploratory study examines the function and use of common spaces in assisted living facilities (ALFs) from the residential and workplace perspectives., BACKGROUND: The impact of the physical environment on human activities in healthcare settings has been emphasized in many studies. Few studies, however, have explored the daily use of common spaces and the impact on the usability of ALFs., METHODS: Four explorative methods-observation, group interviews, individual interviews, and questionnaires-were used to investigate 14 ALFs in Sweden. The study involves residents, staff, relatives, architects, and people responsible for planning and construction of eldercare. This research strategy combines quantitative and qualitative methods to enhance the validity of the results. Method triangulation and data triangulation were used and the data were analyzed using Qualitative Content Analysis (QCA)., RESULTS: The results show that residents and staff have different objectives for use and these differences affect usability, although explicit conflicts are rare. The residents, staff, and other stakeholders have different views about the demarcation of home and workplace and the role of common spaces as venues for social interaction., CONCLUSIONS: Both the residential and the workplace perspective must be considered when planning assisted living facilities. Otherwise, inherent conflicts between these perspectives will manifest as a result of the physical design. Common spaces have diverse functions that are reflected in their spatial organization. Therefore, ALFs should be designed so the intended function of a specific space is apparent to all users., KEYWORDS: Built environment, elderly, planning, satisfaction, staff. DA - 2014/// PY - 2014 VL - 7 IS - 3 SP - 98 EP - 119 SN - 1937-5867 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med10&NEWS=N&AN=24782239 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Workplace/px [Psychology] KW - Interviews as Topic KW - *Interpersonal Relations KW - Sweden KW - Patient Satisfaction KW - *Assisted Living Facilities/og [Organization & Administration] KW - Observation KW - Interior Design and Furnishings KW - *Facility Design and Construction/mt [Methods] KW - eppi-reviewer4 KW - *Health Facility Environment/og [Organization & Administration] ER - TY - JOUR TI - How do we assign ourselves social status? A cross-cultural test of the cognitive averaging principle AU - Andersson Matthew A T2 - Social science research AB - Subjective social status (SSS), or one's perceived social standing, is linked robustly to mental and physical health and is thought to be determined in part by a cognitive average of one's past, present and expected socioeconomic status. However, this averaging principle awaits a formal test. Further, cultures differ with regard to how they perceive and discount time. In this study, I draw upon cross-sectional data from the United States and Japan (2005 MIDUS non-Hispanic whites and 2008 MIDJA), which measured subjective status in terms of one's perceived standing within a personally defined community. I compare equal and unequal cognitive averaging models for their goodness of fit relative to a traditional present-based model. Socioeconomic status is assessed broadly, in terms of past, present and expected overall work and financial situations. In the United States, averaging models do not fit the data consistently better than a present-based model of SSS. However, in Japan, averaging models do fit SSS consistently better. These fit conclusions are robust to controlling for negative affect. Copyright © 2015 Elsevier Inc. All rights reserved. DA - 2015/// PY - 2015 VL - 52 SP - 317 EP - 29 SN - 1096-0317 0049-089X UR - https://dx.doi.org/10.1016/j.ssresearch.2015.02.009 KW - Adult KW - Female KW - Humans KW - Male KW - United States KW - Social Environment KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Models, Theoretical KW - Cross-Sectional Studies KW - Japan KW - Socioeconomic Factors KW - European Continental Ancestry Group KW - *Residence Characteristics KW - *Self Concept KW - *Social Class KW - *Cognition KW - *Social Identification KW - Culture KW - Cross-Cultural Comparison KW - eppi-reviewer4 ER - TY - JOUR TI - The use of common spaces in assisted living schemes for older persons: a comparison of somatic and dementia units. AU - ANDERSSON MORGAN AU - PAULSSON JAN AU - MALMQVIST INGA AU - LINDAHL GÖRAN T2 - Ageing & Society AB - This study explores how common spaces in assisted living schemes for older persons are used by the residents. Observation studies, group interviews with staff and individual interviews with residents, relatives, architects and key stakeholders in the context of Swedish elder-care were conducted. Common spaces are the major location for in-house social interaction on the units. The results show a higher presence on the dementia units, compared to the somatic units. No significant correlation was found between the residents' mobility limitations and their degree of presence in the common spaces. The results also suggest a contradiction between the staff's intentions to provide a social context and the capabilities of the residents. Although common spaces are not used much between meals, the residents stress their importance for social interaction, suggesting that common spaces have important qualitative aspects, rather than quantitative. The results also show that few of the residents used the common spaces together with their relatives. The increasing use of assistive technology creates a shortage of space, suggesting a conflict between the efforts to create a home-like environment and the use of assistive technology. [ABSTRACT FROM PUBLISHER] Copyright of Ageing & Society is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2016/04// PY - 2016 VL - 36 IS - 4 SP - 837 EP - 859 SN - 0144686X UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=113455965&site=ehost-live&scope=site KW - Sweden KW - Dementia KW - eppi-reviewer4 KW - Interpersonal relations KW - Interviewing KW - Research methodology KW - Elder care KW - Congregate housing KW - assisted living KW - buildings in use KW - common spaces KW - Comparative studies KW - homelikeness KW - mixed methods KW - Observation (Scientific method) KW - Public spaces KW - social interaction ER - TY - JOUR TI - Dental status in nursing home residents with domiciliary dental care in Sweden. AU - Andersson P AU - Renvert S AU - Sjogren P AU - Zimmerman M T2 - Community dental health AB - OBJECTIVE: To describe the dental health status of elderly people in nursing homes receiving domiciliary dental care., DESIGN: Case note review., CLINICAL SETTING: Nursing homes in 8 Swedish counties., PARTICIPANTS: Care dependent elderly people (>=65 years)., METHODS: Clinical data, including the number of remaining natural teeth, missing and decayed teeth (manifest dental caries) and root remnants, recorded by dentists according to standard practices. Medical and dental risk assessments were performed., RESULTS: Data were available for 20,664 patients. Most were women (69.1%), with a mean age of 87.1 years (SD 7.42, range 65-109). The mean age for men was 83.5 years (SD 8.12, range 65-105). Two or more medical conditions were present in most of the population. A total of 16,210 individuals had existing teeth of whom 10,974 (67.7%) had manifest caries. The mean number of teeth with caries was 5.0 (SD 5.93) corresponding to 22.8% of existing teeth. One in four individuals were considered to have a very high risk in at least one professional dental risk assessment category., CONCLUSIONS: Care dependent elderly in nursing homes have very poor oral health. There is a need to focus on the oral health-related quality of life for this group of frail elderly during their final period of life. Copyright© 2017 Dennis Barber Ltd. DA - 2017/// PY - 2017 DO - 10.1922/CDH_4100Andersson05 VL - 34 IS - 4 SP - 203 EP - 207 SN - 0265-539X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29136361 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Oral Health KW - *Homes for the Aged KW - *Nursing Homes KW - Home Care Services KW - Sweden KW - *DMF Index KW - Dental Care for Aged KW - eppi-reviewer4 ER - TY - JOUR TI - End-of-life care in residential care homes: a retrospective study of the perspectives of family members using the VOICES questionnaire AU - Andersson Sofia AU - Lindqvist Olav AU - Furst Carl-Johan AU - Brannstrom Margareta T2 - Scandinavian journal of caring sciences AB - BACKGROUND: In Europe, residential care homes (RCHs) are replacing hospitals as the place where death occurs, and they play an important role in end-of-life (EOL) care., OBJECTIVE: The aim was to describe the quality of care during the last 3 months and last 3 days of life of those who died in RCHs as reported by family members. We also investigated whether there were differences in the EOL care of younger patients (<85 years) vs. the oldest old patients (>=85 years) as reported by family members., DESIGN: A retrospective survey design., METHODS: Deaths (n = 189) at 19 RCHs in one municipality in Sweden were included. Family members were sent the VOICES questionnaire 1 month after their elderly relative had died. Descriptive statistics were used., RESULTS: In the last 3 days before death, most family members reported there was enough help with nursing (93%) and personal care (78.5%). Among the family members, 86% were told that the resident was likely to die shortly. Most (94.1%) of residents were reported to have died at their preferred place. No significant difference was found between age groups. Family members also reported that about half of the elderly had pain (46.5%) and 86.4% received treatment; 55.9% had breathlessness and 39.7% received treatment. Breathlessness was significantly (p = 0.01) more common in the younger group, and they were treated more often (p = 0.006) than the oldest old., CONCLUSION: This study revealed an overall positive picture of personal and nursing care and communication. These findings indicate that the quality of EOL care at RCHs is high. Inadequate management was found for symptom relief the last days of life. This suggests that this subject merits further attention by care professionals. To achieve better quality of EOL care at RCHs, we emphasise the importance of systematically working to improve symptom relief. Copyright © 2016 Nordic College of Caring Science. DA - 2017/// PY - 2017 VL - 31 IS - 1 SP - 72 EP - 84 SN - 1471-6712 0283-9318 UR - https://dx.doi.org/10.1111/scs.12317 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Health Care Surveys KW - Retrospective Studies KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Sweden KW - *Family/px [Psychology] KW - *Palliative Care/og [Organization & Administration] KW - *Terminal Care/og [Organization & Administration] KW - *Quality of Health Care/sn [Statistics & Numerical Data] KW - eppi-reviewer4 ER - TY - JOUR TI - Family members' experiences of care of the dying in residential care homes where the Liverpool Care Pathway was used. AU - Andersson Sofia AU - Lindqvist Olav AU - Furst Carl-Johan AU - Brannstrom Margareta T2 - International journal of palliative nursing AB - BACKGROUND: Residential care homes (RCHs) are increasingly becoming a common place of death for older people., AIM: The aim of this study was to describe family members' experiences of care of the dying in RCHs where the Liverpool care pathway for the dying patient was used., METHODS: This study had a descriptive qualitative study design. Fifteen (n=15) individual interviews were analysed using qualitative content analysis., RESULTS: The analysis resulted in three themes: being confident in a familiar and warm atmosphere, being involved vs not being involved in end-of-life (EoL) care, and being consoled by witnessing the health professional's endeavour to relieve suffering., SIGNIFICANCE OF RESULTS: The results indicated that taking part in a care plan seems to increase family members' feelings of involvement in EoL care. This study also highlights the family members' needs for increased possibilities for EoL discussions with the GP. DA - 2018/// PY - 2018 DO - 10.12968/ijpn.2018.24.4.194 VL - 24 IS - 4 SP - 194 EP - 202 SN - 1357-6321 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29703112 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - State Medicine KW - *Homes for the Aged KW - *Terminal Care KW - *Family KW - Interviews as Topic KW - Health Services for the Aged KW - England KW - Critical Pathways KW - eppi-reviewer4 ER - TY - JOUR TI - Care professional's experiences about using Liverpool Care Pathway in end-of-life care in residential care homes. AU - Andersson Sofia AU - Lindqvist Olav AU - Furst Carl-Johan AU - Brannstrom Margareta T2 - Scandinavian journal of caring sciences AB - BACKGROUND: Residential care homes (RCHs) play an important role in end-of-life care, being the most common place of death for elderly people in several European countries. Care pathways such as the Liverpool Care Pathway for the Dying Patient (LCP) are used to improve and ensure quality care at the end of life. There is a lack of scientific evidence supporting the use of care pathways., DESIGN: A descriptive qualitative study., OBJECTIVE: The aim was to describe care professionals' experiences of using the Liverpool Care Pathway for the Dying Patient in the care of dying residents in residential care homes., METHODS: Five focus group interviews and two individual interviews with enrolled nurses (n = 10), Registered Nurses (n = 9) and general practitioners (n = 5) were carried out and analysed using qualitative content analysis., RESULTS: Care professionals expressed that they became confident through a shared approach to care, were supported to tailor the care according to the residents' individual needs, were supported to involve family members in decision-making and care and became more aware of the care environment., CONCLUSION: The results of this study indicate that the LCP might be a useful tool for care professionals in improving end-of-life care in RCHs through increased attention to the goals of care, the individual needs of residents and family involvement. Copyright © 2017 Nordic College of Caring Science. DA - 2018/// PY - 2018 DO - 10.1111/scs.12462 VL - 32 IS - 1 SP - 299 EP - 308 SN - 0283-9318 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=28664584 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Decision Making KW - Qualitative Research KW - *Health Personnel/px [Psychology] KW - *Quality of Life/px [Psychology] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Patient-Centered Care/og [Organization & Administration] KW - Sweden KW - *Terminal Care/px [Psychology] KW - *Quality of Health Care/og [Organization & Administration] KW - eppi-reviewer4 ER - TY - JOUR TI - Patterns of changing residential preferences during late adulthood. AU - ANDERSSON EVA K AU - ABRAMSSON MARIANNE AU - MALMBERG BO T2 - Ageing & Society AB - Earlier research on residential mobility has demonstrated a tendency for the young old of the 55+ population to prefer peripheral locations, whereas older age groups choose central locations. Here, we present survey results indicating that such late-adulthood differences in preferences are supported by age-related shifts corresponding to differences in housing preferences expressed by individuals in peripheral as well as central locations in Sweden. A sample of 2,400 individuals aged 55 years and over was asked to select the seven most important characteristics of a dwelling from a list of 21 alternatives (Survey of Housing Intentions among the ELDerly in Sweden (SHIELD), 2013). The preferences expressed were used as dependent variables in logistic regressions to determine to what extent the housing preferences of older people are linked to age, gender, socio-economic status and type of geographical area. The results demonstrated a close link between neighbourhood characteristics and housing preferences. Owning the dwelling, having a garden and access to nature were stressed as important by individuals living in non-metropolitan middle-class areas and in suburban elite areas. The youngest cohort expressed similar preferences. Older age groups instead stressed the importance of an elevator, single-storey housing and a good design for independent living; preferences that have similarities to those expressed by individuals living in large cities and smaller urban centres where such housing is more readily available. [ABSTRACT FROM AUTHOR] Copyright of Ageing & Society is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2019/08// PY - 2019 VL - 39 IS - 8 SP - 1752 EP - 1781 SN - 0144686X UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=137330173&site=ehost-live&scope=site KW - older people KW - Housing KW - Residential mobility KW - Sweden KW - Nature KW - eppi-reviewer4 KW - Surveys KW - Residential patterns KW - Logistic regression analysis KW - Socioeconomic factors KW - Adults KW - area type KW - geography KW - housing preferences KW - late adulthood KW - Metropolitan areas KW - self-congruity ER - TY - JOUR TI - A report on the outreach program of palliative care for elderly with dementia based at Turner Geriatric Clinic in the University of Michigan Medical Center. AU - Ando C AU - Kamei T T2 - Bulletin of St. Luke's College of Nursing AB - I went to Michigan to participate in an eight-day training program to learn about the following: the function of nurses and care assistants working in nursing homes; palliative care; the interdisciplinary team approach for the elderly; and the function of social workers. This outreach program was based at Turner Geriatric Clinic in the University of Michigan Medical Center.Job descriptions about the responsibilities of nurses and care assistants are an important part of each job. In addition, the Registered Nurse (RN) and Licensed Practical Nurse (LPN) direct and supervise Nurse Assistants (NA) . Therefore, conflict between nurses and care assistants, which often happens in Japan, is not so common. Long term care institutions for the elderly have care programs for palliative care, making medical guidelines, advance directives, and do not resuscitate orders (DNR) for the elderly with dementia. Also, an interdisciplinary team approach is widely carried out in home care for the elderly.Long term care insurance for the elderly will be changed in 2006 in Japan, which will include changes at the institutions of long term care. My experience suggests that tile practices observed at Turner Geriatric Clinic should be considered in our country, especially if palliative care is introduced for the elderly with dementia living at home. This abstract was translated into English by the publisher or author. DA - 2006/01// PY - 2006 IS - 32 SP - 37 EP - 42 SN - 0289-2863 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106309528&site=ehost-live&scope=site KW - Aged KW - Nursing Homes KW - Japan KW - Michigan KW - Interprofessional Relations KW - eppi-reviewer4 KW - Gerontologic Care KW - Academic Medical Centers KW - Long Term Care KW - Nursing Role KW - Multidisciplinary Care Team KW - Dementia, Senile KW - Insurance, Long Term Care KW - Job Description KW - Nursing Assistants KW - Palliative Care -- In Old Age KW - Registered Nurses KW - Reports ER - TY - JOUR TI - Factors related to tooth loss among community-dwelling middle-aged and elderly Japanese men. AU - Ando Ayumi AU - Ohsawa Masaki AU - Yaegashi Yumi AU - Sakata Kiyomi AU - Tanno Kozo AU - Onoda Toshiyuki AU - Itai Kazuyoshi AU - Tanaka Fumitaka AU - Makita Shinji AU - Omama Shinichi AU - Ogasawara Kuniaki AU - Ogawa Akira AU - Ishibashi Yasuhiro AU - Kuribayashi Toru AU - Koyama Tomiko AU - Okayama Akira T2 - Journal of epidemiology AB - BACKGROUND: Using data from a large-scale community-based Japanese population, we attempted to identify factors associated with tooth loss in middle-aged and elderly men., METHODS: A total of 8352 men aged 40 to 79 years who lived in the north of the main island of Japan and underwent health checkups were enrolled between 2002 and 2005. Number of teeth was assessed by the question, "How many teeth do you have (0, 1-9, 10-19, or >=20)?". On the basis of the answer to this question, participants were classified into 2 groups (<=19 teeth or >=20 teeth). Using multivariate logistic regression, factors related to having 19 or fewer teeth were estimated., RESULTS: The numbers (percentages) of participants who had 0, 1 to 9, 10 to 19, and 20 or more teeth were 1764 (21.1%), 1779 (21.3%), 1836 (22.0%), and 2973 (35.6%), respectively. Among the participants overall and those aged 65 to 79 years, having 19 or fewer teeth was significantly associated with older age, smoking status (current smoking and ex-smoking), and low education level. In addition, men with 19 or fewer teeth were more likely to have a low body mass index and low serum albumin level and less likely to be current alcohol drinkers. Among men aged 40 to 64 years, but not men aged 65 to 79 years, those with 19 or fewer teeth were more likely to have a low serum high-density lipoprotein cholesterol level and high glycosylated hemoglobin (HbA1c) level., CONCLUSIONS: Smoking, low education level, and poor nutritional status were associated with tooth loss among middle-aged and elderly Japanese men. DA - 2013/// PY - 2013 VL - 23 IS - 4 SP - 301 EP - 6 SN - 0917-5040 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=23812101 KW - Adult KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Middle Aged KW - Surveys and Questionnaires KW - Independent Living KW - Japan/ep [Epidemiology] KW - Cross-Sectional Studies KW - *Tooth Loss/ep [Epidemiology] KW - Multivariate Analysis KW - eppi-reviewer4 ER - TY - JOUR TI - Oral health profile among community-dwellingelderly and its association with self-rated oral health. AU - Andrade Fabiola Bof de AU - Teixeira Doralice Severo da Cruz AU - Frazao Paulo AU - Duarte Yeda Aparecida Oliveira AU - Lebrao Maria Lucia AU - Antunes Jose Leopoldo Ferreira T2 - Perfil de saude bucal de idosos nao institucionalizados e sua associacaocom autoavaliacao da saude bucal. AB - INTRODUCTION: The use of dental prosthesis and the tooth loss in elderly people are associated with significant impact on the overall health and quality of life. Continuous assessment of oral health profile in this population is important for planning the actions and policies of the area., OBJECTIVES: The aims of this study were to assess the prevalence of tooth loss and use of dental prosthesis among the elderly people in different periods, to evaluate the association between functional dentition (20 teeth or more) and socioeconomic factors, and to evaluate the impact of tooth loss and use of dental prosthesis on self-rated oral health., METHODS: Thesample consisted of people aged 60 years and older who participated in the Health, Well-Being, and Aging Study (SABE). Data from the years 2000, 2006, and 2010 were used to assess the prevalence of tooth loss and use of dental prosthesis. Analysis of the factors associated with the functional dentition and self-rated oral health was based on the data collected in 2010. Comparison of oral health profile over the 3 years was done through descriptive analysis and comparison of confidence intervals. Multiple logistic regression models were used to assess the factors associated with functional dentition and self-rated oral health., RESULTS: The prevalence of tooth loss and use of dental prosthesis remained constant over the three periods analyzed. Functional dentition was significantly associated with education, sex, and race/gender. Individuals in need of dental prosthesis and with periodontal pocket were more likely to report poor oral health., CONCLUSION: There was no reduction in the prevalence of tooth loss and in the use of dental prosthesis over 10 years. Functional dentition is associated with socioeconomic inequalities. Self-rated oral health is associated with the need of dental prosthesis. DA - 2019/// PY - 2019 DO - 10.1590/1980-549720180012.supl.2 VL - 21Suppl 02 IS - Suppl 02 SP - e180012 SN - 1415-790X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30726357 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - Prevalence KW - Time Factors KW - *Diagnostic Self Evaluation KW - Cross-Sectional Studies KW - *Independent Living/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - Brazil/ep [Epidemiology] KW - *Dental Prosthesis/sn [Statistics & Numerical Data] KW - *Oral Health/sn [Statistics & Numerical Data] KW - *Tooth Loss/ep [Epidemiology] KW - Age Distribution KW - Dental Health Surveys/mt [Methods] KW - Sex Distribution KW - Sickness Impact Profile KW - eppi-reviewer4 ER - TY - JOUR TI - [A comparative study of short- and long-term outcomes for transcervical versus transoral surgery for Zenker diverticulum]. AU - Andrasi Laszlo AU - Abraham Szabolcs AU - Simonka Zsolt AU - Paszt Attila AU - Rovo Laszlo AU - Lazar Gyorgy T2 - A Zenker-diverticulumok transcervicalis es transoralis sebeszi kezelesenek osszehasonlito vizsgalata, rovid es hosszu tavu eredmenyek. AB - INTRODUCTION AND AIM: We present our experience with open (transcervical diverticulectomy, cricomyotomy) and transoral surgery (transoral stapler diverticulostomy) for Zenker diverticulums., METHOD: Between 1 January 2006 and 31 December 2016, 29 patients were examined with a symptom-causing Zenker diverticulum. In 13 cases, transcervical surgery, in 16 cases, transoral surgery were performed. Perioperative and long-term results were evaluated and compared., RESULTS: Patients were operated on after an average of 31 months with complaints. In both groups, the leading symptoms were severe dysphagia and severe regurgitation. No intraoperative complication was detected. In the transoral group, one patient had to be reoperated on for bleeding, another patient developed pneumonia in the transcervical group. The average duration of the surgeries (42.5 versus [vs.] 98 minutes, p<0.001), the time to oral feeding (2.9 vs. 4.6 days, p<0.001) and the mean hospital stay (7.3 vs. 9.7 days, p<0.001) were significantly shorter in the transoral group than the transcervical group. 15 patients were completely symptomless postoperatively. After transcervical treatment, complaints were developed in 2 cases (moderate dysphagia and hoarseness). After transoral surgery, recurrent symptoms were observed in 6 patients, 4 had to be reoperated transcervically due to severe regurgitation., CONCLUSION: Transoral stapler diverticulostomy is a fast procedure and offers short hospital stay especially in comorbid, aged patients and intermedium diverticulum size. In the long term, some of the patients may require reintervention due to persistent regurgitation. The transcervical approach has higher perioperative morbidity, which can be performed in patients with less than 3 cm or large diverticulum size. Orv Hetil. 2019; 160(16): 629-635. DA - 2019/// PY - 2019 DO - 10.1556/650.2019.31360 VL - 160 IS - 16 SP - 629 EP - 635 SN - 0030-6002 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30983402 KW - Adult KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Deglutition Disorders/et [Etiology] KW - *Diverticulitis/su [Surgery] KW - *Esophagoscopy/mt [Methods] KW - *Surgical Stapling/mt [Methods] KW - *Zenker Diverticulum/su [Surgery] KW - Diverticulitis/di [Diagnosis] KW - Length of Stay KW - Minimally Invasive Surgical Procedures/mt [Methods] KW - Postoperative Complications KW - Quality of Life KW - Recovery of Function KW - Retrospective Studies KW - Surgical Staplers KW - Time Factors KW - Zenker Diverticulum/di [Diagnosis] KW - eppi-reviewer4 ER - TY - JOUR TI - Cognitive Strategies and Physical Activity in Older Adults: A Discriminant Analysis. AU - André Nathalie AU - Ferrand Claude AU - Albinet Cédric AU - Audiffren Michel T2 - Journal of Aging Research AB - Background. Although a number of studies have examined sociodemographic, psychosocial, and environmental determinants of the level of physical activity (PA) for older people, little attention has been paid to the predictive power of cognitive strategies for independently living older adults. However, cognitive strategies have recently been considered to be critical in the management of day-to-day living. Methods. Data were collected from 243 men and women aged 55 years and older living in France using face-to-face interviews between 2011 and 2013. Results. A stepwise discriminant analysis selected five predictor variables (age, perceived health status, barriers’ self-efficacy, internal memory, and attentional control strategies) of the level of PA. The function showed that the rate of correct prediction was 73% for the level of PA. The calculated discriminant function based on the five predictor variables is useful for detecting individuals at high risk of lapses once engaged in regular PA. Conclusions. This study highlighted the need to consider cognitive functions as a determinant of the level of PA and, more specifically, those cognitive functions related to executive functions (internal memory and attentional control), to facilitate the maintenance of regular PA. These results are discussed in relation to successful aging. DA - 2018/04// PY - 2018 DO - 10.1155/2018/8917535 SP - 1 EP - 9 SN - 2090-2204 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128894146&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Activities of Daily Living KW - France KW - Discriminant Analysis KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Interviews KW - Middle Age KW - Community Living KW - Cognition -- In Old Age KW - Physical Activity -- In Old Age KW - Independent Variable ER - TY - JOUR TI - Prosthetic rehabilitation of edentulism prevents malnutrition in nursing home residents AU - Andreas Zenthofer AU - Andreas AU - Rammelsberg Peter AU - Cabrera Tomas AU - Hassel Alexander T2 - The International journal of prosthodontics AB - To investigate the association between prosthetic rehabilitation and malnutrition in institutionalized elders, 255 nursing home residents were recruited for this study and underwent a comprehensive dental examination. The body mass index (BMI) was administered to estimate the nutritional condition. Participants with BMI < 20 kg/mc were categorized as malnourished (n = 33), whereas all others were categorized as adequately nourished (n = 222). The number of teeth present and the prevalence of prosthetic rehabilitation were significantly lower in malnourished participants (P < .05). Malnutrition risk was 4.6 times higher for participants who were edentulous and did not wear dentures. Adequate replacement of teeth is important to prevent malnutrition in institutionalized older people. DA - 2015/// PY - 2015 VL - 28 IS - 2 SP - 198 EP - 200 SN - 0893-2174 UR - https://dx.doi.org/10.11607/ijp.4016 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - *Nursing Homes KW - Geriatric Assessment KW - Nutrition Assessment KW - Body Mass Index KW - Institutionalization KW - Homes for the Aged KW - *Malnutrition/pc [Prevention & Control] KW - eppi-reviewer4 KW - *Dentures KW - *Jaw, Edentulous/rh [Rehabilitation] KW - *Tooth Loss/rh [Rehabilitation] KW - Denture Retention ER - TY - JOUR TI - Family caregivers' subjective experiences of satisfaction in dementia care: aspects of burden, subjective health and sense of coherence AU - Andren Signe AU - Elmstahl Solve T2 - Scandinavian journal of caring sciences AB - Family caregivers experience both positive and negative reactions in caregiving situations. There has been considerably less published about the positive aspects, however. The general aim of this study was to explore a previously developed instrument to study rewards gained by caregivers and to determine the factors associated with satisfaction in family members caring for patients with dementia living at home. The study group consisted of 153 such family members. Standardized interview schedules exploring different background characteristics, and instruments for assessment of the degree of dementia in the patients and the caregivers' total burden and degree of satisfaction were used. Factorial analysis of the Caregiver's Assessment of Satisfactions Index was performed and it became more specific for conditions of dementia when it was reduced. Stressors as measured by the Caregiver Burden scale and satisfaction can coexist and assess different aspects of the caregiver's situation. The caregiver can perceive both moderate burden and great satisfaction at the same time, and further studies may help to broaden our understanding of how we can reduce the degree of burden whilst increasing the sense of satisfaction. DA - 2005/// PY - 2005 VL - 19 IS - 2 SP - 157 EP - 68 SN - 0283-9318 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=15877641 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Care Surveys KW - Activities of Daily Living KW - Health Status KW - *Caregivers/px [Psychology] KW - *Attitude to Health KW - *Cost of Illness KW - Empathy KW - Dementia/px [Psychology] KW - *Personal Satisfaction KW - *Dementia/nu [Nursing] KW - Dementia/di [Diagnosis] KW - Surveys and Questionnaires/st [Standards] KW - *Family/px [Psychology] KW - Self Concept KW - Models, Psychological KW - *Quality of Health Care/st [Standards] KW - Factor Analysis, Statistical KW - Mental Status Schedule KW - Nursing Methodology Research KW - eppi-reviewer4 KW - Home Nursing/px [Psychology] ER - TY - JOUR TI - The relationship between caregiver burden, caregivers' perceived health and their sense of coherence in caring for elders with dementia AU - Andren Signe AU - Elmstahl Solve T2 - Journal of clinical nursing AB - AIM: The aim of this study is to examine associations between caregiver burden, perceived health and sense of coherence in family caregivers to persons with dementia living at home., BACKGROUND: Most of the studies on family caregivers have focused on burden and morbidity. However, the caregiver's sense of coherence and perceived health have not been studied earlier in relation to caregiver burden., DESIGN: A cross-sectional investigation design was used., METHODS: Older persons, 2238 subjects, with any form of social services, were invited to an assessment of cognitive capacity. Those who had cognitive decline (255) were invited for a medical examination and 130 persons were diagnosed as having dementia. The family caregivers to persons with dementia answered a questionnaire including a caregiver burden scale, the Nottingham health profile scale, sense of coherence scale and the Euroqol instrument., RESULTS: The family caregivers experienced moderate burden, and strong associations were noted between burden, especially isolation, disappointment and emotional involvement with perceived health and sense of coherence, adjusted for age and relationship. Caregivers with lower burden reported significantly better perceived health and higher mean score of sense of coherence than caregivers with higher burden., CONCLUSIONS: Assessment of status of family caregivers of persons with dementia living at home seems to be gaining considerable importance. The caregiver burden scale and the sense of coherence scale seem to be highly useful for identifying carers at risk of stress, pattern of burden and coping strategies., RELEVANCE TO CLINICAL PRACTICE: Nurses can help family caregivers to identify their negative experiences about caregiving and can help them reflect upon their coping strategies to find balance in their situation. Risk groups of caregivers may be identified, especially those with low perceived health and sense of coherence, for early interventions to reduce burden. DA - 2008/// PY - 2008 VL - 17 IS - 6 SP - 790 EP - 9 SN - 0962-1067 UR - https://dx.doi.org/10.1111/j.1365-2702.2007.02066.x KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Caregivers/px [Psychology] KW - Cluster Analysis KW - Cross-Sectional Studies KW - *Cost of Illness KW - *Adaptation, Psychological KW - *Health Status KW - Regression Analysis KW - Sweden KW - Multivariate Analysis KW - *Dementia/nu [Nursing] KW - eppi-reviewer4 KW - Family Nursing ER - TY - JOUR TI - Effective psychosocial intervention for family caregivers lengthens time elapsed before nursing home placement of individuals with dementia: a five-year follow-up study AU - Andren Signe AU - Elmstahl Solve T2 - International psychogeriatrics AB - BACKGROUND: This study was designed to determine the effectiveness of a psychosocial intervention for family caregivers in delaying nursing home placement of individuals with dementia., METHODS: The participants comprised 153 family caregivers of persons with dementia who underwent intervention and 155 family caregivers who did not. The intervention consisted of five weekly counselling sessions and a three-month conversation group. All patients with dementia underwent a standardized assessment of cognitive and functional ability. The degree of burden and the subjective health of family caregivers were assessed. Participation continued until the patient moved to a nursing home or died, or until five years of living at home had passed., RESULTS: There were significant delays (6 months) in nursing home placement, and a longer time at home for persons with dementia with adult children as caregivers in the intervention group compared to the control group at follow-up (p = 0.004). A greater delay of institutionalization was found where intervention-group caregivers were daughters (p = 0.028). The proportional hazards regression showed factors associated with nursing home placement to be the family caregiver's influence on intervention (OR = 1.55, p = 0.019), caregiver gender (OR = 0.66, p = 0.033) and the patient's severity of dementia (OR = 1.45, p = 0.002)., CONCLUSION: Family caregiver intervention for adult children was significantly associated with prolonged time to nursing home placement. DA - 2008/// PY - 2008 VL - 20 IS - 6 SP - 1177 EP - 92 SN - 1041-6102 UR - https://dx.doi.org/10.1017/S1041610208007503 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Time Factors KW - *Caregivers/px [Psychology] KW - Follow-Up Studies KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Longitudinal Studies KW - Geriatric Assessment KW - Severity of Illness Index KW - Dementia/px [Psychology] KW - Proportional Hazards Models KW - *Adult Children/px [Psychology] KW - Institutionalization/sn [Statistics & Numerical Data] KW - *Referral and Consultation/sn [Statistics & Numerical Data] KW - Activities of Daily Living/px [Psychology] KW - Dementia/di [Diagnosis] KW - *Dementia/rh [Rehabilitation] KW - eppi-reviewer4 KW - Home Nursing/px [Psychology] KW - Counseling/mt [Methods] KW - Nuclear Family/px [Psychology] ER - TY - JOUR TI - Bridging the generation gap: Intergenerational service-learning benefits young and old. AU - Andreoletti Carrie AU - Howard Jessica L T2 - Gerontology & geriatrics education AB - Intergenerational service-learning is commonly used in aging courses. Although benefits are well documented for college students, fewer studies have examined benefits for older adults. This article discusses the development and implementation of an intergenerational program designed as a brief service-learning experience to reduce age-related stereotypes and increase generativity in older adults. Young adults enrolled in an aging course and older adults from a local assisted-living community met three times to discuss a variety of topics and get to know one another. Results showed a significant reduction in ageism on the Fraboni Scale of Ageism for young adults. Descriptive data suggested an increase in generativity on the Loyola Generativity Scale for older adults. Qualitative data suggested that all participants gained a greater appreciation for one another and recognized how much they had in common. Limitations, challenges, and lessons learned are also discussed. Intergenerational service-learning, even in small doses, shows promise for bridging the generation gap. DA - 2018/// PY - 2018 DO - 10.1080/02701960.2016.1152266 VL - 39 IS - 1 SP - 46 EP - 60 SN - 0270-1960 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=26905456 KW - Female KW - Humans KW - Male KW - Young Adult KW - Program Evaluation KW - Curriculum KW - Aged KW - Attitude of Health Personnel KW - *Intergenerational Relations KW - *Geriatrics/ed [Education] KW - *Ageism KW - Ageism/pc [Prevention & Control] KW - Ageism/px [Psychology] KW - eppi-reviewer4 ER - TY - JOUR TI - Cognitive abnormalities and cerebral perfusion defects in a community-dwelling cohort of elderly men with MMSE within the normal range. AU - Andre-Petersson Lena AU - Thorsson Ola AU - Siennicki-Lantz Arkadiusz T2 - Neuropsychology, development, and cognition. Section B, Aging, neuropsychology and cognition AB - OBJECTIVES: Mini Mental State Examination's (MMSE's) sensitivity in its upper level is questioned, hence we investigated cognitive abnormalities and defects in regional cerebral blood flow (rCBF) in elderly with MMSE scores >=24., METHODS: One hundred and four men at age 81 with MMSE scores >=24 (mean 28.4 +/- 1.7), no dementia or stroke, were examined with neuropsychological test battery, and their rCBF was estimated using 99mTc-HMPAO SPECT., RESULTS: MMSE was very sparsely correlated with rCBF. Instead, visuo-spatial tests were correlated with rCBF in parietal and occipital lobe, verbal tests with rCBF in frontal and temporal-parietal lobes, and most of all between Digit Symbol and all rCBF regions, especially in subcortical gray and white matter. In a cluster of low achievers, test of Synonyms, followed by Digit Symbol and Benton test, had highest discriminatory importance. Low achievers had generalized rCBF changes especially in subcortical areas. Only lower scores on two MMSE items, figure drawing and calculation, could discriminate the clusters., CONCLUSION: A substantial number of octogenarian men with MMSE >= 24p have widespread rCBF changes corresponding to a decreased speeded performance and verbal capacity. DA - 2018/// PY - 2018 DO - 10.1080/13825585.2016.1277970 VL - 25 IS - 2 SP - 200 EP - 212 SN - 1382-5585 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=28068866 KW - Humans KW - Male KW - Aged, 80 and over KW - Independent Living KW - Cohort Studies KW - *Cognitive Dysfunction/pp [Physiopathology] KW - Neuropsychological Tests KW - Cognition/ph [Physiology] KW - Brain/dg [Diagnostic Imaging] KW - eppi-reviewer4 KW - *Brain/pp [Physiopathology] KW - *Cerebrovascular Circulation KW - Cerebrovascular Circulation/ph [Physiology] KW - Cognitive Dysfunction/dg [Diagnostic Imaging] KW - Radiopharmaceuticals KW - Technetium Tc 99m Exametazime KW - Tomography, Emission-Computed, Single-Photon ER - TY - JOUR TI - Co-housing for seniors experienced as an occupational generative environment. AU - Andresen M AU - Runge U T2 - Scandinavian Journal of Occupational Therapy AB - This qualitative study aimed to identify and explore how well elderly people living in co-housing for seniors experience their occupational choices and occupational performance from a health-promotion and diseaseprevention perspective. A semi-structured discussion guideline with three main topics - occupational environment, occupational performance and occupational choices was the basis for three focus-group interviews, each with 6 participants. The analysis was performed by using a modified qualitative meaning considering approach. Member checks were done with the original focus groups before the final step in analysis. The findings demonstrated that participants experience themselves as living in an environment which is generative for their occupational choices and performance. Participants talk about their experiences as a result of an interaction between the physical and social environment. They put especially strong emphasis on their social networks. Being in control and deciding for oneself is important, valued and is something they protect individually and in fellowship. In general, participants experience their performance and choices in terms of feeling free and having reserves of energy. Some of the participants point out limitations in choices and performance in relation to either their physical or their social environment. DA - 2002/11// PY - 2002 VL - 9 IS - 4 SP - 156 EP - 166 SN - 1103-8128 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106871200&site=ehost-live&scope=site KW - Female KW - Male KW - Social Environment KW - Denmark KW - Aged KW - Decision Making KW - Focus Groups KW - Interpersonal Relations KW - Sex Factors KW - Age Factors KW - Social Behavior KW - Housing for the Elderly KW - Marital Status KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Qualitative Studies KW - Social Networks KW - Middle Age KW - Thematic Analysis KW - Funding Source KW - Semi-Structured Interview KW - Functional Status -- In Old Age KW - Occupation (Human) -- In Old Age ER - TY - JOUR TI - Rating neighborhoods for older adult health: results from the African American Health study AU - Andresen Elena M AU - Malmstrom Theodore K AU - Wolinsky Fredric D AU - Schootman Mario AU - Miller J Philip AU - Miller Douglas K T2 - BMC public health AB - BACKGROUND: Social theories suggest that neighborhood quality affects health. Observer ratings of neighborhoods should be subjected to psychometric tests., METHODS: African American Health (AAH) study subjects were selected from two diverse St. Louis metropolitan catchment areas. Interviewers rated streets and block faces for 816 households. Items and a summary scale were compared across catchment areas and to the resident respondents' global neighborhood assessments., RESULTS: Individual items and the scale were strongly associated with both the catchment area and respondent assessments. Ratings based on both block faces did not improve those based on a single block face. Substantial interviewer effects were observed despite strong discriminant and concurrent validity., CONCLUSION: Observer ratings show promise in understanding the effect of neighborhood on health outcomes. The AAH Neighborhood Assessment Scale and other rating systems should be tested further in diverse settings. DA - 2008/// PY - 2008 VL - 8 SP - 35 SN - 1471-2458 UR - https://dx.doi.org/10.1186/1471-2458-8-35 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Reproducibility of Results KW - Surveys and Questionnaires KW - Socioeconomic Factors KW - Interviews as Topic KW - *Health Status KW - *Residence Characteristics KW - Linear Models KW - *African Americans/sn [Statistics & Numerical Data] KW - Catchment Area (Health)/sn [Statistics & Numerical Data] KW - Missouri KW - eppi-reviewer4 KW - Effect Modifier, Epidemiologic ER - TY - JOUR TI - [Change of daily life activity after femoral hip fracture in elderly patients] AU - Andress H J AU - Grubwinkler M AU - Forkl H AU - Schinkel C AU - Lob G T2 - Veranderung der Lebenssituation des alten Patienten nach koxaler Femurfraktur. AB - Hospital mortality after hip fracture in elderly patients has decreased significantly in previous years. However, patients often show reduction of daily life activity. The aim of the following study was to assess clinical and radiological results nine months after operation of hip fracture. A total of 127 patients (mean age 77.2 years) were stabilized by arthroplasty because of femoral neck fractures or by gamma locking nail because of trochanteric fractures. Modified Harris-Hip-Score as well as social situation at time of follow-up compared to pretrauma situation were evaluated. Hospital mortality was 3.2 percent. Follow-up could be performed in 78 patients clinically and radiologically by examination in the hospital. At time of follow-up 19.7 percent of patients had already died independent of the operative procedure. Only 65 percent of patients were able to live at home. Modified Harris-Hip-Score at follow-up was decreased significantly by 16 points compared to the situation before the trauma. The reduction of the score was caused mainly by deterioration of hip function and less by femoral or hip pain. In future the main scope after hip fracture must be an improvement of rehabilitation of elderly patients. DA - 2005/// PY - 2005 VL - 130 IS - 2 SP - 142 EP - 7 SN - 0044-409X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=15849659 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Postoperative Complications KW - Time Factors KW - *Activities of Daily Living KW - Follow-Up Studies KW - Sex Factors KW - Age Factors KW - Prospective Studies KW - Hospital Mortality KW - Walking KW - Exercise Therapy KW - Hip Fractures/et [Etiology] KW - *Hip Fractures/rh [Rehabilitation] KW - Data Interpretation, Statistical KW - Hip Fractures/su [Surgery] KW - Accidental Falls KW - eppi-reviewer4 KW - *Femoral Neck Fractures/rh [Rehabilitation] KW - Arthroplasty, Replacement, Hip KW - Bone Nails KW - Femoral Neck Fractures/et [Etiology] KW - Femoral Neck Fractures/su [Surgery] KW - Fracture Fixation, Internal/is [Instrumentation] ER - TY - JOUR TI - The impact of social vulnerability on the survival of the fittest older adults AU - Andrew Melissa K AU - Mitnitski Arnold AU - Kirkland Susan A AU - Rockwood Kenneth T2 - Age and ageing AB - BACKGROUND: even older adults who are fit experience adverse health outcomes; understanding their risks for adverse outcomes may offer insight into ambient population health. Here, we evaluated mortality risk in relation to social vulnerability among the fittest older adults in a representative community-dwelling sample of older Canadians., METHODS: in this secondary analysis of the Canadian Study of Health and Aging, participants (n = 5,703) were aged 70+ years at baseline. A frailty index was used to grade relative levels of fitness/frailty, using 31 self-reported health deficits. The analysis was limited to the fittest people (those reporting 0-1 health deficit). Social vulnerability was trichotomised from a social vulnerability scale, which consisted of 40 self-reported social deficits., RESULTS: five hundred and eighty-four individuals had 0-1 health deficit. Among them, absolute mortality risk rose with increasing social vulnerability. In those with the lowest level of social vulnerability, 5-year mortality was 10.8%, compared with 32.5% for those with the highest social vulnerability (adjusted hazard ratio 2.5, 95% CI: 1.5-4.3, P = 0.001)., CONCLUSIONS: a 22% absolute mortality difference in the fittest older adults is of considerable clinical and public health importance. Routine assessment of social vulnerability by clinicians could have value in predicting the risk of adverse health outcomes in older adults. DA - 2012/// PY - 2012 VL - 41 IS - 2 SP - 161 EP - 5 SN - 1468-2834 0002-0729 UR - https://dx.doi.org/10.1093/ageing/afr176 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Independent Living KW - Time Factors KW - Health Surveys KW - *Aging KW - Geriatric Assessment/sn [Statistics & Numerical Data] KW - Age Factors KW - Survival Rate KW - *Frail Elderly KW - *Socioeconomic Factors KW - Proportional Hazards Models KW - *Physical Fitness KW - *Geriatric Assessment KW - Canada/ep [Epidemiology] KW - *Vulnerable Populations KW - Kaplan-Meier Estimate KW - Vulnerable Populations/sn [Statistics & Numerical Data] KW - eppi-reviewer4 ER - TY - JOUR TI - A cafe on the premises of an aged care facility: more than just froth? AU - Andrew Alexa AU - Wilson Linda H T2 - Scandinavian journal of occupational therapy AB - OBJECTIVE: The aim of this study was to explore the value of a cafe on the premises of a large aged care facility for the residents and their family and friends., METHODS: Interviews were conducted with 11 residents and nine family/friends. Interpretive descriptive methodology was used in the data analysis. The value of the cafe for the participants was established according to five major themes: "A place to go", "opportunities for relating", "opportunities for being and doing", "a sense of the ordinary", and "a sense of self"., RESULTS: As a place the cafe was valued for both its pleasant environment and warm friendly atmosphere where participants experienced a sense of belonging to a community. The cafe generated a hub of activity, which provided stimulation and the activity of choosing, buying, and sharing food and drink contributed to the maintenance of life roles, family life, and connections to the community., CONCLUSIONS: The cafe provided a myriad of opportunities for participation in relationships and the creation and maintenance of social networks. This participation reinforced a sense of self and of being ordinary. DA - 2014/// PY - 2014 VL - 21 IS - 3 SP - 219 EP - 26 SN - 1651-2014 1103-8128 UR - https://dx.doi.org/10.3109/11038128.2013.868034 KW - Female KW - Humans KW - Male KW - Interpersonal Relations KW - Social Support KW - *Quality of Life KW - *Homes for the Aged KW - Facility Design and Construction KW - Family Relations KW - Friends KW - *Aged/px [Psychology] KW - eppi-reviewer4 KW - *Restaurants ER - TY - JOUR TI - Long-term functional recovery and health-related quality of life of elderly out-of-hospital cardiac arrest survivors. AU - Andrew Emily AU - Mercier Eric AU - Nehme Ziad AU - Bernard Stephen AU - Smith Karen T2 - Resuscitation AB - INTRODUCTION: Understanding the prognosis of elderly out-of-hospital cardiac arrest (OHCA) patients is vital to informing resuscitation and advanced care planning decisions. However, short-term outcomes such as survival to hospital discharge do not account for post-arrest quality of life. We describe the 12-month functional recovery and health-related quality of life (HR-QOL) of elderly OHCA survivors, including those arresting in aged care facilities., METHODS: We conducted a retrospective analysis of Victorian Ambulance Cardiac Arrest Registry data for all OHCA survivors to hospital discharge aged >=65 years between 1 January 2010 and 30 June 2016. The influence of age on functional recovery and independent living was assessed using multivariable logistic regression., RESULTS: During the study period, 20,103 elderly OHCAs were attended, 9016 (44.9%) of whom received a resuscitation attempt. In total, 876 (9.7%) patients survived to hospital discharge and 777 were alive 12 months post-arrest. Of these, 651 participated in 12-month follow-up (response rate 83.8%). Most (60.6%) resided at home without additional care and 66.6% reported a good functional recovery, however both measures decreased with increasing age (p<0.001). Mental HR-QOL increased with increasing age and was significantly better than the age- and sex-matched Australian population. Each 10-year increase in age was associated with a 40.8% (95%CI 25.6-53.0%) reduction in the odds of good functional recovery, and a 65.8% (95%CI 55.8-73.5%) reduction in the odds of living independently. Of the 2575 OHCAs in an aged care facility, 2.2% survived to hospital discharge, however no patient reported a good 12-month functional recovery., CONCLUSIONS: Most elderly OHCA survivors resided independently with good functionality 12 months post-arrest. However, increasing age was associated with less favourable outcomes. New strategies are needed with regard to resuscitation in aged care facilities. Copyright © 2018 Elsevier B.V. All rights reserved. DA - 2018/// PY - 2018 DO - 10.1016/j.resuscitation.2018.03.017 VL - 126 SP - 118 EP - 124 SN - 0300-9572 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29545136 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Registries KW - Surveys and Questionnaires KW - Retrospective Studies KW - *Quality of Life KW - Age Factors KW - Analysis of Variance KW - *Recovery of Function KW - *Survivors/sn [Statistics & Numerical Data] KW - *Out-of-Hospital Cardiac Arrest/mo [Mortality] KW - Cardiopulmonary Resuscitation/sn [Statistics & Numerical Data] KW - Emergency Medical Services/sn [Statistics & Numerical Data] KW - Out-of-Hospital Cardiac Arrest/px [Psychology] KW - Victoria/ep [Epidemiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Fulfilled preferences, perceived control, life satisfaction, and loneliness in elderly long-term care residents. AU - Andrew Nathaniel AU - Meeks Suzanne T2 - Aging & mental health AB - OBJECTIVES: Person-centered care constructs such as fulfilled preferences, sense of control, and life satisfaction might contribute to loneliness among nursing home residents, but these relationships have not been thoroughly explored. The aim of this study was to examine the relationship between fulfilled preferences and loneliness in nursing home residents with perceived control and life satisfaction as potential mediators., METHODS: The study utilized a cross-sectional design, examining the targeted variables with a questionnaire administered by trained research staff. A convenience sample of 65 residents (median age = 71) of eight nursing homes were interviewed. Linear regression analysis was utilized to examine the mediation hypotheses., RESULTS: The relationships between fulfilled preferences and loneliness (beta = -.377, p = .002), fulfilled preferences and perceived control (beta = -.577, p < .001), and perceived control and loneliness (beta = .606, p < .001) were significant, and the relationship between fulfilled preferences and loneliness (beta = -.040, p = .744) became non-significant when perceived control was included in the model. The relationships between fulfilled preferences and life satisfaction (beta = .420, p < .001) and life satisfaction and loneliness (beta = -.598, p < .001) were significant, and the relationship between fulfilled preferences and loneliness (beta = -.152, p = .174) became non-significant when life satisfaction was included in the model., CONCLUSION: The findings suggest an important association between person-centered care, particularly fulfilling personal care and recreation preferences, and social-affective needs of long-term care residents. Fulfilling preferences may be an appropriate intervention target for loneliness. DA - 2018/// PY - 2018 DO - 10.1080/13607863.2016.1244804 VL - 22 IS - 2 SP - 183 EP - 189 SN - 1360-7863 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=27767325 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Surveys and Questionnaires KW - *Quality of Life KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Patient Preference KW - *Long-Term Care/px [Psychology] KW - *Aging/px [Psychology] KW - *Loneliness/px [Psychology] KW - Personal Satisfaction KW - Social Perception KW - eppi-reviewer4 ER - TY - JOUR TI - Dreams that lie in tatters: the changing fortunes of nurses who left the British NHS to own and run residential homes for elderly people. AU - Andrews G J AU - Kendall S A T2 - Journal of advanced nursing AB - During the 1980s many nurses left the British National Health Service to own and run private residential care homes for elderly people. At the time, a public policy of guaranteed financial support for residents underpinned the rapid expansion in the sector and residential homes were considered as profitable low-risk business ventures. However, since the introduction of the 1990 National Health Service and Care in the Community Act, this automatic funding has been withdrawn and residential homes have had to compete amongst each other for a finite number of clients funded by limited local budgets. The withdrawal of guaranteed state support and the introduction of social care markets have had negative impacts on many residential home businesses. Indeed, many homes are facing financial difficulties. This paper considers the actions and attitudes of former nurse proprietors under the new conditions based on a three-stage survey in Devon, England. Proprietors are experiencing increased levels of stress and many are unhappy with their current work experiences. The paper concludes that although the small business private sector may seem attractive to nurses, any move into private sector ownership has an associated risk. Social policy conditions may change with concurrent consequences for businesses and business owners. DA - 2000/// PY - 2000 VL - 31 IS - 4 SP - 900 EP - 8 SN - 0309-2402 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=10759987 KW - Humans KW - United Kingdom KW - National Health Programs KW - *Homes for the Aged KW - *Nursing Homes KW - Homes for the Aged/ec [Economics] KW - Nursing Homes/ec [Economics] KW - eppi-reviewer4 KW - *Burnout, Professional KW - *Career Mobility KW - *Nurse Administrators KW - *Private Sector KW - Nurse Administrators/ec [Economics] KW - Private Sector/ec [Economics] ER - TY - JOUR TI - Changing local geographies of private residential care for older people 1983-1999: lessons for social policy in England and Wales. AU - Andrews Gavin J AU - Phillips David R T2 - Social science & medicine (1982) AB - The population structures of many developed countries are changing and shifts towards much older age distributions are common. One way of meeting the resulting increasing demand for long-term care is through small business private sector provision allocated through market systems. However, the private residential care sector in England and Wales demonstrates some of the potential problems of leaving long-term care to the market. During the 1980s, the private residential sector for older persons enjoyed substantial state financed support. Since the 1990 National Health Service and Care in the Community Act introduced markets in social care in 1993, homes have had to compete amongst each other for a much smaller number of clients funded by limited local authority budgets. This impacted on their business and caring operations. Based on a three-stage quasi-longitudinal survey of over 100 residential care homes in one county, this paper considers changes in the overall size and structure of a local sector, discusses the specific management strategies that have been adopted by proprietors and the development of a purchasing and providing market culture. The paper also highlights the importance of interdisciplinary perspectives on the topic by illustrating how changes in social policy can influence local and national geographies of long-term care provision and how, in turn, an understanding of these geographies can inform the sensitive implementation of future social policy initiatives. DA - 2002/// PY - 2002 VL - 55 IS - 1 SP - 63 EP - 78 SN - 0277-9536 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=12137189 KW - Humans KW - Aged KW - Health Services Needs and Demand KW - Longitudinal Studies KW - *Homes for the Aged/og [Organization & Administration] KW - Homes for the Aged/st [Standards] KW - England KW - Homes for the Aged/ec [Economics] KW - Population Dynamics KW - Organizational Case Studies KW - Politics KW - *Public Policy KW - Geography KW - *Organizational Culture KW - Wales KW - eppi-reviewer4 KW - Catchment Area (Health) KW - *Financing, Government/og [Organization & Administration] KW - *Health Care Sector/td [Trends] KW - *Privatization/ec [Economics] KW - Entrepreneurship ER - TY - JOUR TI - Update on distance and velocity requirements for community ambulation AU - Andrews A Williams AU - Chinworth Susan A AU - Bourassa Michael AU - Garvin Miranda AU - Benton Dacia AU - Tanner Scott T2 - Journal of geriatric physical therapy (2001) AB - PURPOSE: The purposes of this study were to provide an update to the ambulatory distance requirements for community ambulation and to update gait speed performance and requirements at intersections., METHODS: Distances were measured at 9 types of sites using a rolling measuring device in accordance with the protocol set forth by Lerner-Frankiel and associates. The 9 types of sites were supermarkets, drug stores, banks, department stores, post offices, medical offices, superstores, club warehouses, and hardware stores. Gait speed allotted by crosswalk signals as well as the gait speeds of individuals through crosswalks were recorded. Qualitative observations of the pedestrians' age (older - 65 years; younger < 65 years) and sex were also noted., RESULTS: Distances were measured at 141 different establishments. The shortest mean distance requirement was found in the medical offices at 65.82 (32.28) m. Club warehouses had the longest mean distance requirement at 676.82 (159.36) m. The mean gait speed used by the pedestrians (N = 139) was 1.32 (0.31) m/s while the mean speed necessary as set by the crosswalk signals was 0.49 (0.20) m/s. All of the individuals observed were able to cross the street within the allotted time and with adequate speed. The gait speeds met the normative data established for age and sex as well as data reported for slower older adults and some with incomplete spinal cord injury., CONCLUSIONS: Distance requirements for full community ambulation may need to be increased to 600 m or more. Gait speed requirements at crosswalks in the communities measured are set to accommodate the gait speed capabilities of older pedestrians who attempt crossing at controlled intersections. DA - 2010/// PY - 2010 VL - 33 IS - 3 SP - 128 EP - 34 SN - 1539-8412 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med7&NEWS=N&AN=21155508 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Independent Living KW - *Activities of Daily Living KW - *Environment Design KW - *Geriatric Assessment KW - *Walking KW - eppi-reviewer4 ER - TY - JOUR TI - The association of individual and neighborhood social cohesion, stressors, and crime on smoking status among African-American women in southeastern US subsidized housing neighborhoods AU - Andrews Jeannette O AU - Mueller Martina AU - Newman Susan D AU - Magwood Gayenell AU - Ahluwalia Jasjit S AU - White Kellee AU - Tingen Martha S T2 - Journal of urban health : bulletin of the New York Academy of Medicine AB - The purpose of this study was to examine the associations between individual and neighborhood social contextual factors and smoking prevalence among African-American women in subsidized neighborhoods. We randomly sampled 663 adult women in 17 subsidized neighborhoods in two Southeastern US states. The smoking prevalence among participants was 37.6%, with an estimated neighborhood household prevalence ranging from 30 to 68%. Smokers were more likely to be older, have lower incomes, have lower BMI, and live with other smokers. Women with high social cohesion were less likely to smoke, although living in neighborhoods with higher social cohesion was not associated with smoking prevalence. Women with higher social cohesion were more likely to be older and had lived in the neighborhood longer. Women with high stress (related to violence and disorder) and who lived in neighborhoods with higher stress were more likely to smoke. Younger women were more likely to have higher stress than older women. There were no statistically significant associations with objective neighborhood crime data in any model. This is the first study to examine both individual and neighborhood social contextual correlates among African-American women in subsidized neighborhoods. This study extends findings about smoking behaviors and neighborhood social contexts in this high-risk, urban population. Future research is needed to explore age and residential stability differences and perceptions of social cohesion, neighborhood disorder, and perceived violence in subsidized housing. Further research is also warranted on African-American women, subsidized housing, smoking, social context, health disparities' effective strategies to address these individual and contextual factors to better inform future ecological-based multilevel prevention, and cessation intervention strategies. DA - 2014/// PY - 2014 VL - 91 IS - 6 SP - 1158 EP - 74 SN - 1468-2869 1099-3460 UR - https://dx.doi.org/10.1007/s11524-014-9911-6 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Young Adult KW - Aged KW - Middle Aged KW - *Stress, Psychological KW - *Social Environment KW - *African Americans/px [Psychology] KW - *Public Housing KW - Urban Population KW - Georgia KW - South Carolina KW - eppi-reviewer4 KW - *Crime/px [Psychology] KW - *Smoking/eh [Ethnology] ER - TY - JOUR TI - Nutritional risk factors for institutional placement in Alzheimer's disease after one year follow-up AU - Andrieu S AU - Reynish W AU - Nourhashemi F AU - Ousset P J AU - Grandjean H AU - Grand A AU - Albarede J L AU - Vellas B T2 - The journal of nutrition, health & aging AB - Amongst factors associated with the institutional placement of elderly people with dementia, there has been little study of those related to malnutrition. We followed a cohort of 318 individuals with Alzheimer's disease (AD). Patients, who were all living at home at the start of the study were recruited from the outpatient service of a hospital unit specialising in AD. After one year, 20% of the patients had moved into institutional care. Multivariate analysis showed that a Mini nutritional Assessment score (MNA) of less than 25.5 (median score of the sample) and overeating behavioural problems (p=0.006) were risk factors for institutional placement. Nutritional problems are reversible and patients with a low MNA score could benefit from a thorough geriatric assessment, in order to slow or prevent institutional placement. DA - 2001/// PY - 2001 VL - 5 IS - 2 SP - 113 EP - 7 SN - 1279-7707 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=11426292 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Activities of Daily Living KW - Cohort Studies KW - Follow-Up Studies KW - Longitudinal Studies KW - Nutritional Status KW - Body Mass Index KW - Multivariate Analysis KW - *Nutrition Assessment KW - Dementia/pp [Physiopathology] KW - France KW - Homes for the Aged KW - *Institutionalization/sn [Statistics & Numerical Data] KW - Dementia/co [Complications] KW - *Alzheimer Disease/pp [Physiopathology] KW - Alzheimer Disease/co [Complications] KW - eppi-reviewer4 KW - *Nutrition Disorders/di [Diagnosis] KW - Nutrition Disorders/co [Complications] KW - Nutrition Disorders/pc [Prevention & Control] KW - Serum Albumin/an [Analysis] ER - TY - JOUR TI - Representations and practices of prevention in elderly populations: investigating acceptance to participate in and adhesion to an intervention study for the prevention of Alzheimer's disease (ACCEPT study)--the need for a multidisciplinary approach AU - Andrieu S AU - Coley N AU - Gardette V AU - Subra J AU - Oustric S AU - Fournier T AU - Poulain J P AU - Coniasse-Brioude D AU - Igier V AU - Vellas B AU - Grand A AU - Group Accept Study T2 - The journal of nutrition, health & aging AB - BACKGROUND: In the domain of Alzheimer's disease (AD) prevention, various potentially protective factors have been identified in epidemiological studies. Although the results of these observational studies have been relatively consistent, the results of intervention studies remain disappointing. Methodological problems could explain these negative results, like the selection of the population; a plausible assumption is that the older people who agree to take part in these intervention studies differ from those who refuse, and are those that are least likely to benefit from such programs. The aim of this study was (i) to study the determinants of participation in and adhesion to a prevention trial in a population of older individuals via a quantitative approach using a questionnaire, (ii) to study the representations and practices of prevention in this population using a qualitative approach using semi-structured interviews and focus groups., METHOD: The study population for the ACCEPT study was recruited at the time of inclusion of subjects in a prevention trial. The population was made up of persons aged 70 years or older, living at home and demonstrating some form of frailty, defined as a spontaneous memory complaint to their general practitioner or difficulties in carrying out instrumental activities of daily living. We used a quantitative approach based on the administration of a self-completed questionnaire sent to 1680 subjects having accepted to take part in the prevention trial, and to the sample of subjects meeting the inclusion criteria but having refused to take part. The qualitative approach, carried out at the moment of inclusion, involved subjects that having accepted to take part and subjects that having refused. Semi-structured interviews were carried out in order to understand the logic leading to refusal or acceptance., CONCLUSION: The analysis of the results will combine the viewpoints of the different disciplines. It will allow us to better understand the logic at work, to characterise the populations at risk of refusal, and perhaps to remove some of the barriers to participation in prevention programs. The identification of such barriers will provide feedback in terms of the conception and management of prevention measures. DA - 2012/// PY - 2012 VL - 16 IS - 4 SP - 352 EP - 4 SN - 1760-4788 1279-7707 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med8&NEWS=N&AN=22499457 KW - Humans KW - Aged KW - Evaluation Studies as Topic KW - Surveys and Questionnaires KW - Focus Groups KW - *Patient Compliance KW - Follow-Up Studies KW - Cross-Sectional Studies KW - Databases, Factual KW - eppi-reviewer4 KW - *Alzheimer Disease/pc [Prevention & Control] KW - *Epidemiologic Studies ER - TY - JOUR TI - [Medicinal prescriptions in geriatrics: overuse, misuse, underuse. Qualitative analysis from the prescriptions of 200 patients admitted in an acute care geriatric unit] AU - Andro M AU - Estivin S AU - Gentric A T2 - Prescriptions medicamenteuses en geriatrie: overuse (sur-utilisation), misuse (mauvaise utilisation), underuse (sous-utilisation). Analyse qualitative a partir des ordonnances de 200 patients entrant dans un service de court sejour geriatrique. AB - PURPOSE: In the elderly three modalities of suboptimal drug prescriptions are known: overuse, misuse, underuse., PATIENTS AND METHODS: This prospective observational study was conducted between September 2008 and March 2009. The prescriptions of 200 patients aged over 75 years admitted in the acute care geriatric unit at the teaching hospital of Brest (France) have been qualitatively analyzed to assess the prevalence of the three types of suboptimal prescription., RESULTS: A strong prevalence of overuse (77% of the patients), underuse (64.5%) and at minor degree of misuse (47.5%) were evidenced. Overuse and misuse were more frequent in polypathogical and polymedicated patients living in nursing home. Underuse was more prevalent in polypathological patients living at home. No significant relation was found between suboptimal prescriptions, age, gender or cognitive status., CONCLUSION: This study demonstrates the strong prevalence of overuse, misuse and underuse prescriptions in hospitalized elderly patient and analyses the most frequently implicated drugs and the different factors predisposing to these suboptimal prescriptions. This way of analysis of prescriptions could be a pertinent method to improve drug prescription in the elderly. Copyright © 2011 Societe nationale francaise de medecine interne (SNFMI). Published by Elsevier SAS. All rights reserved. DA - 2012/// PY - 2012 VL - 33 IS - 3 SP - 122 EP - 7 SN - 1768-3122 0248-8663 UR - https://dx.doi.org/10.1016/j.revmed.2011.11.016 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - Intensive Care Units/sn [Statistics & Numerical Data] KW - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] KW - Hospitalization/sn [Statistics & Numerical Data] KW - France KW - *Inappropriate Prescribing/sn [Statistics & Numerical Data] KW - Drug Prescriptions/sn [Statistics & Numerical Data] KW - Patient Admission KW - *Acute Disease/th [Therapy] KW - eppi-reviewer4 KW - *Geriatrics/sn [Statistics & Numerical Data] KW - *Health Services Misuse/sn [Statistics & Numerical Data] KW - Acute Disease/ep [Epidemiology] ER - TY - JOUR TI - Serum levels of 25(OH)D are not associated with venous thromboembolism in the elderly population. A case-control study AU - Andro Marion AU - Delluc Aurelien AU - Moineau Marie-Pierre AU - Tromeur Cecile AU - Gouillou Maelenn AU - Lacut Karine AU - Carre Jean-Luc AU - Gentric Armelle AU - Le Gal AU - Gregoire T2 - Thrombosis and haemostasis AB - The prevalence of both vitamin D deficiency and venous thromboembolism (VTE) is important in the elderly. Previous studies have provided evidence for a possible association between vitamin D status and the risk of VTE. Thus, we aimed to investigate the association between vitamin D levels and VTE in the population aged 75 and over included in the EDITH case-control study. The association between vitamin D status and VTE was analysed. We also analysed the monthly and seasonal variations of VTE and vitamin D. Between May 2000 and December 2009, 340 elderly patients (mean age 81.5 years, 32% men) with unprovoked VTE and their controls were included. The univariate and multivariate analysis found no significant association between serum levels of vitamin D and the risk of unprovoked VTE. In the unadjusted analysis, a higher BMI was statistically associated with an increased risk of VTE (OR 1.09; 95% CI 1.05-1.13) whereas a better walking capacity and living at home were associated with a decreased rate of VTE: OR 0.57; 95% CI 0.36-0.90 and 0.40; 95% CI 0.25-0.66, respectively. Although not significant, more VTE events occurred during winter (p=0.09). No seasonal variations of vitamin D levels were found (p=0.11). In conclusion, in contrast with previous reports our findings suggest that vitamin D is not associated with VTE in the elderly population. DA - 2016/// PY - 2016 VL - 115 IS - 1 SP - 169 EP - 75 SN - 2567-689X 0340-6245 UR - https://dx.doi.org/10.1160/TH15-02-0148 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Independent Living KW - Logistic Models KW - Prevalence KW - Time Factors KW - Age Factors KW - Prospective Studies KW - Geriatric Assessment KW - Body Mass Index KW - Odds Ratio KW - Walking KW - Seasons KW - Incidence KW - Biomarkers/bl [Blood] KW - Case-Control Studies KW - Multivariate Analysis KW - France/ep [Epidemiology] KW - Vitamin D/bl [Blood] KW - Obesity/ep [Epidemiology] KW - Chi-Square Distribution KW - Vitamin D Deficiency/bl [Blood] KW - *Vitamin D Deficiency/ep [Epidemiology] KW - *Vitamin D/aa [Analogs & Derivatives] KW - eppi-reviewer4 KW - *Venous Thromboembolism/ep [Epidemiology] KW - Venous Thromboembolism/bl [Blood] KW - Venous Thromboembolism/di [Diagnosis] KW - Vitamin D Deficiency/di [Diagnosis] ER - TY - JOUR TI - The transition from home to nursing home mortality among people with dementia. AU - Aneshensel C S AU - Pearlin L I AU - Levy-Storms L AU - Schuler R H T2 - The journals of gerontology. Series B, Psychological sciences and social sciences AB - OBJECTIVES: This article examines the impact of nursing home admission on mortality among persons with dementia, comparing social selection and social causation explanations of excess deaths occurring immediately after relocation., METHODS: Data from a multiwave panel survey of caregivers to persons with Alzheimer's Disease (N = 555) are analyzed with proportional hazard models of time from illness onset to death of the care recipient and, for those admitted to a nursing home (N = 272), time from admission until death (N = 272)., RESULTS: Relocation is associated with a two-fold increase in mortality risk net of health status. Social selection effects were found for poor health, advanced age, being male, and being White. Patients admitted for reasons other than poor health also experienced elevated mortality immediately following admission, which is inconsistent with a social selection interpretation. However, none of the specific indicators of stressful admission or unsatisfactory nursing home conditions are significantly related to mortality., DISCUSSION: These data demonstrate selection processes for postadmission mortality, but indicate that the admission of patients in poor health may not fully account for the elevation in mortality that occurs immediately following admission. DA - 2000/// PY - 2000 VL - 55 IS - 3 SP - S152 EP - 62 SN - 1079-5014 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc2&NEWS=N&AN=11833983 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Survival Rate KW - *Patient Admission/sn [Statistics & Numerical Data] KW - California/ep [Epidemiology] KW - Causality KW - *Alzheimer Disease/mo [Mortality] KW - eppi-reviewer4 ER - TY - JOUR TI - The urban neighborhood and cognitive functioning in late middle age AU - Aneshensel Carol S AU - Ko Michelle J AU - Chodosh Joshua AU - Wight Richard G T2 - Journal of health and social behavior AB - This study examines the association of cognitive functioning with urban neighborhood socioeconomic disadvantage and racial/ethnic segregation for a U.S. national sample of persons in late middle age, a time in the life course when cognitive deficits begin to emerge. The key hypothesis is that effects of neighborhood on cognitive functioning are not uniform but are most pronounced among subgroups of the population defined by socioeconomic status and race/ethnicity. Data are from the third wave of the Health and Retirement Survey for the birth cohort of 1931 to 1941, which was 55 to 65 years of age in 1996 (analytic N = 4,525), and the 1990 U.S. Census. Neighborhood socioeconomic disadvantage has an especially large negative impact on cognitive functioning among persons who are themselves poor, an instance of compound disadvantage. These findings have policy implications supporting "upstream" interventions to enhance cognitive functioning, especially among those most adversely affected by neighborhood socioeconomic disadvantage. DA - 2011/// PY - 2011 VL - 52 IS - 2 SP - 163 EP - 79 SN - 2150-6000 0022-1465 UR - https://dx.doi.org/10.1177/0022146510393974 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Middle Aged KW - Activities of Daily Living KW - *Aging/ph [Physiology] KW - *Cognition/ph [Physiology] KW - United States/ep [Epidemiology] KW - Age Factors KW - Socioeconomic Factors KW - Psychometrics KW - *Health Status Disparities KW - *Urban Population/sn [Statistics & Numerical Data] KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - *Cognition Disorders/ep [Epidemiology] KW - Ethnic Groups KW - Chi-Square Distribution KW - eppi-reviewer4 ER - TY - JOUR TI - Community resources to promote successful aging AU - Anetzberger Georgia J T2 - Clinics in geriatric medicine AB - Community resources are necessary for the health and well-being of older people. They can be organized with respect to the primary characteristic of successful aging they promote. Resources for avoiding disease and related disability include wellness programs, home health care, and mental health services. Resources that help older people sustain high functioning include senior centers, adult day care, and senior housing. Finally, active engagement with life is facilitated through employment services, learning experiences, and volunteer programs. Community resources for baby boomers in late life may differ from those available for today's elders. They will be no less important for successful aging, however. DA - 2002/// PY - 2002 VL - 18 IS - 3 SP - 611 EP - ix SN - 0749-0690 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=12424875 KW - Humans KW - Aged KW - *Health Services for the Aged KW - Home Care Services KW - *Health Promotion KW - Homes for the Aged KW - Employment KW - eppi-reviewer4 KW - Mental Health Services ER - TY - JOUR TI - Community Options of Greater Cleveland, Ohio: preliminary evaluation of a naturally occurring retirement community program. AU - Anetzberger GJ T2 - Clinical Gerontologist AB - This study examines the impact of Community Options in Greater Cleveland, Ohio, as perceived by its consumers. Community Options is one of a small but growing number of naturally occurring retirement community programs helping residents of apartment buildings or neighborhoods to 'age in place' successfully through activity and service access or development. Results of the survey revealed the typical consumer to be an 82-year-old widow who has lived in her apartment building for 12 years. She credits the program with enabling her to 'age in place,' link with and assist neighbors, access help when needed, feel better about herself, and have more control over her life. DA - 2010/01// PY - 2010 DO - 10.1080/07317110802478032 VL - 33 IS - 1 SP - 1 EP - 15 SN - 0731-7115 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105263718&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Program Evaluation KW - Social Environment KW - Aged KW - Organizational Objectives KW - Health Status KW - Social Behavior KW - Self Report KW - Housing for the Elderly KW - Personal Satisfaction KW - Recreation KW - Marital Status KW - Ohio KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Social Networks KW - Questionnaires KW - Middle Age KW - Thematic Analysis KW - Content Analysis KW - Surveys KW - Descriptive Statistics KW - Gerontologic Care KW - Empowerment KW - Scales KW - Evaluation Research KW - Summated Rating Scaling KW - Community Programs KW - Consumer Satisfaction KW - Social Welfare -- In Old Age KW - Social Work Service ER - TY - JOUR TI - Epidemiological characteristics associated with uptake of pneumococcal vaccine among older adults living in the community in Singapore: Results from the National Health Surveillance Survey 2013. AU - Ang Li Wei AU - Cutter Jeffery AU - James Lyn AU - Goh Kee Tai T2 - Scandinavian journal of public health AB - AIMS: In Singapore, pneumococcal vaccination is recommended for the elderly (i.e. those >=65 years of age) and people with chronic medical conditions. We investigated epidemiological characteristics associated with the uptake of pneumococcal vaccine based on a nationally representative cross-sectional sample of community-living adults aged >=50 years., METHODS: The data were obtained from the National Health Surveillance Survey (NHSS) 2013. Associations between pneumococcal vaccination and sociodemographic and health-related variables were analysed using univariable and multivariable logistic regression models., RESULTS: Among 3672 respondents aged >=50 years in the NHSS, 7.8% had taken the pneumococcal vaccination. A higher level of education and higher monthly household income were sociodemographic characteristics independently associated with pneumococcal vaccine uptake. Health-related characteristics predictive of pneumococcal vaccine uptake were better self-rated health and having a regular family doctor/general practitioner. Among those who responded to the two questions on vaccinations, 3.9% had been vaccinated against both seasonal influenza and pneumococcal infection, while 11.1% had taken only seasonal influenza vaccination in the past year., CONCLUSIONS: There is a need to boost pneumococcal vaccination coverage among community-dwelling older adults. These findings provide insights into reviewing and tailoring public-health strategies and programmes to increase vaccine uptake in at-risk population groups. DA - 2018/// PY - 2018 DO - 10.1177/1403494817720105 VL - 46 IS - 2 SP - 175 EP - 181 SN - 1403-4948 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=28701087 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Risk Assessment KW - Cross-Sectional Studies KW - Health Surveys KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Vaccination/sn [Statistics & Numerical Data] KW - Socioeconomic Factors KW - *Population Surveillance KW - Singapore/ep [Epidemiology] KW - *Pneumococcal Vaccines/ad [Administration & Dosage] KW - Pneumococcal Infections/ep [Epidemiology] KW - Pneumococcal Infections/pc [Prevention & Control] KW - eppi-reviewer4 ER - TY - JOUR TI - Fall concern about older persons shifts to carers as changing health policy focuses on family, home-based care. AU - Ang Seng Giap Marcus AU - O'Brien Anthony Paul AU - Wilson Amanda T2 - Singapore medical journal AB - With the Singaporean population ageing at an exponential rate, home carers are increasingly becoming essential partners in fall prevention and care delivery for older persons living at home and in the community. Singapore, like other Asian countries, regards the family as the main support structure for the older person, and national policies have been implemented to support this cultural expectation. Family carers experience similar concerns as older persons with regard to fall risk, and identifying and addressing these concerns can potentially lower fall risk and improve fall prevention for older persons. It is timely to remind ourselves - as concern about falls in older persons begins to shift to carers - to incorporate the influence of Asian cultural values and unique family dynamics of outsourcing family caregiving, in the management of older persons' fall risk in the community. Copyright: © Singapore Medical Association. DA - 2018/// PY - 2018 DO - 10.11622/smedj.2018005 VL - 59 IS - 1 SP - 9 EP - 11 SN - 0037-5675 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29376188 KW - Adult KW - Humans KW - Young Adult KW - Family Health KW - Family KW - Aged KW - Middle Aged KW - Health Policy KW - Delivery of Health Care KW - Workforce KW - *Accidental Falls/pc [Prevention & Control] KW - Singapore KW - Caregivers KW - *Geriatrics/mt [Methods] KW - Risk KW - Home Care Services/ec [Economics] KW - Cultural Characteristics KW - *Home Care Services/lj [Legislation & Jurisprudence] KW - Geriatrics/ec [Economics] KW - eppi-reviewer4 ER - TY - JOUR TI - Expressive social support buffers the impact of care-related work interruptions on caregivers’ depressive symptoms. AU - Ang Shannon AU - Malhotra Rahul T2 - Aging & Mental Health AB - Objective: To assess if expressive and instrumental social support from family and friends moderate the association of care-related work interruptions (e.g. leaving work for the older adult's doctor appointment) with depressive symptoms among working family caregivers of older adults. Methods: Data were from the Singapore Survey on Informal Caregiving (SSIC). A subsample of 662 dyads, each comprising an older care-recipient [home-dwelling Singaporean aged 75 and older receiving human assistance for at least one activity of daily living (ADL)] and his/her working family caregiver, was analysed. Caregiver depressive symptoms were assessed using the Center for Epidemiologic Studies Depression scale. Care-related work interruptions were scaled through the Mokken scaling procedure. Expressive social support was assessed using a scale by Pearlin and co-workers. Instrumental social support was based on the hours of ADL help provided to the care-recipient by any family member or friend, on behalf of the primary caregiver. A linear regression model, with interaction terms, assessed expressive and instrumental social support as moderators of the association of care-related work interruptions with caregiver depressive symptoms. Results: More care-related work interruptions were associated with more caregiver depressive symptoms. And, this association was moderated by expressive, but not instrumental, social support. Conclusion: Our findings conform to previous qualitative work suggesting that caregivers’ mental health may not benefit from instrumental support, but from receiving expressive support instead. Initiatives for improving the care experience of working caregivers of older adults should focus on promoting expressive support from their friends and family. DA - 2018/06// PY - 2018 DO - 10.1080/13607863.2017.1317329 VL - 22 IS - 6 SP - 755 EP - 763 SN - 1360-7863 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128907305&site=ehost-live&scope=site KW - Depression KW - Aged KW - Activities of Daily Living KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Support, Psychosocial KW - Surveys KW - Community Living -- In Old Age KW - Scales KW - Center for Epidemiological Studies Depression Scale KW - Linear Regression KW - Caregivers -- Psychosocial Factors KW - Extended Family ER - TY - JOUR TI - Intersectional cohort change: Disparities in mobility limitations among older Singaporeans. AU - Ang Shannon T2 - Social science & medicine (1982) AB - Mobility is fundamental to independent living, but past research on physical function and mobility in older adults has not considered both intersectional social identities and cohort change in tandem. This paper utilizes data on mobility limitations from older adults in multi-ethnic Singapore to test whether cohort change varies simultaneously by gender and ethnicity. Panel data (n=9334 person-years) collected over six years (2009-2015) were used to estimate aging vector models. Findings show that after adjusting for all covariates, Malay and Indian males in later-born cohorts have an increased number of mobility limitations compared to earlier-born cohorts. While a similar trend was also found for Chinese males and females in unconditional models, these were fully mediated by sociodemographic and health variables. These results highlight the importance of considering cohort change at the intersection of gender and ethnicity, bringing attention to possible inequities between ethnic groups. Copyright © 2019 Elsevier Ltd. All rights reserved. DA - 2019/// PY - 2019 DO - 10.1016/j.socscimed.2019.03.039 VL - 228 SP - 223 EP - 231 SN - 0277-9536 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=30927616 KW - eppi-reviewer4 ER - TY - JOUR TI - Carers' concern for older people falling at home: an integrative review. AU - Ang Seng Giap Marcus AU - O'Brien Anthony Paul AU - Wilson Amanda T2 - Singapore medical journal AB - Falls, the leading cause of injury and death among older people, can have a significant psychosocial impact on carers. Carers play a crucial role in caring for older persons at home and in fall prevention. This review, which included 15 studies, aimed to identify carers' concern about older people falling and its impact. We identified that most carers had concerns about repeated falls in older people, unknown consequences of falls and care recipients' non-adherence to fall prevention advice. These concerns, in turn, affect carers' physical and psychological health, lifestyle, caregiving burden and use of fall prevention strategies. This paper highlights the importance of recognising carers' fall concern so as to identify carers' needs and awareness of fall prevention in older people living at home. A greater insight into carers' fall concern could facilitate the implementation of new strategies to manage older people's fall risk as well as improve carers' well-being. DA - 2019/// PY - 2019 DO - 10.11622/smedj.2019142 SN - 0037-5675 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medp&NEWS=N&AN=31680184 KW - eppi-reviewer4 ER - TY - JOUR TI - Unfolding the culture change map and locating ourselves together. AU - Angelelli J AU - Higbie I T2 - Journal of Social Work in Long-Term Care AB - One promising aspect of the culture change movement in long-term care is the collective effort to 'junk the jargon'--to do away with institutional language and instead speak plainly in a way that makes it possible for the voices of elders to be heard. This article was written with that spirit of listening in mind. It was co-authored by a 35-year-old gerontologist and an 87-year-old retired professor of social work and sociology with direct experience as a 'patient' in the old long-term care culture. The introduction was written by the elder, and her wisdom and perspective guided the body of the text. DA - 2005/01// PY - 2005 VL - 3 IS - 3/4 SP - 121 EP - 135 SN - 1533-2624 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106364098&site=ehost-live&scope=site KW - Aged KW - Nursing Homes KW - Quality Improvement KW - Social Work KW - Organizational Culture KW - eppi-reviewer4 KW - Assisted Living KW - Empowerment KW - Long Term Care -- In Old Age KW - Aged -- Organizations KW - Coalition KW - Consumer Participation KW - Organizational Change ER - TY - JOUR TI - Residential Mobility of the European Elderly. AU - Angelini Viola AU - Laferrère Anne T2 - CESifo Economic Studies AB - With the ageing of the European population, the housing choices of the large elderly cohorts will have consequences on the whole housing market. This article combines micro data from two waves of the Survey of Health, Ageing and Retirement in Europe (SHARE) with macro data on housing policy to analyse the residential mobility decisions of the elderly in 11 European countries. Residential mobility is low, but we find some evidence that those who move in old age tend to reduce housing consumption and investment by going from owning to renting. This ‘downsizing’ is positively linked to housing capital gains, while the existence of reverse mortgages in a country reduces it. We also find that mobility to nursing homes and mobility between private homes respond to different incentives and motivations. (JEL codes: D10, R21, R28). [ABSTRACT FROM AUTHOR] Copyright of CESifo Economic Studies is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2012/09// PY - 2012 VL - 58 IS - 3 SP - 544 EP - 569 SN - 1610241X UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=79446360&site=ehost-live&scope=site KW - Europe KW - ageing KW - housing KW - Residential mobility KW - Aging KW - eppi-reviewer4 KW - Senior housing KW - Housing policy KW - residential mobility KW - Cohort analysis KW - Consumption (Economics) KW - Health surveys KW - Housing market KW - housing policy ER - TY - JOUR TI - Retiring in debt? Differences between the 1995 and 2004 near-retiree cohorts AU - Anguelov Chris E AU - Tamborini Christopher R T2 - Social security bulletin AB - This article uses the Federal Reserve Board's Survey of Consumer Finances to examine the debt holdings of near-retirees (aged 50-61) in 1995 and 2004. Employing a variety of measures of household borrowing, we find that near-retirees in 2004-the leading edge of the baby-boom cohort--had more consumer and housing debt than their counterparts in 1995. We observe a modest increase in the median debt service and debt-to-assets ratios between the two cohorts, but no statistical difference in the average ratios. Analysis of several demographic and socioeconomic subgroups reveals certain population segments, such as households headed by single women, with significantly higher debt service ratios in 2004. We discuss the implications of these trends for the retirement income security of older baby boomers and suggest further avenues of research. DA - 2009/// PY - 2009 VL - 69 IS - 2 SP - 13 EP - 34 SN - 0037-7910 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med6&NEWS=N&AN=19697504 KW - Female KW - Humans KW - Male KW - United States KW - Middle Aged KW - Cohort Studies KW - Socioeconomic Factors KW - *Residence Characteristics KW - *Income KW - eppi-reviewer4 KW - *Retirement/ec [Economics] ER - TY - JOUR TI - [Anemia and functional incapacity at admission to a geriatric home] AU - Ania Lafuente AU - B J AU - Fernandez-Burriel Tercero AU - M AU - Suarez Almenara AU - J L AU - Betancort Mastrangelo AU - C C AU - Guerra Hernandez AU - L T2 - Anemia e incapacidad funcional al ingreso en una residencia geriatrica. AB - AIM: To ascertain the prevalence of anemia on admission to a nursing home, and to assess the relationship between the observed cases of anemia and the functional status of those subjects., METHODS: We studied 198 subjects: 82 men (41%) aged 75.8 +/- 8.8 years, and 116 women (59%) aged 78.2 +/- 8.3 years. Anemia was diagnosed according to the criteria of the World Health Organization. The classification as non-disabled, or physically or mentally disabled, was done according to the Scales of the Spanish Red Cross., RESULTS: Anemia was diagnosed in 36% of the males, being microcytic in 14%, normocytic in 83%, and macrocytic only in 3% of them. Among women there were 44% with anemia, which was microcytic in 16%, normocytic in 80%, and macrocytic in 4% of cases. The prevalence of anemia increased with age in both sexes. Among men, anemia was significantly associated (p = 0.013) with physical disability, whereas among women this association just fell off significance (p = 0.06). There was no association of anemia with mental disability. No association was found between serum concentrations of ferritin, vitamin B12, or folic acid, and the classification as non-disabled, or as physically or mentally disabled., CONCLUSIONS: Anemia is found in about 40% of the elderly on admission to our nursing home. Anemia is associated with older age and with physical disability, but not with mental disability. Whether anemia on admission entails a higher risk of disability onset during the stay in the nursing home remains to be elucidated. DA - 2001/// PY - 2001 VL - 18 IS - 1 SP - 9 EP - 12 SN - 0212-7199 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=11387856 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Prevalence KW - *Disabled Persons KW - Homes for the Aged KW - *Anemia/ep [Epidemiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Coping strategies, vision-related quality of life, and emotional health in managing retinitis pigmentosa: a survey study. AU - Anil Krithika AU - Garip Gulcan T2 - BMC ophthalmology AB - BACKGROUND: Retinitis pigmentosa is a group of genetic progressive retinal dystrophies that may adversely affect daily life. Those with RP should develop adaptive coping strategies to manage their condition. This study investigates the relationship between engaging (ECS) and disengaging coping strategies (DCS), vision-related quality of life (VRQoL), and emotional health, in adults living at home with retinitis pigmentosa., METHOD: One hundred and five participants (70 female; meanage of 46.98, SD age = 13.77) completed a cross-sectional survey. The questionnaire booklet consisted of the Coping Strategies Inventory - Short Form (32 items), the National Eye Institute Visual Functioning Questionnaire 25 (25 items), Marylands Trait Depression Scale (18 items), the Warwick-Edinburgh Mental Well-being Scale (14 items), and the Subjective Happiness Scale (4 items)., RESULTS: Data was analysed with a two-block hierarchical multiple regression, with the first block controlling for the demographic data (age, sex, years since retinitis pigmentosa diagnosis, number of comorbidities, participant-perceived retinitis pigmentosa severity, and knowing RP type) and the second block consisting of primary measures (type of coping strategy, VRQoL, and Emotional Health). Type of coping strategy was found to impact psychosocial variables of VRQoL, not overall VRQoL. These psychosocial VRQoL variables had a positive association with ECS and a negative association with DCS. Emotional Health increased with ECS and decreased with DCS. There was a larger impact of DCS on VRQoL and Emotional Health compared to ECS, that is, VRQoL and Emotional Health decreased more with increasing DCS than VRQoL, and Emotional Health increased with increasing ECS., CONCLUSION: In concordance with previous research, ECS increased with increasing VRQoL and DCS decreased with increasing VRQoL. However, the findings also indicated that DCS had a greater impact than ECS on VRQoL and Emotional Health. This suggests that diminishing DCS should be prioritised over developing ECS to positively influence VRQoL and Emotional Health. Further research should investigate the impact of reducing DCS compared to increasing ECS, and how this may influence VRQoL and Emotional Health. DA - 2018/// PY - 2018 DO - 10.1186/s12886-018-0689-2 VL - 18 IS - 1 SP - 21 SN - 1471-2415 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29378559 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Visual Fields KW - Cross-Sectional Studies KW - *Quality of Life/px [Psychology] KW - *Surveys and Questionnaires KW - *Adaptation, Psychological KW - Self Report KW - Sickness Impact Profile KW - *Mental Health KW - *Emotions KW - eppi-reviewer4 KW - *Retinitis Pigmentosa/px [Psychology] KW - *Visual Acuity KW - Retinitis Pigmentosa/di [Diagnosis] KW - Retinitis Pigmentosa/pp [Physiopathology] ER - TY - JOUR TI - Psychosocial health challenges of the elderly in Nigeria: a narrative review AU - Animasahun Victor J AU - Chapman Helena J T2 - African health sciences AB - BACKGROUND: Globally, national health systems are challenged to build successful aging models to prepare for biomedical, psychological and social changes. The integral component of psychosocial health in overall quality of life and well-being, however, is underscored and requires greater focus. Changing demographics in Nigeria, in addition to cultural considerations and absence of a social security system, present unique challenges to elderly., OBJECTIVE: We aimed to review the literature that describes the current situation and challenges in psychosocial health status in the elderly in Nigeria and provide recommendations that promote health and well-being during the aging process., RESULTS: Four primary factors affect psychosocial health status of elderly Nigerians, namely: changes in family dynamics, increased demand for healthcare services, increased economic stress, and decreased functional independence., CONCLUSION: Like other developing countries, the Nigerian national system faces similar challenges in preparing a national framework that can maximize coverage to citizens in the midst of demographic changes in aging. By focusing on five target areas such as the educational system, health services, community-based initiatives, local or regional policies and national strategies, current framework in Nigeria can be modified to prepare for changing demographics in aging. DA - 2017/// PY - 2017 VL - 17 IS - 2 SP - 575 EP - 583 SN - 1729-0503 1680-6905 UR - https://dx.doi.org/10.4314/ahs.v17i2.35 KW - Female KW - Humans KW - Male KW - Middle Aged KW - Independent Living KW - Activities of Daily Living KW - Health Services Needs and Demand KW - Health Status KW - Health Services for the Aged KW - Family Relations KW - *Aged KW - Nigeria/ep [Epidemiology] KW - Psychology KW - Aged/px [Psychology] KW - Population Dynamics/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Aged/sn [Statistics & Numerical Data] ER - TY - JOUR TI - The third person in the room: The needs of care partners of older people in home care services-A systematic review from a person-centred perspective. AU - Anker-Hansen Camilla AU - Skovdahl Kirsti AU - McCormack Brendan AU - Tonnessen Siri T2 - Journal of clinical nursing AB - AIMS AND OBJECTIVES: To identify and synthesise the needs of care partners of older people living at home with assistance from home care services., BACKGROUND: "Ageing in place" is a promoted concept where care partners and home care services play significant roles. Identifying the needs of care partners and finding systematic ways of meeting them can help care partners to cope with their role., DESIGN/METHODS: This study is based on the PRISMA reporting guidelines. The systematic review of qualitative and quantitative studies was guided by the Joanna Briggs Institute methodology., RESULTS: In total, 16 studies were included in the review, eleven qualitative and five quantitative. Three main categories were revealed in the analysis: the need for quality interaction, the need for a shared approach to care and the need to feel empowered., CONCLUSION: Care partners of older people have several, continuously unmet needs. A person-centred perspective can contribute new understandings of how to meet these needs. A knowledge gap has been identified regarding the needs of care partners of older people with mental health problems. There is a need to develop a tool for systematic collaboration between home care services and care partners, so that the identified needs can be met in a more thorough, systematic and person-centred way., RELEVANCE TO CLINICAL PRACTICE: The carers in home care services need competence to identify and meet the needs of care partners. The implementation of person-centred values in home care services can contribute to meet the needs of care partners to a greater extent than today. Future research on the needs of care partners of older people with mental health problems needs to be undertaken. Copyright © 2017 John Wiley & Sons Ltd. DA - 2018/// PY - 2018 DO - 10.1111/jocn.14205 VL - 27 IS - 7-8 SP - e1309 EP - e1326 SN - 0962-1067 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29194850 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Caregivers/px [Psychology] KW - *Independent Living/px [Psychology] KW - *Independent Living/st [Standards] KW - *Practice Guidelines as Topic KW - *Home Care Services/st [Standards] KW - *Caregivers/st [Standards] KW - eppi-reviewer4 ER - TY - JOUR TI - The third person in the room: The needs of care partners of older people in home care services—A systematic review from a person‐centred perspective. AU - Anker‐Hansen Camilla AU - Skovdahl Kirsti AU - McCormack Brendan AU - Tønnessen Siri T2 - Journal of Clinical Nursing (John Wiley & Sons, Inc.) AB - Aims and objectives: To identify and synthesise the needs of care partners of older people living at home with assistance from home care services. Background: “Ageing in place” is a promoted concept where care partners and home care services play significant roles. Identifying the needs of care partners and finding systematic ways of meeting them can help care partners to cope with their role. Design/methods: This study is based on the PRISMA reporting guidelines. The systematic review of qualitative and quantitative studies was guided by the Joanna Briggs Institute methodology. Results: In total, 16 studies were included in the review, eleven qualitative and five quantitative. Three main categories were revealed in the analysis: the need for quality interaction, the need for a shared approach to care and the need to feel empowered. Conclusion: Care partners of older people have several, continuously unmet needs. A person‐centred perspective can contribute new understandings of how to meet these needs. A knowledge gap has been identified regarding the needs of care partners of older people with mental health problems. There is a need to develop a tool for systematic collaboration between home care services and care partners, so that the identified needs can be met in a more thorough, systematic and person‐centred way. Relevance to clinical practice: The carers in home care services need competence to identify and meet the needs of care partners. The implementation of person‐centred values in home care services can contribute to meet the needs of care partners to a greater extent than today. Future research on the needs of care partners of older people with mental health problems needs to be undertaken. DA - 2018/04// PY - 2018 DO - 10.1111/jocn.14205 VL - 27 IS - 7-8 SP - e1309 EP - e1326 SN - 0962-1067 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129303345&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Family KW - Aged KW - Needs Assessment KW - Caregivers KW - Professional-Family Relations KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Qualitative Studies KW - Middle Age KW - Thematic Analysis KW - Caregiver Burden KW - Coping KW - Empowerment KW - Caregiver Support KW - Embase KW - Medline KW - Psycinfo KW - CINAHL Database KW - Quantitative Studies KW - Systematic Review KW - Cochrane Library KW - Home Health Care -- In Old Age KW - Meta Synthesis ER - TY - JOUR TI - Invisible cornerstones. A hermeneutic study of the experience of care partners of older people with mental health problems in home care services. AU - Anker-Hansen Camilla AU - Skovdahl Kirsti AU - McCormack Brendan AU - Tonnessen Siri T2 - International journal of older people nursing AB - OBJECTIVES: To explore the lived experiences and support needs of the care partners of older people with mental health problems living at home with assistance from home care services. Care partners face significant challenges in their care role and they often feel unsupported. An understanding of their experiences may help improve home care to support their needs., METHOD: An exploratory qualitative approach was used. The study is based on the SRQR and COREQ reporting guidelines. In-depth interviews were conducted with six Norwegian care partners from two municipalities. Data were collected during 2012-2013 and 2016. The data were analysed using Gadamer's hermeneutics., RESULTS: Three themes were identified: "invisible cornerstones," "dimensions of collaboration" and "unwanted roles.", CONCLUSION: Few or no routines for collaboration exist between care partners and home care, and the care partners seem to have little knowledge of legal rights. They request more information, spare time and the opportunity to remain in their original family role. However, their main focus is for the patient to receive the necessary help from home care. Home care have restricted resources for meeting these needs and share a sense of powerlessness and lack of influence over their own everyday life with the care partners. There is a need for a systematic, person-centred approach to collaboration. A correlation is necessary between what is communicated at the system level and the means of realising this in practice for home care to meet care partners' needs. Copyright © 2018 John Wiley & Sons Ltd. DA - 2019/// PY - 2019 DO - 10.1111/opn.12214 VL - 14 IS - 1 SP - e12214 SN - 1748-3735 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=30444076 KW - eppi-reviewer4 ER - TY - JOUR TI - Ankle Dorsiflexors Strength Improves Balance Performance in Elderly: A Corelational Study. AU - Shehab Mahmoud Abd El- Kader AU - Eman M Salah El-Den Ashmawy T2 - European Journal of General Medicine AB - The physical ability to maintain balance when moving and the ability to move independently are central requisites for independent living and are thus two important focuses in geriatric rehabilitation. It has been suggested that a decrease in the ability to generate force in the lower extremity muscles contribute to balance impairment and falling. The purpose of this study was to detect balance performance response to improved strength of dorsiflexors muscles in elderly. Fifty healthy elderly subjects, their age ranged 65-75 years, participated in this study. Twenty five subjects (training group) were trained with resisted exercises plus electrical nerve stimulation of ankle dorsiflexors muscles, three times a week for 8 weeks. The control group, included twenty five subjects, received no treatment intervention except encouragement for performing their usual activity of daily living over the 8 weeks of the study. The ankle dorsiflexors muscles force was measured by the hand held dynamometer in Kg and the balance control was measured by the Berg Balance Scale (BBS), the Functional Reach Test (FRT) and the Timed Get Up-Go Test (GUG). These measurements wevr5re applied for both groups before and after 8 weeks. The BBS, FRT and GUG values showed significant changes (12.9%, 35.7% and 51.9% respectively) following training in the trained group. There were no significant changes (0.67%, 6.95% and 14.4%) in the same measures of the control group after 8 weeks. Improved ankle dorsiflexors strength enhances balance performance in elderly DO - 10.15197/sabad.1.11 VL - 11 IS - 2 SP - 60 EP - 65 SN - 1304-3889 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103971674&site=ehost-live&scope=site KW - Exercise KW - Age Factors KW - eppi-reviewer4 KW - Human KW - Middle Age KW - Balance, Postural KW - T-Tests KW - Pearson's Correlation Coefficient KW - Muscle Strengthening KW - Ankle -- Anatomy and Histology KW - Data Analysis KW - Dorsiflexion KW - Electrical Stimulation, Neuromuscular KW - Medicine KW - Muscles ER - TY - JOUR TI - Elective discontinuation of life-sustaining mechanical ventilation on a chronic ventilator unit. AU - Ankrom M AU - Zelesnick L AU - Barofsky I AU - Georas S AU - Finucane T E AU - Greenough W B 3rd T2 - Journal of the American Geriatrics Society AB - Withdrawal of medical interventions has become common in the hospital for patients with terminal disease. Despite the widespread feeling that medical interventions may be futile in certain patients, many patients, families, and medical staff find withdrawal of care difficult and withdrawal of mechanical ventilation to be the most disturbing secondary to the close proximity of withdrawal and death. Presented is a 6-year retrospective review of elective withdrawal of life-sustaining mechanical ventilation on a chronic ventilator unit (CVU) in an academic nursing home. Of the 98 patients admitted to the 19-bed CVU during this period, only 13 underwent terminal weaning (TW). Statistically, these 13 patients did not differ significantly in age, gender, race, route of nutrition, decisional capacity, or length of stay on the unit compared with the 85 patients who were not terminally weaned (t-test P > .05). Stepwise logistic regression found that patients who were more alert at admission were more likely to have participated in TW (chi2 = 5.22, coefficient for alertness P < .036). The decision to terminate mechanical ventilation was made by patients in eight cases and by family in five cases. The first step in the process leading to TW was a discussion with the patient and family about plan of care, including the patient's desires for attempted resuscitation, rehospitalization, advance directives, and family contacts. Plan of care was reviewed informally in a weekly multidisciplinary round and formally, to address each patient's care plan, in a multidisciplinary family meeting on a regular basis. The second step was to address TW when brought up by the patient, family, or medical staff. A request for TW by a patient or surrogate was referred to the medical staff, who screened the patient for depression or other remediable symptoms. The third step was to refer the patient and family to another formal meeting to discuss the request for TW and, if needed, in the case of multiple family members, to allow questions to be answered and consensus to be formed. Additional meetings were scheduled as needed. The next step occurred once a consensus was reached to proceed with TW; a date and time was set to reconvene the patient, family, and anyone else who wanted to be present at the TW. The TW process began when a peripheral intravenous catheter was placed and the patient was premedicated with low doses of morphine sulfate and a benzodiazepine. After premedication, the patient was removed from the ventilator. The physician, nurse, family, and physician assistant remained at the bedside and additional morphine or benzodiazepine was given, as needed, for symptom management. Death from TW occurred in all patients, at times ranging from 2 minutes to 10.5 hours (average 6.2 hours). A mean total dose of 115 mg morphine and 14 mg diazepam was given for symptom control. There was no correlation between dose of these medications and duration of survival off the ventilator. DA - 2001/// PY - 2001 VL - 49 IS - 11 SP - 1549 EP - 54 SN - 0002-8614 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=11890598 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Nursing Homes/sn [Statistics & Numerical Data] KW - Terminal Care/sn [Statistics & Numerical Data] KW - Advance Directives KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Baltimore KW - eppi-reviewer4 KW - *Life Support Care/sn [Statistics & Numerical Data] KW - *Respiration, Artificial/sn [Statistics & Numerical Data] KW - *Withholding Treatment/sn [Statistics & Numerical Data] KW - Ventilator Weaning ER - TY - JOUR TI - Association Between Spousal Caregiver Well-Being and Care Recipient Healthcare Expenditures. AU - Ankuda Claire K AU - Maust Donovan T AU - Kabeto Mohammed U AU - McCammon Ryan J AU - Langa Kenneth M AU - Levine Deborah A T2 - Journal of the American Geriatrics Society AB - Objectives To measure the association between spousal depression, general health, fatigue and sleep, and future care recipient healthcare expenditures and emergency department ( ED) use. Design Prospective cohort study. Setting Health and Retirement Study. Participants Home-dwelling spousal dyads in which one individual (care recipient) was aged 65 and older and had one or more activity of daily living or instrumental activity of daily living disabilities and was enrolled in Medicare Part B (N = 3,101). Exposure Caregiver sleep (Jenkins Sleep Scale), depressive symptoms (Center for Epidemiologic Studies Depression-8 Scale), and self-reported general health measures. Measurements Primary outcome was care recipient Medicare expenditures. Secondary outcome was care recipient ED use. Follow-up was 6 months. Results Caregiver depressive symptoms score and six of 17 caregiver well-being measures were prospectively associated with higher care recipient expenditures after minimal adjustment ( P < .05). Higher care recipient expenditures remained significantly associated with caregiver fatigue (cost increase, $1,937, 95% confidence interval ( CI) = $770-3,105) and caregiver sadness (cost increase, $1,323, 95% CI = $228-2,419) after full adjustment. Four of 17 caregiver well-being measures, including severe fatigue, were significantly associated with care recipient ED use after minimal adjustment ( P < .05). Greater odds of care recipient ED use remained significantly associated with caregiver fatigue (odds ratio ( OR) = 1.24, 95% CI = 1.01-1.52) and caregiver fair to poor health ( OR = 1.23, 95% CI = 1.04-1.45) after full adjustment. Caregiver total sleep score was not associated with care recipient outcomes. Conclusion Poor caregiver well-being, particularly severe fatigue, is independently and prospectively associated with higher care recipient Medicare expenditures and ED use. DA - 2017/10// PY - 2017 DO - 10.1111/jgs.15039 VL - 65 IS - 10 SP - 2220 EP - 2226 SN - 0002-8614 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125690556&site=ehost-live&scope=site KW - Depression KW - Aged KW - Health Status KW - Prospective Studies KW - Caregivers KW - Odds Ratio KW - Confidence Intervals KW - Medicare KW - Spouses KW - Health Care Costs KW - Sleep KW - Fatigue KW - eppi-reviewer4 KW - Human KW - Descriptive Statistics KW - Community Living KW - Scales KW - Center for Epidemiological Studies Depression Scale KW - P-Value KW - Psychological Well-Being KW - Emergency Service -- Utilization ER - TY - JOUR TI - Caregiving, Recovery, and Death After Incident ADL/IADL Disability Among Older Adults in the United States. AU - Ankuda Claire K AU - Levine Deborah A AU - Langa Kenneth M AU - Ornstein Katherine A AU - Kelley Amy S T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society AB - This study assesses patterns of caregiving, death, and recovery after incident disability in older adults. We used the Health and Retirement Study to follow of a cohort of adults age >=65 years in the United States with incident disability in activities of daily living (ADLs) or instrumental activities of daily living (IADLs; n = 8,713). Rates of care and function state were assessed biennially: deceased, nursing home dwelling, at home with paid help, at home with both paid and unpaid help, at home with unpaid help, at home with no assistance and recovered. In the 2 years after incident disability, 22.1% recovered and 46.8% died. Transitions between care and function states occurred frequently, with more than 20% of the cohort living at home with no assistance despite disability at least once. This study demonstrates the high levels of care and function state fluctuation and unmet needs after functional disability. DA - 2019/// PY - 2019 DO - 10.1177/0733464819826842 SP - 733464819826842 SN - 0733-4648 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medp&NEWS=N&AN=30741065 KW - eppi-reviewer4 ER - TY - JOUR TI - Leisure time physical activity differences among older adults from diverse socioeconomic neighborhoods AU - Annear Michael J AU - Cushman Grant AU - Gidlow Bob T2 - Health & place AB - This paper examines how neighborhood deprivation potentially affects older adults' participation in leisure time physical activity (LTPA). Recall surveys and semi-structured interviews were conducted with 63 elderly residents of high- and low-deprivation neighborhoods in Christchurch, New Zealand. Results showed that residing in a neighborhood of high socioeconomic deprivation was potentially associated with significantly lower levels of neighborhood-based LTPA and that this effect appeared to be partly mediated by deleterious physical and social environmental conditions. These results suggest that strategies to promote increased participation in LTPA among older adults may need to consider intervening in the physical and social environment in highly deprived neighborhoods. DA - 2009/// PY - 2009 VL - 15 IS - 2 SP - 482 EP - 490 SN - 1353-8292 UR - https://dx.doi.org/10.1016/j.healthplace.2008.09.005 KW - Humans KW - Social Environment KW - Aged KW - Aged, 80 and over KW - Age Factors KW - Socioeconomic Factors KW - *Residence Characteristics KW - New Zealand KW - *Motor Activity KW - *Leisure Activities KW - eppi-reviewer4 ER - TY - JOUR TI - "Bringing the outside world in": Enriching social connection through health student placements in a teaching aged care facility AU - Annear Michael J AU - Elliott Kate-Ellen J AU - Tierney Laura T AU - Lea Emma J AU - Robinson Andrew T2 - Health expectations : an international journal of public participation in health care and health policy AB - BACKGROUND: Older adults living in residential aged care facilities (RACFs) often experience limited opportunities for social connection despite close proximity to peers, which has implications for mental health and quality of life (QoL). The introduction of large-scale undergraduate health student placements in RACFs may enhance opportunities for meaningful engagement through social connection, although this remains unexplored., OBJECTIVE: This research explores whether interpersonal encounters between health students and RACF residents influence residents' opportunities for social connection and QoL., METHODS: A mixed methods design was employed which included questionnaire data from residents, and qualitative interview data from residents, family members and RACF staff. Data were collected during and after student placements to allow for an in-depth exploration of residents, family members and staff perspectives., RESULTS: Forty-three participants (28 residents, 10 staff and five family members) were recruited during 2014. Overall, many residents had clinical levels of depression, mild cognitive impairment and multiple morbidities, however reported moderate-to-good QoL. Thematic analysis was undertaken on interview transcripts, and three themes emerged: (i) social isolation and loneliness fostered by residents' age-related conditions, (ii) students expand socially supportive connections beyond the RACF and (iii) meaning making by sharing health experiences, which was found to help renegotiate older adults' pervasive narrative of vulnerability., CONCLUSION: Supported and structured health student placements in RACFs enable older adults to participate in meaningful encounters with younger people. These encounters focus on sharing health experiences and address long-standing issues of isolation and loneliness by providing opportunities for social connection. Copyright © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd. DA - 2017/// PY - 2017 VL - 20 IS - 5 SP - 1154 EP - 1162 SN - 1369-7625 1369-6513 UR - https://dx.doi.org/10.1111/hex.12561 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Qualitative Research KW - Loneliness KW - *Quality of Life/px [Psychology] KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Interpersonal Relations KW - Social Isolation KW - *Students, Health Occupations/px [Psychology] KW - eppi-reviewer4 ER - TY - JOUR TI - Green qualities in the neighbourhood and mental health - results from a longitudinal cohort study in Southern Sweden AU - Annerstedt Matilda AU - Ostergren Per-Olof AU - Bjork Jonas AU - Grahn Patrik AU - Skarback Erik AU - Wahrborg Peter T2 - BMC public health AB - BACKGROUND: Poor mental health is a major issue worldwide and causality is complex. For diseases with multifactorial background synergistic effects of person- and place- factors can potentially be preventive. Nature is suggested as one such positive place-factor. In this cohort study we tested the effect of defined green qualities (Serene, Space, Wild, Culture, Lush) in the environment at baseline on mental health at follow-up. We also studied interaction effects on mental health of those place factors and varied person factors (financial stress, living conditions, and physical activity)., METHODS: Data on person factors were extracted from a longitudinal (years 1999/2000 and 2005) population health survey (n = 24945). The participants were geocoded and linked to data on green qualities from landscape assessments, and stored in the Geographical Information System (GIS). Crude odds ratios (OR) and 95% confidence intervals (CI) were calculated, and multivariate logistic analyses were performed., RESULTS: Mental health was not affected by access to the chosen green qualities, neither in terms of amount nor in terms of any specific quality. However, we found a reduced risk for poor mental health at follow-up among women, through a significant interaction effect between physical activity and access to the qualities Serene or Space. For men the tendencies were similar, though not significant. Regarding the other three green qualities, as well as amount of qualities, no statistically certain synergistic effects were found. Likewise, no significant synergies were detected between green qualities and the other person-factors. Only advanced exercise significantly reduced the risk for poor mental health among women, but not for men, compared to physical inactivity., CONCLUSIONS: The results do not directly support the hypothesis of a preventive mental health effect by access to the green qualities. However, the additive effect of serene nature to physical activity contributed to better mental health at follow-up. This tendency was equal for both sexes, but statistically significant only for women.Objective landscape assessments may be important in detangling geographic determinants of health. This study stresses the importance of considering interaction effects when dealing with disorders of multifactorial background. DA - 2012/// PY - 2012 VL - 12 SP - 337 SN - 1471-2458 UR - https://dx.doi.org/10.1186/1471-2458-12-337 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Logistic Models KW - Cohort Studies KW - Social Conditions KW - Sex Factors KW - Age Factors KW - Longitudinal Studies KW - Socioeconomic Factors KW - Stress, Psychological/ep [Epidemiology] KW - *Exercise/px [Psychology] KW - *Health Status Indicators KW - *Residence Characteristics KW - *Environment Design KW - *Mental Health KW - Sweden KW - Diagnostic and Statistical Manual of Mental Disorders KW - Mental Disorders/et [Etiology] KW - Healthcare Disparities KW - Mental Disorders/ep [Epidemiology] KW - Mental Disorders/px [Psychology] KW - Mental Health/sn [Statistics & Numerical Data] KW - Financing, Personal KW - eppi-reviewer4 KW - Social Mobility/ec [Economics] KW - Social Mobility/sn [Statistics & Numerical Data] ER - TY - JOUR TI - [Relationship between living arrangements and stroke in Sano-Kosei General Hospital] AU - Anno Takayuki AU - Matsumoto Eiji AU - Watanabe Eiju AU - Nakamura Yoshikazu T2 - No shinkei geka. Neurological surgery AB - We retrospectively reviewed the relationship between living arrangements and stroke in Sano-Kosei General Hospital, for the 3-year period from December, 2007 to November, 2010. The proportion of live-alone among stroke patients was 14.9% (131/877). The indirect standardized live-alone ratio (95% confidence interval), compared with Sano city's live-alone ratio as a standard group, was 1.34 (1.13-1.60). Among live-alone patients with stroke, sex ratio showed no significant difference (p=0.46). Comparing live-alones with non-live-alones in stroke patients, the mean age of live-alones was younger for men, but older for women (p<0.001). There was no significant difference between living arrangements and diseases risk factors. However, on the point of the mean number of risk factors, live-alones tended to have more risk factors than non-live-alones (p=0.032). Therefore, living arrangements are considered as an important factor for prevention of stroke. DA - 2011/// PY - 2011 VL - 39 IS - 11 SP - 1055 EP - 9 SN - 0301-2603 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med7&NEWS=N&AN=22036816 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Retrospective Studies KW - Japan KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - *Stroke/ep [Epidemiology] KW - eppi-reviewer4 KW - Stroke/pc [Prevention & Control] ER - TY - JOUR TI - Vitamin D and Subjective Memory Complaint in Community-Dwelling Older Adults. AU - Annweiler Cedric AU - Doineau Lise AU - Gerigne Lucie AU - Provendier Anais AU - Karras Spyridon N AU - Beauchet Olivier AU - Fantino Bruno AU - Duval Guillaume T T2 - Current Alzheimer research AB - BACKGROUND: Older adults with hypovitaminosis D report more often subjective cognitive complaints, especially with regards to memory. This raises prospects that vitamin D may improve older adults' subjective experience of memory disorders., OBJECTIVE: To determine among older community-dwellers whether higher serum 25- hydroxyvitamin D (25OHD) concentrations were associated with fewer memory complaints, while considering different subtypes of memory complaints., METHOD: One hundred eighty Caucasian community-dwellers with memory complaint and no dementia (mean+/-standard deviation, 71.1+/-3.4years; 33.3%female) from the French 'EVATEM study' were included in this analysis. Subjective memory complaints regarding memory lapses, problems learning new information, problems finding words, problems calculating and problems concentrating were assessed using a standardized questionnaire. Participants were categorized according to the highest tertile of serum 25OHD (i.e., >=68nmol/L). Age, gender, body mass index, morbidities burden, use of vitamin D supplements, cognitive performance, mood, serum concentrations of calcium, parathyroid hormone and vitamin B12, creatinine clearance, and season of evaluation were used as potential confounders., RESULTS: Compared to participants with 25OHD<68nmol/L (n=121), those with 25OHD>=68nmol/L had less often problems learning new information (P=0.027). There were no between-group differences for the other memory complaints. The highest 25OHD tertile was cross-sectionally associated with fewer problems learning new information (odds ratio (OR)=0.48, P=0.029), even after adjustment for potential confounders (OR=0.32, P=0.039)., CONCLUSION: Higher vitamin D status was associated with reduced problems memorizing new information in older community-dwellers. This novel finding provides a scientific base for vitamin D replacement trials attempting to improve older patients' subjective experience of cognitive decline. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org. DA - 2018/// PY - 2018 DO - 10.2174/1567205015666180201153735 VL - 15 IS - 7 SP - 664 EP - 670 SN - 1567-2050 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29422004 KW - Female KW - Humans KW - Male KW - Aged KW - Independent Living KW - Cross-Sectional Studies KW - Perception KW - Biomarkers/bl [Blood] KW - Vitamin D/bl [Blood] KW - Diagnostic Self Evaluation KW - Vitamin D Deficiency/bl [Blood] KW - *Vitamin D/aa [Analogs & Derivatives] KW - eppi-reviewer4 KW - *Memory Disorders/bl [Blood] KW - Vitamin D Deficiency/px [Psychology] ER - TY - JOUR TI - Nurse charged with poisoning AU - Anonymous T2 - Nursing times DA - 2000/// PY - 2000 VL - 96 IS - 35 SP - 7 SN - 0954-7762 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=11968378 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - *Nursing Homes/st [Standards] KW - *Geriatric Nursing KW - England KW - Homes for the Aged KW - eppi-reviewer4 KW - *Homicide KW - *Poisoning ER - TY - JOUR TI - From the Centers for Disease Control and Prevention. Outbreak of pneumococcal pneumonia among unvaccinated residents of a nursing home--New Jersey, April 2001 AU - Anonymous T2 - JAMA DA - 2001/// PY - 2001 VL - 286 IS - 13 SP - 1570 EP - 1 SN - 0098-7484 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=11759631 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Disease Outbreaks KW - Pneumococcal Vaccines/ad [Administration & Dosage] KW - eppi-reviewer4 KW - *Pneumonia, Pneumococcal/ep [Epidemiology] KW - New Jersey/ep [Epidemiology] KW - Streptococcus pneumoniae/cl [Classification] KW - Streptococcus pneumoniae/de [Drug Effects] KW - Vaccination/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Summaries for patients. Preventing falls in assisted living facilities. AU - Anonymous T2 - Annals of internal medicine DA - 2002/// PY - 2002 VL - 136 IS - 10 SP - I50 SN - 0003-4819 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc3&NEWS=N&AN=12020159 KW - Humans KW - Outcome Assessment (Health Care) KW - Aged KW - Aged, 80 and over KW - *Accidental Falls/pc [Prevention & Control] KW - Exercise KW - *Frail Elderly KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - Sweden KW - eppi-reviewer4 KW - Allied Health Personnel/ed [Education] KW - Drug-Related Side Effects and Adverse Reactions KW - Protective Devices KW - Self-Help Devices/sd [Supply & Distribution] ER - TY - JOUR TI - Health implications of animal hoarding. AU - Anonymous T2 - Health & social work AB - Animal hoarding is a poorly understood phenomenon, the public health implications of which are not well documented. In this study, professionals dealing with hoarding cases submitted 71 case report forms. The hoarders' residences were characterized by extreme clutter and poor sanitation that impaired ability to maintain functional households. Appliances and utilities were frequently nonfunctional, and animal excrement sometimes accumulated to the extent that the homes were unfit for human habitation. The majority of cases satisfied criteria for adult self-neglect, and dependent elderly people, children, or disabled individuals were present in many of the residences. Animal hoarding may be a sentinel for a range of medical, social, and economic problems. More research addressing the causes and features of animal hoarding is needed to shed light on appropriate interventions. DA - 2002/// PY - 2002 VL - 27 IS - 2 SP - 125 EP - 36 SN - 0360-7283 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc2&NEWS=N&AN=12079167 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Public Health KW - Surveys and Questionnaires KW - United States/ep [Epidemiology] KW - Health Surveys KW - Socioeconomic Factors KW - Animals KW - *Residence Characteristics KW - *Mental Disorders/ep [Epidemiology] KW - Canada/ep [Epidemiology] KW - Toilet Facilities KW - Mental Disorders/px [Psychology] KW - *Environmental Exposure/sn [Statistics & Numerical Data] KW - Household Articles KW - eppi-reviewer4 KW - *Animals, Domestic KW - *Bonding, Human-Pet KW - *Sanitation/sn [Statistics & Numerical Data] KW - Animals, Domestic/mi [Microbiology] KW - Animals, Domestic/px [Psychology] KW - Equipment Contamination KW - Equipment Failure ER - TY - JOUR TI - New patron shows her support for care charity AU - Anonymous T2 - Nursing older people AB - The Duchess of Gloucester met staff and volunteers at the London headquarters of the Elizabeth Finn Trust recently for the first time since becoming its new patron. The trust offers financial support to more than 1,900 British and Irish people in need living at home, and provides long-term care to 500 older people in its care homes and alms houses. The trust's founder was a 19th century social campaigner in the mould of Florence Nightingale and Elizabeth Fry. She established the trust which now bears her name in 1897 at the age of 72 as the Distressed Gentlefolk's Association. Pictured with the Duchess of Gloucester is the trust's director of homes, Sharon Blackburn. DA - 2004/// PY - 2004 VL - 15 IS - 10 SP - 5 SN - 1472-0795 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=27750560 KW - eppi-reviewer4 ER - TY - JOUR TI - Nursing home 'understaffed' death results: damages awarded. Case on point: Rose Care Inc. v. Ross, 2005 WL 1283679 S.W.3d-AR AU - Anonymous T2 - Nursing law's Regan report DA - 2005/// PY - 2005 VL - 46 IS - 1 SP - 2 SN - 1528-848X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16047730 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Nursing Assistants/og [Organization & Administration] KW - *Homes for the Aged/lj [Legislation & Jurisprudence] KW - *Nursing Homes/lj [Legislation & Jurisprudence] KW - eppi-reviewer4 KW - *Nursing Staff/og [Organization & Administration] KW - Arkansas KW - *Nursing Staff/lj [Legislation & Jurisprudence] KW - *Personnel Staffing and Scheduling/lj [Legislation & Jurisprudence] KW - Fatal Outcome ER - TY - JOUR TI - [Detection and management of malnutrition in the elderly] AU - Anonymous T2 - Mangelernahrung im Alter erkennen und handeln. DA - 2005/// PY - 2005 VL - 43 IS - 1-3 SP - 49 SN - 0174-108X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=15912839 KW - Humans KW - Curriculum KW - Aged KW - Middle Aged KW - Practice Guidelines as Topic KW - Cross-Sectional Studies KW - Nursing Homes/sn [Statistics & Numerical Data] KW - *Frail Elderly KW - Frail Elderly/sn [Statistics & Numerical Data] KW - Incidence KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Home Nursing/sn [Statistics & Numerical Data] KW - *Education, Nursing, Continuing KW - Protein-Energy Malnutrition/di [Diagnosis] KW - Protein-Energy Malnutrition/th [Therapy] KW - eppi-reviewer4 KW - *Education, Medical, Continuing KW - *Nursing Diagnosis KW - *Nutritional Sciences/ed [Education] KW - *Protein-Energy Malnutrition/nu [Nursing] KW - Protein-Energy Malnutrition/ep [Epidemiology] ER - TY - JOUR TI - The aged care puzzle AU - Anonymous T2 - The Queensland nurse AB - The aged care industry continues to be dogged by scandal with almost daily reports of facilities failing accreditation and frequent reports of abuse of older people making national headlines. In an election year aged care is also shaping up to be a major political issue. In February, the announcement of a $1.5 billion funding injection into aged care so early in the 'unofficial' election campaign indicates just how sensitive the issue is for the incumbent government. The funding boost to the aged care sector has generally been welcomed but is the government shying away from addressing some of the complex fundamental problems in aged care? DA - 2007/// PY - 2007 VL - 26 IS - 4 SP - 8 EP - 10 SN - 0815-936X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=17879600 KW - Humans KW - Aged KW - Health Expenditures KW - Australia KW - Workforce KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Salaries and Fringe Benefits KW - *Health Services for the Aged/og [Organization & Administration] KW - Personnel Staffing and Scheduling KW - Queensland KW - Politics KW - eppi-reviewer4 KW - *Nursing Staff/og [Organization & Administration] KW - *Health Care Reform KW - Facility Regulation and Control ER - TY - JOUR TI - Nurses ignore Dr.'s orders for insulin regimen-death results. Case on point: Rush v. Senior Citizens Nursing Home District, (11/21/2006) S.W.3d -MO AU - Anonymous T2 - Nursing law's Regan report DA - 2007/// PY - 2007 VL - 47 IS - 8 SP - 2 SN - 1528-848X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=17310604 KW - Female KW - Humans KW - Male KW - Aged KW - Nursing Homes KW - Homes for the Aged KW - Hypoglycemic Agents/tu [Therapeutic Use] KW - Alzheimer Disease/co [Complications] KW - *Insulin/tu [Therapeutic Use] KW - Hypoglycemic Agents/ad [Administration & Dosage] KW - eppi-reviewer4 KW - Fatal Outcome KW - *Diabetes Complications/dt [Drug Therapy] KW - *Insulin/ad [Administration & Dosage] KW - *Nursing Staff, Hospital/lj [Legislation & Jurisprudence] KW - Malpractice/lj [Legislation & Jurisprudence] ER - TY - JOUR TI - Deplorable nursing called "the worst case of neglect" AU - Anonymous T2 - Nursing law's Regan report DA - 2007/// PY - 2007 VL - 47 IS - 9 SP - 2 SN - 1528-848X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=17390919 KW - Humans KW - Male KW - Aged, 80 and over KW - *Geriatric Nursing/lj [Legislation & Jurisprudence] KW - Tennessee KW - Nursing Homes/lj [Legislation & Jurisprudence] KW - eppi-reviewer4 KW - Elder Abuse KW - *Malpractice/lj [Legislation & Jurisprudence] KW - Homes for the Aged/lj [Legislation & Jurisprudence] ER - TY - JOUR TI - Assessing functional decline AU - Anonymous T2 - Nursing older people AB - Adequate hospital care for older people with acute medical disorders requires assessment to detect those patients at highest risk of functional decline. Specialist multidisciplinary care and early planning for discharge and follow up are vital to prevent loss of independence and maintain quality of life. Delaying functional loss and increasing the chances of living at home are at least as important as reducing fatality in frail older people. DA - 2009/// PY - 2009 VL - 21 IS - 3 SP - 13 SN - 1472-0795 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem1&NEWS=N&AN=27741840 KW - eppi-reviewer4 ER - TY - JOUR TI - Summaries for patients. Preventing falls in older adults who live in community settings: U.S. Preventive Services Task Force recommendation AU - Anonymous T2 - Annals of internal medicine DA - 2012/// PY - 2012 VL - 157 IS - 3 SP - I EP - 40 SN - 1539-3704 0003-4819 UR - https://dx.doi.org/10.7326/0003-4819-157-3-201208070-00468 KW - Humans KW - Aged KW - Risk Assessment KW - Independent Living KW - *Accidental Falls/pc [Prevention & Control] KW - Exercise KW - Age Factors KW - Physical Therapy Modalities KW - Dietary Supplements KW - Vitamin D/ad [Administration & Dosage] KW - eppi-reviewer4 ER - TY - JOUR TI - [Agitation and aggressive behavior in demented patients: pain therapy improves behavioral problems] AU - Anonymous T2 - Agitation und aggressives Verhalten bei dementen Patienten: Schmerztherapie verbessert Verhaltensauffalligkeiten. DA - 2012/// PY - 2012 VL - 154 IS - 1 SP - 76 EP - 7 SN - 1438-3276 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med8&NEWS=N&AN=22642013 KW - Humans KW - Randomized Controlled Trials as Topic KW - Aged KW - Aged, 80 and over KW - Nursing Homes KW - Dose-Response Relationship, Drug KW - *Alzheimer Disease/dt [Drug Therapy] KW - Homes for the Aged KW - *Alzheimer Disease/px [Psychology] KW - *Analgesics, Opioid/ad [Administration & Dosage] KW - Administration, Cutaneous KW - *Psychomotor Agitation/dt [Drug Therapy] KW - eppi-reviewer4 KW - *Aggression/de [Drug Effects] KW - *Buprenorphine/ad [Administration & Dosage] KW - *Psychomotor Agitation/px [Psychology] ER - TY - JOUR TI - Aged care: restraint case lessons must be heeded AU - Anonymous T2 - Nursing New Zealand (Wellington, N.Z. : 1995) DA - 2013/// PY - 2013 VL - 19 IS - 5 SP - 36 SN - 1173-2032 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med9&NEWS=N&AN=23919234 KW - Humans KW - Male KW - Aged, 80 and over KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Geriatric Nursing/mt [Methods] KW - New Zealand KW - *Dementia/nu [Nursing] KW - *Restraint, Physical KW - Human Rights KW - *Geriatric Nursing/og [Organization & Administration] KW - eppi-reviewer4 ER - TY - JOUR TI - [The world of the oldest old: is the effectiveness of an intervention measurable? Geriatric occupational therapy program created by a group of nurses as described by Paola D'Ovidio and Francesca Perego] AU - Anonymous T2 - Il mondo degli AmA (Anziani molto Anziani): si puo misurare l'efficacia di un intervento? AB - A group of women who assumed the role of providing an integration of the routine care of a nursing home through the activation of various laboratories (from writing, to painting, to manual activities, to music), report on the criteria and the methodologies of their intervention, as well as the results obtained, over a period of three years, by giving a central place to the testimony of the "oldest old" population. The narrative of this experience is proposed not only as a strategy which can be reproduced but also as a methodology of evaluation for a setting which could be hardly assessed with standardized instruments based on quantitative rules and scores. DA - 2013/// PY - 2013 VL - 32 IS - 1 SP - 46 EP - 53 SN - 1592-5986 UR - https://dx.doi.org/10.1702/1267.13991 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Quality of Life KW - *Homes for the Aged KW - *Nursing Homes KW - Geriatric Assessment KW - *Geriatric Nursing/mt [Methods] KW - Motor Activity KW - Aging KW - *Occupational Therapy/mt [Methods] KW - Health Promotion/mt [Methods] KW - *Occupational Therapy/og [Organization & Administration] KW - Depression/pc [Prevention & Control] KW - eppi-reviewer4 KW - *Geriatric Nursing/td [Trends] KW - *Program Development KW - Health Promotion/td [Trends] KW - Music Therapy/mt [Methods] KW - Occupational Therapy/nu [Nursing] KW - Paintings KW - Rome KW - Writing ER - TY - JOUR TI - [Qigong in the Hofmatt in Munchenstein/BL home for the aged and nursing home. Strong as a bear] AU - Anonymous T2 - Qigong im Alters- und Pflegeheim Hofmatt in Munchenstein/BL. Kraftig wie ein Bar. DA - 2014/// PY - 2014 VL - 107 IS - 9 SP - 20 EP - 1 SN - 0253-0465 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med10&NEWS=N&AN=25327121 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Accidental Falls/pc [Prevention & Control] KW - *Muscle Strength KW - *Homes for the Aged KW - *Nursing Homes KW - Switzerland KW - Quality of Life/px [Psychology] KW - eppi-reviewer4 KW - *Qigong/nu [Nursing] KW - Qigong/px [Psychology] ER - TY - JOUR TI - 5 steps to adapt your home as you age. Modifying doorknobs, doorways, and railings now will help you live there longer AU - Anonymous T2 - Harvard health letter DA - 2014/// PY - 2014 VL - 39 IS - 7 SP - 1 EP - 7 SN - 1052-1577 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med10&NEWS=N&AN=25073185 KW - Humans KW - Disabled Persons KW - Accidental Falls/pc [Prevention & Control] KW - *Housing for the Elderly/st [Standards] KW - *Aged KW - *Architectural Accessibility KW - *Interior Design and Furnishings/st [Standards] KW - Budgets KW - eppi-reviewer4 ER - TY - JOUR TI - Medical Spending of the Elderly AU - Anonymous T2 - National Bureau of Economic Research bulletin on aging and health DA - 2015/// PY - 2015 IS - 2 SP - 2 EP - 3 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26812895 KW - Female KW - Humans KW - Male KW - United States KW - Health Care Surveys KW - *Aged KW - *Medicaid/ec [Economics] KW - *Medicare/ec [Economics] KW - Homes for the Aged/ec [Economics] KW - Terminal Care/ec [Economics] KW - Financing, Personal KW - *Aged, 80 and over KW - eppi-reviewer4 KW - *Health Expenditures KW - *Health Services for the Aged/ec [Economics] KW - *Insurance Coverage/ec [Economics] KW - *Insurance, Medigap/ec [Economics] KW - Deductibles and Coinsurance ER - TY - JOUR TI - Dehydration risk very high in care home residents AU - Anonymous T2 - Nursing times DA - 2015/// PY - 2015 VL - 111 IS - 4 SP - 5 SN - 0954-7762 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26016105 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Prevalence KW - *Homes for the Aged KW - *Nursing Homes KW - Incidence KW - *Dehydration/ep [Epidemiology] KW - eppi-reviewer4 ER - TY - JOUR TI - Exercise useful for elderly women. AU - Anonymous T2 - Prescrire international AB - In a randomized trial in elderly women living at home who had fallen during the previous year, regular exercise reduced the incidence of falls resulting in injury. Routine vitamin D supplementation did not. DA - 2016/// PY - 2016 VL - 25 IS - 175 SP - 246 SN - 1167-7422 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30645834 KW - Female KW - Humans KW - Treatment Outcome KW - Randomized Controlled Trials as Topic KW - Aged KW - Aged, 80 and over KW - Independent Living KW - *Accidental Falls/pc [Prevention & Control] KW - Sex Factors KW - Age Factors KW - *Exercise Therapy KW - Dietary Supplements KW - Aging KW - eppi-reviewer4 KW - Cholecalciferol/ad [Administration & Dosage] ER - TY - JOUR TI - Oral health-related quality of life in an aging Canadian population AU - Anonymous T2 - Nursing older people AB - Measuring oral health-related quality of life (QOL) reflects that dentistry interventions aim to improve life rather than merely prolong life. DA - 2016/// PY - 2016 VL - 28 IS - 7 SP - 13 SN - 1472-0795 UR - https://dx.doi.org/10.7748/nop.28.7.13.s16 KW - Humans KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Surveys and Questionnaires KW - Logistic Models KW - *Independent Living KW - *Quality of Life KW - *Oral Health KW - Canada KW - *Long-Term Care KW - *Health Status KW - *Health Services Accessibility KW - *Dental Care for Aged KW - eppi-reviewer4 ER - TY - JOUR TI - Aged Care Complaints Commissioner assumes control AU - Anonymous T2 - Australian nursing & midwifery journal DA - 2016/// PY - 2016 VL - 23 IS - 7 SP - 13 SN - 2202-7114 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med12&NEWS=N&AN=27035028 KW - Humans KW - Aged KW - Aged, 80 and over KW - Australia KW - *Homes for the Aged/st [Standards] KW - *Nursing Homes/st [Standards] KW - *Patient Satisfaction KW - *Quality Assurance, Health Care/st [Standards] KW - *State Medicine/st [Standards] KW - eppi-reviewer4 ER - TY - JOUR TI - Poor outdoor access linked to depression AU - Anonymous T2 - Nursing older people AB - Lack of access to gardens and outdoor spaces could harm care home residents' mental health, a study published in The Gerontologist has found. DA - 2017/// PY - 2017 VL - 29 IS - 6 SP - 6 SN - 1472-0795 UR - https://dx.doi.org/10.7748/nop.29.6.6.s3 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - United Kingdom KW - Surveys and Questionnaires KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - *Environment Design KW - *Health Facility Environment KW - *Depressive Disorder/et [Etiology] KW - *Depressive Disorder/th [Therapy] KW - eppi-reviewer4 KW - *Gardens/og [Organization & Administration] ER - TY - JOUR TI - Malnutrition in care homes should not be overlooked AU - Anonymous T2 - Nursing older people AB - In this issue of Nursing Older People we take a detailed look at three important areas of practice: nutritional health, end of life care, and the diagnosis, prevention and treatment of urinary tract infections (UTIs). Nutrition and, conversely, malnutrition are significant issues for older people. DA - 2017/// PY - 2017 VL - 29 IS - 2 SP - 5 SN - 1472-0795 UR - https://dx.doi.org/10.7748/nop.29.2.5.s1 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - United Kingdom KW - Prevalence KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Nutrition Assessment KW - Nutritional Status KW - *Malnutrition/ep [Epidemiology] KW - *Urinary Tract Infections/di [Diagnosis] KW - *Urinary Tract Infections/th [Therapy] KW - Urinary Tract Infections/pc [Prevention & Control] KW - eppi-reviewer4 ER - TY - JOUR TI - Beloved Old Age and What to Do About It: Margery Allingham's The Relay Handed on to Julia Jones Jones Julia Beloved Old Age and What to Do About It: Margery Allingham's The Relay Handed on to Julia Jones 192pp 10.99 Golden Duck 9781899262298 1899262296 [Formula: see text] AU - Anonymous T2 - Nursing standard (Royal College of Nursing (Great Britain) : 1987) AB - This book offers the perspectives of two people caring for older family members: novelist Margery Allingham in the 1950s and her biographer Julia Jones, whose mother is in her nineties and currently living in supported housing. DA - 2017/// PY - 2017 VL - 31 IS - 43 SP - 34 SN - 2047-9018 0029-6570 UR - https://dx.doi.org/10.7748/ns.31.43.34.s37 KW - eppi-reviewer4 ER - TY - JOUR TI - Beloved Old Age and What to Do About It: Margery Allingham's The Relay Handed on to Julia Jones Beloved Old Age and What to Do About It: Margery Allingham's The Relay Handed on to Julia Jones 192pp 10.99 Golden Duck 9781899262298 1899262296 [Formula: see text] AU - Anonymous T2 - Nursing older people AB - This book offers the perspectives of two people caring for older family members: novelist Margery Allingham in the 1950s and her biographer Julia Jones, whose mother is in her nineties and living in supported housing, today. DA - 2017/// PY - 2017 VL - 29 IS - 5 SP - 15 SN - 1472-0795 UR - https://dx.doi.org/10.7748/nop.29.5.15.s19 KW - eppi-reviewer4 ER - TY - JOUR TI - Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Older Adults: Recommendation Statement. AU - Anonymous T2 - American family physician DA - 2018/// PY - 2018 VL - 98 IS - 4 SP - Online SN - 0002-838X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30215983 KW - Female KW - Humans KW - Male KW - Aged KW - *Independent Living KW - Physical Therapy Modalities KW - Fractures, Bone/pc [Prevention & Control] KW - *Risk Assessment/mt [Methods] KW - Fractures, Bone/et [Etiology] KW - Dietary Supplements KW - Vitamin D/ad [Administration & Dosage] KW - *Calcium KW - *Fractures, Bone KW - Primary Prevention/mt [Methods] KW - Vitamins/ad [Administration & Dosage] KW - eppi-reviewer4 KW - *Osteoporosis, Postmenopausal/pc [Prevention & Control] KW - *Vitamin D KW - Calcium/ad [Administration & Dosage] KW - Calcium/ae [Adverse Effects] KW - Osteoporosis, Postmenopausal/co [Complications] KW - Vitamin D/ae [Adverse Effects] KW - Vitamins/ae [Adverse Effects] ER - TY - JOUR TI - Interventions to Prevent Falls in Community-Dwelling Older Adults: Recommendation Statement. AU - Anonymous T2 - American family physician DA - 2018/// PY - 2018 VL - 98 IS - 4 SP - Online SN - 0002-838X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30215972 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - *Accidental Falls/pc [Prevention & Control] KW - *Independent Living KW - *Geriatric Assessment/mt [Methods] KW - Exercise KW - *Risk Assessment/mt [Methods] KW - *Mobility Limitation KW - Physical Functional Performance KW - Early Medical Intervention/mt [Methods] KW - *Physical Therapy Modalities KW - eppi-reviewer4 ER - TY - JOUR TI - Simulating the impact of long-term care policy on family eldercare hours AU - Ansah John P AU - Matchar David B AU - Love Sean R AU - Malhotra Rahul AU - Do Young Kyung AU - Chan Angelique AU - Eberlein Robert T2 - Health services research AB - OBJECTIVE: To understand the effect of current and future long-term care (LTC) policies on family eldercare hours for older adults (60 years of age and older) in Singapore., DATA SOURCES: The Social Isolation Health and Lifestyles Survey, the Survey on Informal Caregiving, and the Singapore Government's Ministry of Health and Department of Statistics., STUDY DESIGN: An LTC Model was created using system dynamics methodology and parameterized using available reports and data as well as informal consultation with LTC experts., PRINCIPAL FINDINGS: In the absence of policy change, among the elderly living at home with limitations in their activities of daily living (ADLs), the proportion of those with greater ADL limitations will increase. In addition, by 2030, average family eldercare hours per week are projected to increase by 41 percent from 29 to 41 hours. All policy levers considered would moderate or significantly reduce family eldercare hours., CONCLUSION: System dynamics modeling was useful in providing policy makers with an overview of the levers available to them and in demonstrating the interdependence of policies and system components. Copyright © Health Research and Educational Trust. DA - 2013/// PY - 2013 VL - 48 IS - 2 Pt 2 SP - 773 EP - 91 SN - 1475-6773 0017-9124 UR - https://dx.doi.org/10.1111/1475-6773.12030 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Time Factors KW - Singapore KW - *Cost of Illness KW - Caregivers/td [Trends] KW - *Activities of Daily Living/cl [Classification] KW - Long-Term Care/ec [Economics] KW - *Caregivers/ec [Economics] KW - eppi-reviewer4 KW - *Health Policy/ec [Economics] KW - *Home Health Aides/ec [Economics] KW - *Homemaker Services/ec [Economics] KW - Health Policy/td [Trends] KW - Home Health Aides/td [Trends] KW - Homemaker Services/td [Trends] ER - TY - JOUR TI - Association between tooth loss and orodigestive cancer mortality in an 80-year-old community-dwelling Japanese population: a 12-year prospective study AU - Ansai Toshihiro AU - Takata Yutaka AU - Yoshida Akihiro AU - Soh Inho AU - Awano Shuji AU - Hamasaki Tomoko AU - Sogame Akira AU - Shimada Naoko T2 - BMC public health AB - BACKGROUND: A growing body of evidence has indicated a possible association between oral and gastrointestinal (orodigestive) cancers and periodontal disease or tooth loss. However, the evidence remains contradictory. This study investigated whether tooth loss, which is indicative of poor oral health and a potential source of oral infections, is associated with death from orodigestive cancer., METHODS: The study included 656 subjects in Fukuoka prefecture, Japan, who were 80 years old at baseline in 1998. All subjects underwent oral clinical examination and answered a questionnaire to determine their background characteristics. Cause of death over the 12-year follow-up was recorded from the registers at the Public Health Centers and classified according to the WHO International Classification of Diseases. Statistical analysis of associations was performed using Kaplan-Meier and Cox multivariate regression analyses., RESULTS: A significant association was observed between tooth loss (continuous variable) and cancer death (hazard ratio (HR): 1.03, 95% confidence interval (CI): 1.00-1.07), after adjustment for potential confounders, including sex and smoking status. However, that association became insignificant in the fully adjusted model. On the other hand, tooth loss was significantly associated with orodigestive cancer (HR: 1.06, 95% CI: 1.01-1.13), even in the fully adjusted model including place of residence as a part of socioeconomic status., CONCLUSIONS: This study provides the first evidence in a prospective study in a Japanese population that tooth loss is associated with increased orodigestive cancer mortality, although the causality remains unclear. DA - 2013/// PY - 2013 VL - 13 SP - 814 SN - 1471-2458 UR - https://dx.doi.org/10.1186/1471-2458-13-814 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Risk Assessment KW - Surveys and Questionnaires KW - Independent Living KW - *Geriatric Assessment/mt [Methods] KW - Oral Health KW - Japan KW - Prospective Studies KW - Incidence KW - Proportional Hazards Models KW - Dental Health Surveys KW - *Tooth Loss/ep [Epidemiology] KW - Survival Analysis KW - Confidence Intervals KW - Sensitivity and Specificity KW - *Cause of Death KW - Kaplan-Meier Estimate KW - eppi-reviewer4 KW - *Digestive System Neoplasms/mo [Mortality] KW - *Mouth Neoplasms/mo [Mortality] KW - Digestive System Neoplasms/di [Diagnosis] KW - Digestive System Neoplasms/ep [Epidemiology] KW - Mouth Neoplasms/di [Diagnosis] KW - Mouth Neoplasms/ep [Epidemiology] ER - TY - JOUR TI - Relationship between balance and dual task walking in the very elderly. AU - Ansai Juliana Hotta AU - Aurichio Thais Rabiatti AU - Rebelatto José Rubens T2 - Geriatrics & Gerontology International AB - Aim To investigate the relationship between balance and dual task performance in adults aged over 80 years, and to analyze possible differences between fallers and non-fallers in dual task performance. Methods An observational cross-sectional study was carried out at the Federal University of São Carlos ( Brazil). We assessed 67 community-dwelling older adults aged over 80 years who were able to walk. The volunteers were divided into groups of fallers and non-fallers. The one-leg standing and tandem tests were used to assess balance. Dual task was assessed by the Timed Up and Go test, associated with a motor task ( TUGT-motor) and a cognitive task ( TUGT-cognitive). Statistical analyses were carried out, and the significance level was set at α = 5%. Results Significant correlations were found between balance and dual task variables. Fallers took significantly more time and steps on both the TUGT-motor and the TUGT-cognitive, with no significant differences on balance tests between groups. Conclusions Recognizing the influence of dual task walking on balance and fall risk could help health professionals to prevent falls in older adults, as well as optimize assessment and intervention planning. Geriatr Gerontol Int 2016; 16: 89-94. DA - 2016/01// PY - 2016 DO - 10.1111/ggi.12438 VL - 16 IS - 1 SP - 89 EP - 94 SN - 1444-1586 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112083397&site=ehost-live&scope=site KW - Female KW - Male KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Descriptive Statistics KW - Community Living KW - Cross Sectional Studies KW - Nonexperimental Studies KW - Accidental Falls -- In Old Age KW - Balance, Postural -- In Old Age KW - Exercise Test -- Methods KW - One Leg Stand ER - TY - JOUR TI - Obstructive sleep apnea syndrome: complaints and housing characteristics in a population in the United States AU - Ansarin Khalil AU - Sahebi Leyla AU - Sabur Siamak T2 - Sao Paulo medical journal = Revista paulista de medicina AB - CONTEXT AND OBJECTIVE Obstructive sleep apnea syndrome (OSAS) is one of the leading causes of morbidity and mortality in adults. Early detection of the disorder and discovery of risk factors through standardized questionnaires will lead to reduction of the OSAS burden. The main aim of this study was to estimate the prevalence of OSAS symptoms and examine their association with housing characteristics. DESIGN AND SETTING Cross-sectional study at a medical school. METHODS Demographic, housing and body measurement data on 5,545 individuals aged 16 years and over of various races were selected from the National Health and Nutrition Examination Survey. We analyzed the probability of OSAS based on habitual snoring combined with daytime sleepiness and/or witnessed apnea. Univariate and multiple linear regression were used. RESULTS 9.8% of the men and 6.9% of the women reported symptoms suggestive of OSAS (habitual snoring, daytime sleepiness and/or apnea). The following prevalences of symptoms were found among males and females respectively: frequent snoring 35.1%, 22.3%, excessive daytime sleepiness 6.4%, 3.4% and frequent apnea 14.9%, 20.6%. Using multiple linear regression, OSAS symptoms were correlated with gender, age, body mass index (BMI), marital status and education. Regarding housing characteristics, mildew or musty smell and pets in the environment were associated with a high probability of OSAS. CONCLUSION OSAS symptoms were more prevalent than in developing countries. The environment was an important risk factor, but environmental factors are easier to control and manage than other variables like BMI or socioeconomic status. DA - 2013/// PY - 2013 VL - 131 IS - 4 SP - 220 EP - 7 SN - 1806-9460 1516-3180 UR - https://dx.doi.org/10.1590/1516-3180.2013.1314451 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Young Adult KW - Middle Aged KW - Surveys and Questionnaires KW - Prevalence KW - Time Factors KW - United States/ep [Epidemiology] KW - Cross-Sectional Studies KW - Sex Factors KW - Age Factors KW - *Housing KW - Socioeconomic Factors KW - Body Mass Index KW - Sex Distribution KW - Linear Models KW - *Disorders of Excessive Somnolence/ep [Epidemiology] KW - eppi-reviewer4 KW - *Sleep Apnea, Obstructive/ep [Epidemiology] KW - Apnea/ep [Epidemiology] KW - Sleep Apnea, Obstructive/et [Etiology] KW - Snoring/ep [Epidemiology] ER - TY - JOUR TI - Associations between social vulnerability, employment conditions and hazardous alcohol consumption in Chile AU - Ansoleaga Elisa AU - Castillo-Carniglia Alvaro T2 - Drug and alcohol review AB - INTRODUCTION AND AIMS: Studies from many different countries have found associations between alcohol use, employment and social context. The aim of this study was to investigate associations between hazardous alcohol consumption (HAC), social vulnerability and employment conditions among Chilean adults., DESIGN AND METHODS: A cross-sectional study, involving analysis of the 2008 National Survey on Drugs in Chile, was conducted on 8316 economically active men and women aged between 18 and 65 years, who completed the alcohol section of the survey. The participants were selected randomly and data collected through face-to-face interviews. Multilevel analysis was used to achieve the study's objectives. The Alcohol Use Disorders Identification Test was used to define HAC., RESULTS: There were no significant associations between HAC and employment status or occupational category when controlling for potential confounders. Using the social services sector as a reference, the adjusted odds ratio (95% confidence interval) of HAC was 2.60 (1.96-3.46) for those who worked in construction, 2.03 (1.43-2.89) in mining, 1.74 in agriculture (1.16-2.63) and in industry (1.26-2.39), 1.73 (1.31-2.28) in trade, 1.67 (1.29-2.16) in other services and 1.42 (1.01-2.00) in transport. There was no association between the socioeconomic status of the participant's neighbourhood and HAC in the fully adjusted model. The perception of neighbourhood security (third quartile of insecurity) was associated with HAC (odds ratio 1.22; 95% confidence interval 1.02-1.46)., DISCUSSION AND CONCLUSIONS: HAC was independently associated with the participant's economic sector and perception of neighbourhood security in Chilean adults. It is important to perform in-depth analyses of contextual effects on individual alcohol consumption. Copyright © 2012 Australasian Professional Society on Alcohol and other Drugs. DA - 2013/// PY - 2013 VL - 32 IS - 3 SP - 254 EP - 61 SN - 1465-3362 0959-5236 UR - https://dx.doi.org/10.1111/j.1465-3362.2012.00522.x KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Cross-Sectional Studies KW - Socioeconomic Factors KW - *Residence Characteristics KW - *Alcohol Drinking/ep [Epidemiology] KW - *Social Environment KW - Alcohol Drinking/ae [Adverse Effects] KW - *Population Surveillance/mt [Methods] KW - eppi-reviewer4 KW - *Alcohol Drinking/ec [Economics] KW - *Employment/ec [Economics] KW - Chile/eh [Ethnology] ER - TY - JOUR TI - Normative data on neuropsychological tests for very old adults living in retirement villages and hostels AU - Anstey K J AU - Matters B AU - Brown A K AU - Lord S R T2 - The Clinical neuropsychologist AB - Normative data on neuropsychological tests for very old adults living in retirement villages and hostels are under-represented in the literature. This study reports normative data on the Mini-Mental State Examination, Digit Span Forwards, Digit Span Backwards, the Digit Symbol Substitution Test, the Controlled Oral Word Association Test, the Stroop Neuropsychological Screening Test and the National Adult Reading Test. Age and education showed moderate correlations with neuropsychological test performance. For all tests except the Stroop, differences between residents of retirement villages and hostels were explained by age and education. Men performed better on the NART than women, but this difference was eliminated when education was controlled for statistically. DA - 2000/// PY - 2000 VL - 14 IS - 3 SP - 309 EP - 17 SN - 1385-4046 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=11262706 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Age Factors KW - Severity of Illness Index KW - Educational Status KW - *Residential Facilities KW - Aging KW - *Neuropsychological Tests KW - *Retirement KW - Reference Values KW - *Cognition Disorders/di [Diagnosis] KW - eppi-reviewer4 ER - TY - JOUR TI - Anticipated Engagement in a Village Organization for Aging in Place. AU - Gammonley Denise AU - Kelly Annette AU - Purdie Robert T2 - Journal of Social Service Research AB - Although older adults prefer maintaining residence independently in the community as they grow older it is not always possible due to impairments, isolation, and changing health needs. Villages, an emerging consumer-directed care model providing social engagement and services, support aging in place. To be viable organizations villages must attract and enroll sufficient numbers of members. This study examined factors associated with older adults anticipated engagement as a village member. Using a cross-sectional survey design community residing older adults (N = 193) identified predisposing, enabling, and need factors associated with anticipated engagement. Participants rated anticipated engagement between "Slightly Unlikely" and "Likely" (Mean = 2.71, SD = 1.31). A model including predisposing and enabling factors produced the best overall fit [−2 Log likelihood = 246.514, χ2(8) = 20.414, p. =.008] correctly classifying 61.1% of cases and explaining 13.4% of the variance according to the Nagelkerke R2 statistic. Older adults who engage in preventative health behaviors may be predisposed to joining a village as well as those who are already engaging in supportive acts of neighboring. Villages might consider these factors in designing outreach and service programing. Future research should identify how factors such as income and personal health practices contribute to interest in village membership. [ABSTRACT FROM AUTHOR] Copyright of Journal of Social Service Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) VL - 45 IS - 4 SP - 498 EP - 506 SN - 01488376 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=136978739&site=ehost-live&scope=site KW - aging in place KW - eppi-reviewer4 KW - Hispanic Americans KW - Discipline KW - Ethnic differences KW - health behavior KW - health services use KW - Parenting education KW - Racial differences KW - village ER - TY - JOUR TI - Antioxidants lower risk of Alzheimer disease. T2 - ACOG Clinical Review DA - 2002/12// PY - 2002 VL - 7 IS - 10 SP - 11 EP - 12 SN - 1085-6862 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106622458&site=ehost-live&scope=site KW - Prospective Studies KW - Netherlands KW - Diet KW - Diet Records KW - eppi-reviewer4 KW - Middle Age KW - Community Living KW - Alzheimer's Disease -- Risk Factors KW - Antioxidants KW - Ascorbic Acid KW - Vitamin E ER - TY - JOUR TI - Antipsychotics show differing risks of mortality in community-living elderly. T2 - Brown University Psychopharmacology Update DA - 2014/11// PY - 2014 VL - 25 IS - 11 SP - 1 EP - 7 SN - 1068-5308 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103909295&site=ehost-live&scope=site KW - Aged KW - Mortality KW - eppi-reviewer4 KW - Research KW - Aged, 80 and Over KW - Community Living -- In Old Age KW - Schizophrenia -- Drug Therapy KW - Antipsychotic Agents -- Adverse Effects -- In Old Age KW - Antipsychotic Agents -- Therapeutic Use -- In Old Age KW - Bipolar Disorder -- Drug Therapy KW - Dementia -- Drug Therapy KW - Neoplasms -- Drug Therapy ER - TY - JOUR TI - Development and validation of the Cognitive Inventory of subjective distress AU - Antoine Pascal AU - Antoine Christine AU - Nandrino Jean-Louis T2 - International journal of geriatric psychiatry AB - OBJECTIVES: This study was aimed at exploring some of the facets of psychological distress during aging, and at validating an inventory, the Cognitive Inventory of Subjective Distress (CISD) for assessing this kind of distress., METHODS: An inventory of thoughts representing distress schemas was administered to 298 elderly subjects living at home or in a center., RESULTS: Factor analyses suggested retaining 29 items. They explained 62% of the total variance and corresponded to seven distinct facets: abandonment, dependency, disengagement, fear of losing control, loss of individuality, refusal of help, and vulnerability. These dimensions turned out to be relatively independent of each other and moderately correlated with measures of depression and anxiety. The internal consistency and temporal reliability of the seven scales are good., CONCLUSION: The CISD is an original tool for assessing psychological distress. It is geared to old and very old individuals living in a center for the elderly, and its design takes the fatiguability and cognitive heterogeneity of this population into account. This inventory can also be used for psychopathological assessment and can serve as a baseline for following patients over time or in the course of therapy. Copyright (c) 2008 John Wiley & Sons, Ltd. DA - 2008/// PY - 2008 VL - 23 IS - 11 SP - 1175 EP - 81 SN - 1099-1166 0885-6230 UR - https://dx.doi.org/10.1002/gps.2051 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Aging/ph [Physiology] KW - Psychometrics KW - *Surveys and Questionnaires KW - Anxiety Disorders/px [Psychology] KW - Depressive Disorder/px [Psychology] KW - *Aging/px [Psychology] KW - Pilot Projects KW - France KW - *Depressive Disorder/di [Diagnosis] KW - Personality Inventory KW - eppi-reviewer4 KW - *Anxiety Disorders/di [Diagnosis] ER - TY - JOUR TI - [Strategies to improve influenza vaccination coverage in Primary Health Care] AU - Anton F AU - Richart M J AU - Serrano S AU - Martinez A M AU - Pruteanu D F T2 - Estrategias para mejorar la cobertura de la vacunacion antigripal en Atencion Primaria. AB - INTRODUCTION: Vaccination coverage reached in adults is insufficient, and there is a real need for new strategies., OBJECTIVE: To compare strategies for improving influenza vaccination coverage in persons older than 64 years., PATIENTS AND METHODS: New strategies were introduced in our health care centre during 2013-2014 influenza vaccination campaign, which included vaccinating patients in homes for the aged as well as in the health care centre. A comparison was made on vaccination coverage over the last 4 years in 3 practices of our health care centre: P1, the general physician vaccinated patients older than 64 that came to the practice; P2, the general physician systematically insisted in vaccination in elderly patients, strongly advising to book appointments, and P3, the general physician did not insist., RESULTS: These practices looked after P1: 278; P2: 320; P3: 294 patients older than 64 years. Overall/P1/P2/P3 coverages in 2010: 51.2/51.4/55/46.9% (P=NS), in 2011: 52.4/52.9/53.8/50.3% (P=NS), in 2012: 51.9/52.5/55.3/47.6% (P=NS), and in 2013: 63.5/79.1/59.7/52.7 (P=.000, P1 versus P2 and P3; P=NS between P2 and P3). Comparing the coverages in 2012-2013 within each practice P1 (P=.000); P2 (P=.045); P3 (P=.018). In P2 and P3 all vaccinations were given by the nurses as previously scheduled. In P3, 55% of the vaccinations were given by the nurses, 24.1% by the GP, 9.7% rejected vaccination, and the remainder did not come to the practice during the vaccination period (October 2013-February 2014)., CONCLUSIONS: The strategy of vaccinating in the homes for the aged improved the vaccination coverage by 5% in each practice. The strategy of "I've got you here, I jab you here" in P1 improved the vaccination coverage by 22%. Copyright © 2014 Sociedad Espanola de Medicos de Atencion Primaria (SEMERGEN). Publicado por Elsevier Espana, S.L.U. All rights reserved. DA - 2016/// PY - 2016 VL - 42 IS - 3 SP - 147 EP - 51 SN - 1578-8865 1138-3593 UR - https://dx.doi.org/10.1016/j.semerg.2015.02.014 KW - Female KW - Humans KW - Male KW - Aged KW - Spain KW - *Vaccination/sn [Statistics & Numerical Data] KW - Patient Acceptance of Health Care/sn [Statistics & Numerical Data] KW - *Primary Health Care/mt [Methods] KW - Homes for the Aged KW - Practice Patterns, Physicians' KW - *Influenza, Human/pc [Prevention & Control] KW - eppi-reviewer4 KW - *Influenza Vaccines/ad [Administration & Dosage] KW - General Practitioners/og [Organization & Administration] KW - Immunization Programs/mt [Methods] ER - TY - JOUR TI - Non-Invasive Ambient Intelligence in Real Life: Dealing with Noisy Patterns to Help Older People. AU - Anton Miguel Angel AU - Ordieres-Mere Joaquin AU - Saralegui Unai AU - Sun Shengjing T2 - Sensors (Basel, Switzerland) AB - This paper aims to contribute to the field of ambient intelligence from the perspective of real environments, where noise levels in datasets are significant, by showing how machine learning techniques can contribute to the knowledge creation, by promoting software sensors. The created knowledge can be actionable to develop features helping to deal with problems related to minimally labelled datasets. A case study is presented and analysed, looking to infer high-level rules, which can help to anticipate abnormal activities, and potential benefits of the integration of these technologies are discussed in this context. The contribution also aims to analyse the usage of the models for the transfer of knowledge when different sensors with different settings contribute to the noise levels. Finally, based on the authors' experience, a framework proposal for creating valuable and aggregated knowledge is depicted. DA - 2019/// PY - 2019 DO - 10.3390/s19143113 VL - 19 IS - 14 SN - 1424-8220 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=31337132 KW - eppi-reviewer4 ER - TY - JOUR TI - How functional disability relates to dentition in community-dwelling older adults in Brazil. AU - Antunes JLF AU - Andrade FB AU - Peres MA T2 - Oral Diseases AB - Objective To assess the association between dentition status and functional disabilities among community-dwelling older individuals. Subjects and methods A total of 5012 individuals aged 65-74 were interviewed in 2013 during a nationwide community-based survey. This cross-sectional study used a questionnaire including information on dentition, locomotion impairment, difficulties in basic and instrumental activities of daily life, socio-demographic characteristics, behaviour and general health status. Poisson regression models assessed prevalence ratios (PR) and 95% confidence intervals (95% CI). Results About 31.3% of older people in Brazil reported having ≥21 preserved teeth, the condition for a functional dentition without prosthetic appliances. This proportion was significantly lower among individuals with locomotion impairment and difficulties in basic and instrumental activities of daily life. After adjusting for relevant covariates, functional dentition remained statistically associated with severe (PR = 0.69, 95% CI = 0.15-0.63) and total (PR = 0.69, 95% CI = 0.26-0.44) locomotion impairments, and difficulties in basic activities of daily life (PR = 0.70, 95% CI = 0.53-0.93). Conclusion Having a functional dentition was significantly less prevalent among those affected by functional disabilities, and this association is unlikely to be due to insufficient control for relevant covariates. The association between dentition and functional disability is bidirectional and involves a complex interplay of one upon the other, and of factors that influence both outcomes. DA - 2017/01// PY - 2017 DO - 10.1111/odi.12580 VL - 23 IS - 1 SP - 97 EP - 101 SN - 1354-523X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120127720&site=ehost-live&scope=site KW - Aged KW - Brazil KW - Dentition KW - Poisson Distribution KW - eppi-reviewer4 KW - Human KW - Interviews KW - Questionnaires KW - Funding Source KW - Surveys KW - Community Living KW - Cross Sectional Studies KW - Chi Square Test ER - TY - JOUR TI - Anxiety symptoms and alcohol use: a longitudinal analysis of length of time in mutual help recovery homes. AU - Aase DM AU - Jason LA AU - Ferrari JR AU - Groh DR AU - Alvarez J AU - Olson BD AU - Davis MI T2 - International Journal of Self Help & Self Care AB - Anxiety often co-occurs with alcohol abuse and predicts both the initial development of alcohol abuse problems and relapse among individuals in recovery. Individuals with comorbid substance abuse and anxiety symptoms may benefit from mutual-help environments, as these settings offer an increased amount of social support for individuals in recovery. Because symptoms of anxiety predict higher rates of relapse, mutually-supportive environments that potentially buffer anxiety might serve as beneficial recovery settings. This study examines anxiety symptoms and alcohol use over a 1-year period among a sample of adults in self-governed, communal-living recovery homes for substance abuse. We explore whether staying in a supportive recovery environment for 6 months or longer was associated with lower levels of anxiety and alcohol use over time. Findings indicate that individuals who remained for at least 6 months report significantly lower anxiety symptoms and rates of alcohol use over time. The implications of these findings are discussed. VL - 4 IS - 1-2 SP - 21 EP - 35 SN - 1091-2851 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105706239&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - United States KW - Adolescence KW - Time Factors KW - Sex Factors KW - Prospective Studies KW - Comorbidity KW - Analysis of Variance KW - Self Report KW - Multivariate Analysis KW - Rehabilitation Centers KW - Psychological Tests KW - eppi-reviewer4 KW - Human KW - Interviews KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Support, Psychosocial KW - Funding Source KW - Descriptive Statistics KW - Treatment Duration KW - Chi Square Test KW - Coefficient Alpha KW - Multivariate Analysis of Covariance KW - T-Tests KW - Checklists KW - Univariate Statistics KW - Alcohol Abuse -- Rehabilitation KW - Anxiety Disorders -- Rehabilitation KW - Diagnosis, Dual (Psychiatry) KW - Substance Use Rehabilitation Programs ER - TY - JOUR TI - [Association between physical function and musculoskeletal pain in community-dwelling elderly people]. AU - Anzai Saori AU - Shiba Yoshitaka AU - Haga Hiroshi T2 - Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics AB - AIM: To examine the associations among the presence, level, and the duration of pain, the number of painful areas and physical function in elderly patients., METHODS: The participants in this study were 351 men and women aged 75 years orolder who were living in the community. Participants were interviewed about the presence, level, number of painful areas and duration of pain. Physical function was self-assessed using a questionnaire., RESULTS: The presence of pain was higher in women than men. No significant differences in the level, number of affected areas and duration of pain were observed between men and women. Physical function was significantly associated with the presence of pain (odds ratio[OR]: 1.75), presence of pain in the upper and lower extremities (OR: 5.15), pain in more than 3 areas of the body (OR: 11.56), presence of strong pain (OR: 4.65), and pain with a duration of over 5 years (OR: 3.35)., CONCLUSION: It is insufficient to assess the association between physical function and pain solely by the presence of pain. These findings suggest that it is necessary to assess the association between physical function and pain by the presence and level of pain, number of painful areas and duration of pain. DA - 2012/// PY - 2012 VL - 49 IS - 2 SP - 234 EP - 40 SN - 0300-9173 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=23268874 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - *Motor Activity KW - eppi-reviewer4 KW - *Musculoskeletal Pain/ep [Epidemiology] KW - Musculoskeletal Pain/pp [Physiopathology] ER - TY - JOUR TI - [Methods of coping with musculoskeletal pain among community-dwelling elderly individuals]. AU - Anzai Saori AU - Sato Miyuki AU - Ikeda Shinpei AU - Shiba Yoshitaka AU - Yoshida Hiroto AU - Haga Hiroshi AU - Ueki Shouzoh T2 - [Nihon koshu eisei zasshi] Japanese journal of public health AB - Objectives Musculoskeletal pain impairs vital function and results in a requirement for long-term care. According to studies in other countries, a program that aims at reducing pain through instructions for pain-coping should be implemented. In Japan, a study on pain-coping has recently been initiated; however, the methods of coping with pain that are implemented by community-dwelling elderly individuals have not been evaluated. This study aimed to clarify the methods currently used for coping with musculoskeletal pain and to examine their association with the state of pain among community-dwelling elderly individuals. Methods A survey was performed by sending questionnaires by mail to 2,281 community-dwelling elderly individuals. Responses were obtained from 1,835 people. The survey items consisted of questions about basic attributes and pain. A total of 16 questionnaire items regarding the methods of coping with pain were used for measuring pain-coping that community-dwelling elderly individuals use. The methods of coping with pain were classified into various types by factor analysis. The scores were calculated by type and their association with the state of pain was analyzed using one-way analysis of variance. Results As a result of the factor analysis, methods of coping with pain were classified into five categories: "treatment in hospitals," "daily active coping," "restriction of daily behavior," "self-therapy," and "rest." From one-way analysis of variance for the site of pain, there was a significant difference between the "treatment in hospitals" and "restriction of daily behavior" categories. Among both scores, a higher score was observed in subjects with pain in both the lower back and the knee, compared to those with only pain in the lower back or the knee. Among the number of the sites, there was a significant difference between the "treatment in hospitals," "restriction of daily behavior," and "self-therapy" categories; subjects exhibiting two or more sites of pain showed a higher score than those exhibiting one site of pain. For pain duration, there was a significant difference between the "treatment in hospitals," "restriction of daily behavior," and "self-therapy" categories; subjects who had experienced pain for 5 years or longer had a higher score than those who had experienced pain for less than 6 months. Conclusion We found that five types of methods of coping with pain ("treatment in hospitals," "daily active coping," "restriction of daily behavior," "self-therapy," and "rest") were used by community-dwelling elderly individuals and that "treatment in hospitals" and "restriction of daily behavior" were the most common strategies among elderly individuals with pain. DA - 2018/// PY - 2018 DO - 10.11236/jph.65.2_61 VL - 65 IS - 2 SP - 61 EP - 71 SN - 0546-1766 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29618700 KW - Female KW - Humans KW - Male KW - Aged KW - Surveys and Questionnaires KW - Independent Living KW - Activities of Daily Living KW - Adaptation, Psychological KW - eppi-reviewer4 KW - *Musculoskeletal Pain/di [Diagnosis] ER - TY - JOUR TI - Relationship between Homocysteine, Folate, Vitamin B12 and Physical Performance in the Institutionalized Elderly. AU - Ao Misora AU - Inuiya Nao AU - Ohta Junko AU - Kurose Satoshi AU - Takaoka Hiroko AU - Abe Yasusei AU - Niki Naho AU - Inoue Shino AU - Tanaka Shinzo AU - Miyawaki Takashi AU - Tanaka Kiyoshi T2 - Journal of nutritional science and vitaminology AB - Hyperhomocysteinemia causes various diseases including cardiovascular disease, osteoporotic fracture and dementia. Although there have been reports that hyperhomocysteinemia decreases physical performance, findings are inconsistent on the association of homocysteine, folate, vitamin B12 and physical performance. Considering that lower physical performance increases the risk of fall and fracture in the elderly, the effect of nutritional status on physical function must be clarified. This is a cross-sectional study conducted from April 2015 to November 2016. Eighty-six residents and users in five care facilities were evaluated for their blood homocysteine, folate and vitamin B12 concentrations and indices for physical performance; lower limb muscle strength, handgrip strength and gait speed. Analyses of physical performance were done in women only, considering the high proportion of women in the study population and the muscular gender difference. In the third tertile of plasma homocysteine concentration, handgrip strength was significantly lower than in the first tertile (p=0.027). In the first tertile of serum folate concentration, handgrip strength was significantly lower than in the third tertile (p=0.002). Although not statistically significant, lower limb muscle strength in the third tertile of folate was higher than in the first (p=0.061) and second (p=0.057) tertile. In the multiple regression analysis, however, only serum folate concentration was a significant contributor except for age. In subjects with their serum folate and vitamin B12 concentrations both exceeding the median, lower limb muscle strength was higher. Low serum folate concentration is a risk factor for lower physical performance independent of homocysteine in elderly women. DA - 2019/// PY - 2019 DO - 10.3177/jnsv.65.1 VL - 65 IS - 1 SP - 1 EP - 7 SN - 0301-4800 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30814404 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Sex Factors KW - Hand Strength KW - Nutritional Status KW - *Physical Functional Performance KW - Regression Analysis KW - Homes for the Aged KW - Lower Extremity/pp [Physiopathology] KW - Muscle Strength/ph [Physiology] KW - *Homocysteine/bl [Blood] KW - eppi-reviewer4 KW - *Folic Acid/bl [Blood] KW - *Hyperhomocysteinemia/pp [Physiopathology] KW - *Vitamin B 12/bl [Blood] KW - Hyperhomocysteinemia/bl [Blood] ER - TY - JOUR TI - The impact of exercise and vitamin D supplementation on physical function in community-dwelling elderly individuals: A randomized trial. AU - Aoki Kana AU - Sakuma Mayumi AU - Endo Naoto T2 - Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association AB - BACKGROUND: We investigated the impact of exercise and vitamin D supplementation on physical function and locomotor dysfunction in community-dwelling elderly individuals., METHODS: In total, 148 community-dwelling elderly individuals (aged >=60 years) who were not taking osteoporosis medications participated in a 24-week intervention. The participants were randomly divided into an exercise group, vitamin D group, and exercise and vitamin D group. The participants and outcome-assessing staff were not blinded to group assignment. Exercise comprised three daily sets each of single-leg standing (1 min/leg/set) and squatting (5-6 repetitions/set); vitamin D supplementation was 1000 IU/day. Participants were contacted every 2 weeks to check on their condition and encourage continued participation. The primary outcome was lower limb muscle strength and mass; secondary outcomes were several physical function measurements, serum 25-hydroxyvitamin D levels, and results of a self-assessment questionnaire completed pre- and post-intervention., RESULTS: We analyzed data from 45, 42, and 43 participants in the exercise, vitamin D, and exercise and vitamin D groups, respectively, who completed the intervention. Locomotive syndrome, which involves reduced mobility due to locomotive organ impairment, was diagnosed in 99 participants (76.2%). Many physical function measurements improved in all groups. Lower limb muscle mass increased significantly in all three groups, with no significant differences between the groups in the degree of change. The average serum 25-hydroxyvitamin D of all vitamin D-supplemented participants increased from 28.1 ng/ml to 47.3 ng/ml after vitamin D supplementation., CONCLUSIONS: Both exercise and vitamin D supplementation independently improved physical function and increased muscle mass in community-dwelling elderly individuals. Moreover, the combination of exercise and vitamin D supplementation might further enhance these positive effects., CLINICAL TRIAL REGISTRY: UMIN Clinical Trial, UMIN000028229. Copyright © 2018. Published by Elsevier B.V. DA - 2018/// PY - 2018 DO - 10.1016/j.jos.2018.03.011 VL - 23 IS - 4 SP - 682 EP - 687 SN - 0949-2658 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29705177 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Risk Assessment KW - Independent Living KW - Quality of Life KW - Cohort Studies KW - *Geriatric Assessment/mt [Methods] KW - Japan KW - Prognosis KW - *Exercise/ph [Physiology] KW - Dietary Supplements KW - Vitamin D/ad [Administration & Dosage] KW - *Muscle Strength/ph [Physiology] KW - Reference Values KW - *Physical Fitness/ph [Physiology] KW - *Vitamin D/aa [Analogs & Derivatives] KW - eppi-reviewer4 ER - TY - JOUR TI - The relationship between hypertension and nocturnal waking in community-dwelling elderly individuals AU - Aonuma Ryoko AU - Matsuda Hitomi T2 - Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics AB - AIM: This study aimed to clarify the relationship between hypertension and nocturnal waking among community-dwelling elderly individuals., SUBJECTS AND METHODS: The survey was performed by asking questions related to the basic attributes, lifestyle, sleep conditions and the health status of 422 elderly individuals who belonged to elderly clubs. The subjects were divided into a hypertension group and a non-hypertension group. The data were analyzed using Spearman's rank correlation coefficient and a logistic regression analysis., RESULTS: Two hundred of the 422 elderly individuals responded to the questions (response rate: 47.4%). The rate of obesity in the hypertension group was significantly higher (p=.01) than that in the non-hypertension group. The logistic regression analysis revealed that hypertension was associated with the BMI (OR=1.148, 95%CI: 1.022-1.289) and the number of nocturnal waking episodes (OR=1.449, 95%CI: 1.015-2.067). In the hypertension group, the number of nocturnal waking episodes was significantly correlated with age (rs=0.232), and the performance of volunteer activities was associated with a decreased number of nocturnal waking episodes (rs=-0.356)., CONCLUSIONS: It was shown that nocturnal waking and obesity were strongly associated with hypertension. The performance of volunteer activities was also correlated a decrease in the number of nocturnal waking episodes. Further studies should be performed to investigate the relationship between hypertension, the number of nocturnal waking episodes and sympathetic nerve activity. A greater number of physiological activities should be evaluated and the volunteer activities in which the elderly people participated should be precisely analyzed. DA - 2017/// PY - 2017 VL - 54 IS - 1 SP - 56 EP - 62 SN - 0300-9173 UR - https://dx.doi.org/10.3143/geriatrics.54.56 KW - Female KW - Humans KW - Male KW - Aged KW - Surveys and Questionnaires KW - Independent Living KW - eppi-reviewer4 KW - *Hypertension/pp [Physiopathology] KW - *Wakefulness/ph [Physiology] ER - TY - JOUR TI - Testing models of care for terminally ill people who live alone at home: is a randomised controlled trial the best approach? AU - Aoun Samar M AU - O'Connor Moira AU - Breen Lauren J AU - Deas Kathleen AU - Skett Kim T2 - Health & social care in the community AB - This project implemented and evaluated two models of care for terminally ill people living alone at home: installing personal alarms (PA) and providing extra care aide (CA) support. The primary aim was to assess the feasibility of using a randomised controlled trial (RCT) approach with this group. A secondary aim was to assess the potential impact of the models of care on the participants' quality of life, symptom distress, anxiety and depression, and perceived benefits and barriers to their use. The two models of care were piloted in collaboration with Silver Chain Hospice Care Service (SCHCS) in Western Australia during 2009-2010. Using a pilot RCT design, equal numbers of participants were randomised to receive extra CA time, PAs or standard care. Attrition reduced the sample size from 20 in each group to 12, 14 and 17 respectively. The intervention period was between 6 and 12 weeks depending on prognosis. The participants were functionally and psychologically well and the majority lived alone by choice. There were physical and psychological benefits associated with provision of the two models of care, particularly for the group supported by CAs in terms of improved sleeping and appetite. However, the impact was mostly not statistically significant due to small sample sizes. The study has highlighted two methodological challenges: the wide variation in the degree of living alone at home leading to complex inclusion criteria, and an RCT approach with attrition differing across groups and patients not wanting to be included in the assigned group. The RCT approach is not considered appropriate for the 'home alone' palliative care population that would have been better supported by providing each participant with a personalised model of care according to needs. However, the outcomes of the project have prompted changes in SCHCS practice when providing care to these patients. Copyright © 2012 Blackwell Publishing Ltd. DA - 2013/// PY - 2013 VL - 21 IS - 2 SP - 181 EP - 90 SN - 1365-2524 0966-0410 UR - https://dx.doi.org/10.1111/hsc.12002 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Australia KW - Home Nursing KW - Social Support KW - *Models, Organizational KW - Feasibility Studies KW - *Residence Characteristics KW - *Terminal Care/og [Organization & Administration] KW - eppi-reviewer4 KW - Clinical Alarms KW - Community Health Workers KW - Hospice and Palliative Care Nursing ER - TY - JOUR TI - Older people living alone at home with terminal cancer. AU - Aoun S AU - Deas K AU - Skett K T2 - European Journal of Cancer Care AB - This study describes the lived experiences of older people coping with terminal cancer and living alone, focusing on how they face challenges of the biographical life changes from their disease progression. Face-to-face semi-structured interviews were conducted in two phases with palliative care clients of a community-based service in Western Australia (2009-2011): Brief interviews with 43 cancer patients who live alone and then in-depth interviews with 8 of them. Using biographical disruption as the analytical framework for interpreting the qualitative data, four main themes emerged: Biographical disruption: adjusting to change; Biographical continuity: preserving normality; Biographical reconstruction: redefining normality; and Biographical closure: facing the end. Biographical disruption was a suitable framework for analysis, permitting identification of the biographical disruptions of the individual's world and the reframing that is undertaken by the individual to maintain autonomy and independence while acknowledging and accepting their closeness to death. Understanding the factors associated with the individual's need to maintain their own identity will enable nurses working with this population to tailor support plans that meet the individuals' needs while maintaining or restoring the person's sense of self. Interventions that directly address end-of-life suffering and bolster sense of dignity and personhood need to be considered. DA - 2016/05// PY - 2016 DO - 10.1111/ecc.12314 VL - 25 IS - 3 SP - 356 EP - 364 SN - 0961-5423 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114883725&site=ehost-live&scope=site KW - Female KW - Male KW - Developed Countries KW - Aged KW - Australia KW - Ethics KW - Demography KW - Age Factors KW - Data Collection KW - Aging KW - Marriage KW - Palliative Care KW - eppi-reviewer4 KW - Human KW - Questionnaires KW - Funding Source KW - Descriptive Statistics KW - Community Living KW - Life Experiences KW - Conceptual Framework KW - Data Analysis KW - After Care KW - Cancer Patients -- Evaluation KW - Chronic Disease -- Complications KW - Hospice Care KW - Terminally Ill Patients -- Evaluation ER - TY - JOUR TI - Psychotropic medication expenditures for community-dwelling elderly persons AU - Aparasu Rajender AU - Mort Jane AU - Brandt Heather T2 - Psychiatric services (Washington, D.C.) AB - Psychotropic medication expenditures for community-dwelling elderly persons in the United States were examined with the 1996 Medical Expenditure Panel Survey (MEPS). According to the MEPS, an estimated $1.07 billion US dollars was spent on psychotropic agents, and 53 percent of that was paid out of pocket. Antidepressants represented 61 percent of psychotropic expenditures. High expenditures were found for selective serotonin reuptake inhibitors ($469 million US dollars, or 44 percent of psychotropic expenditures), benzodiazepines ($241 million US dollars, or 22 percent), and tricyclic antidepressants ($119 million US dollars, or 11 percent). Estimates for psychotropic expenditures in 2002 totaled $1.41 billion US dollars after adjustment for inflation. Although psychotropic prescription costs were substantial, increased generic medication use and Medicare prescription plans could reduce the financial burden on elderly persons. DA - 2003/// PY - 2003 VL - 54 IS - 5 SP - 739 EP - 42 SN - 1075-2730 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=12719508 KW - Humans KW - United States KW - Aged KW - *Psychotropic Drugs/tu [Therapeutic Use] KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - *Mental Disorders/ec [Economics] KW - eppi-reviewer4 KW - *Mental Disorders/dt [Drug Therapy] KW - *Fees, Pharmaceutical/sn [Statistics & Numerical Data] KW - *Psychotropic Drugs/ec [Economics] ER - TY - JOUR TI - Risk of death in dual-eligible nursing home residents using typical or atypical antipsychotic agents AU - Aparasu Rajender R AU - Chatterjee Satabdi AU - Mehta Sandhya AU - Chen Hua T2 - Medical care AB - BACKGROUND: Antipsychotic use among dual-eligible nursing home residents is a concern for cost and safety considerations., OBJECTIVE: To examine the comparative risk of death in dual-eligible elderly nursing home residents using typical and atypical agents., METHODS: A retrospective cohort design matched on propensity score was used to examine the risk of death due to antipsychotic use among dual-eligible nursing home residents 65 years or older from four states. New typical and atypical users in nursing homes were followed for 6 months after the exposure without any censoring. The risk of death was modeled using the Cox proportional model and the extended Cox hazard model stratified on matched pairs based on propensity score., RESULTS: The unadjusted mortality rate was 18.42% for atypical antipsychotic users and 24.06% for typical antipsychotic users. The Cox proportional-hazards regression model revealed significant increased risk of death [hazard ratio (HR), 1.41; 95% confidence interval (CI), 1.27-1.57] among typical users when compared with atypical users. The extended Cox model, used due to the violation of proportional hazards assumption, revealed that risk of death was nearly twice as great among typical antipsychotic users within 40 days of antipsychotic treatment (HR, 1.81; 95% CI, 1.49-2.18) when compared with atypical users. However, moderate increase in risk (HR, 1.24; 95% CI, 1.09-1.42] was observed for 40-180 days of typical antipsychotic exposure., CONCLUSIONS: The use of typical antipsychotic agents was associated with highest risk of all-cause mortality within 40 days of typical antipsychotic use when compared with atypical use, and the risk decreased after 40 days among dual-eligible elderly nursing home residents. DA - 2012/// PY - 2012 VL - 50 IS - 11 SP - 961 EP - 9 SN - 1537-1948 0025-7079 UR - https://dx.doi.org/10.1097/MLR.0b013e31826ec185 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Retrospective Studies KW - Time Factors KW - United States/ep [Epidemiology] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Proportional Hazards Models KW - *Antipsychotic Agents/ad [Administration & Dosage] KW - *Medicare/sn [Statistics & Numerical Data] KW - *Mortality KW - Kaplan-Meier Estimate KW - *Medicaid/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Antipsychotic Agents/cl [Classification] ER - TY - JOUR TI - Association between food and nutrient intakes and cognitive capacity in a group of institutionalized elderly people AU - Aparicio Vizuete AU - Aranzazu AU - Robles Francisco AU - Rodriguez-Rodriguez Elena AU - Lopez-Sobaler Ana Maria AU - Ortega Rosa Maria T2 - European journal of nutrition AB - BACKGROUND: Some authors have indicated that the cognitive decline may be due to an inadequate nutritional status., AIM OF STUDY: To determine the association between food and nutrient intakes and cognitive capacity score in a group of institutionalized elderly people., METHODS: The study subjects were 178 elderly (> or = 65 years of age) institutionalized people from the Madrid region. The diets of these subjects were recorded using the precise weighing method over a 7-day period, and their cognitive capacity assessed using the Short Portable Mental Status Questionnaire (SPMSQ). Subjects were grouped into those who did not incur errors (SPMSQ = 0) and who incurred one or more errors (SPMSQ > 0). Since an association was seen between the SPMSQ test score and age (r = 0.2030; p < 0.01), the subjects were also grouped according to whether they were above or below the percentile 50 (P(50)) for this variable (83 years)., RESULTS: The subjects with no errors in the SPMSQ test (32%) consumed greater quantities of cereals, eggs, oils, and fats. After adjusting for energy intake and educational level an inverse association was seen between fish and vegetable consumption and cognitive capacity score. In addition, these subjects had greater intakes of carbohydrates, polyunsaturated fatty acids, riboflavin, and vitamins C, D, and E. After adjusting for energy intake, a negative relationship was found between cognitive capacity score and the intake of fibre, vitamin B(6), and folic acid., CONCLUSION: In general, the subjects of our study showed an adequate mental capacity, but those who made no errors in the SPMSQ test had more satisfactory diets. This shows the importance of the diet in the maintenance of cognitive function. DA - 2010/// PY - 2010 VL - 49 IS - 5 SP - 293 EP - 300 SN - 1436-6215 1436-6207 UR - https://dx.doi.org/10.1007/s00394-009-0086-y KW - Female KW - Humans KW - Male KW - Aged KW - Surveys and Questionnaires KW - Nursing Homes KW - *Cognition/ph [Physiology] KW - Institutionalization KW - Educational Status KW - Animals KW - Vegetables KW - *Diet KW - Energy Intake KW - Dietary Carbohydrates/ad [Administration & Dosage] KW - Homes for the Aged KW - Vitamins/ad [Administration & Dosage] KW - Mental Status Schedule KW - *Nutritional Physiological Phenomena/ph [Physiology] KW - eppi-reviewer4 KW - Dietary Fats, Unsaturated/ad [Administration & Dosage] KW - Dietary Fats, Unsaturated/ae [Adverse Effects] KW - Dietary Fiber/ad [Administration & Dosage] KW - Fishes KW - Riboflavin/ad [Administration & Dosage] ER - TY - JOUR TI - Influence of the consumption of fruits and vegetables on the nutritional status of a group of institutionalized elderly persons in the Madrid region AU - Aparicio A AU - Andres P AU - Perea J M AU - Lopez-Sobaler A M AU - Ortega R M T2 - The journal of nutrition, health & aging AB - AIM: To determine the nutritional status in a group of institutionalized elderly people in the Madrid region of Spain, with respect to their consumption of fruits and vegetables., SETTING: The Madrid region, Spain., PARTICIPANTS: Men and women 65 years of age (n=180)., MEASUREMENTS: A dietetic study undertaken using the precise weighing method (7 consecutive days). Anthropometric and blood analysis data were also recorded. The study subjects were grouped according to whether or not they consumed the WHO/FAO-recommended amount of 400 g/day of fruits and vegetables., RESULTS: Mean fruit and vegetable consumption was 446.77 +/- 168.80 g/day. The subjects who consumed at least 400 g/day of these foods also took in the largest total weight of food, and had the largest macronutrient, fiber, vitamin and mineral intakes. They also had higher serum and erythrocyte folate concentrations and lower plasma homocysteine concentrations than those who consumed less than the recommended 400 g/day of fruits and vegetables., CONCLUSIONS: The subjects who consumed at least 400 g/day of fruits and vegetables generally showed a better nutritional status. It would be advisable that the consumption of such foods be relatively increased, especially by those who currently consume less than 400 g/day. DA - 2010/// PY - 2010 VL - 14 IS - 8 SP - 615 EP - 20 SN - 1760-4788 1279-7707 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med7&NEWS=N&AN=20922336 KW - Female KW - Humans KW - Male KW - Health Promotion KW - Aged KW - Aged, 80 and over KW - *Nutritional Status KW - Cross-Sectional Studies KW - Spain KW - *Homes for the Aged KW - Body Mass Index KW - Patient Compliance KW - Diet KW - Diet Records KW - Homocysteine/bl [Blood] KW - *Institutionalization KW - *Vegetables KW - eppi-reviewer4 KW - *Fruit KW - Erythrocytes/me [Metabolism] KW - Folic Acid/bl [Blood] ER - TY - JOUR TI - Dietary glycaemic load and odds of depression in a group of institutionalized elderly people without antidepressant treatment AU - Aparicio A AU - Robles F AU - Lopez-Sobaler A M AU - Ortega R M T2 - European journal of nutrition AB - BACKGROUND: Depression is a very common disorder in elderly, especially in those institutionalized. Nutrition could play an important role in the onset and/or progression of depression, since the intake of carbohydrates with a high glycaemic index (GI) or diets with a high glycaemic load (GL) may increase the insulin-induced brain serotonin secretion., OBJECTIVE: The aim of our study was to analyse the association between dietary GI and GL and the odds of suffering depression in institutionalized elderly people without antidepressant treatment., METHODS: This cross-sectional study included 140 institutionalized elderly people from the Madrid region (Spain) (65-90 years of age) whose diets were recorded using a precise weighing method over seven consecutive days. Energy and nutrient intakes were recorded and the GI and GL calculated. The participants' affective capacity was assessed using the Geriatric Depression Scale (GDS). Subjects were grouped into non-depressed (GDS <= 5) and depressed (GDS > 5). Since GDS scores and gender were statistically associated (p < 0.01), the data were grouped considering this association., RESULTS: Dietary GI (51.09 +/- 3.80) and GL (97.54 +/- 13.46) were considered as medium. The dietary GL was significantly higher in the non-depressed (100.00 +/- 12.13) compared with the depressed group (93.97 +/- 14.04, p < 0.01). However, a similar GI was observed between non-depressed (51.50 +/- 3.29) and depressed groups (50.52 +/- 4.46). Additionally, participants with a dietary GL placed in the second and third tertiles had a 67.4 % and 65.3 %, respectively, less odds of suffering depression than those in the first tertile. GDS scores and dietary GL were inversely related; therefore, an increase in one unit in the dietary GL scale decreased the GDS score by 0.058 units., CONCLUSIONS: Glyaemic load is associated with a lower odd of depression. DA - 2013/// PY - 2013 VL - 52 IS - 3 SP - 1059 EP - 66 SN - 1436-6215 1436-6207 UR - https://dx.doi.org/10.1007/s00394-012-0412-7 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Nursing Homes KW - Prevalence KW - Cognitive Dysfunction/ep [Epidemiology] KW - Cross-Sectional Studies KW - *Aging KW - Geriatric Assessment KW - Cognitive Dysfunction/pc [Prevention & Control] KW - Psychiatric Status Rating Scales KW - *Depression/ep [Epidemiology] KW - Depression/et [Etiology] KW - Spain/ep [Epidemiology] KW - Risk KW - Energy Intake KW - Homes for the Aged KW - Depression/pp [Physiopathology] KW - Cognitive Dysfunction/et [Etiology] KW - Depression/pc [Prevention & Control] KW - Models, Biological KW - eppi-reviewer4 KW - *Dietary Carbohydrates/me [Metabolism] KW - *Glycemic Index KW - Dietary Carbohydrates/ae [Adverse Effects] KW - Dietary Carbohydrates/tu [Therapeutic Use] ER - TY - JOUR TI - [Temporal and structural differences in the care of obese and non-obese people in nursing homes] AU - Apelt G AU - Ellert S AU - Kuhlmey A AU - Garms-Homolova V T2 - Zeitliche und strukturelle Unterschiede in der Pflege adiposer und nicht-adiposer Bewohner(innen) vollstationarer Pflegeeinrichtungen. AB - Obesity is a common disease in Germany. Although care facilities are confronted with an increasing number of obese people, the care of them in nursing homes is barely investigated. The present study examines the amount of work using the example of the activity of dressing obese and non-obese nursing home residents and discloses with its temporal and structural differences. In five nursing homes in Berlin a fully structured observational study based on a convenience sample was conducted. 48 nurses were observed while performing the activity of dressing 70 residents aged 65 years and older. The residents' demographic data and medical diagnoses were taken from the nursing records. Information about the functional/cognitive status and pain events were collected by using the interRAI Contact Assessment. Further data regarding the nurses were obtained through face-to-face interviews. The results show a significant correlation between Body Mass Index and the required time of dressing. No correlations exist between age, qualifications and nurses' level of education and the time of dressing. Structural differences in the care of obese and non-obese residents appear by changes of, single activity sequences. The care of the obese residents is associated with increased time requirements and structurally differs from the care of the non-obese residents. This should lead to further research because it has implications for staffing in nursing homes. DA - 2012/// PY - 2012 VL - 25 IS - 4 SP - 271 EP - 83 SN - 1012-5302 UR - https://dx.doi.org/10.1024/1012-5302/a000215 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Attitude of Health Personnel KW - Surveys and Questionnaires KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Nursing Homes KW - Body Mass Index KW - Disability Evaluation KW - *Time and Motion Studies KW - Obesity/ep [Epidemiology] KW - *Obesity/nu [Nursing] KW - *Activities of Daily Living/cl [Classification] KW - Nursing Staff KW - Berlin KW - eppi-reviewer4 KW - *Clothing KW - Clinical Nursing Research ER - TY - JOUR TI - Initial validation of the dimensions of home measure AU - Aplin Tammy AU - Chien Chi-Wen AU - Gustafsson Louise T2 - Australian occupational therapy journal AB - BACKGROUND: Research has established a need to consider further aspects of the home environment in home modification provision and evaluation. The Dimensions of Home Measure (DOHM) was developed as a self-report outcome measurement tool for home modification practice to meet this need. Its development was informed by a literature review and qualitative exploration which identified six dimensions of the home environment: the physical, social, personal, temporal, occupational and societal dimensions which contribute to one's experience of home. This paper reports the initial evaluation of the validity of the DOHM., METHOD: The DOHM was completed by 163 community dwelling older adults and people with disabilities. The Rasch measurement model was used to evaluate three aspects of construct validity: rating scale structure, unidimensionality and targeting., RESULTS: The five-point DOHM rating scale function was evaluated using Linacre's (2002) guidelines. The middle rating category did not function well, and this resulted in collapsing the rating scale from five to four points. The unidimensionality of the DOHM's subscales was supported by Rasch-based principal component analysis and item fit analysis. However, hierarchical results of item difficulties revealed significant gaps in each of the DOHM's subscales, indicating that more items will be needed to capture the full range of participant's experiences of home., CONCLUSION: The DOHM was developed to provide a relevant evaluation tool for home modification practice which comprehensively measures the home environment. This study identified preliminary validity of this tool, with revision and further psychometric validation required. Copyright © 2016 Occupational Therapy Australia. DA - 2016/// PY - 2016 VL - 63 IS - 1 SP - 47 EP - 56 SN - 1440-1630 0045-0766 UR - https://dx.doi.org/10.1111/1440-1630.12270 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Quality of Life KW - *Personal Satisfaction KW - Family Characteristics KW - *Housing/st [Standards] KW - Occupational Therapy/mt [Methods] KW - *Disabled Persons/rh [Rehabilitation] KW - Architectural Accessibility/mt [Methods] KW - *Architectural Accessibility/st [Standards] KW - *Occupational Therapy/st [Standards] KW - Personal Construct Theory KW - eppi-reviewer4 ER - TY - JOUR TI - The unique experience of home for parents and carers of children with disabilities. AU - Aplin Tammy AU - Thornton Heloise AU - Gustafsson Louise T2 - Scandinavian Journal of Occupational Therapy AB - The aim of this paper was to investigate the experience of home for parents and carers of children with disabilities in Australia. Data for this qualitative study were gathered using semi-structured interviews with four families living in their own homes. An inductive thematic analysis revealed two main themes. The first was titled ‘Aspects making everyday life easier’ explored the aspects of the home environment that facilitated home life for the child, including access to transport, services, family and home modifications. The second theme ‘Decisions and efforts to create opportunities for the child’ emphasized the efforts made by parents and carers to promote their child’s independence and participation including a strong consideration for their children’s future needs. The study indicated that the location of home, appropriate home modifications and planning for the future defined the experience of home for parents and carers. These findings identify some important considerations for occupational therapists when providing services in the homes of families with children who have a disability. DA - 2018/07// PY - 2018 DO - 10.1080/11038128.2017.1280079 VL - 25 IS - 4 SP - 260 EP - 266 SN - 1103-8128 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130443738&site=ehost-live&scope=site KW - Female KW - Male KW - Child KW - Adolescence KW - Aged KW - Child, Preschool KW - Australia KW - eppi-reviewer4 KW - Human KW - Thematic Analysis KW - Semi-Structured Interview KW - Secondary Analysis KW - Caregivers -- Psychosocial Factors KW - Home Environment -- Psychosocial Factors KW - Home Modification KW - Parents of Disabled Children -- Psychosocial Factors -- Australia ER - TY - JOUR TI - The effect of cognitive stimulation on nursing home elders: a randomized controlled trial AU - Apostolo Joao Luis Alves AU - Cardoso Daniela Filipa Batista AU - Rosa Ana Isabel AU - Paul Constanca T2 - Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing AB - PURPOSE: This paper describes the effectiveness of cognitive stimulation therapy (CST) on cognition and depressive symptoms in older adults in nursing homes (NHs)., DESIGN: A randomized controlled trial, carried out from 2012 to 2013, included 56 residents from four NHs, 36 women and 20 men (randomized into experimental and control groups). Eight participants dropped out., METHODS: Participants of the experimental group underwent 14 CST sessions (7 weeks) in groups of six to eight older adults, and participants of the control group received usual care. The Montreal Cognitive Assessment, the Geriatric Depression Scale-15, and the Barthel Index of activities of daily living (ADLs) were administered at baseline and postintervention., FINDINGS: Repeated measures revealed that CST increased cognition (F = 8.581; p = .005; partial eta squared = 0.157; power = 0.82). There were no statistically significant differences in depressive symptoms (F = 1.090; p = .302). Baseline level of ADLs did not affect the outcomes., CONCLUSIONS: CST had significantly improved cognition, explaining the 15.7% variability, but there was no statistical evidence of its effectiveness on depressive symptoms. This improvement was not affected by the baseline level of dependence-independence in ADLs., CLINICAL RELEVANCE: CST offers a range of activities, providing general stimulation for thinking, concentration, and memory, usually in a social setting. These results will support implementation of CST in NHs. In addition to the impact on elderly independence and autonomy, CST may also have an economic impact by reducing the direct costs of the impact of elders' cognitive frailty. Copyright © 2014 Sigma Theta Tau International. DA - 2014/// PY - 2014 VL - 46 IS - 3 SP - 157 EP - 66 SN - 1547-5069 1527-6546 UR - https://dx.doi.org/10.1111/jnu.12072 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - *Homes for the Aged KW - *Nursing Homes KW - *Depression/th [Therapy] KW - *Cognitive Behavioral Therapy/mt [Methods] KW - Cognition/ph [Physiology] KW - *Cognition Disorders/th [Therapy] KW - eppi-reviewer4 ER - TY - JOUR TI - Predicting risk and outcomes for frail older adults: an umbrella review of frailty screening tools. AU - Apostolo Joao AU - Cooke Richard AU - Bobrowicz-Campos Elzbieta AU - Santana Silvina AU - Marcucci Maura AU - Cano Antonio AU - Vollenbroek-Hutten Miriam AU - Germini Federico AU - Holland Carol T2 - JBI database of systematic reviews and implementation reports AB - BACKGROUND: A scoping search identified systematic reviews on diagnostic accuracy and predictive ability of frailty measures in older adults. In most cases, research was confined to specific assessment measures related to a specific clinical model., OBJECTIVES: To summarize the best available evidence from systematic reviews in relation to reliability, validity, diagnostic accuracy and predictive ability of frailty measures in older adults., INCLUSION CRITERIA POPULATION: Older adults aged 60 years or older recruited from community, primary care, long-term residential care and hospitals., INDEX TEST: Available frailty measures in older adults., REFERENCE TEST: Cardiovascular Health Study phenotype model, the Canadian Study of Health and Aging cumulative deficit model, Comprehensive Geriatric Assessment or other reference tests., DIAGNOSIS OF INTEREST: Frailty defined as an age-related state of decreased physiological reserves characterized by an increased risk of poor clinical outcomes., TYPES OF STUDIES: Quantitative systematic reviews., SEARCH STRATEGY: A three-step search strategy was utilized to find systematic reviews, available in English, published between January 2001 and October 2015., METHODOLOGICAL QUALITY: Assessed by two independent reviewers using the Joanna Briggs Institute critical appraisal checklist for systematic reviews and research synthesis., DATA EXTRACTION: Two independent reviewers extracted data using the standardized data extraction tool designed for umbrella reviews., DATA SYNTHESIS: Data were only presented in a narrative form due to the heterogeneity of included reviews., RESULTS: Five reviews with a total of 227,381 participants were included in this umbrella review. Two reviews focused on reliability, validity and diagnostic accuracy; two examined predictive ability for adverse health outcomes; and one investigated validity, diagnostic accuracy and predictive ability. In total, 26 questionnaires and brief assessments and eight frailty indicators were analyzed, most of which were applied to community-dwelling older people. The Frailty Index was examined in almost all these dimensions, with the exception of reliability, and its diagnostic and predictive characteristics were shown to be satisfactory. Gait speed showed high sensitivity, but only moderate specificity, and excellent predictive ability for future disability in activities of daily living. The Tilburg Frailty Indicator was shown to be a reliable and valid measure for frailty screening, but its diagnostic accuracy was not evaluated. Screening Letter, Timed-up-and-go test and PRISMA 7 (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) demonstrated high sensitivity and moderate specificity for identifying frailty. In general, low physical activity, variously measured, was one of the most powerful predictors of future decline in activities of daily living., CONCLUSION: Only a few frailty measures seem to be demonstrably valid, reliable and diagnostically accurate, and have good predictive ability. Among them, the Frailty Index and gait speed emerged as the most useful in routine care and community settings. However, none of the included systematic reviews provided responses that met all of our research questions on their own and there is a need for studies that could fill this gap, covering all these issues within the same study. Nevertheless, it was clear that no suitable tool for assessing frailty appropriately in emergency departments was identified. DA - 2017/// PY - 2017 DO - 10.11124/JBISRIR-2016-003018 VL - 15 IS - 4 SP - 1154 EP - 1208 SN - 2202-4433 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=28398987 KW - Humans KW - Risk Factors KW - Aged KW - Independent Living KW - *Geriatric Assessment/mt [Methods] KW - Exercise KW - *Frail Elderly KW - *Surveys and Questionnaires KW - *Predictive Value of Tests KW - Health Status Indicators KW - eppi-reviewer4 ER - TY - JOUR TI - Effectiveness of interventions to prevent pre-frailty and frailty progression in older adults: a systematic review. AU - Apóstolo João AU - Cooke Richard AU - Bobrowicz-Campos Elzbieta AU - Santana Silvina AU - Marcucci Maura AU - Cano Antonio AU - Vollenbroek-Hutten Miriam AU - Germini Federico AU - D'Avanzo Barbara AU - Gwyther Holly AU - Holland Carol T2 - JBI Database of Systematic Reviews & Implementation Reports AB - Objective: To summarize the best available evidence regarding the effectiveness of interventions for preventing frailty progression in older adults. Introduction: Frailty is an age-related state of decreased physiological reserves characterized by an increased risk of poor clinical outcomes. Evidence supporting the malleability of frailty, its prevention and treatment, has been presented. Inclusion criteria: The review considered studies on older adults aged 65 and over, explicitly identified as pre-frail or frail, who had been undergoing interventions focusing on the prevention of frailty progression. Participants selected on the basis of specific illness or with a terminal diagnosis were excluded. The comparator was usual care, alternative therapeutic interventions or no intervention. The primary outcome was frailty. Secondary outcomes included: (i) cognition, quality of life, activities of daily living, caregiver burden, functional capacity, depression and other mental health-related outcomes, self-perceived health and social engagement;(ii) drugs and prescriptions, analytical parameters, adverse outcomes and comorbidities;(iii) costs, and/or costs relative to benefits and/or savings associated with implementing the interventions for frailty. Experimental study designs, cost effectiveness, cost benefit, cost minimization and cost utility studies were considered for inclusion. Methods: Databases for published and unpublished studies, available in English, Portuguese, Spanish, Italian and Dutch, from January 2001 to November 2015, were searched. Critical appraisal was conducted using standardized instruments from the Joanna Briggs Institute. Data was extracted using the standardized tools designed for quantitative and economic studies. Data was presented in a narrative form due to the heterogeneity of included studies. Results: Twenty-one studies, all randomized controlled trials, with a total of 5275 older adults and describing 33 interventions, met the criteria for inclusion. Economic analyses were conducted in two studies. Physical exercise programs were shown to be generally effective for reducing or postponing frailty but only when conducted in groups. Favorable effects on frailty indicators were also observed after the interventions, based on physical exercise with supplementation, supplementation alone, cognitive training and combined treatment. Group meetings and home visits were not found to be universally effective. Lack of efficacy was evidenced for physical exercise performed individually or delivered one-to-one, hormone supplementation and problem solving therapy. Individually tailored management programs for clinical conditions had inconsistent effects on frailty prevalence. Economic studies demonstrated that this type of intervention, as compared to usual care, provided better value for money, particularly for very frail community-dwelling participants, and had favorable effects in some of the frailty-related outcomes in inpatient and outpatient management, without increasing costs. Conclusions: This review found mixed results regarding the effectiveness of frailty interventions. However, there is clear evidence on the usefulness of such interventions in carefully chosen evidence-based circumstances, both for frailty itself and for secondary outcomes, supporting clinical investment of resources in frailty intervention. Further research is required to reinforce current evidence and examine the impact of the initial level of frailty on the benefits of different interventions. There is also a need for economic evaluation of frailty interventions. DA - 2018/01// PY - 2018 DO - 10.11124/JBISRIR-2017-003382 VL - 16 IS - 1 SP - 140 EP - 232 SN - 2202-4433 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127438519&site=ehost-live&scope=site KW - Adult KW - Depression KW - Aged KW - Activities of Daily Living KW - Quality of Life KW - Cognition KW - Exercise KW - Comorbidity KW - Mental Health KW - eppi-reviewer4 KW - Human KW - Community Living KW - Caregiver Burden KW - Cost Benefit Analysis KW - Randomized Controlled Trials KW - Systematic Review KW - Experimental Studies KW - Cognitive Therapy KW - Frailty Syndrome -- Prevention and Control KW - Frailty Syndrome -- Therapy KW - Prescriptions, Drug ER - TY - JOUR TI - An Interregional, Transdisciplinary and Good Practice-Based Approach for Frailty: the Mind&Gait Project. AU - Apostolo J AU - Couto F AU - Bobrowicz-Campos E AU - Dixe M A AU - Ribeiro J AU - Brauna M AU - Camacho T AU - Santos-Rocha R AU - Parreira P AU - Cruz A AU - Malca C AU - Dantas C AU - Jegundo L AU - Marcelino L AU - Simoes M AU - Almeida M T2 - Translational medicine @ UniSa AB - Social facilities such residential structures and day-centres increasingly seek integrated, structured, adapted, creative, dynamic and economic strategies to prevent frailty. The arising need of an aged and frail population requires innovative interventions and products to prevent cognitive and physical decline. The interregional MIND&GAIT project aims to promote independent living in frail older adults by improving cognition and gait ability by using assistive products. This transdisciplinary strategy within a 24-months period expects as project' deliverables: i) a structured and good practice-based combined intervention (CI) consisting of a cognitive stimulation programme and a physical exercise programme; ii) an auto-blocking mechanism for rolling walkers with biofeedback acquisition (ABMRW); iii) a randomized clinical trial to assess CI' effectiveness; and iv) a web-platform to be used as a repository that will support and disseminate the intervention materials, covering the action-line of translational research. Positive benefits are expected in prevention and maintenance of frail older adults' capacities. Preliminary results showed positive effects on the improvement of cognitive and physical functions, functionality and depressive symptomatology. The interregional geographical coverage induced by MIND&GAIT underlines the potential replicability of the project extension to the community in the Centro and Alentejo regions of Portugal. MIND&GAIT network supports actions and provides learning opportunities and emergence of locally-embedded support systems towards social innovation for older adults. DA - 2019/// PY - 2019 VL - 19 SP - 11 EP - 16 SN - 2239-9747 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=31360662 KW - eppi-reviewer4 ER - TY - JOUR TI - Body mass index and physical function in older women AU - Apovian Caroline M AU - Frey Carolin M AU - Wood G Craig AU - Rogers Joanne Z AU - Still Christopher D AU - Jensen Gordon L T2 - Obesity research AB - OBJECTIVE: We modified existing standardized measurement tools in the Physical Performance Test and tasks from the Frailty and Injuries: Cooperative Studies of Intervention Technique Study to evaluate physical function in older women. Our objectives were (1) to characterize physical function themes based on combinations of tasks (deriving factors or components) and (2) to quantify the correlation between derived factors and body mass index (BMI)., RESEARCH METHODS AND PROCEDURES: Nutrition risk screens from enrollees in a Medicare-managed risk program served as the sampling frame. To obtain adequate representation for a range of BMI, a random sample was obtained of 90 women from the following BMI strata: BMI, 22 to <27 kg/m(2); BMI, 27 to <30 kg/m(2); and BMI, > or =30 kg/m(2). Subjects were asked to perform a series of 18 functional tasks during a home visit., RESULTS: The mean age was similar in the three BMI groups with an overall mean age of 71 +/- 4.9 years (SD). Factors characterized by lower-body function, upper-body function, coordination, and strength were responsible for 30%, 11%, 9%, and 9% of the variance in task scores, respectively. BMI, controlling for age, explained 5%, 14%, 3%, and 0% of the variation in these factors, respectively. Higher BMI is associated significantly with poorer upper- and lower-body function but is not associated significantly to strength or coordination., DISCUSSION: Higher BMI seems to differentially impede specific aspects of physical function, especially upper-body function, and to a lesser extent, lower-body function. BMI does not seem to be associated with levels of coordination or strength. Better understanding of how BMI impacts physical function will aid in the design of interventions to promote independent living in elderly, obese women. DA - 2002/// PY - 2002 VL - 10 IS - 8 SP - 740 EP - 7 SN - 1071-7323 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=12181382 KW - Female KW - Humans KW - Aged KW - Postural Balance KW - Hand Strength KW - *Physical Fitness KW - Aging KW - *Body Mass Index KW - Motor Skills KW - eppi-reviewer4 ER - TY - JOUR TI - Development of a novel six-month nutrition intervention for a randomized trial in older men with mobility limitations. AU - Apovian Caroline AU - Singer M AU - McCarthy A AU - Shah M AU - Moore L AU - Campbell W AU - Bhasin S AU - Basaria S T2 - Journal of Nutrition, Health & Aging AB - Objectives: Nutrition impacts the development of sarcopenia and protein intake is an important modulator of skeletal muscle mass loss in older people. The Optimizing Protein Intake in Older Men with Mobility Limitation (OPTIMEN) Trial was designed to assess the independent and combined effects of higher protein intake and a promyogenic agent, testosterone, on lean body mass, muscle strength and physical function in older men with mobility disability. The purpose of this paper is to describe the experimental design and nutrition intervention, including techniques used by research dietitians to develop and deliver energy and protein-specific meals to the homes of community-dwelling participants. Strategies to enhance long-term dietary compliance are detailed. Design: Randomized, double-blind, placebo-controlled six-month intervention trial. Setting: Participants were recruited from Boston MA USA and surrounding communities. Participants: Older men who were mobility-limited (Short Physical Performance Battery (SPPB) 3-10) and consuming less protein (<0.83 g/kg/day) were recruited for this study. Intervention: Here we report the successful implementation of a double-blind, placebo-controlled, parallel group, randomized controlled trial with a 6-month intervention period among community-living men, age 65 years and older with a mobility limitation. A controlled feeding plan was used to deliver required energy intakes and prescribed protein quantities of 0.8 or 1.3 grams/kilogram/day (g/kg/d) in three meals plus snacks and supplements. A 2x2 factorial design was used to assess the effects of protein level alone and in combination with testosterone (vs. placebo) on changes in lean body mass (primary outcome), muscle strength, and physical function. Results: A total of 154 men met the eligibility criteria; 112 completed a 2-week run-in period designed to evaluate compliance with the nutrition intervention. Of these, 92 subjects met compliance eligibility criteria and agreed to be randomized; 85% completed the full trial. The study successfully delivered three meals per day to subjects, with a high degree of compliance and subject satisfaction. Overall self-reported compliance rates were 80% and 93% for the meals and supplements, respectively. Details of compliance strategies are discussed. Conclusion: This community-based study design may serve as a model for longer-term nutritional interventions requiring monitoring of dietary compliance in a home-based feeding and supplementation trial. DA - 2017/12// PY - 2017 DO - 10.1007/s12603-017-0990-4 VL - 21 IS - 10 SP - 1081 EP - 1088 SN - 1279-7707 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126683520&site=ehost-live&scope=site KW - Male KW - Aged KW - Energy Intake KW - Program Development KW - Placebos KW - eppi-reviewer4 KW - Human KW - Treatment Outcomes KW - Community Living -- In Old Age KW - Double-Blind Studies KW - Randomized Controlled Trials KW - Clinical Assessment Tools KW - Physical Mobility KW - Nutritional Support -- In Old Age KW - Factorial Design ER - TY - JOUR TI - Diversity training for the community aged care workers: A conceptual framework for evaluation AU - Appannah Arti AU - Meyer Claudia AU - Ogrin Rajna AU - McMillan Sally AU - Barrett Elizabeth AU - Browning Colette T2 - Evaluation and program planning AB - Older Australians are an increasingly diverse population, with variable characteristics such as culture, sexual orientation, socioeconomic status, and physical capabilities potentially influencing their participation in healthcare. In response, community aged care workers may need to increase skills and uptake of knowledge into practice regarding diversity through appropriate training interventions. Diversity training (DT) programs have traditionally existed in the realm of business, with little research attention devoted to scientifically evaluating the outcomes of training directed at community aged care workers. A DT workshop has been developed for community aged care workers, and this paper focuses on the construction of a formative evaluative framework for the workshop. Key evaluation concepts and measures relating to DT have been identified in the literature and integrated into the framework, focusing on five categories: Training needs analysis; Reactions; Learning outcomes, Behavioural outcomes and Results The use of a mixed methods approach in the framework provides an additional strength, by evaluating long-term behavioural change and improvements in service delivery. As little is known about the effectiveness of DT programs for community aged care workers, the proposed framework will provide an empirical and consistent method of evaluation, to assess their impact on enhancing older people's experience of healthcare. Copyright © 2017 Elsevier Ltd. All rights reserved. DA - 2017/// PY - 2017 VL - 63 SP - 74 EP - 81 SN - 1873-7870 0149-7189 UR - https://dx.doi.org/10.1016/j.evalprogplan.2017.03.007 KW - Humans KW - Australia KW - Needs Assessment KW - *Aging KW - *Health Services for the Aged KW - Behavior KW - *Delivery of Health Care/mt [Methods] KW - Homes for the Aged KW - *Health Personnel/ed [Education] KW - *Program Evaluation/mt [Methods] KW - Health Services Accessibility KW - eppi-reviewer4 KW - Cultural Diversity KW - Oceanic Ancestry Group ER - TY - JOUR TI - Living setting and utilisation of ADL assistance one year after a stroke with special reference to gender differences AU - Appelros Peter AU - Nydevik Ingegerd AU - Terent Andreas T2 - Disability and rehabilitation AB - PURPOSE: To examine living setting and need for ADL assistance before and one year after a first-ever stroke with special focus on gender differences., METHODS: One-year survivors from a population-based stroke study (n = 377) were studied with regard to place of living, need for ADL assistance and who provided the help. Stroke severity, cognitive impairment, post-stroke depression as well as risk factors were evaluated., RESULTS: Before the stroke 48 patients (13%) lived in special housing (service flats or nursing homes), and one year after the stroke, 50 of the survivors (20%) lived in such accommodations. Before the stroke, 80 (21%) of the patients needed help with their personal ADL, while 90 (36%) needed help after one year. The increased need was fulfilled by relatives. Female spouses more often helped their male counterparts, and they tended to accept a heavier burden. Age, living alone, stroke severity, cognitive impairment, pre-stroke ADL dependency and depression were predictors for special housing., CONCLUSIONS: In a time when more and more stroke survivors are cared for at home, it is important to pay attention to the situation of the caregivers. Female caregivers seem to be in an especially exposed position by accepting a heavier burden. DA - 2006/// PY - 2006 VL - 28 IS - 1 SP - 43 EP - 9 SN - 0963-8288 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16393832 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Retrospective Studies KW - *Activities of Daily Living KW - Stroke/px [Psychology] KW - Sex Factors KW - Longitudinal Studies KW - Severity of Illness Index KW - Depression/et [Etiology] KW - *Disabled Persons/px [Psychology] KW - *Stroke Rehabilitation KW - Patient Satisfaction KW - *Disabled Persons/rh [Rehabilitation] KW - Cognition Disorders/et [Etiology] KW - eppi-reviewer4 ER - TY - JOUR TI - The Influence of Education and Apolipoprotein ε4 on Mortality in Community-Dwelling Elderly Men and Women. AU - Appiah Duke AU - Baumgartner Richard N T2 - Journal of Aging Research AB - We investigated the risk of death in relation to the apolipoprotein ε4 allele and evaluated how it interacts with education in 504 elderly adults (mean age 73 years, 65.3% women) who were enrolled in 1993 into the New Mexico Aging Process Study. During 9 years of follow-up, apolipoprotein ε2 appeared to be associated with a lower risk for all-cause mortality (hazard ratio (HR) = 0.73, 95% confidence interval (CI): 0.30–1.71) compared to apolipoprotein ε3 carriers in models adjusted for age, sociodemographic variables, medical conditions, adiposity, and lifestyle factors. The apolipoprotein ε4 allele conferred almost a threefold elevated risk of mortality (HR = 2.76, CI: 1.42–5.37). An interaction between education and apolipoprotein e4 (p=0.027) was observed with the HR of mortality among e4 carriers compared to noncarriers being 1.59 (0.64–3.96) for those with ≥college education; 6.66 (1.90–23.4) for those with some college or trade; and 14.1 (3.03–65.6) for participants with ≤high school education. No significant interaction was identified between apolipoprotein E genotype and cognitive function for mortality risk. These findings suggest that genetic (apolipoprotein ε4) and environmental (education) factors act interactively to influences survival in the elderly with higher education attenuating the adverse effect of apolipoprotein ε4 on mortality. DA - 2018/03// PY - 2018 DO - 10.1155/2018/6037058 SP - 1 EP - 7 SN - 2090-2204 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128679100&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Cognition KW - Sex Factors KW - Age Factors KW - Odds Ratio KW - Educational Status KW - Confidence Intervals KW - Genotype KW - Life Style KW - Alleles KW - eppi-reviewer4 KW - Human KW - Community Living KW - Mortality -- Risk Factors -- In Old Age KW - Adipose Tissue Distribution KW - Apolipoproteins -- Adverse Effects ER - TY - JOUR TI - The changing world of long-term care: a state perspective AU - Applebaum Robert A AU - Mehdizadeh Shahla A AU - Straker Jane K T2 - Journal of aging & social policy AB - Based on data from an eight year longitudinal study of Ohio's long-term care use patterns, this paper describes the changes now being experienced by this industry. Although Ohio has been a state with a heavy reliance on institutional services, the data suggest a change in how long-term care is provided in the state. Over the past eight years, despite an increasing disabled older population, nursing home occupancy rates have fallen from 92.5% to 83.5%. At the same time, in-home service and assisted living use has increased. The paper concludes by describing how such changes are likely to impact the system of the future. DA - 2004/// PY - 2004 VL - 16 IS - 1 SP - 1 EP - 19 SN - 0895-9420 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=15040704 KW - Humans KW - Aged KW - Aged, 80 and over KW - Health Care Surveys KW - *Long-Term Care/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Longitudinal Studies KW - *Home Care Services/sn [Statistics & Numerical Data] KW - Medicare KW - Home Care Services/td [Trends] KW - Home Care Services/ec [Economics] KW - Nursing Homes/td [Trends] KW - Nursing Homes/ec [Economics] KW - Long-Term Care/ec [Economics] KW - Ohio KW - *Long-Term Care/td [Trends] KW - eppi-reviewer4 ER - TY - JOUR TI - Application of Sustainable Habitat: What is the Appropriation and Utilisation of Equipment After Energy-Saving Renovations in Social Housing? AU - Wittenberg Inga AU - Fleury‐Bahi Ghozlane T2 - Journal of Community & Applied Social Psychology AB - To reduce energy consumption, technical equipment alone is not sufficient. Adjustment of behaviours so that equipment is used appropriately is also necessary. Numerous studies have shown how difficult it is to change behaviours and how many factors are involved. The aim of this study is to identify the psychosocial factors facilitating or inhibiting energy-saving behaviours in the appropriation of energy-saving equipment by residents. Forty-one semi-directive interviews were conducted with tenants of terraced houses (12 people) and flats (29 people) located in the same residential area in a French city. The blocks of flats and terraced houses are managed by a proprietor of social housing. The results of a categorical content analysis highlight the importance of the relationship between tenants and proprietor and tenants' low motivation concerning the energy-saving renovations. Consequently, we argue for the importance of favouring active participation by tenants in order to promote acceptance and appropriation of the new equipment. Furthermore, both the social and physical contexts of residents must be taken into account and energy saving must be integrated into other types of environmental behaviours in the neighbourhood in order to improve coherence and credibility. Copyright © 2016 John Wiley & Sons, Ltd. DO - 10.1002/casp.2271 VL - 26 IS - 5 SP - 409 EP - 420 SN - 1052-9284 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117898737&site=ehost-live&scope=site KW - Female KW - Male KW - Personal Satisfaction KW - France KW - Feedback KW - eppi-reviewer4 KW - Human KW - Interview Guides KW - Middle Age KW - Thematic Analysis KW - Content Analysis KW - Funding Source KW - Semi-Structured Interview KW - Behavioral Changes KW - Behavior -- Evaluation KW - Energy Conservation -- Equipment and Supplies KW - Greenhouse Effect KW - Housing -- Classification KW - Housing -- Trends ER - TY - JOUR TI - Assessing early to late stage dementia: the TSI and BANS-S scales in the nursing-home AU - Appollonio Ildebrando AU - Gori Chiara AU - Riva Gianpaolo AU - Spiga Davide AU - Ferrari Attilio AU - Ferrarese Carlo AU - Frattola Lodovico T2 - International journal of geriatric psychiatry AB - BACKGROUND: The traditional assessment tools for dementia, such as the MMSE, have only limited ability to follow subjects with severe dementia because they show a floor effect. Specific observational and performance-based instruments were recently developed., OBJECTIVES: To directly compare an observational scale to a performance-based instrument in moderate to severe dementia., METHODS: We compared a slightly modified version of the performance-based Test for Severe Impairment (mTSI) to the observer-based Bedford Alzheimer Nursing Severity Scale (BANS-S). Both scales were administered, together with the Mini-Mental State Examination (MMSE) and the Clinical Dementia Rating scale (CDR), to a nursing-home sample of 130 women suffering from different types of dementia (CDR range:1-4; MMSE range:0-18), defined according to DSM-IV criteria. Mean age was 86.9 +/- 7.3 years and mean education was 2.7 +/- 1.1 years., RESULTS: The BANS-S could be applied to all patients, the mTSI to 87 subjects (66.9%). Mean mTSI score decreased progressively from CDR stage 2 to CDR stage 4, whereas no difference was detectable between CDR stages 1 and 2. By contrast, the BANS-S was not significantly different for CDR stages 1 to 3, and the mean BANS-S score worsened only in CDR stage 4. Results were similar for AD and non AD dementia. Both scales were independent from age and education and their test-retest and inter-rater reliabilities were satisfactory., CONCLUSION: The mTSI looks promising in the moderate-to-severe range, whereas the BANS-S seems more useful in the very late stage of dementia. However, neither scale was optimal and additional instruments should be tested in future studies. Copyright (c) 2005 John Wiley & Sons, Ltd. DA - 2005/// PY - 2005 VL - 20 IS - 12 SP - 1138 EP - 45 SN - 0885-6230 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16315161 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - Nursing Homes KW - Psychometrics KW - Neuropsychological Tests KW - Educational Status KW - *Dementia/di [Diagnosis] KW - Homes for the Aged KW - *Psychiatric Status Rating Scales KW - eppi-reviewer4 ER - TY - JOUR TI - Approach to a local home care service. AU - Ballesteros Pérez E AU - Sánchez PD AU - Torres Egea P AU - Palma Ferrando M T2 - Gerokomos AB - Introduction: The progressive aging of the Spanish population and the demographical relevancy of the eldest is shown in percentage statistics, which state that 17 of each 100 of the Spanish population are 65 years old or over. Furthermore, the decrease of the mortality rate and the increase of the morbidity rate, result in an important relevancy of dependency, fragility and need of long term care in such population group. Families are the main care providers in 80% of the situations, being considered as the main social-health element because their large provision of care to the eldest. The documental background reviewed highlights the relevance of the complementation between the professional and the informal care services networks. The Home Care Service (SAD) of L'Hospitalet de Llobregat City Council provides different services such as personal clean, clean up of clothes and home, home shopping, tele-assistance, assistance in several personal affaires. Goals of the research: Describe the socio-demographical profile and the dependency situations of L'Hospitalet de Llobregat Home Care Service's users. Take knowledge of the profile and the health situation of the main caregiver of SADs users. Materials and methods: The population studied was formed by 320 users, an important part of the total number of users (358) of SADs services. The requirements to be included in the study were being a SADs services user during the study (from February 2004 to May 2004) and accepting voluntarily to participate in the study. For the user's evaluation there were used two different validated questionnaires: Barber, Barthel, Pfeiffer and Lawton. They were also used two own made questionnaires to know other characteristics: health problems, management of the mediation, and the relationship of the SAD with the health first cares centre. The information was collected in the visits undertaken by Nursery students at the user's home. The statistic analysis consists in the descriptive analysis of the aforementioned issues variables and has been undertaken with the statistical software SPSS 11.0. Results: The user's analyzed average age is 82 years old, being the most of them women (77.3%). Regarding the civil status, more than a half are widower (58.6%), married 24.9%, single 10.7% and divorced a 5.9%. The distribution of the independency level of SADs users included in the study, in accordance with Barthel Model were respectively of moderate dependency (50,1%), severe dependency (24%), full dependency (12.5%), independent (7.6%) and little dependency (5.9%). With regards to the ability to carry out instrumental activities according to Lawton and Brody questionnaires, 51.6% needed some assistance, a 46.6% needed much assistance, and only a 1.8% of the users are independent. The most requested assistance is focused in the following activities: personal clean (28%), home clean up and home shopping (16.9%), the other 18 services evaluated its necessity rate is under the 10%. Some of the issues detected along the study by the student were the following: solitude, sadness, poorness, and a possible weariness of the caregiver role. Conclusions: The profiles of most of SADs users analyzed are women, over aged, with a high level of dependency, who present several pathologies, solitude and a lack of economical resources. One of the issues detected by the students in the home visits undertaken is the risk of the weariness of the caregiver role. VL - 17 IS - 4 SP - 181 EP - 188 SN - 1134-928X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106274968&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Activities of Daily Living KW - Spain KW - Marital Status KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Descriptive Statistics KW - Gerontologic Care KW - Functional Status KW - Scales KW - Clinical Assessment Tools KW - Cross Sectional Studies KW - Geriatric Functional Assessment KW - Health Resource Utilization KW - Summated Rating Scaling KW - Descriptive Research KW - Barthel Index KW - Assisted Living -- In Old Age KW - Home Health Care -- In Old Age KW - Homemaker Services -- In Old Age ER - TY - JOUR TI - Ambient Assisted Living and ageing: preliminary results of RITA project AU - Aquilano Michela AU - Cavallo Filippo AU - Bonaccorsi Manuele AU - Esposito Raffaele AU - Rovini Erika AU - Filippi Massimo AU - Esposito Dario AU - Dario Paolo AU - Carrozza Maria Chiara T2 - Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference AB - The ageing of population is a social phenomenon that most of worldwide countries are facing. They are, and will be even more in the future, indeed trying to find solutions for improving quality of life of their elderly citizens. The project RITA wants to demonstrate that an update of the current socio-medical services with an Ambient Assisted Living (AAL) approach could improve the service efficiency and the quality of life of both elderly and caregiver. This paper presents the preliminary results obtained in RITA. DA - 2012/// PY - 2012 VL - 2012 SP - 5823 EP - 6 SN - 1557-170X UR - https://dx.doi.org/10.1109/EMBC.2012.6347318 KW - Humans KW - Aged KW - Quality of Life KW - *Assisted Living Facilities KW - *Aging KW - eppi-reviewer4 ER - TY - JOUR TI - The relationship between age and change in physical functions after exercise intervention. Trainability of Japanese community-dwelling older elderly. AU - Arai T AU - Obuchi S AU - Kojima M AU - Nishizawa S AU - Matsumoto Y AU - Inaba Y T2 - Journal of the Japanese Physical Therapy Association DA - 2009/01// PY - 2009 VL - 12 IS - 1 SP - 1 EP - 8 SN - 1344-1272 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105197971&site=ehost-live&scope=site KW - Aged KW - Japan KW - Age Factors KW - Body Mass Index KW - Exercise Test KW - eppi-reviewer4 KW - Human KW - Interviews KW - Questionnaires KW - Data Analysis Software KW - Community Living KW - Comparative Studies KW - Grip Strength KW - Paired T-Tests KW - Pearson's Correlation Coefficient KW - Pretest-Posttest Design KW - Exercise -- In Old Age KW - Unpaired T-Tests KW - Japanese KW - Geriatric Assessment -- Evaluation KW - Training Effect (Physiology) -- In Old Age ER - TY - JOUR TI - Behavioral and psychological symptoms of dementia in older residents in long-term care facilities in Japan: a cross-sectional study AU - Arai Asuna AU - Ozaki Takashi AU - Katsumata Yuriko T2 - Aging & mental health AB - OBJECTIVE: To investigate the prevalence of the behavioral and psychological symptoms of dementia (BPSD) and associated factors in residents in long-term care (LTC) facilities., METHOD: We conducted a cross-sectional survey of older residents with dementia or similar symptoms (n = 312) using a questionnaire for care staff in 10 selected LTC facilities in Hokkaido, Japan. The questionnaire included sociodemographic characteristics, health conditions, living environments, and a brief questionnaire form of the Neuropsychiatric Inventory for assessing BPSD., RESULTS: We revealed that the prevalence of BPSD in LTC facilities (percentage of people exhibiting at least one BPSD) in residents with dementia or similar symptoms was 64%. Having Alzheimer's disease, an imbalance between activities of daily living and cognitive function, poor relationships with other residents, and persistent requests in daily life were significantly associated with having BPSD., CONCLUSION: The prevalence of BPSD in LTC facilities was relatively low compared with other countries. The factors found to relate to BPSD may provide useful information for developing care methods to address BPSD in LTC residents. DA - 2017/// PY - 2017 VL - 21 IS - 10 SP - 1099 EP - 1105 SN - 1364-6915 1360-7863 UR - https://dx.doi.org/10.1080/13607863.2016.1199013 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Prevalence KW - Japan/ep [Epidemiology] KW - Cross-Sectional Studies KW - *Aging KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Dementia/ep [Epidemiology] KW - Long-Term Care KW - *Dementia/pp [Physiopathology] KW - *Problem Behavior KW - eppi-reviewer4 ER - TY - JOUR TI - A novel clinical evaluation method using maximum angular velocity during knee extension to assess lower extremity muscle function of older adults AU - Arai Takeshi AU - Obuchi Shuichi AU - Shiba Yoshitaka T2 - Archives of gerontology and geriatrics AB - The purpose of this study is to examine the utilities of maximum angular velocity (AV) assessment during knee extension (KE) using a gyroscope for clinical evaluation of exercise program for older adults. Two hundred and 4 community-dwelling older adults underwent a 3-month exercise intervention program. Outcome measures included AV during KE and other physical functions (isometric strength (IS), walking abilities, and balance functions). A correlation coefficient was used to evaluate the relationships between AV and other physical functions at baseline. The differences of physical functions before and after intervention were evaluated and the effect size of each measurement was calculated after the program. The AV measurement was significantly correlated with IS during KE (r=0.303, P<0.01) and other physical functions. Most correlation coefficients of angular velocity were greater than that of IS. All of physical assessments were significantly improved. Also, effect size of AV was greater than that of IS (d=0.45 vs. 0.42). AV of the lower extremities is useful to evaluate the effects of exercise intervention in the elderly. Copyright © 2017 Elsevier B.V. All rights reserved. DA - 2017/// PY - 2017 VL - 73 SP - 143 EP - 147 SN - 1872-6976 0167-4943 UR - https://dx.doi.org/10.1016/j.archger.2017.07.015 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Exercise/ph [Physiology] KW - *Muscle Strength/ph [Physiology] KW - *Knee Joint/ph [Physiology] KW - eppi-reviewer4 KW - *Lower Extremity/ph [Physiology] ER - TY - JOUR TI - [Relationship between care staff generativity and perceived job competence in elderly nursing homes]. AU - Araki Mariko T2 - Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics AB - AIM: According to Erikson's theory of ego development, generativity represents one task of adulthood. Generativity is defined as a concern for establishing and passing on well-being to future generations. The present study aimed to characterize the relationship between staff member generativity and perceived job competence in elderly nursing homes, and to determine the professional value of elderly care., METHODS: A total of 367 care staff at 13 nursing homes for elderly people participated in the present study, the design of which was a questionnaire survey. The survey addressed topics related to generativity and perceived job competence. Path analysis was conducted to examine the relationship between generativity and perceived job competence., RESULTS: Perceived job competence was related to age (beta=0.19, p<0.01) and occupational period (beta=0.14, p<0.05), and generativity was related to perceived job competence (beta=0.67, p<0.001). These results also suggest that perceived job competence promotes generativity development., CONCLUSIONS: The development of staff generativity in nursing homes may yield work satisfaction and elevated vocational identity. DA - 2011/// PY - 2011 VL - 48 IS - 6 SP - 679 EP - 85 SN - 0300-9173 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=22322040 KW - Female KW - Humans KW - Male KW - Middle Aged KW - Surveys and Questionnaires KW - *Health Personnel/px [Psychology] KW - Japan KW - *Nursing Homes KW - Job Satisfaction KW - Homes for the Aged KW - eppi-reviewer4 KW - Social Responsibility ER - TY - JOUR TI - The relationship between exposure to microbial volatile organic compound and allergy prevalence in single-family homes AU - Araki Atsuko AU - Kanazawa Ayako AU - Kawai Toshio AU - Eitaki Yoko AU - Morimoto Kanehisa AU - Nakayama Kunio AU - Shibata Eiji AU - Tanaka Masatoshi AU - Takigawa Tomoko AU - Yoshimura Takesumi AU - Chikara Hisao AU - Saijo Yasuaki AU - Kishi Reiko T2 - The Science of the total environment AB - Microbial volatile organic compounds (MVOCs) are a type of VOCs produced by microorganisms. Exposure to 1-octen-3-ol, one of the known MVOCs, has been reported to reduce nasal patency and increase nasal lavage myeloperoxidase, eosinophil cationic proteins, and lysozymes in both experimental and field studies. We reported in a previous paper that 1-octen-3-ol exposure at home is associated with mucosal symptoms. In this study, our aim was to investigate the relationship between asthma and allergies and MVOC exposure in single-family homes. The subjects were 624 inhabitants of 182 detached houses in six regions of Japan. Air samples were collected using diffusive samplers, and the concentrations of eight selected MVOCs were analyzed using gas chromatography/mass spectrometry in selected-ion-monitoring mode. Each inhabitant of each of the dwellings was given a self-administered questionnaire. Among the 609 subjects who answered all of the questions about allergies, history of the medical treatment for asthma, atopic dermatitis, allergic rhinitis, and allergic conjunctivitis within the preceding two years was 4.8%, 9.9%, 18.2%, and 7.1%, respectively. A significant association between 1-octen-3-ol (per log(10) unit) and allergic rhinitis odds ratio (OR): 4.10, 95% confidence interval (CI): 1.71 to 9.80 and conjunctivitis (OR: 3.54, CI: 1.17 to 10.7) was found after adjusting for age, sex, tobacco, wall-to-wall carpeting, signs of dampness, history of treatment for hay fever, and other potentially relevant environmental factors. No relationships were found between any MVOCs and asthma or atopic dermatitis after the adjustment. The levels of MVOCs and airborne fungi were only weakly correlated. These results are consistent with previous studies that have associated higher levels of 1-octen-3-ol exposure with increased irritation of nasal and ocular mucosae. Although the indoor-air concentrations of 1-octen-3-ol found in this study were relatively low, we conclude that exposure to MVOC may be related to rhinitis and conjunctivitis. Copyright © 2012 Elsevier B.V. All rights reserved. DA - 2012/// PY - 2012 VL - 423 SP - 18 EP - 26 SN - 1879-1026 0048-9697 UR - https://dx.doi.org/10.1016/j.scitotenv.2012.02.026 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Child KW - Aged KW - Aged, 80 and over KW - Child, Preschool KW - Middle Aged KW - Housing KW - Logistic Models KW - Prevalence KW - Japan KW - Infant KW - Infant, Newborn KW - Environmental Monitoring KW - *Air Pollution, Indoor/an [Analysis] KW - eppi-reviewer4 KW - *Hypersensitivity/ep [Epidemiology] KW - *Volatile Organic Compounds/to [Toxicity] KW - Air Microbiology KW - Octanols/an [Analysis] KW - Octanols/to [Toxicity] KW - Volatile Organic Compounds/an [Analysis] ER - TY - JOUR TI - The protective effect of neighborhood composition on increasing frailty among older Mexican Americans: a barrio advantage? AU - Aranda Maria P AU - Ray Laura A AU - Snih Soham Al AU - Ottenbacher Kenneth J AU - Markides Kyriakos S T2 - Journal of aging and health AB - OBJECTIVE: Little is known about the nature of the frailty syndrome in older Hispanics who are projected to be the largest minority older population by 2050. The authors examine prospectively the relationship between medical, psychosocial, and neighborhood factors and increasing frailty in a community-dwelling sample of Mexican Americans older than 75 years., METHOD: Based on a modified version of the Cardiovascular Health Study Frailty Index, the authors examine 2-year follow-up data from the Hispanic Established Populations for Epidemiologic Studies of the Elderly (H-EPESE) to ascertain the rates and determinants of increasing frailty among 2,069 Mexican American adults 75+ years of age at baseline., RESULTS: Respondents at risk of increasing frailty live in a less ethnically dense Mexican-American neighborhood, are older, do not have private insurance or Medicare, have higher levels of medical conditions, have lower levels of cognitive functioning, and report less positive affect., DISCUSSION: Personal as well as neighborhood characteristics confer protective effects on individual health in this representative, well-characterized sample of older Mexican Americans. Potential mechanisms that may be implicated in the protective effect of ethnically homogenous communities are discussed. DA - 2011/// PY - 2011 VL - 23 IS - 7 SP - 1189 EP - 217 SN - 1552-6887 0898-2643 UR - https://dx.doi.org/10.1177/0898264311421961 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Follow-Up Studies KW - Prospective Studies KW - *Frail Elderly/sn [Statistics & Numerical Data] KW - California KW - Colorado KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - *Mexican Americans/sn [Statistics & Numerical Data] KW - Texas KW - Arizona KW - eppi-reviewer4 KW - New Mexico ER - TY - JOUR TI - Characteristics, consequences and prevention of falls in institutionalised older adults in the province of Malaga (Spain): a prospective, cohort, multicentre study. AU - Aranda-Gallardo Marta AU - Morales-Asencio Jose M AU - Enriquez de Luna-Rodriguez AU - Margarita AU - Vazquez-Blanco Maria J AU - Morilla-Herrera Juan C AU - Rivas-Ruiz Francisco AU - Toribio-Montero Juan C AU - Canca-Sanchez Jose C T2 - BMJ open AB - OBJECTIVES: Falls are an important adverse event among institutionalised persons. It is in this clinical setting where falls occur more frequently than in any other, despite the measures commonly taken to prevent them. This study aimed to determine the characteristics of a typical institutionalised elderly patient who suffers a fall and to describe the physical harms resulting from this event. We then examined the association between falls and the preventive measures used., METHODS: This was a prospective cohort study in 37 nursing homes in Spain. The participants were all the nursing home residents institutionalised in these centres from May 2014 to July 2016. Participants were followed up for 9 months. During this period, two observations were made to evaluate the preventive measures taken and to record the occurrence of falls., RESULTS: 896 residents were recruited, of whom 647 completed the study. During this period, 411 falls took place, affecting 213 residents. The injuries caused by the falls were mostly minor or moderate. They took place more frequently among women and provoked 22 fractures (5.35%). The most commonly used fall prevention measure was bed rails (53.53% of cases), followed by physical restraint (16.79%). The latter measure was associated with a higher incidence of injuries not requiring stitches (OR=2.06, 95% CI 1.01 to 4.22, P=0.054) and of injuries that did require stitches (OR=3.51, 95% CI 1.36 to 9.01, P=0.014) as a consequence of falls. Bed rails protected against night-time falls., CONCLUSIONS: Falls are a very common adverse event in nursing homes. The prevention of falls is most commonly addressed by methods to restrain movement. The use of physical restraints is associated with a greater occurrence of injuries caused by a fall. Copyright © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. DA - 2018/// PY - 2018 DO - 10.1136/bmjopen-2017-020039 VL - 8 IS - 2 SP - e020039 SN - 2044-6055 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29476031 KW - Adult KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Accidental Falls/pc [Prevention & Control] KW - Time Factors KW - Prospective Studies KW - Geriatric Assessment KW - Nursing Homes/og [Organization & Administration] KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Incidence KW - Homes for the Aged/og [Organization & Administration] KW - Spain/ep [Epidemiology] KW - Fractures, Bone/et [Etiology] KW - *Fractures, Bone/ep [Epidemiology] KW - eppi-reviewer4 KW - *Restraint, Physical/sn [Statistics & Numerical Data] ER - TY - JOUR TI - [Sleep quality of elders living in long-term care institutions]. AU - Araujo Claudia Lysia de Oliveira AU - Ceolim Maria Filomena T2 - Qualidade do sono de idosos residentes em instituicao de longa permanencia. AB - This study was aimed at evaluating sleep quality and identifying sleep related problems among elderly people living in long-term care institutions in the city of Sao Paulo, Brazil. Subjects were 38 cognitively preserved elders living in these institutions for at least a year. Data collection was performed using the following instruments: Identification Form, Katz Index and Pittsburgh Sleep Quality index (PSQI). Results showed that 81.6% of the studied elders reported their sleep quality was good or very good. Nevertheless, there was an elevated frequency of sleep related problems such as: getting up to go to the bathroom (63.2%); getting up in the middle of the night or very early in the morning (50%); feeling too hot (23.7%); feeling pain (21.1%). These findings show an evident contradiction between elders' perception of their sleep quality and the actual elevated number of identified sleep problems. DA - 2010/// PY - 2010 VL - 44 IS - 3 SP - 619 EP - 26 SN - 0080-6234 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc&NEWS=N&AN=20964036 KW - Female KW - Humans KW - Male KW - Aged KW - *Quality of Life KW - Cross-Sectional Studies KW - *Homes for the Aged KW - Long-Term Care KW - *Sleep KW - eppi-reviewer4 ER - TY - JOUR TI - Intervention in informal caregivers who take care of older people after a stroke (InCARE): study protocol for a randomised trial AU - Araujo Odete AU - Lage Isabel AU - Cabrita Jose AU - Teixeira Laetitia T2 - Journal of advanced nursing AB - AIM: This study aims at describing an intervention based on informal caregivers' skills when taking care of older people after a stroke (InCARE)., BACKGROUND: Most informal caregivers feel unprepared to deliver assistance in activities of daily living at home. This lack of preparedness can lead to misconceptions, burden and affect their health, which, consequently, may imply hospital readmissions or early institutionalization of the older adults., DESIGN: A single blinded randomised trial., METHODS: This study will recruit 198 dyads, comprising old stroke survivors and their caregivers, who will be divided into two groups: intervention and control (protocol approved in May 2013)., INCLUSION CRITERIA: (informal caregivers) absence of cognitive impairment; resident in the Cavado Region; to return the informed consent (older people) are over 65 years of age; have had a first stroke and; be dependent on at least one of the self-care activities post hospital discharge., PRIMARY OUTCOME: informal caregivers' skills., SECONDARY OUTCOMES: include burden and Health Quality of Life in informal caregivers; functionality, hospital readmission and institutionalization of older people stroke survivors, measured 1 and 3 months after InCARE programme., DISCUSSION: The InCARE programme will highlight new ways to understand the feasibility of a large trial, which supports caregivers who take care of older people after a stroke. It will be expected that the level of burden decreases, thus helping informal caregivers enhance their quality of life. Also, it is expected that older people's functionality will be improved and that hospital readmission or institutionalization may be avoided. Copyright © 2015 John Wiley & Sons Ltd. DA - 2015/// PY - 2015 VL - 71 IS - 10 SP - 2435 EP - 43 SN - 1365-2648 0309-2402 UR - https://dx.doi.org/10.1111/jan.12697 KW - Humans KW - Aged KW - Activities of Daily Living KW - Quality of Life KW - Single-Blind Method KW - Caregivers/ed [Education] KW - Power (Psychology) KW - *Caregivers/st [Standards] KW - eppi-reviewer4 KW - *Stroke/nu [Nursing] KW - Home Nursing/st [Standards] ER - TY - JOUR TI - Development and psychometric properties of ECPICID- AVC to measure informal caregivers' skills when caring for older stroke survivors at home. AU - Araújo Odete AU - Lage Isabel AU - Cabrita José AU - Teixeira Laetitia T2 - Scandinavian Journal of Caring Sciences AB - Introduction Informal caregivers provide a significant part of the total care needed by dependent older people poststroke. Although informal care is often the preferred option of those who provide and those who receive informal care, informal caregivers often report lack of preparation to take care of older dependent people. This article outlines the development and psychometric testing of informal caregivers' skills when providing care to older people after a stroke - ECPICID- AVC. Design Prospective psychometric instrument validation study. Methods Eleven experts participated in a focus group in order to delineate, develop and validate the instrument. Data were gathered among adult informal caregivers (n = 186) living in the community in Northern Portugal from August 2013 to January 2014. Results The 32-item scale describes several aspects of informal caregiver's skills. The scale has eight factors: skill to feed/hydrate by nasogastric feeding, skill to assist the person in personal hygiene, skill to assist the person for transferring, skill to assist the person for positioning, skill to provide technical aids, skill to assist the person to use the toilet, skill to feed/hydrate and skill to provide technical aids for dressing/undressing. Analysis demonstrated adequate internal consistency ( Cronbach's alpha = 0.83) and good temporal stability 0.988 (0.984-0.991). Conclusion The psychometric properties of the measurement tool showed acceptable results allowing its implementation in clinical practice by the nursing community staff for evaluating practical skills in informal caregivers when providing care to older stroke survivors living at home. DA - 2016/12// PY - 2016 DO - 10.1111/scs.12291 VL - 30 IS - 4 SP - 821 EP - 829 SN - 0283-9318 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119880673&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Family KW - Aged KW - Focus Groups KW - Prospective Studies KW - Caregivers KW - Socioeconomic Factors KW - Portugal KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Data Analysis Software KW - Middle Age KW - Convenience Sample KW - Funding Source KW - Descriptive Statistics KW - Construct Validity KW - Internal Consistency KW - Stroke Patients KW - Instrument Validation KW - Scales KW - Validation Studies KW - Coefficient Alpha KW - Content Validity KW - Intraclass Correlation Coefficient KW - Summated Rating Scaling KW - Test-Retest Reliability KW - Self Care -- In Old Age KW - Instrument Construction KW - Factor Analysis KW - Community Health Centers KW - Home Nursing -- In Old Age KW - Activities of Daily Living -- In Old Age KW - Competency Assessment KW - Expert Nurses KW - Home Visits KW - Iowa Nursing Interventions Classification KW - Stroke -- Therapy -- In Old Age ER - TY - JOUR TI - ELDERLY AND URBAN MOBILITY: A REFLECTIVE APPROACH TO NURSING. AU - Araújo Gomes AU - Fernanda AU - Leite Funchal Camacho AU - Alessandra Conceição T2 - Journal of Nursing UFPE / Revista de Enfermagem UFPE AB - Objective: to analyze the nursing performance in the attention to the elderly people in the face of urban mobility. Method: this is a qualitative, descriptive, reflexive analysis type, based on the review of the narrative literature with the discussion of the following points: the elderly people and urban mobility, the focus of accessibility to the elderly people before urban mobility and nursing care for the elderly urban mobility. Results: it is the responsibility of the nurse to make an active search assessing environmental risks and predisposing factors for falls, considering the elderly population in their totality, habits, home environment, community environment, family or caregivers. This search should have a preventive characteristic and be focused on the autonomy of the elderly, seeking, in this way, to reduce the occurrence of falls and hospitalizations. Conclusion: nursing performance can impact the better cognitive and functional conditions of the aging process. Preventive measures should be evidenced for the better coping of the elderly in the face of urban development. Objetivo: analizar la actuación de la enfermeira en la atención al anciano frente a la mobilidad urbana. Método: estudio cualitativo, descriptivo, tipo análisis reflexivo, con base en la revisión de literatura narrativa, con la discusión de los siguientes puntos: el anciano y la mobilidad urbana, el foco de la accesibilidad al anciano frente a la mobilidad urbana y la enfermería en la atención al anciano frente a la mobilidad urbana. Resultados: compete al enfermero hacer la búsqueda activa evaluando riesgos ambientales y factores predisponentes para caídas, considerando el anciano en su totalidad, hábitos, ambiente domiciliario, ambiente de la comunidad, familia o cuidadores. Esa búsqueda debe tener característica preventiva y estar dirigidas para la autonomía de los ancianos, buscando, de esa forma, reducir las ocurrencias de caídas y internaciones. Conclusión: la actuación de la enfermería puede generar impacto en mejores condiciones cognitivas y funcionales del proceso de envejecer. Las medidas preventivas deben ser evidenciadas para el mejor enfrentamiento de los ancianos frente al desarrollo urbano. Objetivo: analisar a atuação da enfermagem na atenção ao idoso diante da mobilidade urbana. Método: estudo qualitativo, descritivo, tipo análise reflexiva, com base na revisão de literatura narrativa, com a discussão dos seguintes pontos: o idoso e a mobilidade urbana, o foco da acessibilidade ao idoso diante da mobilidade urbana e a enfermagem na atenção ao Idoso diante da mobilidade urbana. Resultados: compete ao enfermeiro fazer a busca ativa avaliando riscos ambientais e fatores predisponentes para quedas, considerando o idoso em sua totalidade, hábitos, ambiente domiciliar, ambiente da comunidade, família ou cuidadores. Essa busca deve ter característica preventiva e estar voltada para a autonomia dos idosos, procurando, dessa forma, reduzir as ocorrências de quedas e internações. Conclusão: a atuação da enfermagem pode gerar impacto em melhores condições cognitivas e funcionais do processo de envelhecer. As medidas preventivas devem ser evidenciadas para o melhor enfrentamento dos idosos diante do desenvolvimento urbano. DA - 2017/12// PY - 2017 DO - 10.5205/1981-8963-v11i12a23068p5066-5073-2017 VL - 11 IS - 12 SP - 5066 EP - 5073 SN - 1981-8963 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126592146&site=ehost-live&scope=site KW - Aged KW - Risk Assessment KW - Activities of Daily Living KW - Geriatric Assessment KW - Brazil KW - Aging KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Qualitative Studies KW - Middle Age KW - Community Health Nursing KW - Functional Status KW - Urban Areas KW - Descriptive Research KW - Architectural Accessibility -- In Old Age KW - Accidental Falls -- Prevention and Control KW - Nursing Practice KW - Residential Mobility -- In Old Age KW - Social Environment -- In Old Age KW - Urban Health -- In Old Age ER - TY - JOUR TI - [Fear of falling: Validation of a measurement tool in Chilean elderly living in the community] AU - Araya Alejandra Ximena AU - Valenzuela Eduardo AU - Padilla Oslando AU - Iriarte Evelyn AU - Caro Camila T2 - Preocupacion a caer: validacion de un instrumento de medicion en personas mayores chilenas que viven en la comunidad. AB - INTRODUCCIoN: Fear of falling, with or without previous falls history, is a risk factor for decreased mobility, disability, as well as a decreased quality of life, and can trigger the self-restriction of activities with loss of independence and functionality. Validated tools for measuring the fear of falling in the Chilean population is a needed to detect those at risk. There are currently no validated instruments to measure this phenomenon in Chile. The aim of this study is to validate the Spanish version of the short <> (FES-I) in an elderly population living in the community in Chile., MATERIAL AND METHOD: A cross-sectional study was performed using applications at baseline and 4 weeks. The short FES-I was translated using the back-translation method, evaluated by a panel of experts, and piloted in 10 older adults. After the pilot study, the final version was applied to a sample of 113 elderly persons. Data analysis used measures of central tendency, and reliability and confirmatory factor analysis was used., RESULTS: The Spanish version of the short FES-I showed good reliability and validity in an elderly Chilean population., CONCLUSIONS: This falls risks measurement tool can be used by clinicians and researchers in order to determine the magnitude of the problem and the impact of fear of falling on falls, functionality, and quality of life of the elderly who live in the community. Copyright © 2017 SEGG. Publicado por Elsevier Espana, S.L.U. All rights reserved. DA - 2017/// PY - 2017 VL - 52 IS - 4 SP - 188 EP - 192 SN - 1578-1747 0211-139X UR - https://dx.doi.org/10.1016/j.regg.2016.12.003 KW - Female KW - Humans KW - Male KW - Aged KW - Independent Living KW - Cross-Sectional Studies KW - Prospective Studies KW - *Accidental Falls KW - *Fear KW - eppi-reviewer4 KW - *Psychological Tests KW - Chile ER - TY - JOUR TI - Prevalence, Geographic Variation, and Trends in Hospital Services Relevant to the Care of Older Adults: Development of the Senior Care Services Scale and Examination of Measurement Properties AU - Arbaje Alicia I AU - Yu Qilu AU - Newhall Karina A AU - Leff Bruce T2 - Medical care AB - BACKGROUND: The availability of hospital services for older adults nationwide is not well understood., OBJECTIVE: To present the development of the Senior Care Services Scale (SCSS) through: (1) identification of hospital services relevant to the care of older adults; (2) development of a taxonomy classifying these services; and (3) description of prevalence, geographic variation, and trends in service provision in US hospitals over time., DESIGN, SETTING, AND PARTICIPANTS: A retrospective cohort study of US hospitals in 1999 and 2006 rounds of American Hospital Association Annual Survey of Hospitals (n=4998 and 4831 hospitals, respectively). Exploratory factor analysis was used to create the SCSS, and confirmatory factor analysis was used to examine services over time. The paper reports prevalence of services nationwide., RESULTS: The SCSS consisted of 2 service groups: (1) Inpatient Specialty Care (IP): geriatrics, palliative care, psychiatric geriatrics, pain management, social work, case management, rehabilitation, and hospice; and (2) Postacute Community Care (PA): skilled nursing, intermediate care, other long-term care, assisted living, retirement housing, adult day care, and home health services. Over time, hospitals offered more IP services and fewer PA services. The distribution of services did not mirror the distribution of where older adults reside in the United States., CONCLUSIONS: The development of the SCSS provides important information about senior care services before the passage of the Affordable Care Act. The apparent mismatch of hospital services and demographic trends suggests that many US hospitals may not provide a seamless continuum of care for an increasing population of older adults. DA - 2015/// PY - 2015 VL - 53 IS - 9 SP - 768 EP - 75 SN - 1537-1948 0025-7079 UR - https://dx.doi.org/10.1097/MLR.0000000000000408 KW - Female KW - Humans KW - Male KW - United States KW - Aged KW - Aged, 80 and over KW - Hospitals KW - Prevalence KW - Retrospective Studies KW - *Health Services for the Aged/og [Organization & Administration] KW - *Continuity of Patient Care/og [Organization & Administration] KW - Continuity of Patient Care/td [Trends] KW - Factor Analysis, Statistical KW - Health Services for the Aged/cl [Classification] KW - *Hospital Administration KW - American Hospital Association KW - Continuity of Patient Care/cl [Classification] KW - Health Services for the Aged/td [Trends] KW - Hospital Administration/cl [Classification] KW - Hospital Administration/td [Trends] KW - eppi-reviewer4 ER - TY - JOUR TI - Community change and resident needs: Designing a Participatory Action Research study in Metropolitan Boston. AU - Arcaya Mariana C AU - Schnake-Mahl Alina AU - Binet Andrew AU - Simpson Shannon AU - Church Maggie Super AU - Gavin Vedette AU - Coleman Bill AU - Levine Shoshanna AU - Nielsen Annika AU - Carroll Leigh AU - Ursprung Sanouri AU - Wood Ben AU - Reeves Halley AU - Keppard Barry AU - Sportiche Noemie AU - Partirdge Jessie AU - Figueora Jose AU - Frakt Austin AU - Alfonzo Mariel AU - Abreu Dina AU - Abreu Tatiana AU - Ambroise Trena AU - Andrade Eric AU - Barrientos Eduardo AU - Baty Arnetta AU - Baty Carl AU - Benner Katrina AU - Bennett Clifton AU - Blanchette Amy AU - Bongiovanni Roseann AU - Cardile Olivia AU - Corchado Cristian AU - Dixon Caleb AU - Dodson Crystal AU - Dominguez Juan AU - Durena Mytha AU - Fiestas Yrma AU - Genty Josee AU - Graffam Nicole AU - Gonzalez Adela AU - Grigsby Emma AU - Hayden Patricia AU - Alvado Stephanie Hernandez AU - Hernandez Zuleyka AU - Hodes Isaac AU - Johnson Jarred AU - Keefe Kathryn AU - Latimer Krystle AU - Levine Shoshanna AU - Logg Christina AU - Martinez Nelson AU - Mboup Khadijah AU - McPhorson Doug AU - Meacham Steve AU - Mohammed Daynaba AU - Moss Emily AU - Nielsen Annika AU - O'Brien Kathleen AU - Owens Lisa AU - Partridge Jessie AU - Johnson Lillie Pearl AU - Power Maria Belen AU - Rebelo Taylee AU - Remy Ronel AU - Roderigues Gail AU - Sabtow Qamar AU - Sanchez Clarisa AU - Seeder Andrew AU - Sepulveda Ramon AU - Sportiche Noemie AU - Ursprung Sanouri AU - West Emma AU - Winters Leah AU - Wood Ben AU - Youmans Tremayne T2 - Health & place AB - The health implications of urban development, particularly in rapidly changing, low-income urban neighborhoods, are poorly understood. We describe the Healthy Neighborhoods Study (HNS), a Participatory Action Research study examining the relationship between neighborhood change and population health in nine Massachusetts neighborhoods. Baseline data from the HNS survey show that social factors, specifically income insecurity, food insecurity, social support, experiencing discrimination, expecting to move, connectedness to the neighborhood, and local housing construction that participants believed would improve their lives, identified by a network of 45 Resident Researchers exhibited robust associations with self-rated and mental health. Resident-derived insights into relationships between neighborhoods and health may provide a powerful mechanism for residents to drive change in their communities. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved. DA - 2018/// PY - 2018 DO - 10.1016/j.healthplace.2018.05.014 VL - 52 SP - 221 EP - 230 SN - 1353-8292 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30015179 KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Community-Based Participatory Research KW - Social Support KW - African Americans KW - Mental Health KW - *Health Status KW - Self Report KW - *Poverty/sn [Statistics & Numerical Data] KW - Food Supply KW - Linear Models KW - Urban Population KW - Program Development KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - Boston KW - eppi-reviewer4 KW - Hispanic Americans KW - *Social Change KW - *Urban Renewal KW - Community-Institutional Relations ER - TY - JOUR TI - Analysis of commode grab bar usage for the monitoring of older adults in the smart home environment AU - Arcelus Amaya AU - Holtzman Megan AU - Goubran Rafik AU - Sveistrup Heidi AU - Guitard Paulette AU - Knoefel Frank T2 - Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference AB - The occurrence of falls inside the home is a common yet potentially hazardous issue for adults as they age. Even with the installation of physical aids such as grab bars, weight transfers on and off a toilet or bathtub can become increasingly difficult as a person's level of physical mobility and sense of balance deteriorate. Detecting this deterioration becomes an important goal in fall prevention within a smart home. This paper develops an unobtrusive method of analyzing the usage of toilet grab bars using pressure sensors embedded into the arm rests of a commode. Clinical parameters are successfully extracted automatically from a series of stand-to-sit (StSi) and sit-to-stand (SiSt) transfers performed by a trial group of young and older adults. A preliminary comparison of the parameters indicates differences between the two groups, and aligns well with published characteristics obtained using accelerometers worn on the body. The unobtrusive nature of this method provides a useful tool to be incorporated into a system of continuous monitoring of older adults within the smart home environment. DA - 2009/// PY - 2009 VL - 2009 SP - 6155 EP - 8 SN - 1557-170X UR - https://dx.doi.org/10.1109/IEMBS.2009.5334584 KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Reproducibility of Results KW - *Geriatric Assessment/mt [Methods] KW - *Self-Help Devices KW - *Monitoring, Ambulatory/is [Instrumentation] KW - *Algorithms KW - Sensitivity and Specificity KW - Equipment Design KW - *Pattern Recognition, Automated/mt [Methods] KW - Equipment Failure Analysis KW - eppi-reviewer4 KW - *Toilet Facilities/sn [Statistics & Numerical Data] ER - TY - JOUR TI - Rural older adults' beliefs and behavior related to complementary and alternative medicine use. AU - Arcury TA AU - Bell RA AU - Vitolins MZ AU - Quandt SA T2 - Complementary Health Practice Review AB - Little research has considered older adults? health beliefs related to the use of complementary and alternative medicine (CAM). Based on a conceptual model of health selfmanagement, this analysis delineates health beliefs and behaviors related to CAM use among community-dwelling rural elders. In-depth interviews were conducted with 145 female and male African Americans, Native Americans, and Whites aged 70 and older residing in two rural, central North Carolina counties. CAM therapies are widely used but are largely limited to folk and home remedies and vitamin and mineral supplements. These rural elders integrate CAM use with conventional health care, and they are concerned that remedies they use not interfere with prescribed conventional treatment. They justify CAM use in terms of advice from their physician or nurse or from published sources. Most rural elders state that their knowledge of CAM therapies is limited. DA - 2005/01// PY - 2005 VL - 10 IS - 1 SP - 33 EP - 44 SN - 1533-2101 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106605962&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - North Carolina KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Questionnaires KW - Audiorecording KW - Data Analysis Software KW - Whites KW - Funding Source KW - Semi-Structured Interview KW - Blacks KW - Community Living KW - Native Americans KW - Health Behavior -- In Old Age KW - Rural Areas KW - Health Beliefs -- In Old Age KW - Alternative Therapies -- Utilization -- In Old Age KW - Medicine, Traditional -- Utilization -- In Old Age KW - Research Subject Recruitment -- Methods ER - TY - JOUR TI - Oral health self-care behaviors of rural older adults AU - Arcury Thomas A AU - Bell Ronny A AU - Anderson Andrea M AU - Chen Haiying AU - Savoca Margaret R AU - Kohrman Teresa AU - Quandt Sara A T2 - Journal of public health dentistry AB - OBJECTIVES: This analysis describes the dental self-care behaviors used by a multiethnic sample of older adults and delineates the associations of self-care behaviors with personal characteristics and oral health problems., METHODS: A cross-sectional comprehensive oral health survey conducted with a random, multiethnic (African-American, American Indian, white) sample of 635 community-dwelling rural adults aged 60 years and older was completed in two rural southern counties., RESULTS: Rural older adults engage in a variety of self-care behaviors, including the use of over-the-counter (OTC) medicine (12.1 percent), OTC dental products (84.0 percent), salt (50.9 percent), prayer (6.1 percent), and complementary therapies (18.2 percent). Some gender and ethnic class differences are apparent, with greater use by women of OTC medicine and salt and greater use by African-Americans and American Indians of OTC medicine and OTC dental products. The use of dental self-care behaviors appears to be driven by need. Those reporting oral pain, bleeding gums, and dry mouth have greater odds of engaging in most of the dental self-care behaviors, including the use of complementary therapies., CONCLUSIONS: The major factor leading to the use of self-care behaviors is need. Although oral pain does increase the use of self-care behaviors, so do bleeding gums and dry mouth. Research and practice should address self-care behaviors used for oral health problems in addition to pain. Investigators should expand analysis of dental self-care behavior and the relationship of self-care behavior to the use of professional services. Further research also should explore the use of complementary therapies in dental self-care. DA - 2009/// PY - 2009 VL - 69 IS - 3 SP - 182 EP - 9 SN - 0022-4006 UR - https://dx.doi.org/10.1111/j.1752-7325.2009.00121.x KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Independent Living KW - Logistic Models KW - Cross-Sectional Studies KW - North Carolina KW - *Oral Health KW - *Health Behavior KW - Multivariate Analysis KW - Self Care/px [Psychology] KW - Self Care/sn [Statistics & Numerical Data] KW - Social Class KW - Ethnic Groups/sn [Statistics & Numerical Data] KW - Rural Population/sn [Statistics & Numerical Data] KW - *Oral Hygiene/sn [Statistics & Numerical Data] KW - Xerostomia/px [Psychology] KW - *Dental Care for Aged/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Complementary Therapies/sn [Statistics & Numerical Data] KW - Dental Devices, Home Care/sn [Statistics & Numerical Data] KW - Gingival Hemorrhage/px [Psychology] KW - Nonprescription Drugs KW - Toothache/px [Psychology] ER - TY - JOUR TI - Older Adults’ Self-Management of Daily Symptoms: Complementary Therapies, Self-Care, and Medical Care. AU - Arcury Thomas A AU - Grzywacz Joseph G AU - Neiberg Rebecca H AU - Lang Wei AU - Nguyen Ha AU - Altizer Kathryn AU - Stoller Eleanor P AU - Bell Ronny A AU - Quandt Sara A T2 - Journal of Aging & Health DA - 2012/06// PY - 2012 DO - 10.1177/0898264311428168 VL - 24 IS - 4 SP - 569 EP - 597 SN - 0898-2643 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104556321&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - North Carolina KW - Educational Status KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Interviews KW - Data Analysis Software KW - Whites KW - Funding Source KW - Surveys KW - Descriptive Statistics KW - Gerontologic Care KW - Blacks KW - Community Living KW - P-Value KW - Health Behavior -- In Old Age KW - Self Care -- In Old Age KW - Rural Areas KW - Alternative Therapies -- In Old Age KW - Symptoms ER - TY - JOUR TI - Housing and Neighborhood Characteristics and Latino Farmworker Family Well-Being. AU - Arcury Thomas AU - Trejo Grisel AU - Suerken Cynthia AU - Grzywacz Joseph AU - Ip Edward AU - Quandt Sara T2 - Journal of Immigrant & Minority Health AB - Housing quality and neighborhood characteristics affect individual health and family well-being. This analysis describes characteristics of farmworker housing and neighborhoods and delineates the associations of housing and local neighborhood with indicators of family well-being. Mothers in North Carolina farmworker families (n = 248) completed interviews in 2011-2012. Family well-being measures included stress, family conflict, and outward orientation. Housing measures included ownership and facilities, and neighborhood measures included heavy traffic and driving time to grocery stores. Families experienced elevated stress and conflict, and limited outward orientation. Few owned their homes, which were generally crowded. Few had enclosed play spaces for their children. For many, traffic made it difficult to walk on the street. Housing and neighborhood characteristics were related to increased stress and limited outward orientation. Housing and neighborhood characteristics are important for research on the health of families in vulnerable populations, such as farmworker families. DA - 2015/10// PY - 2015 DO - 10.1007/s10903-014-0126-4 VL - 17 IS - 5 SP - 1458 EP - 1467 SN - 1557-1912 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109323391&site=ehost-live&scope=site KW - Adult KW - Female KW - Adolescence KW - Health Status KW - Residence Characteristics KW - North Carolina KW - Analysis of Variance KW - Family Characteristics KW - Mothers KW - eppi-reviewer4 KW - Human KW - Interviews KW - Data Analysis Software KW - Middle Age KW - Funding Source KW - Descriptive Statistics KW - Home Environment KW - Hispanics KW - Scales KW - Psychological Well-Being KW - Farmworkers KW - Stress ER - TY - JOUR TI - Stability of Household and Housing Characteristics Among Farmworker Families in North Carolina: Implications for Health. AU - Arcury Thomas AU - Trejo Grisel AU - Ip Edward AU - Quandt Sara AU - Suerken Cynthia T2 - Journal of Immigrant & Minority Health AB - Household and housing stability are important for health and well-being of individuals, particularly children. This analysis examines stability in household and housing over 2 years for North Carolina farmworker families with children. Mothers with a child aged 2-4 years in farmworker families (n = 248) completed interviews over 2 years. Household measures included number of adults and children, moves, and spouse absence. Housing measures included tenure, persons per bedroom, and kitchen facilities. Household and housing characteristics for participants retained in the study over 2 years (n = 221) were stable in number of persons, tenure, persons per bedroom, and kitchen facilities. Households were large with one-third having 3 or more adults, and one-quarter having 4 or more children. Most families rented houses (over 15 % owned), which were crowded. Participants lost to follow-up were similar to retained participants in household characteristics, but had worse housing characteristics. Comparative research on farmworker family household composition is needed. DA - 2017/04// PY - 2017 DO - 10.1007/s10903-016-0369-3 VL - 19 IS - 2 SP - 398 EP - 406 SN - 1557-1912 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121497160&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Child KW - Adolescence KW - Housing KW - North Carolina KW - Data Collection KW - Family Characteristics KW - Health Services Accessibility KW - Mothers KW - eppi-reviewer4 KW - Human KW - Data Analysis Software KW - Middle Age KW - Funding Source KW - Fisher's Exact Test KW - Minority Groups KW - Psychological Well-Being KW - Transients and Migrants KW - Agriculture KW - After Care KW - Farmworkers KW - Geographic Locations ER - TY - JOUR TI - Reliability and Validity of the Floor Transfer Test as a Measure of Readiness for Independent Living Among Older Adults. AU - Ardali Gunay AU - Brody Lori T AU - States Rebecca A AU - Godwin Ellen M T2 - Journal of geriatric physical therapy (2001) AB - BACKGROUND AND PURPOSE: The ability to get up from the floor after a fall is a basic skill required for functional independence. Consequently, the inability to safely get down to and up from the floor or to perform a floor transfer (FT) may indicate decreased mobility and/or increased frailty. A reliable and valid test of FT ability is a critical part of the clinical decision-making process. The FT test is a simple, performance-based test that can be administered quickly and easily to determine a patient's ability to safely and successfully get down and up from the floor using any movement strategy and without time restriction. The primary purpose of this cross-sectional study was to determine the intrarater reliability and validity of the FT test as a practical alternative to several widely used yet time-consuming measures of physical disability, frailty, and functional mobility., METHODS: A total of 61 community-dwelling older adults (65-96 years of age) participated in the study, divided into 2 separate subsamples: intrarater reliability was studied with 15 participants, while concurrent validity was studied with the remaining 46 participants. In both subsamples, the participants were stratified on the basis of the self-reported levels of FT ability as independent, assisted, and dependent. Intrarater reliability was assessed on 2 separate occasions and scores were analyzed by intraclass correlation coefficient and kappa statistics. Concurrent validity of the FT test was assessed against the self-reported FT ability questionnaire, Physical Functioning Scale, Phenotype of Physical Frailty, and the Short Physical Performance Battery. Known-groups validity was tested by determining whether the FT test distinguished between (1) community-dwelling older adults with physical disabilities versus those without physical disabilities; and (2) community-dwelling older adults who were functionally dependent versus those who were independent. Participants were also categorized on the basis of FT test outcome as independent, assisted, or dependent. The Spearman correlation coefficients were calculated to examine the strength of the relationships between the FT test and physical status measures. The Kruskal-Wallis test was used to determine whether the FT test significantly discriminated between groups as categorized by the Physical Functioning Scale and Short Physical Performance Battery, and to examine the significance level of the sociodemographic data across the 3 FT test outcome groups., RESULTS: The intrarater reliabilities of the measures were good (0.73-1.00). There were statistically positive and strong correlations between the FT test and all physical status measures (rho ranged from 0.86 to 0.93, P < .001). Older adults who passed the FT test were collectively categorized as those without physical disabilities and functionally independent, whereas older adults who failed the FT test were categorized as those with physical disabilities and functionally dependent (P < .001)., CONCLUSION: The FT test is a reliable and valid measure for screening for physical disability, frailty, and functional mobility. It can determine which older adults have physical disabilities and/or functional dependence and hence may be useful in assessing readiness for independent living. Inclusion of the FT test at initial evaluation may reveal the presence of these conditions and address the safety of older adults in the community. DA - 2019/// PY - 2019 DO - 10.1519/JPT.0000000000000142 VL - 42 IS - 3 SP - 136 EP - 147 SN - 1539-8412 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=29059121 KW - eppi-reviewer4 ER - TY - JOUR TI - The role of religion for hospice patients and relatively healthy older adults. AU - Ardelt M AU - Koenig CS T2 - Research on Aging AB - As older adults approach the end of life, they frequently experience death anxiety and a decline in subjective well-being that are not always alleviated by increased religious participation. One possible explanation is the differential influences of intrinsic and extrinsic religiosity. The present study examined the effects of religious orientation and spiritual activities on subjective well-being and death attitudes among 103 relatively healthy older adults and 19 hospice patients (aged 61 and older). The results of path analyses showed that a sense of purpose in life rather than religiosity had a direct positive effect on subjective well-being and a direct negative effect on death fear after controlling for physical health and demographic characteristics. Intrinsic religiosity had an indirect positive effect on subjective well-being and a strong direct positive effect on approach acceptance of death. Extrinsic religiosity, however, was positively related to death anxiety and, for hospice patients, negatively related to approach acceptance of death. DA - 2006/03// PY - 2006 VL - 28 IS - 2 SP - 184 EP - 215 SN - 0164-0275 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106210834&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Models, Theoretical KW - Sample Size KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Middle Age KW - Whites KW - Surveys KW - Community Living KW - Comparative Studies KW - Scales KW - Chi Square Test KW - Two-Tailed Test KW - T-Tests KW - Regression KW - Statistical Significance KW - Hypothesis KW - Independent Variable KW - Attitude to Death -- In Old Age KW - Control (Research) KW - Hospice Patients KW - Hospices KW - Religion and Psychology -- In Old Age ER - TY - JOUR TI - In Search for Meaning: The Differential Role of Religion for Middle-Aged and Older Persons Diagnosed with a Life-Threatening Illness. AU - Ardelt Monika AU - Ai Amy L AU - Eichenberger Susan E T2 - Journal of Religion, Spirituality & Aging AB - According to symbolic interactionism, people's behavior depends on the meaning that phenomena and events have for them. How do individuals find meaning in a seemingly meaningless event such as being diagnosed with a life-threatening illness? Qualitative analyses of two focus group interviews with one male and ten female cancer survivors (age 39-60) and one focus group interview with six female seriously ill nursing home residents (age 66-78) showed that religion and spirituality became more prevalent in meaning-making after the diagnosis of a serious illness. Religion and spirituality provided individuals with a sense of control, justification for their illness, and source of emotional healing. Religious focus group members felt that they regained control over their lives by relinquishing control to God, that their illness had been a catalyst for personal and spiritual growth, and that their personal and spiritual growth led to emotional healing. However, for a group of five female and three male older retirement community residents (age 74-87), their advanced life stage rather than religion gave meaning to their serious illness. [ABSTRACT FROM AUTHOR] Copyright of Journal of Religion, Spirituality & Aging is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2008/10// PY - 2008 VL - 20 IS - 4 SP - 288 EP - 312 SN - 15528030 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=35301349&site=ehost-live&scope=site KW - Patients KW - Psychology KW - eppi-reviewer4 KW - older adults KW - cancer survivors KW - Control (Psychology) in old age KW - Geropsychology KW - life stage KW - Life-threatening illness KW - Meaning (Psychology) KW - meaning-making KW - middle-aged adults KW - posttraumatic growth KW - religion KW - RELIGIOUS life KW - spirituality KW - Symbolic interactionism KW - Terminally ill -- Social conditions ER - TY - JOUR TI - Wisdom at the End of Life: An Analysis of Mediating and Moderating Relations Between Wisdom and Subjective Well-Being AU - Ardelt Monika AU - Edwards Carladenise A T2 - The journals of gerontology. Series B, Psychological sciences and social sciences AB - OBJECTIVES: Several studies have shown that wisdom, measured as an integration of cognitive, reflective, and compassionate dimensions, is positively related to subjective well-being in old age. This study investigated whether wisdom might be particularly beneficial for people at the end of life, when extrinsic means to increase well-being largely disappear, and whether the association between wisdom and well-being is mediated by mastery and purpose in life., METHODS: Samples of 156 older community residents (M = 71 years) and 41 older hospice patients and nursing home residents (M = 77 years) were analyzed, using a moderated and mediated path model., RESULTS: (a) Wisdom was positively related to subjective well-being in the later years, even after controlling for physical health, socioeconomic status, financial situation, social involvement, age, gender, race, and marital status. (b) The association between wisdom and well-being was significantly stronger in the nursing home and hospice sample than the community sample. (c) The relation between wisdom and well-being was partially mediated by purpose in life, both directly and via a sense of mastery., CONCLUSION: Aging well at the end of life might depend to a larger extent on psychosocial growth across the life course than on present circumstances. Copyright © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. DA - 2016/// PY - 2016 VL - 71 IS - 3 SP - 502 EP - 13 SN - 1758-5368 1079-5014 UR - https://dx.doi.org/10.1093/geronb/gbv051 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Nursing Homes KW - *Quality of Life/px [Psychology] KW - *Adaptation, Psychological KW - *Aging/px [Psychology] KW - Homes for the Aged KW - Models, Psychological KW - *Attitude to Death KW - eppi-reviewer4 KW - Hospices KW - *Judgment KW - *Philosophy ER - TY - JOUR TI - Control of influenza in the long-term-care facility: a review of established approaches and newer options AU - Arden N H T2 - Infection control and hospital epidemiology AB - Influenza infections pose a serious threat to residents of nursing homes and other long-term-care facilities. Annual vaccination of residents and staff with the currently licensed inactivated influenza vaccine continues to be the mainstay of prevention. Live attenuated influenza vaccine, which is expected to be licensed in the United States in the near future, may offer added protection for elderly persons when administered in conjunction with inactivated vaccine. Antiviral agents also can be useful as an adjunct to vaccination, especially for control of institutional outbreaks. Two new antiviral agents that appear to be less toxic than amantadine and rimantadine have recently been approved. DA - 2000/// PY - 2000 VL - 21 IS - 1 SP - 59 EP - 64 SN - 0899-823X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=10656361 KW - Humans KW - Aged KW - Aged, 80 and over KW - United States/ep [Epidemiology] KW - *Homes for the Aged KW - *Nursing Homes KW - *Frail Elderly KW - Influenza, Human/ep [Epidemiology] KW - *Influenza, Human/pc [Prevention & Control] KW - Infection Control KW - Disease Outbreaks/pc [Prevention & Control] KW - eppi-reviewer4 KW - *Orthomyxoviridae KW - Antiviral Agents/tu [Therapeutic Use] KW - Influenza Vaccines ER - TY - JOUR TI - Prevalence, Genotype Distribution and Risk Factors for Cervical Human Papillomavirus Infection in the Grand Tunis Region, Tunisia. AU - Ardhaoui Monia AU - Ennaifer Emna AU - Letaief Hajer AU - Salsabil Rejaibi AU - Lassili Thalja AU - Chahed Karim AU - Bougatef Souha AU - Bahrini Asma AU - El Fehri AU - Emna AU - Ouerhani Kaouther AU - Paez Jimenez AU - Adela AU - Guizani Ikram AU - Boubaker Med Samir AU - Ben Alaya AU - Nissaf Bouafif Ep T2 - PloS one AB - Implementation of Human Papillomavirus (HPV) vaccination should be considered a key cervical cancer prevention strategy in Tunisia, where Pap smear screening is not efficient. This study aims to estimate the prevalence and to identify risk factors associated with HPV infection among women from Grand Tunis, Tunisia. We conducted a cross-sectional study, between December 2012 and May 2013. Eligible women for this study were those aged 18-65 years, sexually active, who sought medical attention at their primary health care centre or clinic in Grand Tunis, Tunisia and who gave written consent. A liquid-based Pap smear sample was obtained from all women using a cervical brush. Only women with betaglobin positive test were further analysed for HPV detection and typing. A nested-PCR of the L1 region was performed followed by reverse line blot hybridization to facilitate the specific detection of 31 HPV genotypes. Multiple logistic regression modeling was used for the analysis of associations between variables with some considered possible confounders after checking for interactions. A total of 391 women were enrolled in this study and 325 out of the 391 cervical samples were positive for the betaglobin test. Overall HPV prevalence was 13.2% [9.8%-17.5%], with the following most prevalent HPV genotypes: HPV6 (40%), HPV40 (14%), HPV16 (12%), HPV52 (9%), HPV31 and HPV59 (7%), followed by HPV68 (4%). Mean age of HPV positive women was 40.7+/-0.92 years. Independently associated risk factors of HPV infection were smoking (OR:2.8 [0.8-9.6]), low income (OR:9.6 [1.4-63.4), bad housing type (OR:2.5 [1-6.8]), partner with multiple sexual relationship (OR:4.5 [0.9-22.9]) and single women (widowed, divorced, separated, never married) (OR:6.9 [1.1-42.2]). This study provides the first national-based estimate of HPV prevalence in Tunisia. Our findings contribute to the evidence on the current burden of HPV infection, the critical role of sexual behaviour and socioeconomic status and call for increased support for the screening program in Tunisia to prevent cervical cancer. These results allow us to evaluate the cost-effectiveness of vaccine program implementation in Tunisia in future. DA - 2016/// PY - 2016 DO - 10.1371/journal.pone.0157432 VL - 11 IS - 6 SP - e0157432 SN - 1932-6203 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc1&NEWS=N&AN=27299955 KW - Adult KW - Female KW - Humans KW - Risk Factors KW - Middle Aged KW - Prevalence KW - Cross-Sectional Studies KW - Socioeconomic Factors KW - Pilot Projects KW - Genotype KW - Sexual Partners KW - eppi-reviewer4 KW - *Cervix Uteri/vi [Virology] KW - *Papillomaviridae/ge [Genetics] KW - *Papillomaviridae/ip [Isolation & Purification] KW - *Papillomavirus Infections/ep [Epidemiology] KW - Papillomavirus Infections/pc [Prevention & Control] KW - Papillomavirus Vaccines/tu [Therapeutic Use] KW - Tunisia/ep [Epidemiology] ER - TY - JOUR TI - Long-Term Adherence and Effectiveness of a Multicomponent Intervention for Community-Dwelling Overweight Thai Older Adults with Knee Osteoarthritis: 1-Year Follow Up AU - Aree-Ue Suparb AU - Saraboon Yuwadee AU - Belza Basia T2 - Journal of gerontological nursing AB - Being overweight is a major risk factor for developing knee osteoarthritis (OA). The purpose of the current study was to: (a) determine participant adherence to a quadriceps exercise and weight management program after completion of the intervention; and (b) examine whether a quadriceps exercise and weight management program can reduce knee pain and improve knee function and weight loss in 40 community-dwelling overweight Thai older adults with knee OA at 6- and 12-month follow up. Twenty-nine (76.3%) participants completed at least 75% of the program. Two (5%) participants did not complete the program. In the intervention group, significant improvement was noted in knee range of motion at 6 and 12 months compared with baseline, and a significant reduction was noted in knee pain, time spent in the Timed Up and Go test, and body weight compared with baseline. These study variables, except for body weight, between the intervention group and control group were significantly different. This study highlights the benefit of long-term adherence to the multicomponent intervention for community-dwelling overweight Thai older adults with knee OA. [Journal of Gerontological Nursing, 43(4), 40-48.]. Copyright 2017, SLACK Incorporated. DA - 2017/// PY - 2017 VL - 43 IS - 4 SP - 40 EP - 48 SN - 0098-9134 UR - https://dx.doi.org/10.3928/00989134-20170111-09 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Independent Living KW - Follow-Up Studies KW - Thailand KW - *Patient Compliance/px [Psychology] KW - *Exercise Therapy/px [Psychology] KW - eppi-reviewer4 KW - *Osteoarthritis, Knee/et [Etiology] KW - *Osteoarthritis, Knee/nu [Nursing] KW - *Overweight/co [Complications] ER - TY - JOUR TI - The interface between residential aged care and the emergency department: a systematic review AU - Arendts Glenn AU - Howard Kirsten T2 - Age and ageing AB - BACKGROUND: emergency care for older people living in residential aged care facilities (RACF) is a complex area of health policy. The epidemiology of patient transfer between RACF and hospital emergency departments (ED), clinical outcomes and costs associated with transfer and efficacy of programs aiming to reduce transfer are not well known., DESIGN: systematic review based on a comprehensive literature search in three electronic databases and published article reference lists., RESULTS: the incidence of transfer from RACF to ED is >30 transfers/100 RACF beds/year in most studies. The casemix from RACF is varied and reflects that of the broad elderly population, with some risk difference. At least 40% of transfers are not admitted to hospital. There is insufficient data to fully address our other questions; however, hospitalisations from RACF can be reduced through advanced care planning, use of management guidelines for acute illnesses and improved primary care., CONCLUSIONS: residents of RACF have a high annual risk of transfer to ED. The clinical benefit and cost effectiveness of ED care, and alternate programs to reduce ED transfer, cannot be confidently compared from published work. Further research is required to accurately describe these and to determine their comparative worth. DA - 2010/// PY - 2010 VL - 39 IS - 3 SP - 306 EP - 12 SN - 1468-2834 0002-0729 UR - https://dx.doi.org/10.1093/ageing/afq008 KW - Humans KW - Aged KW - *Emergency Service, Hospital/sn [Statistics & Numerical Data] KW - Hospitalization/sn [Statistics & Numerical Data] KW - Homes for the Aged KW - Health Services for the Aged/og [Organization & Administration] KW - *Patient Transfer/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - *Health Services for the Aged/cl [Classification] ER - TY - JOUR TI - 'They never talked to me about... ': Perspectives on aged care resident transfer to emergency departments AU - Arendts Glenn AU - Popescu Aurora AU - Howting Denise AU - Quine Susan AU - Howard Kirsten T2 - Australasian journal on ageing AB - AIMS: To explore perspectives of three groups concerning transfers from aged care facilities to emergency departments. We sought to reveal factors influencing transfer decisions; how active each group was in making decisions; and to what extent groups ceded decision-making to others., METHODS: Semi-structured interviews of 11 residents, 14 relatives and 17 staff with content analysis of interview transcripts., RESULTS: The three groups substantially differed in their involvement with initiating, and attitudes towards, transfer. Residents were least likely to be involved in the decision, yet most likely to support transfer. Staff felt conflicted between their desire to provide optimal treatment for one ill resident, and their obligations to other residents under care. Staff perspectives were largely consistent with published data, but we describe new results for other informant groups., CONCLUSIONS: Group expectations and preferences differ substantially. Service delivery to meet all preferences presents a challenge for health service design. Copyright © 2013 ACOTA. DA - 2015/// PY - 2015 VL - 34 IS - 2 SP - 95 EP - 102 SN - 1741-6612 1440-6381 UR - https://dx.doi.org/10.1111/ajag.12125 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Attitude of Health Personnel KW - Patient Participation KW - Interdisciplinary Communication KW - *Homes for the Aged KW - *Nursing Homes KW - Age Factors KW - Interviews as Topic KW - *Nursing Staff/px [Psychology] KW - *Aging/px [Psychology] KW - *Health Knowledge, Attitudes, Practice KW - Professional-Family Relations KW - Nurse-Patient Relations KW - *Communication KW - *Emergency Service, Hospital KW - *Patient Transfer KW - Vulnerable Populations/px [Psychology] KW - Choice Behavior KW - Cooperative Behavior KW - eppi-reviewer4 ER - TY - JOUR TI - Preferences for the emergency department or alternatives for older people in aged care: a discrete choice experiment AU - Arendts Glenn AU - Jan Stephen AU - Beck Matthew J AU - Howard Kirsten T2 - Age and ageing AB - Background: To estimate the effect of factors that influence decisions to transfer residents of aged care facilities to an emergency department (ED) for acute medical emergencies., Design and Participants: A discrete choice experiment with residents (N = 149), the relatives of residents (N = 137) and staff members (N = 128) of aged care facilities., Setting: Aged care facilities in three Australian states., Outcome Measures: Using random parameter logit models, parameter estimates and odds ratios were estimated, and resultant utility functions for ED and alternate care were constructed., Results: All attributes (including waiting time, complication rates, symptom relief and time spent alone) significantly influence choice for accessing acute care. There is a strong overall preference for ED care (odds ratio 1.73, 95% confidence interval 1.57-1.92), but this varies by clinical scenario, being the strongest for pneumonia and weakest for wrist fracture. Relatives of residents were less tolerant of reductions in care quality than staff members or residents themselves., Conclusion: Underlying preference for ED transfer of aged care facility residents in acute medical emergencies is strong and independent of commonly used quality of care measures. DA - 2017/// PY - 2017 VL - 46 IS - 1 SP - 124 EP - 129 SN - 1468-2834 0002-0729 UR - https://dx.doi.org/10.1093/ageing/afw163 KW - Humans KW - Quality of Health Care KW - Workforce KW - Logistic Models KW - Time Factors KW - *Health Personnel/px [Psychology] KW - *Homes for the Aged KW - *Nursing Homes KW - *Attitude of Health Personnel KW - Odds Ratio KW - *Health Knowledge, Attitudes, Practice KW - Patient Satisfaction KW - *Emergency Service, Hospital KW - *Family/px [Psychology] KW - *Patient Transfer KW - *Patient Preference KW - Time-to-Treatment KW - Accidental Falls KW - Choice Behavior KW - Chest Pain/di [Diagnosis] KW - Chest Pain/th [Therapy] KW - Delivery of Health Care, Integrated KW - Dyspnea/di [Diagnosis] KW - Dyspnea/th [Therapy] KW - Remission Induction KW - Wrist Injuries/di [Diagnosis] KW - Wrist Injuries/th [Therapy] KW - eppi-reviewer4 ER - TY - JOUR TI - Rates of Delirium Diagnosis Do Not Improve with Emergency Risk Screening: Results of the Emergency Department Delirium Initiative Trial. AU - Arendts Glenn AU - Love Jennefer AU - Nagree Yusuf AU - Bruce David AU - Hare Malcolm AU - Dey Ian T2 - Journal of the American Geriatrics Society AB - Objectives To determine whether a bundled risk screening and warning or action card system improves formal delirium diagnosis and person-centered outcomes in hospitalized older adults. Design Prospective trial with sequential introduction of screening and interventional processes. Setting Two tertiary referral hospitals in Australia. Participants Individuals aged 65 and older presenting to the emergency department ( ED) and not requiring immediate resuscitation (N = 3,905). Intervention Formal ED delirium screening algorithm and use of a risk warning card with a recommended series of actions for the prevention and management of delirium during the subsequent admission Measurements Delirium diagnosis at hospital discharge, proportion discharged to new assisted living arrangements, in-hospital complications (use of sedation, falls, aspiration pneumonia, death), hospital length of stay. Results Participants with a positive risk screen were significantly more likely (relative risk = 6.0, 95% confidence interval = 4.9-7.3) to develop delirium, and the proportion of at-risk participants with a positive screen was constant across three study phases. Delirium detection rate in participants undergoing the final intervention (Phase 3) was 12.1% (a 2% absolute and 17% relative increase from the baseline rate) but this was not statistically significant ( P = .29), and a similar relative increase was seen over time in participants not receiving the intervention Conclusion A risk screening and warning or action card intervention in the ED did not significantly improve rates of delirium detection or other important outcomes. [ABSTRACT FROM AUTHOR] Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2017/08// PY - 2017 VL - 65 IS - 8 SP - 1810 EP - 1815 SN - 00028614 UR - http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=124623539&site=ehost-live&scope=site KW - Australia KW - eppi-reviewer4 KW - Medical cooperation KW - screening KW - delirium KW - Diagnosis of delirium KW - emergency medicine KW - Health outcome assessment KW - Hospital admission & discharge KW - Hospital emergency services KW - Length of stay in hospitals KW - Medical screening KW - Risk assessment ER - TY - JOUR TI - Retrospective review of selective serotonin reuptake inhibitors and falling in older nursing home residents AU - Arfken C L AU - Wilson J G AU - Aronson S M T2 - International psychogeriatrics AB - We compared the rate of falling in older nursing home residents who had been prescribed selective serotonin reuptake inhibitors (SSRIs), other classes of antidepressants, and no antidepressants. Data were obtained from pharmacy records, medical records, fall logs, and incidence reports for one nursing home (1995 data). Older adults on SSRIs were more likely to fall than older adults not on antidepressants (p = .003) and were more likely to have an injurious fall (p = .03). The association with falling remained significant even when including potential confounders (p = .007). Older nursing home residents should be treated for depression. However, SSRIs may also carry an increased risk for falling. DA - 2001/// PY - 2001 VL - 13 IS - 1 SP - 85 EP - 91 SN - 1041-6102 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=11352338 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Logistic Models KW - Retrospective Studies KW - Accidental Falls/pc [Prevention & Control] KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Odds Ratio KW - *Accidental Falls/sn [Statistics & Numerical Data] KW - Fractures, Bone/pc [Prevention & Control] KW - Case-Control Studies KW - Serotonin Uptake Inhibitors/tu [Therapeutic Use] KW - *Inpatients/sn [Statistics & Numerical Data] KW - Inpatients/px [Psychology] KW - Antidepressive Agents/ae [Adverse Effects] KW - Depression/dt [Drug Therapy] KW - Michigan/ep [Epidemiology] KW - *Serotonin Uptake Inhibitors/ae [Adverse Effects] KW - eppi-reviewer4 ER - TY - JOUR TI - Chemosensory impairment does not diminish eating pleasure and appetite in independently living older adults AU - Arganini Claudia AU - Sinesio Fiorella T2 - Maturitas AB - OBJECTIVE: This study aims to evaluate the impact of chemosensory impairment on diminished eating pleasure and appetite in independently living Italian older adults., STUDY DESIGN: 239 individuals (65 to 101 years old, 157 women), with no severe medical conditions and good cognitive performance were recruited. Olfactory and gustatory functions were measured using a short version of Sniffin' Sticks and Taste Strips tests (Burghart). Information about socio-demographic characteristics, health, perceived smell and taste impairment, diminished eating pleasure and appetite were obtained with a specially designed questionnaire., RESULTS: Prevalence of chemosensory impairment detected in this sample is high, being 41% for taste and 33% for olfaction. However, the frequency of self-reported impairment is consistently lower than the measured one, especially in men and in older subjects. Measured chemosensory impairment is not significantly related with eating pleasure and appetite. On the other hand, factors significantly influencing decline of eating pleasure are: living alone, dietary restriction and perceived taste impairment. Meanwhile, a significant influence of dietary restriction, dentures and subjective health status on appetite decline is observed., CONCLUSIONS: The results of this study show that chemosensory impairment may not be related with diminished eating pleasure and appetite, while other non-physiological factors such as loneliness, dietary restrictions and subjective health should be taken more into account in order to develop effective strategies to counteract malnutrition in the elderly. In addition, low awareness of chemosensory impairment among this sample highlights the importance of measuring sensory acuity rather than asking by questionnaire or interview, in order to obtain reliable data. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. DA - 2015/// PY - 2015 VL - 82 IS - 2 SP - 241 EP - 4 SN - 1873-4111 0378-5122 UR - https://dx.doi.org/10.1016/j.maturitas.2015.07.015 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Surveys and Questionnaires KW - Independent Living KW - Health Services for the Aged KW - *Feeding Behavior KW - *Pleasure KW - *Appetite KW - eppi-reviewer4 KW - *Taste Disorders/pp [Physiopathology] ER - TY - JOUR TI - Prevalence of cognitive impairment and related risk factors in community-dwelling elderly in Kayseri, Turkey AU - Arguvanli Sibel AU - Akin Sibel AU - Deniz Safak AU - Elif AU - Mucuk Salime AU - Ozturk Ahmet AU - Mazicioglu Mustafa Mumtaz AU - Kizilcay Hatice Duygu AU - Gocer Semsinnur T2 - Turkish journal of medical sciences AB - BACKGROUND/AIM: The increased rate of elderly individuals in the general population leads to functional decline because of cognitive impairment (CImp). We aimed to detect the prevalence of CImp and related risk factors in community-dwelling elders living in an urban area (Kayseri, Turkey)., MATERIALS AND METHODS: This is a cross-sectional, population-based study conducted in a sample of 900 community-dwelling elders aged 60 years and older. Cognitive status and depressive symptoms were assessed by standardized Mini Mental State Examination (MMSE) and the Geriatric Depression Scale (GDS), respectively., RESULTS: The mean age of the participants was 71.6 +/- 0.18 years, of whom 47.9% were female. Prevalences of CImp and depressive symptoms were 26.1% and 24.9%, respectively. Female sex, illiteracy, low income, increased age, being a housewife, being a nonsmoker, being depressive, being single, and having more than four children were significantly related with CImp based on univariate logistic regression analysis. However, in multivariate logistic regression analysis, it was found that being illiterate, being depressive, and having an increased number of children were determinants of CImp in the elderly. Self-reported chronic diseases were not detected as risk factors for CImp., CONCLUSION: Increasing socioeconomic status and education levels and preventing depression should be accepted as primary protective measures for CImp. DA - 2015/// PY - 2015 VL - 45 IS - 5 SP - 1167 EP - 72 SN - 1300-0144 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med11&NEWS=N&AN=26738363 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - Prevalence KW - Cross-Sectional Studies KW - Socioeconomic Factors KW - Depression/ep [Epidemiology] KW - *Residence Characteristics KW - Cognition Disorders/di [Diagnosis] KW - Urban Population KW - *Cognition Disorders/ep [Epidemiology] KW - Turkey KW - Cognition Disorders/px [Psychology] KW - eppi-reviewer4 ER - TY - JOUR TI - Software simulation of unobtrusive falls detection at night-time using passive infrared and pressure mat sensors AU - Ariani Arni AU - Redmond Stephen J AU - Chang David AU - Lovell Nigel H T2 - Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference AB - Falls and their related injuries are a major challenge facing elderly people. One serious issue related to falls among the elderly living at home is the 'long-lie' scenario, which is the inability to get up from the floor after a fall, followed by lying on the floor for 60 minutes, or more. Several studies of accelerometer and gyroscope-based wearable falls detection devices have been cited in the literature. However, when the subject moves around at night-time, such as making a trip from the bedroom to the toilet, it is unlikely that they will remember or even feel an inclination to wear such a device. This research will investigate the potential usefulness of an unobtrusive fall detection system, based on the use of passive infrared sensors (PIRs) and pressure mats (PMs), that will detect falls automatically by recognizing unusual activity sequences in the home environment; hence, decreasing the number of subjects suffering the 'long-lie' scenario after a fall. A Java-based wireless sensor network (WSN) simulation was developed. This simulation reads the room coordinates from a residential map, a path-finding algorithm (A*) simulates the subject's movement through the residential environment, and PIR and PM sensors respond in a binary manner to the subject's movement. The falls algorithm was tested for four scenarios; one scenario including activities of daily living (ADL) and three scenarios simulating falls. The simulator generates movements for ten elderly people (5 female and 5 male; age: 50-70 years; body mass index: 25.85-26.77 kg/m(2)). A decision tree based heuristic classification model is used to analyze the data and differentiate falls events from normal activities. The sensitivity, specificity and accuracy of the algorithm are 100%, 66.67% and 90.91%, respectively, across all tested scenarios. DA - 2010/// PY - 2010 VL - 2010 SP - 2115 EP - 8 SN - 1557-170X UR - https://dx.doi.org/10.1109/IEMBS.2010.5627202 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Reproducibility of Results KW - *Accidental Falls/pc [Prevention & Control] KW - Time Factors KW - Algorithms KW - Monitoring, Ambulatory/mt [Methods] KW - *Monitoring, Ambulatory/is [Instrumentation] KW - *Software KW - Decision Trees KW - Equipment Design KW - Computer Communication Networks KW - Computer Simulation KW - eppi-reviewer4 KW - *Infrared Rays ER - TY - JOUR TI - Physical function and associated factors in community-dwelling elderly people in Jalisco, Mexico AU - Arias-Merino Elva Dolores AU - Mendoza-Ruvalcaba Neyda Ma AU - Ortiz Genaro Gabriel AU - Velazquez-Brizuela Irma E AU - Meda-Lara Rosa Martha AU - Cueva-Contreras Jazmin T2 - Archives of gerontology and geriatrics AB - PURPOSE: To determine the prevalence of disability in Basic Activities of Daily Living and Instrumental Activities of Daily Living (ADL and IADL, respectively), as well as associated factors in the Mexican community-dwelling elderly population., MATERIALS AND METHODS: This is a cross-sectional study of a population 60 years and older who live in the State of Jalisco (Mexico). A total of 2553 persons were assessed regarding their functional and health conditions. The ADL and IADL were classified as dependent and non-dependent, and crude and adjusted Odds Ratio (OR) were calculated., RESULTS: Mean age of participants was 71.6+/-8.7, 61.2% were women. A disability prevalence of 9.6% was found to perform ADL and of 31.5% for the IADL, 14.3% had cognitive impairment and 30.9% depression. Risk factors were found for dependence: being a woman, being >=75 years old, low education level, having at least one chronic disease, cognitive impairment, depression, previous history of disability, and having been a lifelong housewife., CONCLUSIONS: Functional difficulties are common in Mexican elderly population. These data show key variables for functional disability risk. A better understanding of functional capabilities, as well as of risk factors older adults face every day provide us with a guide to devise a prevention plan, to implement adequate interventions, or to provide appropriate care. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved. DA - 2012/// PY - 2012 VL - 54 IS - 3 SP - e271 EP - 8 SN - 1872-6976 0167-4943 UR - https://dx.doi.org/10.1016/j.archger.2012.02.010 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Chronic Disease KW - Health Status KW - Prevalence KW - *Activities of Daily Living KW - Cross-Sectional Studies KW - Depression/ep [Epidemiology] KW - Mexico/ep [Epidemiology] KW - Cognition Disorders/ep [Epidemiology] KW - *Residence Characteristics/sn [Statistics & Numerical Data] KW - eppi-reviewer4 ER - TY - JOUR TI - Quantitative multi-modal MRI of the Hippocampus and cognitive ability in community-dwelling older subjects AU - Aribisala Benjamin S AU - Royle Natalie A AU - Maniega Susana Munoz AU - Valdes Hernandez AU - Maria C AU - Murray Catherine AU - Penke Lars AU - Gow Alan AU - Starr John M AU - Bastin Mark E AU - Deary Ian J AU - Wardlaw Joanna M T2 - Cortex; a journal devoted to the study of the nervous system and behavior AB - Hippocampal structural integrity is commonly quantified using volumetric measurements derived from brain magnetic resonance imaging (MRI). Previously reported associations with cognitive decline have not been consistent. We investigate hippocampal integrity using quantitative MRI techniques and its association with cognitive abilities in older age. Participants from the Lothian Birth Cohort 1936 underwent brain MRI at mean age 73 years. Longitudinal relaxation time (T1), magnetization transfer ratio (MTR), fractional anisotropy (FA) and mean diffusivity (MD) were measured in the hippocampus. General factors of fluid-type intelligence (g), cognitive processing speed (speed) and memory were obtained at age 73 years, as well as childhood IQ test results at age 11 years. Amongst 565 older adults, multivariate linear regression showed that, after correcting for ICV, gender and age 11 IQ, larger left hippocampal volume was significantly associated with better memory ability (beta = .11, p = .003), but not with speed or g. Using quantitative MRI and after correcting for multiple testing, higher T1 and MD were significantly associated with lower scores of g (beta range = -.11 to -.14, p < .001), speed (beta range = -.15 to -.20, p < .001) and memory (beta range = -.10 to -.12, p < .001). Higher MTR and FA in the hippocampus were also significantly associated with higher scores of g (beta range = .17 to .18, p < .0001) and speed (beta range = .10 to .15, p < .0001), but not memory. Quantitative multi-modal MRI assessments were more sensitive at detecting cognition-hippocampal integrity associations than volumetric measurements, resulting in stronger associations between MRI biomarkers and age-related cognition changes. Copyright © 2014. Published by Elsevier Ltd. DA - 2014/// PY - 2014 VL - 53 SP - 34 EP - 44 SN - 1973-8102 0010-9452 UR - https://dx.doi.org/10.1016/j.cortex.2013.12.012 KW - Female KW - Humans KW - Male KW - Aged KW - Independent Living KW - *Cognition/ph [Physiology] KW - Neuropsychological Tests KW - Aging/px [Psychology] KW - eppi-reviewer4 KW - *Hippocampus/ah [Anatomy & Histology] KW - *Hippocampus/ph [Physiology] KW - *Magnetic Resonance Imaging/mt [Methods] KW - Functional Laterality/ph [Physiology] KW - Hippocampus/gd [Growth & Development] KW - Intelligence/ph [Physiology] ER - TY - JOUR TI - Influence of previous work experience and education on Internet use of people in their 60s and 70s. AU - Arief Muzawir AU - Rissanen Sari AU - Saranto Kaija T2 - Journal of innovation in health informatics AB - BACKGROUND: Internet use among the elderly is influenced by various demographic backgrounds, social life and health factors., OBJECTIVE: This study aims to identify the impact of several demographic features on 60- to 79-year-old individuals' intention to use the Internet., METHOD: Finland population data (N = 2508) from the 2012 IKIPOSA project was used with two cohorts: 60s group (n = 1515) and 70s group (n = 990). Descriptive statistic and two binomial logistic regressions have been used with the unadjusted effect and Forward LR method to measure each predictor's contribution to the model. In addition, a preliminary analysis to measure the multicollinearity was performed., RESULT: Of the 18 independent variables, only nine predictors, namely, age, education, financial situation, having children, entrepreneurship, a leadership position, a higher level white-collar worker and a lower level white-collar worker, were significant factors in predicting the Internet use. Meanwhile, gender, having grandchildren, living alone, marital status, house location and type, stay-at-home mother or father, blue-collar worker, agricultural entrepreneur and social relations satisfaction were not significant predictors. The most significant predictors were education and age, which contributed 19% and 10%, respectively, to the model. Other significant predictors, lower level white-collar worker, higher level white-collar worker and financial situation, had less impact with only around 6%., CONCLUSION: Education and age were influential factors among elderly to use the Internet in their later life. Certain work experiences affect elderly people's engagement with the Internet after retirement. DA - 2018/// PY - 2018 DO - 10.14236/jhi.v25i3.868 VL - 25 IS - 3 SP - 132 EP - 141 SN - 2058-4555 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30398457 KW - Female KW - Humans KW - Male KW - Aged KW - Middle Aged KW - Sex Factors KW - Age Factors KW - Finland KW - Educational Status KW - *Socioeconomic Factors KW - *Internet/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - Occupations/sn [Statistics & Numerical Data] ER - TY - JOUR TI - A review on the technologies and services used in the self-management of health and independent living of elderly AU - Arif Mohammad Jafar AU - El Emary AU - Ibrahiem M M AU - Koutsouris Dimitrios-Dionisios T2 - Technology and health care : official journal of the European Society for Engineering and Medicine AB - As the number of aged people is rapidly growing, the need for health and living care of aged people living alone becomes imperative. The telecare systems are able to provide flexible services for older people suffering from chronic diseases, but are largely user group oriented. However, it is common in elderly to show symptoms of a combination of (chronic) diseases. Moreover, elderly are totally dependent on a third person as they are unable to perform a number of basic functions at home. They also feel cutt off from the social fabric. Old people living in remote places typically use telephone that dials a social alarm control center or mobile social alarm systems and monitoring systems. This study examines the existing solutions related to elderly assistance and proposes an advanced solution based on web technology for the self-management of health and independent living of elderly. DA - 2014/// PY - 2014 VL - 22 IS - 5 SP - 677 EP - 87 SN - 1878-7401 0928-7329 UR - https://dx.doi.org/10.3233/THC-140851 KW - Humans KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Mobility Limitation KW - *Independent Living KW - Exercise KW - *Home Care Services/og [Organization & Administration] KW - *Telemedicine/mt [Methods] KW - *Chronic Disease KW - Internet KW - eppi-reviewer4 KW - *Self Care/is [Instrumentation] KW - Nervous System Diseases/ep [Epidemiology] KW - Wireless Technology/is [Instrumentation] ER - TY - JOUR TI - Association of vertebral compression fractures with physical performance measures among community-dwelling Japanese women aged 40 years and older AU - Arima Kazuhiko AU - Abe Yasuyo AU - Nishimura Takayuki AU - Okabe Takuhiro AU - Tomita Yoshihito AU - Mizukami Satoshi AU - Kanagae Mitsuo AU - Aoyagi Kiyoshi T2 - BMC musculoskeletal disorders AB - BACKGROUND: Numerous reported studies have shown that vertebral compression fractures are associated with impaired function or disability; however, few examined their association with objective measures of physical performance or functioning., METHODS: We examined the association of vertebral compression fractures with physical performance measures in 556 Japanese women aged 40-89 years. Lateral spine radiographs were obtained and radiographic vertebral compression fractures were assessed by quantitative morphometry, defined as vertebral heights more than 3 SD below the normal mean. Measures of physical performance included walking speed, chair stand time and functional reach. Adjusted means of performance-based measures according to the number and severity of vertebral compression fractures were calculated using general linear modeling methods., RESULTS: After adjusting for age, body mass index, back pain, number of painful joints, number of comorbidities and regular physical activities, the walking speed of women with two or more compression fractures (1.17 m/s) was significantly slower than that of women without compression fracture (1.24 m/s) (p = 0.03). Compared with women without compression fracture, chair stand time was longer in women with two or more compression fractures (p = 0.01), and functional reach was shorter (p = 0.01). No significant differences were observed in walking speed, chair stand time, or functional reach between women with one compression fracture and those without compression fracture., CONCLUSIONS: Having multiple vertebral compression fractures affects physical performance in community-dwelling Japanese women. Poor physical functioning may lead to functional dependence, accelerated bone loss, and increased risk for falls, injuries, and fractures. Preventing vertebral compression fracture is considered important for preserving the independence of older adults. DA - 2017/// PY - 2017 VL - 18 IS - 1 SP - 176 SN - 1471-2474 UR - https://dx.doi.org/10.1186/s12891-017-1531-3 KW - Adult KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - Japan/ep [Epidemiology] KW - Cross-Sectional Studies KW - *Asian Continental Ancestry Group KW - *Exercise/ph [Physiology] KW - Independent Living/td [Trends] KW - *Fractures, Compression/ep [Epidemiology] KW - *Spinal Fractures/ep [Epidemiology] KW - Fractures, Compression/dg [Diagnostic Imaging] KW - Fractures, Compression/pp [Physiopathology] KW - Spinal Fractures/dg [Diagnostic Imaging] KW - Spinal Fractures/pp [Physiopathology] KW - eppi-reviewer4 ER - TY - JOUR TI - A comparative study of the syndrome of inappropriate antidiuretic hormone secretion in community-dwelling patients and nursing home residents AU - Arinzon Zeev AU - Feldman Jacob AU - Jarchowsky Jacob AU - Fidelman Zeev AU - Krasnyansky Irene AU - Adunsky Abraham T2 - Aging clinical and experimental research AB - BACKGROUND AND AIMS: Limited data exist about the clinical characteristics of the syndrome of inappropriate antidiuretic hormone secretion (SIADHS) in hospitalized elderly. Moreover, there may be differences regarding this syndrome between populations, depending on the referral source to hospitals. The objectives of the study were to determine the etiology, clinical characteristics and hospital outcome in a sample of elderly hospitalized patients with SIADHS, and to compare community-dwelling patients (CDP) with nursing home residents (NHR)., METHODS: This retrospective chart analysis was conducted in a university affiliated referral hospital. The participants were consecutive elderly patients, admitted with hyponatremia (< 135 mmol/L), and ultimately diagnosed as having SIADHS. We examined patient demographics, medical history, clinical presentation, laboratory and imaging studies, and hospital outcome., RESULTS: Of the 179 patients presenting with hyponatremia, 79 patients (44%) fulfilled the criteria for SIADHS; 73% of these patients were CDP and 27% were NHR (mean ages, 74.4 +/- 6.9 and 75.7 +/- 7.2 years, respectively). Most CDP complained of weakness and dizziness, while NHP presented with confusion, seizures and vomiting. Mean sodium levels and mean plasma osmolality values were similar in both groups, however, the number of patients with sodium levels < or = 121 mmol/L was significantly higher among NHR. The leading causes of SIADHS in both groups were medications, idiopathic form, and concurrent malignancies. In patients older than 81 years, idiopathic (50%) and drug-induced (20%) SIADHS were more frequent, compared with younger age groups. The overall in-hospital mortality rate was significantly higher in NHR as compared with CDP (p = 0.014), yet, it was similar in both groups once only patients with sodium levels of 121 mmo/L or lower were considered., CONCLUSIONS: While leading causes of SIADHS in community and nursing home residents are similar, there are marked differences in clinical presentation and outcome. This knowledge should help in identifying high-risk patients and taking appropriate measures. DA - 2003/// PY - 2003 VL - 15 IS - 1 SP - 6 EP - 11 SN - 1594-0667 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=12841412 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Length of Stay KW - Retrospective Studies KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - *Housing for the Elderly/sn [Statistics & Numerical Data] KW - eppi-reviewer4 KW - *Inappropriate ADH Syndrome/mo [Mortality] KW - Hyponatremia/di [Diagnosis] KW - Hyponatremia/et [Etiology] KW - Hyponatremia/mo [Mortality] KW - Inappropriate ADH Syndrome/di [Diagnosis] KW - Inappropriate ADH Syndrome/et [Etiology] ER - TY - JOUR TI - Drug use in a geriatric long-term care setting: comparison between newly admitted and institutionalised patients AU - Arinzon Zeev AU - Peisakh Alexander AU - Zuta Aneta AU - Berner Yitshal N T2 - Drugs & aging AB - BACKGROUND AND OBJECTIVE: Advanced age, co-morbid diseases, functional dependence and frailty are associated with polypharmacy and overall high health expenditures. Polypharmacy is commonly defined as the concomitant ingestion of four or more medications, particularly in community-dwelling patients, but the number of drugs being taken by institutionalised and hospitalised patients may be as high as ten. The aim of this study was to compare drug use in newly admitted patients (AP) to a geriatric medical centre for long-term care (LTC) with that of institutionalised patients (IP) at the centre., METHODS: A cross-sectional study was conducted, between January 2001 and December 2002, in 324 functionally dependent and cognitively impaired elderly patients (> or = 65 years of age), consisting of 167 IP (127 females, 40 males) staying at the centre for > or = 3 months and 157 (117 females, 40 males) consecutive new admissions for LTC. All patients underwent a comprehensive geriatric assessment, which included a structured medical history, history of drug use, physical examination and functional and cognitive examinations. Overall drug use, drug categories and the basis of use (regular and/or as needed) were compared between the two groups of patients. The pattern of drug use was defined as use of drugs either on a 'regular' basis or on an 'as needed' basis at any time during the 3 weeks preceding the comprehensive geriatric assessment., RESULTS: IPs were younger, more dependent, more cognitively impaired, had more co-morbidity and had nonsignificantly higher overall drug use than APs. APs used drugs mainly on a 'regular' basis. All of the IPs and most (97%) of the APs were taking drugs according to regular regimens. However, advanced age in IPs was associated with lower overall drug use, predominantly of medications taken on a 'regular' basis, and higher use of drugs taken on an 'as needed' basis, whereas in APs, advanced age was associated with higher use of both types of medications., CONCLUSION: IPs used more drugs on an 'as needed' basis, probably because of closer medical supervision of these patients than those in the community. Better knowledge of the patient's medical condition and treatment, together with better monitoring in the community through patient caregiver instruction, on the one hand, and computerisation of medical data accessible to all healthcare providers, on the other hand, might reduce drug use on a regular basis and, consequently, the costly and adverse effects of polypharmacy. DA - 2006/// PY - 2006 VL - 23 IS - 2 SP - 157 EP - 65 SN - 1170-229X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16536637 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Length of Stay KW - Cross-Sectional Studies KW - *Homes for the Aged KW - *Polypharmacy KW - Geriatric Assessment KW - *Long-Term Care KW - *Health Services for the Aged KW - Antipsychotic Agents/tu [Therapeutic Use] KW - Analgesics/tu [Therapeutic Use] KW - Drug Prescriptions KW - Drug Utilization KW - eppi-reviewer4 KW - Respiratory System Agents/tu [Therapeutic Use] ER - TY - JOUR TI - Infection-related hypoglycemia in institutionalized demented patients: a comparative study of diabetic and nondiabetic patients AU - Arinzon Zeev AU - Fidelman Zeev AU - Berner Yitshal N AU - Adunsky Abraham T2 - Archives of gerontology and geriatrics AB - Hypoglycemia is common in elderly community dwelling patients and may accompany episodes of acute infection. We analyzed the interrelations of clinical variables with infection-related hypoglycemia (IRH) and its outcome in institutionalized demented elderly patients, with and without diabetes mellitus (DM). This is a retrospective cohort study involving residents of a large long term-care facility. We measured demographic, clinical, functional, nutritional and cognitive data as well as blood counts and chemistry analysis. We identified 65 elderly patients with IRH and compared data of 33 diabetic patients with 32 nondiabetic patients. Mean age of patients was 77.7 years and mean Mini-Mental score of 1.8. Diabetic patients were younger, more cognitively impaired, had a lower functional score (nonsignificant differences), but presented with more comorbidities, compared with nondiabetics (p=0.004). Mean blood glucose levels in diabetics and nondiabetics were 53.2 and 54.3 mg/dl, respectively. Only 22% of the patients showed clinical signs indicating hypoglycemia. Multivariate analysis showed that, in groups, comorbidity and functional status, creatinine, albumin, C-reactive protein (CRP) and total cholesterol were all associated with IRH. During a 6 months period, 58% (38/65) of the patients died, out of whom 47% (18/38) died within one month following the documentation of IRH. There were no statistically significant differences in short and late mortality rates between patients with and without DM. we conclude that asymptomatic IRH in institutionalized demented elderly is frequently associated with common respiratory and urinary infections, in both diabetic and nondiabetic patients. IRH seems to indicate a poor general health status rather than being the cause of death. Blood glucose needs to be screened in this population during common infections, also in nondiabetics, to identify patients at high risk. DA - 2007/// PY - 2007 VL - 45 IS - 2 SP - 191 EP - 200 SN - 0167-4943 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=17169447 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Nursing Homes KW - Retrospective Studies KW - Cohort Studies KW - Comorbidity KW - Institutionalization KW - Multivariate Analysis KW - *Dementia/co [Complications] KW - Dementia/mo [Mortality] KW - Homes for the Aged KW - Kaplan-Meier Estimate KW - Hypoglycemia/ep [Epidemiology] KW - eppi-reviewer4 KW - *Diabetes Complications KW - *Hypoglycemia/et [Etiology] KW - *Infection/co [Complications] KW - Hypoglycemia/mo [Mortality] ER - TY - JOUR TI - Detection of urinary tract infection (UTI) in long-term care setting: Is the multireagent strip an adequate diagnostic tool? AU - Arinzon Zeev AU - Peisakh Alexander AU - Shuval Ishay AU - Shabat Shay AU - Berner Yitshal N T2 - Archives of gerontology and geriatrics AB - Urinary tract infection (UTI) is one of the most commonly diagnosed and treated infection in elderly residents of long-term care (LTC) setting, and most of them are asymptomatic. Early diagnosis and treatment especially in this group of patients is very important because even a brief delay contributes to mortality as well as to reduce functional and cognitive decline. The purpose of the present study was to determine the validity of multireagent strips (Multistix 10 SG, Bayer, UK) compared with standard urinalysis for the early detection of UTI in LTC elderly patients. Urine specimens were examined for the presence of leukocyte esterase (LE) activity as an indicator of pyuria, nitrite production as an indicator of bacteriuria, erythrocytes (RBC), and protein. The sensitivity, specificity, predictive value, kappa agreement, and likelihood ration were determined for each of the four dipstick parameters measurement separately, and in four combinations were calculated against the urine culture for the diagnosis of UTI and asymptomatic bacteriuria. Ninety-six patients aged 65 years and older with symptomatic UTI were compared with similar number, age, sex and comorbidity status matched patients with asymptomatic bacteriuria. In both groups, urinary culture results were compared with the results of multireagent strips. The multireagent strips results were evaluated for the presence of LE activity as an indicator of pyuria, nitrite production as an indicator of bacteriuria, RBC, and protein. All positive sticks results were evaluated as single parameter and in combination of them. Positive urine cultures were found in 71% (68/96) of the patients with symptomatic and in 60% (58/96; p>0.05) of patients with asymptomatic UTI. In patients with UTI, using multireagent strips kappa agreement for LE was 0.53, for nitrite was 0.14, and in combination of them was 0.31. Similar results were reported in patients with asymptomatic bacteriuria, 0.35, 0.23, and 0.35m. The detection of RBC and protein, as single parameter or in combination with other parameters, decreases accuracy of the tests. Positive dipstick tests for LE and/or nitrite are not specific indicators of UTI, and are not suitable for screening of LTC inpatients for UTI because of high false-negative rates of the LE and nitrite. DA - 2009/// PY - 2009 VL - 48 IS - 2 SP - 227 EP - 31 SN - 1872-6976 0167-4943 UR - https://dx.doi.org/10.1016/j.archger.2008.01.012 KW - Female KW - Humans KW - Male KW - Aged KW - *Homes for the Aged KW - *Nursing Homes KW - Long-Term Care KW - Case-Control Studies KW - Sensitivity and Specificity KW - *Bacteriuria/di [Diagnosis] KW - eppi-reviewer4 KW - Colony Count, Microbial KW - *Reagent Strips KW - Carboxylic Ester Hydrolases/ur [Urine] KW - Nitrites/ur [Urine] ER - TY - JOUR TI - Change of residence and functional status within three months and one year following hip fracture surgery AU - Ariza-Vega Patrocinio AU - Jimenez-Moleon Jose Juan AU - Kristensen Morten Tange T2 - Disability and rehabilitation AB - PURPOSE: To study the recovery of patients in terms of 18 activities of daily living and change of residence within the year following a hip fracture., METHOD: This prospective cohort study was carried out in a trauma service of an acute hospital in southern Spain including 159 patients with a hip fracture, 65 years or older and allowed weight-bearing after surgery. Patients or their relatives were interviewed about their residential status and functional level at pre-fracture, three months and one year after surgery, using the Functional Independence Measure., RESULTS: Losses of function for the main activities affected were, at the first month, third month and one year relative to the pre-fracture status, 50%, 25% and 12%, respectively, for locomotion, 40%, 25% and 20%, respectively, for mobility and 27%, 17% and 15%, respectively, for self care (p < 0.001). Residential status changed mostly for patients who lived in their own home (73% before fracture to 58% at one year)., CONCLUSIONS: The loss of independence in the first year after a hip fracture is substantial for specific activities. Recovery mainly takes place during the first three months after surgery. Change of residence mostly involved those patients who lived alone in their own home at pre-fracture. Implications for Rehabilitation One year after fracture, patients did not recover their previous function, and the activities most affected at the one-year follow-up were: dressing lower body, bathing/showering, transfer bathtub/shower and walking up/down stairs. After a hip fracture, most recovery of the function happens within the first three months, though some functional activities continue recovering over the first year. Rehabilitation programs cannot be based only on mobility activities, the recovery of other daily living activities should also be included. DA - 2014/// PY - 2014 VL - 36 IS - 8 SP - 685 EP - 90 SN - 1464-5165 0963-8288 UR - https://dx.doi.org/10.3109/09638288.2013.813081 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Mobility Limitation KW - Recovery of Function KW - Time Factors KW - *Activities of Daily Living KW - Spain KW - Prospective Studies KW - Interviews as Topic KW - *Residence Characteristics KW - Disability Evaluation KW - *Hip Fractures/rh [Rehabilitation] KW - Self Care KW - Hip Fractures/pp [Physiopathology] KW - Weight-Bearing KW - *Hip Fractures/su [Surgery] KW - eppi-reviewer4 ER - TY - JOUR TI - Older persons’ experiences of a home-based exercise program with behavioral change support. AU - Arkkukangas Marina AU - Sundler Annelie J AU - Söderlund Anne AU - Eriksson Staffan AU - Johansson Ann-Christin T2 - Physiotherapy Theory & Practice AB - Background: It is a challenge to promote exercise among older persons. Knowledge is needed regarding the maintenance of exercise aiming at preventing falls and promoting health and well-being in older persons.Purpose: This descriptive study used a qualitative inductive approach to describe older persons’ experiences of a fall-preventive, home-based exercise program with support for behavioral change.Methods: Semi-structured interviews were conducted with 12 elderly persons aged 75 years or older, and a qualitative content analysis was performed.Results: Four categories emerged: facilitators of performing exercise in everyday life, the importance of support, perceived gains from exercise, and the existential aspects of exercise.Conclusion: With support from physiotherapists (PTs), home-based exercise can be adapted to individual circumstances in a meaningful way. Including exercises in everyday life and daily routines could support the experience of being stronger, result in better physical functioning, and give hope for an extended active life in old age. DA - 2017/12// PY - 2017 DO - 10.1080/09593985.2017.1359869 VL - 33 IS - 12 SP - 905 EP - 913 SN - 0959-3985 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125725151&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Patient Satisfaction KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Qualitative Studies KW - Content Analysis KW - Semi-Structured Interview KW - Behavioral Changes KW - Community Living KW - Home Environment KW - Health Promotion -- In Old Age KW - Descriptive Research KW - Exercise -- In Old Age KW - Accidental Falls -- Prevention and Control -- In Old Age KW - Motivational Interviewing KW - Physical Therapists KW - Reflexivity (Research) KW - Structured Interview Guides ER - TY - JOUR TI - Exploring the Temporal Aspects of Direct Payments. AU - Arksey Hilary AU - Baxter Kate T2 - British Journal of Social Work DA - 2012/01// PY - 2012 VL - 42 IS - 1 SP - 147 EP - 164 SN - 0045-3102 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104631853&site=ehost-live&scope=site KW - Adult KW - Female KW - Male KW - Adolescence KW - Aged KW - Empirical Research KW - Prospective Studies KW - Social Work KW - Social Welfare KW - England KW - Budgets KW - eppi-reviewer4 KW - Human KW - Interviews KW - Qualitative Studies KW - Middle Age KW - Public Assistance KW - Community Living KW - Disabled KW - Health Services Purchasing ER - TY - JOUR TI - [Do caregivers of non-dependent elderly have specific characteristics? Study among 876 elderly-caregiver dyads]. AU - Arlotto S AU - Bonin-Guillaume S AU - Denicolai S AU - Durand A-C AU - Gentile S T2 - Les aidants de personnes agees non dependantes ont-ils des specificites ? Etude aupres de 876 dyades personnes agees-aidants. AB - BACKGROUND: The increase in life expectancy and the aging of the population have a significant impact on the informal care provided by caregivers. Protecting caregivers against excessive burden has become a public health priority. The majority of studies target only those providing care for dependent elderly people. The aim of this study was to describe the characteristics of informal caregivers of non-dependent elderly persons, their difficulties and their level of burden., METHODS: A cross-sectional study was conducted among 876 dyads: elderly people (over 70 years of age, non-dependent, living at home and having requested assistance from CARSAT South-East) and their caregivers. Two questionnaires were administered: one for the elderly (including the Frailty Group Iso-Resource Evaluation) and one for caregivers (including the Mini-Zarit Scale). A multi-component analysis and a logistic regression were performed., RESULTS: The elderly were mainly women (77.6%) with a mean age of 82.2+/-5.8 years and most were frail (94.7%). Most of the caregivers were women (64.5%) with a mean age of 62.7+/-13.7 years. The multi-component analysis showed three categories of caregivers: spouses, children and others. Among them, spouses performed the most tasks (4.8+/-2.6) and had the greatest burden. Caregivers in the "others" category were the least burdened and were the least impacted in their daily life. The children category caregivers were divided into two subgroups: those with characteristics similar to "others" caregivers and those with characteristics similar to "spouse" caregivers. Heavy burden was related to greater impact on daily life, poor relationships with the elderly and caregivers' difficulties in performing their role., CONCLUSION: This study confirms the heterogeneous nature of informal caregiver profiles. It also shows that the characteristic features and the burden of these caregivers are similar whether the elderly person is dependent or non-dependent but frail. Copyright © 2019 Elsevier Masson SAS. All rights reserved. DA - 2019/// PY - 2019 DO - 10.1016/j.respe.2019.07.006 VL - 67 IS - 6 SP - 403 EP - 412 SN - 0398-7620 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=31495459 KW - eppi-reviewer4 ER - TY - JOUR TI - Impediments to policy implementation: the offer of free installation of central heating to an elderly community has limited uptake AU - Armstrong D AU - Winder R AU - Wallis R T2 - Public health AB - OBJECTIVES: Increasing the warmth of homes in the UK to combat excess winter mortality has become an important part of public policy. This study examined the success of a local initiative to provide free installation of central heating for a group of elderly people., STUDY DESIGN: Cohort study., METHODS: The uptake of the offer of central heating was monitored through its different stages. Where possible, comments were invited from the elderly tenants to whom the offer was made; a sub-sample was interviewed about their views., RESULTS: Of 1181 tenants approached, only around one-quarter finally received central heating within the year. Reasons for the low uptake included inaccuracies in estimating those eligible as well as tenants' worries over upheaval and mess, health concerns and fear of increased heating costs., CONCLUSION: Successful policy implementation requires not only command of appropriate financial resources and the backing of local 'implementers', but also the local resources with which the policy will engage, especially local knowledge, and the 'targets' of the policy initiative, in this case the elderly tenants. DA - 2006/// PY - 2006 VL - 120 IS - 2 SP - 161 EP - 6 SN - 0033-3506 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=16343566 KW - Humans KW - Aged KW - United Kingdom KW - Health Plan Implementation KW - Cohort Studies KW - *Public Policy KW - *Heating/ec [Economics] KW - eppi-reviewer4 KW - *Consumer Behavior/sn [Statistics & Numerical Data] KW - *Heating/is [Instrumentation] KW - *Housing for the Elderly/ec [Economics] KW - *Public Health Administration KW - Hypothermia/pc [Prevention & Control] ER - TY - JOUR TI - Rehabilitation therapies for older clients of the Ontario home care system: regional variation and client-level predictors of service provision AU - Armstrong Joshua J AU - Zhu Mu AU - Hirdes John P AU - Stolee Paul T2 - Disability and rehabilitation AB - PURPOSE: To examine regional variation in service provision and identify the client characteristics associated with occupational therapy (OT) and physiotherapy (PT) services for older adults in the Ontario Home Care System., METHODS: Secondary analyses of a provincial database containing comprehensive assessments (RAI-HC) linked with service utilization data from every older long-stay home care client in the system between 2005 and 2010 (n = 299 262). Hierarchical logistic regression models were used to model the dependent variables of OT and PT service use within 90 d of the initial assessment., RESULTS: Regional differences accounted for 9% of the variation in PT service provision and 20% of OT service provision. After controlling for the differences across regions, the most powerful predictors of service provision were identified for both OT and PT. The most highly associated client characteristics related to PT service provision were hip fracture, impairments in activities of daily living/instrumental activities of daily living, cerebrovascular accidents, and cognitive impairment. For OT, hazards in the home environment was the most powerful predictor of future service provision., CONCLUSIONS: Where a client lived was an important determinant of service provision in Ontario, raising the possibility of inequities in access to rehabilitation services. Health care planners and policy makers should review current practices and make adjustments to meet the increasing and changing needs for rehabilitation therapies of the aging population. Implications for Rehabilitation For older adults in home care, the goal of rehabilitation therapy services is to allow individuals to maintain or improve physical functioning, quality of life and overall independence while living within their community. Previous research has demonstrated that a large proportion of home care clients specifically identified as having rehabilitation potential do not receive it. This article used clinical assessment data to identify the predictors of and barriers to rehabilitation services for older adults in the Ontario Home Care System. Barriers of PT included dementia diagnosis and French as a first language. Barriers to OT included dementia diagnosis. Policies and practices related to service provision for older adults should be reconsidered if we are going to meet the demands of aging populations and increasing rates of functional and cognitive impairments. DA - 2015/// PY - 2015 VL - 37 IS - 7 SP - 625 EP - 31 SN - 1464-5165 0963-8288 UR - https://dx.doi.org/10.3109/09638288.2014.935494 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Administrative Personnel KW - Activities of Daily Living KW - Health Services Needs and Demand KW - Logistic Models KW - Quality of Life KW - *Occupational Therapy KW - Multivariate Analysis KW - Dementia/di [Diagnosis] KW - *Home Care Services/td [Trends] KW - *Physical Therapy Modalities KW - Ontario KW - Language KW - Cognition Disorders/th [Therapy] KW - Hip Fractures/rh [Rehabilitation] KW - Stroke Rehabilitation KW - eppi-reviewer4 ER - TY - JOUR TI - Serum Matrix Metalloproteinase-7, Respiratory Symptoms, and Mortality in Community-Dwelling Adults. MESA (Multi-Ethnic Study of Atherosclerosis). AU - Armstrong Hilary F AU - Podolanczuk Anna J AU - Barr R Graham AU - Oelsner Elizabeth C AU - Kawut Steven M AU - Hoffman Eric A AU - Tracy Russell AU - Kaminski Naftali AU - McClelland Robyn L AU - Lederer David J T2 - American journal of respiratory and critical care medicine AB - RATIONALE: Matrix metalloproteinase-7 (MMP-7) has been implicated in interstitial lung disease pathobiology and proposed as a diagnostic and prognostic biomarker of idiopathic pulmonary fibrosis., OBJECTIVES: To test associations between serum MMP-7 and lung function, respiratory symptoms, interstitial lung abnormalities (ILA), and all-cause mortality in community-dwelling adults sampled without regard to respiratory symptoms or disease., METHODS: We measured serum MMP-7 in 1,227 participants in MESA (Multi-Ethnic Study of Atherosclerosis) at baseline. The 5-year outcome data were available for spirometry (n = 697), cough (n = 722), and dyspnea (n = 1,050). The 10-year outcome data were available for ILA (n = 561) and mortality (n = 1,227). We used linear, logistic, and Cox regression to control for potential confounders., MEASUREMENTS AND MAIN RESULTS: The mean (+/-SD) serum MMP-7 level was 4.3 (+/-2.5) ng/ml (range, 1.2-24.1 ng/ml). In adjusted models, each natural log unit increment in serum MMP-7 was associated with a 3.7% absolute decrement in FVC% (95% confidence interval [CI] = 0.9-6.6%), a 1.6-fold increased odds of exertional dyspnea (95% CI = 1.3-1.9), a 1.5-fold increased odds of ILAs (95% CI = 1.1-2.1), and a 2.2-fold increased all-cause mortality rate (95% CI = 1.9-2.5). The associations with ILA and mortality tended to be stronger among never-smokers (P values for interaction 0.06 and 0.01, respectively)., CONCLUSIONS: Serum MMP-7 levels may be a quantitative biomarker of subclinical extracellular matrix remodeling in the lungs of community-dwelling adults, which may facilitate investigation of subclinical interstitial lung disease. DA - 2017/// PY - 2017 DO - 10.1164/rccm.201701-0254OC VL - 196 IS - 10 SP - 1311 EP - 1317 SN - 1073-449X UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc2&NEWS=N&AN=28570100 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living/sn [Statistics & Numerical Data] KW - *Asymptomatic Diseases/mo [Mortality] KW - *Ethnic Groups/sn [Statistics & Numerical Data] KW - *Lung Diseases, Interstitial/mo [Mortality] KW - *Lung Diseases, Interstitial/pp [Physiopathology] KW - *Matrix Metalloproteinase 7/bl [Blood] KW - eppi-reviewer4 ER - TY - JOUR TI - Potential Applications of Smart Multifunctional Wearable Materials to Gerontology AU - Armstrong David G AU - Najafi Bijan AU - Shahinpoor Mohsen T2 - Gerontology AB - Smart multifunctional materials can play a constructive role in addressing some very important aging-related issues. Aging affects the ability of older adults to continue to live safely and economically in their own residences for as long as possible. Thus, there will be a greater need for preventive, acute, rehabilitative, and long-term health care services for older adults as well as a need for tools to enable them to function independently during daily activities. The objective of this paper is, thus, to present a comprehensive review of some potential smart materials and their areas of applications to gerontology. Thus, brief descriptions of various currently available multifunctional smart materials and their possible applications to aging-related problems are presented. It is concluded that some of the most important applications to geriatrics may be in various sensing scenarios to collect health-related feedback or information and provide personalized care. Further described are the applications of wearable technologies to aging-related needs, including devices for home rehabilitation, remote monitoring, social well-being, frailty monitoring, monitoring of diabetes and wound healing and fall detection or prediction. It is also concluded that wearable technologies, when combined with an appropriate application and with appropriate feedback, may help improve activities and functions of older patients with chronic diseases. Finally, it is noted that methods developed to measure what one collectively manages in this population may provide a foundation to establish new definitions of quality of life. Copyright © 2017 S. Karger AG, Basel. DA - 2017/// PY - 2017 VL - 63 IS - 3 SP - 287 EP - 298 SN - 1423-0003 0304-324X UR - https://dx.doi.org/10.1159/000455011 KW - Humans KW - Aged KW - Independent Living KW - Quality of Life KW - *Aging KW - Home Care Services KW - Monitoring, Physiologic/is [Instrumentation] KW - Telemedicine/is [Instrumentation] KW - eppi-reviewer4 KW - *Geriatrics/is [Instrumentation] KW - *Textiles ER - TY - JOUR TI - Effects of footwear on measurements of balance and gait in women between the ages of 65 and 93 years AU - Arnadottir S A AU - Mercer V S T2 - Physical therapy AB - BACKGROUND AND PURPOSE: Footwear is not consistently standardized in the administration of the Functional Reach Test (FRT), Timed Up & Go Test (TUG), and 10-Meter Walk Test (TMW). This study was conducted to determine whether footwear affected performance on these tests in older women., SUBJECTS: Thirty-five women, aged 65 to 93 years, were recruited from assisted living facilities and retirement communities., METHODS: Each subject performed the FRT, TUG, and TMW wearing walking shoes, wearing dress shoes, and barefooted. Because of space constraints at the facilities where the testing was performed, 22 subjects performed the FRT and TUG on a linoleum floor and 13 subjects performed the tests on a firm, low-pile, carpeted floor. All 35 subjects completed the TMW on a firm, low-pile, carpeted floor. One-way repeated-measures analyses of variance (ANOVAs) and a Tukey Honestly Significant Difference test were used to compare the outcomes for the 3 footwear conditions, with separate ANOVAs conducted for the different floor surfaces for the FRT and TUG., RESULTS: Subjects performed better on the FRT when barefooted or wearing walking shoes compared with when they wore dress shoes, regardless of floor surface. Differences were found among all footwear conditions for the TUG performed on the linoleum floor and for the TMW. For these tests, the women moved fastest in walking shoes, slower barefooted, and slowest wearing dress shoes., CONCLUSION AND DISCUSSION: Footwear should be documented and should remain constant from one test occasion to another when the FRT, TUG, and TMW are used in the clinic and in research. Footwear intervention may improve performance of balance and gait tasks in older women. DA - 2000/// PY - 2000 VL - 80 IS - 1 SP - 17 EP - 27 SN - 0031-9023 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=10623957 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - Analysis of Variance KW - *Postural Balance KW - *Gait KW - *Geriatric Assessment KW - eppi-reviewer4 KW - *Physical Therapy Modalities/mt [Methods] KW - *Shoes ER - TY - JOUR TI - Participation frequency and perceived participation restrictions at older age: applying the International Classification of Functioning, Disability and Health (ICF) framework. AU - Arnadottir Solveig A AU - Gunnarsdottir Elin D AU - Stenlund Hans AU - Lundin-olsson Lillemor T2 - Disability & Rehabilitation AB - Purpose. To identify variables from different components of International Classification of Functioning, Disability and Health (ICF) associated with older people's participation frequency and perceived participation restrictions. Method. Participants ( N == 186) were community-living, 65-88 years old and 52%% men. The dependent variables, participation frequency (linear regression) and perceived participation restrictions (logistic regression), were measured using The Late-Life Function and Disability Instrument. Independent variables were selected from various ICF components. Results. Higher participation frequency was associated with living in urban rather than rural community ( β == 2.8, p < 0.001), physically active lifestyle ( β == 4.6, p < 0.001) and higher cognitive function ( β == 0.3, p == 0.009). Lower participation frequency was associated with being older ( β == −0.2, p == 0.002) and depressive symptoms ( β == −0.2, p == 0.029). Older adults living in urban areas, having more advanced lower extremities capacity, or that were employed had higher odds of less perceived participation restrictions (adjusted odds ratio [[OR]] == 5.5, p == 0.001; OR == 1.09, p < 0.001; OR == 3.7, p == 0.011; respectively). In contrast, the odds of less perceived participation restriction decreased as depressive symptoms increased (OR == 0.8, p == 0.011). Conclusions. Our results highlight the importance of capturing and understanding both frequency and restriction aspects of older persons' participation. ICF may be a helpful reference to map factors associated with participation and to study further potentially modifiable influencing factors such as depressive symptoms and advanced lower extremity capacity. DA - 2011/11// PY - 2011 DO - 10.3109/09638288.2011.563818 VL - 33 IS - 23/24 SP - 2208 EP - 2216 SN - 0963-8288 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104634699&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Odds Ratio KW - Perception KW - Multivariate Analysis KW - Aging KW - Iceland KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Questionnaires KW - Data Analysis Software KW - Funding Source KW - Descriptive Statistics KW - Community Living KW - Patient Attitudes KW - Geriatric Depression Scale KW - Logistic Regression KW - Scales KW - Cross Sectional Studies KW - Linear Regression KW - International Classification of Functioning, Disability, and Health KW - Univariate Statistics KW - Consumer Participation ER - TY - JOUR TI - Objective measurements of daily physical activity patterns and sedentary behaviour in older adults: Age, Gene/Environment Susceptibility-Reykjavik Study AU - Arnardottir Nanna Yr AU - Koster Annemarie AU - Van Domelen AU - Dane R AU - Brychta Robert J AU - Caserotti Paolo AU - Eiriksdottir Gudny AU - Sverrisdottir Johanna Eyrun AU - Launer Lenore J AU - Gudnason Vilmundur AU - Johannsson Erlingur AU - Harris Tamara B AU - Chen Kong Y AU - Sveinsson Thorarinn T2 - Age and ageing AB - BACKGROUND: objectively measured population physical activity (PA) data from older persons is lacking. The aim of this study was to describe free-living PA patterns and sedentary behaviours in Icelandic older men and women using accelerometer., METHODS: from April 2009 to June 2010, 579 AGESII-study participants aged 73-98 years wore an accelerometer (Actigraph GT3X) at the right hip for one complete week in the free-living settings., RESULTS: in all subjects, sedentary time was the largest component of the total wear time, 75%, followed by low-light PA, 21%. Moderate-vigorous PA (MVPA) was <1%. Men had slightly higher average total PA (counts x day(-1)) than women. The women spent more time in low-light PA but less time in sedentary PA and MVPA compared with men (P < 0.001). In persons <75 years of age, 60% of men and 34% of women had at least one bout >=10 min of MVPA, which decreased with age, with only 25% of men and 9% of women 85 years and older reaching this., CONCLUSION: sedentary time is high in this Icelandic cohort, which has high life-expectancy and is living north of 60degree northern latitude. DA - 2013/// PY - 2013 VL - 42 IS - 2 SP - 222 EP - 9 SN - 1468-2834 0002-0729 UR - https://dx.doi.org/10.1093/ageing/afs160 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Time Factors KW - *Activities of Daily Living KW - Actigraphy KW - *Aging KW - Sex Factors KW - Age Factors KW - *Sedentary Behavior KW - Body Mass Index KW - *Motor Activity KW - Longevity KW - Aging/ge [Genetics] KW - Iceland KW - Gene-Environment Interaction KW - eppi-reviewer4 KW - Swimming ER - TY - JOUR TI - Insulin-Like Growth Factor-1 and Resistance Exercise in Community Dwelling Old Adults AU - Arnarson A AU - Gudny Geirsdottir AU - O AU - Ramel A AU - Jonsson P V AU - Thorsdottir I T2 - The journal of nutrition, health & aging AB - BACKGROUND: Insulin-like growth factor-1 (IGF-1) is related to the preservation of lean body mass. Its decline during ageing is thought to make old adults more susceptible to sarcopenia and functional dependency. The aim of the present study was to investigate circulating total IGF-1 in old adults who engaged in a 12-weeks of progressive resistance training., DESIGN: Intervention study., SETTING: Community., PARTICIPANTS: Old Icelandic adults (N = 235, 73.7 +/- 5.7 years, 58.2% female)., INTERVENTION: Twelve-week resistance exercise program (3 times/week; 3 sets, 6-8 repetitions at 75-80% of the 1-repetition maximum) designed to increase strength and muscle mass of major muscle groups., MEASUREMENTS: IGF-1., RESULTS: At baseline IGF-1 was significantly associated with lean body mass and appendicular muscle mass (also when corrected for age, gender and various covariates). After the training IGF-1 decreased significantly from 112.1 +/- 35.6 to 106.1 +/- 35.2 micro g/L during the course of the study. On and individual level, IGF-1 decreased in 59% and increased in 39% of the participants. Changes in IGF-1 were inversely related to changes in lean body mass (rho = -0.176, P = 0.013 ) and appendicular muscle mass (rho = -0.162, P = 0.019) also when corrected for protein intake, age, gender, and other covariates., CONCLUSION: Serum total IGF-1 decreases after 12 weeks of resistance exercise in community dwelling old adults. When looked at IGF-1 changes for participants individually it becomes clear that IGF-1 response to resistances exercise is highly variable. Changes in IGF-1 are negatively related to changes in lean body mass during training, which supports the hypothesis that IGF-1 is redistributed from circulation into tissue during periods of active muscle building. DA - 2015/// PY - 2015 VL - 19 IS - 8 SP - 856 EP - 60 SN - 1760-4788 1279-7707 UR - https://dx.doi.org/10.1007/s12603-015-0547-3 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Aging/ph [Physiology] KW - Muscle, Skeletal/ph [Physiology] KW - *Body Composition/ph [Physiology] KW - *Resistance Training KW - eppi-reviewer4 KW - *Insulin-Like Growth Factor I/me [Metabolism] ER - TY - JOUR TI - A longitudinal investigation of older adults’ physical activity: Testing an integrated dual-process model. AU - Arnautovska Urska AU - Fleig Lena AU - O'Callaghan Frances AU - Hamilton Kyra T2 - Psychology & Health AB - Objective:To assess the effects of conscious and non-conscious processes for prediction of older adults’ physical activity (PA), we tested a dual-process model that integrated motivational (behavioural intention) and volitional (action planning and coping planning) processes with non-conscious, automatic processes (habit). Method:Participants (N = 215) comprised community-dwelling older adults (M = 73.8 years). A longitudinal design was adopted to investigate direct and indirect effects of intentions, habit strength (Time 1), and action planning and coping planning (Time 2) on PA behaviour (Time 3). Structural equation modelling was used to evaluate the model. Results:The model provided a good fit to the data, accounting for 44% of the variance in PA behaviour at Time 3. PA was predicted by intentions, action planning, and habit strength, with action planning mediating the intention-behaviour relationship. An effect of sex was also found where males used fewer planning strategies and engaged in more PA than females. Conclusions:By investigating an integration of conscious and non-conscious processes, this study provides a novel understanding of older adults’ PA. Interventions aiming to promote PA behaviour of older adults should target the combination of psychological processes. DA - 2017/02// PY - 2017 DO - 10.1080/08870446.2016.1250273 VL - 32 IS - 2 SP - 166 EP - 185 SN - 0887-0446 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120431504&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - Sex Factors KW - Prospective Studies KW - Self Report KW - Motivation KW - Intention KW - Models, Psychological KW - Habits KW - eppi-reviewer4 KW - Aged, 80 and Over KW - Human KW - Questionnaires KW - Data Analysis Software KW - Funding Source KW - Descriptive Statistics KW - Coping KW - Community Living -- In Old Age KW - Chi Square Test KW - P-Value KW - Variable KW - Coding KW - Consciousness KW - Physical Activity -- Evaluation -- In Old Age KW - Self Regulation KW - Structural Equation Modeling ER - TY - JOUR TI - [Prevalence of urinary incontinence in hospitals and nursing homes: an underestimated problem] AU - Arndt Kathrin Antje AU - Dohrendorf Helga AU - Tannen Antje AU - Braumann Antje AU - Dassen Theo T2 - Pravalenz der Harninkontinenz in Krankenhausern und Pflegeheimen: Ein unterschatztes Problem. DA - 2006/// PY - 2006 VL - 59 IS - 10 SP - 635 EP - 8 SN - 0945-1129 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med5&NEWS=N&AN=17069410 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Cross-Sectional Studies KW - Health Surveys KW - Germany KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Urinary Incontinence/et [Etiology] KW - Disability Evaluation KW - Incidence KW - *Hospitals/sn [Statistics & Numerical Data] KW - Activities of Daily Living/px [Psychology] KW - Urinary Incontinence/ep [Epidemiology] KW - Activities of Daily Living/cl [Classification] KW - *Urinary Incontinence/nu [Nursing] KW - eppi-reviewer4 ER - TY - JOUR TI - Organizational climate determinants of resident safety culture in nursing homes AU - Arnetz Judith E AU - Zhdanova Ludmila S AU - Elsouhag Dalia AU - Lichtenberg Peter AU - Luborsky Mark R AU - Arnetz Bengt B T2 - The Gerontologist AB - PURPOSE OF THE STUDY: In recent years, there has been an increasing focus on the role of safety culture in preventing costly adverse events, such as medication errors and falls, among nursing home residents. However, little is known regarding critical organizational determinants of a positive safety culture in nursing homes. The aim of this study was to identify organizational climate predictors of specific aspects of the staff-rated resident safety culture (RSC) in a sample of nursing homes., DESIGN AND METHODS: Staff at 4 Michigan nursing homes responded to a self-administered questionnaire measuring organizational climate and RSC. Multiple regression analyses were used to identify organizational climate factors that predicted the safety culture dimensions nonpunitive response to mistakes, communication about incidents, and compliance with procedures., RESULTS: The organizational climate factors efficiency and work climate predicted nonpunitive response to mistakes (p < .001 for both scales) and compliance with procedures (p < .05 and p < .001 respectively). Work stress was an inverse predictor of compliance with procedures (p < .05). Goal clarity was the only significant predictor of communication about incidents (p < .05)., IMPLICATIONS: Efficiency, work climate, work stress, and goal clarity are all malleable organizational factors that could feasibly be the focus of interventions to improve RSC. Future studies will examine whether these results can be replicated with larger samples. DA - 2011/// PY - 2011 VL - 51 IS - 6 SP - 739 EP - 49 SN - 1758-5341 0016-9013 UR - https://dx.doi.org/10.1093/geront/gnr053 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Attitude of Health Personnel KW - Guidelines as Topic KW - Surveys and Questionnaires KW - *Accidental Falls/pc [Prevention & Control] KW - Accidental Falls/sn [Statistics & Numerical Data] KW - *Homes for the Aged/og [Organization & Administration] KW - *Nursing Homes/og [Organization & Administration] KW - Organizational Culture KW - Job Satisfaction KW - Accidental Falls/ec [Economics] KW - *Quality of Health Care/st [Standards] KW - Guideline Adherence KW - *Medication Errors/pc [Prevention & Control] KW - *Safety Management/og [Organization & Administration] KW - Michigan/ep [Epidemiology] KW - eppi-reviewer4 KW - Medication Errors/ec [Economics] KW - Medication Errors/sn [Statistics & Numerical Data] KW - Nursing Staff, Hospital ER - TY - JOUR TI - Vitamin D deficiency was common among nursing home residents and associated with dementia: a cross sectional study of 545 Swedish nursing home residents AU - Arnljots Rebeka AU - Thorn Jorgen AU - Elm Marie AU - Moore Michael AU - Sundvall Par-Daniel T2 - BMC geriatrics AB - BACKGROUND: Residents of nursing homes may have low 25-hydroxyvitamin D (25OHD) concentrations. Associations between vitamin D and cognitive performance, dementia and susceptibility to infections are not clearly established. The aim of this study was to investigate the prevalence of vitamin D deficiency and to identify associated factors among residents of nursing homes for elderly., METHODS: In this cross-sectional study blood samples for analysis of 25OHD were collected from all participating residents of Swedish nursing homes for the elderly from January to March 2012., EXCLUSION CRITERIA: dementia too severe to collect a blood test, terminally ill or refusing participation., OUTCOME MEASURES: Serum 25OHD concentrations. Logistic regression to evaluate factors associated with vitamin D deficiency (25OHD < 25 nmol/L)., RESULTS: Blood samples were obtained from 545 of 901 residents of 22 nursing homes. Mean age 86 years (SD 6.9), 68% were women. Prevalence of vitamin D supplementation 17%, dementia 55%, lack of appetite >=3 months 45% and any antibiotic treatment during the last 6 months 30%. Serum 25OHD concentrations: mean 34 nmol/L (SD 21, median 27, range 4-125), 82% (448/545) had 25OHD < 50 nmol/L and 41% (224/545) had 25OHD < 25 nmol/L. Adjusted OR (95% CI; p-value) for possible predictors of vitamin D deficiency (25OHD < 25 nmol/L): vitamin D supplementation 0.075 (0.031-0.18; p < 0.001), lack of appetite >=3 months 0.75 (0.50-1.1; p = 0.15), hours outdoors/week 0.99 (0.96-1.0; p = 0.62), Fitzpatrick skin phototype (4-6) 0.69 (0.44-1.1; p = 0.12); dementia 2.3 (1.5-3.4; p < 0.001) and antibiotics last 6 months 1.6 (1.1-2.6; p < 0.029), adjusted for age and gender., CONCLUSIONS: Vitamin D deficiency was common among nursing home residents and strongly associated with dementia. Regardless of causality or not, it is important to be alert for vitamin D deficiency in nursing homes residents with dementia. As expected vitamin D supplementation was associated with less vitamin D deficiency, however lack of appetite, staying outdoors and skin phototype were not significant predictors. Antibiotic treatments during the last 6 months were associated with vitamin D deficiency, potentially supporting the hypothesis that vitamin D deficiency is associated with infections. DA - 2017/// PY - 2017 VL - 17 IS - 1 SP - 229 SN - 1471-2318 UR - https://dx.doi.org/10.1186/s12877-017-0622-1 KW - Female KW - Humans KW - Male KW - Aged, 80 and over KW - Cross-Sectional Studies KW - *Nursing Homes KW - Comorbidity KW - Nursing Homes/sn [Statistics & Numerical Data] KW - *Dementia/ep [Epidemiology] KW - Sweden/ep [Epidemiology] KW - Homes for the Aged/sn [Statistics & Numerical Data] KW - Vitamin D/aa [Analogs & Derivatives] KW - Vitamin D/bl [Blood] KW - Vitamin D Deficiency/bl [Blood] KW - *Vitamin D Deficiency/ep [Epidemiology] KW - eppi-reviewer4 KW - Dementia/bl [Blood] ER - TY - JOUR TI - Conservative treatment for incontinence in women in rest home care in Christchurch: Outcomes and cost AU - Arnold Edwin Paterson AU - Milne Dorothy Joan AU - English Sharon T2 - Neurourology and urodynamics AB - AIMS: To assess if conservative therapy can reduce urinary leakage and pad usage and improve quality of life in elderly incontinent women living in a rest home setting; and if so at what additional cost., METHODS: Sixty-eight elderly women with urinary incontinence, and preserved cognitive ability, living in 26 rest homes were identified. Clinical evaluation, included bladder diary, pad weigh tests, pad usage, and quality of life and activities questionnaires (FIM: Functional Impairment Measure; EQ-5D: Euroquol 5 dimension score; ICIQ-SF: International Consultation on Incontinence-Short Form). A specialist Continence Advisor Nurse provided conservative treatment according to the needs of each participant. Outcomes were recorded after 12 weeks of treatment by repeating above evaluations, and the costs involved were measured., RESULTS: Leakage was reduced by a mean of 60 ml per 24 hr, and four fewer pads were required per week. The ICIQ-SF improved significantly. The EQ-5D did not demonstrate significant improvement, so a cost-utility analysis was not possible. The mean cost of the Advisor's time and mileage in providing the 12 week course was $247.75 per participant., CONCLUSION: Conservative therapies tailored to each individual, can improve the severity of leakage in the short term, even in this elderly group of women with preserved cognitive function, at modest additional cost. Measuring quality of life and the impact of incontinence, has challenges in this age group. Neurourol. Urodynam. 35:636-641, 2016. © 2015 Wiley Periodicals, Inc. Copyright © 2015 Wiley Periodicals, Inc. DA - 2016/// PY - 2016 VL - 35 IS - 5 SP - 636 EP - 41 SN - 1520-6777 0733-2467 UR - https://dx.doi.org/10.1002/nau.22773 KW - Female KW - Humans KW - Aged KW - Aged, 80 and over KW - *Quality of Life KW - Cost-Benefit Analysis KW - Cognition KW - Assisted Living Facilities KW - Homes for the Aged KW - *Conservative Treatment/ec [Economics] KW - *Urinary Incontinence/th [Therapy] KW - Incontinence Pads KW - Urinary Incontinence/ec [Economics] KW - eppi-reviewer4 ER - TY - JOUR TI - Drug use and emotional distress differentiate unstably- versus stably-housed adults living with HIV who engage in unprotected sex. AU - Arnold Elizabeth Mayfield AU - Desmond Katherine A AU - Rotheram-Borus Mary Jane AU - Scheffler Aaron AU - Comulada W Scott AU - Johnson Mallory O AU - Kelly Jeffrey A T2 - Journal of Health Psychology AB - Among adults living with HIV, unstable housing is a barrier to health. Stably- and unstably-housed adults living with HIV were assessed for over 25 months. At baseline, unstably-housed adults living with HIV had a more recent HIV diagnosis, higher viral loads, worse physical and mental health, lower rates of antiretroviral therapy use and insurance coverage, and higher rates of hard drug use than stably-housed adults living with HIV. At follow-up, the health of both groups was similar, but unstably-housed adults living with HIV reported significantly more hard drug use and mental health symptoms when compared to the stably-housed adults living with HIV. Drug and mental health risks decreased for both groups, but decreases in unprotected sex were greater among unstably-housed adults living with HIV. DA - 2017/03// PY - 2017 DO - 10.1177/1359105315603465 VL - 22 IS - 3 SP - 302 EP - 313 SN - 1359-1053 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121615205&site=ehost-live&scope=site KW - Adult KW - Unsafe Sex KW - Health Status KW - Housing KW - Socioeconomic Factors KW - Mental Health KW - Stress, Psychological KW - eppi-reviewer4 KW - Human KW - Risk Taking Behavior KW - HIV Infections KW - Stability -- In Adulthood KW - Substance Use Disorders KW - Viral Load ER - TY - JOUR TI - A 10-Year Follow-Up of Adiposity and Dementia in Swedish Adults Aged 70 Years and Older. AU - Arnoldussen Ilse A C AU - Sundh Valter AU - Backman Kristoffer AU - Kern Silke AU - Ostling Svante AU - Blennow Kaj AU - Zetterberg Henrik AU - Skoog Ingmar AU - Kiliaan Amanda J AU - Gustafson Deborah R T2 - Journal of Alzheimer's disease : JAD AB - BACKGROUND: Adiposity measured in mid- or late-life and estimated using anthropometric measures such as body mass index (BMI) and waist-to-hip ratio (WHR), or metabolic markers such as blood leptin and adiponectin levels, is associated with late-onset dementia risk. However, during later life, this association may reverse and aging- and dementia-related processes may differentially affect adiposity measures., OBJECTIVE: We explored associations of concurrent BMI, WHR, and blood leptin and high molecular weight adiponectin levels with dementia occurrence., METHODS: 924 Swedish community-dwelling elderly without dementia, aged 70 years and older, systematically-sampled by birth day and birth year population-based in the Gothenburg city region of Sweden. The Gothenburg Birth Cohort Studies are designed for evaluating risk and protective factors for dementia. All dementias diagnosed after age 70 for 10 years were identified. Multivariable logistic regression models were used to predict dementia occurrence between 2000-2005, 2005-2010, and 2000-2010 after excluding prevalent baseline (year 2000) dementias. Baseline levels of BMI, WHR, leptin, and adiponectin were used., RESULTS: Within 5 years of baseline, low BMI (<20 kg/m2) was associated with higher odds of dementia compared to those in the healthy BMI category (>= 20-24.9 kg/m2). Compared to the lowest quartile, leptin levels in the second quartile were associated with lower odds of dementia in women (p < 0.05)., CONCLUSION: In late-life, anthropometric and metabolic adiposity measures appear to be differentially associated with dementia risk. While BMI and leptin levels are highly positively correlated, our results show that their association with dementia at age >=70 years, is asynchronous. These data suggest that with aging, the complexity of the adiposity exposure may increase and suggests metabolic dysregulation. Additional studies are needed to better understand this complexity. DA - 2018/// PY - 2018 DO - 10.3233/JAD-180099 VL - 63 IS - 4 SP - 1325 EP - 1335 SN - 1387-2877 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29758945 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Sex Factors KW - Longitudinal Studies KW - Dementia/ep [Epidemiology] KW - Body Mass Index KW - Psychiatric Status Rating Scales KW - Sweden/ep [Epidemiology] KW - Anthropometry KW - *Adiposity KW - eppi-reviewer4 KW - *Dementia/pa [Pathology] KW - *Adiponectin/bl [Blood] KW - *Dementia/bl [Blood] KW - *Leptin/bl [Blood] KW - Fasting KW - Waist-Hip Ratio ER - TY - JOUR TI - Glycemic control and health-related quality of life among older home-dwelling primary care patients with diabetes AU - Aro Anna-Kaisa AU - Karjalainen Merja AU - Tiihonen Miia AU - Kautiainen Hannu AU - Saltevo Juha AU - Haanpaa Maija AU - Mantyselka Pekka T2 - Primary care diabetes AB - AIMS: To evaluate the health-related quality of life (HRQoL) and functional capacity in relation to glycemic control among older home-dwelling primary care patients., METHODS: Electronic patient records were used to identify 527 people over 65 years with diabetes. Of these, 259 randomly selected subjects were invited to a health examination and 172 of them attended and provided complete data. The participants were divided into three groups based on the HbA1c: good (HbA1c<48mmol/mol (N=95)), intermediate (HbA1c 48-57mmol/mol (N=48)) and poor (HbA1c>57mmol/mol (N=29)) glycemic control. HRQoL was measured with the EuroQol EQ-5D questionnaire. Functional and cognitive capacity and mental well-being were assessed with the Lawton Instrumental Activities of Daily Living (IADL) scale, Mini-Mental State Examination (MMSE) and Geriatric Depression Scale (GDS-15)., RESULTS: EQ-5D scores for good, intermediate and poor glycemic control were 0.78; 0.74 and 0.70, p=0.037. Sub-items of mobility (p=0.002) and self-care were the most affected (p=0.031). Corresponding trend was found for IADL, p=0.008. A significant correlation was found between MMSE scores and HbA1c., CONCLUSION: Older primary care home-dwelling patients with diabetes and poorer glycemic control have lower functional capacity and HRQoL, especially in regard to mobility and self-care. Copyright © 2017 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved. DA - 2017/// PY - 2017 VL - 11 IS - 6 SP - 577 EP - 582 SN - 1878-0210 UR - https://dx.doi.org/10.1016/j.pcd.2017.07.001 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Treatment Outcome KW - Primary Health Care KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - Mobility Limitation KW - *Independent Living KW - Time Factors KW - *Quality of Life KW - Cross-Sectional Studies KW - Cognition KW - Age Factors KW - Finland KW - Geriatric Assessment KW - Mental Health KW - Biomarkers/bl [Blood] KW - *Blood Glucose/me [Metabolism] KW - Mental Status and Dementia Tests KW - Predictive Value of Tests KW - Diabetes Mellitus/bl [Blood] KW - Aging KW - *Self Care/mt [Methods] KW - Diabetes Mellitus/di [Diagnosis] KW - Diabetes Mellitus/px [Psychology] KW - *Diabetes Mellitus/th [Therapy] KW - *Glycated Hemoglobin A/me [Metabolism] KW - eppi-reviewer4 ER - TY - JOUR TI - Self-reported pain interference and symptoms of anxiety and depression in community-dwelling older adults: can a temporal relationship be determined? AU - Arola Heidi-Maria AU - Nicholls Elaine AU - Mallen Christian AU - Thomas Elaine T2 - European journal of pain (London, England) AB - Pain and symptoms of depression and anxiety have been observed to co-exist in the community-dwelling elderly. While depression and pain have been suggested to be predictive of one another temporally, the longitudinal associations between anxiety and pain remain undefined. The aim of this study was to investigate the reciprocal longitudinal associations of self-reported pain interference and affective symptoms, as measured by the Hospital Anxiety and Depression Scale, in community-dwelling older adults and report the potentially modifying effect of co-morbid anxiety or depression on these relationships. The study population were adults aged over 50-years, recruited previously to the North Staffordshire Osteoarthritis project (NorStOP), who had returned a health survey at both baseline and 3-year follow-up (n=4234). Logistic regression was used to evaluate the pain-affect associations, with associations expressed as odds ratios with 95% confidence intervals (CI). Probable depression (odds ratio=2.42; 95% CI 1.24, 4.69) and anxiety (2.30; 1.67, 3.17) at baseline predicted new-onset pain interference at 3-year follow-up. Conversely, pain interference at baseline was a risk factor for developing possible or probable depression (2.47; 1.96, 3.11) and anxiety (2.02; 1.60, 2.55) at 3-year follow-up. Adjusting for age, gender and co-morbid anxiety or depression slightly reduced the strength of the relationships, though most remained statistically significant. In conclusion, we have found evidence for both pain-depression and pain-anxiety relationships longitudinally, and in a reciprocal manner. Such findings have important implications for the future management of primary care patients presenting with symptoms of pain, anxiety or depression. Copyright © 2010 European Federation of International Association for the Study of Pain Chapters. Published by Elsevier Ltd. All rights reserved. DA - 2010/// PY - 2010 VL - 14 IS - 9 SP - 966 EP - 71 SN - 1532-2149 1090-3801 UR - https://dx.doi.org/10.1016/j.ejpain.2010.02.012 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Independent Living KW - Time Factors KW - Cohort Studies KW - Follow-Up Studies KW - Longitudinal Studies KW - Comorbidity KW - Independent Living/px [Psychology] KW - Anxiety Disorders/px [Psychology] KW - Depressive Disorder/px [Psychology] KW - *Depressive Disorder/ep [Epidemiology] KW - Pain Measurement/mt [Methods] KW - Diagnostic Self Evaluation KW - *Anxiety Disorders/ep [Epidemiology] KW - eppi-reviewer4 KW - *Depressive Disorder/co [Complications] KW - *Anxiety Disorders/co [Complications] KW - *Pain, Intractable/co [Complications] KW - *Pain, Intractable/ep [Epidemiology] KW - Pain, Intractable/px [Psychology] ER - TY - JOUR TI - Viewing oneself as a capable person - experiences of professionals working with older Finnish immigrants. AU - Arola Lea Annikki AU - Mårtensson Lena AU - Häggblom Kronlöf AU - Greta T2 - Scandinavian Journal of Caring Sciences AB - The proportion of older immigrants in the population is expected to increase in Sweden. Research indicates that older immigrants face the double burden of frailty, caused by a weaker health status, and the immigration process. Health promotion interventions can be used to prevent frailty and support healthy ageing in this population. Healthcare professionals are a crucial part of health promotion and the present study aimed to explore healthcare professionals' experiences of health in context of daily life among older immigrants to and provide a basis for the development of a health promotion intervention targeted at older immigrants. Four focus group discussions were conducted with professionals who worked with home-dwelling older people from Finland, currently living in Sweden. Participants represented a variety of healthcare professions. Data were analysed using qualitative content analysis. The healthcare professionals perceived that health in daily life was (i) connected to the view of oneself as a capable person and (ii) participants strove to maintain their own origin. The findings highlighted that when planning for health promotion interventions for older immigrants, the point of departure should be to recognise the person as a person and the background of immigration is not the first issue to address. Therefore, a person-centred health promotion intervention is recommended to open a dialogue between healthcare professionals and older immigrants, so that a common view of the intervention can be reached. DA - 2017/12// PY - 2017 DO - 10.1111/scs.12395 VL - 31 IS - 4 SP - 759 EP - 767 SN - 0283-9318 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126461965&site=ehost-live&scope=site KW - Adult KW - Primary Health Care KW - Health Promotion KW - Aged KW - Focus Groups KW - Frail Elderly KW - Activities of Daily Living KW - Finland KW - Professional-Patient Relations KW - Health Services for the Aged KW - Sweden KW - Social Participation KW - Life Style KW - eppi-reviewer4 KW - Human KW - Qualitative Studies KW - Interview Guides KW - Middle Age KW - Content Analysis KW - Convenience Sample KW - Funding Source KW - Gerontologic Care KW - Community Living KW - Cultural Values KW - Functional Status -- In Old Age KW - Geriatric Functional Assessment KW - Health Resource Utilization KW - Outpatients KW - Multidisciplinary Care Team KW - Activities of Daily Living -- In Old Age KW - Emigration and Immigration -- Sweden KW - Immigrants -- Psychosocial Factors -- In Old Age KW - Immigrants -- Sweden KW - Self Concept -- In Old Age KW - Social Identity KW - Suburban Areas KW - Work Experiences ER - TY - JOUR TI - Distribution and evaluation of sense of coherence among older immigrants before and after a health promotion intervention - results from the RCT study promoting aging migrants' capability. AU - Arola L A AU - Barenfeld E AU - Dahlin-Ivanoff S AU - Haggblom-Kronlof G T2 - Clinical interventions in aging AB - Background: The migration process can be a threat to a person's sense of coherence (SOC) and to their ability to experience life as comprehensible, manageable, and meaningful. Seen from a salutogenic perspective, this may have a negative impact on the experience of health., Purpose: We describe the distribution of SOC and its components among older persons with an immigrant background now aging in Sweden. In addition, we evaluated whether a group-based health promotion program with a person-centered approach could support the SOC among older persons in this group., Materials and methods: A randomized controlled trial with postintervention follow-ups at 6 and 12 months was conducted with 131 independently living persons aged >=70 years from Finland and the Balkan Peninsula. Participants were randomly allocated to an intervention group (4 weeks of group intervention and one follow-up home visit) and a control group (no intervention but access to ordinary health care services). The outcome measure was the SOC measured by SOC-13. Chi-square and ORs were calculated., Results: There was a significant improvement in total SOC scores for the intervention group at 6-month follow-up. Also, the ORs for the SOC components were higher in the person-centered intervention group. However, we found no significant between-group differences nor did the effect last until the 12-month follow-up., Conclusion: Persons who have lived a long time in a host country after migration seem to have a SOC similar to native-born persons. Interventions with a person-centered approach could support the SOC by capturing individual life situations. Such interventions could support older persons by making everyday life more comprehensible and manageable and helping them to cope with challenges in daily life caused by aging. DA - 2018/// PY - 2018 DO - 10.2147/CIA.S177791 VL - 13 SP - 2317 EP - 2328 SN - 1176-9092 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=30532522 KW - Female KW - Humans KW - Male KW - Outcome Assessment (Health Care) KW - Aged KW - Aged, 80 and over KW - Independent Living KW - Follow-Up Studies KW - Sweden KW - *Health Promotion KW - Adaptation, Psychological KW - Health Promotion/mt [Methods] KW - *Emigrants and Immigrants/px [Psychology] KW - *Sense of Coherence KW - eppi-reviewer4 KW - Balkan Peninsula/eh [Ethnology] KW - Finland/eh [Ethnology] ER - TY - JOUR TI - Cushing's reflex in a rare case of adult medulloblastoma. AU - Aronovich Daniel AU - Scumpia Alexander AU - Edwards David T2 - World journal of emergency medicine AB - BACKGROUND: Medulloblastoma is a primitive neuro-ectodermal tumor. It is common in childhood, but rarely seen at adult age, comprising only 1% of primary brain tumors., METHODS: We treated a 31-year-old man presented to the emergency department (ED) with a chief complaint of nausea and vomiting for one week duration. Immediate frozen section revealed a grade IV medulloblastoma. During the hospital course, the patient was given craniospinal irradiation with chemotherapy., RESULTS: The patient was eventually discharged from the hospital to an assisted living facility after an uneventful 15-day course with the aid of social work., CONCLUSIONS: Despite intracranial tumors generally being slow growing masses, this patient demonstrates how quickly one can decompensate, and how important it is to recognize these clinical signs and symptoms of an intracranial lesion. Although these symptoms (i.e. Cushing response) are extremely rare, the ED physician should be aware and appreciate their clinical significance. DA - 2014/// PY - 2014 DO - 10.5847/wjem.j.1920-8642.2014.02.013 VL - 5 IS - 2 SP - 148 EP - 50 SN - 1920-8642 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=25215166 KW - eppi-reviewer4 ER - TY - JOUR TI - Elderly nursing home patients with congestive heart failure after myocardial infarction living in new york city have a higher prevalence of mortality in cold weather and warm weather months. AU - Aronow Wilbert S AU - Ahn Chul T2 - The journals of gerontology. Series A, Biological sciences and medical sciences AB - BACKGROUND: Some studies have found an increase in cardiac events in the winter months. Other studies, from cities in the southern half of the United States, have shown an increase in cardiac events during the summer months., METHODS: We investigated in a prospective study of 517 patients, mean age 81 +/- 8 years, with congestive heart failure (CHF) after prior myocardial infarction who died in a nursing home in New York City with 24-hour on-site physician coverage, whether there was a seasonal variation in mortality from CHF. The exact binomial test was used to see if the number of deaths from CHF in the cold weather and warm weather months was significantly different from those in the spring and fall., RESULTS: Of 517 patients who died, 321 deaths (62%) occurred during the months of December, January, February, March, July, and August, and 196 deaths (38%) occurred during the other 6 months (p <.0001)., CONCLUSION: The number of deaths in patients with CHF after prior myocardial infarction in cold weather and warm weather months is significantly higher than those in spring and fall months (p <.0001). DA - 2004/// PY - 2004 VL - 59 IS - 2 SP - 146 EP - 7 SN - 1079-5006 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medc2&NEWS=N&AN=14999028 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Risk Assessment KW - Nursing Homes KW - Prevalence KW - Prospective Studies KW - Geriatric Assessment KW - *Seasons KW - Urban Population KW - *Cause of Death KW - Homes for the Aged KW - New York City KW - Myocardial Infarction/di [Diagnosis] KW - Weather KW - Probability KW - Heart Failure/di [Diagnosis] KW - eppi-reviewer4 KW - *Heart Failure/mo [Mortality] KW - *Myocardial Infarction/mo [Mortality] KW - Cold Temperature/ae [Adverse Effects] KW - Heart Failure/co [Complications] KW - Hot Temperature/ae [Adverse Effects] KW - Myocardial Infarction/co [Complications] ER - TY - JOUR TI - Comparative Effectiveness of Disease Management With Information Communication Technology for Preventing Hospitalization and Readmission in Adults With Chronic Congestive Heart Failure. AU - Aronow Wilbert S AU - Shamliyan Tatyana A T2 - Journal of the American Medical Directors Association AB - Objectives Critical appraisal of all available evidence regarding the role of noninvasive communication technology for improving patient survival and reducing hospital admissions in adults with chronic heart failure (HF). Design Systematic literature review and grading of the quality of evidence according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) Working Group approach. Setting and Participants Four databases were searched in March 2018 to find 2 high-quality meta-analyses and published and unpublished data from 58 randomized controlled trials (RCTs) that compared noninvasive communication technology with usual care in community-dwelling adults with HF. Measures Direct meta-analysis of aggregate data with random effects models. Results Moderate-quality evidence suggests that there are no differences in all-cause mortality between telemonitoring and usual care, whereas complex telemonitoring that includes transmission of patient parameters and analysis by health care professionals decreases all-cause mortality (relative risk [RR] 0.78, 95% confidence interval [CI] 0.62, 0.99; 2885 people in 12 RCTs). Moderate-quality evidence suggests that telemonitoring prevents HF-related hospitalizations (RR 0.74; 95% CI 0.62, 0.88; 4001 people in 11 RCTs). Moderate-quality evidence suggests that structured telephone support decreases all-cause mortality (RR 0.86; 95% CI 0.77, 0.97; 9535 people in 24 RCTs) and HF-related hospitalizations (RR 0.83; 95% CI 0.73, 0.94; 7030 people in 16 RCTs). Use of a mobile personal digital assistant prevents HF-related hospitalizations (RR 0.58; 95% CI 0.44, 0.77; 674 people in 3 RCTs). The evidence regarding the comparative effectiveness of specific telecommunication devices is insufficient. The results from many completed studies are not available. Conclusions Clinicians should offer noninvasive monitoring with communication technology applications to all HF patients. Future research should examine comparative effectiveness of technology applications in patient subpopulations. DA - 2018/06// PY - 2018 DO - 10.1016/j.jamda.2018.03.012 VL - 19 IS - 6 SP - 472 EP - 479 SN - 1525-8610 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129736430&site=ehost-live&scope=site KW - Adult KW - Analysis of Variance KW - Hospitalization KW - Models, Statistical KW - Confidence Intervals KW - Disease Management KW - eppi-reviewer4 KW - Human KW - Community Living KW - Information Technology KW - Randomized Controlled Trials KW - Relative Risk KW - Meta Analysis KW - Systematic Review KW - Readmission KW - Heart Failure -- Prognosis -- In Adulthood KW - Quality Assessment KW - Resource Databases, Health KW - Survival KW - Telehealth ER - TY - JOUR TI - Using the World Health Organization's Disability Assessment Schedule (2) to assess disability in community-dwelling stroke patients. AU - Arowoiya Ayorinde I AU - Elloker Toughieda AU - Karachi Farahana AU - Mlenzana Nondwe AU - Jacobs-Nzuzi Khuabi AU - Lee-Ann AU - Rhoda Anthea T2 - South African Journal of Physiotherapy AB - Background: Measurement of the extent of disability post-stroke is important to determine the impact of disability on these individuals and the effectiveness of interventions aimed at reducing the impact of their disability. Instruments used to measure disability should, however, be culturally sensitive. Objective: The aim of this study was to conduct a disability assessment using the World Health Organization’s Disability Assessment Schedule 2.0 (WHODAS). Methods: A cross-sectional design was used. The study population included a conveniently selected 226 stroke patients living within community settings. These patients were followed up 6–12 months following the onset of the stroke and are currently residing in the community. Disability was measured using the WHODAS 2.0 and the data were analysed using descriptive and inferential statistics in Statistical Package for Social Sciences (SPSS). The WHODAS 2.0 enabled the assessment of disability within the domains of cognition, mobility, self-care, getting along with others, household activities, work activities and participation. Ethical clearance for the study was obtained from the University of the Western Cape. Results: In this sample, the domain mostly affected were household activities, with 38% having extreme difficulty with conducting these activities. This was followed by mobility (27%) and self-care (25%) being the domains that participants also had extreme difficulty with. Getting along with others was the domain that most (51%) of the participants had no difficulty with. ANOVA one-way test showed no significant association of participation restrictions with demographics factors. Conclusion: Rehabilitation of patients with stroke should focus on the patient’s ability to engage in household activities, mobility and self-care. DA - 2017/01// PY - 2017 DO - 10.4102/sajp.v73i1.343 VL - 73 IS - 1 SP - 1 EP - 7 SN - 0379-6175 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127234479&site=ehost-live&scope=site KW - Female KW - Male KW - Aged KW - South Africa KW - eppi-reviewer4 KW - Human KW - Data Analysis Software KW - Middle Age KW - Convenience Sample KW - Funding Source KW - Descriptive Statistics KW - Community Living KW - Multicenter Studies KW - Clinical Assessment Tools KW - Cross Sectional Studies KW - Coefficient Alpha KW - Intraclass Correlation Coefficient KW - P-Value KW - One-Way Analysis of Variance KW - Outpatients KW - Severity of Disability KW - Inferential Statistics KW - Community Health Centers -- South Africa KW - Stroke Patients -- Psychosocial Factors ER - TY - JOUR TI - A multicomponent exercise program improves physical function in long-term nursing home residents: A randomized controlled trial. AU - Arrieta Haritz AU - Rezola-Pardo Chloe AU - Zarrazquin Idoia AU - Echeverria Inaki AU - Yanguas Jose Javier AU - Iturburu Miren AU - Gil Susana Maria AU - Rodriguez-Larrad Ana AU - Irazusta Jon T2 - Experimental gerontology AB - To investigate the impact of a multicomponent exercise program on anthropometry, physical function, and physical activity on older adults living in long-term nursing homes (LTNH), we conducted a randomized controlled trial involving 112 participants aged 84.9+/-6.9years. Participants were randomly assigned to an intervention (IG) or control group (CG). The IG participated in a 3-month multicomponent exercise intervention focused on strength, balance, stretching exercises, and walking recommendations. Subjects in the CG participated in routine activities. Analyses of outcome parameters were performed in the entire sample and in two subgroups, classified according to participants' physical function score at baseline. The group-by-time interaction, favoring the IG, was significant for the entire sample and for the participants in the low physical function subgroup for the following parameters: waist circumference, 30-s chair-stand, arm-curl, 8-ft timed up-and-go, SPPB score, gait speed, and Berg scale (p<.05). In participants with higher physical function at baseline, significant group-by-time interaction was observed in the SPPB score and Berg scale (p<.05). When differences were analyzed within groups, the IG maintained or improved in all assessed parameters, while participants in the CG showed a marked decline. Our study showed that a multicomponent exercise program is effective for older people living in LTNH. This is especially relevant in those with lower physical function scores. The lower efficacy of the program in participants with better function might be due to the insufficient exercise demands of our intervention for more fit residents. Future studies should analyze the effects of programs with higher intensities in older people with intermediate to high physical function. Copyright © 2018 Elsevier Inc. All rights reserved. DA - 2018/// PY - 2018 DO - 10.1016/j.exger.2018.01.008 VL - 103 SP - 94 EP - 100 SN - 0531-5565 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29326087 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Single-Blind Method KW - Spain KW - *Exercise KW - Postural Balance KW - Muscle Strength KW - Nursing Homes/og [Organization & Administration] KW - *Physical Functional Performance KW - Homes for the Aged/og [Organization & Administration] KW - *Program Evaluation KW - eppi-reviewer4 ER - TY - JOUR TI - Physical activity and fitness are associated with verbal memory, quality of life and depression among nursing home residents: preliminary data of a randomized controlled trial. AU - Arrieta Haritz AU - Rezola-Pardo Chloe AU - Echeverria Inaki AU - Iturburu Miren AU - Gil Susana Maria AU - Yanguas Jose Javier AU - Irazusta Jon AU - Rodriguez-Larrad Ana T2 - BMC geriatrics AB - BACKGROUND: Few studies have simultaneously examined changes in physical, cognitive and emotional performance throughout the aging process., METHODS: Baseline data from an ongoing experimental randomized study were analyzed. Physical activity, handgrip, the Senior Fitness Test, Trail Making Test A, Rey Auditory-Verbal Learning Test, Quality of Life-Alzheimer's Disease Scale (QoL-AD) and the Goldberg Depression Scale were used to assess study participants. Logistic regression models were applied., TRIAL REGISTRATION: ACTRN12616001044415 (04/08/2016)., RESULTS: The study enrolled 114 participants with a mean age of 84.9 (standard deviation 6.9) years from ten different nursing homes. After adjusting for age, gender and education level, upper limb muscle strength was found to be associated with Rey Auditory-Verbal Learning Test [EXP(B): 1.16, 95% confidence interval (CI): 1.04-1.30] and QoL-AD [EXP(B): 1.18, 95% CI: 1.06-1.31]. Similarly, the number of steps taken per day was negatively associated with the risk of depression according to the Goldberg Depression Scale [EXP(B): 1.14, 95% CI: 1.000-1.003]. Additional analyses suggest that the factors associated with these variables are different according to the need for using an assistive device for walking. In those participants who used it, upper limb muscle strength remained associated with Rey Auditory-Verbal Learning Test [EXP(B): 1.21, 95% CI: 1.01-1.44] and QoL-AD tests [EXP(B): 1.19, 95% CI: 1.02-1.40]. In those individuals who did not need an assistive device for walking, lower limb muscle strength was associated with Rey Auditory-Verbal Learning Test [EXP(B): 1.35, 95% CI: 1.07-1.69], time spent in light physical activity was associated with QoL-AD test [EXP(B): 1.13, 95% CI: 1.00-1.02], and the number of steps walked per day was negatively associated with the risk of depression according to the Goldberg Depression Scale [EXP(B): 1.27, 95% CI: 1.000-1.004]., CONCLUSIONS: Muscle strength and physical activity are factors positively associated with a better performance on the Rey Auditory-Verbal Learning Test, QoL-AD and Goldberg Depression Scale in older adults with mild to moderate cognitive impairment living in nursing homes. These associations appeared to differ according to the use of an assistive device for walking. Our findings support the need for the implementation of interventions directed to increase the strength and physical activity of individuals living in nursing homes to promote physical, cognitive and emotional benefits., TRIAL REGISTRATION: ACTRN12616001044415 (04/08/2016). DA - 2018/// PY - 2018 DO - 10.1186/s12877-018-0770-y VL - 18 IS - 1 SP - 80 SN - 1471-2318 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med13&NEWS=N&AN=29580209 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Cognitive Dysfunction/px [Psychology] KW - *Quality of Life/px [Psychology] KW - Cognitive Dysfunction/di [Diagnosis] KW - Depression/di [Diagnosis] KW - Hand Strength/ph [Physiology] KW - Psychiatric Status Rating Scales KW - *Exercise/px [Psychology] KW - *Memory KW - *Depression/px [Psychology] KW - *Homes for the Aged/td [Trends] KW - *Nursing Homes/td [Trends] KW - Exercise/ph [Physiology] KW - Memory/ph [Physiology] KW - *Physical Fitness/px [Psychology] KW - Cognitive Dysfunction/pp [Physiopathology] KW - Depression/pp [Physiopathology] KW - Physical Fitness/ph [Physiology] KW - Statistics as Topic/td [Trends] KW - Verbal Learning KW - eppi-reviewer4 ER - TY - JOUR TI - Lethality of Alzheimer disease and its impact on nursing home placement AU - Arrighi Henry Michael AU - Neumann Peter J AU - Lieberburg Ivan M AU - Townsend Raymond J T2 - Alzheimer disease and associated disorders AB - This analysis evaluates the progression of Alzheimer disease (AD) severity and compares the life expectancy and nursing home placement rates for AD patients with the same measures in the general population. Data from the Consortium to Establish a Registry for Alzheimer Disease were analyzed to estimate expected survival, time spent in each Clinical Dementia Rating stage, and nursing home admission rate for a hypothetical cohort of patients aged 70 years with new-onset AD. Corresponding estimates for the US general population were calculated from the 2004 National Nursing Home Survey and the 2003 life table estimates from the US Census Bureau. Deaths from all causes by age 80 years are expected in 61% of AD patients and in 30% of the general population. From the age of 70 to 80 years, a typical AD patient spends 4 years at Clinical Dementia Rating stage 3 (severe), 3 years at stage 2 (moderate), and 3 years at stage 1 (mild). Nursing home admission by the age of 80 years is expected for approximately 75% of surviving AD patients, but for only 4% of the general population. Among persons aged > or =65 years, reported age-adjusted and sex-adjusted mortality rates for AD increased to 33% from 1999 to 2004. DA - 2010/// PY - 2010 VL - 24 IS - 1 SP - 90 EP - 5 SN - 1546-4156 0893-0341 UR - https://dx.doi.org/10.1097/WAD.0b013e31819fe7d1 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - *Homes for the Aged/sn [Statistics & Numerical Data] KW - *Nursing Homes/sn [Statistics & Numerical Data] KW - Disease Progression KW - *Life Expectancy KW - *Alzheimer Disease/mo [Mortality] KW - eppi-reviewer4 ER - TY - JOUR TI - The role of socio-behavioral factors in sub-protective tenofovir diphosphate (TFV-DP) levels among YMSM enrolled in two PrEP trials. AU - Arrington-Sanders Renata AU - Wilson Craig M AU - Perumean-Chaney Suzanne E AU - Patki Amit 2nd AU - Hosek Sybil T2 - Journal of acquired immune deficiency syndromes (1999) AB - BACKGROUND: Young men who have sex with men (YMSM) experience disparities in HIV acquisition more than any other group. Daily oral pre-exposure prophylaxis (PrEP) with tenofovir/embricitabine (TDF/FTC) has been shown to effectively prevent HIV transmission in YMSM; however, recent studies suggest that young Black men who have sex with men (YBMSM) experience sub-protective levels of tenofovir diphosphate (TFV-DP) more frequently than other groups., SETTING: Combined data from Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) 110/113, two open label PrEP studies that provided PrEP and evidence-based behavioral interventions to young MSM (YMSM) age 15 to 22 years old., METHODS: Bivariate and logistic regression analysis were used to examine sociodemographic and behavioral factors associated with protective TVF-DP levels (defined as >=700 fmol/punch) in ATN 110/113 data., RESULTS: In bivariate analysis, self-identified Black participants, residential displacement due to sexual orientation, low perceived risk, and stigma with the medication were associated with sub-protective levels. Hispanic ethnicity was associated with protective levels. In the final models, Black males were less likely to have sub-protective levels than non-Black males at 4, 8, 12 weeks. Self-reported displacement due to sexual orientation was associated with sub-protective levels while older age was as associated with protective levels., CONCLUSION: These findings highlight how future behavioral research and biomedical prevention efforts in YMSM will need to address PrEP disparities that may occur in YBMSM, perception of risk and lack of key supportive housing during this period that may be critical factors that contribute to HIV acquisition. DA - 2018/// PY - 2018 DO - 10.1097/QAI.0000000000001901 SN - 1525-4135 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medp&NEWS=N&AN=30399038 KW - eppi-reviewer4 ER - TY - JOUR TI - Multi-stakeholder perspectives on information communication technology training for older adults: implications for teaching and learning. AU - Arthanat Sajay AU - Vroman Kerryellen G AU - Lysack Catherine AU - Grizzetti Joseph T2 - Disability and rehabilitation. Assistive technology AB - Objectives: The objective of this research was to identify and conceptualize barriers and strategies for effective implementation of information communication technology (ICT) training for older adults. Methods: A grounded theory approach was used to collect and analyze qualitative data from 61 participants in three stakeholder groups: older-adult ICT trainees, care providers and ICT trainers. Results: Care providers expressed older adults' reluctance, lack of affinity, fears and socio-contextual attributes as barriers to overcome with ICT training. ICT trainers highlighted motivation, trainer-trainee relationship, patience, self-reliance and mutual value as strategic themes. ICT trainees elucidated occupational accomplishment, challenges and a sense of competence as themes from their experience with training. Discussion: While digital literacy and skill building have traditionally been the key focus of ageing-centred ICT training, a deeper approach to address internal (personal) and external (socio-contextual) barriers, as conceptualized in the study finding, is vital in yielding successful outcomes. Implications for rehabilitation Information communication technology (ICT) is a vital resource for older adults to age-in-place and for health professionals in delivery of tele-rehabilitation. Family members and care providers realize the scope of ICT for ageing-in-place but raise doubts on the inherent motivation and abilities of older adults to adopt ICT. On the other hand, older adults who engage in one-on-one ICT training value their new-found sense of accomplishment and competence in using the Internet and social media. Graduate students who provided the training greatly appreciate their own learning experience, and stress the need for mutual trust, patience and simplicity in teaching ICT. A major precursor to imparting digital literacy and skills in older adults who lack ICT exposure is to help them overcome deep-seated attitudinal and socio-contextual barriers through a one-on-one approach. DA - 2019/// PY - 2019 DO - 10.1080/17483107.2018.1493752 VL - 14 IS - 5 SP - 453 EP - 461 SN - 1748-3107 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=30044659 KW - eppi-reviewer4 ER - TY - JOUR TI - Profiles and Predictors of Smart Home Technology Adoption by Older Adults. AU - Arthanat Sajay AU - Wilcox John AU - Macuch Mackenzie T2 - OTJR : occupation, participation and health AB - The commercial popularity of smart home (SH) technology has broadened the scope of aging-in-place and home health occupational therapy. The objective of this article is to examine ownership of SH technology by older adults, their readiness to adopt SH technology, and identify the client factors relating to the adoption. A survey of older adults aged 60 and above living in the community was conducted. Respondents (N = 445) who were women; in the age group of 60 to 70 years; living in a two-level home, with a body function impairment; with a fall history; and experienced in information and communication technology (ICT) were significantly likely to be "brisk adopters" of SH (p < .05). Stepwise regression model identified marital status, home security, and overall ICT ownership as the predictors of SH ownership, whereas being female, concern over home security, and perceived independence contributed to SH readiness (p < .05). Consideration of the identified client profiles, health, and personal factors will strengthen SH integration for aging-in-place. DA - 2019/// PY - 2019 DO - 10.1177/1539449218813906 VL - 39 IS - 4 SP - 247 EP - 256 SN - 1539-4492 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=prem&NEWS=N&AN=30477397 KW - eppi-reviewer4 ER - TY - JOUR TI - Relationship between the number of behavioral symptoms in dementia and caregiver distress: what is the tipping point?. AU - Arthur Paul B AU - Gitlin Laura N AU - Kairalla John A AU - Mann William C T2 - International psychogeriatrics AB - ABSTRACTBackground:Behavioral and psychological symptoms of dementia (BPSD) are a primary manifestation of brain dysfunction in dementia and a great challenge in caregiving. While BPSD are historically associated with caregiver distress, it is unclear whether there is an identifiable point where BPSD number is associated with heightened caregiver distress. The purpose of this study was to determine if such a tipping point exists to assist clinicians in identifying caregiver compromise., METHODS: Analyses were performed with three datasets totaling 569 community-dwelling persons with dementia and their caregivers. Each included identical demographic, BPSD, cognitive, and caregiver well-being measures. Linear regression was performed with 16 BPSD symptoms on caregiver well-being measures and predictive values determined with receiver operating characteristic (ROC) curves and pre-defined scores for clinically significant distress., RESULTS: Of the 569 persons with dementia, 549 (96%) displayed at least one BPSD, mean of 5.7 (SD = 3.06) symptoms in the past month. After controlling for covariates, BPSD symptom number was significantly associated with caregiver depression and burden (p < 0.01 for both models). Findings indicate >= 4 BPSD has strong predictive values for depression (sensitivity 85%, specificity 44%, area under ROC curve 0.62, p < 0.01), and burden (sensitivity 84%, specificity 43%, area under ROC curve 0.67, p < 0.01)., CONCLUSIONS: Caring for persons with four or more BPSD appears to reflect a tipping point for clinically meaningful distress. Findings have implications for clinicians working with persons with dementia and their caregivers and suggest need for continuous monitoring of BPSD and identification of at risk caregivers. DA - 2018/// PY - 2018 DO - 10.1017/S104161021700237X VL - 30 IS - 8 SP - 1099 EP - 1107 SN - 1041-6102 UR - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=29143722 KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Independent Living KW - Quality of Life KW - *Caregivers/px [Psychology] KW - United States/ep [Epidemiology] KW - ROC Curve KW - Dementia/th [Therapy] KW - Depression/di [Diagnosis] KW - Psychiatric Status Rating Scales KW - *Dementia/px [Psychology] KW - Linear Models KW - Sensitivity and Specificity KW - *Behavioral Symptoms/ep [Epidemiology] KW - Depression/co [Complications] KW - eppi-reviewer4 KW - *Behavioral Symptoms/px [Psychology] ER - TY - JOUR TI - [Outbreak of follicular conjunctivitis caused by adenovirus in a geriatric centre] AU - Artieda Juncal AU - Montes Milagrosa AU - Vicente Diego AU - Martinez Consuelo AU - Pineiro Luis AU - Mendiola Josune T2 - Brote de conjuntivitis folicular por adenovirus en un centro gerontologico. AB - INTRODUCTION: Adenovirus serotype 4a is a respiratory virus that occasionally causes conjunctivitis. This paper describes an outbreak of follicular conjunctivitis that occurred in a geriatric centre., MATERIAL AND METHODS: Outbreak description and epidemiological research through a survey. For the microbiological study conjunctival swabs were collected using viral and bacterial transport media. Adenovirus was detected by real-time polymerase chain reaction. The serotype was determined by sequencing of a fragment of the hexon and E1 genes., RESULTS: In autumn 2008 an outbreak of follicular conjunctivitis caused by adenovirus serotype 4a was detected. Twenty three percent 23% (69/300) of residents and 5% (9/180) of workers in a geriatric centre in Gipuzkoa were affected. The clinical symptoms were of prolonged duration (11+/-5 days). The temporal association of the cases suggested transmission from person to person. The sanitary measures established (asepsis and frequent hand washing, cleaning and disinfection of objects and surfaces) were effective, interrupting the transmission of the disease within a short period of time., CONCLUSION: Rapid detection, identification of the causative agent and implementing appropriate control measures can significantly reduce the impact on both health and economic costs of these outbreaks. Copyright © 2009 Elsevier Espana, S.L. All rights reserved. DA - 2010/// PY - 2010 VL - 28 IS - 10 SP - 690 EP - 3 SN - 1578-1852 0213-005X UR - https://dx.doi.org/10.1016/j.eimc.2010.04.008 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Homes for the Aged KW - Spain/ep [Epidemiology] KW - *Cross Infection/ep [Epidemiology] KW - *Disease Outbreaks KW - Polymerase Chain Reaction KW - Computer Systems KW - Capsid Proteins/ge [Genetics] KW - Cross Infection/vi [Virology] KW - eppi-reviewer4 KW - *Adenovirus Infections, Human/ep [Epidemiology] KW - *Adenoviruses, Human/ip [Isolation & Purification] KW - *Conjunctivitis, Viral/ep [Epidemiology] KW - Adenovirus E1 Proteins/ge [Genetics] KW - Adenovirus Infections, Human/vi [Virology] KW - Adenoviruses, Human/cl [Classification] KW - Adenoviruses, Human/ge [Genetics] KW - Conjunctivitis, Viral/tm [Transmission] KW - Conjunctivitis, Viral/vi [Virology] KW - Cross Infection/tm [Transmission] KW - Genes, Viral KW - Serotyping KW - Universal Precautions ER - TY - JOUR TI - Error rates of human reviewers during abstract screening in systematic reviews AU - Wang, Zhen AU - Nayfeh, Tarek AU - Tetzlaff, Jennifer AU - O’Blenis, Peter AU - Murad, Mohammad Hassan T2 - PLOS ONE AB - Background Automated approaches to improve the efficiency of systematic reviews are greatly needed. When testing any of these approaches, the criterion standard of comparison (gold standard) is usually human reviewers. Yet, human reviewers make errors in inclusion and exclusion of references. Objectives To determine citation false inclusion and false exclusion rates during abstract screening by pairs of independent reviewers. These rates can help in designing, testing and implementing automated approaches. Methods We identified all systematic reviews conducted between 2010 and 2017 by an evidence-based practice center in the United States. Eligible reviews had to follow standard systematic review procedures with dual independent screening of abstracts and full texts, in which citation inclusion by one reviewer prompted automatic inclusion through the next level of screening. Disagreements between reviewers during full text screening were reconciled via consensus or arbitration by a third reviewer. A false inclusion or exclusion was defined as a decision made by a single reviewer that was inconsistent with the final included list of studies. Results We analyzed a total of 139,467 citations that underwent 329,332 inclusion and exclusion decisions from 86 unique reviewers. The final systematic reviews included 5.48% of the potential references identified through bibliographic database search (95% confidence interval (CI): 2.38% to 8.58%). After abstract screening, the total error rate (false inclusion and false exclusion) was 10.76% (95% CI: 7.43% to 14.09%). Conclusions This study suggests important false inclusion and exclusion rates by human reviewers. When deciding the validity of a future automated study selection algorithm, it is important to keep in mind that the gold standard is not perfect and that achieving error rates similar to humans may be adequate and can save resources and time. DA - 2020/01/14/ PY - 2020 DO - 10.1371/journal.pone.0227742 DP - PLoS Journals VL - 15 IS - 1 SP - e0227742 J2 - PLOS ONE LA - en SN - 1932-6203 UR - https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227742 Y2 - 2020/01/24/10:42:22 L1 - https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0227742&type=printable L2 - https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227742 KW - Systematic reviews KW - Automation KW - Cardiovascular medicine KW - Citation analysis KW - Database searching KW - Distillation KW - Health screening KW - Mental health and psychiatry ER - TY - JOUR TI - A validation study revealed differences in design and performance of MEDLINE search filters for qualitative research AU - Wagner, Mandy AU - Rosumeck, Stefanie AU - Küffmeier, Christian AU - Döring, Kristina AU - Euler, Ulrike T2 - Journal of Clinical Epidemiology AB - Objectives Several search filters exist to identify qualitative research, but so far none of them has been validated with an independent set of relevant references irrespective of a medical topic. The objective of this study was to provide a comparative overview of validation results for various MEDLINE search filters. Study Design and Setting Search filters were tested for plausibility. A relative recall approach was used to generate a gold standard based on an overview of systematic reviews of qualitative studies. For each review, the included qualitative studies were collected and checked for MEDLINE-indexing. The body of indexed articles yielded the gold standard. Validation tests were conducted to determine whether the references of the gold standard could be identified with the respective search filters. Results Thirteen search filters were validated in MEDLINE. One search filter by Wong et al. (2004) was found to be the most sensitive (93.63%). While medical subject heading “qualitative research” achieved the best precision (2.15%), sensitivity was the lowest (22.56%). University of Texas provided the best balanced search filter with a sensitivity of 81.96% and a precision of 0.80%. Conclusion Search filters to identify qualitative research in MEDLINE differ greatly in design and performance. The selection of the appropriate search filter depends on project-specific demands and resources. DA - 2020/04/01/ PY - 2020 DO - 10.1016/j.jclinepi.2019.12.008 DP - ScienceDirect VL - 120 SP - 17 EP - 24 J2 - Journal of Clinical Epidemiology LA - en SN - 0895-4356 UR - http://www.sciencedirect.com/science/article/pii/S0895435619308170 Y2 - 2020/01/24/10:42:41 L1 - https://pdf.sciencedirectassets.com/271297/1-s2.0-S0895435620X00023/1-s2.0-S0895435619308170/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjEML%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJIMEYCIQCiV6qhJzHr5zwG4OfKnvtZr7rhAJu9VvJwR4iyu9AthgIhALevl3zEt7onBrC%2FpNPIDktBW9tTO3uksbvrzXh05Cc6KrQDCFoQAhoMMDU5MDAzNTQ2ODY1IgyK3vfQCbJjrq0Uw3gqkQPHDO9F65kCIz137x19I3NydFZejzZtvdKvf7xUjkw1vKWeZ2cKjn7mChzAoM4RVgehJk%2F0adRK1d9J7lNYq26kkZsKs9Jk5tz%2BsIHBMlKk6zYAA4FZuaIE5ZQ%2Bk5BnN1Zn6UrUBPu6Ka5s%2BicnKg9NkDtorhBEsveX1GzYftYn1sQ58XGG2YIwMYybHTCR9rfnLydMtwUz666F%2BShiASHlgA8o05q4uLnY8CSqo6IlfoIeZQyC7CtPpEiyl2M5Q7Ejyi3gFyjx%2FILUEThXu4LYcgzKjg0VYOVx3RRqR7okCVAzW%2FltQDYOeI5YhfkWA%2B1NMK9waw34GTRXKM3YDNTrA48%2F83egkif9QpMFVytJnOjVT0k8r9x084v705ZDzAHNuSbUtv5bNiwrugtVFQPr3vjnVDQeDtVcsmiRJ3G%2FjZBK1R%2FA%2F%2F9WwuNm0yrw2xK4BVQTWMznnYfuvs2hnzQdU44n0eGEdjxDk%2FBad2d1RqC4Pmpk%2B3zQrbj%2FKlAXdHphzEkYQu4zU%2BKfm6xvsTDkIDDW56rxBTrqAZUIhZn%2FCG5JMiD5BMOtEP2lMpp7WbWzehKLrnDOZWGbGwgtjGRzaJzaO3E8BtaSbcifb7g4TZ6obvaWTwX18Cuv333ysJUGe7QQbj6RiZrjkl3NioBaxaJadwm1AD0undn16tA2ab7wjYj0D0D2yxcN30cbI8YfDD7UEbjmbvN46J5hgy9LWsmE5WybwUzis8HHAU5jyci9%2BFNgQxlc0aq42qSI4oMd3DiIvdK50MG9%2BhcJtHeNff8HoS%2B12R3Yc0qofRlNzD5ai%2BtwertpyCKo%2Fu0Pzotn75okrpR4akDUOBA68oSqQ%2FON7A%3D%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20200124T104241Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTY3B7M2TML%2F20200124%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=9da0238fc35866222cb5b1df354b9763d7f8780db1e548cfdbbdc724b520411d&hash=f12240d618cad97ef5eb91295feb3ad0337a441b2affaaaa19932adf52f85a5a&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S0895435619308170&tid=spdf-8a9372fd-a4da-44d4-80e1-e2bdc5c62005&sid=54897c4a1f15904e6a2b04b96f90e51d24f2gxrqb&type=client L2 - https://www.sciencedirect.com/science/article/pii/S0895435619308170 KW - Qualitative research KW - Bibliographic KW - Databases KW - Information storage and retrieval KW - MEDLINE KW - Search filter KW - Sensitivity and precision ER - TY - JOUR TI - Predatory publications in evidence syntheses AU - Ross-White, Amanda AU - Godfrey, Christina M. AU - Sears, Kimberley A. AU - Wilson, Rosemary T2 - Journal of the Medical Library Association : JMLA AB - Objectives The number of predatory journals is increasing in the scholarly communication realm. These journals use questionable business practices, minimal or no peer review, or limited editorial oversight and, thus, publish articles below a minimally accepted standard of quality. These publications have the potential to alter the results of knowledge syntheses. The objective of this study was to determine the degree to which articles published by a major predatory publisher in the health and biomedical sciences are cited in systematic reviews. Methods The authors downloaded citations of articles published by a known predatory publisher. Using forward reference searching in Google Scholar, we examined whether these publications were cited in systematic reviews. Results The selected predatory publisher published 459 journals in the health and biomedical sciences. Sixty-two of these journal titles had published a total of 120 articles that were cited by at least 1 systematic review, with a total of 157 systematic reviews citing an article from 1 of these predatory journals. Discussion Systematic review authors should be vigilant for predatory journals that can appear to be legitimate. To reduce the risk of including articles from predatory journals in knowledge syntheses, systematic reviewers should use a checklist to ensure a measure of quality control for included papers and be aware that Google Scholar and PubMed do not provide the same level of quality control as other bibliographic databases. DA - 2019/01// PY - 2019 DO - 10.5195/jmla.2019.491 DP - PubMed Central VL - 107 IS - 1 SP - 57 EP - 61 J2 - J Med Libr Assoc SN - 1536-5050 UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300240/ Y2 - 2020/01/24/10:55:15 L1 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300240/pdf/jmla-107-57.pdf L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300240/ ER - TY - JOUR TI - Toward systematic review automation: a practical guide to using machine learning tools in research synthesis AU - Marshall, Iain J. AU - Wallace, Byron C. T2 - Systematic Reviews AB - Technologies and methods to speed up the production of systematic reviews by reducing the manual labour involved have recently emerged. Automation has been proposed or used to expedite most steps of the systematic review process, including search, screening, and data extraction. However, how these technologies work in practice and when (and when not) to use them is often not clear to practitioners. In this practical guide, we provide an overview of current machine learning methods that have been proposed to expedite evidence synthesis. We also offer guidance on which of these are ready for use, their strengths and weaknesses, and how a systematic review team might go about using them in practice. DA - 2019/07/11/ PY - 2019 DO - 10.1186/s13643-019-1074-9 DP - BioMed Central VL - 8 IS - 1 SP - 163 J2 - Systematic Reviews SN - 2046-4053 ST - Toward systematic review automation UR - https://doi.org/10.1186/s13643-019-1074-9 Y2 - 2020/01/24/10:56:25 L1 - https://systematicreviewsjournal.biomedcentral.com/track/pdf/10.1186/s13643-019-1074-9 L2 - https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-019-1074-9 ER - TY - JOUR TI - Testing the effectiveness of simplified search strategies for updating systematic reviews AU - Rice, Maureen AU - Ali, Muhammad Usman AU - Fitzpatrick-Lewis, Donna AU - Kenny, Meghan AU - Raina, Parminder AU - Sherifali, Diana T2 - Journal of Clinical Epidemiology AB - Objective The objective of the study was to test the overall effectiveness of a simplified search strategy (SSS) for updating systematic reviews. Study Design and Methods We identified nine systematic reviews undertaken by our research group for which both comprehensive and SSS updates were performed. Three relevant performance measures were estimated, that is, sensitivity, precision, and number needed to read (NNR). Results The update reference searches for all nine included systematic reviews identified a total of 55,099 citations that were screened resulting in final inclusion of 163 randomized controlled trials. As compared with reference search, the SSS resulted in 8,239 hits and had a median sensitivity of 83.3%, while precision and NNR were 4.5 times better. During analysis, we found that the SSS performed better for clinically focused topics, with a median sensitivity of 100% and precision and NNR 6 times better than for the reference searches. For broader topics, the sensitivity of the SSS was 80% while precision and NNR were 5.4 times better compared with reference search. Conclusion SSS performed well for clinically focused topics and, with a median sensitivity of 100%, could be a viable alternative to a conventional comprehensive search strategy for updating this type of systematic reviews particularly considering the budget constraints and the volume of new literature being published. For broader topics, 80% sensitivity is likely to be considered too low for a systematic review update in most cases, although it might be acceptable if updating a scoping or rapid review. DA - 2017/08/01/ PY - 2017 DO - 10.1016/j.jclinepi.2017.06.005 DP - ScienceDirect VL - 88 SP - 148 EP - 153 J2 - Journal of Clinical Epidemiology LA - en SN - 0895-4356 UR - http://www.sciencedirect.com/science/article/pii/S089543561730608X Y2 - 2020/01/31/12:29:49 L2 - https://www.sciencedirect.com/science/article/abs/pii/S089543561730608X KW - Systematic reviews KW - Effective KW - Search strategy KW - Updating ER - TY - ELEC TI - Automatically finding relevant citations for clinical guideline development. - Abstract - Europe PMC UR - https://europepmc.org/article/med/26363352 Y2 - 2020/02/05/09:31:18 L2 - https://europepmc.org/article/med/26363352 ER - TY - JOUR TI - Epidemiology and Reporting Characteristics of Systematic Reviews of Biomedical Research: A Cross-Sectional Study AU - Page, Matthew J. AU - Shamseer, Larissa AU - Altman, Douglas G. AU - Tetzlaff, Jennifer AU - Sampson, Margaret AU - Tricco, Andrea C. AU - Catalá-López, Ferrán AU - Li, Lun AU - Reid, Emma K. AU - Sarkis-Onofre, Rafael AU - Moher, David T2 - PLOS Medicine AB - Background Systematic reviews (SRs) can help decision makers interpret the deluge of published biomedical literature. However, a SR may be of limited use if the methods used to conduct the SR are flawed, and reporting of the SR is incomplete. To our knowledge, since 2004 there has been no cross-sectional study of the prevalence, focus, and completeness of reporting of SRs across different specialties. Therefore, the aim of our study was to investigate the epidemiological and reporting characteristics of a more recent cross-section of SRs. Methods and Findings We searched MEDLINE to identify potentially eligible SRs indexed during the month of February 2014. Citations were screened using prespecified eligibility criteria. Epidemiological and reporting characteristics of a random sample of 300 SRs were extracted by one reviewer, with a 10% sample extracted in duplicate. We compared characteristics of Cochrane versus non-Cochrane reviews, and the 2014 sample of SRs versus a 2004 sample of SRs. We identified 682 SRs, suggesting that more than 8,000 SRs are being indexed in MEDLINE annually, corresponding to a 3-fold increase over the last decade. The majority of SRs addressed a therapeutic question and were conducted by authors based in China, the UK, or the US; they included a median of 15 studies involving 2,072 participants. Meta-analysis was performed in 63% of SRs, mostly using standard pairwise methods. Study risk of bias/quality assessment was performed in 70% of SRs but was rarely incorporated into the analysis (16%). Few SRs (7%) searched sources of unpublished data, and the risk of publication bias was considered in less than half of SRs. Reporting quality was highly variable; at least a third of SRs did not report use of a SR protocol, eligibility criteria relating to publication status, years of coverage of the search, a full Boolean search logic for at least one database, methods for data extraction, methods for study risk of bias assessment, a primary outcome, an abstract conclusion that incorporated study limitations, or the funding source of the SR. Cochrane SRs, which accounted for 15% of the sample, had more complete reporting than all other types of SRs. Reporting has generally improved since 2004, but remains suboptimal for many characteristics. Conclusions An increasing number of SRs are being published, and many are poorly conducted and reported. Strategies are needed to help reduce this avoidable waste in research. DA - 2016/05/24/ PY - 2016 DO - 10.1371/journal.pmed.1002028 DP - PLoS Journals VL - 13 IS - 5 SP - e1002028 J2 - PLOS Medicine LA - en SN - 1549-1676 ST - Epidemiology and Reporting Characteristics of Systematic Reviews of Biomedical Research UR - https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002028 Y2 - 2020/02/05/09:32:35 L1 - https://journals.plos.org/plosmedicine/article/file?id=10.1371/journal.pmed.1002028&type=printable L2 - https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002028 KW - Systematic reviews KW - Meta-analysis KW - Database searching KW - Database and informatics methods KW - Publication ethics KW - Research reporting guidelines KW - Statistical data KW - Statistical methods ER - TY - JOUR TI - Literature searches in systematic reviews and meta-analyses: A review, evaluation, and recommendations AU - Harari, Michael B. AU - Parola, Heather R. AU - Hartwell, Christopher J. AU - Riegelman, Amy T2 - Journal of Vocational Behavior AB - The search strategy used in systematic reviews is an important consideration, as the comprehensiveness and representativeness of studies identified influences the quality of conclusions derived from the review. Despite the importance of this step, little in the way of best practice recommendations exist. In an effort to inform future reviews, we report the results of two studies. In Study 1, we outline a series of recommendations for designing comprehensive systematic literature searches. We review the search strategies used in 152 recent systematic reviews published in top applied psychology (including organizational psychology, counseling psychology, and management) journals and evaluate them against these criteria. In Study 2, we build on the findings of our review, carrying out an original meta-analysis, which we use as an opportunity to empirically demonstrate effects of database selection and inclusion of a complementary search protocol on search outcomes. Our results suggest that database selection could have a large effect on conclusions from reviews. Implications and recommendations for carrying out comprehensive literature reviews are described. DA - 2020/04/01/ PY - 2020 DO - 10.1016/j.jvb.2020.103377 DP - ScienceDirect VL - 118 SP - 103377 J2 - Journal of Vocational Behavior LA - en SN - 0001-8791 ST - Literature searches in systematic reviews and meta-analyses UR - http://www.sciencedirect.com/science/article/pii/S0001879120300026 Y2 - 2020/02/18/12:01:12 L2 - https://www.sciencedirect.com/science/article/abs/pii/S0001879120300026?dgcid=coauthor KW - Systematic reviews KW - Meta-analysis KW - Literature searches ER - TY - JOUR TI - Epidemiology and Reporting Characteristics of Systematic Reviews of Biomedical Research: A Cross-Sectional Study AU - Page, Matthew J. AU - Shamseer, Larissa AU - Altman, Douglas G. AU - Tetzlaff, Jennifer AU - Sampson, Margaret AU - Tricco, Andrea C. AU - Catalá-López, Ferrán AU - Li, Lun AU - Reid, Emma K. AU - Sarkis-Onofre, Rafael AU - Moher, David T2 - PLOS Medicine AB - Background Systematic reviews (SRs) can help decision makers interpret the deluge of published biomedical literature. However, a SR may be of limited use if the methods used to conduct the SR are flawed, and reporting of the SR is incomplete. To our knowledge, since 2004 there has been no cross-sectional study of the prevalence, focus, and completeness of reporting of SRs across different specialties. Therefore, the aim of our study was to investigate the epidemiological and reporting characteristics of a more recent cross-section of SRs. Methods and Findings We searched MEDLINE to identify potentially eligible SRs indexed during the month of February 2014. Citations were screened using prespecified eligibility criteria. Epidemiological and reporting characteristics of a random sample of 300 SRs were extracted by one reviewer, with a 10% sample extracted in duplicate. We compared characteristics of Cochrane versus non-Cochrane reviews, and the 2014 sample of SRs versus a 2004 sample of SRs. We identified 682 SRs, suggesting that more than 8,000 SRs are being indexed in MEDLINE annually, corresponding to a 3-fold increase over the last decade. The majority of SRs addressed a therapeutic question and were conducted by authors based in China, the UK, or the US; they included a median of 15 studies involving 2,072 participants. Meta-analysis was performed in 63% of SRs, mostly using standard pairwise methods. Study risk of bias/quality assessment was performed in 70% of SRs but was rarely incorporated into the analysis (16%). Few SRs (7%) searched sources of unpublished data, and the risk of publication bias was considered in less than half of SRs. Reporting quality was highly variable; at least a third of SRs did not report use of a SR protocol, eligibility criteria relating to publication status, years of coverage of the search, a full Boolean search logic for at least one database, methods for data extraction, methods for study risk of bias assessment, a primary outcome, an abstract conclusion that incorporated study limitations, or the funding source of the SR. Cochrane SRs, which accounted for 15% of the sample, had more complete reporting than all other types of SRs. Reporting has generally improved since 2004, but remains suboptimal for many characteristics. Conclusions An increasing number of SRs are being published, and many are poorly conducted and reported. Strategies are needed to help reduce this avoidable waste in research. DA - 2016/05/24/ PY - 2016 DO - 10.1371/journal.pmed.1002028 DP - PLoS Journals VL - 13 IS - 5 SP - e1002028 J2 - PLOS Medicine LA - en SN - 1549-1676 ST - Epidemiology and Reporting Characteristics of Systematic Reviews of Biomedical Research UR - https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002028 Y2 - 2020/02/18/12:34:24 L1 - https://journals.plos.org/plosmedicine/article/file?id=10.1371/journal.pmed.1002028&type=printable L2 - https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002028 KW - Systematic reviews KW - Meta-analysis KW - Database searching KW - Database and informatics methods KW - Publication ethics KW - Research reporting guidelines KW - Statistical data KW - Statistical methods ER - TY - JOUR TI - Which academic search systems are suitable for systematic reviews or meta-analyses? Evaluating retrieval qualities of Google Scholar, PubMed, and 26 other resources AU - Gusenbauer, Michael AU - Haddaway, Neal R. T2 - Research Synthesis Methods AB - Rigorous evidence identification is essential for systematic reviews and meta-analyses (evidence syntheses) because the sample selection of relevant studies determines a review's outcome, validity, and explanatory power. Yet, the search systems allowing access to this evidence provide varying levels of precision, recall, and reproducibility and also demand different levels of effort. To date, it remains unclear which search systems are most appropriate for evidence synthesis and why. Advice on which search engines and bibliographic databases to choose for systematic searches is limited and lacking systematic, empirical performance assessments. This study investigates and compares the systematic search qualities of 28 widely used academic search systems, including Google Scholar, PubMed, and Web of Science. A novel, query-based method tests how well users are able to interact and retrieve records with each system. The study is the first to show the extent to which search systems can effectively and efficiently perform (Boolean) searches with regards to precision, recall, and reproducibility. We found substantial differences in the performance of search systems, meaning that their usability in systematic searches varies. Indeed, only half of the search systems analyzed and only a few Open Access databases can be recommended for evidence syntheses without adding substantial caveats. Particularly, our findings demonstrate why Google Scholar is inappropriate as principal search system. We call for database owners to recognize the requirements of evidence synthesis and for academic journals to reassess quality requirements for systematic reviews. Our findings aim to support researchers in conducting better searches for better evidence synthesis. DO - 10.1002/jrsm.1378 DP - Wiley Online Library VL - n/a IS - n/a LA - en SN - 1759-2887 ST - Which academic search systems are suitable for systematic reviews or meta-analyses? UR - https://onlinelibrary.wiley.com/doi/abs/10.1002/jrsm.1378 Y2 - 2020/02/24/15:38:05 L2 - https://onlinelibrary.wiley.com/doi/10.1002/jrsm.1378 KW - information retrieval KW - systematic review KW - academic search systems KW - discovery KW - evaluation KW - systematic search ER - TY - JOUR TI - Preparing scoping reviews for publication using methodological guides and reporting standards AU - Lockwood, Craig AU - Tricco, Andrea C. T2 - Nursing & Health Sciences DA - 2020/03/01/ PY - 2020 DO - 10.1111/nhs.12673 DP - onlinelibrary.wiley.com (Atypon) VL - 22 IS - 1 SP - 1 EP - 4 J2 - Nursing & Health Sciences SN - 1441-0745 UR - https://onlinelibrary.wiley.com/doi/abs/10.1111/nhs.12673 Y2 - 2020/03/09/10:35:09 L2 - https://onlinelibrary.wiley.com/doi/full/10.1111/nhs.12673#.XlyLNFF_BbI.twitter KW - guidelines as topics/standards KW - PRISMA KW - publications/standards* KW - reporting criteria KW - review literature as topic* KW - scoping review ER - TY - JOUR TI - Comparing machine and human reviewers to evaluate the risk of bias in randomized controlled trials AU - Armijo‐Olivo, Susan AU - Craig, Rodger AU - Campbell, Sandy T2 - Research Synthesis Methods AB - Background Evidence from new health technologies is growing, along with demands for evidence to inform policy decisions, creating challenges in completing health technology assessments (HTAs)/systematic reviews (SRs) in a timely manner. Software can decrease the time and burden by automating the process, but evidence validating such software is limited. We tested the accuracy of RobotReviewer, a semi-autonomous risk of bias (RoB) assessment tool, and its agreement with human reviewers. Methods Two reviewers independently conducted RoB assessments on a sample of randomized controlled trials (RCTs), and their consensus ratings were compared with those generated by RobotReviewer. Agreement with the human reviewers was assessed using percent agreement and weighted kappa (κ). The accuracy of RobotReviewer was also assessed by calculating the sensitivity, specificity, and area under the curve in comparison to the consensus agreement of the human reviewers. Results The study included 372 RCTs. Inter-rater reliability ranged from κ = −0.06 (no agreement) for blinding of participants and personnel to κ = 0.62 (good agreement) for random sequence generation (excluding overall RoB). RobotReviewer was found to use a high percentage of “irrelevant supporting quotations” to complement RoB assessments for blinding of participants and personnel (72.6%), blinding of outcome assessment (70.4%), and allocation concealment (54.3%). Conclusion RobotReviewer can help with risk of bias assessment of RCTs but cannot replace human evaluations. Thus, reviewers should check and validate RoB assessments from RobotReviewer by consulting the original article when not relevant supporting quotations are provided by RobotReviewer. This consultation is in line with the recommendation provided by the developers. DO - 10.1002/jrsm.1398 DP - Wiley Online Library VL - n/a IS - n/a LA - en SN - 1759-2887 UR - https://onlinelibrary.wiley.com/doi/abs/10.1002/jrsm.1398 Y2 - 2020/03/09/10:35:47 L1 - https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jrsm.1398 L2 - https://onlinelibrary.wiley.com/doi/full/10.1002/jrsm.1398?campaign=wolacceptedarticle KW - systematic review KW - artificial intelligence KW - health technology assessment (HTA) KW - inter-rater reliability KW - randomized controlled trial KW - risk of bias ER - TY - RPRT TI - Towards the Development of a Resource Allocation Model for Primary, Continuing and Community Care in the Health Services Volume 2 Technical Report AU - Staines, Anthony DA - 2010/// PY - 2010 PB - Dublin City Uiversity UR - https://www.hrb.ie/fileadmin/2._Plugin_related_files/Publications/2017_and_earlier_Pubs/Grant_Evaluation_Reports/Towards_the_development_of_a_resource_allocation_model_for_primary__continuting_and_community_care_in_the_health_services_Vol_2_Tech_Report.pdf Y2 - 2020/04/02/22:04:30 L1 - https://www.hrb.ie/fileadmin/2._Plugin_related_files/Publications/2017_and_earlier_Pubs/Grant_Evaluation_Reports/Towards_the_development_of_a_resource_allocation_model_for_primary__continuting_and_community_care_in_the_health_services_Vol_2_Tech_Report.pdf ER - TY - JOUR TI - ‘Kiwis on the Move’: New Zealand Social Workers' Experience of Practising Abroad. AU - Beddoe, Liz AU - Fouché, Christa B. T2 - British Journal of Social Work DA - 2014/06/02/ PY - 2014 DP - EBSCOhost VL - 44 SP - i193 EP - 208 J2 - British Journal of Social Work SN - 0045-3102 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103963558&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Ireland KW - Scotland KW - United Kingdom KW - Workforce KW - Perception KW - New Zealand KW - England KW - Culture KW - Human KW - Interviews KW - Data Analysis Software KW - Interview Guides KW - Middle Age KW - Exploratory Research KW - Funding Source KW - Professional Development KW - Multimethod Studies KW - Descriptive Research KW - Cultural Competence KW - Emigration and Immigration KW - Work Experiences KW - Employment -- England KW - Employment -- Ireland KW - Employment -- Scotland KW - Personnel Shortage KW - Social Work Practice KW - Social Worker Attitudes KW - Social Workers -- New Zealand ER - TY - JOUR TI - ‘Kiwis on the Move’: New Zealand Social Workers' Experience of Practising Abroad. AU - Beddoe, Liz AU - Fouché, Christa B. T2 - British Journal of Social Work AB - Over the last decade, global workforce shortages have seen governments seek to recruit social work practitioners offshore; as a consequence, increasingly, mobile practitioners are navigating the opportunities and challenges posed by working and living in countries other than where they obtained their professional qualifications. This article reports a small exploratory study describing the experiences of ten social workers who qualified in New Zealand but who were practising in England, Scotland or Ireland during 2010–11. While differences in community, work and professional cultures pose challenges, the opportunity such travel provides for reflection on cultural and professional differences is found to be at the heart of participants' overall positive experiences. DA - 2014/06/02/ PY - 2014 DO - 10.1093/bjsw/bcu049 DP - EBSCOhost VL - 44 SP - i193 EP - i208 J2 - British Journal of Social Work SN - 0045-3102 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=96556431&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Ireland KW - Scotland KW - United Kingdom KW - Workforce KW - Perception KW - New Zealand KW - England KW - Culture KW - Human KW - Interviews KW - Data Analysis Software KW - Interview Guides KW - Middle Age KW - Exploratory Research KW - Funding Source KW - Professional Development KW - Multimethod Studies KW - Descriptive Research KW - Cultural Competence KW - Emigration and Immigration KW - Work Experiences KW - Employment -- England KW - Employment -- Ireland KW - Employment -- Scotland KW - Personnel Shortage KW - Social Work Practice KW - Social Worker Attitudes KW - Social Workers -- New Zealand ER - TY - JOUR TI - 120TH ANNUAL SCOTTISH TRADES UNION CONGRE. AU - MURRAY, DANA T2 - Podiatry Now DA - 2017/08// PY - 2017 DP - EBSCOhost VL - 20 IS - 8 SP - 27 EP - 27 J2 - Podiatry Now SN - 1460-731X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129061446&site=ehost-live&scope=site DB - CINAHL Complete KW - Scotland KW - Workforce KW - Workload KW - Midwifery KW - Allied Health Professions KW - Congresses and Conferences -- Scotland KW - Labor Unions -- Scotland KW - National Health Programs -- Scotland KW - Nursing as a Profession KW - Society of Chiropodists and Podiatrists ER - TY - JOUR TI - 20th Pauline Cerasoli Lecture: The Sunk Cost Fallacy. AU - Cook, Chad T2 - Journal of Physical Therapy Education (American Physical Therapy Association, Education Section) DA - 2017/07// PY - 2017 DO - 10.1097/00001416-201731030-00005 DP - EBSCOhost VL - 31 IS - 3 SP - 10 EP - 14 J2 - Journal of Physical Therapy Education (American Physical Therapy Association, Education Section) SN - 0899-1855 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128005336&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Curriculum KW - Workforce KW - Cognition KW - Clinical Competence KW - Race Factors KW - Minority Groups KW - Physical Therapists KW - Accreditation KW - Education, Physical Therapy -- United States KW - Health Manpower KW - Intelligence KW - Physical Therapy -- United States KW - School Admissions KW - Skill Acquisition KW - Success ER - TY - JOUR TI - 5S Your Work Place! - Adopting Lean Manufacturing Philosophy for the Health of the Work Force. T2 - Orthopaedic Physical Therapy Practice DA - 2019/01// PY - 2019 DP - EBSCOhost VL - 31 IS - 1 SP - 40 EP - 41 J2 - Orthopaedic Physical Therapy Practice SN - 1532-0871 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134073959&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Physical Therapists KW - Management -- Methods KW - Occupational Health KW - Quality Improvement -- Methods ER - TY - JOUR TI - 94 A Pathway of Care for Patients with Parkinson's Disease in Cavan Monaghan Physiotherapy Department...67th Annual & Scientific Meeting of the Irish Gerontological Society, Innovation, Advances and Excellence in Ageing, 26–28 September 2019, Cork, Ireland. AU - Sweeney, Mary AU - Creegan, Maura AU - Hall, Michelle AU - McGroarty, Donna AU - Graham, Jane T2 - Age & Ageing AB - Background New European guidelines for the physiotherapy management of patients with Parkinson's disease were published in 2014. Following on from this publication it was decided to review the current physiotherapy service delivered to our patients with Parkinson's disease across both counties and develop a new pathway of care in line with the guidelines. Methods A working group of physiotherapists was selected representing acute, primary care and disability services. This group initially met to review current practice. Once the service was evaluated, the group created a new assessment form for use across all physiotherapy services in both counties using validated outcome measurements as recommended in the guidelines. A training program was put in place to improve staff's skill level in using the new assessment form and treatment methods for this client group. It was decided that a yearly assessment would now be carried out on each patient with Parkinson's disease. Feedback was sought from therapists and any issues were addressed by the working group. As part of the pathway a new Parkinson's exercise group was created which runs twice yearly in both counties. Results In 2018, 18 patients attended an exercise class in Cavan, 16 attended in Monaghan while yearly assessments were also completed. Patient feedback from the classes has been very positive and outcome measurements have shown an improvement. Patients enjoy the class setting immensely and physiotherapy staff feel their patients are benefiting from receiving a more prolonged period of intervention. Conclusion This new pathway of care has been an effective and efficient way of treating patients with Parkinson's disease. It has led us to identify changes in disease progression in a more timely fashion. Outcome measurement is audited yearly to monitor quality of classes and benefit to patients. We will continue to highlight the pathway with new staff and monitor staff satisfaction with its use. DA - 2019/09/02/ PY - 2019 DO - 10.1093/ageing/afz103.56 DP - EBSCOhost VL - 48 SP - iii17 EP - iii65 J2 - Age & Ageing SN - 0002-0729 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138865042&site=ehost-live&scope=site DB - CINAHL Complete KW - Ireland KW - Ontario KW - Parkinson Disease KW - Congresses and Conferences -- Ireland KW - Critical Path KW - Physical Therapy Service -- Ontario ER - TY - JOUR TI - A case for ongoing development and investment in support workers 1/2. T2 - British Journal of Healthcare Assistants AB - The article presents the first part in a report series on the development and support of healthcare support workers in Great Britain. Topics discussed include the main characteristics and occupations within the British support workforce as well as the age, gender and working profiles of the workforce. Also mentioned are current levels of qualifications and instances of training among support workers and the development of support workers in the British health sector. DA - 2015/12// PY - 2015 DO - 10.12968/bjha.2015.9.12.609 DP - EBSCOhost VL - 9 IS - 12 SP - 609 EP - 613 J2 - British Journal of Healthcare Assistants SN - 1753-1586 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116249758&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - United Kingdom KW - National Health Programs KW - Workforce KW - Age Factors KW - Health KW - Middle Age KW - Nursing Assistants KW - Allied Health Personnel KW - Skill Acquisition KW - Caregiver Support -- Evaluation KW - Government Agencies KW - Health Personnel -- Education KW - Health Personnel -- Evaluation KW - Medical Assistants ER - TY - JOUR TI - A case study of occupational therapy managers in NSW: roles, responsibilities and work satisfaction. AU - Gamble JE AU - Lincoln M AU - Adamson B T2 - Australian Occupational Therapy Journal AB - Background: Job satisfaction has been shown to affect levels of staff retention and productivity, but few studies have been conducted on the work of occupational therapy managers and their job satisfaction. This study explores the roles and responsibilities of occupational therapy managers who are clinician-managers or manager-administrators, and sources of their work satisfaction. Methods: A collective case study involved telephone interviews with 16 occupational therapy managers. Semistructured interview questions were based on an earlier discussion with a separate group of occupational therapy managers. Interview transcripts were analysed for emerging themes. Results: There were no clear differences in the roles and responsibilities of the two types of managers (manager-administrators and clinician-managers); however, manager-administrators tended to be responsible for larger numbers of staff. Managers reported that taking a clinical caseload is often at their own discretion. A common challenge for managers is the balancing of priorities as a clinician and a manager. Managing people was a common source of joy and sometimes a source of frustration. Mediating between staff and senior management and the need for budget control and efficiencies was an important aspect of managers' work, as was their autonomy to make decisions. Conclusions: Occupational therapy managers assume responsibilities consistent with clinician managers across disciplines. The main sources of work satisfaction related to people management particularly when staff were working effectively as a team and there was respect from senior management. Further research will confirm whether there are no obvious differences between clinician-manager and manager-administrators, and whether there are clear differences in work-related frustration across sectors. DA - 2009/04// PY - 2009 DO - 10.1111/j.1440-1630.2007.00689.x DP - EBSCOhost VL - 56 IS - 2 SP - 122 EP - 131 J2 - Australian Occupational Therapy Journal SN - 0045-0766 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105543259&site=ehost-live&scope=site DB - CINAHL Complete KW - Administrative Personnel KW - Management KW - New South Wales KW - Job Satisfaction KW - Occupational Therapists KW - Telephone KW - Human KW - Audiorecording KW - Case Studies KW - Funding Source KW - Semi-Structured Interview KW - Purposive Sample KW - Triangulation KW - Job Description KW - Patient Care ER - TY - JOUR TI - A Clinical Scholarship Program to improve capacity among palliative care health professionals in Victoria, Australia. AU - O'Connor, Margaret AU - Peters, Louise T2 - Progress in Palliative Care AB - Over the past two decades in Australia, there has been significant change in the palliative care sector, the profile of the workforce and its educational requirements. This is reflective of worldwide developments, where educational aspects of palliative care have been integral to the development of service models. This paper describes a project undertaken by the Department of Health in Victoria Australia, to redirect its educational funding towards clinical scholarships to enable clinicians to undertake postgraduate academic studies. The aim of this project was to assess the impact of the Clinical Scholarship Program funding for recipients who undertook postgraduate studies in palliative care. As part of quality assurance, an online survey was distributed to Scholarship recipients across 2 cohorts spanning the years 2008-2010. Recipients were surveyed for the impact and outcomes of their participation in the program. Twenty one-year scholarships for each year (2008-2010), were available to medical, nursing, and allied health professionals currently working in Victoria's public palliative care service system, undertaking postgraduate study in approved courses. Analysis of the data indicated that of most significance was the benefit to the individual, in terms of the impact of study on their professional and personal life and the low rates of employment turnover. Participants also indicated their improved capacity to provide high-quality palliative care services. For the Department of Health this small investment has demonstrated great benefit; and for the palliative care sector it achieved a significant impact enabling an increase in educational opportunities to enhance capacity and capability of the workforce. DA - 2014/10// PY - 2014 DO - 10.1179/1743291X14Y.0000000086 DP - EBSCOhost VL - 22 IS - 5 SP - 258 EP - 263 J2 - Progress in Palliative Care SN - 0969-9260 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=98603858&site=ehost-live&scope=site DB - CINAHL Complete KW - Attitude of Health Personnel KW - Workforce KW - Victoria KW - Human KW - Qualitative Studies KW - Questionnaires KW - Thematic Analysis KW - Descriptive Statistics KW - Career Planning and Development KW - Course Evaluation KW - Palliative Care -- Education -- Victoria KW - Training Support, Financial ER - TY - JOUR TI - A Closer Look at the PhD Faculty Workforce. T2 - ASHA Leader AB - Charts are presented that shows faculty certified with Doctor of Philosophy in colleges and universities in communication sciences and disorders, speech-language pathology and audiology from Year-End 2002, Year-End 2008 and Year-End 2014. DA - 2015/08// PY - 2015 DO - 10.1044/leader.AAG.20082015.32 DP - EBSCOhost VL - 20 IS - 8 SP - 32 EP - 32 J2 - ASHA Leader SN - 1085-9586 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108714263&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Educational Status KW - Audiologists -- Statistics and Numerical Data KW - Education, Doctoral KW - Faculty, Allied Health -- Statistics and Numerical Data -- United States KW - Speech-Language Pathologists -- Statistics and Numerical Data ER - TY - JOUR TI - A Closer Look at the PhD Faculty Workforce. T2 - ASHA Leader DA - 2015/08// PY - 2015 DP - EBSCOhost VL - 20 IS - 8 SP - 32 EP - 32 J2 - ASHA Leader SN - 1085-9586 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109823219&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Educational Status KW - Audiologists -- Statistics and Numerical Data KW - Education, Doctoral KW - Faculty, Allied Health -- Statistics and Numerical Data -- United States KW - Speech-Language Pathologists -- Statistics and Numerical Data ER - TY - JOUR TI - A Collaborative Framework for Envisioning the Future of Social Work Research and Education. AU - Lein, Laura AU - Uehara, Edwina S. AU - Lightfoot, Elizabeth AU - Lawlor, Edward F. AU - Williams, James Herbert T2 - Social Work Research AB - The authors reflect on the collaborative framework that outlines the future of social work research and education in the U.S. as of June 2017. Also cited are the challenges confronted by social workers in the practice of their profession like the increasing disparities by race, income, and other social dimensions, the goals and objectives of social work research, and the groups which developed the framework including the Society for Social Work and Research (SSWR). DA - 2017/06// PY - 2017 DO - 10.1093/swr/svx008 DP - EBSCOhost VL - 41 IS - 2 SP - 67 EP - 71 J2 - Social Work Research SN - 1070-5309 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123223462&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Collaboration KW - Public Policy KW - Research KW - Social Work Practice KW - Faculty KW - Professionalism KW - Social Workers -- Education ER - TY - JOUR TI - A Community College Model to Support Nursing Workforce Diversity. AU - Colville, Janet AU - Cottom, Sherry AU - Robinette, Teresa AU - Wald, Holly AU - Waters, Tomi T2 - Journal of Nursing Education AB - Community College of Allegheny County (CCAC), Allegheny Campus, is situated on the North Side of Pittsburgh. The neighborhood is 60% African American. At the time of the Health Resources and Services Administration (HRSA) application, approximately one third of the students admitted to the program were African American, less than one third of whom successfully completed it. With the aid of HRSA funding, CCAC developed a model that significantly improved the success rate of disadvantaged students. Through the formation of a viable cohort, the nursing faculty nurtured success among the most at-risk students. The cohort was supported by a social worker, case managers who were nursing faculty, and tutors. Students formed study groups, actively participated in community activities, and developed leadership skills through participation in the Student Nurse Association of Pennsylvania. This article provides the rationale for the Registered Nurse (RN) Achievement Model, describes the components of RN Achievement, and discusses the outcomes of the initiative. [J Nurs Educ. 2015;54(2):65-71.] DA - 2015/02// PY - 2015 DO - 10.3928/01484834-20150119-12 DP - EBSCOhost VL - 54 IS - 2 SP - 65 EP - 71 J2 - Journal of Nursing Education SN - 0148-4834 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=100956439&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Workforce KW - Prospective Studies KW - Models, Educational KW - Pennsylvania KW - Human KW - Blacks KW - NCLEX Examination KW - Student Recruitment KW - Mentorship KW - Descriptive Research KW - Cultural Diversity KW - Nursing Shortage KW - Training Support, Financial KW - Community Colleges KW - Education, Nursing, Associate -- Pennsylvania KW - Education, Post-RN KW - Nurses, Minority -- Manpower KW - Registered Nurses -- Manpower KW - Service Learning KW - Student Orientation KW - Student Retention ER - TY - JOUR TI - A Community College Model to Support Nursing Workforce Diversity. AU - Colville, Janet AU - Cottom, Sherry AU - Robinette, Teresa AU - Wald, Holly AU - Waters, Tomi T2 - Journal of Nursing Education AB - Community College of Allegheny County (CCAC), Allegheny Campus, is situated on the North Side of Pittsburgh. The neighborhood is 60% African American. At the time of the Health Resources and Services Administration (HRSA) application, approximately one third of the students admitted to the program were African American, less than one third of whom successfully completed it. With the aid of HRSA funding, CCAC developed a model that significantly improved the success rate of disadvantaged students. Through the formation of a viable cohort, the nursing faculty nurtured success among the most at-risk students. The cohort was supported by a social worker, case managers who were nursing faculty, and tutors. Students formed study groups, actively participated in community activities, and developed leadership skills through participation in the Student Nurse Association of Pennsylvania. This article provides the rationale for the Registered Nurse (RN) Achievement Model, describes the components of RN Achievement, and discusses the outcomes of the initiative. [J Nurs Educ. 2015;54(2):65-71.] DA - 2015/02// PY - 2015 DO - 10.3928/01484834-20150119-12 DP - EBSCOhost VL - 54 IS - 2 SP - 65 EP - 71 J2 - Journal of Nursing Education SN - 0148-4834 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103756528&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Workforce KW - Prospective Studies KW - Models, Educational KW - Pennsylvania KW - Human KW - Blacks KW - NCLEX Examination KW - Student Recruitment KW - Mentorship KW - Descriptive Research KW - Cultural Diversity KW - Nursing Shortage KW - Training Support, Financial KW - Community Colleges KW - Education, Nursing, Associate -- Pennsylvania KW - Education, Post-RN KW - Nurses, Minority -- Manpower KW - Registered Nurses -- Manpower KW - Service Learning KW - Student Orientation KW - Student Retention ER - TY - JOUR TI - A Critical Look at the Looming Long-Term-Care Workforce Crisis. AU - Harahan, Mary F. T2 - Generations DA - 2010///Winter2010/2011 PY - 2010 DP - EBSCOhost VL - 34 IS - 4 SP - 20 EP - 26 J2 - Generations SN - 0738-7806 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104838759&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Policy KW - Workforce KW - Health Facility Administrators KW - Salaries and Fringe Benefits KW - Social Workers KW - Professional Practice KW - Physicians KW - Professional Role KW - Long Term Care KW - Registered Nurses KW - Personnel Shortage KW - Geriatric Psychiatry KW - Health Care Delivery -- Administration KW - Licensure KW - Nurse Practitioners KW - Practical Nurses ER - TY - JOUR TI - A facilitated approach to family case conferencing for people with advanced dementia living in nursing homes: perceptions of palliative care planning coordinators and other health professionals in the IDEAL study. AU - Luckett, Tim AU - Chenoweth, Lynnette AU - Phillips, Jane AU - Brooks, Deborah AU - Cook, Janet AU - Mitchell, Geoffrey AU - Pond, Dimity AU - Davidson, Patricia M. AU - Beattie, Elizabeth AU - Luscombe, Georgina AU - Goodall, Stephen AU - Fischer, Thomas AU - Agar, Meera T2 - International Psychogeriatrics AB - Background: Palliative care for nursing home residents with advanced dementia is often sub-optimal due to poor communication and limited care planning. In a cluster randomized controlled trial, registered nurses (RNs) from 10 nursing homes were trained and funded to work as Palliative Care Planning Coordinators (PCPCs) to organize family case conferences and mentor staff. This qualitative sub-study aimed to explore PCPC and health professional perceptions of the benefits of facilitated case conferencing and identify factors influencing implementation.Method: Semi-structured interviews were conducted with the RNs in the PCPC role, other members of nursing home staff, and physicians who participated in case conferences. Analysis was conducted by two researchers using a thematic framework approach.Results: Interviews were conducted with 11 PCPCs, 18 other nurses, eight allied health workers, and three physicians. Perceived benefits of facilitated case conferencing included better communication between staff and families, greater multi-disciplinary involvement in case conferences and care planning, and improved staff attitudes and capabilities for dementia palliative care. Key factors influencing implementation included: staffing levels and time; support from management, staff and physicians; and positive family feedback.Conclusion: The facilitated approach explored in this study addressed known barriers to case conferencing. However, current business models in the sector make it difficult for case conferencing to receive the required levels of nursing qualification, training, and time. A collaborative nursing home culture and ongoing relationships with health professionals are also prerequisites for success. Further studies should document resident and family perceptions to harness consumer advocacy. DA - 2017/10// PY - 2017 DO - 10.1017/S1041610217000977 DP - EBSCOhost VL - 29 IS - 10 SP - 1713 EP - 1722 J2 - International Psychogeriatrics SN - 1041-6102 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125072321&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Aged KW - Attitude of Health Personnel KW - Communication KW - Health Personnel KW - Palliative Care KW - Human KW - Qualitative Studies KW - Thematic Analysis KW - Semi-Structured Interview KW - Dementia -- Nursing KW - Case Management -- Administration KW - Housing for the Elderly -- Administration KW - Nursing Homes -- Administration ER - TY - JOUR TI - A follow-up study of allied health educational and career interests of graduates of a high school for health professions. AU - Thomson WA AU - Miller LM AU - Shargey BO AU - Smith QW AU - Denk JP T2 - Journal of Allied Health AB - In response to reports and trends suggesting a national shortage of health professionals, a survey was administered to graduates from Houston's High School for Health Professions, in part to measure their interests in pursuing higher education and careers in the allied health fields. Project administrators were concerned that only 82 of 1,028 survey respondents indicating a career choice (8.0%) expressed interests in allied health. The career choices, educational pursuits, perceptions regarding likelihood of career attainment, and factors influencing career attainment of these 82 respondents were examined. Ultimately, it is believed that many students are unaware of allied health professions, and that others simply do not perceive allied health disciplines as attractive career options. Results of this study are consistent with other reports suggesting that new strategies must be employed nationally to promote greater participation in allied health, especially by groups previously underrepresented in these profesions. DA - 1991/// PY - 1991 DP - EBSCOhost VL - 20 IS - 4 SP - 233 EP - 244 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107484674&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Prospective Studies KW - Ethnic Groups KW - Texas KW - Human KW - Surveys KW - Allied Health Professions KW - Health Manpower KW - Career Planning and Development KW - Schools, Secondary -- Texas KW - Students, High School ER - TY - JOUR TI - A Health Fitness Professional, Group Exercise Instructor, and Clinical Exercise Physiologist Walk into a Fitness Facility... AU - Gallo, Paul M. T2 - ACSM's Health & Fitness Journal AB - The article discusses about importance of ACSM certification for health fitness professional, group exercise instructor, and clinical exercise physiologist to Walk into a fitness facility. Topics include introduction of health occasions, students and professionals; scope and role of a health fitness professional; and scope and role of a clinical exercise physiologist. DA - 2020/04/03/Mar/ undefined PY - 2020 DO - 10.1249/FIT.0000000000000551 DP - EBSCOhost VL - 24 IS - 2 SP - 40 EP - 42 J2 - ACSM's Health & Fitness Journal SN - 1091-5397 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141848605&site=ehost-live&scope=site DB - CINAHL Complete KW - Salaries and Fringe Benefits KW - Professional Role KW - Physical Therapists KW - Career Planning and Development KW - American College of Sports Medicine KW - Certification KW - Education, Allied Health KW - Fitness Centers KW - Government Agencies -- Statistics and Numerical Data KW - Group Exercise KW - Job Market KW - Personal Trainers KW - Scope of Practice KW - Workforce -- Statistics and Numerical Data ER - TY - JOUR TI - A National Disability Insurance Scheme—Challenges for Social Work. AU - Bigby, Christine T2 - Australian Social Work AB - The author reflects on the social inclusion and participation of people with disability. He states that policy change campaign is led by parents, professionals, and people with disabilities, focusing on problem from struggling welfare system. He also mentions that study of disability workforce overlooks the fact of social workers across entire health and human service system work with people with disabilities. National Disability Insurance Scheme (NDIS) is launched in April 1 is also mentioned. DA - 2013/03// PY - 2013 DO - 10.1080/0312407X.2013.771602 DP - EBSCOhost VL - 66 IS - 1 SP - 1 EP - 6 J2 - Australian Social Work SN - 0312-407X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=85879456&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Workforce KW - Quality of Life KW - Professional Role KW - Financial Support KW - Specialization KW - Disabled KW - Multidisciplinary Care Team KW - Community Programs KW - Social Work Practice KW - Attitude to Disability KW - Deinstitutionalization KW - Insurance, Disability KW - Public Accommodation KW - Public Policy -- Australia ER - TY - JOUR TI - A qualitative evaluation of a mentoring program for Aboriginal health workers and allied health professionals. AU - Browne, Jennifer AU - Thorpe, Sharon AU - Tunny, Noeleen AU - Adams, Karen AU - Palermo, Claire T2 - Australian & New Zealand Journal of Public Health AB - Objective: Effective partnerships between Aboriginal Health Workers and non-Aboriginal health professionals are essential to achieve Aboriginal health outcomes. This study aimed to evaluate a mentoring workforce development strategy for Aboriginal Health Workers and non-Aboriginal allied health professionals. Methods: Thirty-four Aboriginal Health Workers and non-Aboriginal health professionals were recruited to the mentoring program where they were paired and established a learning relationship for approximately six months. A qualitative evaluation with thirty of the participants was undertaken involving in-depth interviews at the completion of the program. Results: A total of 18 mentoring partnerships were formed across Victoria. The data revealed three key themes in relation to the evaluation of the program: (1) The mentoring program facilitated two-way learning, (2) The Aboriginal Health Workers and non-Aboriginal health professional participants reported being able to meet their identified learning needs through the partnership, (3) The capacity to improve practice was facilitated through readiness to learn and change practice and personal attributes of the participants, as well as organisation and management support. Conclusions: Peer mentoring between Aboriginal and non-Aboriginal health workforce was found to be a powerful mechanism to promote two-way learning that has the capacity to meet learning needs and promote practice improvement. Implications: Peer mentoring may be part of a multi-strategy approach to the development of the Aboriginal health workforce. DA - 2013/10// PY - 2013 DO - 10.1111/1753-6405.12118 DP - EBSCOhost VL - 37 IS - 5 SP - 457 EP - 462 J2 - Australian & New Zealand Journal of Public Health SN - 1326-0200 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=90526039&site=ehost-live&scope=site DB - CINAHL Complete KW - Victoria KW - Human KW - Thematic Analysis KW - Funding Source KW - Semi-Structured Interview KW - Behavioral Changes KW - Learning Methods KW - Professional Development KW - Outcome Assessment KW - Mentorship KW - Aboriginal Australians KW - Allied Health Personnel -- Victoria KW - Community Health Workers -- Victoria KW - Cultural Sensitivity -- Education KW - Goal-Setting KW - Qualitative Studies -- Victoria ER - TY - JOUR TI - A qualitative study of workers with chronic pain in Brazil and its social consequences. AU - Silva, Fabiana Caetano Martins AU - Sampaio, Rosana Ferreira AU - Mancini, Marisa Cotta AU - Luz, Madel Terezinha AU - Alcântara, Marcus Alessandro T2 - Occupational Therapy International AB - Chronic pain contributes towards less diversified participation centred on household activities, fewer social relationships and smaller number of recreational activities. The aim of the study was to further investigate the effects of chronic pain on participation, focusing on how workers deal with the experienced restrictions. Ten workers with chronic pain participated in the survey, which was conducted with qualitative interviews. Analyses of thematic units revealed that chronic pain has consequences for participation, leading to work restrictions and loss of social roles. Social relationships tend to be limited to family, and workers become isolated from other social groups. The rebuilding of participants' lives was a counterpoint to the identified social rupture. The narratives revealed strategies for dealing with pain, attempts at reorganizing their daily activities and formulating new plans. Understanding what resources individuals use to cope with their difficulties allow occupational therapists to plan client-centred treatment goals. A limitation of the study was to involve employees of very similar socio-economic classes. Studies directed to understanding the relationship between social support and the reconstruction of participation must be conducted to further advance knowledge on possible mechanisms underlying social participation among workers with chronic pain. Copyright © 2010 John Wiley & Sons, Ltd. DA - 2011/06// PY - 2011 DO - 10.1002/oti.302 DP - EBSCOhost VL - 18 IS - 2 SP - 85 EP - 95 J2 - Occupational Therapy International SN - 0966-7903 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104708251&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Brazil KW - Self Care KW - Human KW - Interviews KW - Qualitative Studies KW - Audiorecording KW - Middle Age KW - Funding Source KW - Surveys KW - Descriptive Statistics KW - Phenomenological Research KW - Chronic Pain -- Drug Therapy KW - Chronic Pain -- Epidemiology KW - Occupational Health -- Evaluation -- Brazil KW - Socialization -- Evaluation KW - Workforce -- Psychosocial Factors -- Brazil ER - TY - JOUR TI - A qualitative study of workers with chronic pain in Brazil and its social consequences. AU - Silva, Fabiana Caetano Martins AU - Sampaio, Rosana Ferreira AU - Mancini, Marisa Cotta AU - Luz, Madel Terezinha AU - Alcântara, Marcus Alessandro T2 - Occupational Therapy International AB - Chronic pain contributes towards less diversified participation centred on household activities, fewer social relationships and smaller number of recreational activities. The aim of the study was to further investigate the effects of chronic pain on participation, focusing on how workers deal with the experienced restrictions. Ten workers with chronic pain participated in the survey, which was conducted with qualitative interviews. Analyses of thematic units revealed that chronic pain has consequences for participation, leading to work restrictions and loss of social roles. Social relationships tend to be limited to family, and workers become isolated from other social groups. The rebuilding of participants' lives was a counterpoint to the identified social rupture. The narratives revealed strategies for dealing with pain, attempts at reorganizing their daily activities and formulating new plans. Understanding what resources individuals use to cope with their difficulties allow occupational therapists to plan client-centred treatment goals. A limitation of the study was to involve employees of very similar socio-economic classes. Studies directed to understanding the relationship between social support and the reconstruction of participation must be conducted to further advance knowledge on possible mechanisms underlying social participation among workers with chronic pain. Copyright © 2010 John Wiley & Sons, Ltd. DA - 2011/06// PY - 2011 DO - 10.1002/oti.302 DP - EBSCOhost VL - 18 IS - 2 SP - 85 EP - 95 J2 - Occupational Therapy International SN - 0966-7903 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=60770929&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Brazil KW - Self Care KW - Human KW - Interviews KW - Qualitative Studies KW - Audiorecording KW - Middle Age KW - Funding Source KW - Surveys KW - Descriptive Statistics KW - Phenomenological Research KW - Chronic Pain -- Drug Therapy KW - Chronic Pain -- Epidemiology KW - Occupational Health -- Evaluation -- Brazil KW - Socialization -- Evaluation KW - Workforce -- Psychosocial Factors -- Brazil ER - TY - JOUR TI - A realist synthesis of randomised control trials involving use of community health workers for delivering child health interventions in low and middle income countries. AU - Kane SS AU - Gerretsen B AU - Scherpbier R AU - Dal Poz M AU - Dieleman M T2 - BMC Health Services Research DA - 2010/01// PY - 2010 DO - 10.1186/1472-6963-10-286 DP - EBSCOhost VL - 10 SP - 286 EP - 286 J2 - BMC Health Services Research SN - 1472-6963 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104936166&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Child KW - Developing Countries KW - Child, Preschool KW - Socioeconomic Factors KW - Poverty KW - Health Services Research KW - Human KW - Clinical Trials KW - Experimental Studies KW - Child Welfare KW - Allied Health Personnel KW - Health Manpower KW - Allied Health Personnel -- Education KW - Health Care Delivery KW - Health Education -- Administration KW - International Relations KW - World Health ER - TY - JOUR TI - A Revelation of Numbers: Will America's Eldercare Workforce be Ready to Care for an Aging America? AU - Bragg, Elizabeth AU - Hansen, Jennie Chin T2 - Generations DA - 2010///Winter2010/2011 PY - 2010 DP - EBSCOhost VL - 34 IS - 4 SP - 11 EP - 19 J2 - Generations SN - 0738-7806 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104838753&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Quality of Health Care KW - Health Services Needs and Demand KW - Specialization KW - Personnel Shortage KW - Allied Health Personnel -- Classification KW - Geriatric Psychiatry -- Statistics and Numerical Data KW - Geriatricians -- Statistics and Numerical Data KW - Geriatrics -- Education KW - Gerontologic Nurse Practitioners -- Statistics and Numerical Data KW - Geropsychiatric Nursing -- Statistics and Numerical Data KW - Workforce -- Statistics and Numerical Data -- United States ER - TY - JOUR TI - A review of staffing levels and activity in paediatric dietetics. AU - Ward, Fiona AU - O'Riordan, Joanna T2 - Journal of Human Nutrition & Dietetics AB - Background The present study was undertaken to review how much time paediatric dietitians spend in direct contact with patients and to determine what levels of staffing are available throughout paediatric dietetic departments in Ireland and the UK. Methods A work sampling tool was devised to capture paediatric dietetic activity for a period of 1 day. A semi-structured questionnaire was sent to paediatric dietitian managers to provide demographic information on their facility. Results Fourteen questionnaires were returned by paediatric dietitian managers and 86 work sampling tools were returned for analysis by dietitians working in the various departments. Paediatric dietitians spend 23% of the working day in direct patient contact, although up to 58% of the day in direct patient-related activities, of which communication comprised 25.2%. Staffing levels are below clinical recommendations in four out of five specialties. National activity reports focus on the number of patient contacts but do not include information on the complexity of patient care. Conclusions Work sampling is a useful tool in the assessment of activity in healthcare. Inadequate staff levels and limitations in activity reporting in paediatric dietetics will affect estimations for future service developments. Information obtained from the present study could contribute to the supply analysis of a workforce planning exercise in paediatric services in the future. DA - 2015/02// PY - 2015 DO - 10.1111/jhn.12216 DP - EBSCOhost VL - 28 IS - 1 SP - 95 EP - 106 J2 - Journal of Human Nutrition & Dietetics SN - 0952-3871 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=100671066&site=ehost-live&scope=site DB - CINAHL Complete KW - Child KW - Ireland KW - United Kingdom KW - Communication KW - Management KW - Professional Practice KW - Human KW - Questionnaires KW - Descriptive Statistics KW - Child Health KW - British Dietetic Association KW - Child Nutrition KW - Dietetics -- In Infancy and Childhood -- United Kingdom KW - Patient Care -- In Infancy and Childhood -- United Kingdom KW - Personnel Staffing and Scheduling -- In Infancy and Childhood -- United Kingdom KW - Time Factors -- In Infancy and Childhood -- United Kingdom KW - Work Sampling ER - TY - JOUR TI - A review of staffing levels and activity in paediatric dietetics. AU - Ward, Fiona AU - O'Riordan, Joanna T2 - Journal of Human Nutrition & Dietetics AB - Background The present study was undertaken to review how much time paediatric dietitians spend in direct contact with patients and to determine what levels of staffing are available throughout paediatric dietetic departments in Ireland and the UK. Methods A work sampling tool was devised to capture paediatric dietetic activity for a period of 1 day. A semi-structured questionnaire was sent to paediatric dietitian managers to provide demographic information on their facility. Results Fourteen questionnaires were returned by paediatric dietitian managers and 86 work sampling tools were returned for analysis by dietitians working in the various departments. Paediatric dietitians spend 23% of the working day in direct patient contact, although up to 58% of the day in direct patient-related activities, of which communication comprised 25.2%. Staffing levels are below clinical recommendations in four out of five specialties. National activity reports focus on the number of patient contacts but do not include information on the complexity of patient care. Conclusions Work sampling is a useful tool in the assessment of activity in healthcare. Inadequate staff levels and limitations in activity reporting in paediatric dietetics will affect estimations for future service developments. Information obtained from the present study could contribute to the supply analysis of a workforce planning exercise in paediatric services in the future. DA - 2015/02// PY - 2015 DO - 10.1111/jhn.12216 DP - EBSCOhost VL - 28 IS - 1 SP - 95 EP - 106 J2 - Journal of Human Nutrition & Dietetics SN - 0952-3871 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103748429&site=ehost-live&scope=site DB - CINAHL Complete KW - Child KW - Ireland KW - United Kingdom KW - Communication KW - Management KW - Professional Practice KW - Human KW - Questionnaires KW - Descriptive Statistics KW - Child Health KW - British Dietetic Association KW - Child Nutrition KW - Dietetics -- In Infancy and Childhood -- United Kingdom KW - Patient Care -- In Infancy and Childhood -- United Kingdom KW - Personnel Staffing and Scheduling -- In Infancy and Childhood -- United Kingdom KW - Time Factors -- In Infancy and Childhood -- United Kingdom KW - Work Sampling ER - TY - JOUR TI - A snapshot of dietetic staffing ratios in primary health care. AU - Werstuck, M. MacDonald AU - Buccino, J. T2 - Canadian Journal of Dietetic Practice & Research AB - Introduction: Registered Dietitians (RD) in primary health care (PHC) improve health outcomes and save $5 to $99 for every $1 spent on nutrition interventions. Despite proven benefits, few dietetic positions exist in Canada and internationally with only 3%-15% of the dietetic population reported to be working in PHC. Limited access to dietetic counseling for vulnerable populations at risk or living with chronic disease is an ongoing problem with <30% of Ontarians having access to dietitians in primary care settings. Objectives: Provide a snapshot of observed and recommended staffing ratios for dietitians working on interprofessional teams in PHC. Identify factors influencing staffing projections. Demonstrate utilization of staffing ratios to identify service gaps and plan for appropriate workforce capacity. Methods: A review of the literature on dietetic staffing and workforce capacity was completed in 2017 to complete a PEN pathway on dietetic staffing ratios in PHC. Results: Dietetic staffing ratios include ranges of 1 RD: 15 000--18 500 patients and 1 RD for every 4--14 family physicians. Expert consensus studies from Australia, Canada, and the U.K. recommend 1 RD for every 300--500 patients with diabetes to meet population specific health needs and best practices. Conclusions: Current staffing ratios are likely inadequate to meet the needs of aging populations with high rates of chronic disease and to keep up with high expected vacancies. Projection models based on specific population needs and best practices are recommended over traditional staffing estimates based on physician or population numbers. Significance to the Field of Dietetics: With the expansion of PHC in Ontario to meet the needs of 70% of the population currently not rostered with FHTs, dietitians and health care planners are urged to utilize the ratios to identify service gaps and ensure adequate dietetic capacity. DA - 2018/09// PY - 2018 DP - EBSCOhost VL - 79 IS - 3 SP - 143 EP - 143 J2 - Canadian Journal of Dietetic Practice & Research SN - 1486-3847 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131246429&site=ehost-live&scope=site DB - CINAHL Complete KW - Canada KW - Personnel Staffing and Scheduling KW - Dietitians KW - Primary Health Care -- Manpower -- Canada ER - TY - JOUR TI - A state wide validation and utilisation study of the Queensland emergency nursing workforce tool. AU - Williams, Ged AU - Crilly, Julia AU - Souter, Jeffrey AU - Veach, Kate AU - Good, Norm T2 - Journal of Nursing Management (John Wiley & Sons, Inc.) AB - Aim To describe and compare standard practice with a revised, assisted method for calculating emergency department nursing workforce requirements (using the emergency nursing workforce tool, ENWT) within 27 Queensland public hospital emergency departments ( ED). Background Despite the presence of several methodologies used for staffing calculations, there is a necessity to refine measures of emergency department complexity and workload to determine appropriate staffing in order to meet patient safety needs and health service key priority indicators. Methods A descriptive comparative study design was employed. Of the 27 ED nurse unit managers ( NUM) invited, 18 (67%) participated. Results No significant difference was noted in the full time equivalent ( FTE) nursing requirement when standard vs. new ( ENWT) methods were compared. The ENWT was more efficient (i.e. timely) and had better predictability than existing methods for calculating FTE nursing requirement. Conclusion The methodology underpinning the ENWT may be useful to apply or adapt to settings other than the ED (e.g. intensive care, operating room) and disciplines within the ED other than nursing (e.g. medicine, allied health, porterage) to inform staffing requirements. Implications for nursing management Findings from this research can be used to inform ED managers and health service planners regarding a standardized approach to calculating emergency nursing workforce needs. DA - 2014/11// PY - 2014 DO - 10.1111/jonm.12063 DP - EBSCOhost VL - 22 IS - 8 SP - 1076 EP - 1088 J2 - Journal of Nursing Management (John Wiley & Sons, Inc.) SN - 0966-0429 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103913247&site=ehost-live&scope=site DB - CINAHL Complete KW - Queensland KW - Budgets KW - Human KW - Data Analysis Software KW - Funding Source KW - Descriptive Statistics KW - Comparative Studies KW - Scales KW - Validation Studies KW - Chi Square Test KW - Content Validity KW - Descriptive Research KW - Face Validity KW - Linear Regression KW - Pilot Studies KW - Questionnaires -- Utilization KW - Mann-Whitney U Test KW - Emergency Nursing -- Manpower -- Queensland KW - Emergency Service KW - Hospitals, Public KW - Kruskal-Wallis Test KW - Nursing Management KW - Personnel Staffing and Scheduling -- Queensland KW - Productivity KW - Skill Mix KW - Workforce -- Queensland KW - Workload Measurement ER - TY - JOUR TI - A state wide validation and utilisation study of the Queensland emergency nursing workforce tool. AU - Williams, Ged AU - Crilly, Julia AU - Souter, Jeffrey AU - Veach, Kate AU - Good, Norm T2 - Journal of Nursing Management (John Wiley & Sons, Inc.) AB - Aim To describe and compare standard practice with a revised, assisted method for calculating emergency department nursing workforce requirements (using the emergency nursing workforce tool, ENWT) within 27 Queensland public hospital emergency departments ( ED). Background Despite the presence of several methodologies used for staffing calculations, there is a necessity to refine measures of emergency department complexity and workload to determine appropriate staffing in order to meet patient safety needs and health service key priority indicators. Methods A descriptive comparative study design was employed. Of the 27 ED nurse unit managers ( NUM) invited, 18 (67%) participated. Results No significant difference was noted in the full time equivalent ( FTE) nursing requirement when standard vs. new ( ENWT) methods were compared. The ENWT was more efficient (i.e. timely) and had better predictability than existing methods for calculating FTE nursing requirement. Conclusion The methodology underpinning the ENWT may be useful to apply or adapt to settings other than the ED (e.g. intensive care, operating room) and disciplines within the ED other than nursing (e.g. medicine, allied health, porterage) to inform staffing requirements. Implications for nursing management Findings from this research can be used to inform ED managers and health service planners regarding a standardized approach to calculating emergency nursing workforce needs. DA - 2014/11// PY - 2014 DO - 10.1111/jonm.12063 DP - EBSCOhost VL - 22 IS - 8 SP - 1076 EP - 1088 J2 - Journal of Nursing Management (John Wiley & Sons, Inc.) SN - 0966-0429 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=99196068&site=ehost-live&scope=site DB - CINAHL Complete KW - Queensland KW - Budgets KW - Human KW - Data Analysis Software KW - Funding Source KW - Descriptive Statistics KW - Comparative Studies KW - Scales KW - Validation Studies KW - Chi Square Test KW - Content Validity KW - Descriptive Research KW - Face Validity KW - Linear Regression KW - Pilot Studies KW - Questionnaires -- Utilization KW - Mann-Whitney U Test KW - Emergency Nursing -- Manpower -- Queensland KW - Emergency Service KW - Hospitals, Public KW - Kruskal-Wallis Test KW - Nursing Management KW - Personnel Staffing and Scheduling -- Queensland KW - Productivity KW - Skill Mix KW - Workforce -- Queensland KW - Workload Measurement ER - TY - JOUR TI - A Study to Validate the Malnutrition Clinical Characteristics and Quantify Dietitian Staffing Levels to Improve Patient Outcomes...Food & Nutrition Conference & Expo, October 26-29, 2019, Philadelphia, PA AU - Woodcock, L. AU - Bliss, C. AU - Long, J. AU - Lamers, E. AU - Kelley, K. AU - Abram, J. AU - Steiber, A. AU - Jimenez, E. T2 - Journal of the Academy of Nutrition & Dietetics AB - Malnutrition is often underdiagnosed, and consequently undertreated, in hospitalized patients. Research suggests malnourished patients have longer hospital stays and higher hospital costs compared to well-nourished patients. No systematic, universally accepted method of diagnosing malnutrition exists, which may contribute to under-diagnosis and under-treatment. To address this issue, the Academy of Nutrition and Dietetics and the American Society for Parenteral and Enteral Nutrition developed the Malnutrition Clinical Characteristics (MCC), a set of diagnostic indicators for adult and pediatric malnutrition. The Academy Foundation is funding the Malnutrition Clinical Characteristics Validation and Staffing Optimization Study to validate the MCC against patient outcomes and to quantify the level of nutrition care needed to improve patient outcomes. Sixty adult and sixty pediatric sites will collect staffing data on 2400-9600 adult and pediatric patients, including minutes of care, medical history, malnutrition screening, and nutrition interventions. Six hundred adult and 600 pediatric patients will be randomly selected from the cohort to be included in the MCC and Nutrition Focused Physical Exam (NFPE) data collection, with an equal allocation of patients screened as high and low-risk for malnutrition. Medical (e.g., mortality, hospital length of stay) and nutrition outcomes will be collected on all patients for a three-month period thereafter. Validation of the MCC could result in a standardized method of diagnosing adult and pediatric malnutrition, leading to improved diagnosis and treatment and subsequent improvements in patient outcomes and reimbursement levels. Results will inform staffing levels for inpatient adult and pediatric patients that are associated with improved patient outcomes. DA - 2019/09/02/ PY - 2019 DP - EBSCOhost VL - 119 IS - 9 SP - A EP - 19 J2 - Journal of the Academy of Nutrition & Dietetics SN - 2212-2672 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138553574&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Child KW - Adolescence KW - Hospitalization KW - Pennsylvania KW - Clinical Assessment Tools KW - Congresses and Conferences -- Pennsylvania KW - Malnutrition -- Diagnosis -- In Adolescence KW - Malnutrition -- Diagnosis -- In Adulthood KW - Malnutrition -- Diagnosis -- In Infancy and Childhood ER - TY - JOUR TI - A survey of how community physiotherapists use their time. AU - Lang C T2 - Physiotherapy AB - Information is needed about the way that community physiotherapists use their time in order to analyse how staff can be used more effectively, and to provide data to help in contract setting. A survey of community physiotherapists in Cornwall showed that on average 66% of the participants' time was used in patient treatment or in activities directly supporting patient care during the study period. Factors affecting the way that staff may use their time are discussed along with the importance of taking into account these and other circumstances when setting contracts and negotiating staffing levels. DA - 1996/04// PY - 1996 DP - EBSCOhost VL - 82 IS - 4 SP - 222 EP - 226 J2 - Physiotherapy SN - 0031-9406 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107375215&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Data Collection KW - Workload KW - Human KW - Convenience Sample KW - Surveys KW - Descriptive Statistics KW - Community Health Services -- United Kingdom KW - Physical Therapy -- United Kingdom KW - Time -- Utilization ER - TY - JOUR TI - A survey of staffing levels in paediatric diabetes services throughout the UK. AU - Charalampopoulos, D. AU - Amin, R. AU - Warner, J. T. AU - Viner, R. M. AU - Campbell, F. AU - Edge, J. A. AU - Stephenson, T. T2 - Diabetic Medicine AB - Abstract: Aims: To assess staffing levels of healthcare professionals involved in the care of children and young people with diabetes in the UK. Methods: A web‐based questionnaire was distributed to lead consultant paediatricians from all paediatric diabetes services in the UK between October and December 2014. Data on staffing levels and other aspects of diabetes services were collected and differences between the four nations of the UK and across the 10 English diabetes networks were explored. Results: Some 175 services (93%) caring for 29 711 children and young people aged ≤ 24 years with diabetes participated in the survey. Northern Ireland and Wales had the lowest ratio of total staff to patient population. Nursing caseloads per one whole‐time equivalent (WTE) nurse ranged from 71 patients in England to 110 patients in Northern Ireland with only 52% of the UK services meeting the Royal College of Nursing recommended nurse‐to‐patient ratio of > 1 : 70. Scotland and Northern Ireland had the highest ratio of consultants and fully trained doctors per 1000 patients (3.5 WTE). Overall, 17% of consultants had a Certificate of Completion of Training in Endocrinology and Diabetes. Some 44% of dietitians were able to adjust insulin dose. Only 43% of services provided 24‐h access to advice from the diabetes team and 82% of services had access to a psychologist. Staffing levels adjusted for volume were not directly related to glycaemic performance of services in England and Wales. Conclusions: Wide variations in staffing levels existed across the four nations of the UK and important gaps were present in key areas. DA - 2018/02// PY - 2018 DO - 10.1111/dme.13550 DP - EBSCOhost VL - 35 IS - 2 SP - 242 EP - 248 J2 - Diabetic Medicine SN - 0742-3071 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127334259&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Time Factors KW - Internet KW - Human KW - Questionnaires KW - Surveys KW - Diabetes Mellitus -- Prevention and Control KW - Health Personnel -- Statistics and Numerical Data KW - Pediatrics ER - TY - JOUR TI - A typology of the part-time workforce: differences on job attitudes and turnover. AU - Martin JE AU - Sinclair RR T2 - Journal of Occupational & Organizational Psychology AB - Differences between full-time (FT) and part-time (PT) employees have long been of interest to organizational psychologists. While most research assumes PT employees are a single, undifferentiated group, some studies have established the diversity of the PTworkforce, particularly in terms of participation in other work and non-work roles. An important gap in this research concerns how different types of PT employees may differ from one another, as well as from FTemployees. In this study, we proposed and tested a typology of the PT workforce. We identified several groups of PT employees with substantially different patterns of involvement in school, family, and work roles. The PT groups had generally more favourable job attitudes than did the FTemployees. Although the PT groups generally had higher turnover than the FTemployees, we found substantial differences among the groups in their turnover behaviour. We discuss the implications of our findings for future work status research and for managing the PT workforce. DA - 2007/06// PY - 2007 DP - EBSCOhost VL - 80 IS - 2 SP - 301 EP - 319 J2 - Journal of Occupational & Organizational Psychology SN - 0963-1798 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104589769&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Cluster Analysis KW - Prospective Studies KW - Analysis of Variance KW - Income KW - Human KW - Funding Source KW - Surveys KW - Comparative Studies KW - Scales KW - Coefficient Alpha KW - Two-Tailed Test KW - Multivariate Analysis of Variance KW - Post Hoc Analysis KW - Coding KW - Random Sample KW - Hypothesis KW - Employee Attitudes KW - Part Time Employment KW - Personnel Turnover ER - TY - JOUR TI - A Walking Contradiction, Partly Truth and Partly Fiction. AU - Ellett, Alberta J. T2 - Research on Social Work Practice AB - This article is a critique of David Stoesz' descriptions of organizational issues in child welfare, and more specifically, the relationships between the U.S. Children's Bureau and the National Child Welfare Workforce Institute. The focus is on Stoesz perspectives and assessments of sub-entities (cartels) that are currently influencing funding and programmatic efforts to prepare child welfare employees. The critiq ue also includes Stoesz' perspectives of current child welfare training efforts and issues related to child welfare as a profession. The review ends with a set of summary conclusions about the merit of the Stoesz article. DA - 2016/09// PY - 2016 DO - 10.1177/1049731515617301 DP - EBSCOhost VL - 26 IS - 5 SP - 489 EP - 493 J2 - Research on Social Work Practice SN - 1049-7315 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117218727&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Social Workers KW - Multidisciplinary Care Team KW - Child Welfare KW - Social Work Practice KW - Education, Social Work KW - Financing, Government -- United States KW - Government Agencies -- United States KW - Staff Development -- Economics ER - TY - JOUR TI - A workforce survey of Australian chiropractic: the profile and practice features of a nationally representative sample of 2,005 chiropractors. AU - Adams, Jon AU - Lauche, Romy AU - Wenbo Peng AU - Steel, Amie AU - Moore, Craig AU - Amorin-Woods, Lyndon G. AU - Sibbritt, David T2 - BMC Complementary & Alternative Medicine AB - Background: This paper reports the profile of the Australian chiropractic workforce and characteristics of chiropractic care from a large nationally-representative sample of practitioners. Methods: A 21-item questionnaire examining practitioner, practice and clinical management characteristics was distributed to all registered chiropractors (n = 4,684) in Australia in 2015 via both online and hard copy mail out. Results: The survey attracted a response rate of 43% (n = 2,005), and the sample is largely representative of the national chiropractic workforce on a number of key indicators. The average age of the chiropractors was 42.1 years, nearly two-thirds are male, and the vast majority hold a bachelor degree or higher qualification. Australian chiropractors are focused upon treating people across a wide age range who mainly present with musculoskeletal conditions. Australian chiropractors have referral relationships with a range of conventional, allied health and complementary medicine (CAM) providers. Conclusion: The chiropractic profession represents a substantial component of the contemporary Australian health care system with chiropractors managing an estimated 21.3 million patient visits per year. While the Australian chiropractic workforce is well educated, research engagement and research capacity remains sub-optimal and there is much room for further capacity building to help chiropractic reach full potential as a key integrated profession within an evidence-based health care system. Further rich, in-depth research is warranted to improve our understanding of the role of chiropractic within the Australian health care system. DA - 2017/01/05/ PY - 2017 DO - 10.1186/s12906-016-1542-x DP - EBSCOhost VL - 17 SP - 1 EP - 8 J2 - BMC Complementary & Alternative Medicine SN - 1472-6882 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120577168&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Australia KW - Educational Status KW - Professional Role KW - Human KW - Questionnaires KW - Middle Age KW - Convenience Sample KW - Funding Source KW - Descriptive Statistics KW - Research Subject Recruitment KW - Descriptive Research KW - Chiropractors -- Australia KW - Workforce -- Australia ER - TY - JOUR TI - Acceptance of New Clients by Mental Health Clinicians in Massachusetts: Findings From a Representative Survey. AU - McClellan, Sean R. AU - Sirkin, Jenna T. AU - Pfefferle, Sue AU - Hunt, Meaghan AU - Olsho, Lauren E. W. T2 - Psychiatric Services AB - Objective: The objective was to assess the number of new clients accepted by licensed mental health clinicians in Massachusetts and clinician characteristics associated with new clients accepted.Methods: Surveys about client access to outpatient mental health care were sent to a stratified random sample of 2,250 licensed mental health clinicians (psychiatrists, psychologists, licensed certified social workers, licensed independent clinical social workers, licensed mental health counselors, and licensed marriage and family therapists) practicing in Massachusetts. The survey was administered from September 2016 to March 2017 by using a mail survey with a push-to-Web design and telephone follow-up. The final adjusted response rate was 28% (N=413). Results were weighted to reflect the sampling design and for nonresponse and are representative of all licensed mental health clinicians in Massachusetts.Results: On average, clinicians accepted seven new clients per month. Although most clinicians reported accepting one or more new clients per month, half reported accepting four or fewer new clients per month. After adjustment for other factors, the analysis showed that clinicians in practices owned by hospitals or health systems reported accepting eight more new clients per month, on average, than clinicians in solo private practices (p<0.05). Clinicians in private group practices reported accepting two more new clients per month on average than clinicians in solo private practices (p<0.05). Working fewer than 30 hours per week and tenure of more than 1 year in one's current position were negatively associated with acceptance of new clients.Conclusions: New client acceptance varied by practice setting but not by type of clinician. These findings can inform mental health system and workforce planning to improve access to mental health services. DA - 2020/02// PY - 2020 DO - 10.1176/appi.ps.201900072 DP - EBSCOhost VL - 71 IS - 2 SP - 158 EP - 164 J2 - Psychiatric Services SN - 1075-2730 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141488481&site=ehost-live&scope=site DB - CINAHL Complete ER - TY - JOUR TI - Acceptance of primary practitioner physiotherapists in an emergency department: A qualitative study of interprofessional collaboration within workforce reform. AU - Coyle, Julia AU - Gill, Stephen D. T2 - Journal of Interprofessional Care AB - Primary contact practitioner physiotherapists (PPs) are increasingly common in emergency departments (EDs) and provide targeted care to people with uncomplicated musculoskeletal conditions such as sprains, strains, and simple fractures. Workforce redesign can be challenging and success is influenced by staff attitude and opinion. The current study aimed to explore the experiences and perceptions of ED team members about a recently introduced PP service on existing staff and services in a large regional ED. Forty-two staff from eight professional groups participated in semi-structured interviews or focus groups which were audio recorded and field notes were taken. Data were transcribed verbatim and subsequently underwent thematic analysis. Acceptance emerged as one key theme. Acceptance of the PP service by ED staff was not automatic, unconditional, or implied and represented a continuum from PPs being tolerated as transient visitors to being subsumed as integrated members of the ED team. Acceptance of the service and its members was contingent upon the PPs demonstrating three interdependent qualities: being trustworthy, valuing learning, and complementing (not competing with) ED practices to achieve ED goals. Given that staff acceptance was crucial for the successful integration and performance of the service, understanding and manipulating the factors that influence acceptance might increase the likelihood of successfully implementing PP services in EDs. The results might also be applied to facilitate workforce reform in other settings. DA - 2017/03// PY - 2017 DO - 10.1080/13561820.2016.1233394 DP - EBSCOhost VL - 31 IS - 2 SP - 226 EP - 232 J2 - Journal of Interprofessional Care SN - 1356-1820 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121245770&site=ehost-live&scope=site DB - CINAHL Complete KW - Program Evaluation KW - Attitude of Health Personnel KW - Workforce KW - Focus Groups KW - Collaboration KW - Teamwork KW - Learning KW - Interprofessional Relations KW - Cooperative Behavior KW - Trust KW - Qualitative Studies KW - Audiorecording KW - Data Analysis Software KW - Thematic Analysis KW - Semi-Structured Interview KW - Phenomenological Research KW - Field Notes KW - Physical Therapists KW - Emergency Service KW - Attitude to Change KW - Goals and Objectives KW - Health Care Reform KW - Program Implementation ER - TY - JOUR TI - Achieving an interdisciplinary workforce in health care. AU - Aiken LH AU - Aiken, Linda H T2 - New England Journal of Medicine DA - 2003/01/09/ PY - 2003 DP - EBSCOhost VL - 348 IS - 2 SP - 164 EP - 166 J2 - New England Journal of Medicine SN - 0028-4793 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106692052&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Socioeconomic Factors KW - Health Care Delivery -- Trends KW - Health Resource Utilization KW - Allied Health Personnel KW - Ambulatory Care -- Trends KW - Health Manpower -- Trends KW - Nursing Manpower KW - Physicians -- Manpower ER - TY - JOUR TI - Achieving Diversity in Student Enrollment and Faculty Recruitment. AU - Valentine, Peggy T2 - Journal of Best Practices in Health Professions Diversity: Education, Research & Policy DA - 2015/// PY - 2015 DP - EBSCOhost VL - 8 IS - 2 SP - ii EP - iii J2 - Journal of Best Practices in Health Professions Diversity: Education, Research & Policy SN - 9780979440908 2475-2843 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122521994&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Personnel Recruitment KW - Cultural Diversity KW - Health Manpower KW - School Admissions KW - Faculty, Allied Health KW - Serial Publications KW - Students, Allied Health ER - TY - JOUR TI - Achieving positive outcomes for children and families: recruiting and retaining a competent child welfare workforce. AU - Zlotnik JL AU - Strand VC AU - Anderson GR T2 - Child Welfare DA - 2009/10/09/Sep/ undefined PY - 2009 DP - EBSCOhost VL - 88 IS - 5 SP - 7 EP - 21 J2 - Child Welfare SN - 0009-4021 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105268960&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Leadership KW - Workforce KW - Social Workers KW - Organizational Culture KW - Personnel Management KW - Burnout, Professional KW - Personnel Recruitment KW - Child Welfare KW - Training Support, Financial KW - Social Workers -- Education KW - Serial Publications KW - Child Welfare -- Legislation and Jurisprudence -- United States KW - United States Department of Health and Human Services ER - TY - JOUR TI - Addiction Training in Social Work Schools: A Nationwide Analysis. AU - Wilkey, Catriona AU - Lundgren, Lena AU - Amodeo, Maryann T2 - Journal of Social Work Practice in the Addictions AB - Social workers are needed to implement science-based treatments for alcohol and other drug (AOD) problems. Changes in insurance coverage through the Affordable Care Act will increase the demand for licensed Master of Social Work (MSW) clinicians. This national study of MSW programs (N = 210) examines prevalence of addiction courses and specializations. Web-based analyses showed that only 14.3% of accredited schools offered specialization; only 4.7% of accredited schools had one or more required courses. Social work education has not met addiction workforce development needs; there is no evidence this pattern will change. DA - 2013/04// PY - 2013 DO - 10.1080/1533256X.2013.785872 DP - EBSCOhost VL - 13 IS - 2 SP - 192 EP - 210 J2 - Journal of Social Work Practice in the Addictions SN - 1533-256X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104288130&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Health Services Accessibility KW - Human KW - Descriptive Statistics KW - Chi Square Test KW - Specialization KW - Descriptive Research KW - Bivariate Statistics KW - Patient Protection and Affordable Care Act KW - Faculty KW - Accreditation -- Standards KW - Behavior, Addictive -- Education KW - Course Content KW - Education, Masters KW - Education, Social Work -- United States KW - Expert Clinicians KW - World Wide Web -- Evaluation ER - TY - JOUR TI - Addiction Training in Social Work Schools: A Nationwide Analysis. AU - Wilkey, Catriona AU - Lundgren, Lena AU - Amodeo, Maryann T2 - Journal of Social Work Practice in the Addictions AB - Social workers are needed to implement science-based treatments for alcohol and other drug (AOD) problems. Changes in insurance coverage through the Affordable Care Act will increase the demand for licensed Master of Social Work (MSW) clinicians. This national study of MSW programs (N = 210) examines prevalence of addiction courses and specializations. Web-based analyses showed that only 14.3% of accredited schools offered specialization; only 4.7% of accredited schools had one or more required courses. Social work education has not met addiction workforce development needs; there is no evidence this pattern will change. DA - 2013/04// PY - 2013 DO - 10.1080/1533256X.2013.785872 DP - EBSCOhost VL - 13 IS - 2 SP - 192 EP - 210 J2 - Journal of Social Work Practice in the Addictions SN - 1533-256X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=87554855&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Health Services Accessibility KW - Human KW - Descriptive Statistics KW - Chi Square Test KW - Specialization KW - Descriptive Research KW - Bivariate Statistics KW - Patient Protection and Affordable Care Act KW - Faculty KW - Accreditation -- Standards KW - Behavior, Addictive -- Education KW - Course Content KW - Education, Masters KW - Education, Social Work -- United States KW - Expert Clinicians KW - World Wide Web -- Evaluation ER - TY - JOUR TI - Addressing timely care, workforce shortage via telepsychiatry. AU - Canady, Valerie A. T2 - Mental Health Weekly AB - The field continues to witness a rapidly growing demand for behavioral health services and the lack of psychiatrists to meet this demand. Leveraging staff to care for the influx of patients becomes even more important. Subsequently, some community mental health organizations are taking the leap into telepsychiatry services in order to fill expected workforce gaps. DA - 2019/02/04/ PY - 2019 DO - 10.1002/mhw.31764 DP - EBSCOhost VL - 29 IS - 5 SP - 7 EP - 8 J2 - Mental Health Weekly SN - 1058-1103 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134467213&site=ehost-live&scope=site DB - CINAHL Complete KW - Quality of Health Care KW - Telemedicine KW - Workforce KW - Health Services Accessibility KW - Community Mental Health Services KW - Personnel Retention KW - Personnel Shortage KW - United States Department of Health and Human Services KW - Appointments and Schedules KW - Mental Health Organizations KW - Psychologists KW - Technology, Medical KW - Telepsychiatry KW - Waiting Lists KW - Webinars ER - TY - JOUR TI - Adequacy of dialysis clinic staffing and quality of care: a review of evidence and areas of needed research. AU - Wolfe WA T2 - American Journal of Kidney Diseases AB - Improving the quality of care delivered to patients receiving in-center dialysis treatment remains a perpetual concern with stakeholders. Quality indicators traditionally have focused on such items as adequacy of dialysis, anemia management, patient survival, and, most recently, the percentage using arteriovenous fistulas. Largely overlooked in the quest for improvement has been adequate consideration of dialysis clinic staffing levels. Staffing is important because it has been identified as a structural measure of quality. With 326,671 (93.1%) of all dialysis patients receiving in-center treatments, this is a potentially critical issue. This article reviews evidence related to inadequacies in clinic staffing and how they may be contributing to suboptimal care and outcomes. Focusing on nephrologists, nurses, patient care technicians, dietitians, and social workers, this article suggests areas of needed research. DA - 2011/08// PY - 2011 DO - 10.1053/j.ajkd.2011.03.027 DP - EBSCOhost VL - 58 IS - 2 SP - 166 EP - 176 J2 - American Journal of Kidney Diseases SN - 0272-6386 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108245474&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Quality of Health Care KW - Ambulatory Care Facilities -- Manpower KW - Hemodialysis -- Standards KW - Personnel Staffing and Scheduling -- Standards KW - Research, Medical ER - TY - JOUR TI - Advanced allied health assistants: an emerging workforce. AU - Pearce, Claire AU - Pagett, Leanne T2 - Australian Health Review AB - Objective: Nationally and internationally there is work underway to continue to advance the scope of practice of allied health assistants (AHA). The advanced role requires additional training and competency development, as well as significant clinical experience. To build on the evidence relating to advanced scope AHAs, ACT Health undertook a project to explore the potential for the development of the local AHA workforce. This paper provides an overview of the project. Methods: The potential for advanced AHAs in the Australian Capital Territory (ACT) was assessed using literature reviews, consultation with other services working with advanced AHAs and interviews with local allied health managers and assistants. Results: A role for advanced AHAs within the ACT workforce was recommended, along with the need to further develop the AHA governance structure and AHA training packages and to undertake more research into the AHA workforce. Conclusion: AHAs make a positive contribution to the delivery of effective, responsive, consumer-focused healthcare. The advanced AHA role provides further opportunities to enhance the flexibility of allied health services while also providing a career structure for this growing workforce. DA - 2015/06// PY - 2015 DO - 10.1071/AH14253 DP - EBSCOhost VL - 39 IS - 3 SP - 260 EP - 263 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103327902&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Health KW - Pliability KW - Scope of Practice KW - Australian Capital Territory KW - Health Services ER - TY - JOUR TI - Advanced musculoskeletal physiotherapy: Barriers and enablers to multi‐site implementation. AU - Shaw, Bridget R. AU - Heywood, Sophie E. AU - Page, Carolyn J. AU - Phan, Uyen M. AU - Harding, Paula A. AU - Walter, Kerrie AU - Terrill, Desiree L. AU - Granger, Catherine L. T2 - Musculoskeletal Care AB - Objectives: Advanced musculoskeletal physiotherapy (AMP) services are a safe, effective model of care, but without broad‐scale healthcare implementation to date. The aim of the present study was to identify the barriers and enablers to implementation of 12 AMP services from the perspective of clinical staff. Methods: In a qualitative study, 12 participants (physiotherapists), from 12 different healthcare networks (seven metropolitan, three regional, two rural), were included. Their departments implemented AMP services (orthopaedic postoperative joint replacement review, n = 10; general orthopaedic, n = 1; emergency, n = 1; and neurosurgery n = 1) over a 12‐month period. Participants completed a structured survey specifically designed for the study. Thematic analysis was used, with themes mapped to the validated Theoretical Domains Framework. Results: Nine major themes emerged from the data regarding barriers and enablers to the implementation of the AMP services from the perspective of clinical staff. These were: demand/capacity; model of care; the organization; stakeholders; communication; planning and processes; evaluation; workforce; and learning and assessment framework. Important enablers included engagement and buy‐in from key stakeholders and medical staff, and well‐established AMP learning frameworks for training and operational frameworks. Barriers included competitive funding environment, and issues that hindered effective communication. The knowledge, skills, availability, motivation and experience of the advanced musculoskeletal physiotherapists had a large impact on the implementation. Conclusions: The study identified a number of factors that should be considered for successful implementation of AMP services across healthcare services or wider healthcare networks. DA - 2018/12// PY - 2018 DO - 10.1002/msc.1358 DP - EBSCOhost VL - 16 IS - 4 SP - 440 EP - 449 J2 - Musculoskeletal Care SN - 1478-2189 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=133481977&site=ehost-live&scope=site DB - CINAHL Complete KW - Communication KW - Workforce KW - Health Services Needs and Demand KW - Clinical Competence KW - Motivation KW - Health Services Accessibility KW - Learning KW - Financial Support KW - Human KW - Qualitative Studies KW - Thematic Analysis KW - Surveys KW - Health Knowledge KW - Urban Areas KW - Conceptual Framework KW - Physical Therapy KW - Rural Areas KW - Arthroplasty, Replacement KW - Emergency Care KW - Health and Welfare Planning KW - Medical Staff -- Psychosocial Factors KW - Musculoskeletal Diseases -- Therapy KW - Neurosurgery KW - Organizational Compliance KW - Orthopedic Care KW - Physical Therapists -- Education KW - Regional Centers KW - Stakeholder Participation ER - TY - JOUR TI - Age as double‐edged sword among victims of customer mistreatment: A self‐esteem threat perspective. AU - Amarnani, Rajiv K. AU - Restubog, Simon Lloyd D. AU - Bordia, Prashant AU - Abbasi, Ayeesha A. T2 - Human Resource Management AB - Service workers are expected to maintain high‐quality service delivery despite customer mistreatment—the poor‐quality treatment of service workers by customers—which can be demeaning and threatening to self‐esteem. Although service work is increasingly delivered by middle‐aged and older workers, very little is known about how employees across the age range navigate abuse from customers on the job. Does advancing age help or hinder service performance in reaction to customer mistreatment? Drawing on strength and vulnerability integration theory, we proposed that age paradoxically both helps and hinders performance after customer mistreatment, albeit at different stages. We tested our proposed model in a two‐sample field investigation of service workers and their supervisors using a time‐lagged, dyadic design. Results showed that age heightens the experience of self‐esteem threat but, nevertheless, dampens reactions to self‐esteem threat, leading to divergent effects on performance at different stages. Implications for age and service work, as well as aging and the sense of self, are discussed. DA - 2019/06/05/May/ undefined PY - 2019 DO - 10.1002/hrm.21949 DP - EBSCOhost VL - 58 IS - 3 SP - 285 EP - 299 J2 - Human Resource Management SN - 0090-4848 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135775407&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Adolescence KW - Workforce KW - Models, Theoretical KW - Focus Groups KW - Age Factors KW - Social Workers KW - Aging KW - Self Concept KW - Human KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Funding Source KW - Surveys KW - Descriptive Statistics KW - Regression KW - Restaurants KW - Consumer Satisfaction KW - Social Worker Attitudes KW - Employee Attitudes KW - Blue Collar Workers KW - Consumer Attitudes KW - Hotels KW - Job Performance KW - Philippines KW - Supervisors and Supervision KW - Victims -- Psychosocial Factors KW - White Collar Workers ER - TY - JOUR TI - AGS Update. Rising to the Challenge. AU - Flaherty, Ellen T2 - Journal of Gerontological Nursing AB - The article features the Geriatrics Workforce Enhancement Program (GWEP) Coordinating Center of the John A. Hartford Foundation and its importance to the work of the American Geriatrics Society (AGS). It mentions the aim of the GWEP Coordinating Center to raise the number of nurses, physicians, social workers and health care professionals trained in geriatric care, several geriatrics-related initiatives at various schools of nursing in the U.S. and the oversight of the GWEP center by the AGS. DA - 2016/07// PY - 2016 DO - 10.3928/00989134-20160613-04 DP - EBSCOhost VL - 42 IS - 7 SP - 65 EP - 66 J2 - Journal of Gerontological Nursing SN - 0098-9134 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116655711&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Geriatrics KW - Gerontologic Nursing KW - Personnel Shortage KW - Education, Nursing KW - Foundations KW - Schools, Nursing ER - TY - JOUR TI - AHIMA Develops New Draft Proposal to Review Health Information Professions. T2 - AHIMA Advantage DA - 2011/04// PY - 2011 DP - EBSCOhost VL - 15 IS - 2 SP - 6 EP - 6 J2 - AHIMA Advantage SN - 1523-2425 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104895863&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Allied Health Personnel KW - American Health Information Management Association KW - Political Participation KW - Workforce -- Legislation and Jurisprudence -- United States ER - TY - JOUR TI - AHIMA Develops New Draft Proposal to Review Health Information Professions. T2 - AHIMA Advantage AB - The article focuses on the modified approaches used by the American Health Information Management Association (AHIMA) to several issues on Capitol Hill, such as education and workforce. AHIMA's Hill Day on March 29, 2011 focuses on four primary issues in the Congress such as the request introduction for the AHIMA draft "Health Information professions Advancement Act." The efforts ofn AHIMA's 2011 Hill Day lets the Congress know that the ability to change healthcare does not rest on technology. DA - 2011/04// PY - 2011 DP - EBSCOhost VL - 15 IS - 2 SP - 6 EP - 6 J2 - AHIMA Advantage SN - 1523-2425 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=60527790&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Allied Health Personnel KW - American Health Information Management Association KW - Political Participation KW - Workforce -- Legislation and Jurisprudence -- United States ER - TY - JOUR TI - AHPs and public health: looking to the future. T2 - Bulletin: Royal College of Speech & Language Therapists DA - 2015/09// PY - 2015 DP - EBSCOhost IS - 761 SP - 8 EP - 8 J2 - Bulletin: Royal College of Speech & Language Therapists SN - 1466-173X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110491829&site=ehost-live&scope=site DB - CINAHL Complete KW - England KW - Psychological Well-Being KW - Allied Health Professions KW - Health Manpower KW - Public Health -- England ER - TY - JOUR TI - Aiming higher: more than “on the job” training for residential child care workers. AU - Nordoff, Jan AU - Madoc-Jones, Iolo T2 - Journal of Children's Services DA - 2014/03// PY - 2014 DO - 10.1108/JCS-12-2013-0037 DP - EBSCOhost VL - 9 IS - 1 SP - 42 EP - 57 J2 - Journal of Children's Services SN - 1746-6660 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104059435&site=ehost-live&scope=site DB - CINAHL Complete KW - Child KW - United Kingdom KW - Professional Competence KW - Workforce KW - Social Workers KW - Human KW - Questionnaires KW - Exploratory Research KW - Learning Methods KW - Professional Development KW - Education, Non-Traditional KW - Residential Care KW - Child Welfare KW - Education, Social Work KW - Course Content KW - Child Care Providers -- Education KW - Child Day Care KW - Computer Assisted Instruction KW - Student Attitudes ER - TY - JOUR TI - Aiming higher: more than “on the job” training for residential child care workers. AU - Nordoff, Jan AU - Madoc-Jones, Iolo T2 - Journal of Children's Services AB - Purpose – Children who enter the care system in England and Wales are among some of the most vulnerable children in society, often presenting with high levels of need. Ensuring that the children's workforce has the skills and knowledge to meet the challenges of caring for this group of children has been at the forefront of policy agendas over the past two decades. This paper aims to report on an educational initiative to develop the capacity of residential childcare staff to work therapeutically with children. Design/methodology/approach – The paper describes the origins and nature of the Foundation Degree in Therapeutic Childcare and documents the reflections of tutors responsible for delivering the programme on their experiences. Comments from a small student sample are included to highlight the student perspective in studying for the Foundation Degree. Findings – The paper concludes that while some barriers exist in delivering the Foundation Degree to residential child care workers, programmes designed to develop knowledge and understanding of working therapeutically with children should be promoted. Originality/value – The paper highlights some of the issues and challenges associated with educating the children's workforce and reports back on one of the first Foundation Degrees in the UK focusing on residential and foster care workers. DA - 2014/03// PY - 2014 DO - 10.1108/JCS-12-2013-0037 DP - EBSCOhost VL - 9 IS - 1 SP - 42 EP - 57 J2 - Journal of Children's Services SN - 1746-6660 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=95390491&site=ehost-live&scope=site DB - CINAHL Complete KW - Child KW - United Kingdom KW - Professional Competence KW - Workforce KW - Social Workers KW - Human KW - Questionnaires KW - Exploratory Research KW - Learning Methods KW - Professional Development KW - Education, Non-Traditional KW - Residential Care KW - Child Welfare KW - Education, Social Work KW - Course Content KW - Child Care Providers -- Education KW - Child Day Care KW - Computer Assisted Instruction KW - Student Attitudes ER - TY - JOUR TI - Allied health - today and tomorrow. AU - Mase DJ T2 - Journal of Allied Health DA - 1973/// PY - 1973 DP - EBSCOhost VL - 2 SP - 56 EP - 66 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107732439&site=ehost-live&scope=site DB - CINAHL Complete KW - Preventive Health Care KW - Health Manpower KW - Health and Welfare Planning KW - Health Occupations ER - TY - JOUR TI - Allied health growth: what we do not measure we cannot manage. AU - Solomon, Daniela AU - Graves, Nicholas AU - Catherwood, Judith T2 - Human Resources for Health AB - Background: Data describing the Australian allied health workforce is inadequate and so insufficient for workforce planning. National health policy reform requires that health-care models take into account future workforce requirements, the distribution and work contexts of existing practitioners, training needs, workforce roles and scope of practice. Good information on this workforce is essential for managing services as demands increase, accountability of practitioners, measurement of outcomes and benchmarking against other jurisdictions. A comprehensive data set is essential to underpin policy and planning to meet future health workforce needs.Discussion: Some data on allied health professions is managed by the Australian Health Practitioner Regulation Agency; however, there is limited information regarding several core allied health professions. A global registration and accreditation scheme recognizing all allied health professions might provide safeguards and credibility for professionals and their clients. Arguments are presented about inconsistencies and voids in the available information about allied health services. Remedying these information deficits is essential to underpin policy and planning for future health workforce needs. We make the case for a comprehensive national data set based on a broad and inclusive sampling process across the allied health population. DA - 2015/01// PY - 2015 DO - 10.1186/s12960-015-0027-1 DP - EBSCOhost VL - 13 IS - 1 SP - 32 EP - 32 J2 - Human Resources for Health SN - 1478-4491 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109737652&site=ehost-live&scope=site DB - CINAHL Complete ER - TY - JOUR TI - Allied health manpower in Kuwait: issues and answers. AU - Shah MA AU - Shah NM AU - Yunis MK T2 - Journal of Allied Health AB - This article focuses on the salient issues and problems regarding allied health manpower in Kuwait, an oil-rich Gulf country. The health system in Kuwait has expanded very rapidly since the country's independence 29 years ago. A major feature of the health system is its heavy reliance on expatriate workers, constituting 80% of all doctors and over 90% of all nurses. Local training facilities have started producing some of the required allied health professionals. Continued shortages of indigenous allied health professionals are, however, inevitable in most areas. The presence of a highly diverse expatriate workforce raises serious problems, concerning worker conflict, differential skills and competencies, and adjustment to the Kuwaiti culture. Standardizing local training facilities, curricular expansion to accommodate emerging health concepts, and improving the system of hiring expatriates are needed. DA - 1990/// PY - 1990 DP - EBSCOhost VL - 19 IS - 2 SP - 117 EP - 131 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107520656&site=ehost-live&scope=site DB - CINAHL Complete KW - Allied Health Personnel -- Kuwait KW - Education, Allied Health -- Kuwait KW - Health Care Delivery -- Trends -- Kuwait KW - Health Manpower -- Kuwait KW - Kuwait KW - Personnel Recruitment -- Kuwait KW - Personnel Shortage -- Kuwait ER - TY - JOUR TI - Allied health manpower--directions for the 1970's and 1980's. AU - Hatch TD T2 - Respiratory Care DA - 1971/01// PY - 1971 DP - EBSCOhost VL - 16 SP - 7 EP - 10 J2 - Respiratory Care SN - 0020-1324 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107721433&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Manpower ER - TY - JOUR TI - Allied health pre-entry student clinical placement capacity: can it be sustained? AU - McBride, Liza-Jane AU - Fitzgerald, Cate AU - Costello, Claire AU - Perkins, Kristy T2 - Australian Health Review AB - Objective: Meeting the demand for clinical placements in an environment of increasing university cohort growth and changes in health service delivery models is challenging. This paper describes the outcomes of a quality review activity designed to gain key stakeholder perspectives on the enablers and barriers to sustaining effort to placement provision and reports on: (1) measures used to determine the effect of a jurisdiction-wide initiative in clinical education for five allied health professions; (2) outcomes of data related to key factors affecting placement supply and demand; and (3) qualitative perspectives from management, workforce and university stakeholders on placement sustainability. Methods: This study reviewed clinical placement, staff full-time equivalent numbers, university program and student cohort data for five allied health professions from 2013 to 2016. In addition, qualitative response data from key stakeholder surveys was analysed thematically. Results: In the study period, the rate of growth in placement offers did not match that of university program student numbers and full-time equivalent staff numbers. All stakeholders agreed that sustaining placement provision is enabled by collaboration, continuation of management support for dedicated clinical education staff, a focus on clinical education capacity building activities, outcome data reporting and statewide profession-specific governance, including leadership positions. Collaborations and networks across health and education sectors were reported to enhance efficiency, minimise duplication, streamline communication and support information and resource sharing within and across professions and stakeholders, ultimately sustaining placement provision. Identified barriers to sustainability centred on resourcing and the continued increasing demand for placements. Conclusion: Sustaining pre-entry student placements requires stakeholder flexibility and responsiveness and is underpinned by collaboration, information and resource sharing. Dedicated clinical education positions were highly valued and seen as a key contributor to placement sustainability. What is known about the topic?: The increasing demand for student placements and strategies used to enhance placement capacity are well known. To date, there have been limited studies investigating cross-sectoral trends and health service enablers and barriers to sustaining responses to placement demand. What does this paper add?: This paper describes outcomes of a clinical placement capacity building initiative within public health services, developed from a unique opportunity to provide funding through an industrial agreement. It presents key allied health staff and university partner perspectives on enablers to sustaining placement supply in an environment of increasing placement demand. What are the implications for practitioners?: This paper demonstrates that key enablers for the sustainability of placement provision are collaboration between university and health sectors, continuation of management support for dedicated clinical education staff, outcome data reporting and statewide profession-specific governance and leadership. It supports current practices of profession-specific and interprofessional clinical education resource and strategy development and the sharing of expertise for sustained placement provision. DA - 2020/01// PY - 2020 DO - 10.1071/AH18088 DP - EBSCOhost VL - 44 IS - 1 SP - 39 EP - 46 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141533294&site=ehost-live&scope=site DB - CINAHL Complete KW - Leadership KW - Workforce KW - Collaboration KW - Prospective Studies KW - Queensland KW - Human KW - Qualitative Studies KW - Thematic Analysis KW - Surveys KW - Descriptive Statistics KW - Students, College KW - Education, Clinical KW - Professional Development KW - Outcome Assessment KW - Narratives KW - Faculty KW - Students, Allied Health KW - Administrative Personnel -- Psychosocial Factors KW - Clinical Governance KW - Student Placement -- Evaluation KW - Student Placement -- Trends KW - Workforce -- Psychosocial Factors ER - TY - JOUR TI - Allied health profession intervention at front door services - a future model...39th annual conference and exhibition of the College of Occupational Therapists, Brighton, Sussex, England, June 30-July 2, 2015 AU - Watson, L. T2 - British Journal of Occupational Therapy AB - Doing things differently in what are daunting and unprecedented times requires new ways of working and new ways of thinking. It calls for leadership styles that cut across silos and organisations and address the here-and-now issues (Scottish Government 2012). Increasing numbers of acute medical admissions attending secondary care adds pressure to services already in high demand. It is essential that AHP services are designed to influence the patient journey by admission avoidance, reducing length of stay, contributing positively to the patient experience of care; improving outcomes, ensuring discharges are safe, reflecting patient needs and reducing risk of readmission. Reconfiguration of acute medical services within Glasgow from 5 to 2 acute sites has provided an opportunity to realign AHP staff to create a model of service to cope with the clinical demand. Method: "Leadership should arise from within the service - not outside of it." ( Royal College of Physicians 2007) This work looks at AHP staffing levels within acute medical services in NHSGG&C and proposes how a significant change in practice could be made to meet service demand. Three areas were explored - clinical leadership, review of current service within acute medical receiving and proposed model for new acute site. Predicted results: Staffing ratios within acute medical receiving unit need to rise not only to facilitate rapid discharge, but also to commence planning for patients who will be admitted. The majority of patients presenting will require further medical intervention and if an inpatient stay is appropriate then an AHP plan should be completed to allow discharge at the earliest opportunity. Impact on service users: Improved patient care by ensuring no delay to intervention and allows patient-centred model of care. DA - 2015/08/02/ PY - 2015 DP - EBSCOhost VL - 78 SP - 62 EP - 62 J2 - British Journal of Occupational Therapy SN - 0308-0226 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114116998&site=ehost-live&scope=site DB - CINAHL Complete KW - England KW - Allied Health Personnel KW - British Association and College of Occupational Therapists KW - Congresses and Conferences -- England ER - TY - JOUR TI - ALLIED HEALTH SERVICES TO NEPHROLOGY: AN AUDIT OF CURRENT WORKFORCE AND MEETING FUTURE CHALLENGES. AU - Campbell, Katrina L. AU - Murray, Eryn M. T2 - Journal of Renal Care AB - SUMMARY Aim The aim of this study is to evaluate the breadth and depth of the allied health workforce providing renal services in Queensland, Australia. Methods Workforce statistics were reported for allied health renal services (excluding transplant) across all 14 publically funded regions across Queensland, Australia. Dietetics, pharmacy, podiatry, psychology and social work were compared with workforce benchmarks capturing full-time equivalent (FTE) to dialysis patient numbers (1 FTE:diaysis patients). Results Wide variation was evident within and between professions. All services provided dietetics, with nine services meeting the benchmark, with an average (median) of 1:127 (range 1:36-1:207). Ten services provided pharmacy (1:245 [1:36-1:845]), twelve provided social work (1:191 [1:71-1:845]) and seven provided psychology services (1:396 [1:155-1:1690]). Only one-third of units funded podiatry services (1:1077 [1:143-1:4300]), none of which met benchmark. Conclusion There is a clear disparity in allied health workforce across in this region, with the vast majority below benchmark recommendations. In light of increasing demand for this area, it is timely to identify strategies for innovative workforce design to manage growth in allied health service needs into the future. DA - 2013/03// PY - 2013 DO - 10.1111/j.1755-6686.2012.00330.x DP - EBSCOhost VL - 39 IS - 1 SP - 52 EP - 61 J2 - Journal of Renal Care SN - 1755-6678 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104241640&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Forecasting KW - Queensland KW - Human KW - Malnutrition KW - Audit KW - Allied Health Organizations KW - Kidney Diseases -- Psychosocial Factors KW - Nephrology ER - TY - JOUR TI - ALLIED HEALTH SERVICES TO NEPHROLOGY: AN AUDIT OF CURRENT WORKFORCE AND MEETING FUTURE CHALLENGES. AU - Campbell, Katrina L. AU - Murray, Eryn M. T2 - Journal of Renal Care AB - SUMMARY Aim The aim of this study is to evaluate the breadth and depth of the allied health workforce providing renal services in Queensland, Australia. Methods Workforce statistics were reported for allied health renal services (excluding transplant) across all 14 publically funded regions across Queensland, Australia. Dietetics, pharmacy, podiatry, psychology and social work were compared with workforce benchmarks capturing full-time equivalent (FTE) to dialysis patient numbers (1 FTE:diaysis patients). Results Wide variation was evident within and between professions. All services provided dietetics, with nine services meeting the benchmark, with an average (median) of 1:127 (range 1:36-1:207). Ten services provided pharmacy (1:245 [1:36-1:845]), twelve provided social work (1:191 [1:71-1:845]) and seven provided psychology services (1:396 [1:155-1:1690]). Only one-third of units funded podiatry services (1:1077 [1:143-1:4300]), none of which met benchmark. Conclusion There is a clear disparity in allied health workforce across in this region, with the vast majority below benchmark recommendations. In light of increasing demand for this area, it is timely to identify strategies for innovative workforce design to manage growth in allied health service needs into the future. DA - 2013/03// PY - 2013 DO - 10.1111/j.1755-6686.2012.00330.x DP - EBSCOhost VL - 39 IS - 1 SP - 52 EP - 61 J2 - Journal of Renal Care SN - 1755-6678 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=85713642&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Forecasting KW - Queensland KW - Human KW - Malnutrition KW - Audit KW - Allied Health Organizations KW - Kidney Diseases -- Psychosocial Factors KW - Nephrology ER - TY - JOUR TI - Allied Health Workforce Diversity Act Introduced in Senate. T2 - OT Practice DA - 2019/12// PY - 2019 DP - EBSCOhost VL - 24 IS - 12 SP - 4 EP - 4 J2 - OT Practice SN - 1084-4902 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139906036&site=ehost-live&scope=site DB - CINAHL Complete KW - Politics KW - Cultural Diversity KW - Alternative Health Personnel KW - Workforce -- Legislation and Jurisprudence ER - TY - JOUR TI - Allied health: leaders in health care reform. AU - Markham, Donna T2 - Australian Health Review AB - A letter to the editor is presented on the workforce of Allied Healthcare Products Inc. that include reformations needed to develop innovative sustainable healthcare systems and quality surgical interventions. DA - 2015/06// PY - 2015 DO - 10.1071/AH14210 DP - EBSCOhost VL - 39 IS - 3 SP - 248 EP - 248 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103327898&site=ehost-live&scope=site DB - CINAHL Complete KW - Quality of Health Care KW - Workforce KW - Health KW - Health Care Reform KW - Leaders ER - TY - JOUR TI - Allied health--today and tomorrow. AU - Mase DJ T2 - Journal of Allied Health DA - 2010/// PY - 2010 DP - EBSCOhost VL - 39 IS - 4 SP - 314 EP - 320 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104971887&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Teamwork KW - Health Services Needs and Demand KW - Interprofessional Relations KW - Health Care Delivery -- Trends KW - Allied Health Professions KW - Licensure KW - Education, Allied Health KW - Productivity KW - Allied Health Organizations KW - Accountability KW - Delegation of Authority KW - Professional Image ER - TY - JOUR TI - Allied Health--Today and Tomorrow. AU - Mase, Darrel J. T2 - Journal of Allied Health AB - A reprint of the article "Allied Health -- Today and Tomorrow" by Darrel J. Mase, which appeared in the Spring 1973 issue of the "Journal of Allied Health" is presented. According to Mase, the medical care systems are rapidly changing due to technological innovations, automation and enhanced communication. He addresses concerns over the development of occupational categories in allied health and subcategories. DA - 2010/// PY - 2010 DP - EBSCOhost VL - 39 IS - 4 SP - 314 EP - 320 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=56836952&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Teamwork KW - Health Services Needs and Demand KW - Interprofessional Relations KW - Health Care Delivery -- Trends KW - Allied Health Professions KW - Licensure KW - Education, Allied Health KW - Productivity KW - Allied Health Organizations KW - Accountability KW - Delegation of Authority KW - Professional Image ER - TY - JOUR TI - Allied, scientific and complementary health professionals: a new model for Australian allied health. AU - Turnbull C AU - Grimmer-Somers K AU - Kumar S AU - May E AU - Law D AU - Ashworth E T2 - Australian Health Review AB - There is no standard or agreed definition of 'allied health' nationally or internationally. This paper reviews existing definitions of allied health, and considers aspects of allied health services and service delivery in order to produce a new model of allied health that will be flexible in a changing health service delivery workforce. We propose a comprehensive model of allied, scientific and complementary (ASC) health professionals. This model recognises tasks, training, organisation, health sectors and professional regulation. It incorporates traditional and new services which are congruent with allied health foci, allegiances, responsibilities and directions. Use of this model will allow individual organisations to describe their ASC health workforce, and plan for recruitment, staff training and remuneration. DA - 2009/02// PY - 2009 DP - EBSCOhost VL - 33 IS - 1 SP - 27 EP - 37 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105448273&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Models, Theoretical KW - Allied Health Personnel KW - Allied Health Professions KW - Allied Health Personnel -- Education KW - Program Implementation KW - Registration ER - TY - JOUR TI - Alumni of a BSW-Level Specialized Title IV-E Program Voice Their Experiences in the Workplace. AU - Falk, Diane S. T2 - Journal of Social Work Education AB - This study surveyed 289 alumni of a specialized Title IV-E program that prepares undergraduate social work students for careers in public child welfare, examining factors such as turnover rates, adherence to strengths-based practice principles, perceptions of work conditions, and intent to stay. Findings indicate that graduates of this program were less likely than other caseworkers to leave their positions. Most maintained adherence to strengths-based practice principles, reported satisfaction with the work, felt supported by colleagues, and intended to stay in the field of child welfare. Based on alumni comments, ways that agencies can retain such workers are suggested. DA - 2015/10/02/ PY - 2015 DO - 10.1080/10437797.2015.1072410 DP - EBSCOhost VL - 51 SP - S173 EP - S194 J2 - Journal of Social Work Education SN - 1043-7797 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110320214&site=ehost-live&scope=site DB - CINAHL Complete KW - Child KW - Workforce KW - Social Workers KW - Case Management KW - New Jersey KW - Human KW - Questionnaires KW - Funding Source KW - Work Environment KW - Scales KW - Summated Rating Scaling KW - Multimethod Studies KW - Personnel Retention KW - Child Welfare KW - Social Worker Attitudes KW - Career Planning and Development KW - Personnel Turnover KW - Education, Social Work KW - Education, Baccalaureate ER - TY - JOUR TI - Always changing, always the same: public health workforce. AU - Gebbie KM T2 - Northwest Public Health DA - 2010/// PY - 2010 DP - EBSCOhost VL - 27 IS - 1 SP - 7 EP - 7 J2 - Northwest Public Health SN - 1536-9102 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105198268&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Allied Health Personnel KW - Public Health -- Education KW - Public Health -- Trends ER - TY - JOUR TI - An acute care unit for elderly medical patients did not increase hospital costs [commentary on Covinsky KE, King JT Jr, Quinn LM, et al. Do acute care for elders units increase hospital costs? A cost analysis using the hospital perspective. J AM GERIATR SOC 1997;45(6):729-34]. AU - McCormack B T2 - Evidence Based Nursing AB - Objective: To determine the hospital costs of caring for medical patients in a special unit for older people designed to maintain or achieve independence in self care activities compared with usual ward care. Design: Formal cost analysis of hospital costs taken from data in a randomised controlled trial. Setting: The general medical service of a university hospital in the USA. Patients: 650 patients in hospital who were aged >/= 70 years (mean age 80 y, 67% women, 41% non-white, 40% independent in activities of daily living [ADL] at admission). Patients admitted to the intensive care unit or subspecialty medical wards were excluded. Intervention: All patients were assigned a primary nurse, house staff, and an attending physician. 326 patients were admitted to the acute care for elders unit and 324 to usual ward care. The acute care for elders unit included patient centred care, planning for discharge, and input from social workers, physical and occupational therapists, and dietitians. The acute care for elders unit was designed to help patients maintain or achieve independence in basic ADL function. Both units had similar staff ratios and access to existing hospital services. Main outcome and cost measures: Improvement in ADL function. Costs were obtained from hospital financial records and represent actual resources used during each patient service or procedure. Indirect costs, fixed and variable direct costs, and costs for developing and maintaining the intervention were calculated for each patient. Main results: A previous study report showed increased ADL function in patients in the acute care for elders unit. Daily costs of the intervention were calculated to be US $38.43 per patient. The groups did not differ for total mean daily costs ($876 for acute care for elders unit v $847 for usual care, p = 0.08), mean cost per admission ($6608 v $7240, p = 0.9), or length of stay (7.5 v 8.4 d, p = 0.4). Sensitivity analysis showed that only when the daily cost of the intervention was higher than $123 per patient would the mean cost for intervention patients exceed that of usual care patients. Conclusion: A hospital based geriatric ward intervention for medical patients aged 70 years or older improved fucctional outcomes with no increase in hospital costs. DA - 1998/01// PY - 1998 DP - EBSCOhost VL - 1 IS - 1 SP - 26 EP - 26 J2 - Evidence Based Nursing SN - 1367-6539 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107182711&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Aged KW - Activities of Daily Living KW - Psychological Tests KW - Research Instruments KW - Clinical Trials KW - Chi Square Test KW - T-Tests KW - Retrospective Design KW - Apache KW - Health Facility Costs KW - Hospitalization -- Economics KW - Intensive Care Units -- Economics ER - TY - JOUR TI - An analysis of multidisciplinary staffing levels and clinical activity in australian tertiary persistent pain services. AU - Burke, Anne L. J. AU - Denson, Linley A. AU - Mathias, Jane L. AU - Hogg, Malcolm N. T2 - Pain Medicine AB - ABSTRACT Objective To document staffing (medical, nursing, allied health [AH], administrative) in Australian multidisciplinary persistent pain services and relate them to clinical activity levels. Methods Of the 68 adult outpatient persistent pain services approached (Dec'08-Jan'10), 45 agreed to participate, received over 100 referrals/year, and met the contemporaneous International Association for the Study of Pain criteria for Level 1 or 2 multidisciplinary services. Structured interviews with Clinical Directors collected quantitative data regarding staff resources (disciplines, amount), services provided, funding models, and activity levels. Results Compared with Level 2 clinics, Level 1 centers reported higher annual demand (referrals), clinical activity (patient numbers) and absolute numbers of medical, nursing and administrative staff, but comparable numbers of AH staff. When staffing was assessed against activity levels, medical and nursing resources were consistent across services, but Level 1 clinics had relatively fewer AH and administrative staff. Metropolitan and rural services reported comparable activity levels and discipline-specific staff ratios (except occupational therapy). The mean annual AH staffing for pain management group programs was 0.03 full-time equivalent staff per patient. Conclusions Reasonable consistency was demonstrated in the range and mix of most disciplines employed, suggesting they represented workable clinical structures. The greater number of medical and nursing staff within Level 1 clinics may indicate a lower multidisciplinary focus, but this needs further exploration. As the first multidisciplinary staffing data for persistent pain clinics, this provides critical information for designing and implementing clinical services. Mapping against clinical outcomes to demonstrate the impact of staffing patterns on safe and efficacious treatment delivery is required. DA - 2015/06// PY - 2015 DO - 10.1111/pme.12723 DP - EBSCOhost VL - 16 IS - 6 SP - 1221 EP - 1237 J2 - Pain Medicine SN - 1526-2375 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103341440&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Human KW - Data Analysis Software KW - Structured Interview KW - Funding Source KW - Descriptive Statistics KW - Effect Size KW - Multidisciplinary Care Team KW - Chronic Pain KW - Outcomes (Health Care) -- Evaluation KW - Pain Clinics -- Manpower -- Australia KW - Personnel Staffing and Scheduling -- Statistics and Numerical Data ER - TY - JOUR TI - An approach to building research capacity for health practitioners in a public health environment: an organisational perspective. AU - Hulcombe, Julie AU - Sturgess, Jennifer AU - Souvlis, Tina AU - Fitzgerald, Cate T2 - Australian Health Review AB - A unique opportunity to engage in research capacity-building strategies for health practitioners arose within public sector health services during the negotiations for an industrial agreement. A research capacity-building initiative for health practitioners that is allied health, oral health and scientist practitioners was funded and the components of this initiative are described. The initiative was implemented using a research capacity-building framework developed from a review of the literature and stakeholder consultations. The framework included leadership and governance, support to researchers and translation of evidence into practice and was contextualised to public health environments. There were several phases of implementation. An evaluation of the preliminary phase of establishing research positions and research activity was conducted and several successes of the capacity-building strategies were identified. These successes (e.g. solid partnerships with universities) are discussed, as are future concerns, such as sustainability of the initiative in a tighter fiscal context. DA - 2012/02// PY - 2012 DO - 10.1071/AH13066 DP - EBSCOhost VL - 36 IS - 1 SP - 252 EP - 258 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103960155&site=ehost-live&scope=site DB - CINAHL Complete KW - Public Health KW - Quality of Health Care KW - Health Personnel KW - Workforce KW - Models, Theoretical KW - Program Development KW - Human KW - Funding Source KW - Conceptual Framework KW - Goals and Objectives KW - Clinical Governance KW - Clinical Research -- Methods KW - Methodological Research KW - Professional Practice, Evidence-Based KW - Research Methodology KW - Research Support KW - Study Design ER - TY - JOUR TI - An approach to building research capacity for health practitioners in a public health environment: an organisational perspective. AU - Hulcombe, Julie AU - Sturgess, Jennifer AU - Souvlis, Tina AU - Fitzgerald, Cate T2 - Australian Health Review AB - A unique opportunity to engage in research capacity-building strategies for health practitioners arose within public sector health services during the negotiations for an industrial agreement. A research capacity-building initiative for health practitioners that is allied health, oral health and scientist practitioners was funded and the components of this initiative are described. The initiative was implemented using a research capacity-building framework developed from a review of the literature and stakeholder consultations. The framework included leadership and governance, support to researchers and translation of evidence into practice and was contextualised to public health environments. There were several phases of implementation. An evaluation of the preliminary phase of establishing research positions and research activity was conducted and several successes of the capacity-building strategies were identified. These successes (e.g. solid partnerships with universities) are discussed, as are future concerns, such as sustainability of the initiative in a tighter fiscal context. DA - 2014/08// PY - 2014 DO - 10.1071/AH13066 DP - EBSCOhost VL - 38 IS - 3 SP - 252 EP - 258 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=96384755&site=ehost-live&scope=site DB - CINAHL Complete KW - Public Health KW - Quality of Health Care KW - Health Personnel KW - Workforce KW - Models, Theoretical KW - Program Development KW - Human KW - Funding Source KW - Conceptual Framework KW - Goals and Objectives KW - Clinical Governance KW - Clinical Research -- Methods KW - Methodological Research KW - Professional Practice, Evidence-Based KW - Research Methodology KW - Research Support KW - Study Design ER - TY - JOUR TI - An audit of the utilization of physiotherapy assistants in the musculoskeletal outpatients setting within a primary care physiotherapy service. AU - Sarigiovannis, Panos AU - Cropper, Steve T2 - Musculoskeletal Care AB - Abstract: Background: Physiotherapy assistants account for approximately 20% of the physiotherapy workforce across a community health service in North Staffordshire. Although their job descriptions state that the post is primarily clinical, their role depends heavily on the qualified physiotherapists and how they utilize their clinical skills. Methods: An audit of the physiotherapy assistants’ tasks was carried out to reveal whether the physiotherapy assistants’ time spent on clinical tasks complied with their job descriptions. Using the audit improvement cycle, pathway mapping of specific anatomical areas was performed to identify which parts of treatment can be carried out by physiotherapy assistants, clarify the physiotherapy assistants’ clinical role and standardize treatments. A competences and training needs analysis was completed and physiotherapy assistants were trained before the pathways were implemented. Finally, the physiotherapy assistants’ practice was re‐audited and job satisfaction questionnaires were redistributed after the pathways were implemented. Results: The results showed that, following the implementation of the pathways, the amount of working time that physiotherapy assistants spent treating patients increased from 9% to 16%. Their job satisfaction changed from 11% prior to the implementation of the pathways to 100% post‐implementation. Conclusions: Using defined pathways in the treatment of musculoskeletal conditions of the peripheral joints provides the framework to standardize delegation of clinical tasks from qualified physiotherapists to physiotherapy assistants. However, the utilization of such pathways needs to be examined further, to clarify the clinical and cost effectiveness of delegating clinical work to physiotherapy assistants, and also the perceptions of qualified physiotherapists. DA - 2018/09// PY - 2018 DO - 10.1002/msc.1238 DP - EBSCOhost VL - 16 IS - 3 SP - 405 EP - 408 J2 - Musculoskeletal Care SN - 1478-2189 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131719955&site=ehost-live&scope=site DB - CINAHL Complete KW - Primary Health Care KW - Workforce KW - Job Satisfaction KW - Human KW - Communities KW - Health Resource Utilization KW - Outpatients KW - Audit KW - Job Description KW - Physical Therapists KW - Scope of Practice KW - Musculoskeletal Diseases -- Therapy KW - Physical Therapist Assistants ER - TY - JOUR TI - An economic appraisal of the 'Wellbeing through Work' service...39th annual conference and exhibition of the College of Occupational Therapists, Brighton and Sussex, England. June 30-July 2, 2015 AU - Burke, J. T2 - British Journal of Occupational Therapy AB - In the last decade there has been growing concern for the health of the workforce. UK government reviews have recommended the establishment of innovative services to help workers with health problems to remain in work (Black, 2008; Boorman, 2009). The core skills of Occupational Therapists (OTs) make us ideally suited to these roles, so this is an important area of emerging practice for the profession. This ongoing OT PhD study is an evaluation of one such service, 'Wellbeing through Work' (WtW), provided to working people in South Wales by a team of OTs, physiotherapists and employment advisers. The evaluation focuses on the service provided to Health Board staff and incorporates an economic appraisal. Method: The study has a mixed methods design: • A longitudinal cohort study of former service-users, using quantitative data relating to pre-and post-intervention health and well-being, sickness absences, work status and productivity • A questionnaire survey of the cohort • Focus groups and interviews with a sample of the cohort • Interviews with the WtW team • An intranet survey of a sample of service-users' line managers • A cost-consequences analysis, to appraise the service's various costs and benefits. Results: Quantitative data outcomes, in terms of health and work status, productivity and sickness rates will be presented alongside themes from the qualitative data including perceived intervention effects and associated theories concerning working mechanisms. Impact on service-users: Service-user participants have expressed strong opinions about the service and particularly value having access to this impartial source of professional support. This costeffectiveness information may inform future funding decisions. Implications for OT: This study adds to the evidence regarding the clinical and cost effectiveness of the OT profession in services of this type. DA - 2015/08/02/ PY - 2015 DP - EBSCOhost VL - 78 SP - 11 EP - 12 J2 - British Journal of Occupational Therapy SN - 0308-0226 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114116905&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Socioeconomic Factors KW - Occupational Therapy KW - England KW - Psychological Well-Being KW - British Association and College of Occupational Therapists KW - Congresses and Conferences -- England ER - TY - JOUR TI - An empirical investigation into health sector absenteeism. AU - Walker, Vivienne AU - Bamford, David T2 - Health Services Management Research AB - The purpose of this research was to consider why absenteeism in Health and Social Care is so high and to suggest proactive changes in organization activity to address this. The research took a multimethod approach with a quantitative emphasis; there were three parts: (i) quantitative survey questionnaire; (ii) analysis of absenteeism and related secondary data; and (iii) qualitative data from other questions in survey and discussion groups. The quantitative emphasis in the research is appropriate, given the gap identified in the literature. Perceived limitations are that the study considers just one part of the overall system. The research indicates that managers underestimate staff absence levels and almost half believe absenteeism cannot reduce. Professional managers were more negative and over half of nurse managers believed that absence could not reduce. Unless there is a systematic systemic change in organizations, which changes managers' attitudes and understanding of absence with a consequent change in activity across the absence continuum, there is no prospect of a sustained reduction in absence levels. Manager impact and role in absence management are poorly covered in research, so this research helps inform those gaps. DA - 2011/08// PY - 2011 DO - 10.1258/hsmr.2011.011004 DP - EBSCOhost VL - 24 IS - 3 SP - 142 EP - 150 J2 - Health Services Management Research SN - 0951-4848 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104684891&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Ireland KW - Aged KW - Attitude of Health Personnel KW - Health Personnel KW - Sex Factors KW - Age Factors KW - Social Work KW - Organizational Culture KW - Nurses KW - Northern Ireland KW - Human KW - Questionnaires KW - Middle Age KW - Descriptive Statistics KW - Nurse Managers KW - Multimethod Studies KW - Organizational Change KW - Allied Health Personnel KW - Occupational Health KW - Absenteeism KW - Discussion KW - Employee Discipline KW - Health Care Industry -- Administration -- Northern Ireland KW - Job Re-Entry KW - National Health Programs -- Economics -- Ireland KW - Occupational-Related Injuries -- Prevention and Control -- Northern Ireland KW - Public Sector KW - Sick Leave ER - TY - JOUR TI - An empirical investigation into health sector absenteeism. AU - Walker, Vivienne AU - Bamford, David T2 - Health Services Management Research AB - The purpose of this research was to consider why absenteeism in Health and Social Care is so high and to suggest proactive changes in organization activity to address this. The research took a multimethod approach with a quantitative emphasis; there were three parts: (i) quantitative survey questionnaire; (ii) analysis of absenteeism and related secondary data; and (iii) qualitative data from other questions in survey and discussion groups. The quantitative emphasis in the research is appropriate, given the gap identified in the literature. Perceived limitations are that the study considers just one part of the overall system. The research indicates that managers underestimate staff absence levels and almost half believe absenteeism cannot reduce. Professional managers were more negative and over half of nurse managers believed that absence could not reduce. Unless there is a systematic systemic change in organizations, which changes managers' attitudes and understanding of absence with a consequent change in activity across the absence continuum, there is no prospect of a sustained reduction in absence levels. Manager impact and role in absence management are poorly covered in research, so this research helps inform those gaps. DA - 2011/08// PY - 2011 DO - 10.1258/hsmr.2011.011004 DP - EBSCOhost VL - 24 IS - 3 SP - 142 EP - 150 J2 - Health Services Management Research SN - 0951-4848 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=65330534&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Ireland KW - Aged KW - Attitude of Health Personnel KW - Health Personnel KW - Sex Factors KW - Age Factors KW - Social Work KW - Organizational Culture KW - Nurses KW - Northern Ireland KW - Human KW - Questionnaires KW - Middle Age KW - Descriptive Statistics KW - Nurse Managers KW - Multimethod Studies KW - Organizational Change KW - Allied Health Personnel KW - Occupational Health KW - Absenteeism KW - Discussion KW - Employee Discipline KW - Health Care Industry -- Administration -- Northern Ireland KW - Job Re-Entry KW - National Health Programs -- Economics -- Ireland KW - Occupational-Related Injuries -- Prevention and Control -- Northern Ireland KW - Public Sector KW - Sick Leave ER - TY - JOUR TI - An evaluation of a public health nutrition workforce development intervention for the nutrition and dietetics workforce. AU - Palermo C AU - Hughes R AU - McCall L T2 - Journal of Human Nutrition & Dietetics AB - Background: Workforce development is a key element for building the capacity to effectively address priority population nutrition issues. On-the-job learning and mentoring have been proposed as strategies for practice improvement in public health nutrition; however, there is limited evidence for their effectiveness. Methods: An evaluation of a mentoring circle workforce development intervention was undertaken. Thirty-two novice public health nutritionists participated in one of three mentoring circles for 2 h, every 6 weeks, over a 7-month period. Pre- and post-intervention qualitative (questionnaire, interview, mentor diary) and quantitative (competence, time working in public health nutrition) data were collected. Results: The novice public health nutritionists explained the intervention facilitated sharing of ideas and strategies and promoted reflective practice. They articulated the important attributes of the mentor in the intervention as having experience in and a passion for public health, facilitating a trusting relationship and providing effective feedback. Participants reported a gain in competency and had an overall mean increase in self-reported competence of 15% (range 3-48% change; P < 0.05) across a broad range of competency elements. Many participants described re-orienting their practice towards population prevention, with quantifiable increases in work time allocated to preventive work post-intervention. Conclusions: Mentoring supported service re-orientation and competency development in public health nutrition. The nature of the group learning environment and the role and qualities of the mentor were important elements contributing to the interventions effects. Mentoring circles offer a potentially effective strategy for workforce development in nutrition and dietetics. DA - 2010/06// PY - 2010 DO - 10.1111/j.1365-277X.2010.01069.x DP - EBSCOhost VL - 23 IS - 3 SP - 244 EP - 253 J2 - Journal of Human Nutrition & Dietetics SN - 0952-3871 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105202618&site=ehost-live&scope=site DB - CINAHL Complete KW - Program Evaluation KW - Australia KW - Workforce KW - Victoria KW - Prospective Studies KW - Feedback KW - Trust KW - Human KW - Interviews KW - Qualitative Studies KW - Questionnaires KW - Data Analysis Software KW - Thematic Analysis KW - Descriptive Statistics KW - Preventive Health Care KW - Self Assessment KW - Mentorship KW - T-Tests KW - Conceptual Framework KW - Purposive Sample KW - Intervention Trials KW - Pretest-Posttest Design KW - Quantitative Studies KW - Coding KW - Diaries KW - Dietitians KW - Clinical Competence -- Evaluation KW - Dietitian Attitudes KW - Email KW - Job Experience -- Evaluation KW - Learning Theory KW - Nonparametric Statistics KW - Professional Competence -- Evaluation KW - Professional Development -- Methods KW - Public Health Nutrition KW - Reflection KW - Staff Development ER - TY - JOUR TI - An evaluation of community-based resources for management of diabetes-related foot disorders in an Australian population. AU - Bergin SM AU - Brand CA AU - Colman PG AU - Campbell DA T2 - Australian Health Review AB - We aimed to evaluate service model configuration, service capacity and accessibility of diabetes-related footcare in an Australian community health setting. Eighty-eight community-based podiatry clinics were surveyed using the self-administered Footcare Provider Survey. Survey domains included communication, resources, service coordination and barriers to service provision. Sixty-nine from a possible 88 Victorian community podiatry clinics (78%) responded. Sixty-one (88%) provided ongoing care to individuals with diabetes-related foot disorders. Communication with vascular and orthopaedic specialists was reported to be readily available in 37% and 27% of cases respectively. Overall, communication with general practitioners was deemed readily available in 62% of cases. Just 39% of podiatrists statewide agreed overall resources were sufficient, with 26% agreeing staffing levels were adequate. Thirty-nine percent of community podiatrists used clinical care pathways, and onsite collaboration was deemed appropriate in just 30% of cases. Perceived barriers to provision of care included inadequate staffing and resources, lack of confidence from other health professionals in the podiatrists' ability to manage diabetes-related foot disorders, and lack of access to specialists. DA - 2009/11// PY - 2009 DP - EBSCOhost VL - 33 IS - 4 SP - 671 EP - 678 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105243134&site=ehost-live&scope=site DB - CINAHL Complete KW - Program Evaluation KW - Communication KW - Community Health Services KW - Victoria KW - Odds Ratio KW - Confidence Intervals KW - Health Services Accessibility KW - Data Analysis Software KW - Surveys KW - Descriptive Statistics KW - Research Instruments KW - Chi Square Test KW - Diabetic Foot -- Therapy KW - Podiatry ER - TY - THES TI - An evaluation of stroke rehabilitation within Greater Manchester. AU - McGovern, A AB - This study aimed to evaluate stroke rehabilitation services including the quality of services and the opinions of multiple stakeholders involved in stroke rehabilitation. Several methodologies were employed including a literature review, content analysis of national documents, case note audit and questionnaires of patients, staff and commissioners.The content analysis identified 214 separate recommendations from 15 documents. Of these 21 were relevant to every patient receiving stroke rehabilitation; 13 related to the overall service provision and 8 related to specific aspects of patient care. These recommendations were converted to standards and used to audit the 10 stroke rehabilitation services in Greater Manchester using 100 individual patient records. 146 patients completed a satisfaction questionnaire, 46 staff and 6 commissioners completed questionnaires.Results demonstrated variable compliance to national recommendations with primary stroke centres showing greater adherence than district stroke centres, indicating a two-tier service. All services offered a weekly multidisciplinary team meeting, 93% of patients spent most of their time in hospital on a specialist stroke ward and 96% commenced rehabilitation as soon as they were medically stable. However, only 22% of patients received 45 minutes of therapy per day and 4% received a discharge plan when leaving hospital. Staffing levels did not impact on adherence to national recommendations, however the most long-standing and prominent recommendations achieved greatest compliance.Patients felt that they were treated with dignity, with older patients being more satisfied with stroke rehabilitation services than younger patients. However, patients did not feel that they received enough therapy or information relating to their goals within rehabilitation. Staff felt patients should receive more therapy than they currently do; patients should receive more than 3 hours a day despite currently receiving less than 60 minutes a day. The amount of therapy offered varied across disciplines with speech and language therapists providing less therapy than occupational therapists, physiotherapists and nursing staff. Staff felt the primary factor limiting the amount of therapy was staffing levels.Commissioners' primary priority was to improve the outcomes for stroke patients, however different monitoring mechanisms between localities leads to the potential for different priorities and accountability.This study is the first to systematically compile and evaluate national recommendations within stroke rehabilitation services and to include commissioners in the evaluation of stakeholders opinions. DA - 2014/01// PY - 2014 DP - EBSCOhost SP - N.PAG p PB - University of Salford (United Kingdom) UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109786646&site=ehost-live&scope=site AN - UMI Order AAIU621725 DB - CINAHL Complete KW - England KW - Personnel Staffing and Scheduling KW - Patient Satisfaction KW - Human KW - Questionnaires KW - Content Analysis KW - Multidisciplinary Care Team KW - Audit KW - Professional Compliance KW - Stroke -- Rehabilitation -- England ER - TY - JOUR TI - An exploratory study of experiences and training needs of early-career correctional psychologists. AU - Magaletta, Philip R. AU - Cermak, Jennifer N. AU - Anderson, Evan J. AU - Norcross, Cassandra M. AU - Olive, Brandon AU - Shaw, Stacey A. AU - Butterfield, Patti T2 - Professional Psychology: Research & Practice AB - Early-career correctional psychologists (ECCPs) have challenging roles, but their experiences and training needs remain unstudied in the literature. This study marks the first step in introducing the experiences and training needs of ECCPs. Professional development statements listed from 192 doctoral-level ECCPs during an orientation training exercise were available for archival, secondary data analysis. By adapting and applying the consensual qualitative research (CQR) procedure, professional development statements from ECCPs on the best work advice received were coded into 9 categories; and immediate training-need statements were coded into 6 categories. The most frequently presented advice categories were balance and flexibility. The most common immediate training-need category was policy knowledge. By clarifying and articulating categories within these data, we weave a more complete picture of the experiences and perspectives (a) used by those currently in the workforce and (b) required for effectively training a resilient correctional psychologist workforce in the future. Implications for ECCP development and supervision are made. DA - 2016/08// PY - 2016 DO - 10.1037/pro0000075 DP - EBSCOhost VL - 47 IS - 4 SP - 278 EP - 286 J2 - Professional Psychology: Research & Practice SN - 0735-7028 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120307058&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Exploratory Research KW - Professional Development KW - Secondary Analysis KW - Psychologists ER - TY - JOUR TI - An Innovative Behavioral Health Workforce Initiative: Keeping Pace with an Emerging Model of Care. AU - Putney, Jennifer M. AU - Sankar, Suzanne AU - Harriman, Kim K. AU - McManama O'Brien, Kimberly H. AU - Robinson, David Stanton AU - Hecker, Suzanne T2 - Journal of Social Work Education AB - Recent policy shifts in health care have created opportunities for social workers to provide services in integrated primary care and behavioral health settings. However, traditionally prepared social workers may not have the skill set necessary to meet practice demands. This article describes a behavioral health workforce initiative that trains master's of social work students for work in integrated primary care settings with children, adolescents, and transition-age youths. The training model includes field placements in integrated care settings, co-curricular seminars, and advanced clinical electives. This article identifies challenges of creating new field placements and developing new curricula to support students' acquisition of knowledge and skills required in integrated care settings. Additionally, it presents data on changes in students' knowledge and confidence. DA - 2017/07/02/ PY - 2017 DO - 10.1080/10437797.2017.1326329 DP - EBSCOhost VL - 53 SP - S5 EP - S16 J2 - Journal of Social Work Education SN - 1043-7797 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124666305&site=ehost-live&scope=site DB - CINAHL Complete KW - Primary Health Care KW - Curriculum KW - Workforce KW - Social Workers KW - Mental Health KW - Human KW - Professional Development KW - Confidence KW - Health Care Delivery, Integrated KW - Seminars and Workshops KW - Student Knowledge KW - Students, Social Work ER - TY - JOUR TI - An International Call to Arms to Improve Allied Health Workforce Planning. AU - Fraher, Erin P. AU - Harden, Beverley AU - Kimball, Meredith C. T2 - Journal of Allied Health AB - Although the funding and organization of the health care systems in the United States and England are quite different, there are striking similarities in the allied health workforce planning challenges facing the two countries. This paper identifies some common issues facing workforce policy-makers in both countries and suggests key next steps to enhance workforce research and planning in both countries, including the creation of a national minimum data set for allied health professions. DA - 2011/// PY - 2011 DP - EBSCOhost VL - 40 IS - 1 SP - 43 EP - 49 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104868795&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Health Services Needs and Demand KW - Forecasting KW - England KW - Work Environment KW - Data Collection Methods KW - Policy Making KW - Allied Health Professions KW - Workforce -- Statistics and Numerical Data KW - Health Care Reform -- United States KW - Minimum Data Set KW - National Health Programs -- England KW - Planning Techniques -- England KW - Planning Techniques -- United States KW - Professional Organizations KW - Schools, Health Occupations -- Statistics and Numerical Data ER - TY - JOUR TI - An International Call to Arms to Improve Allied Health Workforce Planning. AU - Fraher, Erin P. AU - Harden, Beverley AU - Kimball, Meredith C. T2 - Journal of Allied Health AB - Although the funding and organization of the health care systems in the United States and England are quite different, there are striking similarities in the allied health workforce planning challenges facing the two countries. This paper identifies some common issues facing workforce policy-makers in both countries and suggests key next steps to enhance workforce research and planning in both countries, including the creation of a national minimum data set for allied health professions. DA - 2011/// PY - 2011 DP - EBSCOhost VL - 40 IS - 1 SP - 43 EP - 49 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=59907259&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Health Services Needs and Demand KW - Forecasting KW - England KW - Work Environment KW - Data Collection Methods KW - Policy Making KW - Allied Health Professions KW - Workforce -- Statistics and Numerical Data KW - Health Care Reform -- United States KW - Minimum Data Set KW - National Health Programs -- England KW - Planning Techniques -- England KW - Planning Techniques -- United States KW - Professional Organizations KW - Schools, Health Occupations -- Statistics and Numerical Data ER - TY - JOUR TI - An International Effort to Develop a Fidelity Measure for Signs of Safety®. AU - Roberts, Yvonne Humenay AU - Caslor, Michael AU - Turnell, Andrew AU - Pearson, Kim AU - Pecora, Peter J. T2 - Research on Social Work Practice AB - Purpose: This article describes how a worker fidelity assessment measure was developed for Signs of Safety®—an approach to assessing safety and risk in child protective services that is being implemented in the United States and over 11 other countries. Methods: We applied the Delphi Survey process with 70 experts from nine countries to identify key practice elements that could be assessed by supervisors. Then, 435 frontline staff were assessed by 285 supervisors from six countries. Results: Factor analyses of the 28 items yielded four distinct factors. These data were then used to refine the fidelity assessment. Discussion: The majority of supervisors reported that the assessment helped them to identify worker strengths and areas for refinement within the dimensions of Signs of Safety and overall child protective services practice. The value of developing similar tools for parents and workers was endorsed by the study participants. DA - 2019/07// PY - 2019 DO - 10.1177/1049731518754724 DP - EBSCOhost VL - 29 IS - 5 SP - 562 EP - 571 J2 - Research on Social Work Practice SN - 1049-7315 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136800010&site=ehost-live&scope=site DB - CINAHL Complete KW - Risk Assessment KW - Workforce KW - Delphi Technique KW - Psychometrics KW - Social Workers KW - Child Abuse KW - Human KW - Data Analysis Software KW - Surveys KW - Descriptive Statistics KW - Internal Consistency KW - Critical Thinking KW - Clinical Assessment Tools KW - Summated Rating Scaling KW - Instrument Construction KW - Factor Analysis KW - Child Welfare KW - Supervisors and Supervision KW - Child Safety ER - TY - JOUR TI - An interprofessional exploration of nursing and social work roles when working jointly with families. AU - Bennett, Elaine AU - Hauck, Yvonne AU - Radford, Georgina AU - Bindahneem, Sakina T2 - Journal of Interprofessional Care AB - Ngala, an early parenting not-for-profit organisation in Western Australia, has provided services to families with young children since 1890. Child health nurses and mothercraft nurses were the primary workforce until the 1980s when a social worker was employed and a new era of interprofessional collaboration began. Evidence to date has focused on nursing workforce, interprofessional education, and interprofessional teams. Little is known about the roles of nursing and social work when working jointly with families. A new service commenced in 2012 for families with children with developmental delays. Social workers and child health nurses were employed for this service model. Our study aim was to explore the perceptions of how nurses and social workers work together with a family providing psychosocial support across a new service. The study was conducted alongside implementation of this new service. An exploratory case study approach was adopted to generate an in-depth understanding of the roles of nurses and social workers. In total, 22 semi-structured interviews and one focus group across the first year of implementing the new service were undertaken. Analysis of these data revealed four major themes. Findings presented in this article will inform further reflection and consideration into the future interprofessional workforce priorities and requirements for Early Parenting Services. DA - 2016/03// PY - 2016 DO - 10.3109/13561820.2015.1115755 DP - EBSCOhost VL - 30 IS - 2 SP - 232 EP - 237 J2 - Journal of Interprofessional Care SN - 1356-1820 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114192804&site=ehost-live&scope=site DB - CINAHL Complete KW - Child KW - Family KW - Australia KW - Ethics KW - Workforce KW - Collaboration KW - Social Work KW - Data Collection KW - Interprofessional Relations KW - Students, Nursing KW - Human KW - Qualitative Studies KW - Semi-Structured Interview KW - Organizations, Nonprofit KW - Data Analysis KW - Geographic Locations KW - Education, Interdisciplinary KW - Parenting Education -- Evaluation KW - Professional Development -- Evaluation KW - Team Building ER - TY - JOUR TI - An Investigation into the Use of the Assessment of Motor and Process Skills (AMPS) in Clinical Practice. AU - Chard, Gill T2 - British Journal of Occupational Therapy AB - This study aimed to investigate how occupational therapists used the Assessment of Motor and Process Skills (AMPS) in their clinical practice following an AMPS training course. Questionnaires and group interviews were used over a 9-month period to follow up 53 occupational therapists and establish how they were using the AMPS in their workplace. It explored the difficulties that they experienced in implementing the AMPS in their clinical practice and using the AMPS with their client group and within their clinical team. The results showed that 96% of the occupational therapists were using the AMPS in their clinical practice at 5 months following training and 83% were still using it at 9 months. The difficulties experienced included problems associated with low staffing levels, high workloads or lack of time to introduce new work skills. Success was dependent on a supportive working environment, especially from managers, and adequate time available to allow for the development of a new skill. Occupational therapy managers need to support therapists following training to make the best use of the time and the cost involved in training individuals to use the AMPS. DA - 2000//10/10/1/2000 PY - 2000 DO - 10.1177/030802260006301005 DP - EBSCOhost VL - 63 IS - 10 SP - 481 EP - 488 J2 - British Journal of Occupational Therapy SN - 0308-0226 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=88129317&site=ehost-live&scope=site DB - CINAHL Complete KW - Human KW - Interviews KW - Questionnaires KW - Outcome Assessment KW - Clinical Assessment Tools KW - Occupational Therapy Assessment KW - Staff Development KW - Clinical Assessment Tools -- Utilization KW - Motor Skills -- Evaluation KW - Practice Patterns ER - TY - JOUR TI - An Investigation of Psychology Staffing in Australian Metropolitan Acute Public Hospitals. AU - Small, Emily M AU - Burke, Anne LJ AU - Collins, Kathryn L T2 - Australian Psychologist AB - Psychology is one component of the multidisciplinary services provided to patients in acute public hospitals, with research demonstrating that psychological intervention significantly enhances clinical outcomes for patients across a range of health issues. Despite the increasingly important role that psychologists play in Australian hospitals, there remains a lack of information available about staff levels, discipline structures, and clinical activity for psychological services within acute hospital settings. The most recent Australian data about hospital-based psychology services was collected 20 years ago. The current study provides updated information from a survey of 15 Australian metropolitan, acute public hospitals: presenting and critically reviewing staffing configurations and models of service delivery. Results suggest that: (a) hospitals employ a highly skilled workforce at a rate of 0.16 full-time equivalent psychology staff for every 10 hospital beds; (b) psychologists have a viable career pathway within the hospital-based health sector; (c) role diversity is common, with the primary focus varying as a function of position level; (d) neuropsychology staffing requires urgent attention to address significant delays in access to services; and (e) public hospitals actively contribute to current and future workforce development through supervision, research, and training. The implications of these results for the future of psychological services in Australian healthcare are discussed. DA - 2015/02// PY - 2015 DO - 10.1111/ap.12101 DP - EBSCOhost VL - 50 IS - 1 SP - 86 EP - 94 J2 - Australian Psychologist SN - 0005-0067 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=100350571&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Medical Staff, Hospital KW - Data Analysis Software KW - Thematic Analysis KW - Descriptive Statistics KW - Survey Research KW - Cross Sectional Studies KW - Hospitals, Public KW - Hospitals, Psychiatric -- Statistics and Numerical Data -- Australia ER - TY - JOUR TI - An Investigation of Psychology Staffing in Australian Metropolitan Acute Public Hospitals. AU - Small, Emily M AU - Burke, Anne LJ AU - Collins, Kathryn L T2 - Australian Psychologist AB - Psychology is one component of the multidisciplinary services provided to patients in acute public hospitals, with research demonstrating that psychological intervention significantly enhances clinical outcomes for patients across a range of health issues. Despite the increasingly important role that psychologists play in Australian hospitals, there remains a lack of information available about staff levels, discipline structures, and clinical activity for psychological services within acute hospital settings. The most recent Australian data about hospital-based psychology services was collected 20 years ago. The current study provides updated information from a survey of 15 Australian metropolitan, acute public hospitals: presenting and critically reviewing staffing configurations and models of service delivery. Results suggest that: (a) hospitals employ a highly skilled workforce at a rate of 0.16 full-time equivalent psychology staff for every 10 hospital beds; (b) psychologists have a viable career pathway within the hospital-based health sector; (c) role diversity is common, with the primary focus varying as a function of position level; (d) neuropsychology staffing requires urgent attention to address significant delays in access to services; and (e) public hospitals actively contribute to current and future workforce development through supervision, research, and training. The implications of these results for the future of psychological services in Australian healthcare are discussed. DA - 2015/02// PY - 2015 DO - 10.1111/ap.12101 DP - EBSCOhost VL - 50 IS - 1 SP - 86 EP - 94 J2 - Australian Psychologist SN - 0005-0067 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103872767&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Medical Staff, Hospital KW - Data Analysis Software KW - Thematic Analysis KW - Descriptive Statistics KW - Survey Research KW - Cross Sectional Studies KW - Hospitals, Public KW - Hospitals, Psychiatric -- Statistics and Numerical Data -- Australia ER - TY - JOUR TI - An Overview of the Practitioner Research and Collaboration Initiative (PRACI): a practice-based research network for complementary medicine. AU - Steel, Amie AU - Sibbritt, David AU - Schloss, Janet AU - Wardle, Jon AU - Leach, Matthew AU - Diezel, Helene AU - Adams, Jon T2 - BMC Complementary & Alternative Medicine AB - Background: The Practitioner Research and Collaboration Initiative (PRACI) is an innovative, multi-modality practice-based research network (PBRN) that represents fourteen complementary medicine (CM) professions across Australia. It is the largest known PBRN for complementary healthcare in the world and was launched in 2015. The purpose of this paper is to provide an update on the progress of the PRACI project, including a description of the characteristics of PRACI members in order to facilitate further sub-studies through the PRACI PBRN. Methods: A CM workforce survey was distributed electronically to CM practitioners across fourteen disciplines, throughout Australia. Practitioners electing to become a member of PRACI were registered on the PBRN database. The database was interrogated and the data analysed to described sociodemographic characteristics, practice characteristics, professional qualification and practice interest of PRACI members. Results: Foundational members of PRACI were found to be predominately female (76.2%) and middle-aged (82.5%). Members were primarily located in urban settings (82.5%) across the Eastern seaboard of Australia (82.5%), with few working remotely. The main modalities represented include massage therapists (58.5%), naturopaths (26.4%) and nutritionists (14.4%). The primary area of clinical interest for PRACI members were general health and well-being (75.4%), musculoskeletal complaints (72%) and pain management (62.6%). Conclusions: PRACI provides an important infrastructure for complementary healthcare research in Australia and its success relies on CM practitioners being involved in the research being conducted through the PBRN. The aim of this database is to ensure that the research conducted through PRACI is rigorous, robust, clinically relevant and reflects the diversity of clinical practice amongst CM practitioners in Australia. DA - 2017//02/2/1/2017 PY - 2017 DO - 10.1186/s12906-017-1609-3 DP - EBSCOhost VL - 17 SP - 1 EP - 12 J2 - BMC Complementary & Alternative Medicine SN - 1472-6882 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121071816&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Australia KW - Workforce KW - Human KW - Middle Age KW - Funding Source KW - Surveys KW - Chi Square Test KW - Action Research KW - Electronics -- Utilization KW - Networking, Professional KW - Occupations and Professions -- Classification KW - Research, Alternative Therapies ER - TY - JOUR TI - Anger over 'excess' physiotherapists. AU - Gould M T2 - Physiotherapy Frontline DA - 2007/01/17/ PY - 2007 DP - EBSCOhost VL - 13 IS - 2 SP - 4 EP - 5 J2 - Physiotherapy Frontline SN - 1356-9791 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105939330&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Workforce KW - Allied Health Personnel KW - National Health Programs -- Administration -- United Kingdom ER - TY - JOUR TI - ANNOUNCEMENTS. T2 - British Journal of Occupational Therapy DA - 1987//02/2/1/1987 PY - 1987 DO - 10.1177/030802268705000213 DP - EBSCOhost VL - 50 IS - 2 SP - 69 EP - 72 J2 - British Journal of Occupational Therapy SN - 0308-0226 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=87069135&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - National Health Programs KW - Community Health Services KW - Collaboration KW - Occupational Therapy KW - Retirement KW - Occupational Therapists KW - Substance Dependence KW - Videorecording KW - Audit KW - Health Manpower KW - Serial Publications KW - British Association and College of Occupational Therapists KW - Seminars and Workshops KW - American Occupational Therapy Association KW - Clerical Personnel KW - Employment of Disabled KW - Exhibits KW - Health Resource Allocation KW - Rheumatology KW - School Administrators KW - Travel KW - Wheelchairs ER - TY - JOUR TI - ANNOUNCEMENTS. T2 - British Journal of Occupational Therapy DA - 1987//02/2/1/1987 PY - 1987 DP - EBSCOhost VL - 50 IS - 2 SP - 69 EP - 72 J2 - British Journal of Occupational Therapy SN - 0308-0226 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104208156&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - National Health Programs KW - Community Health Services KW - Collaboration KW - Occupational Therapy KW - Retirement KW - Occupational Therapists KW - Substance Dependence KW - Videorecording KW - Audit KW - Health Manpower KW - Serial Publications KW - British Association and College of Occupational Therapists KW - Seminars and Workshops KW - American Occupational Therapy Association KW - Clerical Personnel KW - Employment of Disabled KW - Exhibits KW - Health Resource Allocation KW - Rheumatology KW - School Administrators KW - Travel KW - Wheelchairs ER - TY - JOUR TI - Antecedents of gender gap in workforce participation: A phenomenology of psychologists and medical doctors in urban Pakistan. AU - Anjum, Gulnaz AU - Kamal, Anila AU - Bilwani, Sania T2 - Journal of Human Behavior in the Social Environment AB - In recent years, the participation of young women in education has been on the rise and yet many of them do not end up joining the workforce. This is particularly true for the fields of medicine, and psychology. Using a qualitative research design, we explored underlying social and psychological reasons (antecedents) for this lack of professional participation by females who had or are graduating in medical and psychology degrees. The sample of this qualitative study consisted of 67 female informants including medical doctors, medical students, psychologists, and psychology students. The results based on interpretive phenomenological analyses (IPA) indicated multiple key antecedents that play a crucial role in keeping women from their professional participation in the two fields. Results based on IPA indicated that Gender Role Beliefs and Strain, Economic Decision Making, Women's Mobility, Role of Society, Objectification of Women and explicit Discrimination and Violence were key thematic antecedents. There were multiple subthemes that emerged as reasons why women's participation and stay in these fields was difficult, hence creating a substantial gender gap in professional participation and success in the workforce. Knowledge and understanding of these antecedents and their role in prevalence of gender gap in workforce participation is crucial for building policies and strategies on how to engage and retain women in professional work-force. Cultural relevance and societal implications of our findings are discussed with their policy recommendations. DA - 2019/03/02/Feb/ undefined PY - 2019 DO - 10.1080/10911359.2018.1536576 DP - EBSCOhost VL - 29 IS - 2 SP - 282 EP - 299 J2 - Journal of Human Behavior in the Social Environment SN - 1091-1359 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134455835&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Young Adult KW - Focus Groups KW - Sex Factors KW - Psychology KW - Students, Health Occupations KW - Human KW - Questionnaires KW - Interview Guides KW - Middle Age KW - Thematic Analysis KW - Snowball Sample KW - Semi-Structured Interview KW - Descriptive Statistics KW - Phenomenological Research KW - Purposive Sample KW - Sexism KW - Discrimination -- Pakistan KW - Discrimination, Employment KW - Life Experiences -- Evaluation KW - Pakistan KW - Physicians -- Psychosocial Factors KW - Psychologists -- Psychosocial Factors KW - Student Experiences -- Evaluation KW - Students, Medical KW - Women, Working -- Psychosocial Factors KW - Work Experiences -- Evaluation KW - Workforce -- Pakistan ER - TY - JOUR TI - APAP Blue Ribbon Panel report. Physician assistant program expansion. AU - Carter RD AU - Cawley JF AU - Fowkes V AU - Hooker RS AU - Rackover MA AU - Zellmer M T2 - Perspective on Physician Assistant Education AB - Purpose and Background: In October 1996, the Association of Physician Assistant Programs (APAP) recommended the appointment of a panel to study, report, and recommend policy on the salient issues and impact of the rapid expansion of new physician assistant programs. By doing so, APAP was carrying out its mission to assist its membership in the instruction of highly educated physician assistants in numbers adequate to meet society's needs. Accordingly, the panel addressed two primary areas of concern: (1) quality of education and (2) adequate numbers. The following report encompasses the results of that panel's deliberations from March to May 1997. DA - 1998/// PY - 1998 DP - EBSCOhost VL - 9 IS - 1 SP - 20 EP - 29 J2 - Perspective on Physician Assistant Education UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107176579&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Physicians KW - Health Manpower KW - Nurse Practitioners KW - Job Market KW - Education, Physician Assistants KW - Education, Physician Assistants -- History KW - Education, Physician Assistants -- Trends KW - Schools, Allied Health ER - TY - JOUR TI - Applied Epidemiology Workforce Growth and Capacity Challenges: The Council of State and Territorial Epidemiologists 2017 Epidemiology Capacity Assessment. AU - Arrazola, Jessica AU - Israel, Mia N. AU - Binkin, Nancy T2 - Public Health Reports AB - Objectives: To better understand the current status and challenges of the state public health department workforce, the Council of State and Territorial Epidemiologists (CSTE) assessed the number and functions of applied public health epidemiologists at state health departments in the United States. Methods: In 2017, CSTE emailed unique online assessment links to state epidemiologists in the 50 states and the District of Columbia (N = 51). The response rate was 100%. CSTE analyzed quantitative data (27 questions) on funding, the number of current and needed epidemiologists, recruitment, retention, perceived capacity, and training. CSTE coded qualitative data in response to an open-ended question that asked about the most important problems state epidemiologists face. Results: Most funding for epidemiologic activities came from the federal government (mean, 77%). State epidemiologists reported needing 1199 additional epidemiologists to achieve ideal capacity but noted challenges in recruiting qualified staff members. Respondents cited opportunities for promotion (n = 45, 88%), salary (n = 41, 80%), restrictions on merit raises (n = 36, 70%), and losses to the private or government sector (n = 33, 65%) as problems for retention. Of 4 Essential Public Health Services measured, most state epidemiologists reported substantial-to-full capacity to monitor health status (n = 43, 84%) and diagnose and investigate community health problems (n = 47, 92%); fewer respondents reported substantial-to-full capacity to conduct evaluations (n = 20, 39%) and research (n = 11, 22%). Conclusions: Reliance on federal funding negatively affects employee retention, core capacity, and readiness at state health departments. Creative solutions for providing stable funding, developing greater flexibility to respond to emerging threats, and enhancing capacity in evaluation and applied research are needed. DA - 2019/08/07/Jul/ undefined PY - 2019 DO - 10.1177/0033354919849887 DP - EBSCOhost VL - 134 IS - 4 SP - 379 EP - 385 J2 - Public Health Reports SN - 0033-3549 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137188565&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Salaries and Fringe Benefits KW - Financial Support KW - Human KW - Personnel Retention KW - Public Sector KW - Epidemiologists -- Organizations -- United States KW - Federal Government KW - Open-Ended Questionnaires KW - Private Sector KW - Promotion and Tenure KW - Public Health Administration KW - State Allied Health Organizations -- Manpower KW - United States Public Health Service -- Manpower ER - TY - JOUR TI - APTA LEADING THE WAY. T2 - PT in Motion AB - The article looks at some of the initiatives of the American Physical Therapy Association (APTA) regarding its membership, the profession, and society. Topics mentioned include record set by flash action on federal loan repayment program, the Patient-Driven Payment Model as the reason for reduced staffing levels and less therapy, and the 2019 recipients of the APTA State Legislative Leadership Award. DA - 2019/01/12/Dec2019/ undefined PY - 2019 DP - EBSCOhost VL - 11 IS - 11 SP - 52 EP - 52 J2 - PT in Motion SN - 1949-3711 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139790105&site=ehost-live&scope=site DB - CINAHL Complete KW - Skilled Nursing Facilities KW - Employment Termination KW - Physical Therapy KW - Physical Therapists KW - Training Support, Financial KW - Achievement KW - American Physical Therapy Association KW - Analgesics, Opioid KW - Awards and Honors KW - Communications Media KW - Insurance, Health, Reimbursement KW - Membership KW - Patient Advocacy KW - Students, Physical Therapy ER - TY - JOUR TI - Are Norms the Key to Manpower Planning? AU - Crawford, Gail AU - Johnson, Sybil AU - Morris, Shelagh AU - Steeples, Sheila T2 - British Journal of Occupational Therapy DA - 1992//02/2/1/1992 PY - 1992 DP - EBSCOhost VL - 55 IS - 2 SP - 49 EP - 52 J2 - British Journal of Occupational Therapy SN - 0308-0226 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104220981&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Occupational Therapists KW - Workload KW - Human KW - Questionnaires KW - Checklists KW - Pilot Studies KW - Skill Mix KW - Seminars and Workshops KW - Occupational Therapy -- Evaluation -- United Kingdom KW - Personnel Management -- United Kingdom KW - Planning Techniques KW - Work Assignments -- Evaluation ER - TY - JOUR TI - Are Norms the Key to Manpower Planning? AU - Crawford, Gail AU - Johnson, Sybil AU - Morris, Shelagh AU - Steeples, Sheila T2 - British Journal of Occupational Therapy AB - Occupational therapy managers have relied on the College's document entitled Recommended Minimum Standards for Occupational Therapy Staff:Patient Ratios for more than a decade. Trent Region District Occupational Therapists' Group reviewed this document and agreed to formulate proposals for its update. This article describes the work of a project team who collaborated with regional manpower colleagues and the region's mental health occupational therapy services staff in an endeavour to establish norms, formulae or other means of manpower planning. DA - 1992//02/2/1/1992 PY - 1992 DO - 10.1177/030802269205500204 DP - EBSCOhost VL - 55 IS - 2 SP - 49 EP - 52 J2 - British Journal of Occupational Therapy SN - 0308-0226 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=86410604&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Occupational Therapists KW - Workload KW - Human KW - Questionnaires KW - Checklists KW - Pilot Studies KW - Skill Mix KW - Seminars and Workshops KW - Occupational Therapy -- Evaluation -- United Kingdom KW - Personnel Management -- United Kingdom KW - Planning Techniques KW - Work Assignments -- Evaluation ER - TY - JOUR TI - Are we facing the end of midwifery education in England as we know it? AU - McIntosh, Tania T2 - MIDIRS Midwifery Digest AB - On the 2nd December 2015, student midwives and nurses, joined by students from other professions including medical trainees, demonstrated outside the Department of Health in London. Many dressed in scrubs and holding homemade placards and banners, they were protesting against something of potentially huge significance; a radical change to English policy on supporting student health professionals. A week earlier the Chancellor of the Exchequer set out the future of funding for student midwives, nurses and allied health professionals in his autumn spending review: 'Grants for health students will also be replaced by loans, and the cap on the number of nurses and midwives that can go into training each year will be removed, providing up to 10,000 more nurses and other health care professionals for the NHS. These students will be able to receive 25% more financial support during their studies as a result.' (HM Treasury 2015) This blandly worded statement hides a momentous change not only in the way that health care education is funded, but in how the whole structure of education, workforce planning and the National Health Service (NHS) is conceived. It matters for student midwives and their educators, but it also matters for NHS Trusts and for the public. This paper will unravel the ideas and issues behind the change to student funding, and will argue that it heralds a revolution in health care education in England. The paper will focus on the midwifery experience in England, but the implications for the changes to midwifery education will be felt much more widely and reflect and sharpen debates at national and international level. DA - 2016/03// PY - 2016 DP - EBSCOhost VL - 26 IS - 1 SP - 5 EP - 10 J2 - MIDIRS Midwifery Digest SN - 0961-5555 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127645646&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - National Health Programs KW - Hospitals KW - Personnel Shortage KW - Training Support, Financial KW - Education, Midwifery KW - Midwives KW - Royal College of Midwives KW - Students, Midwifery ER - TY - JOUR TI - Aspirational competency expectations for public health nutritionists in Australia: A consensus study. AU - Hughes, Roger AU - Begley, Andrea AU - Yeatman, Heather T2 - Nutrition & Dietetics AB - Aim To assess consensus among public health nutrition ( PHN) workforce development stakeholders on the competencies required for effective PHN practice in the Australian workforce context. Methods A modified Delphi study involving two iterative survey rounds among an expert panel of 33 Australian PHN workforce development stakeholders. Surveys tested panellist ratings (essential, useful, irrelevant) of a listing of 143 competency elements derived from the literature and existing competency standards, across two survey rounds, with feedback between rounds. An arbitrary consensus cut-off of 67% was applied with <10% change between rounds or 100% agreement interpreted as agreement stability. Results A total of 109 competency elements from the total list of 143 were rated as essential above the consensus cut-off, representing 76% of the original list. Thirty-three (33) elements were rated as essential by 100% of panellists. Approximately 90% or more of the competency elements tested were retained using the 67% cut-off across nutrition science, nutrition communication, professional communication, capacity building and intervention management competency units. Competency elements rated as essential beyond the consensus cut-off concentrated in the practice competency units of nutrition assessment, monitoring and surveillance, capacity building, and intervention management. Conclusions The results provide an empirical basis for future nutrition curriculum renewal and workforce development innovations and challenge the assumption that existing dietetic workforce preparation based on meeting entry-level competencies is adequate for community and PHN practice. DA - 2015/06// PY - 2015 DO - 10.1111/1747-0080.12098 DP - EBSCOhost VL - 72 IS - 2 SP - 122 EP - 131 J2 - Nutrition & Dietetics SN - 1446-6368 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103290145&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Health Personnel KW - Professional Competence KW - Workforce KW - Delphi Technique KW - Human KW - Data Analysis Software KW - Snowball Sample KW - Funding Source KW - Descriptive Statistics KW - Professional Development KW - Chi Square Test KW - Purposive Sample KW - Curriculum Development KW - Dietetics -- Australia KW - Nutrition -- Australia KW - Nutrition Education KW - Public Health -- Australia ER - TY - JOUR TI - Aspirational competency expectations for public health nutritionists in Australia: A consensus study. AU - Hughes, Roger AU - Begley, Andrea AU - Yeatman, Heather T2 - Nutrition & Dietetics AB - Aim To assess consensus among public health nutrition ( PHN) workforce development stakeholders on the competencies required for effective PHN practice in the Australian workforce context. Methods A modified Delphi study involving two iterative survey rounds among an expert panel of 33 Australian PHN workforce development stakeholders. Surveys tested panellist ratings (essential, useful, irrelevant) of a listing of 143 competency elements derived from the literature and existing competency standards, across two survey rounds, with feedback between rounds. An arbitrary consensus cut-off of 67% was applied with <10% change between rounds or 100% agreement interpreted as agreement stability. Results A total of 109 competency elements from the total list of 143 were rated as essential above the consensus cut-off, representing 76% of the original list. Thirty-three (33) elements were rated as essential by 100% of panellists. Approximately 90% or more of the competency elements tested were retained using the 67% cut-off across nutrition science, nutrition communication, professional communication, capacity building and intervention management competency units. Competency elements rated as essential beyond the consensus cut-off concentrated in the practice competency units of nutrition assessment, monitoring and surveillance, capacity building, and intervention management. Conclusions The results provide an empirical basis for future nutrition curriculum renewal and workforce development innovations and challenge the assumption that existing dietetic workforce preparation based on meeting entry-level competencies is adequate for community and PHN practice. DA - 2015/06// PY - 2015 DO - 10.1111/1747-0080.12098 DP - EBSCOhost VL - 72 IS - 2 SP - 122 EP - 131 J2 - Nutrition & Dietetics SN - 1446-6368 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109803191&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Health Personnel KW - Professional Competence KW - Workforce KW - Delphi Technique KW - Human KW - Data Analysis Software KW - Snowball Sample KW - Funding Source KW - Descriptive Statistics KW - Professional Development KW - Chi Square Test KW - Purposive Sample KW - Curriculum Development KW - Dietetics -- Australia KW - Nutrition -- Australia KW - Nutrition Education KW - Public Health -- Australia ER - TY - JOUR TI - ASRT news. T2 - ASRT Scanner DA - 2006/10// PY - 2006 DP - EBSCOhost VL - 39 IS - 1 SP - 25 EP - 25 J2 - ASRT Scanner SN - 0161-3863 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106369486&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Manpower KW - Faculty, Allied Health KW - American Society of Radiologic Technologists KW - Fund Raising KW - Radiologic Technologists ER - TY - JOUR TI - Assessing the effectiveness of policy interventions to reduce the use of agency or temporary social workers in England. AU - Cornes, Michelle AU - Manthorpe, Jill AU - Moriarty, Jo AU - Blendi-Mahota, Saidah AU - Hussein, Shereen T2 - Health & Social Care in the Community AB - There has been growing concern that English local authorities are over reliant on temporary staff to meet the shortage of social workers. This has been criticised as inefficient and costly while leading to problems of continuity and consistency for people using social work services. Focussing on recent policy and the implementation of new administrative procedures for the procurement and management of temporary or agency staff, this article explores progress being made towards achieving the previous government's policy goal that by 2020 local authorities will no longer need to rely on agency workers to carry out tasks that would normally be carried out by a permanent social worker. The article draws on the findings of an exploratory study (2007-2010) commissioned by the Department of Health which comprised of the following: a survey of local councils in England with adult social services responsibilities; case studies in three different localities; and qualitative interviews with stakeholders ( n = 93). The findings suggest that while local authorities have reduced the costs of employing temporary staff through the setting up of intermediary control mechanisms, agency social workers continue to play important roles in teams and services. DA - 2013/05// PY - 2013 DO - 10.1111/hsc.12011 DP - EBSCOhost VL - 21 IS - 3 SP - 236 EP - 244 J2 - Health & Social Care in the Community SN - 0966-0410 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104264588&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - England KW - Human KW - Qualitative Studies KW - Questionnaires KW - Data Analysis Software KW - Thematic Analysis KW - Exploratory Research KW - Funding Source KW - Semi-Structured Interview KW - Personnel Recruitment KW - Personnel Retention KW - Placement Agencies KW - Public Policy -- Evaluation -- England KW - Social Workers -- England KW - Strategic Planning KW - Temporary Employment ER - TY - JOUR TI - Assessing the effectiveness of policy interventions to reduce the use of agency or temporary social workers in England. AU - Cornes, Michelle AU - Manthorpe, Jill AU - Moriarty, Jo AU - Blendi‐Mahota, Saidah AU - Hussein, Shereen T2 - Health & Social Care in the Community AB - There has been growing concern that English local authorities are over reliant on temporary staff to meet the shortage of social workers. This has been criticised as inefficient and costly while leading to problems of continuity and consistency for people using social work services. Focussing on recent policy and the implementation of new administrative procedures for the procurement and management of temporary or agency staff, this article explores progress being made towards achieving the previous government's policy goal that by 2020 local authorities will no longer need to rely on agency workers to carry out tasks that would normally be carried out by a permanent social worker. The article draws on the findings of an exploratory study (2007-2010) commissioned by the Department of Health which comprised of the following: a survey of local councils in England with adult social services responsibilities; case studies in three different localities; and qualitative interviews with stakeholders ( n = 93). The findings suggest that while local authorities have reduced the costs of employing temporary staff through the setting up of intermediary control mechanisms, agency social workers continue to play important roles in teams and services. DA - 2013/05// PY - 2013 DO - 10.1111/hsc.12011 DP - EBSCOhost VL - 21 IS - 3 SP - 236 EP - 244 J2 - Health & Social Care in the Community SN - 0966-0410 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=86641843&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - England KW - Human KW - Qualitative Studies KW - Questionnaires KW - Data Analysis Software KW - Thematic Analysis KW - Exploratory Research KW - Funding Source KW - Semi-Structured Interview KW - Personnel Recruitment KW - Personnel Retention KW - Placement Agencies KW - Public Policy -- Evaluation -- England KW - Social Workers -- England KW - Strategic Planning KW - Temporary Employment ER - TY - JOUR TI - Assessment of Epidemiology Capacity in State Health Departments, 2004-2009. AU - BOULTON, MATTHEW L. AU - HADLER, JAMES AU - BECK, ANGELA J. AU - FERLAND, LISA AU - LICHTVELD, MAUREEN T2 - Public Health Reports AB - Objectives. To assess the number of epidemiologists and epidemiology capacity nationally, the Council of State and Territorial Epidemiologists surveyed state health departments in 2004, 2006, and 2009. This article summarizes findings of the 2009 assessment and analyzes five-year (2004-2009) trends in the epidemiology workforce. Methods. Online surveys collected information from all 50 states and the District of Columbia about the number of epidemiologists employed, their training and education, program and technologic capacity, organizational structure, and funding sources. State epidemiologists were the key informants; 1,544 epidemiologists provided individual-level information. Results. The number of epidemiologists in state health departments decreased approximately 12% from 2004 to 2009. Two-thirds or more states reported less than substantial (<50% of optimum) surveillance and epidemiology capacity in five of nine program areas. Capacity has diminished since 2006 for three of four epidemiology-related Essential Services of Public Health (ESPHs). Fewer than half of all states reported using surveillance technologies such as Web- based provider reporting systems. State health departments need 68% more epidemiologists to reach optimal capacity in all program areas; smaller states (<5 million population) have higher epidemiologist-to-population ratios than more populous states. Conclusions. Epidemiology capacity in state health departments is suboptimal and has decreased, as assessed by states' ability to carry out the ESPHs, by their ability to use newer surveillance technologies, and by the number of epidemiologists employed. Federal emergency preparedness funding, which supported more than 20% of state-based epidemiologists in 2006, has decreased. The 2009 Epidemiology Capacity Assessment demonstrates the negative impact of this decrease on states' epidemiology capacity. DA - 2011/02/01/Jan/ undefined PY - 2011 DP - EBSCOhost VL - 126 IS - 1 SP - 84 EP - 93 J2 - Public Health Reports SN - 0033-3549 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104814500&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Analysis of Variance KW - Human KW - Data Analysis Software KW - Funding Source KW - Education, Allied Health KW - United States Department of Health and Human Services KW - Disaster Planning -- Economics KW - Disease Surveillance KW - Epidemiology -- Education KW - Epidemiology -- Manpower ER - TY - JOUR TI - Assessment of Epidemiology Capacity in State Health Departments, 2004-2009. AU - BOULTON, MATTHEW L. AU - HADLER, JAMES AU - BECK, ANGELA J. AU - FERLAND, LISA AU - LICHTVELD, MAUREEN T2 - Public Health Reports AB - Objectives. To assess the number of epidemiologists and epidemiology capacity nationally, the Council of State and Territorial Epidemiologists surveyed state health departments in 2004, 2006, and 2009. This article summarizes findings of the 2009 assessment and analyzes five-year (2004-2009) trends in the epidemiology workforce. Methods. Online surveys collected information from all 50 states and the District of Columbia about the number of epidemiologists employed, their training and education, program and technologic capacity, organizational structure, and funding sources. State epidemiologists were the key informants; 1,544 epidemiologists provided individual-level information. Results. The number of epidemiologists in state health departments decreased approximately 12% from 2004 to 2009. Two-thirds or more states reported less than substantial (<50% of optimum) surveillance and epidemiology capacity in five of nine program areas. Capacity has diminished since 2006 for three of four epidemiology-related Essential Services of Public Health (ESPHs). Fewer than half of all states reported using surveillance technologies such as Web- based provider reporting systems. State health departments need 68% more epidemiologists to reach optimal capacity in all program areas; smaller states (<5 million population) have higher epidemiologist-to-population ratios than more populous states. Conclusions. Epidemiology capacity in state health departments is suboptimal and has decreased, as assessed by states' ability to carry out the ESPHs, by their ability to use newer surveillance technologies, and by the number of epidemiologists employed. Federal emergency preparedness funding, which supported more than 20% of state-based epidemiologists in 2006, has decreased. The 2009 Epidemiology Capacity Assessment demonstrates the negative impact of this decrease on states' epidemiology capacity. DA - 2011/02/01/Jan/ undefined PY - 2011 DO - 10.1177/003335491112600112 DP - EBSCOhost VL - 126 IS - 1 SP - 84 EP - 93 J2 - Public Health Reports SN - 0033-3549 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=58001761&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Analysis of Variance KW - Human KW - Data Analysis Software KW - Funding Source KW - Education, Allied Health KW - United States Department of Health and Human Services KW - Disaster Planning -- Economics KW - Disease Surveillance KW - Epidemiology -- Education KW - Epidemiology -- Manpower ER - TY - JOUR TI - Assessment of treatment provided by dental health aide therapists in Alaska: a pilot study. AU - Bolin KA T2 - Journal of the American Dental Association (JADA) AB - BACKGROUND: Dental health aide therapists (DHATs) in Alaska are authorized under federal law to provide certain dental services, including irreversible dental procedures. The author conducted this pilot study to determine if treatments provided by DHATs differ significantly from those provided by dentists, to determine if DHATs in Alaska are delivering dental care within their scope of training in an acceptable manner and to assess the quality of care and incidence of reportable events during or after dental treatment. METHODS: The author audited the dental records of patients treated by dentists and DHATs who perform similar procedures for selected variables. He reviewed the records of 640 dental procedures performed in 406 patients in three health corporations. RESULTS: The author found no significant differences among the provider groups in the consistency of diagnosis and treatment or postoperative complications as a result of primary treatment. The patients treated by DHATs had a mean age 7.1 years younger than that of patients treated by dentists, and the presence or adequacy of radiographs was higher among patients treated by dentists than among those treated by DHATs, with the difference being concentrated in the zero- to 6-year age group. CONCLUSIONS: No significant evidence was found to indicate that irreversible dental treatment provided by DHATs differs from similar treatment provided by dentists. Further studies need to be conducted to determine possible long-term effects of irreversible procedures performed by nondentists. CLINICAL IMPLICATIONS: A need to improve oral health care for American Indian/Alaska Native populations has led to an approach for providing care to these groups in Alaska. The use of adequately trained DHATs as part of the dental team could be a viable long-term solution. DA - 2008/11// PY - 2008 DP - EBSCOhost VL - 139 IS - 11 SP - 1530 EP - 1539 J2 - Journal of the American Dental Association (JADA) SN - 0002-8177 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105575994&site=ehost-live&scope=site DB - CINAHL Complete KW - Quality of Health Care KW - Demography KW - Health Services Accessibility KW - Human KW - Outcome Assessment KW - Pilot Studies KW - Audit KW - Health Manpower KW - Alaska KW - Allied Health Personnel -- Standards KW - Dental Auxiliaries -- Standards KW - Dental Care -- Manpower KW - Dental Care -- Standards KW - Dental Caries -- Prevention and Control KW - Dentists -- Standards KW - Health Care Delivery -- Standards KW - Health Services, Indigenous -- Manpower ER - TY - JOUR TI - At the Crossroad of Higher Education and Health Care. AU - Elwood, Thomas W. T2 - Journal of Allied Health DA - 2011/// PY - 2011 DP - EBSCOhost VL - 40 IS - 2 SP - 57 EP - 63 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108230720&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Medicare KW - Cost Savings KW - Health Services Accessibility KW - Politics KW - Budgets KW - Public Opinion KW - Allied Health Professions KW - Health Care Delivery KW - Education, Baccalaureate -- Standards KW - Health Care Reform -- Legislation and Jurisprudence -- United States ER - TY - JOUR TI - At the Crossroad of Higher Education and Health Care. AU - ELWOOD, THOMAS W. T2 - Journal of Allied Health AB - This essay looks at the crossroad between higher education and health care in the U.S. It discusses the creation of regulations by the Department of Education that have an impact on the transfer of credits, online education and curricula. It also analyzes the effects of the Affordable Care Act on the health care industry. In addition, the article explains the role of health care services in enhancing personal and community health status. DA - 2011/// PY - 2011 DP - EBSCOhost VL - 40 IS - 2 SP - 57 EP - 63 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=61482486&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Medicare KW - Cost Savings KW - Health Services Accessibility KW - Politics KW - Budgets KW - Public Opinion KW - Allied Health Professions KW - Health Care Delivery KW - Education, Baccalaureate -- Standards KW - Health Care Reform -- Legislation and Jurisprudence -- United States ER - TY - JOUR TI - Athletic trainer utilization in sports medicine clinics. AU - Cormier J AU - York A AU - Domholdt E AU - Kegerreis S T2 - Journal of Orthopaedic & Sports Physical Therapy AB - Increased use of athletic trainers in sports medicine clinics has created a need for information related to actual and ideal use of these professionals in these settings. The purposes of this study were to 1) describe the characteristics of sports medicine clinics and their personnel, 2) determine whether there were differences between opinions of certified athletic trainers (ATCs), physical therapists (PTs), and professionals with dual credentials (PT/ATCs) about the ideal role of the ATC in sports medicine clinics, and 3) determine whether there were differences in actual usage of ATCs between states with and without athletic training laws. Subjects included 46 PTs, 43 PT/ATCs, and 73 ATCs from six different states. A questionnaire ascertained opinions about ideal ATC utilization and about current practice of ATCs with respect to 28 different clinical procedures. For 27 of the 28 procedures, there were significant differences of opinion about ideal ATC utilization between individuals with the three credentials. No significant differences in actual athletic trainer use in sports medicine clinics were found between states with and without athletic training laws. DA - 1993/01// PY - 1993 DP - EBSCOhost VL - 17 IS - 1 SP - 36 EP - 43 J2 - Journal of Orthopaedic & Sports Physical Therapy SN - 0190-6011 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107459815&site=ehost-live&scope=site DB - CINAHL Complete KW - Physical Fitness KW - Human KW - Surveys KW - Physical Therapists KW - Athletes KW - Health Manpower -- Evaluation KW - Physical Education and Training -- Manpower KW - Rehabilitation Centers -- Evaluation KW - Sports ER - TY - JOUR TI - Attitudes toward achievement motivation among Kuwaiti social workers. AU - Ashkanani, Hadi Ridha T2 - International Social Work DA - 2014/03// PY - 2014 DO - 10.1177/0020872812448490 DP - EBSCOhost VL - 57 IS - 2 SP - 156 EP - 168 J2 - International Social Work SN - 0020-8728 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104039042&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Young Adult KW - Workforce KW - Collaboration KW - Motivation KW - Human KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Exploratory Research KW - Convenience Sample KW - Funding Source KW - Scales KW - Cross Sectional Studies KW - Coefficient Alpha KW - Multimethod Studies KW - Pearson's Correlation Coefficient KW - Multiple Regression KW - Kuwait KW - Intraprofessional Relations KW - Social Worker Attitudes -- Kuwait ER - TY - JOUR TI - Attitudes toward achievement motivation among Kuwaiti social workers. AU - Ashkanani, Hadi Ridha T2 - International Social Work AB - The following is an exploratory study of the attitudes toward achievement motivation among Kuwaiti social workers. A number of factors are explored, including attitudes toward collaboration and its relationship to achievement. No studies have been conducted in Kuwait regarding factors of motivation and collaboration among social workers in different organizations, or its relation to their achievement. Participants were a convenience sample of 313 social workers from various institutions in Kuwait. Results of the study indicated that years of experience, age, and number of children correlated positively with the social worker motivation towards achievement. Additionally attitude toward collaboration, number of children, and income were significant predictors of social worker achievement motivation. Suggestions for future research are discussed. DA - 2014/03// PY - 2014 DO - 10.1177/0020872812448490 DP - EBSCOhost VL - 57 IS - 2 SP - 156 EP - 168 J2 - International Social Work SN - 0020-8728 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=94744257&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Young Adult KW - Workforce KW - Collaboration KW - Motivation KW - Human KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Exploratory Research KW - Convenience Sample KW - Funding Source KW - Scales KW - Cross Sectional Studies KW - Coefficient Alpha KW - Multimethod Studies KW - Pearson's Correlation Coefficient KW - Multiple Regression KW - Kuwait KW - Intraprofessional Relations KW - Social Worker Attitudes -- Kuwait ER - TY - JOUR TI - Attractiveness of physiotherapy in the National Health Service as a career choice: qualitative study. AU - Park JR AU - Coombs CR AU - Wilkinson AJ AU - Loan-Clarke J AU - Arnold J AU - Preston D T2 - Physiotherapy AB - Background and Purpose: The National Health Service is currently experiencing a shortfall of staff in the allied health professions and in particular, physiotherapy. This research project aimed to identify the key factors that determine the attractiveness of physiotherapy as a career choice and the National Health Service as an employer to potential recruits and returners.Methods: Interviews were conducted with school pupils, mature students on Access courses, physiotherapy students, physiotherapy assistants, agency physiotherapists and independent sector physiotherapists.Findings: Ninety-two individuals participated in the qualitative stage of the study. Physiotherapy as a career choice was seen as attractive because of caring for patients, job availability, variety in work content, and high levels of teamwork. However, these positive features were offset by high levels of stress and workload, staff shortages and poor equipment.Conclusions: In order to improve the attractiveness of a physiotherapy career greater publicity about consultant therapist positions, improved staffing levels, better working environments and increased work flexibility are required. It should be noted that the relatively small number of participants reduces the generalisability of the results of this study. DA - 2003/10// PY - 2003 DP - EBSCOhost VL - 89 IS - 10 SP - 575 EP - 583 J2 - Physiotherapy SN - 0031-9406 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106704023&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Human KW - Interviews KW - Qualitative Studies KW - Data Analysis Software KW - Funding Source KW - Physical Therapists KW - Career Planning and Development KW - Students, Physical Therapy KW - Ajzen-Fishbein Theory of Reasoned Action KW - Attitude Measures KW - National Health Programs -- United Kingdom KW - Private Practice ER - TY - JOUR TI - Australian physiotherapy workforce at a glance: a narrative review. AU - Pretorius, Adri AU - Karunaratne, Nuresha AU - Fehring, Susan T2 - Australian Health Review AB - Background. The ability of the physiotherapy workforce to meet the growing demand in the Australian community is uncertain, despite increasing tertiary students and numbers of registered physiotherapists annually. Objectives. The present narrative literature review investigates what is known about the Australian physiotherapy workforce, what factors contribute to attrition from the profession and what strategies could be implemented to improve retention of skilled physiotherapists. Methods. A literature search of five databases identified 24 articles that informed the content of the present review. The articles were reviewed and content summarised according to focus areas and results discussed in the current Australian healthcare context. Results. Although many factors of attrition are inevitable, the present review identified some potentially modifiable factors of attrition. Strategies to improve retention of skilled physiotherapists were broadly grouped into improving professional support in the workforce and assisting the re-entry process for physiotherapists seeking to return to the workforce. Conclusion. Increasing retention of qualified and skilled physiotherapists nationally will help build workforce capacity, meeting the needs of the growing, changing and aging community. DA - 2016/08// PY - 2016 DO - 10.1071/AH15114 DP - EBSCOhost VL - 40 IS - 4 SP - 438 EP - 442 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117242444&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Workforce KW - Retirement KW - Job Satisfaction KW - Human KW - Burnout, Professional KW - Embase KW - Medline KW - Personnel Retention KW - CINAHL Database KW - Systematic Review KW - PubMed KW - Personnel Turnover KW - AMED Database KW - Health Services Needs and Demand -- Australia KW - Physical Therapist Attitudes KW - Physical Therapists -- Manpower -- Australia ER - TY - JOUR TI - Australia's occupational therapy workforce: jobs for the future. AU - Millsteed J T2 - Australian Occupational Therapy Journal AB - The forces that affect the economic, technological and industrial structure of Australia in the future will also affect its occupational and educational structures. The number of people participating in the education system is expected to grow, but at a slower rate than over the past decade, and the proportion of the workforce with a qualification is expected to reach a historically high level by the year 2005. Workforce modelling projections indicate that more highly skilled occupations will have strong employment growth over the next decade. It is estimated that, in 2005, the demand for occupational therapists will represent an increase of 79.9% of the number working in 1993-94. However, the accuracy of this projection is based on a macro-analysis of data from various sources and does not account for any analysis of factors internal to the profession that may affect its occupational structure or employment growth. The paucity of occupational therapy microworkforce data has been noted by national workforce planning agencies and regular national workforce collections will start in 1998. Inclusion of macro- and microfactors into a comprehensive occupational therapy workforce planning framework is essential to the development of appropriate response strategies that address demand and supply issues for occupational therapy jobs in the future. DA - 1999/06// PY - 1999 DP - EBSCOhost VL - 46 IS - 2 SP - 38 EP - 42 J2 - Australian Occupational Therapy Journal SN - 0045-0766 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107207889&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Employment -- Trends -- Australia KW - Occupational Therapy -- Manpower -- Australia ER - TY - JOUR TI - Autism spectrum disorder: How can occupational therapists support schools? AU - Grandisson, Marie AU - Rajotte, Émilie AU - Godin, Julie AU - Chrétien-Vincent, Myriam AU - Milot, Élise AU - Desmarais, Chantal T2 - Canadian Journal of Occupational Therapy AB - Background.: Children with autism spectrum disorder (ASD) face multiple occupational challenges in their school, and school staff need additional support to increase their participation. Purpose.: The aim of this study is to identify how Response to Intervention (RTI) could be used by occupational therapists to support school personnel who work with children with ASD. Method.: In a descriptive qualitative study, three discussion groups were undertaken with occupational therapists and school staff members in Quebec, Canada, to identify the main concerns regarding the participation of children with ASD in school activities as well as the actions to consider when attempting to increase school-related abilities. Findings.: School staff members are primarily concerned with frequent outbursts and limited autonomy, along with low motivation and anxiety in children with ASD in diverse school activities and contexts. The actions identified provide guidelines for school and occupational therapist selection, the process to follow, collaborative practices, and support required. Implications.: A practice model is presented for occupational therapists who seek to develop school capacity to support the participation of children with ASD. DA - 2020/02// PY - 2020 DO - 10.1177/0008417419838904 DP - EBSCOhost VL - 87 IS - 1 SP - 30 EP - 41 J2 - Canadian Journal of Occupational Therapy SN - 0008-4174 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141213791&site=ehost-live&scope=site DB - CINAHL Complete KW - Child KW - Quebec KW - Occupational Therapists KW - Motivation KW - Anxiety KW - Autonomy KW - Human KW - Qualitative Studies KW - Support, Psychosocial KW - Funding Source KW - Descriptive Research KW - Autistic Disorder KW - Child Care -- Education KW - Schools -- Administration KW - Social Behavior -- In Infancy and Childhood KW - Workforce -- Education ER - TY - JOUR TI - Barriers and enablers to changing organizational culture in nursing homes. AU - Scalzi CC AU - Evans LK AU - Barstow A AU - Hostvedt K T2 - Nursing Administration Quarterly AB - PURPOSE: To discuss the barriers and enablers of changing organizational culture in 3 nursing homes undergoing a culture change initiative, and suggest actions for program enhancement. METHODS: Interview data with staff (n = 64) and families (n = 14) from 3 culture-change facilities in a larger mixed-methods pilot study were used to identify barriers and enablers. FINDINGS: The 3 sites ranged from 120 to 139 beds and did not differ in staff characteristics. Barriers included exclusion of nurses from culture-change activities, perceived corporate emphasis on regulatory compliance and the 'bottom line,' and high turnover of administrators and caregivers. Enablers included a critical mass of 'change champions,' shared values and goals, resident/family participation, and empowerment at the facility level. RECOMMENDATIONS: Involve all levels of staff, residents, and community in culture-change activities. Align incentives and rewards with the new values. Empower individual homes to make decisions at the facility level. Work with corporate partners to enable rapid translation and implementation of recommendations based on the findings. DA - 2006/10// PY - 2006 DP - EBSCOhost VL - 30 IS - 4 SP - 368 EP - 372 J2 - Nursing Administration Quarterly SN - 0363-9568 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106211127&site=ehost-live&scope=site DB - CINAHL Complete KW - Nursing Homes KW - Social Workers KW - Organizational Culture KW - Occupational Therapists KW - Motivation KW - Pennsylvania KW - Human KW - Interview Guides KW - Thematic Analysis KW - Semi-Structured Interview KW - Change Management KW - Long Term Care KW - Descriptive Research KW - Field Notes KW - Family Attitudes -- Evaluation KW - Registered Nurses KW - Physical Therapists KW - Practical Nurses KW - Attitude of Health Personnel -- Evaluation KW - Management Styles KW - Patient Centered Care ER - TY - JOUR TI - Best Interests Assessor Role: An Opportunity or a 'Dead End' for Adult Social Workers? AU - Hubbard, Rachel T2 - Practice (09503153) AB - This opinion article explores the significance of the Best Interests Assessor role in England and Wales for social workers working with adults. It considers the challenges of the role following the Supreme Court's Cheshire West (2014) judgement and the implications for BIAs of the Law Commission's 2017 plans for replacing DoLS with the 'Liberty Protection Safeguards'. The author explains why they consider the BIA role to be a valuable one for the status of adult social work as well as for people who may lack capacity to uphold their human rights, with some reservations about the risk of diluting the safeguards the current role represents for those vulnerable people. DA - 2018/04// PY - 2018 DO - 10.1080/09503153.2017.1372738 DP - EBSCOhost VL - 30 IS - 2 SP - 83 EP - 98 J2 - Practice (09503153) SN - 0950-3153 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128108646&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Decision Making KW - Workforce KW - Social Workers KW - Human Rights KW - Intellectual Disability KW - Accountability KW - Consent KW - Mental Status -- Legislation and Jurisprudence KW - Professional Role -- United Kingdom KW - Specialization -- Education ER - TY - JOUR TI - Better for everyone. AU - Yeldham, Rob T2 - Frontline (20454910) DA - 2019/02/06/ PY - 2019 DP - EBSCOhost VL - 25 IS - 3 SP - 4 EP - 4 J2 - Frontline (20454910) SN - 2045-4910 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134729413&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Collaboration KW - Physical Therapists KW - Workforce -- United Kingdom ER - TY - JOUR TI - Block placements in rural Veterans Administration hospitals: a consortium approach. AU - Snyder GW AU - Kane RA AU - Conover CG T2 - Social Work in Health Care DA - 1978//03/3/1/1978 PY - 1978 DP - EBSCOhost SP - 331 EP - 341 J2 - Social Work in Health Care SN - 0098-1389 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107632315&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Manpower KW - Education, Social Work KW - Students, Allied Health KW - Rural Health ER - TY - JOUR TI - Board leadership is key to lower stress. AU - Alban-Metcalfe, Juliette T2 - Occupational Health & Wellbeing AB - The article offers information on the impact of the leadership style on levels of staff stress. It further discusses how leaders need to change to boost employee performance and improve mental health at work; poor side of managers' behavior such as dismissing the importance of employees' work or ideas; and encouraging employees and managers to join board discussions where their input would enhance decision making. Also mentions embedding fair and ethical behavior within the organization. DA - 2018/02// PY - 2018 DP - EBSCOhost VL - 70 IS - 2 SP - 14 EP - 15 J2 - Occupational Health & Wellbeing SN - 2397-1223 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141798829&site=ehost-live&scope=site DB - CINAHL Complete KW - World Health Organization KW - Organizational Culture KW - Workload KW - Support, Psychosocial KW - Self Assessment KW - Psychological Well-Being KW - Productivity KW - Employee Attitudes KW - Psychologists KW - Accountability KW - Management Styles KW - Employee Performance Appraisal KW - Mindfulness KW - Psychology, Occupational KW - Reward KW - Stress, Occupational -- Prevention and Control ER - TY - JOUR TI - Boosting the recruitment and retention of new graduate speech-language pathologists for the disability workforce. AU - Hines, Monique AU - Lincoln, Michelle T2 - Journal of Clinical Practice in Speech-Language Pathology AB - New graduate speech-language pathologists (SLPs) will play an integral role in meeting the anticipated growth in demand for a highly skilled disability workforce under the National Disability Insurance Scheme (NDIS). However, NDIS implementation will have major implications for factors known to support new graduate recruitment and retention in the disability sector. In this article, we consider how the NDIS is likely to affect (a) clinical placements in disability while at university, and (b) access to clinical supervision and continuing professional development (CPD) in the workplace, and propose strategies to address these challenges. DA - 2016/06// PY - 2016 DP - EBSCOhost VL - 18 IS - 2 SP - 50 EP - 54 J2 - Journal of Clinical Practice in Speech-Language Pathology SN - 2200-0259 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117499663&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Personnel Recruitment KW - Personnel Retention KW - Disability Management KW - New Graduates KW - Speech-Language Pathologists -- Manpower KW - Student Placement ER - TY - JOUR TI - Bracing for Medicaid cuts: nursing homes fear workforce relief may be brief. AU - Mantone J T2 - Modern Healthcare DA - 2005/06/13/ PY - 2005 DP - EBSCOhost VL - 35 IS - 24 SP - 28 EP - 28 J2 - Modern Healthcare SN - 0160-7480 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106252782&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Health Manpower -- Trends KW - Allied Health Personnel -- Manpower KW - Cost Control -- Legislation and Jurisprudence -- United States KW - Medicaid -- Legislation and Jurisprudence -- United States KW - Nurses -- Manpower KW - Nursing Assistants -- Manpower KW - Nursing Homes -- Economics KW - Nursing Homes -- Manpower KW - Personnel Staffing and Scheduling -- Economics ER - TY - JOUR TI - Breast screening workforce will not be able to cope with backlog following crisis, unless urgently reinforced. T2 - Synergy News DA - 2018/06// PY - 2018 DP - EBSCOhost SP - 6 EP - 6 J2 - Synergy News SN - 1741-4245 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130172925&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Workforce KW - Breast Neoplasms -- Diagnosis KW - Cancer Screening KW - Diagnosis, Delayed KW - Allied Health Personnel ER - TY - JOUR TI - Brexit: the impact on health and social care and the role of community nurses. AU - Burdett, Teresa AU - Fenge, Lee-Ann T2 - Journal of Community Nursing AB - Brexit poses seismic challenges for health and social care provision in the United Kingdom concerning the ongoing financial support available to fund health and social care within a post-Brexit economy. Alongside funding issues, there are potential concerns linked to the continued access to medical supplies and equipment which are linked to trading relationships within the European Union (EU). Changes to the context of legal frameworks and funding for research which result from Brexit are also serious concerns. Although many of these areas may have potential detrimental impacts on patient care, there is a particular concern about the loss of migrant health and social care workers, which may exacerbate the recruitment issues currently facing the UK health and social care workforce. Reflections from those who work within health and social care, such as the authors of this paper, can create insider perspectives about what Brexit means to individuals and their families. This can help organisations consider the challenges that their current EU migrant workers experience and explore ways of mitigating these impacts on both the individual and wider organisation to ensure patient care is not diluted, but instead enhanced. DA - 2018/08// PY - 2018 DP - EBSCOhost VL - 32 IS - 4 SP - 62 EP - 65 J2 - Journal of Community Nursing SN - 0263-4465 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134382092&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - European Union KW - National Health Programs KW - Workforce KW - Social Workers KW - Health Services Accessibility KW - Community Health Nursing KW - Social Work Service KW - Patient Care KW - International Relations KW - Reflection KW - Politics -- United Kingdom KW - Transients and Migrants -- Psychosocial Factors ER - TY - JOUR TI - Bringing them home: a Gippsland mental health workforce recruitment strategy. AU - Sutton, Keith AU - Maybery, Darryl AU - Moore, Terry T2 - Australian Health Review AB - This paper reports on preliminary findings of a novel program piloted in 2010 to address rural mental health workforce shortages. The program involved exposing allied health and nursing students from rural backgrounds studying in Melbourne to mental health service employment opportunities in Gippsland.A longitudinal study is underway to evaluate the effect and outcomes of the program and includes surveying participants' interest in rural mental health work through an online questionnaire immediately prior to and following the program; and surveying career decisions at 6 months and yearly intervals. Paired sample t-tests were used to analyse participants' level of interest in rural work (pre-event 4.67 (1.50); post-event 5.93 (0.96); P = 0.001), career in a rural setting (pre-event 4.67 (1.63); post-event 5.67 (1.23); P = 0.006), mental health work (pre-event 4.73 (1.39); post-event 6.07 (0.80); P < 0.000) and rural mental health career (pre-event 4.73 (1.33); post-event 5.80 (1.21); P = 0.002). These findings indicate a significant increase from pre- to post-event and are supported by strong effect sizes suggesting that the program had a significant effect on participant interest in rural mental health work. Longer-term evaluation will determine whether the program influences participant career decisions and thereby addressing mental health workforce shortages in Gippsland. DA - 2012/02// PY - 2012 DO - 10.1071/AH11003 DP - EBSCOhost VL - 36 IS - 1 SP - 79 EP - 82 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104527819&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Workforce KW - Victoria KW - Prospective Studies KW - Feedback KW - Human KW - Questionnaires KW - Effect Size KW - Paired T-Tests KW - Personnel Recruitment KW - Pretest-Posttest Design KW - Pilot Studies KW - Rural Areas KW - Mental Health Services ER - TY - JOUR TI - Bringing them home: a Gippsland mental health workforce recruitment strategy. AU - Sutton, Keith AU - Maybery, Darryl AU - Moore, Terry T2 - Australian Health Review AB - This paper reports on preliminary findings of a novel program piloted in 2010 to address rural mental health workforce shortages. The program involved exposing allied health and nursing students from rural backgrounds studying in Melbourne to mental health service employment opportunities in Gippsland.A longitudinal study is underway to evaluate the effect and outcomes of the program and includes surveying participants' interest in rural mental health work through an online questionnaire immediately prior to and following the program; and surveying career decisions at 6 months and yearly intervals. Paired sample t-tests were used to analyse participants' level of interest in rural work (pre-event 4.67 (1.50); post-event 5.93 (0.96); P = 0.001), career in a rural setting (pre-event 4.67 (1.63); post-event 5.67 (1.23); P = 0.006), mental health work (pre-event 4.73 (1.39); post-event 6.07 (0.80); P < 0.000) and rural mental health career (pre-event 4.73 (1.33); post-event 5.80 (1.21); P = 0.002). These findings indicate a significant increase from pre- to post-event and are supported by strong effect sizes suggesting that the program had a significant effect on participant interest in rural mental health work. Longer-term evaluation will determine whether the program influences participant career decisions and thereby addressing mental health workforce shortages in Gippsland. DA - 2012/02// PY - 2012 DO - 10.1071/AH11003 DP - EBSCOhost VL - 36 IS - 1 SP - 79 EP - 82 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=72416568&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Workforce KW - Victoria KW - Prospective Studies KW - Feedback KW - Human KW - Questionnaires KW - Effect Size KW - Paired T-Tests KW - Personnel Recruitment KW - Pretest-Posttest Design KW - Pilot Studies KW - Rural Areas KW - Mental Health Services ER - TY - JOUR TI - Building a strong academic workforce: Challenges for the profession. AU - Cusick, Anne AU - Froude, Elspeth AU - Bye, Rosalind AU - Zakrzewski, Lee T2 - Australian Occupational Therapy Journal DA - 2014/06// PY - 2014 DO - 10.1111/1440-1630.12135 DP - EBSCOhost VL - 61 IS - 3 SP - 131 EP - 131 J2 - Australian Occupational Therapy Journal SN - 0045-0766 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103956445&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Faculty, Allied Health KW - Education, Occupational Therapy KW - Faculty Development ER - TY - JOUR TI - Building a strong academic workforce: Challenges for the profession. AU - Cusick, Anne AU - Froude, Elspeth AU - Bye, Rosalind AU - Zakrzewski, Lee T2 - Australian Occupational Therapy Journal AB - The article discusses growth in occupational therapy programs in Australia. It mentions that occupational therapy program accreditation examines academic staff's expertise, qualification and numbers while universities want to ensure that their staffs have the capacity and qualifications for delivering on community, student and government expectation. Also highlights about a project led by professor Sylvia Rogers targeting curriculum evaluation and renewal capacity. DA - 2014/06// PY - 2014 DO - 10.1111/1440-1630.12135 DP - EBSCOhost VL - 61 IS - 3 SP - 131 EP - 131 J2 - Australian Occupational Therapy Journal SN - 0045-0766 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=96287862&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Faculty, Allied Health KW - Education, Occupational Therapy KW - Faculty Development ER - TY - JOUR TI - Building allied health workforce capacity: a strategic approach to workforce innovation. AU - Somerville, Lisa AU - Davis, Annette AU - Elliott, Andrea L. AU - Terrill, Desiree AU - Austin, Nicole AU - Philip, Kathleen T2 - Australian Health Review AB - Objective: The aim of the present study was to identify areas where allied health assistants (AHAs) are not working to their full scope of practice in order to improve the effectiveness of the allied health workforce. Methods: Qualitative data collected via focus groups identified suitable AHA tasks and a quantitative survey with allied health professionals (AHPs) measured the magnitude of work the current AHP workforce spends undertaking these tasks. Results: Quantification survey results indicate that Victoria's AHP workforce spends up to 17% of time undertaking tasks that could be delegated to an AHA who has relevant training and adequate supervision. Over half this time is spent on clinical tasks. Conclusions: The skills of AHAs are not being optimally utilised. Significant opportunity exists to reform the current allied health workforce. Such reform should result in increased capacity of the workforce to meet future demands. What is known about the topic? Increasing skill shortages across Australia's health workforce necessitates that the capabilities of all healthcare team members should be used optimally. AHA roles are an important and growing response to current health workforce needs. Increasing workforce capacity will ensure the right health workers are matched to the right task by skill, experience and expertise. What does this paper add? This paper presents a model that assists services to identify tasks suitable for delegation to an AHA by an AHP. The model is unique because it describes a process that quantifies the need for AHAs and it has been successfully implemented in rural, regional and metropolitan health services in Victoria. What are the implications for practitioners? Working collaboratively, with executive support, will lead to a sustainable and integrated approach to support workforce capacity building. Altering the skill mix of healthcare teams through increasing the role of AHAs has benefits for AHPs, patients and the healthcare system. DA - 2015/06// PY - 2015 DO - 10.1071/AH14211 DP - EBSCOhost VL - 39 IS - 3 SP - 264 EP - 270 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103327899&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Workforce KW - Victoria KW - Health KW - Allied Health Professions KW - Scope of Practice KW - Skill Mix KW - Health Services ER - TY - JOUR TI - Building capacity in the rural physiotherapy workforce: a paediatric training partnership. AU - Williams, E. N. AU - McMeeken, J. M. T2 - Rural & Remote Health AB - Context: ‘Building capacity in the rural physiotherapy workforce: a paediatric training partnership’ provided 6 months postgraduate paediatric clinical and academic training for two physiotherapists in rural Australia. It is described as a model for improving services and workforce retention. The need for ‘an appropriate, skilled and well-supported health workforce’ is the third goal in Australia’s National Strategic Framework for Rural and Remote Health 2011. The World Health Organization recently published its first global policy for improving the retention of rural and remote health workers. Education is its first recommendation and aims to ‘design continuing education and professional development programmes that meet the needs of rural health workers and that are accessible from where they live and work, so as to support their retention …’. Additionally, ‘… to be successful, continuing education needs to be linked to career paths, as well as with other education interventions’. Issues: The problem is a lack of paediatric physiotherapy expertise in rural areas due to an absence of postgraduate clinical training opportunities in the rural workforce. The result is fragmented local services for families who are forced to travel to metropolitan services, costly in terms of both time and money. The aims were to improve local paediatric physiotherapy clinical services, provide physiotherapists additional access to professional development and subsequently provide a career path to retain these health professionals. Evaluation of the project used purpose-built questionnaires as there are no specific indicators to monitor the performance of systems and services that are available to children and families in Australia. Lessons learned: The paediatric physiotherapy training program was enabled through initial funding for a 12-month pilot project. Further government funding built on that success for this reported 6-month project. Funding to employ the postgraduate physiotherapists was essential to the success of the clinical training program, and lack of future funding is a barrier to its sustainability. The program included the consolidation of the initial management and education committees and the expert reference group. Weekly tutorials, case studies and presentations formed an important part of clinical rotation between hospital outpatients, specialist school and the disability sector. This increased the provision of skilled paediatric physiotherapy services close to home in a timely fashion not previously available. Concurrently, the training increased the clinicians’ paediatric knowledge and confidence, promoting workforce retention by providing a career pathway. The senior clinicians who provided clinical supervision reported that it enabled succession planning through introduction of appropriately skilled younger peers to their clinical practice. Project recommendations are that funding and stakeholder partnerships are necessary to enable health professionals to undertake postgraduate clinical training in paediatrics in rural areas. The partnership should include education providers (university), rural health service providers (hospital) and community or disability services (government and non-government) with financial recognition of expertise in the rural workforce for clinical supervision. The training experience was reported as a very positive experience from trainees, families, clinical supervisors, managers, academics and paediatricians. Lack of continued funding to educate skilled postgraduate paediatric physiotherapy clinicians means that rural children with physical disabilities will continue to be disadvantaged. DA - 2014/01// PY - 2014 DP - EBSCOhost VL - 14 IS - 1 SP - 1 EP - 11 J2 - Rural & Remote Health SN - 1445-6354 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103989617&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Quality of Health Care KW - Patients KW - Human KW - Questionnaires KW - Funding Source KW - Descriptive Statistics KW - Professional Development KW - Personnel Retention KW - Pretest-Posttest Design KW - Pilot Studies KW - Confidence KW - Health Manpower KW - Physical Therapists -- Education KW - Rural Health KW - Pediatric Care -- Education ER - TY - JOUR TI - Building capacity in the rural physiotherapy workforce: a paediatric training partnership. AU - Williams, E. N. AU - McMeeken, J. M. T2 - Rural & Remote Health AB - Context: ‘Building capacity in the rural physiotherapy workforce: a paediatric training partnership’ provided 6 months postgraduate paediatric clinical and academic training for two physiotherapists in rural Australia. It is described as a model for improving services and workforce retention. The need for ‘an appropriate, skilled and well-supported health workforce’ is the third goal in Australia’s National Strategic Framework for Rural and Remote Health 2011. The World Health Organization recently published its first global policy for improving the retention of rural and remote health workers. Education is its first recommendation and aims to ‘design continuing education and professional development programmes that meet the needs of rural health workers and that are accessible from where they live and work, so as to support their retention …’. Additionally, ‘… to be successful, continuing education needs to be linked to career paths, as well as with other education interventions’. Issues: The problem is a lack of paediatric physiotherapy expertise in rural areas due to an absence of postgraduate clinical training opportunities in the rural workforce. The result is fragmented local services for families who are forced to travel to metropolitan services, costly in terms of both time and money. The aims were to improve local paediatric physiotherapy clinical services, provide physiotherapists additional access to professional development and subsequently provide a career path to retain these health professionals. Evaluation of the project used purpose-built questionnaires as there are no specific indicators to monitor the performance of systems and services that are available to children and families in Australia. Lessons learned: The paediatric physiotherapy training program was enabled through initial funding for a 12-month pilot project. Further government funding built on that success for this reported 6-month project. Funding to employ the postgraduate physiotherapists was essential to the success of the clinical training program, and lack of future funding is a barrier to its sustainability. The program included the consolidation of the initial management and education committees and the expert reference group. Weekly tutorials, case studies and presentations formed an important part of clinical rotation between hospital outpatients, specialist school and the disability sector. This increased the provision of skilled paediatric physiotherapy services close to home in a timely fashion not previously available. Concurrently, the training increased the clinicians’ paediatric knowledge and confidence, promoting workforce retention by providing a career pathway. The senior clinicians who provided clinical supervision reported that it enabled succession planning through introduction of appropriately skilled younger peers to their clinical practice. Project recommendations are that funding and stakeholder partnerships are necessary to enable health professionals to undertake postgraduate clinical training in paediatrics in rural areas. The partnership should include education providers (university), rural health service providers (hospital) and community or disability services (government and non-government) with financial recognition of expertise in the rural workforce for clinical supervision. The training experience was reported as a very positive experience from trainees, families, clinical supervisors, managers, academics and paediatricians. Lack of continued funding to educate skilled postgraduate paediatric physiotherapy clinicians means that rural children with physical disabilities will continue to be disadvantaged. DA - 2014/01// PY - 2014 DP - EBSCOhost VL - 14 IS - 1 SP - 1 EP - 11 J2 - Rural & Remote Health SN - 1445-6354 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=97520004&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Quality of Health Care KW - Patients KW - Human KW - Questionnaires KW - Funding Source KW - Descriptive Statistics KW - Professional Development KW - Personnel Retention KW - Pretest-Posttest Design KW - Pilot Studies KW - Confidence KW - Health Manpower KW - Physical Therapists -- Education KW - Rural Health KW - Pediatric Care -- Education ER - TY - JOUR TI - Building capacity to use and undertake applied health research: establishing a training programme for the health workforce in the West of England. AU - Sabey, Abigail AU - Bray, Isabelle AU - Gray, Selena T2 - Public Health (Elsevier) AB - Abstract Objectives Increasing research capacity is important for health services as part of improving the conduct of high-quality research, which addresses the needs of patients and the public. It is a core function of the 13 Collaborations for Leadership in Applied Health Research and Care (CLAHRCs) established in England between 2008 and 2013. This article reports on the development of an innovative capacity building programme in CLAHRC West over an 18-month period (May 2015 to December 2016). It aims to disseminate the learning from the initiative and share our experience with other CLAHRCs. Study design The study design was an evaluation of a training programme to build research capacity. Methods We carried out a training needs assessment among local stakeholders and scoped existing provision of research-related training. This informed the development of a programme of free short courses, which were targeted at health and social care professionals including those working in local authorities and the voluntary sector. We aimed to engage professionals working at all levels in these organisations and to promote interprofessional education, to build a research culture. We engaged a variety of educators to provide a range of 1-day courses at an introductory level, which were accessible to practitioners. Results During the first 18 months of the training programme, we delivered 31 courses and trained 350 participants. Attendees came from secondary care (20%), voluntary sector (18%) and local authorities (18%). Professionals working in the mental health sector comprised 11% and commissioning 6%. Less well represented were primary care (3%) and community care (4%). The largest professional group was public health, followed by medical, nursing and allied health professionals in approximately equal proportions. Courses were evaluated on a scale of 1 (poor) to 4 (excellent) with the mean being 3.6 (range 3.3–4.0). Conclusions The training programme has been highly successful with many courses oversubscribed, and all courses being well evaluated by participants. It has met the needs of local professionals for brief, applied training in research, as well as attracting those from other parts of the United Kingdom, suggesting the courses are both appropriate and helping to fill a gap in provision. We are building on this work to further engage audiences working in areas such as the wider determinants of health and commissioning, as well as primary and community sectors. CLAHRCs are uniquely placed to drive a culture change in the use, understanding and application of research across the healthcare community. Highlights • Brief, applied training in research skills engages new audiences from the health workforce. • An interprofessional approach to training is valued by participants. • CLAHRCs can help meet health professionals' need for research-related CPD. DA - 2019/02// PY - 2019 DO - 10.1016/j.puhe.2018.11.001 DP - EBSCOhost VL - 167 SP - 62 EP - 69 J2 - Public Health (Elsevier) SN - 0033-3506 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134615962&site=ehost-live&scope=site DB - CINAHL Complete KW - Program Evaluation KW - Primary Health Care KW - United Kingdom KW - Public Health KW - Community Health Services KW - Collaboration KW - Needs Assessment KW - Social Determinants of Health KW - England KW - Program Development KW - Human KW - Mental Health Services KW - Health Manpower KW - Education, Interdisciplinary KW - Applied Research -- England KW - Health Services Research -- England KW - Secondary Health Care ER - TY - JOUR TI - Building clinical academic leadership capacity: sustainability through partnership. AU - Westwood, Greta AU - Richardson, Alison AU - Latter, Sue AU - Macleod Clark, Jill AU - Fader, Mandy T2 - Journal of Research in Nursing AB - Background A national clinical academic training programme has been developed in England for nurses, midwives and allied health professionals but is insufficient to build a critical mass to have a significant impact on improved patient care. Aim We describe a partnership model led by the University of Southampton and its neighbouring National Health Service partners that has the potential to address this capacity gap. In combination with the Health Education England/National Institute of Health Research Integrated Clinical Academic programme, we are currently supporting nurses, midwives and allied health professionals at Master’s (n = 28), Doctoral (n = 36), Clinical Lecturer (n = 5) and Senior Clinical Lecturer (n = 2) levels working across seven National Health Service organisations, and three nurses hold jointly funded Clinical Professor posts. Results Key to the success of our partnership model is the strength of the strategic relationship developed at all levels across and within the clinical organisations involved, from board to ward. We are supporting nurses, midwives and allied health professionals to climb, in parallel, both clinical and academic career ladders. We are creating clinical academic leaders who are driving their disciplines forward, impacting on improved health outcomes and patient benefit. Conclusions We have demonstrated that our partnership model is sustainable and could enable doctoral capacity to be built at scale. DA - 2018/06// PY - 2018 DO - 10.1177/1744987117748348 DP - EBSCOhost VL - 23 IS - 4 SP - 346 EP - 357 J2 - Journal of Research in Nursing SN - 1744-9871 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130022773&site=ehost-live&scope=site DB - CINAHL Complete KW - Leadership KW - National Health Programs KW - Workforce KW - Collaboration KW - England KW - Human KW - Professional Development KW - Personnel Recruitment KW - Personnel Retention KW - Descriptive Research KW - Clinical Nursing Research KW - Allied Health Personnel KW - Education, Doctoral KW - Faculty, Allied Health KW - Education, Masters KW - Awards and Honors KW - Midwives KW - Colleges and Universities KW - Doctorally Prepared Nurses KW - Faculty, Nursing KW - Masters-Prepared Nurses ER - TY - JOUR TI - Building Leadership Skills and Promoting Workforce Development: Evaluation Data Collected from Public Health Professionals in the Field of Maternal and Child Health. AU - Kroelinger, Charlan AU - Kasehagen, Laurin AU - Barradas, Danielle AU - 'Ali, Zarinah T2 - Maternal & Child Health Journal AB - Professional development, including training and leadership skill building, is important for maternal and child health (MCH) epidemiologists. Current workforce development and training opportunities vary, but lack an emphasis on linking leadership competencies with MCH epidemiology. This paper describes efforts at the annual MCH Epidemiology Conference (the 'Conference') to promote leadership activities and workforce development, and recommendations to enhance professional development. An evaluation of attendee opinions on Conference workforce development activities was conducted during the 2009 and 2010 Conferences (70 and 66 % response rates, respectively). Frequencies and percentages were calculated overall and by attendee profession. Qualitative responses to questions regarding workforce and professional development were classified by theme in 2009, and a categorical question was developed for the 2010 evaluation. A combined 38 % of Conference attendees in 2009 and 2010 were MCH epidemiologists and 62 % were other MCH professionals. Attendees recommended more support and access to training, mentoring, and resources including job opportunities. Continuing education (41 %), special knowledge and skills-building training (51 %), and development of online resources for training (57 %) were highly recommended by attendees. Career (47 %) and leadership (49 %) mentoring by senior-level professionals in the field were also highly recommended. Promotion of leadership can be achieved by integrating the concept of leadership into the Conference itself; by publishing and disseminating MCH epidemiologic research in scientific, program, and policy settings; and by communicating the importance of epidemiologic findings to stakeholders and other non-scientific audiences. DA - 2012/12/02/ PY - 2012 DO - 10.1007/s10995-012-1098-4 DP - EBSCOhost VL - 16 SP - 370 EP - 375 J2 - Maternal & Child Health Journal SN - 1092-7875 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104396649&site=ehost-live&scope=site DB - CINAHL Complete KW - Leadership KW - Workforce KW - Data Collection KW - Program Development KW - Professional Role KW - Human KW - Qualitative Studies KW - Funding Source KW - Congresses and Conferences KW - Professional Development KW - Maternal-Child Health KW - Mentorship KW - Allied Health Personnel -- Education KW - Epidemiology -- Education ER - TY - JOUR TI - Building Leadership Skills and Promoting Workforce Development: Evaluation Data Collected from Public Health Professionals in the Field of Maternal and Child Health. AU - Kroelinger, Charlan AU - Kasehagen, Laurin AU - Barradas, Danielle AU - 'ali, Zarinah T2 - Maternal & Child Health Journal AB - Professional development, including training and leadership skill building, is important for maternal and child health (MCH) epidemiologists. Current workforce development and training opportunities vary, but lack an emphasis on linking leadership competencies with MCH epidemiology. This paper describes efforts at the annual MCH Epidemiology Conference (the 'Conference') to promote leadership activities and workforce development, and recommendations to enhance professional development. An evaluation of attendee opinions on Conference workforce development activities was conducted during the 2009 and 2010 Conferences (70 and 66 % response rates, respectively). Frequencies and percentages were calculated overall and by attendee profession. Qualitative responses to questions regarding workforce and professional development were classified by theme in 2009, and a categorical question was developed for the 2010 evaluation. A combined 38 % of Conference attendees in 2009 and 2010 were MCH epidemiologists and 62 % were other MCH professionals. Attendees recommended more support and access to training, mentoring, and resources including job opportunities. Continuing education (41 %), special knowledge and skills-building training (51 %), and development of online resources for training (57 %) were highly recommended by attendees. Career (47 %) and leadership (49 %) mentoring by senior-level professionals in the field were also highly recommended. Promotion of leadership can be achieved by integrating the concept of leadership into the Conference itself; by publishing and disseminating MCH epidemiologic research in scientific, program, and policy settings; and by communicating the importance of epidemiologic findings to stakeholders and other non-scientific audiences. DA - 2012/12/02/ PY - 2012 DO - 10.1007/s10995-012-1098-4 DP - EBSCOhost VL - 16 SP - 370 EP - 375 J2 - Maternal & Child Health Journal SN - 1092-7875 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=84107700&site=ehost-live&scope=site DB - CINAHL Complete KW - Leadership KW - Workforce KW - Data Collection KW - Program Development KW - Professional Role KW - Human KW - Qualitative Studies KW - Funding Source KW - Congresses and Conferences KW - Professional Development KW - Maternal-Child Health KW - Mentorship KW - Allied Health Personnel -- Education KW - Epidemiology -- Education ER - TY - JOUR TI - California. Board of Registered Nursing. California Nursing Practice Act with regulations and related statutes. T2 - California. Board of Registered Nursing. California Nursing Practice Act With Regulations & Related Statutes DA - 2011/01// PY - 2011 DP - EBSCOhost SP - 458 EP - p-458 p J2 - California. Board of Registered Nursing. California Nursing Practice Act With Regulations & Related Statutes UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109854891&site=ehost-live&scope=site DB - CINAHL Complete KW - Housing KW - Social Welfare KW - California KW - Rehabilitation KW - Employment KW - Medicaid KW - Medical Records KW - Child Abuse KW - Community Health Nursing KW - Advanced Nursing Practice KW - Crime KW - Elder Abuse KW - Fraud KW - Fees and Charges KW - Registered Nurses KW - Telehealth KW - Health Manpower KW - Occupational Health KW - Government Agencies KW - Nurse Practitioners KW - Practical Nurses KW - Certification KW - Insurance, Disability KW - Psychologists KW - Supervisors and Supervision KW - Education, Nursing KW - Foundations KW - Schools, Nursing KW - Health Occupations KW - Delegation of Authority KW - Registration KW - Faculty, Nursing KW - Advertising KW - Arbitration KW - Civil Rights KW - Clinical Nurse Specialists KW - Consumers KW - Contracts KW - Corporations KW - Credentialing Examinations KW - Damages, Legal KW - Discrimination KW - Education, Nurse Midwifery KW - Education, Nursing, Continuing KW - Education, Nursing, Masters KW - Employee Records KW - Employee Rights KW - Entry Into Practice KW - Gerontologic Nurse Practitioners KW - Government Regulations KW - Health Facilities KW - Impairment, Health Professional KW - Insurance KW - Insurance, Life KW - Insurance, Unemployment KW - Legal Procedure KW - Liability, Legal KW - License Revocation KW - Licensure, Nursing KW - Malpractice KW - Mandatory Reporting KW - Nurse Anesthetists KW - Nurse Midwives KW - Nurse Practice Acts -- California KW - Nurse-Patient Ratio KW - Occupational Safety KW - Peer Assistance Programs KW - Prescriptive Authority KW - Privacy and Confidentiality KW - Professional Discipline KW - Professional Misconduct KW - Professional Regulation KW - Punishment KW - Recertification KW - Scope of Nursing Practice KW - State Boards of Nursing KW - Voluntary Reporting ER - TY - JOUR TI - Can attribution theory explain carers' propensity to help men with intellectual disabilities who display inappropriate sexual behaviour? AU - Willner P AU - Smith M T2 - Journal of Intellectual Disability Research AB - AIM: This study examined the responses of care managers and direct care staff to vignettes of inappropriate sexual behaviour by a man with an intellectual disability. The aim was to test the theory that helping behaviour is determined by emotional responses (positive and negative emotional reactions, and optimism), which in turn are determined by causal attributions (respectively: controllability and stability of the incident depicted in the vignette). METHOD: The vignettes varied in response topography and the age of the victim. Regression analysis was used to examine the relationships between causal attributions, emotional responses, and willingness to invest extra time and effort in the service user's care. RESULTS: No support was found for the pathway: low controllability --> increased sympathy and/or decreased negative emotions --> increased helping. However, strong support was found for the pathway: low stability --> high optimism --> increased helping, particularly in direct care staff. High levels of sympathy were also associated with increased helping, the effect again being mediated by feelings of optimism. CONCLUSIONS: The data provide support for one (but not the other) strand of attribution theory as applied to inappropriate sexual behaviour. The discussion considers the discrepancy between the present data and the far less encouraging literature on attribution theory as applied to challenging behaviour. DA - 2008/01// PY - 2008 DP - EBSCOhost VL - 52 IS - 1 SP - 79 EP - 88 J2 - Journal of Intellectual Disability Research SN - 0964-2633 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105750272&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Attitude of Health Personnel KW - Models, Theoretical KW - Sex Factors KW - Social Workers KW - Professional-Patient Relations KW - Nurses KW - Emotions KW - Psychological Theory KW - Human KW - Questionnaires KW - Data Analysis Software KW - Descriptive Statistics KW - Summated Rating Scaling KW - T-Tests KW - Multiple Regression KW - Sexuality KW - Factor Analysis KW - Causal Attribution KW - Caregivers -- Psychosocial Factors KW - Correlation Coefficient KW - Intellectual Disability -- Psychosocial Factors KW - Vignettes ER - TY - JOUR TI - Canada's health workforce: a snapshot. T2 - Healthcare Quarterly DA - 2009/03// PY - 2009 DP - EBSCOhost VL - 12 IS - 1 SP - 140 EP - 140 J2 - Healthcare Quarterly SN - 1710-2774 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105449328&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Canada KW - Occupational Therapists KW - Physicians KW - Pharmacists KW - Registered Nurses KW - Physical Therapists KW - Health Manpower -- Canada ER - TY - JOUR TI - Canada's Health Workforce: A Snapshot. T2 - Healthcare Quarterly DA - 2013/03// PY - 2013 DP - EBSCOhost VL - 16 IS - 1 SP - 97 EP - 98 J2 - Healthcare Quarterly SN - 1710-2774 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107945126&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Canada KW - Occupational Therapists KW - Pharmacists KW - Registered Nurses KW - Physical Therapists KW - Health Manpower -- Canada KW - Medical Technologists KW - Radiation Therapy Technologists ER - TY - JOUR TI - Canadian Institute for Health Information -- the MIS Standards. AU - McAllister S AU - Leveille P AU - Erwin J T2 - Canadian Journal of Medical Laboratory Science DA - 2008/09// PY - 2008 DP - EBSCOhost VL - 70 IS - 5 SP - 155 EP - 156 J2 - Canadian Journal of Medical Laboratory Science SN - 1207-5833 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105572571&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Canada KW - Workload KW - Allied Health Personnel KW - Medical Technologists KW - Data Collection -- Standards KW - Management Information Systems -- Standards KW - Resource Databases -- Standards ER - TY - JOUR TI - Capacity building of midwifery faculty to implement a 3-years midwifery diploma curriculum in Bangladesh: A process evaluation of a mentorship programme. AU - Erlandsson, Kerstin AU - Doraiswamy, Sathyanarayanan AU - Wallin, Lars AU - Bogren, Malin T2 - Nurse Education in Practice AB - When a midwifery diploma-level programme was introduced in 2010 in Bangladesh, only a few nursing faculty staff members had received midwifery diploma-level. The consequences were an inconsistency in interpretation and implementation of the midwifery curriculum in the midwifery programme. To ensure that midwifery faculty staff members were adequately prepared to deliver the national midwifery curriculum, a mentorship programme was developed. The aim of this study was to examine feasibility and adherence to a mentorship programme among 19 midwifery faculty staff members who were lecturing the three years midwifery diploma-level programme at ten institutes/colleges in Bangladesh. The mentorship programme was evaluated using a process evaluation framework: (implementation, context, mechanisms of impact and outcomes). An online and face-to-face blended mentorship programme delivered by Swedish midwifery faculty staff members was found to be feasible, and it motivated the faculty staff members in Bangladesh both to deliver the national midwifery diploma curriculum as well as to carry out supportive supervision for midwifery students in clinical placement. First, the Swedish midwifery faculty staff members visited Bangladesh and provided a two-days on-site visit prior to the initiation of the online part of the mentorship programme. The second on-site visit was five-days long and took place at the end of the programme, that being six to eight months from the first visit. Building on the faculty staff members’ response to feasibility and adherence to the mentorship programme, the findings indicate opportunities for future scale-up to all institutes/collages providing midwifery education in Bangladesh. It has been proposed that a blended online and face-to-face mentorship programme may be a means to improving national midwifery programmes in countries where midwifery has only recently been introduced. DA - 2018/03// PY - 2018 DO - 10.1016/j.nepr.2018.02.006 DP - EBSCOhost VL - 29 SP - 212 EP - 218 J2 - Nurse Education in Practice SN - 1471-5953 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128984734&site=ehost-live&scope=site DB - CINAHL Complete KW - Curriculum KW - Internet KW - Program Development KW - Professional Role KW - Human KW - Midwifery KW - Health Manpower KW - Faculty, Allied Health KW - Student Placement KW - Bangladesh KW - Clinical Supervision KW - Education, Midwifery -- Bangladesh KW - Mentorship -- Evaluation -- Bangladesh KW - Mentorship -- Methods -- Bangladesh ER - TY - JOUR TI - Capacity of Physiotherapy Workforce Production in Thailand: Public-Private Mix, Secular Trend and Geographic Distribution. AU - Kaewsawang, Sarinee AU - Chongsuvivatwong, Virasakdi AU - Vongsirinavarat, Mantana T2 - Physiotherapy Research International AB - Background and Purpose In Thailand, the shortage of physiotherapists has been an increasing concern because of increased health burden from demographic and epidemiologic changes. This study aims to analyse the current situation of the physiotherapy workforce production system, secular trend, geographical distribution and comparison of public and private physiotherapy training institutes. Methods Longitudinal data related to production capacity of the physiotherapy institutes were applied. Data from 2008 to 2012 were obtained from all 16 physiotherapy institutes in Thailand. Data during 2000-2007 were also retrieved from annual reports from the Ministry of Education. Descriptive statistics were initially used. Comparison was made between public and private physiotherapy institutes in terms of the number of students admitted and graduated, number of teachers, annual tuition fee, student-teacher ratio and dropout rate within 1 year. Predictive factors for graduation within 4 years were determined using logistic regression. Results In Thailand, there was an average of 800 physiotherapy graduates per year. New private institutes have been recently established and have steadily increased student admission rates. However, this has resulted in a high student-teacher ratio (median 7.1, inter-quartile range (IQR) 5.9-10.0). The first-year dropout rate in 2012 was 29.1%. Geographically, the majority of the institutes are clustered in the central region. Multivariate analysis revealed significantly lower probability of graduation within 4 years among students admitted to the private institutes and those in non-north-east region. Conclusion The production capacity of the physiotherapy workforce is below an estimated need. Private physiotherapy institutes need more support to improve the situation of staff shortages and student graduation rates. The non-central regions should be encouraged to produce more physiotherapists. Copyright © 2015 John Wiley & Sons, Ltd. DA - 2016/06// PY - 2016 DO - 10.1002/pri.1629 DP - EBSCOhost VL - 21 IS - 2 SP - 127 EP - 132 J2 - Physiotherapy Research International SN - 1358-2267 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115897954&site=ehost-live&scope=site DB - CINAHL Complete KW - Prospective Studies KW - Forecasting KW - Odds Ratio KW - Thailand KW - Multivariate Analysis KW - Confidence Intervals KW - Human KW - Questionnaires KW - Descriptive Statistics KW - Logistic Regression KW - P-Value KW - Personnel Shortage KW - Faculty KW - Public Sector KW - Private Sector KW - Colleges and Universities KW - Academic Performance KW - Education, Physical Therapy -- Economics KW - Education, Physical Therapy -- Thailand KW - Geographic Factors -- Thailand KW - New Graduates -- Evaluation KW - Physical Therapy -- Thailand KW - School Admissions -- Trends KW - Student Dropouts -- Trends KW - Workforce -- Thailand ER - TY - JOUR TI - CAPACITY-BUILDING IN CLINICAL SKILLS OF REHABILITATION WORKFORCE IN LOW- AND MIDDLE-INCOME COUNTRIES. AU - KHAN, Fary AU - AMATYA, Bhasker AU - DE GROOTE, Wouter AU - OWOLABI, Mayowa AU - SYED, Ilyas M. AU - HAJJOUI, Abderrazak AU - BABUR, Muhammad N. AU - SAYED, Tahir M. AU - FRIZZELL, Yvonne AU - NAICKER, Amaramalar S. AU - FOURTASSI, Maryam AU - ELMALIK, Alaeldin AU - GALEA, Mary P. T2 - Journal of Rehabilitation Medicine (Stiftelsen Rehabiliteringsinformation) AB - Objective: Despite the prevalence of disability in low-and middle-income countries, the clinical skills of the rehabilitation workforce are not well described. We report health professionals' perspectives on clinical skills in austere settings and identify context-specific gaps in workforce capacity. Methods: A cross-sectional pilot survey (Pakistan, Morocco, Nigeria, Malaysia) of health professionals working in rehabilitation in hospital and community settings. A situational-analysis survey captured assessment of clinical skills required in various rehabilitation settings. Responses were coded in a line-by-line process, and linked to categories in domains of the International Classification of Functioning, Disability and Health (ICF). Results: Respondents (n = 532) from Pakistan 248, Nigeria 159, Morocco 93 and Malaysia 32 included the following: physiotherapists (52.8%), nurses (8.8%), speech (5.3%) and occupational therapists (8.5%), rehabilitation physicians (3.8%), other doctors (5.5%) and prosthetist/orthotists (1.5%). The 10 commonly used clinical skills reported were prescription of: physical activity, medications, transfer-techniques, daily-living activities, patient/carer education, diagnosis/screening, behaviour/cognitive interventions, comprehensive patient-care, referrals, assessments and collaboration. There was significant overlap in skills listed irrespective of profession. Most responses linked with ICF categories in activities/participation and personal factors. Conclusion: The core skills identified reflect general rehabilitation practice and a task-shifting approach, to address shortages of health workers in low-and middle-income countries. DA - 2018/06// PY - 2018 DO - 10.2340/16501977-2313 DP - EBSCOhost VL - 50 IS - 5 SP - 472 EP - 479 J2 - Journal of Rehabilitation Medicine (Stiftelsen Rehabiliteringsinformation) SN - 1650-1977 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129341191&site=ehost-live&scope=site DB - CINAHL Complete KW - Developing Countries KW - Attitude of Health Personnel KW - Workforce KW - Clinical Competence KW - Malaysia KW - Rehabilitation KW - Nigeria KW - Human KW - Data Analysis Software KW - Exploratory Research KW - Descriptive Statistics KW - Survey Research KW - Cross Sectional Studies KW - Descriptive Research KW - Pilot Studies KW - International Classification of Functioning, Disability, and Health KW - Personnel Shortage KW - Pakistan KW - Morocco KW - Rehabilitation -- Methods ER - TY - JOUR TI - Care On The Cheap: a Unison survey. Pt 3. AU - Unison T2 - British Journal of Healthcare Assistants AB - The article discusses survey of support worker opinion conducted by trade union Unison that focuses on development opportunities for healthcare assistants (HCAs) and assistant practitioners (APs), lack of provision catering to support workers' specific needs and lack of accreditation. DA - 2017/02// PY - 2017 DO - 10.12968/bjha.2017.11.2.90 DP - EBSCOhost VL - 11 IS - 2 SP - 90 EP - 93 J2 - British Journal of Healthcare Assistants SN - 1753-1586 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121177406&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - England KW - Surveys KW - Professional Development KW - Nursing Assistants KW - Skill Acquisition KW - Allied Health Personnel -- Education KW - Clinical Supervision KW - Allied Health Personnel -- Economics KW - Attitude of Health Personnel -- Evaluation -- England ER - TY - JOUR TI - Care sectors lead on age diversity. AU - Rickerby A T2 - Therapy Weekly DA - 2006/08/17/ PY - 2006 DP - EBSCOhost VL - 33 IS - 7 SP - 3 EP - 3 J2 - Therapy Weekly SN - 0308-7808 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106214307&site=ehost-live&scope=site DB - CINAHL Complete KW - Aged KW - United Kingdom KW - Rehabilitation KW - Allied Health Personnel -- In Old Age KW - Attitude to Aging KW - Workforce -- In Old Age ER - TY - JOUR TI - Caregiver role strain of older workers. AU - Beitman CL AU - Johnson JL AU - Clark AL AU - Highsmith SR AU - Burgess AL AU - Minor MC AU - Stir AL T2 - Work AB - The purpose of this study was to measure role strain in older adult workers who were also caregivers of frail elders according to Komarovsky's role strain theory, and to determine whether different patterns of role strain exist for male worker-caregivers than females. METHOD: Researchers developed the Job-Caregiver Role Strain Scale Survey, which was adapted from a survey that measured role strain in working parents and spouses. Surveys were distributed to 11 male and 34 female older workers who were also caregivers. RESULTS: A factor analysis was completed, which isolated four factors of role strain. Researchers named the factors time management and arrangements, health and competing role demands, low rewards, and reactions to perceptions. Role strain in older adult worker-caregivers is complex and involves multiple variables. A discriminant function analysis predicted differences in the way older male and female worker-caregivers perceived role strain. Use of role strain theory can assist employers and occupational therapists in developing and maintaining work environments that support not only the older employee's work performance, but participation in the role of elder caregiver as well. DA - 2004/03// PY - 2004 DP - EBSCOhost VL - 22 IS - 2 SP - 99 EP - 106 J2 - Work SN - 1051-9815 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106753460&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Aged KW - Workforce KW - Sex Factors KW - Discriminant Analysis KW - Aged, 80 and Over KW - Human KW - Data Analysis Software KW - Middle Age KW - Descriptive Statistics KW - Survey Research KW - Caregiver Burden KW - Research Instruments KW - Validation Studies KW - Content Validity KW - Summated Rating Scaling KW - Conceptual Framework KW - Factor Analysis KW - Data Analysis, Statistical KW - Role Stress ER - TY - JOUR TI - Case managers needed to address complex health care needs. AU - Canady, Valerie A. T2 - Mental Health Weekly AB - The article focuses on need for increasing the case managers workforce in the health care industry as per the Commission for Case Manager Certification (CCMC). It mentions several tasks performed by case managers including coordinating care between settings, bringing clarity to confusing terminology, and connecting clients to the resources. It also mentions views of Vivian Campagna, chief industry relations officer for the CCMC, on need for case managers. DA - 2017/10/16/ PY - 2017 DO - 10.1002/mhw.31224 DP - EBSCOhost VL - 27 IS - 40 SP - 3 EP - 4 J2 - Mental Health Weekly SN - 1058-1103 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125715631&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Social Workers KW - Professional Role KW - Professional Development KW - Personnel Shortage KW - Case Managers ER - TY - JOUR TI - CCBHCs meeting workforce challenges head‐on in hiring practices. AU - Canady, Valerie A. T2 - Mental Health Weekly AB - The article provides information on the Certified Community Behavioral Health Clinic (CCBHC) demonstration program. Topics discussed include National Council for Behavioral Health and workforce shortage in medical care; low reimbursement rates and competitive salaries; and role of primary care providers. DA - 2018/05/07/ PY - 2018 DO - 10.1002/mhw.31436 DP - EBSCOhost VL - 28 IS - 18 SP - 1 EP - 3 J2 - Mental Health Weekly SN - 1058-1103 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129512516&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Personnel KW - Workforce KW - Salaries and Fringe Benefits KW - Program Development KW - Health Behavior KW - Health Services Accessibility KW - Medicaid KW - Personnel Selection KW - Mental Health Services KW - Consumer Participation KW - Dietitians KW - Professional Organizations KW - Case Managers KW - Fee for Service Plans KW - Meetings KW - Psychiatrists -- Economics KW - Reimbursement Mechanisms KW - United States Centers for Medicare and Medicaid Services ER - TY - JOUR TI - Certified Dietary Managers: Then and Now. AU - Romero, Olevia T2 - Nutrition & Foodservice Edge DA - 2020/04/03/Mar/ undefined PY - 2020 DP - EBSCOhost VL - 29 IS - 2 SP - 37 EP - 39 J2 - Nutrition & Foodservice Edge SN - 2164-9669 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142036285&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Education KW - Knowledge KW - Nutrition KW - Diet -- Classification KW - Dietitians -- Trends KW - Food Services KW - Technology ER - TY - JOUR TI - Challenges in preparing the dietetics workforce of the future: An exploration of dietetics educators' experiences. AU - Morgan, Kate AU - Reidlinger, Dianne P. AU - Sargeant, Sally AU - Crane, Linda AU - Campbell, Katrina L. T2 - Nutrition & Dietetics AB - Aim: Dietetics educators represent a small but influential workforce group that has experienced significant change in recent years. The workforce development challenges faced by this group have been largely unexplored. The present study aimed to explore the experiences of, and challenges faced by, academic dietetics educators in preparing dietitians for the workforce. Methods: The approach taken in the present study was informed by qualitative description. Fifteen dietetics educators employed by 13 universities across Australia were purposively sampled. In‐depth, semi‐structured interviews conducted via telephone (n = 12) or face‐to‐face (n = 3) were digitally recorded then transcribed verbatim. Data were managed with NVivo and inductively analysed using open coding. Codes were condensed into themes through an iterative process involving multiple researchers. Results: The overarching theme of 'aiming for a moving target' was underpinned by the themes of: (i) striving for betterment; (ii) bridging dissonance and (iii) distressing impossibilities. Interviewees described how they were driven to enhance the preparation of dietitians but acknowledged disparity between what graduates are being prepared for and what they need to be prepared for. Heightened expectations of others, professional constraints and a lack of collegiality among the profession were among the challenges that manifested in a sense of frustration, concern and isolation. Conclusions: Dietetics educators are motivated to shape and enhance the future profession. However, they face numerous challenges in their efforts to prepare graduates who are well‐equipped for increasingly diverse dietetics practice. Strong leadership, academic collaboration and greater engagement of the broader workforce are required for the benefit of the entire profession. DA - 2019/09// PY - 2019 DO - 10.1111/1747-0080.12438 DP - EBSCOhost VL - 76 IS - 4 SP - 382 EP - 391 J2 - Nutrition & Dietetics SN - 1446-6368 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138520011&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Workforce KW - Queensland KW - Human KW - Qualitative Studies KW - Audiorecording KW - Data Analysis Software KW - Middle Age KW - Funding Source KW - Semi-Structured Interview KW - Purposive Sample KW - Professionalism KW - Open-Ended Questionnaires KW - Dietetics KW - Dietitians -- Manpower KW - Health Educators -- Psychosocial Factors KW - Social Constructionism ER - TY - JOUR TI - Change for children with language and communication needs: creating sustainable integrated services. AU - Gascoigne M T2 - Child Language Teaching & Therapy DA - 2008/06// PY - 2008 DP - EBSCOhost VL - 24 IS - 2 SP - 133 EP - 154 J2 - Child Language Teaching & Therapy SN - 0265-6590 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105780821&site=ehost-live&scope=site DB - CINAHL Complete KW - Child KW - United Kingdom KW - Health Policy KW - National Health Programs KW - Workforce KW - Models, Theoretical KW - Collaboration KW - Professional Practice KW - Professional Role KW - Support, Psychosocial KW - Health Care Delivery, Integrated KW - Child Health Services KW - Interinstitutional Relations KW - Language Therapy KW - Legislation KW - Practice Guidelines KW - Speech Therapy KW - Speech-Language Pathologists KW - Speech-Language Pathology -- In Infancy and Childhood KW - Speech-Language Pathology -- Standards ER - TY - JOUR TI - Change for children? The challenges and opportunities for the children's social work workforce. AU - Gupta A AU - Blewett J T2 - Child & Family Social Work AB - Children's services are currently undergoing their biggest changes in a generation. The government is seeking to create a more coherent, seamless configuration of services, with a view to securing improved outcomes for all children. However, there is a current crisis in the recruitment and retention of a range of child welfare professionals, including children's social workers, which must be addressed in order for this ambitious agenda to be achieved. This paper discusses the findings of a series of focus group discussions with social workers undertaking the London Post Qualifying Child Care Award in response to the 'Children's Workforce Strategy' consultation process. These findings are then analysed within the context of the wider literature on social work practice and workforce development. It is argued that central to the debate on how to sustain a competent and stable social work workforce should be consideration of the consequences of initiatives to audit and assess performance; the promotion of relationship-based social work; and the wider role of social work in preventative and protective services for children. DA - 2007/05// PY - 2007 DP - EBSCOhost VL - 12 IS - 2 SP - 172 EP - 181 J2 - Child & Family Social Work SN - 1356-7500 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105999403&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Workforce KW - Focus Groups KW - Interpersonal Relations KW - Social Workers KW - England KW - Professional Role KW - Workload KW - Public Policy KW - Human KW - Clinical Indicators KW - Personnel Recruitment KW - Personnel Retention KW - Child Welfare KW - Social Worker Attitudes KW - Authority KW - Social Work Service -- Administration ER - TY - MANSCPT TI - Changing lives, changing practice: occupational therapy in social work, enabling independent living in Scotland. AU - Riley J DA - 2010/01// PY - 2010 DP - EBSCOhost SP - 32 p UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109855019&site=ehost-live&scope=site DB - CINAHL Complete KW - Scotland KW - Workforce KW - Rehabilitation KW - Occupational Therapists KW - Professional Role KW - Professional Development KW - Personnel Recruitment KW - Personnel Retention KW - Social Work Service KW - Education, Occupational Therapy KW - Occupational Therapy -- Scotland KW - Occupational Therapy Practice ER - TY - JOUR TI - Characteristics and staff resources of child and adolescent psychiatric hospital wards in Finland. AU - Ellilä H AU - Sourander A AU - Välimäki M AU - Piha J T2 - Journal of Psychiatric & Mental Health Nursing (Wiley-Blackwell) AB - The aim of this study is to describe structural characteristics and staff resources of child psychiatric and adolescent psychiatric hospital wards in Finland. The target group of the survey consisted of 69 child and adolescent psychiatric hospital units in Finland. Information was obtained from 64 units (93%). Most of the wards were based on 24-h-a-day provision. There were only 7-day-treatment programmes including two family wards. When compared internationally, the numbers of units, beds and staff levels were high in Finland, with all members of staff qualified. The nurse-patient ratio and psychiatrist resources were rather satisfactory. However, in many units there was a lack of psychologists, social workers and occupational therapists. General recommendations and guidelines for staff resources in child and adolescent hospital treatment wards are warranted. DA - 2005/04// PY - 2005 DO - 10.1111/j.1365-2850.2004.00821.x DP - EBSCOhost VL - 12 IS - 2 SP - 209 EP - 214 J2 - Journal of Psychiatric & Mental Health Nursing (Wiley-Blackwell) SN - 1351-0126 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106622570&site=ehost-live&scope=site DB - CINAHL Complete KW - Child KW - Adolescence KW - Child, Preschool KW - Finland KW - Social Workers KW - Personnel Staffing and Scheduling KW - Occupational Therapists KW - Infant KW - Infant, Newborn KW - Physicians KW - Psychiatric Nursing KW - Inpatients KW - Human KW - Questionnaires KW - Descriptive Statistics KW - Mental Health Services KW - Psychologists KW - Nurse-Patient Ratio KW - Bed Occupancy KW - Hospitals, Psychiatric -- Manpower KW - Personnel, Health Facility ER - TY - JOUR TI - Characteristics and staff resources of child and adolescent psychiatric hospital wards in Finland. AU - Ellilä, H. AU - Sourander, A. AU - Välimäki, M. AU - Piha, J. T2 - Journal of Psychiatric & Mental Health Nursing (Wiley-Blackwell) AB - ELLILÄ H., SOURANDER A., VÄLIMÄKI M.&PIHA J. (2005)Journal of Psychiatric and Mental Health Nursing12,209–214Characteristics and staff resources of child and adolescent psychiatric hospital wards in FinlandThe aim of this study is to describe structural characteristics and staff resources of child psychiatric and adolescent psychiatric hospital wards in Finland. The target group of the survey consisted of 69 child and adolescent psychiatric hospital units in Finland. Information was obtained from 64 units (93%). Most of the wards were based on 24-h-a-day provision. There were only 7-day-treatment programmes including two family wards. When compared internationally, the numbers of units, beds and staff levels were high in Finland, with all members of staff qualified. The nurse–patient ratio and psychiatrist resources were rather satisfactory. However, in many units there was a lack of psychologists, social workers and occupational therapists. General recommendations and guidelines for staff resources in child and adolescent hospital treatment wards are warranted. DA - 2005/04// PY - 2005 DO - 10.1111/j.1365-2850.2004.00821.x DP - EBSCOhost VL - 12 IS - 2 SP - 209 EP - 214 J2 - Journal of Psychiatric & Mental Health Nursing (Wiley-Blackwell) SN - 1351-0126 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=16454580&site=ehost-live&scope=site DB - CINAHL Complete ER - TY - JOUR TI - Characterizing the Mammography Technologist Workforce in North Carolina. AU - Henderson, Louise M. AU - Marsh, Mary W. AU - Benefield, Thad AU - Pearsall, Elizabeth AU - Durham, Danielle AU - Schroeder, Bruce F. AU - Bowling, J. Michael AU - Viglione, Cheryl A. AU - Yankaskas, Bonnie C. T2 - Journal of the American College of Radiology AB - Purpose: Mammography technologists' level of training, years of experience, and feedback on technique may play an important role in the breast-cancer screening process. However, information on the mammography technologist workforce is scant.Methods: In 2013, we conducted a survey mailed to 912 mammography technologists working in 224 facilities certified by the Mammography Quality Standards Act in North Carolina. Using standard survey methodology, we developed and implemented a questionnaire on the education and training, work experiences, and workplace interactions of mammography technologists. We aggregated responses using survey weights to account for nonresponse. We describe and compare lead (administrative responsibilities) and nonlead (supervised by another technologist) mammography technologist characteristics, testing for differences, using t-tests and χ(2) analysis.Results: A total of 433 mammography technologists responded (survey response rate = 47.5%; 95% confidence interval [CI]: 44.2%-50.7%), including 128 lead and 305 nonlead technologists. Most mammography technologists were non-Hispanic, white women; their average age was 48 years. Approximately 93% of lead and nonlead technologists had mammography-specific training, but <4% had sonography certification, and 3% had MRI certification. Lead technologists reported more years of experience performing screening mammography (P = .02) and film mammography (P = .03), more administrative hours (P < .0001), and more workplace autonomy (P = .002) than nonlead technologists. Nonlead technologists were more likely to report performing diagnostic mammograms (P = .0004) or other breast imaging (P = .001), discuss image quality with a peer (P = .013), and have frequent face-to-face interaction with radiologists (P = .03).Conclusions: Our findings offer insights into mammography technologists' training and work experiences, highlighting variability in characteristics of lead versus nonlead technologists. DA - 2015/12/15/ PY - 2015 DO - 10.1016/j.jacr.2015.06.001 DP - EBSCOhost VL - 12 IS - 12 B SP - 1419 EP - 1426 J2 - Journal of the American College of Radiology SN - 1546-1440 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111831636&site=ehost-live&scope=site DB - CINAHL Complete KW - Demography KW - North Carolina KW - Educational Status KW - Scales KW - Allied Health Personnel -- Classification KW - Allied Health Personnel -- Statistics and Numerical Data KW - Ferrans and Powers Quality of Life Index KW - Health Manpower -- Statistics and Numerical Data KW - Mammography -- Statistics and Numerical Data KW - Population KW - Technology, Radiologic KW - Technology, Radiologic -- Manpower KW - Workload -- Statistics and Numerical Data ER - TY - JOUR TI - Child welfare design teams: an intervention to improve workforce retention and facilitate organizational development. AU - Caringi JC AU - Strolin-Goltzman J AU - Lawson HA AU - McCarthy M AU - Briar-Lawson K AU - Claiborne N T2 - Research on Social Work Practice AB - Workforce turnover in public child welfare is a national problem. Individual, supervisory, and organizational factors, individually and in combination, account for some of the turnover. Complex, comprehensive interventions are needed to address these several factors and their interactions. A research and development team is field testing one such intervention. The three-component intervention encompasses management consultations, capacity building for supervisors, and a cross-role, intra-agency design team (DT). DTs consist of representative workers from pilot child welfare systems. A social worker from outside the agency facilitates team problem solving focused on retention of workers. DT problem solving combines action research and learning. DTs and their facilitators rely on specially designed tools, protocols, and social work research as they address retention-related priorities. Intervention research findings as well as successful examples of retention-related problem solving indicate the DT intervention's potential contributions to social work education, research, and practice. DA - 2008/11// PY - 2008 DP - EBSCOhost VL - 18 IS - 6 SP - 565 EP - 574 J2 - Research on Social Work Practice SN - 1049-7315 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105563072&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Social Workers KW - Intention KW - Problem Solving KW - Human KW - Funding Source KW - Surveys KW - Chi Square Test KW - Pretest-Posttest Design KW - Action Research KW - Child Welfare KW - Social Work Practice KW - Management -- Methods KW - Education, Social Work KW - Supervisors and Supervision KW - Learning Theory KW - Team Building KW - Conflict Management KW - Organizational Development KW - Personnel Retention -- Methods KW - Personnel Turnover -- Trends KW - Research, Social Work ER - TY - JOUR TI - Choosing to practice in rural dietetics: what factors influence that decision? AU - Heaney SE AU - Tolhurst H AU - Baines SK T2 - Australian Journal of Rural Health AB - OBJECTIVE: The present study aimed to identify those factors that influence the decision of a dietitian to consider working in a rural area. DESIGN: A qualitative design using focus groups was chosen for this study to allow for in-depth data to be obtained. SETTING: University of Newcastle, Callaghan Campus. SUBJECTS: Twenty-three students/new graduates from the Bachelor of Health Science (Nutrition and Dietetics) degree at the University of Newcastle. MAIN OUTCOME MEASURES: Not applicable, this project was an exploratory study. RESULTS: A number of factors that influence the decision of dietetic students and newly graduated dietitians to consider working in a rural area were identified. These fell into the following main thematic areas: job prospects; rural lifestyle; comfort zones; support networks; promotion opportunities/professional development; type of work/work role; rural needs; and time frame. CONCLUSIONS: The present study found that choosing a location to work (whether it be a rural one or not) is a complex process and involves a number of interacting factors. Also those factors that may influence one dietitian to choose a career in a rural area may also be the factors that influence another dietitian not to choose a career in a rural area. DA - 2004/10// PY - 2004 DP - EBSCOhost VL - 12 IS - 5 SP - 192 EP - 196 J2 - Australian Journal of Rural Health SN - 1038-5282 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106588543&site=ehost-live&scope=site DB - CINAHL Complete KW - Decision Making KW - Workforce KW - Focus Groups KW - Time Factors KW - New South Wales KW - Life Style KW - Employment KW - Professional Role KW - Human KW - Qualitative Studies KW - Social Networks KW - Audiorecording KW - Exploratory Research KW - Funding Source KW - Coding KW - Geographic Factors KW - Career Planning and Development KW - Dietitians KW - Dietetics KW - Rural Areas -- New South Wales KW - Students, Dietetics ER - TY - JOUR TI - Client organizations and the management of professional agency work: The case of English health and social care. AU - Kirkpatrick, Ian AU - Hoque, Kim AU - Lonsdale, Chris T2 - Human Resource Management AB - A growing reliance on agency workers can lead to significant risks for client organizations, especially in core organizational roles. It has been suggested while these risk can be mitigated through investments in human resource management (HRM) directed at agency workers, in reality these will be hard to implement. This article draws upon Lepak and Snell's (1999) HR architecture model and uses a comparative case study method to explore this issue, focusing on agency working in core nursing and qualified social worker roles. The findings illustrate how client organizations can become more involved in the management of agency workers than has previously been acknowledged. Our analysis also identifies the conditions that shape this client‐side involvement, including the nature of agency worker contracts, the role of temporary work agencies, competing organizational cost‐control priorities, and perceptions of the regulatory context. These conditions are brought together in a general model for understanding the largely neglected role that client organizations play in the HR management of agency workers. DA - 2019/01// PY - 2019 DO - 10.1002/hrm.21933 DP - EBSCOhost VL - 58 IS - 1 SP - 71 EP - 84 J2 - Human Resource Management SN - 0090-4848 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134117082&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Models, Theoretical KW - England KW - Personnel Management KW - Human KW - Case Studies KW - Academic Medical Centers KW - Social Work Service KW - National Health Programs -- England KW - Strategic Planning KW - Temporary Employment KW - Contract Services -- Administration KW - Health Care Industry KW - Workforce -- Organizations ER - TY - JOUR TI - Client-centred care?...'Equality rules?' [21 October] AU - Campion K T2 - Physiotherapy Frontline DA - 2009/11/04/ PY - 2009 DP - EBSCOhost VL - 15 IS - 19 SP - 21 EP - 21 J2 - Physiotherapy Frontline SN - 1356-9791 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105247873&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Patient Attitudes KW - Minority Groups KW - Physical Therapy KW - Racism KW - Physical Therapists KW - Patient Centered Care ER - TY - JOUR TI - Clinical Aspects Related to Tele-AAC: A Technical Report. AU - Hall, Nerissa AU - Boisvert, Michelle T2 - Perspectives on Augmentative & Alternative Communication DA - 2014/01// PY - 2014 DP - EBSCOhost VL - 23 IS - 1 SP - 18 EP - 33 J2 - Perspectives on Augmentative & Alternative Communication SN - 1940-7475 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103937345&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Software KW - Telehealth KW - Speech-Language Pathologists KW - Alternative and Augmentative Communication KW - Alternative and Augmentative Communication -- Equipment and Supplies KW - American Speech-Language-Hearing Association KW - Quality Assurance KW - Telehealth -- Education ER - TY - JOUR TI - Clinical Aspects Related to Tele-AAC: A Technical Report. AU - Hall, Nerissa AU - Boisvert, Michelle T2 - Perspectives on Augmentative & Alternative Communication DA - 2014/01// PY - 2014 DO - 10.1044/aac23.1.18 DP - EBSCOhost VL - 23 IS - 1 SP - 18 EP - 33 J2 - Perspectives on Augmentative & Alternative Communication SN - 1940-7475 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=95842187&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Software KW - Telehealth KW - Speech-Language Pathologists KW - Alternative and Augmentative Communication KW - Alternative and Augmentative Communication -- Equipment and Supplies KW - American Speech-Language-Hearing Association KW - Quality Assurance KW - Telehealth -- Education ER - TY - JOUR TI - Clinical care ratios: quantifying clinical versus non-clinical care for allied health professionals. AU - Hearn, Cherie AU - Govier, Adam AU - Semciw, Adam Ivan T2 - Australian Health Review AB - Objective. Clinical care ratios (CCRs) are a useful tool that can be used to quantify and benchmark the clinical and non-clinical workloads of allied health professionals. The purpose of this study was to determine if CCRs are influenced by level of seniority, type of role or profession. This will provide meaningful information for allied health service managers to better manage service demand and capacity. Method. Data was collected from 2036 allied health professionals from five professions across 11 Australian tertiary hospitals. Mean (95% confidence intervals) CCRs were calculated according to profession, seniority and role type. A two-way ANOVA was performed to assess the association of CCRs (dependent variable) with seniority level and profession (independent variables). Post-hoc pairwise comparisons identified where significant main or interaction effects occurred (a = 0.05). Results. Significant main effects for seniority level and profession were identified (P < 0.05), but there was no interaction effect. Post-hoc comparisons revealed significant differences between all tier combinations (P < 0.05) with more senior staff having the lowest CCRs. Conclusion. The direct and non-direct clinical components of the allied health professional's workload can be quantified and benchmarked with like roles and according to seniority. The benchmarked CCRs for predominantly clinical roles will enable managers to compare and evaluate like roles and modify non-direct clinical components according to seniority and discipline. DA - 2017/05// PY - 2017 DO - 10.1071/AH16017 DP - EBSCOhost VL - 41 IS - 3 SP - 321 EP - 326 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123290329&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Health Facility Administration KW - Confidence Intervals KW - Personnel Staffing and Scheduling KW - Professional Role KW - Workload KW - Human KW - Descriptive Statistics KW - Outcomes (Health Care) KW - Post Hoc Analysis KW - Two-Way Analysis of Variance KW - Benchmarking KW - Allied Health Personnel KW - Job Experience KW - Work Assignments -- Classification ER - TY - JOUR TI - Clinical education of physiotherapy students in Australia: perceptions of current models. AU - Stiller K AU - Lynch E AU - Phillips AC AU - Lambert P T2 - Australian Journal of Physiotherapy AB - The aim of this study was to seek opinions regarding the perceived advantages and disadvantages of the two main models of clinical education used in Australia. A questionnaire was designed specifically for this study and distributed to physiotherapists involved in clinical education at health units throughout Australia. There were 343 respondents (giving an approximate response rate of 74.5%). In most health units (78.4%) the model of clinical education currently used involves a number of physiotherapists sharing responsibility for the clinical education of students (SR model). Only a minority reported employing a designated clinical educator (DCE) to provide clinical education. Overall, respondents preferred the DCE model to the SR model. The perceived advantages of the DCE model included an increased time to devote to clinical education, improved consistency of supervision and decreased stress levels for staff. DA - 2004/12// PY - 2004 DP - EBSCOhost VL - 50 IS - 4 SP - 243 EP - 247 J2 - Australian Journal of Physiotherapy SN - 0004-9514 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106620922&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Management KW - Time Factors KW - Human KW - Questionnaires KW - Descriptive Statistics KW - Visual Analog Scaling KW - Physical Therapists KW - Faculty, Allied Health KW - Clinical Supervision KW - Education, Clinical -- Australia KW - Education, Physical Therapy -- Australia KW - Faculty Attitudes -- Australia KW - Stress, Occupational KW - Teaching Methods -- Australia ER - TY - JOUR TI - Clinical governance: Implications for occupational therapists in Aotearoa New Zealand. AU - Orton, Yasmin AU - Hocking, Clare T2 - New Zealand Journal of Occupational Therapy AB - The clinical governance model, supported by the New Zealand government, aims to bring about positive change to the public health service by provision of cost effective, population-based quality interventions. The literature has questioned whether clinical governance is realistic in practice, primarily because it requires funding for sufficient staffing ratios, continuing education and leadership opportunities, which may conflict with current government financial goals involving tight budgeting and fiscal prudence in the health service. Occupational therapists will need to decide how they respond to the challenges clinical governance places on them in the context of their practice, their additional quality role and their beliefs. DA - 2017/04// PY - 2017 DP - EBSCOhost VL - 64 IS - 1 SP - 14 EP - 18 J2 - New Zealand Journal of Occupational Therapy SN - 1171-0462 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122651200&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Personnel KW - Management KW - Quality Improvement KW - New Zealand KW - Interprofessional Relations KW - Politics KW - Empowerment KW - Clinical Governance KW - Health Care Reform -- New Zealand KW - Occupational Therapists -- New Zealand ER - TY - JOUR TI - Clinical Placements for the Professions Allied to Medicine, Part 2: Placement Shortages? Two Models that can Solve the Problem. AU - Huddleston, Rosalind T2 - British Journal of Occupational Therapy DA - 1999/07// PY - 1999 DP - EBSCOhost VL - 62 IS - 7 SP - 295 EP - 298 J2 - British Journal of Occupational Therapy SN - 0308-0226 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104006615&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Occupational Therapy KW - Models, Educational KW - Human KW - Questionnaires KW - Medicine KW - Allied Health Personnel KW - Job Market KW - Professional Organizations KW - Occupational Therapists -- Evaluation KW - Personnel Shortage -- Evaluation ER - TY - JOUR TI - Clinical Placements for the Professions Allied to Medicine, Part 2: Placement Shortages? Two Models that can Solve the Problem. AU - Huddleston, Rosalind T2 - British Journal of Occupational Therapy AB - Traditional models of fieldwork education are unable to provide for the increasing numbers of student placements required to cope with the growing demand for qualified staff. Part 1 of this article summarised the recent research carried out in the North West Region which explored many clinical placement issues. It highlighted the need for occupational therapists to use different approaches to fieldwork education and to utilise non-traditional placement models which have the potential to increase the numbers of appropriate learning experiences without compromising the placement quality. Willingness to test new placement models is the key issue. Part 2 of the article looks at current placement provision and describes the advantages and disadvantages of two fieldwork education models identified in the North West Region research: the collaborative and the role-emerging models. These models have the potential to increase the numbers of good quality placements available to occupational therapy students while preparing them for working in a changing and challenging health care environment. DA - 1999/07// PY - 1999 DO - 10.1177/030802269906200704 DP - EBSCOhost VL - 62 IS - 7 SP - 295 EP - 298 J2 - British Journal of Occupational Therapy SN - 0308-0226 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=88407984&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Occupational Therapy KW - Models, Educational KW - Human KW - Questionnaires KW - Medicine KW - Allied Health Personnel KW - Job Market KW - Professional Organizations KW - Occupational Therapists -- Evaluation KW - Personnel Shortage -- Evaluation ER - TY - JOUR TI - CLS competencies expected at entry-level and beyond. AU - Beck SJ AU - Doig K T2 - Clinical Laboratory Science AB - OBJECTIVE: The study was undertaken to assess educators', practitioners', and managers' perceptions of the future job expectations of clinical laboratory scientists (CLSs) and their opinions on the skills that are expected of CLSs at entry-level and with experience.DESIGN: Survey participants were given a list of 44 competencies related to clinical laboratory science (CLS) practice and were asked whether they would expect a graduate of a respected CLS program to perform each competency in one of three educational categories: the first year of practice, with three to five years of experience but no additional education, or with three to five years of experience plus additional education. The competencies were subclassified into one of four major management functions: laboratory operations, human resource management, financial operations, or communications/consultation. Surveys also included eight Lickert-type questions designed to assess the respondents' opinions on the future job expectations of CLS practitioners.PARTICIPANTS: The sample for the survey included 280 directors of CLS educational programs, 600 managers randomly selected from the Clinical Laboratory Management Association (CLMA) membership, and 600 practitioners randomly selected from the American Society for Clinical Laboratory Science (ASCLS) membership.MAIN OUTCOME MEASURES: The percent of respondents selecting each educational category was tabulated and each competency was assigned to one educational category based on the highest percent of respondents selecting that category. The means of the responses to the Lickert-type questions were calculated for all respondents and for each group of respondents (educators, managers, and practitioners).RESULTS: Response rates of 58% (educators), 28% (practitioners), and 39% (managers) were obtained. Of the 44 competencies in the survey, four were expected at career-entry, 17 were expected of CLS graduates with work experience but no additional education, and 23 were expected of CLS graduates with experience plus additional education. Competencies expected in the first year of practice were primarily scientific and technical. With three to five years of practice and no additional education, the expectations for practitioners were primarily in laboratory operations and communications/consultation areas. The majority of the human resource management and financial operations competencies were expected with three to five years of practice and additional education. All participants agreed that CLS staff-level practitioners need more management and administrative skills and that, in the future, CLS practitioners will spend less time performing laboratory tests and more time solving problems. CLS managers were more positive than CLS educators in response to statements asserting that CLT practitioners and non-certified personnel will have an increased role in the laboratory in the future.CONCLUSION: This study suggests that extensive laboratory operations and communication skills are expected of CLS graduates without any additional education beyond their CLS programs. CLS educators should adequately address those areas in the curriculum. Competence in other non-technical skills may not be expected without the benefit of post-baccalaureate education and in these areas, CLS programs can provide a foundation for future learning. DA - 2002/// PY - 2002 DP - EBSCOhost VL - 15 IS - 4 SP - 220 EP - 228 J2 - Clinical Laboratory Science SN - 0894-959X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106814026&site=ehost-live&scope=site DB - CINAHL Complete KW - Analysis of Variance KW - Clinical Competence KW - Human KW - Questionnaires KW - Data Analysis Software KW - Funding Source KW - Surveys KW - Summated Rating Scaling KW - Schools, Allied Health KW - Curriculum Development KW - Medical Technologists KW - Medical Laboratory Technicians KW - Novice Clinicians ER - TY - JOUR TI - Coalition faces America's caregiving workforce crisis head on. AU - Connolly, Caitlin AU - Golden, Robyn T2 - Aging Today DA - 2011/06/05/May/ undefined PY - 2011 DP - EBSCOhost VL - 32 IS - 3 SP - 4 EP - 13 J2 - Aging Today SN - 1067-8379 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108230477&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Health Services Needs and Demand KW - Caregivers KW - Salaries and Fringe Benefits KW - Social Workers KW - Geriatrics KW - Personnel Shortage KW - Specialties, Medical ER - TY - JOUR TI - Collaborating, promoting and influencing to secure the future of the profession...39th annual conference and exhibition of the College of Occupational Therapists, Brighton and Sussex, England. June 30-July 2, 2015. AU - Brown, T. AU - Hackett, J. AU - Baxter, T. AU - Griffiths, S. T2 - British Journal of Occupational Therapy AB - Despite an increasing need for occupational therapy (Centre for Workforce Intelligence 2012), commissioned places for occupational therapy have been reduced. Health Education East Midlands is presently undertaking a strategic review of the educational provision of Occupational Therapy within their locality which includes the University of Derby, the University of Northampton and Sheffield Hallam University. The strategic review aims to consider a range of issues including, the model of education delivered, distribution of education provision, practice based learning, and innovative ways to plan and deliver the future workforce. A presentation to the commissioners and workforce representatives was provided to address these aims, the outcome of which is ongoing. There are potentially far reaching consequences of such a review which could further affect the recruitment of commissioned student occupational therapy places, subsequently impacting on the type and quality of services that users receive. A collaborative approach was therefore agreed between the three universities in order to present a unified voice in influencing the future direction of commissioned places. The College of Occupational Therapists was also an essential partner in this process due to the wider implications for the profession which culminated in the production of a position statement for Higher Education Institutes (COT 2014) to support future discussions across the four nations. This interactive workshop aims to increase awareness of the workforce planning process across health and social care, promote an understanding of some of the current challenges facing the profession and promote confidence in articulating the unique contribution of the profession in current and emerging areas of practice. The workshop will be facilitated by representatives from the three key universities and is aimed at managers, commissioners, occupational therapists as well as students. DA - 2015/08/02/ PY - 2015 DP - EBSCOhost VL - 78 SP - 126 EP - 126 J2 - British Journal of Occupational Therapy SN - 0308-0226 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114117118&site=ehost-live&scope=site DB - CINAHL Complete KW - England KW - Professional Development KW - British Association and College of Occupational Therapists KW - Congresses and Conferences -- England KW - Occupational Therapy Practice ER - TY - JOUR TI - Collective effectiveness in the XV de France: selections and time matter. AU - Sedeaud, Adrien AU - Saulière, Guillaume AU - Marquet, Laurie-Anne AU - Del Vecchio, Scott AU - Bar-Hen, Avner AU - Toussaint, Jean-François T2 - European Journal of Sport Science AB - The aim of this study was to quantify the impact of selections and shared selections in the rugby union. Players’ names, positions, and number of selections were collected for all XV de France’s games (1906–2014). Every team’s percentage of renewal of workforce was calculated for backs and forwards. During the 1987–2014 period, all second row forwards (locks), halfbacks, and centres’ shared selections (number of times when two players have competed together) were recreated. The Best vs. Rest method was applied to these remodelled dyads. They were analysed and compared with surrounding teammates as well as opponents. Head coaches similarly change their workforce for upcoming matches after winning or losing (around 30%), but losing teams renew significantly more positions in their line-ups. The recreated halfbacks, locks, and centres reveal a common pattern. Whether victorious or not, the ‘renewed couples’ victory percentage will congregate towards the XV de France’s victory percentage. For all the best recreated couples, the cumulated number of selections for forwards’ is always higher than the ones part of less efficient teams: 231.3 ± 80 vs. 212.9 ± 91 selections for locks’ teammates (Effect sizes (ES) small, possibly positive, 54.8%). In best recreated couples, number 8’s are significantly more experienced than their counterparts in less efficient pairs (ES small, likely positive, 76.3%). The XV de France’s collective effectiveness relies on a balance between stability and workforce renewal, which allows the building of specific position interactions and builds on experimented forwards packs. Selections and shared selections are serious collective performance parameters associated with performance. DA - 2017/07// PY - 2017 DO - 10.1080/17461391.2017.1291742 DP - EBSCOhost VL - 17 IS - 6 SP - 656 EP - 664 J2 - European Journal of Sport Science SN - 1746-1391 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122979614&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Teamwork KW - Prospective Studies KW - France KW - Human KW - Descriptive Statistics KW - Comparative Studies KW - Effect Size KW - Personnel Recruitment KW - Athletes, Professional KW - Athletic Performance KW - Exercise Physiology KW - Rugby KW - Sports Organizations ER - TY - JOUR TI - College of Occupational Therapists: position statement on lifelong learning. T2 - British Journal of Occupational Therapy AB - This document outlines the College of Occupational Therapists' position on lifelong learning for occupational therapy personnel. It contains minimum standards for pre-registration education and continuing professional development. The Position Statement was endorsed at the April 2002 meeting of the Council of the College of Occupational Therapists. The principles embodied in these statements will now be incorporated into the Standards, Policies and Procedures for the Validation and Periodic Review in Occupational Therapy Education (JVC 1997), a new lifelong learning strategy and the forthcoming revision of the Curriculum Framework Document for Occupational Therapy Education (COT 1998).The Position Statement is intended to support members in a shifting policy environment with the modernisation of both education and the delivery of health and social care. It is recommended that it be read in conjunction with the relevant College of Occupational Therapists' documents and papers that describe United Kingdom wide Government intentions in relation to workforce planning, education and regulation as part of a system of quality assurance. Some are given as references and further reading at the end of this document. DA - 2002//05/5/1/2002 PY - 2002 DO - 10.1177/030802260206500502 DP - EBSCOhost VL - 65 IS - 5 SP - 198 EP - 200 J2 - British Journal of Occupational Therapy SN - 0308-0226 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106970987&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Occupational Therapy KW - Lifelong Learning KW - Occupational Therapy -- Organizations -- United Kingdom ER - TY - JOUR TI - College of Occupational Therapists: Strategic Vision and Action Plan for Lifelong Learning. T2 - British Journal of Occupational Therapy DA - 2004//01/1/1/2004 PY - 2004 DP - EBSCOhost VL - 67 IS - 1 SP - 20 EP - 28 J2 - British Journal of Occupational Therapy SN - 0308-0226 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103994138&site=ehost-live&scope=site DB - CINAHL Complete KW - Organizational Objectives KW - Workforce KW - Health Care Delivery KW - British Association and College of Occupational Therapists KW - Strategic Planning KW - Education, Occupational Therapy KW - Lifelong Learning KW - Occupational Therapy Service ER - TY - JOUR TI - College of Occupational Therapists: Strategic Vision and Action Plan for Lifelong Learning. T2 - British Journal of Occupational Therapy AB - The position statement on lifelong learning (College of Occupational Therapists 2002) underlined the importance of lifelong learning for all by promoting the rights, needs and responsibilities of occupational therapy personnel as learners, supporters, facilitators and providers of learning opportunities. It also highlighted the fact that lifelong learning is directed towards equalising opportunities for organisational, personal and professional development, in the interests of client-centred practice and public protection. The position statement emphasised the importance of continuing professional development for all members of the British Association and College of Occupational Therapists, whether associate member, student, practitioner, educator, researcher or manager. The principles stated in the position statement are embedded in this strategic vision and action plan, namely to widen participation and to offer, develop and engage with learning opportunities for all personnel, regardless of learning experience, employment sector, role or specialty. The importance of developing teamwork through interprofessional learning and working is also emphasised. The strategy objectives emerged from a listening event held at the College of Occupational Therapists on 10 October 2002 (Rowan 2003). Representatives of support workers, higher education institutions, specialist sections, the four home countries, managers, researchers and practitioners contributed to this event. This event focused on exploring the needs of specific groups of people involved in occupational therapy and so common themes began to emerge, namely diversity and inclusivity of opportunities; flexibility of delivery; valuing achievement in learning; creativity by doing things differently; transformational learning to manage change; and integrated and interprofessional learning. DA - 2004//01/1/1/2004 PY - 2004 DO - 10.1177/030802260406700104 DP - EBSCOhost VL - 67 IS - 1 SP - 20 EP - 28 J2 - British Journal of Occupational Therapy SN - 0308-0226 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=86426370&site=ehost-live&scope=site DB - CINAHL Complete KW - Organizational Objectives KW - Workforce KW - Health Care Delivery KW - British Association and College of Occupational Therapists KW - Strategic Planning KW - Education, Occupational Therapy KW - Lifelong Learning KW - Occupational Therapy Service ER - TY - JOUR TI - Comment on 'Building allied health workforce capacity: a strategic approach to workforce innovation'. AU - Wallace, Sonal T2 - Australian Health Review AB - In this article, the author focuses on the importance of using allied health assistants (AHAs) for the long-term sustainability of staff employed within healthcare. It mentions that quality of care provided to patients needs to be provided by the right person. It also mentions that allied health professionals (AHPs) have scope of practice. DA - 2016/08// PY - 2016 DO - 10.1071/AH15176 DP - EBSCOhost VL - 40 IS - 4 SP - 473 EP - 473 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117242450&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Professional Role KW - Workload KW - Workforce -- Australia KW - Allied Health Personnel -- Australia ER - TY - JOUR TI - Commentary. The value of lifelong learning: key element in professional career development. AU - Duyff RL T2 - Journal of the American Dietetic Association DA - 1999/05// PY - 1999 DP - EBSCOhost VL - 99 IS - 5 SP - 538 EP - 543 J2 - Journal of the American Dietetic Association SN - 0002-8223 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107211561&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Professional Development KW - Career Planning and Development KW - Dietitians -- Education KW - Education, Continuing KW - Information Explosion KW - Self Directed Learning KW - Technology -- Trends ER - TY - JOUR TI - Comments on a Special Issue of the Journal of Allied Health. AU - Elwood TW T2 - Journal of Allied Health DA - 2010/08/02/ PY - 2010 DP - EBSCOhost VL - 39 IS - 3 SP - 191 EP - 191 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105118321&site=ehost-live&scope=site DB - CINAHL Complete KW - Leadership KW - Workforce KW - North Carolina KW - Allied Health Professions KW - Scope of Practice KW - Health Care Reform KW - Serial Publications KW - Education, Interdisciplinary KW - Congresses and Conferences -- North Carolina ER - TY - JOUR TI - Comments on a Special Issue of the Journal of Allied Health. AU - ELWOOD, THOMAS W. T2 - Journal of Allied Health AB - The article comments on the contributions that have resulted in the production of a special issue of the "Journal of Allied Health." The theme and topics of the 2010 Annual Conference of the Association of Schools of Allied Health Professionals are presented. Information on the program funded by the Health Resources and Services Administration in the U.S. Public Health Services is presented. Purpose of the Patient Protection and Affordable Care Act is mentioned. DA - 2010/08/02/ PY - 2010 DP - EBSCOhost VL - 39 IS - 3 SP - 191 EP - 191 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=54419788&site=ehost-live&scope=site DB - CINAHL Complete KW - Leadership KW - Workforce KW - North Carolina KW - Allied Health Professions KW - Scope of Practice KW - Health Care Reform KW - Serial Publications KW - Education, Interdisciplinary KW - Congresses and Conferences -- North Carolina ER - TY - JOUR TI - Comments to Block placements in rural Veterans Administration hospitals: a consortium approach. AU - Thompson EH AU - Anderson DL AU - Caroff P T2 - Social Work in Health Care DA - 1978//03/3/1/1978 PY - 1978 DP - EBSCOhost SP - 342 EP - 343 J2 - Social Work in Health Care SN - 0098-1389 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107632672&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Manpower KW - Education, Social Work KW - Students, Allied Health KW - Rural Health ER - TY - JOUR TI - Commitment of Licensed Social Workers to Aging Practice. AU - Simons, Kelsey AU - Bonifas, Robin AU - Gammonley, Denise T2 - Health & Social Work AB - This study sought to identify client, professional, and employment characteristics that enhance licensed social workers' commitment to aging practice. A series of binary logistic regressions were performed using data from 181 licensed, full-time social workers who reported aging as their primary specialty area as part of the 2004 NASW's national study of licensed social workers. Several variables were identified as being significant predictors of commitment to aging, including clients' source of insurance, practitioners' years of experience in social work and gerontology, perceived adequacy of training, number of social work colleagues in the work environment, perceived appropriateness of delegated tasks, and annual income. This study illuminates critical areas of need to promote professional commitment to aging practice. Promotion of training and competency-based education and the need for sufficient job challenge and appropriate assignment of roles (that is, those that are consistent with practitioners' skills and abilities) will encourage commitment to working in the field of gerontology. DA - 2011/08// PY - 2011 DP - EBSCOhost VL - 36 IS - 3 SP - 183 EP - 195 J2 - Health & Social Work SN - 0360-7283 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108256890&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Aged KW - Workforce KW - Socioeconomic Factors KW - Social Workers KW - Employment KW - Human KW - Data Analysis Software KW - Middle Age KW - Surveys KW - Gerontologic Care KW - Logistic Regression KW - Cross Sectional Studies KW - Secondary Analysis KW - Personnel Retention KW - Stratified Random Sample KW - Hypothesis KW - Social Work Practice KW - Staff Development KW - Commitment KW - Education, Competency-Based KW - Job Characteristics ER - TY - JOUR TI - Commitment of Licensed Social Workers to Aging Practice. AU - Simons, Kelsey AU - Bonifas, Robin AU - Gammonley, Denise T2 - Health & Social Work AB - This study sought to identify client, professional, and employment characteristics that enhance licensed social workers' commitment to aging practice. A series of binary logistic regressions were performed using data from 181 licensed, full-time social workers who reported aging as their primary specialty area as part of the 2004 NASW's national study of licensed social workers. Several variables were identified as being significant predictors of commitment to aging, including clients' source of insurance, practitioners' years of experience in social work and gerontology, perceived adequacy of training, number of social work colleagues in the work environment, perceived appropriateness of delegated tasks, and annual income. This study illuminates critical areas of need to promote professional commitment to aging practice. Promotion of training and competency-based education and the need for sufficient job challenge and appropriate assignment of roles (that is, those that are consistent with practitioners' skills and abilities) will encourage commitment to working in the field of gerontology. DA - 2011/08// PY - 2011 DO - 10.1093/hsw/36.3.183 DP - EBSCOhost VL - 36 IS - 3 SP - 183 EP - 195 J2 - Health & Social Work SN - 0360-7283 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=65419413&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Aged KW - Workforce KW - Socioeconomic Factors KW - Social Workers KW - Employment KW - Human KW - Data Analysis Software KW - Middle Age KW - Surveys KW - Gerontologic Care KW - Logistic Regression KW - Cross Sectional Studies KW - Secondary Analysis KW - Personnel Retention KW - Stratified Random Sample KW - Hypothesis KW - Social Work Practice KW - Staff Development KW - Commitment KW - Education, Competency-Based KW - Job Characteristics ER - TY - THES TI - Community college nursing and allied health education programs, and Iowa's healthcare workforce. AU - McLaughlin MP AB - As the nation's population ages and the Baby Boom generation nears retirement, the need for skilled healthcare workers in Iowa and across the nation grows. Healthcare is one of the fastest growing sectors of the U.S. economy, and one of the top industries for job growth and job creation in Iowa. The increase in the number of healthcare positions required---combined with the rapid and complex changes in healthcare delivery and healthcare technology---places an increased burden on Iowa's healthcare education system in its charge to provide an adequate supply of skilled healthcare workers.Iowa's comprehensive community colleges play a crucial role in meeting the needs of Iowa's healthcare workforce. Their mission to meet the education needs of learners in their communities, combined with their flexibility and agility in content development and delivery enables them to meet the education needs of Iowans seeking career education, training, or re-training. These factors also place Iowa's community colleges in a strategically relevant position of making significant contributions to help address the impending healthcare worker shortage.This study provided an in-depth analysis of how Iowa's community colleges are involved in meeting the need for healthcare workers in the state. The study included an analysis of trends, and demographic and geographic characteristics of healthcare professionals who are educated in Iowa's 15 community colleges to determine how community college graduates are meeting the need for a skilled healthcare workforce across the state, particularly in parts of Iowa that suffer from a lack of adequate healthcare services and healthcare infrastructure. DA - 2009/01// PY - 2009 DP - EBSCOhost SP - 133 p PB - Iowa State University UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109852748&site=ehost-live&scope=site AN - UMI Order AAI3360376 DB - CINAHL Complete KW - Education KW - Health Services Needs and Demand KW - Human KW - Information Needs KW - Personnel Recruitment KW - Community Colleges -- Utilization KW - Health Manpower -- Psychosocial Factors -- Iowa KW - Iowa ER - TY - JOUR TI - Community-based lifestyle modification workforce: an underutilised asset for cardiovascular disease prevention. AU - Volker, Nerida AU - Williams, Lauren T. AU - Davey, Rachel C. AU - Cochrane, Thomas T2 - Australian Journal of Primary Health AB - This paper reports on a qualitative study exploring the capacity of the community sector to support a wholeof- system response to cardiovascular disease prevention in primary health care. As a component of the Model for Prevention (MoFoP) study, community-based lifestyle modification providers were recruited in the Australian Capital Territory to participate in focus group discussions; 34 providers participated across six focus groups: 20 Allied Health Professionals (four groups) and 14 Lifestyle Modification Program providers (two groups). Thematic analysis of focus group transcripts was undertaken using a mixed deductive and inductive approach. Participant responses highlight several barriers to their greater contribution to cardiovascular disease prevention. These included that prevention activities are not valued, limited sector linkages, inadequate funding models and the difficulty of behaviour change. Findings suggest that improvements in the value proposition of prevention for all stakeholders would be supported by improved funding mechanisms and increased opportunities to build relationships across health and community sectors. DA - 2016/12// PY - 2016 DO - 10.1071/PY14178 DP - EBSCOhost VL - 22 IS - 4 SP - 327 EP - 331 J2 - Australian Journal of Primary Health SN - 1448-7527 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117971850&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Primary Health Care KW - Health Promotion KW - Workforce KW - Focus Groups KW - Health Services Accessibility KW - Human KW - Qualitative Studies KW - Thematic Analysis KW - Communities KW - Life Style Changes KW - Coding KW - Allied Health Personnel KW - Australian Capital Territory KW - Cardiovascular Diseases -- Prevention and Control ER - TY - JOUR TI - Comparing Recruitment and Retention Strategies for Rehabilitation Professionals among Hospital and Home Care Employers. AU - Tran, Diem AU - Davis, Aileen AU - McGillis Hall, Linda AU - Jaglal, Susan B. T2 - Physiotherapy Canada AB - Purpose: The objective of this study was to compare hospital and home care employers' rankings of both the importance and the feasibility of workforce strategies for recruiting and retaining rehabilitation professionals. Methods: An online self-administered questionnaire was distributed to all employers of rehabilitation professionals in Ontario hospitals (n ¼ 144) and Community Care Access Centre home care providers (n ¼ 34). Importance and feasibility rankings were based on the percentage of high ratings; 95% CIs were used to determine significant differences between hospital and home care rankings of recruitment and retention strategies. Results: The response rate was 50% (72/144) from hospitals and 73.5% (25/34) from home-care settings. The recruitment and retention strategies considered most important and feasible for rehabilitation therapists, regardless of setting, were communication between employer and worker, compensation packages, access to research, and professional development in budget planning. Tangible resources, support personnel, work safety, and marketing rehabilitation careers to high school students were ranked significantly higher by hospitals than by home care providers. Conclusions: Similarities exist between hospital and home care employers in terms of the importance and feasibility of recruitment and retention strategies for rehabilitation professionals. However, when developing a rehabilitation health human resources plan, the strategies identified as different between hospital and home care settings should be taken into account. DA - 2012/01// PY - 2012 DO - 10.3138/ptc.2010-43 DP - EBSCOhost VL - 64 IS - 1 SP - 31 EP - 41 J2 - Physiotherapy Canada SN - 0300-0508 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104518722&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Confidence Intervals KW - Occupational Therapists KW - Ontario KW - Human KW - Questionnaires KW - Middle Age KW - Surveys KW - Descriptive Statistics KW - Cross Sectional Studies KW - P-Value KW - Home Health Agencies -- Evaluation KW - Physical Therapists KW - Speech-Language Pathologists KW - Hospitals -- Evaluation KW - Personnel Recruitment -- Evaluation KW - Personnel Retention -- Evaluation ER - TY - JOUR TI - Comparison of the results of two rural allied health workforce surveys in the Hunter New England region of New South Wales: 2005 versus 2008. AU - Smith, Tony AU - Fisher, Karin AU - Keane, Sheila AU - Lincoln, Michelle T2 - Australian Journal of Rural Health DA - 2011/06// PY - 2011 DO - 10.1111/j.1440-1584.2011.01202.x DP - EBSCOhost VL - 19 IS - 3 SP - 154 EP - 159 J2 - Australian Journal of Rural Health SN - 1038-5282 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104708225&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Demography KW - Educational Status KW - Self Report KW - New South Wales KW - Human KW - Questionnaires KW - Data Analysis Software KW - Funding Source KW - Surveys KW - Professional Development KW - Comparative Studies KW - Cross Sectional Studies KW - Employment Status KW - Personnel Turnover KW - Public Sector KW - Private Sector KW - Allied Health Personnel -- Manpower -- New South Wales KW - Rural Health Personnel -- Manpower -- New South Wales KW - Workforce -- New South Wales ER - TY - JOUR TI - Comparison of the results of two rural allied health workforce surveys in the Hunter New England region of New South Wales: 2005 versus 2008. AU - Smith, Tony AU - Fisher, Karin AU - Keane, Sheila AU - Lincoln, Michelle T2 - Australian Journal of Rural Health AB - To compare the results of the 2005 and 2008 surveys of the rural allied health workforce in the study region. Comparative analysis of two cross-sectional surveys. The rural, northern sector of the Hunter New England region of NSW, Australia. Both surveys targeted 12 different allied health professions. There were 225 respondents in 2005 and 205 in 2008. Comparison is made for 15 dependent variables. There was no significant difference for most variables between 2005 and 2008. Mean age and mean years qualified decreased slightly, from 43 to 41 years and from 20 to 17 years, respectively. The proportion of respondents of rural origin was about two-thirds in both studies and about half had a rural placement during training. While more than half supervised students, only about one-third had received training for that role. In both 2005 and 2008, the proportion working 35 or more hours each week was about 66% but the proportion working more than 40 hours had doubled to about 36%. In both surveys about half intended leaving their job within 10 years, while the proportion satisfied with continuing professional development access had halved, from 70% to 35%. Most results of the 2005 Hunter New England survey were verified. It was confirmed that a large proportion of the allied health workforce in the region intend leaving their job in the next 5 to 10 years. This is a concern for the development of new service delivery models. DA - 2011/06// PY - 2011 DO - 10.1111/j.1440-1584.2011.01202.x DP - EBSCOhost VL - 19 IS - 3 SP - 154 EP - 159 J2 - Australian Journal of Rural Health SN - 1038-5282 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=60771001&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Demography KW - Educational Status KW - Self Report KW - New South Wales KW - Human KW - Questionnaires KW - Data Analysis Software KW - Funding Source KW - Surveys KW - Professional Development KW - Comparative Studies KW - Cross Sectional Studies KW - Employment Status KW - Personnel Turnover KW - Public Sector KW - Private Sector KW - Allied Health Personnel -- Manpower -- New South Wales KW - Rural Health Personnel -- Manpower -- New South Wales KW - Workforce -- New South Wales ER - TY - JOUR TI - Competition between physicians and limited licensed practitioners: some issues and implications. AU - Parks P T2 - Bulletin of the American College of Surgeons DA - 1984/04// PY - 1984 DP - EBSCOhost VL - 69 IS - 4 SP - 9 EP - 13 J2 - Bulletin of the American College of Surgeons SN - 0002-8045 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107596080&site=ehost-live&scope=site DB - CINAHL Complete KW - Physicians KW - Interprofessional Relations KW - Allied Health Personnel KW - Health Manpower KW - Nurse Practitioners KW - Legislation, Medical KW - Legislation, Nursing ER - TY - JOUR TI - Compression garment service model: Facilitating access to compression garments through workforce and service redesign. AU - Hall, Fiona AU - Gordon, Susan AU - Hulcombe, Julie AU - Stephens, Catherine T2 - Australian Journal of Rural Health AB - Problem: Patients in Queensland have had difficulty in accessing lymphoedema services, particularly in rural and remote locations. Design: The aim was to trial and evaluate a compression garment service model, to provide care for patients with lymphoedema closer to their homes. The service model trialled compression garment, selection, fitting and monitoring services for stabilised malignancy‐related lymphoedema undertaken by generalist therapists. Setting: Ten Hospital and Health Services in the Queensland public sector. Key measures for improvements: The patients would have access to safe, quality services closer to their homes. Strategies for change: The generalists were supported by telehealth coaching and supervision by lymphoedema therapists, an education program, resources and governance processes. Effects of change: Compression garment selection, fitting and monitoring by generalists (physiotherapists and occupational therapists without Level 1 Lymphoedema training), as defined in the service model, was safe, effective and evaluated positively by patients and health professionals. There was increased access to compression garment services provided by generalist therapists in rural and remote locations. Lessons learned: The service model implemented has the capacity to address workforce and service provision issues. It provides resources, education and training for clinicians to improve access to the provision of compression garment services. DA - 2019/06// PY - 2019 DO - 10.1111/ajr.12509 DP - EBSCOhost VL - 27 IS - 3 SP - 257 EP - 261 J2 - Australian Journal of Rural Health SN - 1038-5282 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136998650&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Quality Improvement KW - Patient Satisfaction KW - Queensland KW - Human KW - Rural Areas KW - Telehealth KW - Health Personnel -- Education KW - Compression Garments -- Supply and Distribution KW - Health Services Accessibility -- Queensland KW - Lymphedema -- Therapy KW - Work Redesign ER - TY - JOUR TI - Concerns and hopes about outsourcing decisions regarding health information management services at two teaching hospitals in Semnan, Iran. AU - Kahouei, Mehdi AU - Farrokhi, Maryam AU - Abadi, Zahra Nasr AU - Karimi, Arefe T2 - Health Information Management Journal AB - Background: Changes in health programs in Iran have led to an increase in administrative costs. One cost-saving option available to hospital administrators is to outsource administrative services. Objective: This study aimed to explore the attitudes of hospital staff towards outsourcing health information management services in advance of a decision being taken, to assist healthcare organisations to assess the potential benefits and challenges of outsourcing such services. Method: Six hundred and four clinical and allied health employees in two hospitals in Iran, who had had prior experience with outsourcing hospital services, responded to a survey designed to measure staff attitudes towards outsourcing health information management services, based on their perceptions of potential costs and benefits for the organisation and their own employment prospects. A 16-item attitude scale, developed by the researchers, was used in the study and demographic data were also collected. Results: Summary statistics showed that approximately one third of the sample (34.53%) had a negative view of outsourcing, one third (35.16%) had a positive view, and 30.31% were neutral. An exploratory factor analysis of items on the attitude scale identified three underlying constructs, labelled: data security and management; workplace environment; and staff and customer satisfaction. One item (concern about the impact of outsourcing on staffing levels) did not load on any of the factors. A separate analysis of this single item showed a significant relationship between the sex of participants and their views on the impact of outsourcing on the number of hospital staff employed (p<0.05). Conclusion: While results of this study indicated that staff in hospitals surveyed held both positive and negative views of outsourcing, a large number of staff in these hospitals (a third of the total sample) had reservations about the skills of outside providers to securely manage hospital data, and did not consider that outsourcing health information management services would be positive for the organisation, their working environment or for staff and patient satisfaction. These findings have important implications for healthcare organisations planning to outsource health information services. Further research that focuses on communication skills of senior managers and their ability to provide team leadership is needed, as is research into the impact of geographical location and current market forces that impact on outsourcing tasks. DA - 2016/04// PY - 2016 DO - 10.1177/1833358316639455 DP - EBSCOhost VL - 45 IS - 1 SP - 36 EP - 44 J2 - Health Information Management Journal SN - 1833-3583 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115186612&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Sex Factors KW - Iran KW - Cost Savings KW - Workload KW - Human KW - Questionnaires KW - Middle Age KW - Work Environment KW - P-Value KW - Factor Analysis KW - Mann-Whitney U Test KW - Kruskal-Wallis Test KW - Academic Medical Centers -- Iran KW - Attitude of Health Personnel -- Iran KW - Contract Services KW - Information Management KW - Personnel, Health Facility -- Iran ER - TY - JOUR TI - Connecticut's health care workforce shortages/development of policy through building coalitions and infrastructure. AU - Barey PT T2 - Connecticut Nursing News DA - 2006/09// PY - 2006 DP - EBSCOhost VL - 79 IS - 3 SP - 17 EP - 17 J2 - Connecticut Nursing News SN - 0278-4092 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106105716&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Connecticut KW - Nursing Shortage KW - Allied Health Personnel KW - Policy Making KW - Personnel Shortage KW - Faculty, Nursing KW - Health Services -- Manpower ER - TY - JOUR TI - CONNECTING PEOPLE, CONNECTING SUPPORT. AU - BARROW, ROSS T2 - Podiatry Now DA - 2018/08// PY - 2018 DP - EBSCOhost VL - 21 IS - 8 SP - 22 EP - 23 J2 - Podiatry Now SN - 1460-731X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138424690&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Promotion KW - Scotland KW - National Health Programs KW - Diffusion of Innovation KW - Workforce KW - Collaboration KW - Dementia KW - Health Services Accessibility KW - Professional Role KW - Patient Care KW - Allied Health Personnel -- Scotland KW - Anniversaries and Special Events KW - Podiatrists ER - TY - JOUR TI - Consensus on the competencies required for public health nutrition workforce development in Europe - the JobNut project. AU - Jonsdottir S AU - Hughes R AU - Thorsdottir I AU - Yngve A AU - Jonsdottir, Svandis AU - Hughes, Roger AU - Thorsdottir, Inga AU - Yngve, Agneta T2 - Public Health Nutrition AB - Objective: To assess and develop consensus among a European panel of public health nutrition stakeholders regarding the competencies required for effective public health nutrition practice and the level of proficiency required in different practice contexts.Design: A modified Delphi study involving three rounds of questionnaires.Setting: European Union.Subjects: Public health nutrition workforce development stakeholders, including academics, practitioners and employers, from twenty European countries.Results: A total of fifty-two expert panellists (84 % of an initial panel of sixty-two Delphi participants) completed all three rounds of the Delphi study. The panellists rated the importance of fifty-seven competency units possibly required of a public health nutritionist to effectively practice (Essential competencies). Twenty-nine of the fifty-seven competency units (51 %) met the consensus criteria (≥66·7 % agreement) at the second round of the Delphi survey, with the highest agreement for competencies clustered within the Nutrition science, Professional, Analytical and Public health services competency domains. Ratings of the level of competencies required for different levels in the workforce indicated that for a public health nutrition specialist, advanced-level competency was required across almost all the twenty-nine competencies rated as essential. There were limited differences in rating responses between academics and employer panellists throughout the Delphi study.Conclusions: Competencies identified as essential can be used to review current public health nutrition practices and provide the basis for curriculum design and re-development, continuing education and workforce quality assurance systems in Europe. These are all important tools for systematic and strategic workforce development. DA - 2011/08// PY - 2011 DO - 10.1017/S1368980010000625 DP - EBSCOhost VL - 14 IS - 8 SP - 1439 EP - 1449 J2 - Public Health Nutrition SN - 1368-9800 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104572928&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Promotion KW - Curriculum KW - Europe KW - Decision Making KW - European Union KW - Public Health KW - Delphi Technique KW - Public Health Administration KW - Nutrition Education KW - Nutrition -- Standards KW - Occupational Health Services KW - Professional Competence -- Standards ER - TY - JOUR TI - Consensus-building on developing dysphagia competence: a North West of England perspective. AU - Guthrie, Susan AU - Lancaster, John AU - Stansfield, Jois T2 - International Journal of Language & Communication Disorders AB - Background Dysphagia has been an increasing area of practice for speech and language therapists (SLTs) for over 20 years, and throughout that period there has been debate about how practical skills in dysphagia can best be developed. The implementation of the new Royal College of Speech and Language Therapists (RCSLT) framework was considered from a regional perspective seeking to establish consensus across different speech and language therapy settings. Aim To explore practical solutions to the development of dysphagia competency in new graduates whilst acknowledging the wide variation in staffing and clinical dysphagia experience across the geographical and clinical landscape in the North West of England. Methods & Procedures A four-phase study involved a literature search; interviews with experts in the field of dysphagia; a survey to identify current practice; and a two-round Delphi process. Outcomes & Results Five themes emerged for dysphagia competency development: development of practical skills; supervision; clinical excellence networks; workforce planning; and postgraduate formal training. Challenges, and solutions to these, were identified through the phases of the study. A model for dysphagia competency development relevant to the North West context was achieved by consensus. Conclusions & Implications There are many practical ways of developing dysphagia competency. The themes and model generated provide constructive support to services in adopting the most appropriate methods for their own settings. DA - 2017/11// PY - 2017 DO - 10.1111/1460-6984.12321 DP - EBSCOhost VL - 52 IS - 6 SP - 854 EP - 869 J2 - International Journal of Language & Communication Disorders SN - 1368-2822 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126052922&site=ehost-live&scope=site DB - CINAHL Complete KW - Delphi Technique KW - Clinical Competence KW - England KW - Human KW - Data Analysis Software KW - Thematic Analysis KW - Semi-Structured Interview KW - Surveys KW - Professional Development KW - Psycinfo KW - Conceptual Framework KW - CINAHL Database KW - Systematic Review KW - Coding KW - PubMed KW - Skill Acquisition KW - Speech-Language Pathologists KW - Deglutition Disorders KW - Reference Databases, Health KW - Speech-Language Pathologist Attitudes KW - Web Search Engines ER - TY - JOUR TI - Considering Recent Trends in Healthcare Labor Markets in Educational Program Planning in Allied Health. AU - Walton, Surrey M. AU - Kim, Kibum AU - Weiner, Saul J. T2 - Journal of Allied Health AB - Recent trends in wages and employment should be considered to help inform recruitment and expansion planning for educational programs related to the future healthcare workforce. We present a relatively straightforward method for assessing a broad set of health labor market trends from 2010 to 2014 based on the number employed and wage rates across all healthcare-related occupational categories available from the Occupational Employment Statistics data. To focus more on trends within the healthcare sector, we used the relative wages and employment of the occupations compared to medical doctors. Of 19 broad occupational categories, pharmacists, physician assistants, and occupational and physical therapists have been experiencing a growth in demand relative to medical doctors as evidenced by a growth in relative wages and employment. There is also clear evidence of a reduction in the relative supply of allied health workers. Specifically, across all allied healthcare workers, there was an increase in relative wages (2.28%) and a decline in relative employment (-3.64%). Occupations with increases in wages and number employed are likely to be good areas for programs to expand both in terms of the future economic welfare of their graduates and to help meet market demand. DA - 2017/// PY - 2017 DP - EBSCOhost VL - 46 IS - 3 SP - 197 EP - 202 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125354379&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Occupational Therapists KW - Physicians KW - Pharmacists KW - Funding Source KW - Descriptive Statistics KW - Comparative Studies KW - Physical Therapists KW - Health Manpower KW - Education, Allied Health KW - Health Occupations KW - Strategic Planning KW - Health Care Industry KW - Employment -- Trends -- United States KW - Job Market -- Trends -- United States KW - Physician Assistants KW - Salaries and Fringe Benefits -- Trends -- United States ER - TY - JOUR TI - Considering the Language Disorder Label Debate From a School Speech-Language Pathology Lens. AU - Murza, Kimberly A. AU - Ehren, Barbara J. T2 - Perspectives of the ASHA Special Interest Groups AB - Purpose: The purpose of this article is to situate the recent language disorder label debate within a school's perspective. As described in two recent The ASHA Leader articles, there is international momentum to change specific language impairment to developmental language disorder. Proponents of this change cite increased public awareness and research funding as part of the rationale. However, it is unclear whether this label debate is worthwhile or even practical for the school-based speech-language pathologist (SLP). A discussion of the benefits and challenges to a shift in language disorder labels is provided. Conclusions: Although there are important arguments for consistency in labeling childhood language disorder, the reality of a label change in U.S. schools is hard to imagine. School-based services are driven by eligibility through the Individuals with Disabilities Education Act, which has its own set of labels. There are myriad reasons why advocating for the developmental language disorder label may not be the best use of SLPs' time, perhaps the most important of which is that school SLPs have other urgent priorities. DA - 2020/02// PY - 2020 DO - 10.1044/2019_PERSP-19-00077 DP - EBSCOhost VL - 5 IS - 1 SP - 47 EP - 54 J2 - Perspectives of the ASHA Special Interest Groups SN - 2381-473X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141980930&site=ehost-live&scope=site DB - CINAHL Complete KW - School Health Services KW - Workforce KW - Quality Improvement KW - Financial Support KW - Speech-Language Pathologists KW - Consumer Advocacy KW - Debates and Debating KW - Education, Special KW - Education, Speech-Language Pathology KW - Individuals with Disabilities Education Act KW - Language Disorders KW - Speech-Language Pathology ER - TY - JOUR TI - Consumer preferences regarding physiotherapy practitioners and nurse practitioners in emergency departments - a qualitative investigation. AU - Gill, Stephen D. AU - Stella, Julian AU - McManus, Luke T2 - Journal of Interprofessional Care AB - Workforce reform has led to Nurse Practitioners (NP) and Physiotherapy Practitioners (PP) employed in Emergency Departments (ED) to see patients alongside doctors. This qualitative study gathered consumer opinions and preferences regarding NPs, PPs, and doctors, and the attributes desired of them. Twenty-two members of the organization's Consumer Representative Program participated in one of three focus groups which were audio-recorded and transcribed verbatim. Data were subsequently collected using an emergent-systematic design that enabled ideas to be explored and refined in sequential focus groups. Data analysis, utilizing the principles of thematic analysis, identified four themes. First, consumers understand and accept that reform is necessary to improve care, better utilize available resources and create sustainable services. Second, although consumers accept the rationale for employing NPs and PPs, preferences vary regarding who they want as their primary clinician. Some consumers do not mind who provides care as long as they receive the care they need; others believe doctors provide superior care and preferred a doctor; a third group indicated that not everyone who presents to an ED needs to see a doctor and specialized care would be provided by NPs and PPs for certain conditions. Some consumers expressed incomplete or inaccurate understanding of ED staff roles, responsibilities, and skillsets, which influenced their care preferences. Third, consumers identified a core set of desirable staff attributes that apply to everyone irrespective of professional demarcation; all staff should embody these attributes, though the expression of the attributes will vary according to circumstances and the staff member's scope of practice. Fourth, consumers expect effective governance over ED services so that all staff, irrespective of their profession provides safe and effective care. In conclusion, these results can be used by health-care administrators and clinicians to inform workforce reform in EDs, helping to ensure that consumers' opinions and preferences are acknowledged and appropriately addressed. DA - 2019/04/03/Mar/ undefined PY - 2019 DO - 10.1080/13561820.2018.1538104 DP - EBSCOhost VL - 33 IS - 2 SP - 209 EP - 215 J2 - Journal of Interprofessional Care SN - 1356-1820 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134919111&site=ehost-live&scope=site DB - CINAHL Complete KW - Decision Making KW - Workforce KW - Health Facility Administrators KW - Focus Groups KW - Clinical Competence KW - Professional Role KW - Human KW - Qualitative Studies KW - Audiorecording KW - Thematic Analysis KW - Physicians, Family KW - Consumer Participation KW - Health Care Delivery KW - Emergency Service KW - Consumer Attitudes KW - Accountability KW - Physicians -- Psychosocial Factors KW - Nurse Practitioners -- Psychosocial Factors KW - Physical Therapists -- Psychosocial Factors ER - TY - JOUR TI - Continuing professional development activity for dietitians SAJCN CPD activity No 78 and 79 - 2011. T2 - South African Journal of Clinical Nutrition DA - 2011/06// PY - 2011 DP - EBSCOhost VL - 24 IS - 2 SP - 1 EP - 1 J2 - South African Journal of Clinical Nutrition SN - 1607-0658 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104692450&site=ehost-live&scope=site DB - CINAHL Complete KW - South Africa KW - Dietitians KW - Education, Continuing (Credit) KW - Irritable Bowel Syndrome -- Drug Therapy KW - Probiotics -- Therapeutic Use KW - Workforce -- South Africa ER - TY - JOUR TI - Continuing professional development activity for dietitians SAJCN CPD activity No 78 and 79 - 2011. T2 - South African Journal of Clinical Nutrition AB - A quiz concerning the activities for dietitians' continuing professional development is presented. DA - 2011/06// PY - 2011 DP - EBSCOhost VL - 24 IS - 2 SP - 1 EP - 1 J2 - South African Journal of Clinical Nutrition SN - 1607-0658 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=65806366&site=ehost-live&scope=site DB - CINAHL Complete KW - South Africa KW - Dietitians KW - Education, Continuing (Credit) KW - Irritable Bowel Syndrome -- Drug Therapy KW - Probiotics -- Therapeutic Use KW - Workforce -- South Africa ER - TY - JOUR TI - Contributions of Public Health Social Work Students to Their Professions and Communities. AU - Forster-Cox, Sue AU - Nelson, Anna AU - Lang, Chelse AU - Gandhi, Shammi T2 - Health Promotion Practice AB - In the contemporary public health workforce environment, public health social workers (PHSW) bring integrated skills, from both fields, to meet the needs of vulnerable and underserved populations. They receive training in their Master of Public Health/Master of Social Work dual-degree programs, such as the one at New Mexico State University, which serves the U.S./Mexico border region. During their studies, dual-degree students are equipped to address health and human service issues at the micro, mezzo, and macro levels and complete field experience and practicum hours in their communities. Along with practical skills, these students learn culturally responsive/humble ways of being with communities of color and marginalized individuals. After graduation, these emerging career PHSWs enter the workforce in a variety of settings: nonprofit, educational, government, primary care, and more. In this article, the field of public health social work is described in its historic and present forms, followed by PHSWs' utility to the U.S./Mexico border region, in particular. Finally, we make the call to action for future career PHSWs to engage with this integrated, dynamic, innovative field, and its unique combination of community- and individual-based services and rewards. DA - 2020/01// PY - 2020 DO - 10.1177/1524839919886284 DP - EBSCOhost VL - 21 IS - 1 SP - 12 EP - 15 J2 - Health Promotion Practice SN - 1524-8399 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140402092&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Education KW - Public Health KW - Workforce KW - Professional Development KW - Minority Groups KW - Emigration and Immigration KW - Special Populations KW - Community Programs KW - Career Planning and Development KW - Students, Social Work KW - Medically Underserved Area ER - TY - JOUR TI - Cost-consequence analysis of an intervention for the management of neuropsychiatric symptoms in young-onset dementia: Results from the BEYOND-II study. AU - Duinen‐van den IJssel, Jeannette C.L. AU - Bakker, Christian AU - Smalbrugge, Martin AU - Zwijsen, Sandra A. AU - Adang, Eddy AU - Appelhof, Britt AU - Zuidema, Sytse U. AU - Vugt, Marjolein E. AU - Verhey, Frans R.J. AU - Koopmans, Raymond T.C.M. AU - van Duinen-van den IJssel, Jeannette C L AU - de Vugt, Marjolein E T2 - International Journal of Geriatric Psychiatry AB - Objective: To evaluate the cost-consequences of an intervention for the management of neuropsychiatric symptoms in nursing home residents with young-onset dementia.Methods: A stepped wedge design was used. The intervention consisted of an educational program and a multidisciplinary care program and was implemented in 13 nursing homes from September 2015 to March 2017. Costs' outcomes included the time investment of the elderly care physician and health care psychologists regarding the management of neuropsychiatric symptoms, residents' psychotropic drug use, nursing staff absenteeism, and costs of the educational program. Composite cost measure contained the sum of costs of staff absenteeism, costs on psychotropic drugs, and costs of the educational program. Costs of time investment were investigated by comparing means. Costs of psychotropic drug use were analyzed with mixed models at resident level and as part of the composite cost measure on unit level. Staff absenteeism was also analyzed at unit level.Results: Compared with care as usual, the mean costs of time invested decreased with €36.79 for the elderly care physician but increased with €46.05 for the health care psychologist in the intervention condition. Mixed model analysis showed no effect of the intervention compared with care as usual on the costs of psychotropic drug use, staff absenteeism, and the composite cost measure. The costs of the educational program were on average €174.13 per resident.Conclusion: The intervention did not result in increased costs compared with care as usual. Other aspects, such as the lack of a structured working method, should be taken into account when considering implementation of the intervention. DA - 2020/01// PY - 2020 DO - 10.1002/gps.5229 DP - EBSCOhost VL - 35 IS - 1 SP - 131 EP - 137 J2 - International Journal of Geriatric Psychiatry SN - 0885-6230 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140158548&site=ehost-live&scope=site DB - CINAHL Complete ER - TY - JOUR TI - Could self-efficacy relate to workforce issues for rural physiotherapists with a specialist paediatric caseload? A literature review. AU - Minisini, Monica AU - Sheppard, Lorraine AU - Jones, Anne T2 - Internet Journal of Allied Health Sciences & Practice AB - Objective: Rural physiotherapists may need to extend their skills to address the lack of allied health service provision in rural areas but will do so based on their perceived self-efficacy. This narrative review aims to understand self-efficacy amongst rural physiotherapists and contributing factors to self-efficacy, especially in the specialised area of paediatrics. Method: A search of the literature was undertaken to understand the self-efficacy of rural physiotherapists who are expected to undertake specialist paediatric cases. Databases searched included CINAHL, PEDro, Informit, Proquest, PubMed, and Ovid. Articles were assessed for quality in accordance with the National Health and Medical Research Council (NHMRC) evidence ranking system. Using this search strategy and inclusion criteria, a total of forty five articles were found and included in the narrative review. Results: Self-efficacy, a person's judgement of their capabilities, is a key component in performance, accomplishments, and positive well-being. If the rural physiotherapist has low self-efficacy in their work practices, then physiotherapy specialisation or advance practice may not be considered an achievable career option. However, the caseload of the rural physiotherapist is vast and demanding, spanning across many boundaries and scopes including paediatrics, which has been defined as an area of specialisation within physiotherapy. The work practices of the rural physiotherapist's are often challenged by the complexities of rural area's and an unstructured, poorly supportive workforce, thus giving cause for the recognition of rural physiotherapy as a specialist branch of physiotherapy practice. Yet, the majority of the evidence base surrounding this topic has been developed through opinion pieces and observational studies which were rated as level IV evidence. At present, the lack of higher level evidence allowed readers to make assumptions based on opinions and descriptive studies. Conclusion: If the current workforce and structure leads to low self-efficacy in the rural physiotherapy population, this in turn could lead to impaired confidence in the ability to practice as a physiotherapist as well as result in the development of poor coping strategies. Early identification of the self-efficacy beliefs within this cohort will allow the development and evaluation of strategies to help address those issues identified as challenges in rural areas. There is a definite need for stronger, higher levels of evidence on this topic in order to develop more accurate definitions of the work practices and working environments of the rural physiotherapists. Additional higher level research is needed to better understand the self-efficacy of rural physiotherapists and possible contributing factors for low self-efficacy. Higher level research will also establish true clinical implications of low self-efficacy amongst the rural physiotherapist population. DA - 2011/01// PY - 2011 DP - EBSCOhost VL - 9 IS - 1 SP - 10p EP - 10p J2 - Internet Journal of Allied Health Sciences & Practice SN - 1540-580X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104829376&site=ehost-live&scope=site DB - CINAHL Complete KW - Child KW - Workforce KW - Human KW - CINAHL Database KW - PubMed KW - Rural Areas KW - Databases KW - Allied Health Professions KW - Pediatrics KW - Physical Therapists -- Evaluation KW - Self-Efficacy -- Evaluation ER - TY - JOUR TI - COUNCIL REPORT 5 July 2017. T2 - Synergy News DA - 2017/08// PY - 2017 DP - EBSCOhost SP - 12 EP - 12 J2 - Synergy News SN - 1741-4245 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126228267&site=ehost-live&scope=site DB - CINAHL Complete KW - Governing Board KW - Workforce KW - Congresses and Conferences KW - Allied Health Professions KW - Membership KW - Insurance, Liability KW - Politics -- Economics KW - Radiology Personnel KW - Society of Radiographers ER - TY - JOUR TI - Counseling Psychology and the Amelioration of Oppression: Translating Our Knowledge Into Action. AU - Suzuki, Lisa A. AU - O'Shaughnessy, Tiffany A. AU - Roysircar, Gargi AU - Ponterotto, Joseph G. AU - Carter, Robert T. T2 - Counseling Psychologist AB - In the new millennium, counseling psychologists have answered the call to address oppression related to intersectional identities. We have played a major role in the development of practice guidelines and policies, as well as in the application of ethical principles in cultural contexts. The Counseling Psychologist has served to disseminate information addressing needs and interventions for diverse communities. In this article, we review the history and impact of our efforts to ameliorate oppression. The pressing challenges of economic and educational disparities are highlighted along with how counseling psychologists are uniquely situated to meet the needs of the underserved. Our research, training, and practice are anchored in methodological pluralism, global helping paradigms, participatory engagement, and the promotion of liberation and radical healing. We offer recommendations to deconstruct current models and reconstruct a decolonized approach, embrace interdisciplinary collaboration to fight cultural encapsulation, strengthen prevention and advocacy, train a culturally diverse workforce, and prioritize intersectional research. DA - 2019/08// PY - 2019 DO - 10.1177/0011000019888763 DP - EBSCOhost VL - 47 IS - 6 SP - 826 EP - 872 J2 - Counseling Psychologist SN - 0011-0000 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140476526&site=ehost-live&scope=site DB - CINAHL Complete KW - Counseling KW - Health Promotion KW - Workforce KW - Collaboration KW - Multidisciplinary Care Team KW - Psychologists -- Psychosocial Factors KW - Professional Knowledge KW - Social Justice ER - TY - JOUR TI - County-level estimates of mental health professional supply in the United States. AU - Ellis AR AU - Konrad TR AU - Thomas KC AU - Morrissey JP AU - Ellis, Alan R AU - Konrad, Thomas R AU - Thomas, Kathleen C AU - Morrissey, Joseph P T2 - Psychiatric Services AB - Objective: This study compiled national county-level data and examined the geographic distribution of providers in six mental health professions and the correlates of county-level provider supply.Methods: Data for six groups--advanced practice psychiatric nurses, licensed professional counselors, marriage and family therapists, psychiatrists, psychologists, and social workers--were compiled from licensing counts from state boards, certification counts from national credentialing organizations, and membership counts from professional associations. The geographic distribution of professionals was examined with descriptive statistics and a national choropleth map. Correlations were examined among county-level totals and between provider-to-population ratios and county characteristics.Results: There were 353,398 clinically active providers in the six professions. Provider-to-population ratios varied greatly across counties, both within professions and overall. Social workers and licensed professional counselors were the largest groups; psychiatrists and advanced practice psychiatric nurses were the smallest. Professionals tended to be in urban, high-population, high-income counties. Marriage and family therapists were concentrated in California, and other mental health professionals were concentrated in the Northeast.Conclusions: Rural, low-income counties are likely candidates for interventions such as the training of local clinicians or the provision of incentives and infrastructure to facilitate clinical practice. Workforce planning and policy analysis should consider the unique combination of professions in each area. National workforce planning efforts and state licensing boards would benefit from the central collection of standardized practice information from clinically active providers in all mental health professions. DA - 2009/10// PY - 2009 DO - 10.1176/ps.2009.60.10.1315 DP - EBSCOhost VL - 60 IS - 10 SP - 1315 EP - 1322 J2 - Psychiatric Services SN - 1075-2730 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105146603&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - United States KW - Young Adult KW - Primary Health Care KW - Adolescence KW - Rural Population KW - Urban Population KW - Human KW - Middle Age KW - Databases KW - Health Manpower -- Statistics and Numerical Data KW - Health Manpower -- Classification KW - Licensure -- Statistics and Numerical Data KW - Mental Health Services -- Manpower ER - TY - JOUR TI - Creating a research culture in a palliative care service environment: a qualitative study of the evolution of staff attitudes to research during a large longitudinal controlled trial (ISRCTN81117481) AU - Grbich C AU - Abernethy AP AU - Shelby-James T AU - Fazekas B AU - Currow DC T2 - Journal of Palliative Care AB - This study investigated the impact of a three-year randomized control trial of different models of service provision on palliative care staff associated with the hospice where the trial was being conducted. Eleven open access de-identified qualitative focus groups were held over a period of three years: three months into the trial, one year after its inception, and at the end of the trial. Four staff groups were involved: inpatient hospice nurses, palliative care outreach nurses, medical palliative specialists, and administrative staff and social workers. Initially the impact of the trial produced high levels of staff stress which largely diminished over time, to be replaced by enthusiasm for the changes achieved and sadness that post trial the perceived benefits gained would be lost. When attempting to change a clinical culture to incorporate research, and in particular where increased staff workload is involved, highly interactive levels of communication and valuing of staff input are required to minimize the stress and burden of this imposition. DA - 2008/// PY - 2008 DP - EBSCOhost VL - 24 IS - 2 SP - 100 EP - 109 J2 - Journal of Palliative Care SN - 0825-8597 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105674165&site=ehost-live&scope=site DB - CINAHL Complete KW - Attitude of Health Personnel KW - Focus Groups KW - Prospective Studies KW - South Australia KW - Organizational Culture KW - Health Services Research KW - Palliative Care KW - Workload KW - Clinical Trials KW - Study Design KW - Health Services Research -- Ethical Issues KW - Health Services Research -- Methods ER - TY - JOUR TI - Creating a sustainable and diverse occupational therapy workforce in Canada: update May 2005. AU - Klaiman D AU - von Zweck C T2 - Occupational Therapy Now AB - Multi-faceted problems require multi-faceted strategies. Donna Klaiman and Claudia von Zweck provide an update on several projects, including the most recently funded project to facilitate the integration of internationally educated occupational therapists into the Canadian workforce. DA - 2005/05// PY - 2005 DP - EBSCOhost VL - 7 IS - 3 SP - 9 EP - 12 J2 - Occupational Therapy Now SN - 1481-5532 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106536675&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Canada KW - Professional Practice KW - Public Policy KW - Personnel Recruitment KW - Personnel Retention KW - Strategic Planning KW - Canadian Association of Occupational Therapists KW - Health Personnel, Unlicensed KW - Occupational Therapy -- Manpower -- Canada ER - TY - JOUR TI - Creating an Undergraduate Academic Certificate to Sustain a Maternal and Child Health Diversity Pipeline Training Program: Case Report. AU - Chesbro, Steven B. AU - Waters, Catrina R. T2 - Journal of Best Practices in Health Professions Diversity: Education, Research & Policy AB - Background and Purpose: Few healthcare providers in the United States identify as members of racial/ethnic minority groups, including those who have chosen careers related to maternal and child health (MCH). Many grant initiatives aim to increase provider diversity by targeting the educational pipeline. This case report describes the development and implementation of an undergraduate academic certificate program that focuses on maternal and child health to prepare students for the workforce and to sustain a federally funded intervention. Case Description: The College of Health Sciences at Alabama State University created an undergraduate Certificate in Maternal and Child Health Program (MCHP) in 2012. It was designed to expose minority students to the needs of the MCH population and to support the efforts of its grant-funded MCH Pipeline Training Program. Achievement of the certificate, noted on the students' transcripts, was perceived as a way to enhance the students' application portfolios for graduate/professional school. Outcomes: Between fall 2011 and fall 2015, 65 students were admitted to the certificate program (persistence rate = 77 percent). An additional 130 students enrolled in MCHP courses between the spring 2012 and fall 2015 academic terms. By fall 2015, 14 had completed the program. Nongrantsupported tuition generated during the same period for MCHP courses exceeded faculty and operational costs by 65 percent. Discussion: The Certificate in MCH program has developed into an academically and financially sustainable intervention as part of ASU's federally funded MCH Pipeline Training Program. To date, it has supported the academic needs of 195 students. DA - 2015/// PY - 2015 DP - EBSCOhost VL - 8 IS - 2 SP - 1087 EP - 1097 J2 - Journal of Best Practices in Health Professions Diversity: Education, Research & Policy SN - 9780979440908 2475-2843 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122521997&site=ehost-live&scope=site DB - CINAHL Complete KW - Program Development KW - Alabama KW - Cultural Diversity KW - Health Manpower KW - Education, Allied Health KW - Curriculum Development KW - Academic Achievement KW - Certification -- Economics KW - Certification -- Methods KW - Colleges and Universities -- Alabama KW - Maternal-Child Health -- Education KW - Students, Minority KW - Students, Undergraduate ER - TY - JOUR TI - Creating Rural Allied Health Leadership Structures Using District Advisors: An Action Research Project Using Program Logic. AU - Schmidt, David AU - Kurtz, Megan AU - Davidson, Stuart T2 - Journal of Allied Health AB - BACKGROUND: District advisors in five allied health disciplines were introduced in a local health district in rural Australia in 2013. These strategic leadership roles provide support to clinicians and managers. As there is little research exploring allied health leadership models from a strategic and operational perspective, the coordinated commencement of these roles provided opportunity to study the creation of this leadership structure. METHODS: Four advisors participated in this action research study which used focus groups and program logic processes to explore the inputs, outputs, barriers, outcomes to date, and preferred future outcomes of the leadership model. A purpose-built questionnaire was sent to 134 allied health clinicians or managers with questionnaire responses used by advisors to visualise the leadership model. RESULTS: Advisors prioritised policy development, representing the profession outside the organisation, and supporting department managers, whilst clinicians prioritised communication and connection-building within the organisation. Outcomes of the leadership model included connection, coordination, and advocacy for clinicians. Future preferred outcomes included increased strategic and workforce planning. Barriers included limited time, a widespread workforce and limited resourcing. CONCLUSIONS: Instituting a leadership model improved communication, cohesion, and coordination within the organisation. Future increases in workforce planning and coordination are limited by advisor capacity and competing workloads. DA - 2017/// PY - 2017 DP - EBSCOhost VL - 46 IS - 3 SP - 185 EP - 191 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125354377&site=ehost-live&scope=site DB - CINAHL Complete KW - Leadership KW - Australia KW - Communication KW - Health Personnel KW - Workforce KW - Focus Groups KW - Collaboration KW - Workload KW - Human KW - Questionnaires KW - Communities KW - Descriptive Statistics KW - Rural Areas KW - Action Research KW - Data Collection Methods KW - Allied Health Personnel KW - Policy Making KW - Strategic Planning ER - TY - JOUR TI - Crisis, what crisis? Revisiting 'possible futures for physiotherapy'. AU - Nicholls DA AU - Reid DA AU - Larmer PJ T2 - New Zealand Journal of Physiotherapy AB - In 2005, Nicholls and Larmer argued in this journal that the culture of physiotherapy practice in New Zealand was undergoing radical transformation brought on by the rapidly changing economy of health care. In 2007, a paper by Reid and Larmer picked up on many of these arguments in its analysis of the changing face of private practice in New Zealand. Since that time, there is evidence that the profession is beginning to take stock of its position and explore new directions. This paper expands on our earlier writing to further examine some of the issues raised and outline some of the challenges now emerging for physiotherapists. We consider the impact of our ageing population on workforce reform, shifting governmental priorities and the rise of new public health, and finally the effect these changes are having on education and practice. DA - 2009/11// PY - 2009 DP - EBSCOhost VL - 37 IS - 3 SP - 105 EP - 114 J2 - New Zealand Journal of Physiotherapy SN - 0303-7193 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105266375&site=ehost-live&scope=site DB - CINAHL Complete KW - Models, Theoretical KW - New Zealand KW - Aging KW - Gerontologic Care KW - Health Care Reform -- New Zealand KW - Health Personnel, Unlicensed KW - Education, Physical Therapy -- New Zealand KW - Government Agencies -- New Zealand KW - Health Care Delivery -- Methods -- New Zealand KW - Health Policy -- New Zealand KW - Physical Therapists -- Manpower -- New Zealand KW - Physical Therapy Practice -- Trends -- New Zealand KW - Physical Therapy Service -- Economics KW - Population -- Trends KW - Worker's Compensation KW - Workforce -- New Zealand ER - TY - JOUR TI - CSP survey reveals Welsh vacancy delays. AU - Clews, Graham T2 - Frontline (20454910) DA - 2013/12/05/ PY - 2013 DP - EBSCOhost VL - 19 IS - 21 SP - 8 EP - 8 J2 - Frontline (20454910) SN - 2045-4910 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107922876&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Personnel Staffing and Scheduling KW - Cost Savings KW - Wales KW - Physical Therapists KW - National Health Programs -- Wales ER - TY - JOUR TI - CSP survey reveals Welsh vacancy delays. AU - Clews, Graham T2 - Frontline (20454910) DA - 2013/12/05/ PY - 2013 DP - EBSCOhost VL - 19 IS - 21 SP - 8 EP - 8 J2 - Frontline (20454910) SN - 2045-4910 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=92548608&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Personnel Staffing and Scheduling KW - Cost Savings KW - Wales KW - Physical Therapists KW - National Health Programs -- Wales ER - TY - JOUR TI - CSP urges members to support Heart Unions Week. AU - Gill, Tom T2 - Frontline (20454910) DA - 2016/02/03/ PY - 2016 DP - EBSCOhost VL - 22 IS - 3 SP - 10 EP - 11 J2 - Frontline (20454910) SN - 2045-4910 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112986458&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Promotion KW - National Health Programs KW - Workforce KW - Physical Therapists KW - Labor Unions -- Legislation and Jurisprudence KW - Lobbying KW - The Chartered Society of Physiotherapy -- Legislation and Jurisprudence ER - TY - JOUR TI - Defining and identifying common elements of and contextual influences on the roles of support workers in health and social care: a thematic analysis of the literature. AU - Moran, Anna AU - Enderby, Pamela AU - Nancarrow, Susan T2 - Journal of Evaluation in Clinical Practice AB - Rationale, aims and objectives Support workers are the largest single group of staff involved in the delivery of health and social care in the UK; however, their roles are heterogeneous and are influenced by several contextual factors. The aim of this study was to elucidate the contribution of the elements and context of work undertaken by support workers in health and social care. Methods Thematic review of the literature 2005/2006, updated in 2008. Results A total of 134 papers were included in the review, from which we identified four domains of work and four core roles of support workers. The four domains of support worker work are direct care, indirect care, administration and facilitation. The four 'core' attributes of support worker roles were being a helper/enabler, a companion, a facilitator and a monitor. The more 'technical' components of support worker roles are then shaped by contextual factors such as staffing levels and the delegation processes. Conclusion Despite the heterogeneity of support worker roles, there are some uniting 'generic' features, which may form some or all of the role of these practitioners. Contextual factors influence the specific technical aspects of the support role, accounting in part for their heterogeneous role. DA - 2011/12// PY - 2011 DO - 10.1111/j.1365-2753.2010.01505.x DP - EBSCOhost VL - 17 IS - 6 SP - 1191 EP - 1199 J2 - Journal of Evaluation in Clinical Practice SN - 1356-1294 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104594050&site=ehost-live&scope=site DB - CINAHL Complete KW - Professional Competence KW - Professional Role KW - Thematic Analysis KW - Embase KW - Medline KW - Psycinfo KW - CINAHL Database KW - Allied Health Personnel KW - British Nursing Index ER - TY - JOUR TI - Defining and identifying common elements of and contextual influences on the roles of support workers in health and social care: a thematic analysis of the literature. AU - Moran, Anna AU - Enderby, Pamela AU - Nancarrow, Susan T2 - Journal of Evaluation in Clinical Practice AB - Rationale, aims and objectives Support workers are the largest single group of staff involved in the delivery of health and social care in the UK; however, their roles are heterogeneous and are influenced by several contextual factors. The aim of this study was to elucidate the contribution of the elements and context of work undertaken by support workers in health and social care. Methods Thematic review of the literature 2005/2006, updated in 2008. Results A total of 134 papers were included in the review, from which we identified four domains of work and four core roles of support workers. The four domains of support worker work are direct care, indirect care, administration and facilitation. The four 'core' attributes of support worker roles were being a helper/enabler, a companion, a facilitator and a monitor. The more 'technical' components of support worker roles are then shaped by contextual factors such as staffing levels and the delegation processes. Conclusion Despite the heterogeneity of support worker roles, there are some uniting 'generic' features, which may form some or all of the role of these practitioners. Contextual factors influence the specific technical aspects of the support role, accounting in part for their heterogeneous role. DA - 2011/12// PY - 2011 DO - 10.1111/j.1365-2753.2010.01505.x DP - EBSCOhost VL - 17 IS - 6 SP - 1191 EP - 1199 J2 - Journal of Evaluation in Clinical Practice SN - 1356-1294 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=67002869&site=ehost-live&scope=site DB - CINAHL Complete KW - Professional Competence KW - Professional Role KW - Thematic Analysis KW - Embase KW - Medline KW - Psycinfo KW - CINAHL Database KW - Allied Health Personnel KW - British Nursing Index ER - TY - JOUR TI - Defining the impact of high patient/staff ratios on dialysis social workers. AU - Bogatz S AU - Colasanto R AU - Sweeney L T2 - Nephrology News & Issues AB - In the beginning of 2003, the renal provider in Connecticut with the largest market share systematically reduced the hours of social workers and dietitians throughout its units. This change was part of a larger strategy of 'leveraging and maximizing...organizational and management structure to improve patient, employee, and business care, including increased management emphasis on improving return on invested capital.' For social workers in this company, the target ratio appeared to be 160 patients per 1 full-time equivalent. Soon after this increase in case ratio, the Connecticut Council of Nephrology Social Workers (CT CNSW) became concerned about the reduced level of social work services available to patients. DA - 2005/01/15/ PY - 2005 DP - EBSCOhost VL - 19 IS - 2 SP - 55 EP - 60 J2 - Nephrology News & Issues SN - 0896-1263 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106596578&site=ehost-live&scope=site DB - CINAHL Complete KW - Counseling KW - Task Performance and Analysis KW - Social Workers KW - Personnel Staffing and Scheduling KW - Connecticut KW - Workload KW - Human KW - Qualitative Studies KW - Questionnaires KW - Surveys KW - Patient Education KW - Summated Rating Scaling KW - Quantitative Studies KW - Dialysis ER - TY - JOUR TI - Delivering allied health services to regional and remote participants on the autism spectrum via video-conferencing technology: lessons learned. AU - Johnsson, Genevieve AU - Kerslake, Rachel AU - Crook, Sarah T2 - Rural & Remote Health AB - Context and issues: The introduction of individualised funding under the National Disability Insurance Scheme in Australia aimed to increase individual choice and control over how people received disability supports. An increase in the allied health disability workforce was anticipated; however, disability workforce sector reports have consistently indicated difficulties in attracting and retaining sufficient allied health staff to satisfy current and future demand. Autism spectrum disorder is the most prevalent primary diagnosis of participants receiving individualised funding to date and requires support staff to have specialised skills and experience. Given that overall staff attraction and retention issues are reported to be exacerbated in regional and remote areas of Australia, it is important to seek innovative ways of supporting individuals on the autism spectrum in their local communities. Technology has the potential to provide a timely and low-cost alternative that extends access to specialist services for people in remote locations. The current project aimed to identify the feasibility, essential requirements and potential barriers in delivering therapy support to regional and remote participants on the autism spectrum via video-conferencing technology. Lessons learned: A multidisciplinary team (speech pathologist, occupational therapist, psychologist and a special educator) were recruited and trained to deliver tele-therapy services to 16 participants on the autism spectrum, in collaboration with their families and local support teams. Participants resided in two northern, nine western and one southern regional area in New South Wales (NSW), Australia. There were three sets of siblings. One participant resided on remote Lord Howe Island off the coast of northern NSW. Researchers used semi-structured telephone interviews to gain insight into the program from key stakeholder groups including parents, education staff, allied health professionals and tele-therapists. A general inductive approach to data analysis was used under five project evaluation areas. The evaluation focused on five areas including: development of the tele-health delivery team, understanding the role of collaboration, examining the need for autism-specific support, establishing the need for in-person contact and identifying barriers to success. The project evaluation found that investment in staff training and support was key to building a competent tele-therapy team and delivering successful tele-therapy services under a sustainable model. For many families and support team members, collaboration was reported as an important part of the tele-therapy program, with families and teachers finding it helpful to work together with the same information. The evaluation confirmed that access to autism-specific knowledge and support was novel and regarded as beneficial for families and support teams living in regional and remote areas. There were mixed responses to the inclusion of in-person support as part of a tele-therapy service. While some families felt a tele-therapy service was no different to in-person services, other families and tele-therapists indicated that the addition of at least one in-person session would help to increase rapport. Barriers within the tele-therapy model included scheduling and local staff changes, as well as the delivery of intervention requiring physical support. Technology was not seen as a barrier in the current study. This research adds to the growing body of information supporting the use of tele-practice for geographically isolated regions. Ideally, tele-therapy should not replace in-person services; however, it is necessary when no other comparable service option is available locally. Larger scale research is needed to compare blended, online and in-person models so that an optimal ratio can be established. DA - 2019/07// PY - 2019 DO - 10.22605/RRH5358 DP - EBSCOhost VL - 19 IS - 3 SP - 1 EP - 6 J2 - Rural & Remote Health SN - 1445-6354 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138379726&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Personnel KW - Collaboration KW - New South Wales KW - Family Relations KW - Personnel Staffing and Scheduling KW - Human KW - Attitude to Illness KW - Semi-Structured Interview KW - Support Groups KW - Personnel Recruitment KW - Siblings KW - Health Manpower KW - Rural Areas -- New South Wales KW - Autistic Disorder -- Therapy -- New South Wales KW - Health Care Delivery -- New South Wales KW - Health Educators -- Education KW - Health Knowledge -- Evaluation KW - Health Services Accessibility -- New South Wales KW - Multidisciplinary Care Team -- Education KW - Occupational Therapists -- Education KW - Parents KW - Psychologists -- Education KW - Speech-Language Pathologists -- Education KW - Telehealth -- New South Wales KW - Videoconferencing -- New South Wales ER - TY - JOUR TI - Delivering information and brief advice on alcohol (IBA) in social work and social care settings: an exploratory study. AU - Hafford-Letchfield, Trish AU - Thom, Betsy AU - Herring, Rachel AU - Bayley, Mariana T2 - Drugs: Education, Prevention & Policy AB - Social workers and practitioners working in social care are potentially key players in the prevention of alcohol-related harm and harm reduction for people using services and their carers. This requires attention to workforce development alongside the selection of appropriate tools to support prevention strategies. We report findings from a UK exploratory study into the potential of using Identification and Brief Advice (IBA) as a tool for screening and prevention in social work and social care settings. Thirty-six social workers and social care practitioners attended one of two training workshops on IBA in the South East of England. Pre and post-workshop surveys (n = 35 and n = 20, respectively) and four post-workshop focus groups (n = 36) were conducted with participants to explore the application of IBA taking into account the paradigmatic shift towards prevention and holistic approaches indicated in recent UK legislation and policy. Four themes emerged from the findings: (1) perceptions of the social work/social care role in responding to alcohol problems, (2) ethical concerns, (3) time conflicts and problems of delivering IBA and (4) the role of training. Further studies are needed to evaluate the effectiveness of motivational techniques and tools that social workers can use to promote preventative practise for alcohol-related harm. Different strategies are required to engage and support those working in social care to increase proactive engagement with problematic alcohol use in everyday practise settings. DA - 2019/02// PY - 2019 DO - 10.1080/09687637.2017.1344621 DP - EBSCOhost VL - 26 IS - 1 SP - 40 EP - 49 J2 - Drugs: Education, Prevention & Policy SN - 0968-7637 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134309624&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Harm Reduction KW - Risk Assessment KW - Workforce KW - England KW - Human KW - Exploratory Research KW - Surveys KW - Clinical Assessment Tools KW - Social Work Service KW - Seminars and Workshops KW - Alcohol-Related Disorders -- Diagnosis KW - Alcohol-Related Disorders -- Prevention and Control KW - Social Workers -- Psychosocial Factors ER - TY - JOUR TI - Delivering Intensive Rehabilitation in Stroke: Factors Influencing Implementation. AU - Connell, Louise A. AU - Klassen, Tara K. AU - Janssen, Jessie AU - Thetford, Clare AU - Eng, Janice J. T2 - Physical Therapy AB - Background. The evidence base for stroke rehabilitation recommends intensive and repetitive task-specific practice, as well as aerobic exercise. However, translating these evidence-based interventions from research into clinical practice remains a major challenge. Objective. The objective of this study was to investigate factors influencing implementation of higher-intensity activity in stroke rehabilitation settings. Design. This qualitative study used a cross-sectional design. Methods. Semi-structured interviews were conducted with rehabilitation therapists from 4 sites across 2 Canadian provinces who had experience in delivering a higher-intensity intervention as part of a clinical trial (Determining Optimal post-Stroke Exercise [DOSE]). An interview guide was developed, and data were analyzed using implementation frameworks. Results. Fifteen therapists were interviewed before data saturation was reached. Therapists and patients generally had positive experiences regarding high-intensity interventions. However, therapists felt they would adapt the protocol to accommodate their beliefs about ensuring movement quality. The requirement for all patients to have a graded exercise test and the use of sensors (eg, heart rate monitors) gave therapists confidence to push patients harder than they normally would. Paradoxically, a system that enables routine graded exercise testing and the availability of staff and equipment contribute challenges for implementation in everyday practice. Conclusions. Even therapists involved in delivering a high-intensity intervention as part of a trial wanted to adapt it for clinical practice; therefore, it is imperative that researchers are explicit regarding key intervention components and what can be adapted to help ensure implementation fidelity. Changes in therapists' beliefs and system-level changes (staffing and resources) are likely necessary to facilitate higher-intensity rehabilitation in practice. DA - 2018/04// PY - 2018 DO - 10.1093/ptj/pzy018 DP - EBSCOhost VL - 98 IS - 4 SP - 243 EP - 250 J2 - Physical Therapy SN - 0031-9023 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128847948&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Attitude of Health Personnel KW - Canada KW - Human KW - Qualitative Studies KW - Audiorecording KW - Data Analysis Software KW - Interview Guides KW - Middle Age KW - Funding Source KW - Semi-Structured Interview KW - Descriptive Statistics KW - Clinical Trials KW - Multicenter Studies KW - Cross Sectional Studies KW - Aerobic Exercises KW - Stroke -- Rehabilitation KW - Confidence KW - Physical Therapists KW - Health Care Delivery KW - Exercise Test, Cardiopulmonary KW - Functional Training ER - TY - JOUR TI - Demand for PTs Likely to Increase, Even With More Graduates Available. T2 - PT in Motion AB - The article reports on the growing demand for physical therapists (PTs) despite the increase in the number of graduates from PT education programs. The American Physical Therapy Association (APTA) reveals the trend and rise in demand for PTs through 2020. It adds that APTA's projections continue to show that PT is a growing profession with unmet demand. DA - 2015/05// PY - 2015 DP - EBSCOhost VL - 7 IS - 4 SP - 49 EP - 49 J2 - PT in Motion SN - 1949-3711 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=102628363&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Personnel Shortage KW - Workforce -- Statistics and Numerical Data -- United States KW - Physical Therapists -- United States ER - TY - JOUR TI - Demand for PTs Likely to Increase, Even With More Graduates Available. T2 - PT in Motion DA - 2015/05// PY - 2015 DP - EBSCOhost VL - 7 IS - 4 SP - 49 EP - 49 J2 - PT in Motion SN - 1949-3711 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107786217&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Personnel Shortage KW - Workforce -- Statistics and Numerical Data -- United States KW - Physical Therapists -- United States ER - TY - JOUR TI - Demographic trends in social work over a quarter-century in an increasingly female profession. AU - Schilling R AU - Morrish JN AU - Liu G T2 - Social Work AB - This article depicts the changing demographic portrait of social work education in the United States from 1974 through 2000 and considers the demographic shifts in the profession of social work. During this period, BSW and joint MSW-BSW programs increased from 150 to 404, MSW programs increased from 79 to 139, and social work doctoral programs increased from 29 to 67. BSW graduates increased by 24 percent to almost 12,000, MSW graduates grew by almost 90 percent to over 15,000, and doctoral graduates increased by 44 percent to only 229. From 1974 to 2000, people of color represented increasing proportions of social work graduates to almost 30 percent of BSW graduates, 26 percent of MSW graduates, and 19 percent of social work PhD graduates. By 2000, the proportion of women earning social work degrees had grown to 88 percent at the BSW, 85 percent at the MSW, and 73 percent at the PhD levels, and women accounted for almost two-thirds of social work faculty. The most dynamic trends within the composition of the profession are the substantial increases in the proportion of women faculty, and among MSW graduates, a decrease in the proportion of men from 43 percent in 1960 to 15 percent in 2000. Findings suggest that issues of racial, ethnic, and gender representation in particular merit discussion within the profession. DA - 2008/04// PY - 2008 DP - EBSCOhost VL - 53 IS - 2 SP - 103 EP - 114 J2 - Social Work SN - 0037-8046 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105651837&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - United States KW - Workforce KW - Demography KW - Sex Factors KW - Ethnic Groups KW - Human KW - Race Factors KW - Personnel Shortage KW - Education, Doctoral KW - Education, Masters KW - Education, Social Work -- Trends -- United States KW - Faculty, Allied Health -- Trends KW - Social Workers -- Trends -- United States KW - Students, Social Work -- Trends ER - TY - JOUR TI - Demographics of the Australian orthotic and prosthetic workforce 2007–12. AU - Ridgewell, Emily AU - Dillon, Michael AU - O’Connor, Jackie AU - Anderson, Sarah AU - Clarke, Leigh T2 - Australian Health Review AB - Objective. Health workforce data are vital to inform initiatives to meet the future healthcare needs of our society, but there are currently no data describing the Australian orthotic and prosthetic workforce. The aim of the present study was to describe demographic changes in the Australian orthotic and prosthetic workforce from 2007 to 2012. Methods. In the present retrospective time series study, data from the Australian Orthotic Prosthetic Association member database were analysed for trends from 2007 to 2012. Data describing the absolute number of practitioners, the number of practitioners per 100 000 population, age, gender, state or territory of residence and service location (i.e. metropolitan, regional and remote) were analysed for significant changes over time using linear regression models. Results. Although the number of orthotist/prosthetists in Australia increased (P = 0.013), the number of orthotist/prosthetists per 100 000 population remained unchanged (P = 0.054). The workforce became younger (P = 0.004) and more female (P = 0.005). Only Victoria saw an increase in the proportion of orthotist/prosthetists in regional and remote areas. There was considerable state-to-state variation. Only Victoria (P = 0.01) and Tasmania (P = 0.003) saw an increase in the number of orthotist/prosthetists per 100 000 population. Conclusions. The orthotic and prosthetic workforce has increased proportionately to Australia’s population growth, become younger and more female. The proportion of practitioners in regional and remote areas has remained unchanged. These data can help inform workforce initiatives to increase the number of orthotist/prosthetists relative to the Australian population and make the services of orthotist/prosthetists more accessible to Australians in regional and remote areas. DA - 2016/11// PY - 2016 DO - 10.1071/AH15147 DP - EBSCOhost VL - 40 IS - 5 SP - 555 EP - 561 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118839550&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Australia KW - Workforce KW - Victoria KW - Demography KW - Tasmania KW - Health KW - Allied Health Professions KW - Membership KW - Population ER - TY - JOUR TI - Dental practitioner rural work movements: a systematic review. AU - Godwin, D. M. AU - Hoang, H. AU - Crocombe, L. A. AU - Bell, E. T2 - Rural & Remote Health AB - Introduction: There is a globally observed unequal distribution of dental and other health practitioners between urban and rural areas in OECD countries. Dental practitioners provide important primary healthcare services to rural populations. Workforce shortages and stability issues in underserved areas can have negative effects on rural communities. Strategies used to fix the dental practitioner workforce maldistribution need to be investigated. Method: The study had primary focus on Australia and included relevant international literature. Databases used were PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Informit, Web of Science, Scopus and Summon. Search terms included dental practitioner, rural, remote, retention, recruitment and strategies. Results: Sixteen articles met the inclusion criteria. The articles described a total of eight different positive factors and 12 negative factors towards rural practice. The positive factors related to the nature of the type of clinical work being a ‘challenge’, close social and professional support networks, enjoyment of rural lifestyle and successful integration into the rural community. The negative factors mentioned included social and professional isolation, workload and type of clinical work, access to further education opportunities, access to facilities, education for children and job opportunities for a partner, and inability to integrate into the rural community. The articles that analysed recruitment incentives described three strategies currently used to influence recruitment, all of which were financial or contractual in nature. Articles mentioning retention factors described seven long-term retention motivators; of these, six of them were personal reasons. The most commonly mentioned motivational fact or for recruitment and retention of the rural dental practitioner workforce was the effect of prior rural exposure for dental practitioners. Conclusions: The results of this review indicate that the most important influences on rural dental practitioner workforce recruitment and retention were a combination of financial reimbursement and personal reasons. There was also a large influence of rural medical workforce research on untested assumptions and drivers of the rural dental practitioner workforce. The high recruitment rate compared with the low retention rate indicates that current strategies were not effective in addressing rural dental practitioner workforce shortages in the long term. DA - 2014/07// PY - 2014 DP - EBSCOhost VL - 14 IS - 3 SP - 1 EP - 13 J2 - Rural & Remote Health SN - 1445-6354 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103896590&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Dentists KW - United Kingdom KW - Australia KW - Workforce KW - Motivation KW - Human KW - Funding Source KW - Personnel Recruitment KW - Personnel Retention KW - CINAHL Database KW - Systematic Review KW - PubMed KW - Rural Health KW - Dentist Attitudes KW - Dentistry -- Manpower ER - TY - JOUR TI - Dental practitioner rural work movements: a systematic review. AU - Godwin, D. M. AU - Hoang, H. AU - Crocombe, L. A. AU - Bell, E. T2 - Rural & Remote Health AB - Introduction: There is a globally observed unequal distribution of dental and other health practitioners between urban and rural areas in OECD countries. Dental practitioners provide important primary healthcare services to rural populations. Workforce shortages and stability issues in underserved areas can have negative effects on rural communities. Strategies used to fix the dental practitioner workforce maldistribution need to be investigated. Method: The study had primary focus on Australia and included relevant international literature. Databases used were PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Informit, Web of Science, Scopus and Summon. Search terms included dental practitioner, rural, remote, retention, recruitment and strategies. Results: Sixteen articles met the inclusion criteria. The articles described a total of eight different positive factors and 12 negative factors towards rural practice. The positive factors related to the nature of the type of clinical work being a ‘challenge’, close social and professional support networks, enjoyment of rural lifestyle and successful integration into the rural community. The negative factors mentioned included social and professional isolation, workload and type of clinical work, access to further education opportunities, access to facilities, education for children and job opportunities for a partner, and inability to integrate into the rural community. The articles that analysed recruitment incentives described three strategies currently used to influence recruitment, all of which were financial or contractual in nature. Articles mentioning retention factors described seven long-term retention motivators; of these, six of them were personal reasons. The most commonly mentioned motivational fact or for recruitment and retention of the rural dental practitioner workforce was the effect of prior rural exposure for dental practitioners. Conclusions: The results of this review indicate that the most important influences on rural dental practitioner workforce recruitment and retention were a combination of financial reimbursement and personal reasons. There was also a large influence of rural medical workforce research on untested assumptions and drivers of the rural dental practitioner workforce. The high recruitment rate compared with the low retention rate indicates that current strategies were not effective in addressing rural dental practitioner workforce shortages in the long term. DA - 2014/07// PY - 2014 DP - EBSCOhost VL - 14 IS - 3 SP - 1 EP - 13 J2 - Rural & Remote Health SN - 1445-6354 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=98503205&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Dentists KW - United Kingdom KW - Australia KW - Workforce KW - Motivation KW - Human KW - Funding Source KW - Personnel Recruitment KW - Personnel Retention KW - CINAHL Database KW - Systematic Review KW - PubMed KW - Rural Health KW - Dentist Attitudes KW - Dentistry -- Manpower ER - TY - JOUR TI - Developing a Social Work Workforce: We Need Additional Data. AU - Williams, James Herbert AU - Vieyra, Miguel Joseph T2 - Social Work Research AB - The author explains why he considers social work to be undergoing a renaissance period. Topics covered include the growth in social work research enterprise and social work education, the seminal 1991 report of the National Institute of Mental Health (NIMH) Task Force on social work research, and the commitment of the Society for Social Work and Research (SSWR) to the advancement of social work research. Discussed also is why social work needs both workforce investment and workforce data. DA - 2018/03// PY - 2018 DO - 10.1093/swr/svy001 DP - EBSCOhost VL - 42 IS - 1 SP - 3 EP - 7 J2 - Social Work Research SN - 1070-5309 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128223928&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Collaboration KW - Social Work KW - Social Workers KW - Education, Social Work KW - Foundations KW - Research, Social Work ER - TY - JOUR TI - Developing allied health professional support policy in Queensland: a case study. AU - Bell, Karen E AU - Hall, Fiona AU - Pager, Sue AU - Kuipers, Pim AU - Farry, Hayley T2 - Human Resources for Health DA - 2014/01// PY - 2014 DO - 10.1186/1478-4491-12-57 DP - EBSCOhost VL - 12 IS - 1 SP - 57 EP - 57 J2 - Human Resources for Health SN - 1478-4491 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107803605&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Policy KW - Queensland KW - Human KW - Allied Health Personnel KW - Health Manpower KW - Organizational Development KW - Health Services -- Manpower ER - TY - JOUR TI - Developing and implementing transdisciplinary rehabilitation competencies. AU - Browner CM AU - Bessire GD T2 - SCI Nursing AB - The Commission on Accreditation of Rehabilitation Facilities (CARF) requires that brain and spinal cord injury (SCI) specialty programs assure a base competency level for staff. At the authors' institution, senior staff members from all rehabilitation disciplines developed a Competency Fair based on a transdisciplinary approach to care. Each module contained reading material and a competency test. Some modules required a return demonstration. Topics included dysphagia, skin care, cognition, and bedside emergencies, among others. At a 4-day Competency Fair, 95 of the 110 staff members completed the training. Additional training was provided to those who failed the examinations. The training met CARF standards, and staff expressed a greater appreciation of others' roles and felt empowered to share their roles with others. Greater crossover of duties among disciplines, and a better understanding of the transdisciplinary approach to care, were apparent. Staff also reported improvements in patient care and an expansion of their knowledge base. DA - 2004/// PY - 2004 DP - EBSCOhost VL - 21 IS - 4 SP - 198 EP - 205 J2 - SCI Nursing SN - 0888-8299 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106637277&site=ehost-live&scope=site DB - CINAHL Complete KW - Program Evaluation KW - Social Workers KW - Occupational Therapists KW - Questionnaires KW - Summated Rating Scaling KW - Teaching Methods KW - Spinal Cord Injuries -- Rehabilitation KW - Physical Therapists KW - Clinical Competence -- Evaluation KW - Education, Interdisciplinary KW - Case Managers KW - Speech-Language Pathologists KW - Education, Competency-Based KW - Brain Injuries -- Rehabilitation KW - Recreational Therapists KW - Rehabilitation -- Education KW - Rehabilitation -- Equipment and Supplies ER - TY - JOUR TI - Developing collaborative competencies. AU - McKee D T2 - Excellence in Nursing Knowledge AB - The road to a preferred future is built by collaboration, especially between nurses in education and service. That included arriving at a common way to talk about goals. Read about how this nurse executive used a FutureThink pilot project to enhance her own leaders hip skills. DA - 2004/10// PY - 2004 DP - EBSCOhost SP - 4p EP - 4p J2 - Excellence in Nursing Knowledge SN - 1554-5989 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106454351&site=ehost-live&scope=site DB - CINAHL Complete KW - Leadership KW - Collaboration KW - Forecasting KW - Ohio KW - Health Manpower KW - Education, Allied Health KW - Education, Nursing KW - Education, Interdisciplinary KW - Curriculum Development KW - Strategic Planning KW - Education, Health Sciences KW - Health Care Delivery -- Ohio ER - TY - JOUR TI - Developing dietetic positions in rural areas: what are the key lessons? AU - Brown, L. J. AU - Williams, L. T. AU - Capra, S. T2 - Rural & Remote Health AB - Introduction: Rural and remote communities in Australia are typically underserviced by dietitians. The recruitment of dietitians to rural areas has improved in recent years; however, retention remains an issue. Key factors that lead to an increase in funding and the development of more dietetic positions in rural areas are unknown. The purpose of this study was to describe dietetic services in rural areas and to determine the drivers for and barriers to the development of dietetic positions in rural areas. Methods: A sequential explanatory mixed methods approach was used to examine six case study sites of dietetic service delivery in rural northern New South Wales (NSW) Australia between 1991 and 2006. The six sites represented different models of dietetic service delivery from the study area. Data sources included workforce documents and in-depth individual interviews on position development with 40 key informants, including past and present dietitians, dietetic managers and health service managers. Interview data were thematically analysed with the aid of NVivo7 (www.qsrinternational.com). Themes were coded into common categories, using a constant comparison inductive approach. Results: Forty key informants agreed to participate in the in-depth, semi-structured interview. Participants included 28 dietitians (past and present), three dietetics managers and nine managers. The majority of participants were female (87.5%). Document analysis showed that the dietetic workforce had a 5.6-fold increase across the six sites over the 15 years. Themes that emerged from the interviews indicated that new positions were established through ad hoc and opportunistic funding, a gradual increase in funding or due to concerted efforts by champions advocating for increased funding. Conclusion: The findings from this study have important implications for the development of dietetic staffing in rural areas. There is an inconsistent approach to the development of dietetic positions in rural areas of Australia. Factors that inhibited the development of positions included a general lack of funds and competing priorities. A systematic, planned approach to the development of dietetic positions is needed in rural Australia. Champions for the development of positions were effective in increasing positions, particularly when they have management support. DA - 2012/04// PY - 2012 DP - EBSCOhost VL - 12 IS - 2 SP - 1 EP - 10 J2 - Rural & Remote Health SN - 1445-6354 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104484613&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Workforce KW - New South Wales KW - Human KW - Data Analysis Software KW - Thematic Analysis KW - Exploratory Research KW - Funding Source KW - Semi-Structured Interview KW - Descriptive Statistics KW - Multimethod Studies KW - Personnel Recruitment KW - Personnel Retention KW - Dietitians KW - Rural Health KW - Dietetics -- Economics ER - TY - JOUR TI - Developing dietetic positions in rural areas: what are the key lessons? AU - Brown, L. J. AU - Williams, L. T. AU - Capra, S. T2 - Rural & Remote Health AB - Introduction: Rural and remote communities in Australia are typically underserviced by dietitians. The recruitment of dietitians to rural areas has improved in recent years; however, retention remains an issue. Key factors that lead to an increase in funding and the development of more dietetic positions in rural areas are unknown. The purpose of this study was to describe dietetic services in rural areas and to determine the drivers for and barriers to the development of dietetic positions in rural areas. Methods: A sequential explanatory mixed methods approach was used to examine six case study sites of dietetic service delivery in rural northern New South Wales (NSW) Australia between 1991 and 2006. The six sites represented different models of dietetic service delivery from the study area. Data sources included workforce documents and in-depth individual interviews on position development with 40 key informants, including past and present dietitians, dietetic managers and health service managers. Interview data were thematically analysed with the aid of NVivo7 (www.qsrinternational.com). Themes were coded into common categories, using a constant comparison inductive approach. Results: Forty key informants agreed to participate in the in-depth, semi-structured interview. Participants included 28 dietitians (past and present), three dietetics managers and nine managers. The majority of participants were female (87.5%). Document analysis showed that the dietetic workforce had a 5.6-fold increase across the six sites over the 15 years. Themes that emerged from the interviews indicated that new positions were established through ad hoc and opportunistic funding, a gradual increase in funding or due to concerted efforts by champions advocating for increased funding. Conclusion: The findings from this study have important implications for the development of dietetic staffing in rural areas. There is an inconsistent approach to the development of dietetic positions in rural areas of Australia. Factors that inhibited the development of positions included a general lack of funds and competing priorities. A systematic, planned approach to the development of dietetic positions is needed in rural Australia. Champions for the development of positions were effective in increasing positions, particularly when they have management support. DA - 2012/04// PY - 2012 DP - EBSCOhost VL - 12 IS - 2 SP - 1 EP - 10 J2 - Rural & Remote Health SN - 1445-6354 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=78222164&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Workforce KW - New South Wales KW - Human KW - Data Analysis Software KW - Thematic Analysis KW - Exploratory Research KW - Funding Source KW - Semi-Structured Interview KW - Descriptive Statistics KW - Multimethod Studies KW - Personnel Recruitment KW - Personnel Retention KW - Dietitians KW - Rural Health KW - Dietetics -- Economics ER - TY - JOUR TI - Developing nursing research in the United Arab Emirates: a narrative review. AU - McCreaddie, M. AU - Kuzemski, D. AU - Griffiths, J. AU - Sojka, E. M. AU - Fielding, M. AU - Al Yateem, N. AU - Williams, J. J. T2 - International Nursing Review AB - Aim: This article identified, critically analysed and synthesized the literature on international nursing and midwifery research capacity building and standards. Background: The United Arab Emirates is heavily dependent up on expatriate nurses. Only 4% of nurses working within the country are Emirati. The nation is therefore committed to developing nurses and nursing as a profession. Introduction: The United Arab Emirates’ Nursing and Midwifery Council was formed in 2009 and initially focused on regulation, education and specialization. This review was undertaken to inform the work of the Council's newly established Scientific Research Sub‐Committee. Methods: A rapid narrative review was conducted using the Cumulative Index of Nursing and Allied Health Literature database, key words, Boolean operators, parameters and a journal‐specific search. An inclusion/exclusion criterion was identified. Results: The search provided 332 articles with 45 included in the final review. The literature on nursing research ‘standards’ and ‘capacity building’ is diverse and inconsistent across continents and in approaches. Discussion: Nursing research has evolved to varying degrees across the globe. Nevertheless, irrespective of the locale, there are similar problems encountered in growing research, for example nursing faculty shortage, lack of collaborative research, funding. There are also specific challenges in the Middle East and North Africa region. Limitations: The review was constrained by time and access. Conclusion and implications for nursing policy: There are specific challenges for the United Arab Emirates. However, the country is well placed to learn from the experiences of colleagues elsewhere. Time and commitment is required to build the solid foundations necessary to ensure robust, sustained growth. Identifying research capacity as both a process and outcome at the outset may also assist. Further, it may be prudent to consider initiating a Gulf Coast Countries’ collaborative approach to building research capacity to harness scare resources and create a larger critical mass. DA - 2018/03// PY - 2018 DO - 10.1111/inr.12405 DP - EBSCOhost VL - 65 IS - 1 SP - 93 EP - 101 J2 - International Nursing Review SN - 0020-8132 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128032642&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Human KW - CINAHL Database KW - Systematic Review KW - Research, Midwifery -- Standards -- United Arab Emirates KW - Research, Nursing -- Standards -- United Arab Emirates KW - United Arab Emirates ER - TY - JOUR TI - Developing self-care competency among child welfare workers: A first step. AU - Miller, J. Jay T2 - Children & Youth Services Review AB - • This study assessed the impact of a self-care training for child welfare workers. • Results indicated significant increases in knowledge, confidence, and value related to self-care. • Findings affirm that brief self-care trainings can beneficial to child welfare workers. Self-care can be integral to assuaging inimical employment conditions experienced by the child welfare workforce. However, few studies have explicitly examined ways to improve self-care competency among this practitioner group. This study employed a retrospective pre/post design to assess the impact of a self-care training for child welfare workers (N = 131) in one southeastern state in the United States. Overall, results indicate child welfare workers were satisfied with the training content and materials. As well, analyses revealed significant increases in knowledge about self-care, confidence in skills to engage in self-care, and values related to self-care. Overall, findings from this study suggest that brief self-care trainings can beneficial to child welfare workers and that more research in this area is warranted. DA - 2020/01// PY - 2020 DO - 10.1016/j.childyouth.2019.104529 DP - EBSCOhost VL - 108 SP - N.PAG EP - N.PAG J2 - Children & Youth Services Review SN - 0190-7409 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141111969&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Clinical Competence KW - Southeastern United States KW - Human KW - Professional Development KW - Pretest-Posttest Design KW - Retrospective Design KW - Competency Assessment KW - Social Workers -- Education KW - Child Welfare -- Education KW - Self Care -- Education KW - Wellness ER - TY - JOUR TI - Developing Swiss paraplegic research: building a research institution from the comprehensive perspective. AU - Stucki G AU - Reinhardt JD AU - Cieza A AU - Brach M AU - Celio M AU - Joggi D AU - Villiger B AU - Zach GA AU - Krieg W T2 - Disability & Rehabilitation AB - Purpose. To illustrate the conceptualization and development of a research institution from the comprehensive perspective based on the integrative model of functioning provided by the World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF). The newly founded research institution Swiss Paraplegic Research which focuses on the comprehensive study of spinal cord injury (SCI) serves as an example. Method. Description of organizational development and structure. Results. The creation of specialized research institutions which develop their core competence from the comprehensive perspective poses unique challenges. It is depicted how these challenges can be met through several approaches. These encompass the identification and specification of a common mission and research goals, the organization of research along distinct scientific fields, the set-up of a respective core competence, and the design of research structures suited to conduct studies of high methodological and organizational complexity. Finally, they comprise the development of a transdisciplinary workforce and the integration into a research landscape which is organized along scientific disciplines and not along interdisciplinary themes. Conclusion. The ideas and approaches described in this paper may serve as an example for creating integrative research institutions dedicated to human functioning and rehabilitation research from the comprehensive perspective. DA - 2008/07/30/ PY - 2008 DO - 10.1080/09638280701456369 DP - EBSCOhost VL - 30 IS - 14 SP - 1063 EP - 1078 J2 - Disability & Rehabilitation SN - 0963-8288 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105681912&site=ehost-live&scope=site DB - CINAHL Complete KW - Professional Competence KW - Workforce KW - Health Status KW - Clinical Competence KW - Switzerland KW - Functional Status KW - Validation Studies KW - Personnel Recruitment KW - Conceptual Framework KW - Spinal Cord Injuries KW - Occupation (Human) KW - Career Planning and Development KW - Study Design KW - Staff Development KW - Assistive Technology KW - International Classification of Functioning, Disability, and Health -- Utilization KW - Organizational Objectives -- Switzerland KW - Paraplegia -- Organizations -- Switzerland KW - Research Priorities KW - Research, Allied Health -- Switzerland ER - TY - JOUR TI - Development of a Tool to Measure Dietitians’ Involvement in the Intensive Care Setting. AU - Ferrie, Suzie AU - Allman-Farinelli, Margaret T2 - Nutrition in Clinical Practice AB - Background: Intensive care is a relatively new work area for dietitians in Australasia, and the role of the dietitian appears to differ widely between facilities. This may create difficulties with multicenter research collaboration and workforce planning. The aim of this study was to develop a validated survey tool to assess dietitians’ involvement in their intensive care teams. Methods: A full list of all 182 adult intensive care units in Australia and New Zealand was obtained from the Australian and New Zealand Intensive Care Society, and all of these units were contacted. A survey tool was developed, piloted, and validated using correlation tests of construct validity; factor analysis was used to develop a 5-item short-form survey tool. Results: At least 1 dietitian participated from each of the 182 hospitals that were contacted, and no dietitians declined to participate in the survey (100% response rate). The survey had strong validity and test–retest reliability in the population surveyed. Conclusions: The survey tools presented here can be used to assess dietitians’ involvement in their intensive care team. The short-form tool developed in this study is conveniently brief and easy to administer, but it will need to be validated for use outside the Australian and New Zealand health systems prior to conduct of a large-scale survey. DA - 2011/06// PY - 2011 DO - 10.1177/0884533611405792 DP - EBSCOhost VL - 26 IS - 3 SP - 330 EP - 338 J2 - Nutrition in Clinical Practice SN - 0884-5336 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=60695841&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - New Zealand KW - Sensitivity and Specificity KW - Human KW - Questionnaires KW - Data Analysis Software KW - Descriptive Statistics KW - Construct Validity KW - Internal Consistency KW - Instrument Validation KW - Kappa Statistic KW - Validation Studies KW - Coefficient Alpha KW - Criterion-Related Validity KW - Paired T-Tests KW - Test-Retest Reliability KW - Spearman's Rank Correlation Coefficient KW - Instrument Construction KW - Pearson's Correlation Coefficient KW - Pilot Studies KW - Factor Analysis KW - Multidisciplinary Care Team KW - Dietitians KW - Intensive Care Units KW - Intensive Care Units -- Organizations KW - Professional Role -- Evaluation KW - Validity ER - TY - JOUR TI - Diabetes UK Professional Conference 2014: Liverpool ACC, 5th-7th March. AU - Townson, Mike T2 - Podiatry Now DA - 2014/05// PY - 2014 DP - EBSCOhost VL - 17 IS - 5 SP - 30 EP - 31 J2 - Podiatry Now SN - 1460-731X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129043636&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Education KW - United Kingdom KW - Workforce KW - Professional Development KW - Peripheral Vascular Diseases KW - Diabetes Mellitus -- Prevention and Control KW - Podiatrists KW - Professional Knowledge KW - Amputation KW - Congresses and Conferences -- United Kingdom KW - Diabetes Mellitus -- Complications KW - Diabetic Foot KW - Foot Care KW - Foot Ulcer ER - TY - JOUR TI - Dietary Service Staffing Impact Nutritional Quality in Nursing Homes. AU - Smith, Kelly M. AU - Thomas, Kali S. AU - Johnson, Shanthi AU - Meng, Hongdao AU - Hyer, Kathryn T2 - Journal of Applied Gerontology AB - Objective: To examine the relationship between dietary service staff and dietary deficiency citations in nursing homes (NHs). Method: 2007-2011 Online Survey and Certification and Reporting data for 14,881 freestanding NHs were used to examine the relationship between dietary service staff and the probability of receiving a dietary service–related deficiency citation. An unconditional logit model with random effects was employed. Results: Findings suggest that higher staffing levels for dietitians (odds ratio [OR] =.955; p <.01), dietary service personnel (OR =.996; p <.01), and certified nursing assistants (CNAs; OR =.981; p <.05) decrease the likelihood of receiving a dietary service deficiency citation. Conclusion: Higher levels of dietary service and CNA staffing levels have the potential to improve the quality of nutritional care in NHs. Findings help substantiate the Centers for Medicare and Medicaid Services' proposed rules for more stringent Food and Nutrition Services in the NH setting and signify the need for further research relative to the impact of dietary service staff on nutritional and clinical outcomes. DA - 2019/05// PY - 2019 DO - 10.1177/0733464816688309 DP - EBSCOhost VL - 38 IS - 5 SP - 639 EP - 655 J2 - Journal of Applied Gerontology SN - 0733-4648 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135929116&site=ehost-live&scope=site DB - CINAHL Complete KW - Quality of Health Care KW - Nursing Homes KW - Odds Ratio KW - Personnel Staffing and Scheduling KW - Nutritive Value KW - Human KW - Nursing Assistants KW - Dietitians KW - Food Quality KW - Malnutrition -- Prevention and Control KW - Nutrition Services -- Manpower ER - TY - JOUR TI - Dietetic Staffing and Workforce Capacity Planning in Primary Health Care. AU - MACDONALD WERSTUCK, MICHELE AU - BUCCINO, JENNIFER T2 - Canadian Journal of Dietetic Practice & Research AB - The addition of Registered Dietitians (RD) to primary health care (PHC) teams has been shown to be effective in improving health and economic outcomes with reported savings of $5 to $99 New Zealand dollars for every $1 spent on nutrition interventions. Despite proven benefits, very few Canadians have access to dietitians in PHC. This paper summarizes the literature on dietetic staffing ratios in PHC in Canada and other countries with similar PHC systems. Examples are shared to demonstrate how dietitians and others can utilize published staffing ratios to review dietitian services within their settings, identify gaps, and advocate for additional positions to meet population needs. The majority of published dietetic staffing ratios describe ranges of 1 RD: 15 000-18 500 patients, 1 RD for every 4-14 family physicians, or 1 RD for every 300-500 patients with diabetes. These staffing ratios may be inadequate as surveys report ongoing issues of limited access to dietetic counseling, under-serviced populations, and a shortage of dietitians to meet current population needs in PHC. Newer projection models based on specific population needs and ongoing workforce data are required to identify professional practice issues and accurately estimate dietetic staffing requirements in PHC. DA - 2018/12// PY - 2018 DO - 10.3148/cjdpr-2018-018 DP - EBSCOhost VL - 79 IS - 4 SP - 181 EP - 185 J2 - Canadian Journal of Dietetic Practice & Research SN - 1486-3847 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=133028778&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Canada KW - Primary Health Care -- Manpower -- Canada KW - Health and Welfare Planning KW - Personnel Staffing and Scheduling -- Statistics and Numerical Data KW - Dietitians -- Statistics and Numerical Data ER - TY - JOUR TI - Dietetics students' experiences of dietetics workforce preparation and preparedness: a systematic review and qualitative synthesis. AU - Morgan, K. AU - Campbell, K. L. AU - Reidlinger, D. P. T2 - Journal of Human Nutrition & Dietetics AB - Background: Dietetics students are a widely researched group. As emerging dietitians, they can provide valuable insights to inform how dietetics education programmes may be enhanced to meet contemporary healthcare needs. This review aimed to systematically synthesise dietetics students' experiences of dietetics workforce preparation. Methods: MEDLINE, CINAHL, Embase, PsycINFO, ERIC, Informit and ProQuest Dissertations and Theses Global were searched to identify research published until June 2017. Studies investigating dietetics students' experiences of dietetics workforce preparation, and employing qualitative data collection and analysis methods were included. Data analysis was guided by thematic synthesis, where themes were constructed through an iterative and inductive process. Study quality was appraised using the RATS Qualitative Research Review Guidelines. Results: From the 3301 records identified, five studies met the inclusion criteria and the views of 120 dietetics students from two countries over a 9‐year period were synthesised. The overarching theme of 'navigating through the ups and downs' was underpinned by four main themes: enduring hurdles; reconciling expectations; transforming self; and making and breaking connections. Quality appraisal results rated selection bias as being inadequate/inappropriate across all studies. Conclusions: Dietetics students undertake a transformational journey through dietetics education. They are inspired by seeing what is possible through meaningful encounters with practitioners in diverse settings. However, they are challenged by competitive environments and perceived ideals that are embedded in the profession. Strategies that focus on exposing dietetics students to inspirational practitioners, increasing and celebrating diversity in academic/placement settings, and incentivising collaboration across dietetics education, could act as catalysts to enhance the experience of future dietetics students and the nutrition‐related health of those they will serve. DA - 2019/04// PY - 2019 DO - 10.1111/jhn.12600 DP - EBSCOhost VL - 32 IS - 2 SP - 226 EP - 246 J2 - Journal of Human Nutrition & Dietetics SN - 0952-3871 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135199710&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Collaboration KW - Human KW - Thematic Analysis KW - Embase KW - Medline KW - Psycinfo KW - CINAHL Database KW - ERIC Database KW - Systematic Review KW - Meta Synthesis KW - Education, Dietetics KW - Medical Practice KW - Students, Dietetics -- Psychosocial Factors ER - TY - JOUR TI - Dietetics Supply and Demand: 2010-2020 AU - Hooker, Roderick S. AU - Williams, James H. AU - Papneja, Jesleen AU - Sen, Namrata AU - Hogan, Paul T2 - Journal of the Academy of Nutrition & Dietetics AB - Executive Summary: The Academy of Nutrition and Dietetics, in conjunction with the Commission on Dietetic Registration (CDR), invited The Lewin Group to undertake an analysis of the dietetics workforce. The purpose of the workforce study was to develop a model that can project the supply and demand for both registered dietitians (RDs) and dietetic technicians, registered (DTRs) (collectively referred to as CDR-credentialed dietetics practitioners) as the result of various key drivers of change. The research team was asked to quantify key market factors where possible and to project likely paths for the evolution of workforce supply and demand, as well as to assess the implications of the findings. This article drew on the survey research conducted by Readex Research and futurist organizations such as Signature i and Trend Spot Consulting. Furthermore, members of the Dietetics Workforce Demand Task Force were a source of institutional and clinical information relevant to the credentialed dietetics workforce—including their opinions and judgment of the current state of the health care market for dietetic services, its future state, and factors affecting it, which were useful and were integrated with the objective sources of data. The model is flexible and accommodates the variation in how RDs and DTRs function in diverse practice areas. For purposes of this study and model, the dietetics workforce is composed of RDs and DTRs. This report presents the results of this workforce study and the methodology used to calculate the projected dietetics workforce supply and demand. The projections are based on historical trends and estimated future changes. Key findings of the study included the following: [•] The average age of all CDR-credentialed dietetics practitioners in baseline supply (2010) is 44 years; approximately 96% are women. [•] Approximately 55% of CDR-credentialed dietetics practitioners work in clinical dietetics. [•] The annual growth rate of supply of CDR-credentialed dietetics practitioners declined from 3% in the early 1990s to 1.5% by 2010. [•] The net supply of CDR-credentialed dietetics practitioners is projected to grow by 1.1% annually. [•] Approximately 75% of the demand for the dietetics workforce will be met by the 2020 supply of CDR-credentialed dietetics practitioners. [•] The aging population, health care reform, increased prevalence of certain conditions (including obesity), and growth in the food industry are key factors affecting the demand. DA - 2012/03/02/ PY - 2012 DO - 10.1016/j.jand.2011.12.024 DP - EBSCOhost VL - 112 SP - S75 EP - S91 J2 - Journal of the Academy of Nutrition & Dietetics SN - 2212-2672 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=72599511&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - United States KW - Aged KW - Workforce KW - Health Services Needs and Demand KW - Demography KW - Salaries and Fringe Benefits KW - Professional Role KW - Human KW - Middle Age KW - Funding Source KW - CINAHL Database KW - Systematic Review KW - PubMed KW - Certification KW - Dietitians -- Economics -- United States KW - Dietitians -- Manpower -- United States ER - TY - JOUR TI - Dietetics Supply and Demand: 2010-2020. AU - Hooker, Roderick S. AU - Williams, James H. AU - Papneja, Jesleen AU - Sen, Namrata AU - Hogan, Paul T2 - Journal of the Academy of Nutrition & Dietetics AB - Executive Summary: The Academy of Nutrition and Dietetics, in conjunction with the Commission on Dietetic Registration (CDR), invited The Lewin Group to undertake an analysis of the dietetics workforce. The purpose of the workforce study was to develop a model that can project the supply and demand for both registered dietitians (RDs) and dietetic technicians, registered (DTRs) (collectively referred to as CDR-credentialed dietetics practitioners) as the result of various key drivers of change. The research team was asked to quantify key market factors where possible and to project likely paths for the evolution of workforce supply and demand, as well as to assess the implications of the findings. This article drew on the survey research conducted by Readex Research and futurist organizations such as Signature i and Trend Spot Consulting. Furthermore, members of the Dietetics Workforce Demand Task Force were a source of institutional and clinical information relevant to the credentialed dietetics workforce—including their opinions and judgment of the current state of the health care market for dietetic services, its future state, and factors affecting it, which were useful and were integrated with the objective sources of data. The model is flexible and accommodates the variation in how RDs and DTRs function in diverse practice areas. For purposes of this study and model, the dietetics workforce is composed of RDs and DTRs. This report presents the results of this workforce study and the methodology used to calculate the projected dietetics workforce supply and demand. The projections are based on historical trends and estimated future changes. Key findings of the study included the following: [•] The average age of all CDR-credentialed dietetics practitioners in baseline supply (2010) is 44 years; approximately 96% are women. [•] Approximately 55% of CDR-credentialed dietetics practitioners work in clinical dietetics. [•] The annual growth rate of supply of CDR-credentialed dietetics practitioners declined from 3% in the early 1990s to 1.5% by 2010. [•] The net supply of CDR-credentialed dietetics practitioners is projected to grow by 1.1% annually. [•] Approximately 75% of the demand for the dietetics workforce will be met by the 2020 supply of CDR-credentialed dietetics practitioners. [•] The aging population, health care reform, increased prevalence of certain conditions (including obesity), and growth in the food industry are key factors affecting the demand. DA - 2012/03/02/ PY - 2012 DO - 10.1016/j.jand.2011.12.024 DP - EBSCOhost VL - 112 SP - S75 EP - 91 J2 - Journal of the Academy of Nutrition & Dietetics SN - 2212-2672 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104528110&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - United States KW - Aged KW - Workforce KW - Health Services Needs and Demand KW - Demography KW - Salaries and Fringe Benefits KW - Professional Role KW - Human KW - Middle Age KW - Funding Source KW - CINAHL Database KW - Systematic Review KW - PubMed KW - Certification KW - Dietitians -- Economics -- United States KW - Dietitians -- Manpower -- United States ER - TY - JOUR TI - Dietetics Trends as Reflected in Various Primary Research Projects, 1995-2011 AU - Rogers, Dick T2 - Journal of the Academy of Nutrition & Dietetics AB - Executive Summary: At the behest of the Commission on Dietetic Registration (CDR) Workforce Demand Task Force, a retrospective examination and reanalysis of 12 primary research projects (sponsored by CDR and/or the Academy of Nutrition and Dietetics between 1995 and 2011) was undertaken to identify trends in supply of and demand for registered dietitians (RDs) and dietetic technicians, registered (DTRs). The analysis suggests that supply of RDs (and possibly DTRs) lags slightly behind demand—although, in the case of DTRs, that does not necessarily imply that demand is growing (supply was shrinking throughout most of the study period). The population of both groups is aging, and the number of RDs and DTRs reporting expected retirement in the near future is sure to affect supply/demand relationships. Neither group reflects the US population as a whole in terms of either sex or racial/ethnic diversity, and the trend lines in these areas are essentially flat. RD practice is seen to be moving incrementally toward the clinical arena, in inpatient and (increasingly) outpatient settings. The proportion of RDs in clinical long-term-care, as well as in food/nutrition management and consultation/business practice, is decreasing; a longer-term trend away from foodservice is noted. There is small growth in both the prevalence and the compensation of clinical specialists in areas like renal, pediatrics, and weight management at the expense of more general clinical practitioners. In a trend likely related to the increase in clinical practice, RD positions are gradually losing managerial responsibility. DTRs have experienced a similar phenomenon. For almost all RD positions in the clinical arena, registration as an RD is a requirement for employment, suggesting that clinical employment should continue to grow along with the increasing health care demand from an aging population. The DTR credential is not required at similarly high rates. A major supply issue is the relative shortage of DTRs in certain parts of the country, particularly the South. Major effects from the June 2009 inauguration of the Pathway III route to registration as a DTR have been noted. DA - 2012/03/02/ PY - 2012 DO - 10.1016/j.jand.2011.12.010 DP - EBSCOhost VL - 112 SP - S64 EP - S74 J2 - Journal of the Academy of Nutrition & Dietetics SN - 2212-2672 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=72599510&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Health Services Needs and Demand KW - Demography KW - Human KW - Funding Source KW - Certification KW - Job Characteristics KW - Dietitians -- Manpower -- United States ER - TY - JOUR TI - Dietetics Trends as Reflected in Various Primary Research Projects, 1995-2011. AU - Rogers, Dick T2 - Journal of the Academy of Nutrition & Dietetics AB - Executive Summary: At the behest of the Commission on Dietetic Registration (CDR) Workforce Demand Task Force, a retrospective examination and reanalysis of 12 primary research projects (sponsored by CDR and/or the Academy of Nutrition and Dietetics between 1995 and 2011) was undertaken to identify trends in supply of and demand for registered dietitians (RDs) and dietetic technicians, registered (DTRs). The analysis suggests that supply of RDs (and possibly DTRs) lags slightly behind demand—although, in the case of DTRs, that does not necessarily imply that demand is growing (supply was shrinking throughout most of the study period). The population of both groups is aging, and the number of RDs and DTRs reporting expected retirement in the near future is sure to affect supply/demand relationships. Neither group reflects the US population as a whole in terms of either sex or racial/ethnic diversity, and the trend lines in these areas are essentially flat. RD practice is seen to be moving incrementally toward the clinical arena, in inpatient and (increasingly) outpatient settings. The proportion of RDs in clinical long-term-care, as well as in food/nutrition management and consultation/business practice, is decreasing; a longer-term trend away from foodservice is noted. There is small growth in both the prevalence and the compensation of clinical specialists in areas like renal, pediatrics, and weight management at the expense of more general clinical practitioners. In a trend likely related to the increase in clinical practice, RD positions are gradually losing managerial responsibility. DTRs have experienced a similar phenomenon. For almost all RD positions in the clinical arena, registration as an RD is a requirement for employment, suggesting that clinical employment should continue to grow along with the increasing health care demand from an aging population. The DTR credential is not required at similarly high rates. A major supply issue is the relative shortage of DTRs in certain parts of the country, particularly the South. Major effects from the June 2009 inauguration of the Pathway III route to registration as a DTR have been noted. DA - 2012/03/02/ PY - 2012 DO - 10.1016/j.jand.2011.12.010 DP - EBSCOhost VL - 112 SP - S64 EP - 74 J2 - Journal of the Academy of Nutrition & Dietetics SN - 2212-2672 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104528108&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Health Services Needs and Demand KW - Demography KW - Human KW - Funding Source KW - Certification KW - Job Characteristics KW - Dietitians -- Manpower -- United States ER - TY - JOUR TI - Dietetics workforce preparation and preparedness in Australia: A systematic mapping review to inform future dietetics education research. AU - Morgan, Kate AU - Kelly, Jaimon T. AU - Campbell, Katrina L. AU - Hughes, Roger AU - Reidlinger, Dianne P. T2 - Nutrition & Dietetics AB - Aim: The present study aimed to systematically map and summarise existing research regarding dietetics workforce preparation and preparedness that has been conducted in Australia. The secondary aim was to then identify gaps in the literature to inform future priority areas in Australian dietetics education research. Methods: The databases MEDLINE, CINAHL, Embase, ERIC, Informit and PsycINFO were systematically searched from inception until July 2017 using key search terms to identify eligible studies. Extracted data were independently reviewed, and study quality was appraised by multiple researchers. Results were categorised by setting and primary focus/foci and then narratively summarised. Results: Sixty‐eight studies were included from 3779 records identified. Dietetics education research in Australia has spanned almost 30 years with more than half of studies (51%; 35/68) published in the last five years. The greatest proportion of research was conducted in the university setting (43%; 29/68), with students as participants (48%; 43/90) and was focused on the medical nutrition therapy area of dietetics practice (43%; 29/68). Published studies involving graduates (14%; 13/90); conducted in the workplace (12%; 8/68); and regarding emerging areas of dietetics practice (0%; 0/90) are lacking. Employment outcomes of dietetics graduates across Australia were last published over 25 years ago. Conclusions: This review provides a map for dietetics educators and researchers in Australia to guide future research regarding the preparation and preparedness of dietitians. Advancing the Australian dietetics workforce of the future will require a strategic, coordinated and collaborative approach to address the research gaps identified in this review. DA - 2019/02// PY - 2019 DO - 10.1111/1747-0080.12450 DP - EBSCOhost VL - 76 IS - 1 SP - 47 EP - 56 J2 - Nutrition & Dietetics SN - 1446-6368 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134603281&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Workforce KW - Human KW - Data Analysis Software KW - Funding Source KW - Embase KW - Medline KW - Psycinfo KW - CINAHL Database KW - ERIC Database KW - Systematic Review KW - Dietetics -- Australia KW - Colleges and Universities KW - Education Research ER - TY - JOUR TI - Differential utilization of manpower. AU - Regan J T2 - Health & Social Work AB - Employers often ignore the different levels of skill among social workers and regard the non-MSW as merely a less expensive, second choice after the MSW for the same job. The author discusses a more productive allocation of work among MSWs and BSWs and describes its application in a medical setting. DA - 1976/05// PY - 1976 DP - EBSCOhost VL - 1 IS - 2 SP - 113 EP - 124 J2 - Health & Social Work SN - 0360-7283 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107750984&site=ehost-live&scope=site DB - CINAHL Complete KW - Social Work Service KW - Health Manpower ER - TY - JOUR TI - Disability in Psychology Training: Where Are We? AU - Andrews, Erin E. AU - Lund, Emily M. T2 - Training & Education in Professional Psychology AB - Despite the high prevalence of disability in the United States, there is a current lack of comprehensive data about the number and characteristics of disabled psychologists and psychology trainees. This is problematic, as the development of cultural competence with individuals with disabilities is important for working with consumers, and because the presence of disability contributes to diversity in training programs and to the field of psychology. This study was undertaken to explore the prevalence of psychologists and trainees with disabilities across different time periods and throughout the educational and professional pipeline. Publicly available data from the American Psychological Association (APA) Commission on Accreditation, the Association of Psychology Postdoctoral and Internship Centers, and the APA Center for Workforce Studies were reviewed. Results demonstrated that people with disabilities have not been consistently included in measurement of the prevalence of diverse groups in psychology. The ways researchers query disability, and the lack of a clear definition of disability, likely have contributed to inaccuracy in data collection of the numbers of disabled psychologists and trainees. Regardless of the data source, people with disabilities appear to be underrepresented in psychology, and likely within higher education and professional careers in general. However, given the trend of increased presence among other diverse groups in psychology, the lack of similar growth of disabled professionals and trainees is concerning, and may represent one of the most marginalized groups in the field. DA - 2015/08// PY - 2015 DO - 10.1037/tep0000085 DP - EBSCOhost VL - 9 IS - 3 SP - 210 EP - 216 J2 - Training & Education in Professional Psychology SN - 1931-3918 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108882103&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Education KW - Data Collection KW - Psychology KW - Questionnaires KW - Surveys KW - Quantitative Studies KW - Cultural Competence KW - American Psychological Association KW - Architecture KW - Education, Nursing, Doctoral ER - TY - JOUR TI - Disaster: all-hazard rural readiness and response: preparing the coming healthcare workforce for all-hazard events. AU - Hill WG AU - Carter JC AU - Kuntz SW AU - Glow SD T2 - Communicating Nursing Research DA - 2006/// PY - 2006 DP - EBSCOhost VL - 39 SP - 119 EP - 119 J2 - Communicating Nursing Research SN - 0160-1652 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106237982&site=ehost-live&scope=site DB - CINAHL Complete KW - Curriculum KW - Attitude of Health Personnel KW - Workforce KW - Prospective Studies KW - Knowledge KW - Human KW - Funding Source KW - Outcomes of Education KW - Education, Allied Health KW - Course Content KW - Education, Nursing KW - Education, Health Sciences KW - Disaster Planning -- Education KW - Education, Pharmacy KW - Student Satisfaction ER - TY - JOUR TI - Distribution of effort-reward imbalance in Denmark and its prospective association with a decline in self-rated health. AU - Rugulies R AU - Aust B AU - Siegrist J AU - von dem Knesebeck O AU - Bültmann U AU - Bjorner JB AU - Burr H T2 - Journal of Occupational & Environmental Medicine AB - OBJECTIVE: To analyze the distribution of effort-reward imbalance (ERI) and to investigate its impact on self-rated health in a representative sample of the Danish workforce. METHODS: We studied 4977 employees who responded to a questionnaire in 2000, of which 3470 responded to a follow-up survey in 2005. RESULTS: The highest (ie, most unfavorable) ERI ratio was found in executives in the public sector, social workers, managing clerks in the public sector, and medical secretaries. A one standard deviation increase of the ERI ratio predicted a 12% (95% confidence intervals = 1.01 to 1.24) decline in self-rated health after adjustment for all covariates. CONCLUSIONS: This is the first study that identified job groups with a high exposure to ERI in a representative sample of a national workforce. ERI was a risk factor for a decline in self-rated health. DA - 2009/08// PY - 2009 DO - 10.1097/JOM.0b013e3181a9086c DP - EBSCOhost VL - 51 IS - 8 SP - 870 EP - 878 J2 - Journal of Occupational & Environmental Medicine SN - 1076-2752 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105411616&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Denmark KW - Odds Ratio KW - Self Report KW - Confidence Intervals KW - Health Status Indicators KW - Human KW - Questionnaires KW - Data Analysis Software KW - Funding Source KW - Surveys KW - Descriptive Statistics KW - Multiple Logistic Regression KW - Pearson's Correlation Coefficient KW - Data Analysis, Statistical KW - Workforce -- Psychosocial Factors KW - Education, Continuing (Credit) KW - Health Status -- Evaluation -- Denmark KW - Short Form-36 Health Survey (SF-36) KW - Stress, Occupational -- Psychosocial Factors ER - TY - JOUR TI - Diversifying the academic public health workforce: strategies to extend the discourse about limited racial and ethnic diversity in the public health academy. AU - Annang L AU - Richter DL AU - Fletcher FE AU - Weis MA AU - Fernandes PR AU - Clary LA T2 - ABNF Journal AB - While public health has gained increased attention and placement on the national health agenda, little progress has been made in achieving a critical mass of underrepresented minority (URM) academicians in the public health workforce. In 2008, a telephone-based qualitative assessment was conducted with URM faculty of schools of public health to discuss this issue. As a result, we present successful strategies that institutional leaders can employ to extend the discourse about addressing limited diversity in the public health academy. DA - 2010/// PY - 2010 DP - EBSCOhost VL - 21 IS - 2 SP - 39 EP - 43 J2 - ABNF Journal SN - 1046-7041 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105192860&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - United States KW - Public Health KW - Workforce KW - Ethnic Groups KW - Telephone KW - Human KW - Interviews KW - Audiorecording KW - Thematic Analysis KW - Descriptive Statistics KW - Professional Development KW - Descriptive Research KW - Minority Groups KW - Random Sample KW - Faculty, Allied Health KW - Faculty Attitudes -- Evaluation ER - TY - JOUR TI - Diversity and Inclusion in Occupational Therapy: Where We Are, Where We Must Go. AU - Taff, Steven D. AU - Blash, Daniel T2 - Occupational Therapy in Health Care AB - Diversity is a fundamental element of the AOTA Centennial Vision and a critical aspect for the visibility, growth, and sustainability of the occupational therapy profession. In this article, the authors suggest that, while the profession has been aware of the need for a diverse workforce and has taken steps to increase diversity and cultural competency, a more structured, comprehensive, and action-oriented approach must be considered to address an issue which impacts professional roles and client engagement, satisfaction, and well-being. Informed by the value-added and mutual accommodation models of cultural diversity, the authors provide specific strategies and actions which promote diversity and inclusion at the personal, institutional/organizational, and professional levels. DA - 2017/01// PY - 2017 DO - 10.1080/07380577.2016.1270479 DP - EBSCOhost VL - 31 IS - 1 SP - 72 EP - 83 J2 - Occupational Therapy in Health Care SN - 0738-0577 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121078994&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Occupational Therapy KW - Occupational Therapists KW - Social Change KW - Cultural Competence KW - Cultural Diversity KW - Program Implementation KW - Faculty, Allied Health KW - Leaders KW - Accountability KW - Education, Occupational Therapy KW - Schools, Allied Health -- United States ER - TY - JOUR TI - Diversity matters: guiding principles on diversity and culture: a challenge for occupational therapist working in practice, education or research and for WFOT member organisations. AU - Kinebanian A AU - Stomph M T2 - WFOT Bulletin AB - Following the congress in Sydney in 2006, which highlighted culture and diversity in occupational therapy, the WFOT Council decided to prepare a document discussing approaches to this theme. This article addresses the results of the project. The document aims to encourage occupational therapists worldwide to discuss, appreciate and incorporate diversity and culture into their daily practice, education and research to meet the occupational needs of people throughout the world. Project management methodology was used to develop the document; involving a process of reciprocal discussions between project leaders and a feedback group until consensus was reached. Discovering the various ways in which people perform occupations in relation to their culture and giving them meaning can be a challenging and enriching experience for everybody involved, both clients and therapists. The article introduces the four guiding principles of the document. How the document can be used in practice is also discussed. DA - 2010/05// PY - 2010 DP - EBSCOhost VL - 61 IS - 1 SP - 5 EP - 13 J2 - WFOT Bulletin SN - 1447-3828 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105010787&site=ehost-live&scope=site DB - CINAHL Complete KW - Communication KW - Workforce KW - Sex Factors KW - Professional-Patient Relations KW - Poverty KW - Occupational Therapists KW - Cultural Values KW - Cultural Competence KW - Cultural Diversity KW - Reflection KW - Discrimination KW - Practice Guidelines KW - Occupational Therapy Practice KW - Professional Knowledge ER - TY - JOUR TI - Do you know where to find the greatest supply of HEALTH CARE WORKERS? T2 - H&HN: Hospitals & Health Networks AB - The article reveals the statistics concerning healthcare employment in the U.S. based on the online poll done by Harris Poll representing CareerBuilder. Topics covered include compensation offerings for health professionals like registered nurses and occupational therapists, the 5 biggest states in healthcare employment such as California and Texas, and 78 percent of healthcare industry professionals are women. DA - 2014/07// PY - 2014 DP - EBSCOhost VL - 88 IS - 7 SP - 13 EP - 15 J2 - H&HN: Hospitals & Health Networks SN - 1068-8838 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=96970325&site=ehost-live&scope=site DB - CINAHL Complete KW - Geographic Factors KW - Health Personnel -- Statistics and Numerical Data KW - Health Services Needs and Demand -- Manpower KW - Maps KW - Salaries and Fringe Benefits -- Trends KW - Workforce -- Evaluation ER - TY - JOUR TI - Does the density of the health workforce predict adolescent health? A cross-sectional, multilevel study of 38 countries. AU - Student, Kira E Riehm Graduate AU - Professor, Eric Latimer AU - Professor, Amélie Quesnel-Vallée Associate AU - Professor, Gonneke W J M Stevens Associate AU - Fellow, Geneviève Gariépy Post-doctoral AU - Professor, Frank J Elgar Associate T2 - Journal of Public Health AB - Background Scant evidence exists on the relation between the availability of health professionals and adolescent health, and whether the size of the health workforce equally benefits adolescents across socioeconomic strata. Methods We conducted a cross-sectional analysis of adolescent health in 38 countries. Data from 218 790 adolescents were drawn from the 2013/2014 Health Behavior in School-aged Children survey. We used multilevel regression analyses to examine the association between the density of the health workforce and psychosomatic and mental health symptoms with differences in country wealth and income inequality controlled. Results A higher density of psychologists was associated with better self-reported mental health in adolescents (P = 0.047); however, this finding was not robust to sensitivity analyses. The densities of physicians and psychiatrists were not significantly associated with better adolescent psychosomatic or mental health. Cross-level interactions between the health workforce and socioeconomic status did not relate to health, indicating that larger health workforces did not reduce socioeconomic differences in adolescent health. Conclusions This study found that adolescents in countries with a higher density of health providers do not report better psychosomatic or mental health. Other social or structural factors may play larger roles in adolescent health. DA - 2019/03// PY - 2019 DO - 10.1093/pubmed/fdy096 DP - EBSCOhost VL - 41 IS - 1 SP - e35 EP - e43 J2 - Journal of Public Health SN - 1741-3842 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135845470&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Socioeconomic Factors KW - Mental Health KW - Income KW - Self Report KW - Human KW - Data Analysis Software KW - Surveys KW - Descriptive Statistics KW - Scales KW - Cross Sectional Studies KW - Intraclass Correlation Coefficient KW - Regression KW - Checklists KW - Cluster Sample KW - Health Manpower -- Statistics and Numerical Data KW - Adolescent Health KW - Psychophysiologic Disorders -- Therapy ER - TY - JOUR TI - Does the DSW Practice Doctorate Provide Opportunities for Closing Gaps in Gerontology? AU - Ruggiano, Nicole AU - Williams, Javonda T2 - Journal of Gerontological Social Work AB - The 2019 annual conference of the Group for the Advancement of Doctoral Education in Social Work (GADE) highlighted the increasing role that the Doctor of Social Work (DSW) degree is playing in social work education. Over the past 15 years, social work has followed suit with a number of other health and helping professions (PsyD, DNP, DPT, etc.) by expanding access to practice doctorate programs for professionals who are interested in doctoral-level training, but primarily have interest to remain working in the field as practitioners, rather than become researchers. As more DSW programs have emerged, questions and concerns persist about the DSW, with most questions pertaining to the meaning of the degree for the overall field and the value of having an additional advanced practice degree in social work beyond the MSW degree. However, I urge readers of the Journal of Gerontological Social Work to consider the opportunities that the DSW may present for advancing gerontological education, research, and practice. DA - 2019/09/08/Aug/ undefined PY - 2019 DO - 10.1080/01634372.2019.1636333 DP - EBSCOhost VL - 62 IS - 6 SP - 605 EP - 612 J2 - Journal of Gerontological Social Work SN - 0163-4372 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138795014&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Aged KW - Workforce KW - Quality Improvement KW - Social Workers KW - Health Services for the Aged KW - Professional Role KW - Geriatrics KW - Medically Underserved KW - Education, Doctoral KW - Education, Social Work KW - Congresses and Conferences -- United States KW - Geriatricians KW - Social Work Service -- In Old Age ER - TY - JOUR TI - Dynamic professional boundaries in the allied health workforce: the path to enlightenment or the road to death?...SCP Conference 2006: 'Progressing Clinical Practice: New Directions for Podiatry' AU - Borthwick A T2 - British Journal of Podiatry DA - 2007/05// PY - 2007 DP - EBSCOhost VL - 10 IS - 2 SP - 64 EP - 64 J2 - British Journal of Podiatry SN - 1460-7328 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106125125&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Professional Role KW - Professional Boundaries ER - TY - JOUR TI - E rua ngā ao, kotahi te taura tangata: Two worlds and one profession. AU - Hopkirk, Jane Huia T2 - New Zealand Journal of Occupational Therapy AB - Occupational therapy or whakaora ngangahau represents the idea of reawakening, or restoring to health one’s activeness, spiritedness and zeal. Occupational therapists (kaiwhakaora ngangahau) are poised on the threshold of the future: we have the tools to deliver much to the people and to the communities of Aotearoa. In te ao Mäori, we often draw upon the wisdom of our ancestors to understand today’s context so I will use the metaphor of the flax rope that is weak, when woven by only one of us, but strong when bound by many, and is inclusive of the other. I will reflect on our ongoing journey as a bi-cultural nation and how, within whakaora ngangahau (occupational therapy), we can together make a rope woven by many, - never to be broken. Mechanisms to move into the future include Whänau Ora where services are joining together under a variety of arrangements to provide a Mäori responsive service to build well whänau and Mäori communities, and are driven by Mäori aspirations, values, cultural contexts and ways of doing. Whakaora ngangahau (occupational therapy) and Mäori health values align well, giving us a common ground to enable wellness and make a strong multi-fibre rope to build a strong people. The challenge to whakaora ngangahau (occupational therapy) is to recognize and acknowledge our profession’s shared understandings with Mäori, strengthen them and support whänau to use them with whänau. Together we can weave a strong flax rope to create our future. DA - 2013/04// PY - 2013 DP - EBSCOhost VL - 60 IS - 1 SP - 5 EP - 15 J2 - New Zealand Journal of Occupational Therapy SN - 1171-0462 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104273300&site=ehost-live&scope=site DB - CINAHL Complete KW - Family KW - Organizational Objectives KW - Workforce KW - Models, Theoretical KW - Occupational Therapy KW - New Zealand KW - Occupational Therapists KW - Culture KW - Professional Development KW - Cultural Sensitivity KW - Health Services, Indigenous -- New Zealand KW - Maori KW - Maori -- History ER - TY - JOUR TI - E rua ngā ao, kotahi te taura tangata: Two worlds and one profession. AU - Hopkirk, Jane Huia T2 - New Zealand Journal of Occupational Therapy AB - Occupational therapy or whakaora ngangahau represents the idea of reawakening, or restoring to health one’s activeness, spiritedness and zeal. Occupational therapists (kaiwhakaora ngangahau) are poised on the threshold of the future: we have the tools to deliver much to the people and to the communities of Aotearoa. In te ao Mäori, we often draw upon the wisdom of our ancestors to understand today’s context so I will use the metaphor of the flax rope that is weak, when woven by only one of us, but strong when bound by many, and is inclusive of the other. I will reflect on our ongoing journey as a bi-cultural nation and how, within whakaora ngangahau (occupational therapy), we can together make a rope woven by many, - never to be broken. Mechanisms to move into the future include Whänau Ora where services are joining together under a variety of arrangements to provide a Mäori responsive service to build well whänau and Mäori communities, and are driven by Mäori aspirations, values, cultural contexts and ways of doing. Whakaora ngangahau (occupational therapy) and Mäori health values align well, giving us a common ground to enable wellness and make a strong multi-fibre rope to build a strong people. The challenge to whakaora ngangahau (occupational therapy) is to recognize and acknowledge our profession’s shared understandings with Mäori, strengthen them and support whänau to use them with whänau. Together we can weave a strong flax rope to create our future. DA - 2013/04// PY - 2013 DP - EBSCOhost VL - 60 IS - 1 SP - 5 EP - 15 J2 - New Zealand Journal of Occupational Therapy SN - 1171-0462 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=87050867&site=ehost-live&scope=site DB - CINAHL Complete KW - Family KW - Organizational Objectives KW - Workforce KW - Models, Theoretical KW - Occupational Therapy KW - New Zealand KW - Occupational Therapists KW - Culture KW - Professional Development KW - Cultural Sensitivity KW - Health Services, Indigenous -- New Zealand KW - Maori KW - Maori -- History ER - TY - JOUR TI - Early mobilisation practices of patients in intensive care units in Zimbabwean government hospitals -- a cross-sectional study. AU - Tadyanemhandu, C. AU - van Aswegen, H. AU - Ntsiea, V. T2 - Southern African Journal of Critical Care AB - Background. Recent evidence shows that early mobilisation of patients in an intensive care unit (ICU) is feasible, safe and associated with improvement in patients' clinical outcomes. However, its successful implementation is dependent on several factors, which include ICU structure and organisational practices. Objectives. To evaluate the structure and organisational practices of Zimbabwean government hospital ICUs and to describe early mobilisation practices of adult patients in these units. Methods. A cross-sectional survey was conducted in all government hospitals in Zimbabwe. Data collected included hospital and ICU structure, adult patient demographic data and mobilisation activities performed in the ICU during the 24 hours prior to the day of the survey. Results. A total of five quaternary level hospitals were surveyed, with each hospital having one adult ICU. Four of the units were open-type ICUs. The majority of the units (n=3; 60%) reported that they had a permanent physiotherapist who covered their unit, but none of the physiotherapists worked solely in the ICU. The nurse-to-patient ratio across all units was 1:1. None of the units utilised a standardised sedation scoring system or a standardised outcome measure to assess patient mobility status. Only one ICU (20%) had a patient eligibility guideline for early mobilisation in place. Across the ICUs, 40 patients were surveyed. The median (interquartile range) age was 33 (23.3 - 38) years and 24 (60%) were mechanically ventilated. Indications for admission into the ICU included acute respiratory failure (n=12; 30%) and postoperative care (n=10; 25%). Mobilisation activities performed in the previous 24 hours included turning the patient in bed (n=39; 97.5%), sitting over the edge of the bed (n=10; 25%) and walking away from the bedside (n=2; 5%). The main reason listed for treatment performed in bed was patients being sedated and unresponsive (n=13; 32.5%). Conclusion. Out-of-bed mobilisation activities were low and influenced by patient unresponsiveness and sedation, staffing levels and lack of rehabilitation equipment in ICU. DA - 2018/07// PY - 2018 DO - 10.7196/SAJCC.2017.v34i1.343 DP - EBSCOhost VL - 34 IS - 1 SP - 16 EP - 21 J2 - Southern African Journal of Critical Care SN - 1562-8264 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131309660&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Young Adult KW - Time Factors KW - Walking KW - Patient Admission KW - South Africa KW - Human KW - Surveys KW - Postoperative Care KW - Respiration, Artificial KW - Cross Sectional Studies KW - Physical Mobility KW - Personnel Shortage KW - Nurse-Patient Ratio KW - Physical Therapists -- Psychosocial Factors KW - Critically Ill Patients -- Psychosocial Factors KW - Hospital Design and Construction KW - Hospitals, Public -- South Africa KW - Intensive Care Units -- South Africa KW - Patient Bedside KW - Patient-Reported Outcomes KW - Respiratory Failure KW - Sedation ER - TY - JOUR TI - Ebb tide for allied health. AU - Friedman E T2 - Surgical Technologist DA - 1984/01// PY - 1984 DP - EBSCOhost VL - 16 IS - 1 SP - 30 EP - 34 J2 - Surgical Technologist SN - 0164-4238 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107594813&site=ehost-live&scope=site DB - CINAHL Complete KW - Allied Health Professions -- Trends -- United States KW - Health Manpower -- Trends -- United States ER - TY - JOUR TI - Editorial. AU - Quinney, Anne T2 - Practice (09503153) AB - An introduction is presented in which the editor discusses the articles within the issue on topics including resilience among social workers, collaborative working practices, and the knowledge base used by social workers in child safeguarding situations. DA - 2011/12// PY - 2011 DO - 10.1080/09503153.2011.622576 DP - EBSCOhost VL - 23 IS - 5 SP - 263 EP - 265 J2 - Practice (09503153) SN - 0950-3153 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=67285803&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Social Work KW - Serial Publications KW - Research, Social Work KW - Decision Making, Ethical KW - Experiential Learning KW - Foster Home Care KW - Path Analysis ER - TY - JOUR TI - Editorial. AU - Pachana NA T2 - Australian Psychologist DA - 2010/09// PY - 2010 DO - 10.1080/00050067.2010.505260 DP - EBSCOhost VL - 45 IS - 3 SP - 151 EP - 151 J2 - Australian Psychologist SN - 0005-0067 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105098763&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Mental Health Services KW - Aboriginal Australians KW - Workforce -- Australia KW - Serial Publications KW - Psychologists -- Australia ER - TY - JOUR TI - Editorial. AU - Pachana, Nancy A. T2 - Australian Psychologist AB - An introduction to the journal is presented in which the editor discusses an article on evidence-based practice by Ann Dadich, an article on mental health services for Aboriginal youth by Tracy Westerman, and a special section on workforce issues in psychology. DA - 2010/09// PY - 2010 DO - 10.1080/00050067.2010.505260 DP - EBSCOhost VL - 45 IS - 3 SP - 151 EP - 151 J2 - Australian Psychologist SN - 0005-0067 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=53467388&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Mental Health Services KW - Aboriginal Australians KW - Workforce -- Australia KW - Serial Publications KW - Psychologists -- Australia ER - TY - JOUR TI - Editorial: How many courses for how many jobs? Enduring questions in need of research-based answers. AU - Cusick, Anne T2 - Australian Occupational Therapy Journal AB - The author presents the history of occupational therapy courses in Australia. He mentions that the Diploma qualified Ethel May Francis took a lead in 1940 and delivered the first occupational therapy diploma, and later the Sydney Training Centre (STC) was opened in 1942 to train occupational therapists. Topics discussed include course commencement and expansion in universities, occupational therapist employment, and contemporary workforce demands and employment patterns. DA - 2017/02// PY - 2017 DO - 10.1111/1440-1630.12361 DP - EBSCOhost VL - 64 IS - 1 SP - 1 EP - 2 J2 - Australian Occupational Therapy Journal SN - 0045-0766 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121183594&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Workforce -- Australia KW - Curriculum -- Trends -- Australia KW - Education, Occupational Therapy -- Australia KW - Education, Occupational Therapy -- History -- Australia KW - Job Market -- Australia KW - Occupational Therapists -- Australia KW - Occupational Therapists -- Statistics and Numerical Data -- Australia KW - Schools, Allied Health -- Administration -- Australia KW - Schools, Allied Health -- Statistics and Numerical Data -- Australia KW - Students, Occupational Therapy -- Statistics and Numerical Data -- Australia ER - TY - JOUR TI - Effect of Prior Health-Related Employment on the Registered Nurse Workforce Supply. AU - Byung-Kwang Yoo AU - Tzu-Chun Lin AU - Minchul Kim AU - Tomoko Sasaki AU - Spetz, Joanne T2 - Nursing Economic$ AB - The article discusses the results of a study aimed at examining the effect of prior health care employment on registered nurse (RN) workforce supply. It tested the three hypothesis from an analysis of the National Sample Survey of Registered Nurses (NSSRN) 2000 data including the positive association between prior health care employment and working as an RN, the positive association between prior health care employment and working longer hours, and further examination of such associations. DA - 2016/02/01/Jan/ undefined PY - 2016 DP - EBSCOhost VL - 34 IS - 1 SP - 25 EP - 34 J2 - Nursing Economic$ SN - 0746-1739 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112911519&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - United States KW - Workforce KW - Salaries and Fringe Benefits KW - Educational Status KW - Sensitivity and Specificity KW - Employment KW - Marital Status KW - Human KW - Middle Age KW - Descriptive Statistics KW - Cross Sectional Studies KW - Record Review KW - Descriptive Research KW - Regression KW - Bivariate Statistics KW - Geographic Factors KW - Employment Status KW - Nursing Assistants KW - Registered Nurses KW - Allied Health Personnel KW - Practical Nurses KW - Clerical Personnel KW - Career Mobility ER - TY - JOUR TI - Eight into one: national registration by 2010. AU - Carrigan C T2 - Australian Nursing Journal DA - 2008/06// PY - 2008 DP - EBSCOhost VL - 15 IS - 11 SP - 24 EP - 27 J2 - Australian Nursing Journal SN - 1320-3185 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105777269&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Workforce KW - Physicians KW - Registered Nurses KW - Allied Health Personnel KW - Health Manpower KW - Nurse Practitioners KW - Midwives KW - Accreditation -- Australia KW - Australian Nursing and Midwifery Council KW - Flight Nursing KW - Health Occupations -- Australia KW - Registration -- Australia KW - Rural Health Personnel ER - TY - JOUR TI - Elephant in the room. AU - Fraser, Martin William T2 - Journal of Integrated Care AB - Purpose The purpose of this paper is to report on the findings of the first stage of a project seeking to evaluate and overcome inter-professional barriers between health and social care staff within a single, co-located, integrated community team. The project seeks to answer the following questions: first, Do inter-professional barriers to integrated working exist between health and social care staff at the interface of care delivery? Second, If inter-professional barriers exist, can joint health and social care assessments help to overcome them? The paper develops the current evidence base through findings from a staff questionnaire and the initial findings of a pilot study of joint health and social care assessments aimed at overcoming inter-professional barriers to integration.Design/methodology/approach The first stage of the project involved running an anonymous, online questionnaire with health and social care staff within a single, co-located community adult health and social care team. The questionnaire aimed to explore staffs' perceptions of inter-professional collaboration when assessing the health and care needs of service users with a high degree of complexity of need. The second element of the study presents the initial findings of a small pilot of joint health and social care assessments. A second staff survey was used in order to provide a "before and after" comparative analysis and to demonstrate the effect of joint assessments on staffs' perceptions of inter-professional collaboration at the interface of care delivery.Findings Health and social care staff value joint working as a means of improving quality of care. However, they also felt that inter-professional collaboration did not occur routinely due to organisational limitations. Staff members who participated in the pilot of joint assessments believed that this collaborative approach improved their understanding of other professional roles, was an effective means of enabling others to understand their own roles and helped to better identify the health and care needs of the most complex service users on their caseloads. Initial findings suggest that joint assessments may be a practical means of overcoming inter-professional barriers related to a lack of communication and lack of understanding of job roles.Practical implications The questionnaires highlighted the need for integration strategies that are aimed at facilitating collaborative working between staff of different professions, in order to achieve the aims of integration, such as a reduction in duplication of work and hand-offs between services.Originality/value To date, few studies have explored either staff perceptions of collaborative working or the effectiveness of joint assessments as a means of overcoming inter-professional barriers. This paper adds new data to an important area of integration that legislators and researchers increasingly agree requires more focus. Although the findings are limited due to the small scale of the initial pilot, they provide interesting and original data that will provide insight into future workforce integration strategies. DA - 2019/01// PY - 2019 DO - 10.1108/JICA-07-2018-0046 DP - EBSCOhost VL - 27 IS - 1 SP - 64 EP - 72 J2 - Journal of Integrated Care SN - 1476-9018 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134540516&site=ehost-live&scope=site DB - CINAHL Complete KW - Quality of Health Care KW - Communication KW - Health Personnel KW - Models, Theoretical KW - Collaboration KW - Social Workers KW - Health Services Accessibility KW - Human KW - Questionnaires KW - Cross Sectional Studies KW - Health Resource Utilization KW - Confidence KW - Health Care Delivery, Integrated KW - Attitude of Health Personnel -- Evaluation KW - Interprofessional Relations -- Evaluation KW - Knowledge Management KW - Literature Review ER - TY - JOUR TI - Embedding an enriched environment in an acute stroke unit increases activity in people with stroke: a controlled before---after pilot study. AU - Rosbergen, Ingrid C. M. AU - Grimley, Rohan S. AU - Hayward, Kathryn S. AU - Walker, Katrina C. AU - Rowley, Donna AU - Campbell, Alana M. AU - McGufficke, Suzanne AU - Robertson, Samantha T. AU - Trinder, Janelle AU - Janssen, Heidi AU - Brauer, Sandra G. T2 - Clinical Rehabilitation AB - Objectives: To determine whether an enriched environment embedded in an acute stroke unit could increase activity levels in acute stroke patients and reduce adverse events. Design: Controlled before-after pilot study. Setting: An acute stroke unit in a regional Australian hospital. Participants: Acute stroke patients admitted during (a) initial usual care control period, (b) an enriched environment period and (c) a sustainability period. Intervention: Usual care participants received usual one-on-one allied health intervention and nursing care. The enriched environment participants were provided stimulating resources, communal areas for eating and socializing and daily group activities. Change management strategies were used to implement an enriched environment within existing staffing levels. Main Measures: Behavioural mapping was used to estimate patient activity levels across groups. Participants were observed every 10 minutes between 7.30 am and 7.30 pm within the first 10 days after stroke. Adverse and serious adverse events were recorded using a clinical registry. Results: The enriched environment group (n = 30, mean age 76.7 ± 12.1) spent a significantly higher proportion of their day engaged in 'any' activity (71% vs. 58%, P = 0.005) compared to the usual care group (n = 30, mean age 76.0 ± 12.8). They were more active in physical (33% vs. 22%, P < 0.001), social (40% vs. 29%, P = 0.007) and cognitive domains (59% vs. 45%, P = 0.002) and changes were sustained six months post implementation. The enriched group experienced significantly fewer adverse events (0.4 ± 0.7 vs.1.3 ± 1.6, P = 0.001), with no differences found in serious adverse events (0.5 ± 1.6 vs.1.0 ± 2.0, P = 0.309). Conclusions: Embedding an enriched environment in an acute stroke unit increased activity in stroke patients. DA - 2017/11// PY - 2017 DO - 10.1177/0269215517705181 DP - EBSCOhost VL - 31 IS - 11 SP - 1516 EP - 1528 J2 - Clinical Rehabilitation SN - 0269-2155 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125810055&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Aged KW - Australia KW - Activities of Daily Living KW - Quality of Life KW - Prospective Studies KW - Analysis of Variance KW - Environment KW - Acute Disease KW - Psychological Tests KW - Aged, 80 and Over KW - Human KW - Questionnaires KW - Data Analysis Software KW - Funding Source KW - Functional Status KW - Outcome Assessment KW - Scales KW - Clinical Assessment Tools KW - P-Value KW - Analysis of Covariance KW - Repeated Measures KW - Pretest-Posttest Design KW - Pilot Studies KW - Barthel Index KW - NIH Stroke Scale KW - Severity of Illness KW - Mann-Whitney U Test KW - Visual Analog Scaling KW - Data Collection Methods KW - Nonparticipant Observation KW - Patient Care -- Methods KW - Sample Size Determination KW - Stroke -- Therapy KW - Stroke Units ER - TY - JOUR TI - Emergency on-call duties: audit of support, education and training provision in one NHSE region. AU - Dixon T AU - Reeve JC T2 - Physiotherapy AB - The purpose of this audit was to investigate the post-registration support, education and training available for physiotherapists in one Regional Health Authority before they undertook emergency on-call duties. Practice was audited against agreed standards of practice established by the Association of Chartered Physiotherapists in Respiratory Care.A postal questionnaire was sent to 20 large general hospitals in the NHS Executive Trent Region. A response rate of 90% (n = 18) was achieved. Awareness and adherence to the standards was evident in all the physiotherapy departments investigated. The standard least adhered to was that which suggests there should be an agreed level of staff training before starting on-call duties. This study demonstrates that support, education and training provided to physiotherapists within the Trent Region are in widespread agreement with the standards of practice of the Association of Chartered Physiotherapists in Respiratory Care, but provision varies between units. DA - 2003/02// PY - 2003 DP - EBSCOhost VL - 89 IS - 2 SP - 104 EP - 113 J2 - Physiotherapy SN - 0031-9406 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106844999&site=ehost-live&scope=site DB - CINAHL Complete KW - Questionnaires KW - Physical Therapy KW - Audit KW - Emergency Care KW - Physical Therapy -- Standards KW - Respiration Disorders -- Therapy ER - TY - JOUR TI - Employers' expectations of core functions, credentials and competencies of the community and public health nutrition workforce in Australia. AU - Hughes R T2 - Nutrition & Dietetics AB - Objective: To review position descriptions of the community and public health nutrition workforce in order to assess employers' expectations of workforce functions and competency requirements.Design: Qualitative content analysis of job descriptions obtained from a sample of the known community and public health nutrition workforce in Australia and collation of position descriptions advertised in the February 2002 to August 2002 period.Subjects and Setting: Community and public health nutritionists in the Australian health system.Main outcome measures: Descriptive qualitative data about employers' expectations of the core functions, competencies and credentials of community and public health nutritionists, as expressed by position descriptions.Results: From a total of 64 position descriptions obtained, 46 were included in the analysis. This sample consisted of 35 existing (occupied) positions and 11 new (advertised) positions. These were distributed across 29 entry-level and 17 advanced-level positions. The most consistent core function domains, as represented by duty statements, were community-based nutrition intervention management (planning, strategy development, implementation and evaluation), capacity building and nutrition-related research and evaluation. Entry-level positions were more likely to have direct-care or clinical dietetics functions and there was a stronger emphasis on coordination, capacity building and research in the advanced-level positions. Competency expectations, as represented by key selection criteria, focused on experience of intervention management, knowledge of public health nutrition issues and strategies, interpersonal communication skills and the ability to adopt a multidisciplinary working style. Almost all of the entry-level positions required mandatory dietetic qualifications.Conclusion: As a proxy of employers' expectations, analysis of workforce position descriptions by duties (functions) and selection criteria (credentials and competencies), provide an alternative and complementary method to inform workforce development. Position description development may be an important organizational response to facilitate progressive workforce development and re-orientation. DA - 2004/06// PY - 2004 DP - EBSCOhost VL - 61 IS - 2 SP - 105 EP - 111 J2 - Nutrition & Dietetics SN - 1446-6368 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106678223&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Public Health KW - Workforce KW - Clinical Competence KW - Professional Role KW - Human KW - Content Analysis KW - Descriptive Statistics KW - Descriptive Research KW - Job Description KW - Dietitians -- Manpower -- Australia ER - TY - JOUR TI - Employing sports and rehabilitation therapists in your physiotherapy service. T2 - Frontline (20454910) DA - 2020/01// PY - 2020 DP - EBSCOhost VL - 26 IS - 1 SP - 18 EP - 19 J2 - Frontline (20454910) SN - 2045-4910 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141184718&site=ehost-live&scope=site DB - CINAHL Complete KW - Professional Competence KW - Workforce KW - Rehabilitation KW - Employment KW - Professional Role KW - Scope of Practice KW - Physical Therapists -- Manpower KW - Physical Therapy Service KW - The Chartered Society of Physiotherapy ER - TY - JOUR TI - EMPLOYMENT OF MEDICAL WORKERS IN COMPANIES MEDICAL PROFESSIONALS. AU - Prussak, ElŻBieta T2 - Polish Nursing / Pielegniarstwo Polskie AB - The issue of employment in medical entities remains unchanged for many years in the light of the interest of directors of doctors, nurses, midwives, paramedics, physiotherapists, X-ray technicians, laboratory technicians (and other medical professionals) as well as the payer of medical services NFZ. The special nature of the work is reflected in the varied forms of employment, that are grounded in national laws and regulations of the EU. Ways to result from the employment of the Act on the drug, the Labour Code and the requirements of the payer of medical services. An important factor determining the choice of the form of employment is a shortage of specialists from various fields of medicine. Aim of this study is to present the legal situation of workers in the health sector and attempt to define areas in need of change. DA - 2012/09// PY - 2012 DP - EBSCOhost VL - 45 IS - 3 SP - 150 EP - 154 J2 - Polish Nursing / Pielegniarstwo Polskie SN - 0860-8466 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107953525&site=ehost-live&scope=site DB - CINAHL Complete KW - European Union KW - Personnel Shortage KW - Health Manpower KW - Occupational Health KW - Health Occupations KW - Occupational Safety KW - Employment -- Legislation and Jurisprudence -- European Union ER - TY - JOUR TI - Employment patterns of Notre Dame graduate physiotherapists 2006-12: targeting areas of workforce need. AU - Bacopanos, Eleni AU - Edgar, Susan T2 - Australian Health Review AB - Objectives. The Australian physiotherapy workforce is changing both in demographics and service needs. Physiotherapy curriculum and clinical education focus is ideally based on up-to-date knowledge of this changing workforce. The aim of the present study was to determine the employment patterns of physiotherapy graduates from The University of Notre Dame Australia (Notre Dame). Methods. An online survey was conducted of Notre Dame physiotherapy graduates (2006-12) with a 50% response rate (n = 157). Results. Survey results established the employment location, employment status, healthcare sector, area of practice, salary and employment history of Notre Dame graduates. The results highlighted links between curriculum, clinical placements and workforce areas, with the spread of workforce directly linked to focuses in the undergraduate curriculum. Conclusion. The present study highlights the effect of directing undergraduate curriculum and clinical placement experiences towards areas of workforce need. The findings identify the importance of producing graduates equipped to meet the changing service needs of the healthcare industry. DA - 2016/03// PY - 2016 DO - 10.1071/AH14244 DP - EBSCOhost VL - 40 IS - 2 SP - 188 EP - 193 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114251747&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Workforce KW - Education, Clinical KW - Employment Status KW - Allied Health Professions KW - Geriatrics -- Education KW - Health Care Industry KW - College Graduates KW - Subacute Care ER - TY - JOUR TI - Enabling aged care teaching and research: the TRACS footprint. AU - Barnett, Kate AU - Moretti, Cecilia AU - Howard, Sara T2 - Journal of Research in Nursing AB - Background: Australia's first programme dedicated to promulgating the teaching nursing home model - Teaching and Research Aged Care Services (TRACS) - is overviewed and key findings from its national evaluation are presented. Results: These findings are discussed in relation to the four pillars of the TRACS programme: partnerships between aged care providers and education providers, student education, workforce education and research. The multiple positive outcomes achieved by TRACS partnerships within a very small time frame of 3 years are presented, together with lessons arising from the experiences of 16 TRACS projects. DA - 2018/05// PY - 2018 DO - 10.1177/1744987118759158 DP - EBSCOhost VL - 23 IS - 2/3 SP - 267 EP - 287 J2 - Journal of Research in Nursing SN - 1744-9871 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129622605&site=ehost-live&scope=site DB - CINAHL Complete KW - Program Evaluation KW - Australia KW - Workforce KW - Collaboration KW - Human KW - Surveys KW - Evaluation Research KW - Summated Rating Scaling KW - Triangulation KW - Education, Allied Health KW - Education, Nursing KW - Student Placement KW - Colleges and Universities KW - Education, Health Sciences KW - Education, Clinical -- Evaluation -- Australia KW - Education, Medical KW - Gerontologic Care -- Education -- Australia KW - Learning Environment, Clinical KW - Nursing Homes -- Australia ER - TY - JOUR TI - Enumerating and profiling the designated public health nutrition workforce in Australia. AU - Hughes R T2 - Nutrition & Dietetics AB - Objective: To assess the size, demographic, educational and organisational characteristics of the designated Australian public health nutrition workforce.Design: A cross-sectional survey of population-based nutrition positions in the Australian health system using a self-completed questionnaire was conducted over the December 2001-February 2002 period. Subject identification involved use of existing state public health nutrition network contact lists complemented by snowball sampling. Descriptive data from 12 questions focusing on workforce demographics, employment characteristics and qualifications from a larger questionnaire were reported, and projected workforce needs calculated.Subjects and Setting: Two hundred and forty population-based nutrition practitioners in Australia.Main outcome measures: Descriptive data profiling the demographic, educational and employment characteristics of the designated public health nutrition workforce.Results: An 87% response rate was achieved. Enumeration estimates and workforce need projections based on internationally recognised benchmarks indicate the Australian public health nutrition workforce is under 40% of the size needed. The demographic profile of this sample indicates a workforce that is highly feminised (95% female) and mostly between 26 to 45 years of age. Less than half (49%) are in permanent full-time positions and 22% are temporary or casual. State health departments are the main employers (76%). The study found a small cohort of designated public health nutrition positions (less than 50) nation-wide with most classifying the nature of their position as that of community-based nutritionists/dietitians. The use of 'public health nutritionist' as a position title was limited to less than 20 practitioners nationally. The majority of the workforce sampled (75%) had entry level dietetics qualifications with only 17% of dietetics graduates having higher degree or further public health qualifications. Across the whole sample only 14% had public health or higher degree qualifications.Conclusion: The capacity of the designated public health nutrition workforce is limited by its overall size, a small number of advanced-level qualified practitioners and instability associated with unsecured employment status. Ongoing monitoring of the public health nutrition workforce is required to evaluate the effectiveness of workforce development strategies and the effects of health service policy changes that impact on workforce capacity. DA - 2004/09// PY - 2004 DP - EBSCOhost VL - 61 IS - 3 SP - 162 EP - 171 J2 - Nutrition & Dietetics SN - 1446-6368 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106556872&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Analysis of Variance KW - Human KW - Questionnaires KW - Data Analysis Software KW - Snowball Sample KW - Surveys KW - Descriptive Statistics KW - Survey Research KW - Research Subject Recruitment KW - Cross Sectional Studies KW - Chi Square Test KW - Pilot Studies KW - Mail KW - Personnel Shortage KW - Email KW - Public Health -- Australia KW - Dietetics -- Manpower -- Australia KW - Epidemiological Research ER - TY - JOUR TI - Environmental scan of LTC nutrition policies and practices in Canada. AU - Whittington-Carter, L. T2 - Canadian Journal of Dietetic Practice & Research AB - Introduction: Residents in long term care (LTC) have multiple nutrition risk factors, and dietitian services can improve health and enhance quality of life. LTC systems are governed at the provincial and territorial (P/T) level, and differences in nutrition-related standards are likely. Objectives: To compare P/T standards for dietitian services in LTC homes in Canada; To describe dietitians' practice in LTC homes in each P/T. Methods: Standards relevant to LTC dietitian services were extracted from government websites. One focus group of LTC dietitian leaders (n = 14) in June 2017 identified issues for developing interview guide. Key informants were identified through DC member groups, and suggested by initial interviewees. Interviews (n = 33) were held between August and November 2017 using a semi-structured interview guide, to verify implementation of legislation/standards and dietitian roles within LTC. Dietitians' practices and challenges to nutrition care were summarized for each P/T. Results: P/T standards for LTC dietitian services and nutrition care vary widely across Canada. Dietitian services are required in 8 jurisdictions, but only 1 (Ontario) has a specified level of staffing. Assessments and care planning by dietitians is specified in standards of only 6 P/T but is common practice in all P/T. Funding for food in LTC homes is specifically funded by government in only 2 jurisdictions. Common elements of practice include assessment, care planning, dysphagia management, wound care, menu planning or review, and staff education, as well as broader roles in departmental management. Conclusions: LTC residents across the country have inequitable access to dietitian services, and LTC standards are inconsistent regarding dietitians' roles and staffing requirements. Significance to the Field of Dietetics: Dietitians' value in LTC could be enhanced by improved standards for nutrition care and staffing. Recommendations for government, researchers, and dietitians are made to support advocacy for consistent and improved standards for dietitian services in LTC. DA - 2018/09// PY - 2018 DP - EBSCOhost VL - 79 IS - 3 SP - 151 EP - 151 J2 - Canadian Journal of Dietetic Practice & Research SN - 1486-3847 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131246447&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Aged KW - Canada KW - Health Services Accessibility KW - Guideline Adherence KW - Human KW - Quality of Life -- In Old Age KW - Interview Guides KW - Semi-Structured Interview KW - Nursing Home Patients KW - Dietitian Attitudes KW - Nutrition Policy -- Evaluation -- Canada KW - Nutrition Services -- Standards ER - TY - JOUR TI - Equity and fairness perceptions in the child welfare workforce. AU - Chenot, David AU - Boutakidis, Ioakim AU - Benton, Amy D. T2 - Children & Youth Services Review AB - The role ethnic identification plays in worker perceptions of workplace dynamics in child welfare services (CWS) organizations has not often been a topic of inquiry. The current study follows the unexpected finding from a previous study in which African American (AA) social workers were significantly less likely to report that they would remain in their CWS agencies than European American (EA) workers. Utilizing a mixed methods approach, the authors explored whether inequity from bias in CWS agencies related to ethnicity was a contributor to intentions to stay/leave. The results revealed no significant relationships between ethnicity and job satisfaction or intentions to stay in CWS agencies among EA, AA, or Hispanic/Latino (HL) workers. However, striking findings emerged related to worker perceptions of court duties concerning inequitable workloads and pay. DA - 2014/09// PY - 2014 DO - 10.1016/j.childyouth.2014.07.006 DP - EBSCOhost VL - 44 SP - 400 EP - 406 J2 - Children & Youth Services Review SN - 0190-7409 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=97594617&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Human KW - Whites KW - Blacks KW - Race Factors KW - Multimethod Studies KW - Ethnographic Research KW - Child Welfare KW - Employee Attitudes KW - Comparable Worth -- Psychosocial Factors KW - Job Satisfaction -- Evaluation ER - TY - JOUR TI - Ethical decision-making in two care homes. AU - Dunworth M AU - Kirwan P T2 - Practice (09503153) AB - Codes of ethics and conduct each try to set out what society expects of social service workers in their day-to-day practice. The tensions within these expectations are acknowledged in the literature, which reveals a growing concern that personal social service workers should be conversant with ethical theory and its implications for practice. Based on data from a survey of all workers in two care homes for older people, this paper examines the ethical principles underlying day-to-day decisions. Analysis of the data notes some variation in the complexity of response to simulated vignettes, where more autonomous practice was suggested by responses from care-qualified staff and by workers managed by a social worker. Overall, while there is evidence of a consistent commitment to offer the best possible care to each resident, few of these workers, at any level, are aware of the ethical basis for their day-to-day decisions; indeed there is little indication that they are aware that the decisions are ethical at all. This paper suggests that the conflation of rules of the job with moral rules occurs across staffing levels and concludes that all care staff training should include a more specific focus on ethical reasoning. DA - 2009/12// PY - 2009 DO - 10.1080/09503150903243919 DP - EBSCOhost VL - 21 IS - 4 SP - 241 EP - 258 J2 - Practice (09503153) SN - 0950-3153 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105306316&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Quality of Health Care KW - Patient Safety KW - Nursing Homes KW - Grounded Theory KW - Social Workers KW - Autonomy KW - Human KW - Qualitative Studies KW - Questionnaires KW - Surveys KW - Descriptive Statistics KW - Survey Research KW - Decision Making, Patient KW - Multicenter Studies KW - Scales KW - Summated Rating Scaling KW - Urban Areas KW - Conceptual Framework KW - Coding KW - Social Work Service KW - Privacy and Confidentiality KW - Vignettes KW - Decision Making, Ethical KW - Nursing Home Personnel ER - TY - JOUR TI - European practice database: comparative results of the year 1 pilot project. AU - Elseviers M AU - De Vos J AU - Pancírová J AU - Zampieron A AU - Lindley E AU - Green D AU - Harrington M T2 - EDTNA/ERCA Journal of Renal Care AB - The European Practice Database (EPD) project, developed by the Research Board (RB) of EDTNA/ERCA, intended to collect data on renal practice at centre level in different European countries. During the pilot phase of the project (2002-2003), Czech Republic, Italy (North East) and England (North) participated with two thirds of all their eligible dialysis centres. Comparative results presented in this paper focus on centre size and patient characteristics, peritoneal and haemodialysis techniques, transplantation, infection control and the employment of technicians, dietitians and social workers in dialysis centres. At centre level, EPD results will enable in-depth evaluation of personal practice. International comparison of the results will stimulate further research and the development of new guidelines. DA - 2004/04// PY - 2004 DP - EBSCOhost VL - 30 IS - 2 SP - 64 EP - 70 J2 - EDTNA/ERCA Journal of Renal Care SN - 1019-083X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106662407&site=ehost-live&scope=site DB - CINAHL Complete KW - Europe KW - United Kingdom KW - Italy KW - Human KW - Questionnaires KW - Surveys KW - Descriptive Statistics KW - Comparative Studies KW - Data Analysis, Statistical KW - Age Factors -- Europe KW - Cross Infection -- Europe KW - Czech Republic KW - Dialysis -- Evaluation -- Europe KW - Dialysis Centers -- Europe KW - Dialysis Centers -- Evaluation -- Europe KW - Health Manpower -- Europe KW - Health Personnel -- Europe KW - Kidney Transplantation -- Europe KW - Resource Databases, Health -- Europe KW - Sex Factors -- Europe KW - Waiting Lists -- Europe ER - TY - JOUR TI - Evaluating three allied health training programs: exploratory research into curriculum relevance and labor market conditions. AU - Appel GL AU - Sippel CL AU - Von Kuster TW Jr T2 - Journal of Allied Health DA - 1977/// PY - 1977 DP - EBSCOhost VL - 6 SP - 46 EP - 54 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107753738&site=ehost-live&scope=site DB - CINAHL Complete KW - Curriculum KW - Job Satisfaction KW - Employment KW - Human KW - Health Manpower KW - Health Occupations ER - TY - JOUR TI - Evaluation of a Peer Group Model of Supervision for the Allied Health Workforce in Queensland: A descriptive overview. AU - Pager, Susan C. AU - Kuipers, Pim AU - Bell, Karen AU - Hall, Fiona T2 - Internet Journal of Allied Health Sciences & Practice AB - Purpose: An evaluation of a large-scale implementation of a peer-group model of professional supervision was conducted to demonstrate service planning and guide policy and practice. A descriptive overview of the findings is presented. Method: Allied health staff trained in peer-group supervision were surveyed about the experience of the model, its challenges, and benefits. Interviews were also conducted with senior managers. Results: Analysis of 248 responses indicated that 72% of trained staff had participated in peer-group supervision and that these peer groups had continued for an average of 17.2 months. The majority of groups adhered to the guidelines presented at training and found the model easy to implement and adaptable to a range of professions, settings, and needs. Reported benefits included skill development as well as increased support and confidence. Improved relationships and team culture were also described. Management support and attendance at training were considered important to successful implementation. Conclusions: The evaluation demonstrated that a model of peer-group supervision can be successfully implemented with a diverse and geographically dispersed allied health workforce. This model was used for professional supervision needs to be met in a group setting without the requirement for an expert supervisor. A number of benefits for individual clinicians and their teams were identified and the need for further evaluation in the context of widespread health reform was noted. DA - 2018/04// PY - 2018 DP - EBSCOhost VL - 16 IS - 2 SP - 1 EP - 8 J2 - Internet Journal of Allied Health Sciences & Practice SN - 1540-580X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128959067&site=ehost-live&scope=site DB - CINAHL Complete KW - Program Evaluation KW - Workforce KW - Peer Group KW - Queensland KW - Human KW - Interviews KW - Surveys KW - Clinical Supervision KW - Allied Health Personnel -- Education -- Queensland ER - TY - JOUR TI - Evaluation of international recruitment of health professionals in England. AU - Young R AU - Noble J AU - Mahon A AU - Maxted M AU - Grant J AU - Sibbald B T2 - Journal of Health Services Research & Policy AB - Objectives: To explore whether a period of intensive international recruitment by the English National Health Service (NHS) achieved its objectives of boosting workforce numbers and to set this against the wider costs, longer-term challenges and questions arising. Methods: A postal survey of all pre-2006 NHS providers, Strategic Health Authorities and Deans of Postgraduate Medical Education obtained information on 284 (45%) organizations (142 completed questionnaires). Eight subsequent case studies (74 interviews) covered medical consultant, general practitioner, nurse, midwife and allied health professional recruitment. Results: Most respondents had undertaken or facilitated international recruitment between 2001 and 2006 and believed that it had enabled them to address immediate staff shortages. Views on longer-term implications, such as recruit retention, were more equivocal. Most organizations had made only a limited value-for-money assessment, balancing direct expenditure on overseas recruitment against savings on temporary staff. Other short and long-term transaction and opportunity costs arose from pressures on existing staff, time spent on induction/pastoral support, and human resource management and workforce planning challenges. Though recognized, these extensive 'hidden costs' for NHS organizations were harder to assess as were the implications for source countries and migrant staff. Conclusions: The main achievement of the intensive international recruitment period from a UK viewpoint was that such a major undertaking was seen through without major disruption to NHS services. The wider costs and challenges meant, however, that large-scale international recruitment was not sustainable as a solution to workforce shortages. Should such approaches be attempted in future, a clearer upfront appraisal of all the potential costs and implications will be vital. DA - 2010/10// PY - 2010 DO - 10.1258/jhsrp.2010.009068 DP - EBSCOhost VL - 15 IS - 4 SP - 195 EP - 203 J2 - Journal of Health Services Research & Policy SN - 1355-8196 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104957140&site=ehost-live&scope=site DB - CINAHL Complete KW - England KW - Human KW - Questionnaires KW - Funding Source KW - Semi-Structured Interview KW - Surveys KW - Descriptive Statistics KW - Personnel Retention KW - Foreign Professional Personnel KW - Personnel Recruitment -- Economics KW - Personnel Recruitment -- Evaluation -- England ER - TY - JOUR TI - Evaluation of international recruitment of health professionals in England. AU - Young, Ruth AU - Noble, Jenny AU - Mahon, Ann AU - Maxted, Mairead AU - Grant, Janet AU - Sibbald, Bonnie T2 - Journal of Health Services Research & Policy AB - Objectives: To explore whether a period of intensive international recruitment by the English National Health Service (NHS) achieved its objectives of boosting workforce numbers and to set this against the wider costs, longer-term challenges and questions arising. Methods: A postal survey of all pre-2006 NHS providers, Strategic Health Authorities and Deans of Postgraduate Medical Education obtained information on 284 (45%) organizations (142 completed questionnaires). Eight subsequent case studies (74 interviews) covered medical consultant, general practitioner, nurse, midwife and allied health professional recruitment. Results: Most respondents had undertaken or facilitated international recruitment between 2001 and 2006 and believed that it had enabled them to address immediate staff shortages. Views on longer-term implications, such as recruit retention, were more equivocal. Most organizations had made only a limited value-for-money assessment, balancing direct expenditure on overseas recruitment against savings on temporary staff. Other short and long-term transaction and opportunity costs arose from pressures on existing staff, time spent on induction/pastoral support, and human resource management and workforce planning challenges. Though recognized, these extensive 'hidden costs' for NHS organizations were harder to assess as were the implications for source countries and migrant staff. Conclusions: The main achievement of the intensive international recruitment period from a UK viewpoint was that such a major undertaking was seen through without major disruption to NHS services. The wider costs and challenges meant, however, that large-scale international recruitment was not sustainable as a solution to workforce shortages. Should such approaches be attempted in future, a clearer upfront appraisal of all the potential costs and implications will be vital. DA - 2010/10// PY - 2010 DO - 10.1258/jhsrp.2010.009068 DP - EBSCOhost VL - 15 IS - 4 SP - 195 EP - 203 J2 - Journal of Health Services Research & Policy SN - 1355-8196 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=55666930&site=ehost-live&scope=site DB - CINAHL Complete KW - England KW - Human KW - Questionnaires KW - Funding Source KW - Semi-Structured Interview KW - Surveys KW - Descriptive Statistics KW - Personnel Retention KW - Foreign Professional Personnel KW - Personnel Recruitment -- Economics KW - Personnel Recruitment -- Evaluation -- England ER - TY - JOUR TI - Evidence based standards for rehabilitative therapy and work-related medical rehabilitation: are they compatible?: an expenditure analysis of treatment requirements]. AU - Vorsatz N AU - Brüggemann S T2 - Rehabilitation AB - BACKGROUND: Medical rehabilitation carried out by the German Pension Insurance aims at maintaining or restoring the ability to work taking into account individual problems of the insured population. To ensure high-quality rehabilitation the German Pension Insurance uses a variety of quality assurance instruments. It is indispensable that requirements from different instruments constitute a conclusive and hence reproducible overall concept. This article looks at the requirements imposed on work-related medical rehabilitation (MBOR) and from the standards for rehabilitative therapy. METHODS: In an expenditure analysis we evaluated the extent to which the requirements from our standards for rehabilitative therapy in chronic back pain and work-related medical rehabilitation are compatible with each other, and their impact on the quantity of treatment to be delivered. In a first step the instruments were compared qualitatively. Next, we looked at the resulting cumulative duration of treatment. Finally, using an orthopaedic rehabilitation centre on the underlying assumptions as an example, we analysed whether existing staffing levels are sufficient to fulfil the requirements. RESULTS: MBOR and rehabilitation treatment standards both set requirements regarding vocational orientation; they, however, employ different methods and address different groups of rehabilitants. The duration of treatment for a rehabilitant who - owing to his work-related problems - is treated not only according to the rehabilitative treatment standards but also fulfilling the MBOR requirements profile increases on average from 10.4 to 14.2 h a week. Modelling of the staffing levels necessary to fulfil the requirements shows a possible shortage in the group of social workers only. DISCUSSION: The requirements from MBOR and rehabilitative treatment standards are compatible with each other regarding systematics, target group and scope of work-related treatment and are consistent with specifications for structural quality, especially with staffing levels. Rehabilitants are not exposed to undue strains, and staffing levels in rehabilitation centres are adequate - with the possible exception of social workers for MBOR. In future development of quality specifications for rehabilitation it remains pre-eminent to ensure an interlocking of the different requirements, in order to provide the rehabilitation centres with a comprehensible frame for the provision of care. DA - 2011/06// PY - 2011 DO - 10.1055/s-0031-1273727 DP - EBSCOhost VL - 50 IS - 3 SP - 168 EP - 177 J2 - Rehabilitation SN - 0034-3536 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108242860&site=ehost-live&scope=site DB - CINAHL Complete KW - Germany KW - Practice Guidelines KW - Workload -- Statistics and Numerical Data KW - Medical Practice, Evidence-Based KW - Occupational Diseases -- Rehabilitation KW - Rehabilitation -- Standards KW - Rehabilitation -- Statistics and Numerical Data KW - Rehabilitation, Vocational -- Methods KW - Rehabilitation, Vocational -- Standards KW - Rehabilitation, Vocational -- Statistics and Numerical Data ER - TY - JOUR TI - Evolving OH to meet future needs. AU - O'Reilly, Noel T2 - Occupational Health AB - This section offers British health news briefs. The annual conference of the Health at Work Network of the British National Health Service (NHS) was held in September 2013 in Nottingham, England. Research indicates a strong link between the wellbeing of NHS staff and the quality of patient care. The Council for Work and Health (CWH) has set up the OH Future Workforce Project, which includes proposals for educating allied workplace health professions in occupational health (OH) skills. DA - 2013/11// PY - 2013 DP - EBSCOhost VL - 65 IS - 11 SP - 9 EP - 11 J2 - Occupational Health SN - 0029-7917 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=92713004&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Professional Competence KW - Workforce KW - Professional-Patient Relations KW - Personnel Management KW - Burnout, Professional KW - Personnel Recruitment KW - Organizational Change KW - Staff Development KW - National Health Programs -- United Kingdom KW - Congresses and Conferences -- United Kingdom KW - Occupational Health -- Ethical Issues -- United Kingdom KW - Occupational Health -- United Kingdom KW - Occupational Health Services -- United Kingdom ER - TY - JOUR TI - Examining Psychological Self-Sufficiency among African American Low-Income Jobseekers in a Health Profession Career Pathways Program. AU - Hong, Philip Young P. AU - Kim, Caleb AU - Hong, Rana AU - Lewis, Dara AU - Park, Jang Ho T2 - Social Work in Health Care AB - The aim of this study was to explore the experiences and perceptions of low-income African American jobseekers participating in the Health Profession Opportunity Grants (HPOG) program by employing a mixed method (Qual-Quant) approach. For qualitative data, two in-depth focus groups were conducted with a total of 12 participants who either completed one program or graduated from the HPOG program. With quantitative data, amediation path analysis was conducted using Model 4 of the PROCESS macro (3.1) with a total of 386 participants. The qualitative content analysis of the focus groups generated an overarching theme of the relationship influence on generating hope that included four phenomenological categories: (a) staff and instructors' approach to engagement and support with on-going accessibility and close follow-up; (b) experience-based career motivation; (c) hope as the core driver to overcoming perceived barriers; and (d) supportive relationships as key to instilling hope. In addition, the quantitative analysis confirmed a full mediation model with the path from perceived employment barriers to economic self-sufficiency being mediated by employment hope. The model suggested that the psychological self-sufficiency (PSS) process is key to increasing the economic self-sufficiency (ESS) outcome. Findings supported the importance ofa relationship-based, culturally competent practice to strengthen the PSS process in health profession workforce development among low-income African American jobseekers. DA - 2020/03// PY - 2020 DO - 10.1080/00981389.2019.1704467 DP - EBSCOhost VL - 59 IS - 3 SP - 139 EP - 160 J2 - Social Work in Health Care SN - 0098-1389 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142412635&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Program Evaluation KW - Workforce KW - Focus Groups KW - Social Workers KW - Psychological Theory KW - Financing, Government KW - Human KW - Interviews KW - Questionnaires KW - Interview Guides KW - Thematic Analysis KW - Content Analysis KW - Descriptive Statistics KW - Consent (Research) KW - Summated Rating Scaling KW - Multimethod Studies KW - Career Planning and Development KW - Job Market KW - Health Occupations KW - Open-Ended Questionnaires KW - Path Analysis KW - Blacks -- Psychosocial Factors KW - Employment -- Psychosocial Factors KW - Hope -- Evaluation ER - TY - JOUR TI - Examining the Effects of Professional Non-nursing Staffing on Quality of Care in Nursing Homes. AU - Livingstone, Ian H. T2 - Examining the Effects of Professional Non-Nursing Staffing on Quality of Care in Nursing Homes AB - Strengthening the caregiver workforce has been an important focus for researchers and policy makers aiming to improve quality in nursing homes. Minimum staffing regulations exist for nursing staff but staffing mandates for Physical Therapists (PT) and Occupational Therapists (OT) have yet to be established. Services from PT/OT staff are covered by Medicare for residents requiring skilled care but are not covered by Medicaid for chronic care residents. These professional non-nursing staff possess unique skill sets and knowledge that are characteristically different from nursing staff. Guided by the framework of the Resource Based View of the Firm theory, this study examines the relationship between PT/OT staffing and quality to strengthen minimum staffing policies and to determine the appropriateness of these services for long-stay residents. Data from 2013 to 2016 on over 12,000 nursing homes were linked across four data sets: Nursing Home Compare; Online Survey, Certification, and Reporting and Certification and Survey Provider Enhanced Reporting; Long-term Care: Facts on Care in the U.S; and the Area Health Resources File. Random and fixed effects analyses were conducted on more than 43,000 nursing home observations to identify the effect PT/OT staffing have on long-stay resident outcomes and the 5-star quality measure. The findings provide support that a positive relationship between PT/OT staffing and quality exists but increases in staffing were not directly related to quality improvements after isolating only time varying differences across facilities. The results also demonstrate a non-linear relationship between PT/OT staffing and quality after stratifying the sample into quartiles based on baseline PT/OT staffing levels; PT/OT staffing effects differed between facilities in the lowest and highest staffing quartiles. This study demonstrates that PT/OT staffing may be important components in improving long-stay resident outcomes and overall quality. Evidence was found in support of minimum staffing requirements for PT/OT staffing and expanding coverage of these services under Medicaid. Future research should look to substantiate these findings using additional quality measures. Studies should also consider interdisciplinary approaches to understand the relationship from a cost perspective and lend further support to policy makers aiming to improve quality and refine staffing policies for nursing homes. DA - 2018/12/31/ PY - 2018 DP - EBSCOhost IS - Ph.D. SP - 1 EP - 1 J2 - Examining the Effects of Professional Non-Nursing Staffing on Quality of Care in Nursing Homes SN - 9780438004146 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131792295&site=ehost-live&scope=site AN - UMI Order AAI10789328 DB - CINAHL Complete KW - United States KW - Patient Safety KW - Nursing Homes KW - Internet KW - Personnel Staffing and Scheduling KW - Occupational Therapists KW - Human KW - Surveys KW - Outcome Assessment KW - Conceptual Framework KW - Random Sample KW - Physical Therapists KW - Certification KW - Mandatory Reporting KW - Health Personnel, Unlicensed KW - Quality of Care Research KW - Quality of Nursing Care -- Evaluation -- United States ER - TY - JOUR TI - Expanding Evidence-Based Practice to Service Planning in Child Welfare. AU - Saunders, Benjamin E. T2 - Child Maltreatment AB - The author focuses on the expansion of evidence-based practice to service planning in child welfare. He mentions some key points raised in a report by the American Professional Society on the Abuse of Children (APSAC) Task Force concerning evidence-based service planning (EBSP) guidelines such as the use of evidence-based practice (EBP) principles, the priority given to outcomes over participation and the need for the child welfare workforce to obtain specific knowledge and skills under EBSP. DA - 2015/02// PY - 2015 DO - 10.1177/1077559514566299 DP - EBSCOhost VL - 20 IS - 1 SP - 20 EP - 22 J2 - Child Maltreatment SN - 1077-5595 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=100777385&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Policy KW - Workforce KW - Collaboration KW - Social Workers KW - Child Abuse KW - Professional Development KW - Outcomes (Health Care) KW - Family Services KW - Child Welfare KW - Professional Practice, Evidence-Based KW - Child Safety KW - Mental Health Personnel ER - TY - JOUR TI - Expanding Evidence-Based Practice to Service Planning in Child Welfare. AU - Saunders, Benjamin E. T2 - Child Maltreatment DA - 2015/02// PY - 2015 DO - 10.1177/1077559514566299 DP - EBSCOhost VL - 20 IS - 1 SP - 20 EP - 22 J2 - Child Maltreatment SN - 1077-5595 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103748907&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Policy KW - Workforce KW - Collaboration KW - Social Workers KW - Child Abuse KW - Professional Development KW - Outcomes (Health Care) KW - Family Services KW - Child Welfare KW - Professional Practice, Evidence-Based KW - Child Safety KW - Mental Health Personnel ER - TY - JOUR TI - Expanding the Oncofertility Workforce: Training Allied Health Professionals to Improve Health Outcomes for Adolescents and Young Adults. AU - Quinn, Gwendolyn P. AU - Woodruff, Teresa K. AU - Knapp, Caprice A. AU - Bowman, Meghan Lorraine AU - Reinecke, Joyce AU - Vadaparampil, Susan T. T2 - Journal of Adolescent & Young Adult Oncology AB - The article discusses a study which evaluated allied health professional (AHP) perceptions of an oncology and reproductive health curriculum originally developed for nurses. DA - 2016/09// PY - 2016 DO - 10.1089/jayao.2016.0003 DP - EBSCOhost VL - 5 IS - 3 SP - 292 EP - 296 J2 - Journal of Adolescent & Young Adult Oncology SN - 2156-5333 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117810409&site=ehost-live&scope=site DB - CINAHL Complete KW - Young Adult KW - Adolescence KW - Curriculum KW - Attitude of Health Personnel KW - Workforce KW - Human KW - Outcomes (Health Care) KW - Pilot Studies KW - Allied Health Personnel -- Education KW - Fertility Preservation KW - Oncology KW - Reproductive Health ER - TY - JOUR TI - Expanding the roles of medical assistants: who does what in primary care? AU - Bodenheimer, Thomas AU - Willard-Grace, Rachel AU - Ghorob, Amireh T2 - JAMA Internal Medicine DA - 2014/07// PY - 2014 DO - 10.1001/jamainternmed.2014.1319 DP - EBSCOhost VL - 174 IS - 7 SP - 1025 EP - 1026 J2 - JAMA Internal Medicine SN - 2168-6106 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103969485&site=ehost-live&scope=site DB - CINAHL Complete KW - Primary Health Care KW - Allied Health Personnel KW - Health Manpower KW - Health Care Delivery ER - TY - JOUR TI - Experience of overseas-trained health professionals in rural and remote areas of destination countries: A literature review. AU - Dywili, Sophia AU - Bonner, Ann AU - Anderson, Judith AU - O' Brien, Louise T2 - Australian Journal of Rural Health DA - 2012/08// PY - 2012 DO - 10.1111/j.1440-1584.2012.01281.x DP - EBSCOhost VL - 20 IS - 4 SP - 175 EP - 184 J2 - Australian Journal of Rural Health SN - 1038-5282 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104481145&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - United Kingdom KW - Australia KW - Workforce KW - Canada KW - New Zealand KW - Human KW - Work Environment KW - Medline KW - CINAHL Database KW - Systematic Review KW - Cultural Diversity KW - Rural Areas KW - Work Experiences KW - Allied Health Personnel KW - Personnel Shortage KW - Foreign Professional Personnel KW - Employee Orientation KW - Foreign Medical Graduates KW - Foreign Nurses KW - Professional Recognition KW - Resource Databases ER - TY - JOUR TI - Experience of overseas-trained health professionals in rural and remote areas of destination countries: A literature review. AU - Dywili, Sophia AU - Bonner, Ann AU - Anderson, Judith AU - O' Brien, Louise T2 - Australian Journal of Rural Health AB - This study aimed to review and synthesise existing literature that investigated the experience of overseas-trained health professionals (OTHPs) in rural and remote areas of destination countries. A systematic literature review was conducted using electronic databases and manual search of studies published from January 2004 to February 2011. Data were analysed from the final 17 original report articles that met the inclusion criteria. The reviewed research studies were conducted in Australia, Canada, New Zealand, the UK and the USA. Overseas-trained medical practitioners were the most frequently researched (n = 14); two studies involved nurses and one study included several health professionals. Three main themes emerged from the review and these were: (i) expectations; (ii) cultural diversity; and (iii) orientation and integration to rural and remote health work environment. The OTHPs were expected to possess the appropriate professional and cultural skills while they themselves expected recognition of their previous experiences and adequate organisational orientation and support. A welcoming and accepting community coupled with a relaxed rural lifestyle and the joy of continued patient care resulted in successful integration and contributed to increased staff retention rates. Recognition of expectations and cultural diversity by all parties and comprehensive orientation with sufficient organisational support are important elements in the integration of OTHPs and subsequent delivery of quality health care to people living in rural and remote areas. DA - 2012/08// PY - 2012 DO - 10.1111/j.1440-1584.2012.01281.x DP - EBSCOhost VL - 20 IS - 4 SP - 175 EP - 184 J2 - Australian Journal of Rural Health SN - 1038-5282 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=78060373&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - United Kingdom KW - Australia KW - Workforce KW - Canada KW - New Zealand KW - Human KW - Work Environment KW - Medline KW - CINAHL Database KW - Systematic Review KW - Cultural Diversity KW - Rural Areas KW - Work Experiences KW - Allied Health Personnel KW - Personnel Shortage KW - Foreign Professional Personnel KW - Employee Orientation KW - Foreign Medical Graduates KW - Foreign Nurses KW - Professional Recognition KW - Resource Databases ER - TY - JOUR TI - Experiences of Fly-In, Fly-Out and Drive-In, Drive-Out Rural and Remote Psychologists. AU - Rose Sutherland, Carly AU - Chur‐Hansen, Anna AU - Winefield, Helen T2 - Australian Psychologist AB - Objective Fly-in, fly-out ( FIFO) and drive-in, drive out ( DIDO) work practices have been central to the resource sector in Australia for many years. While research considering the impacts of this lifestyle on mining workers is emerging, comparatively little is known about the experiences of FIFO/ DIDO health professionals. The lack of information on FIFO/ DIDO psychologists may be detrimental to both the communities serviced by them and the profession in terms of developing appropriate workforce planning and training for psychological service delivery in rural and remote areas. This qualitative study therefore aimed to explore the experiences of FIFO/ DIDO psychologists. Method Semi-structured qualitative interviews were conducted with 10 psychologists living in metropolitan South Australia and working in rural and remote areas. Interviews were conducted by telephone, face-to-face, or in a group. Data were analysed using thematic analysis. Results While participants reported experiencing similar challenges as resident rural psychologists, including diverse and complex cases and a lack of referral options, they also reported unique challenges, advantages, and support needs as FIFO/ DIDO psychologists. These were encompassed by the themes of 'Living away from home' and 'Working away from home,' which included two sub-themes: 'Limited time' (referring to the limited time spent in the rural setting) and 'Professional isolation' (factors associated with working away from professional supports). Conclusions This study may assist in recruitment and retention of FIFO/ DIDO psychologists by providing insight into what is required in the role and may inform training and models of rural and remote psychological service delivery. DA - 2017/06// PY - 2017 DO - 10.1111/ap.12194 DP - EBSCOhost VL - 52 IS - 3 SP - 219 EP - 229 J2 - Australian Psychologist SN - 0005-0067 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122762631&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Life Style KW - Human KW - Qualitative Studies KW - Thematic Analysis KW - Semi-Structured Interview KW - Rural Areas KW - Work Experiences KW - Health Care Delivery KW - Psychologists KW - Mining ER - TY - JOUR TI - Experimenting locally with a stepped-care approach for the treatment of mild to moderate mental disorders in France: Challenges and opportunities. AU - Gandré, Coralie AU - Rosenberg, Sebastian AU - Coldefy, Magali AU - Or, Zeynep T2 - Health Policy AB - In France, publicly funded mental care services are mostly hospital-based and focused on treating severe illnesses. Mild to moderate mental disorders are typically managed by general practitioners (GP) who often lack specific training to treat these conditions. Antidepressant prescribing levels for mild to moderate conditions are inadequately high. Public reimbursement for psychotherapies provided by psychologists is generally not available. This paper presents a local experiment with a stepped-care approach for the treatment of mild to moderate mental disorders in four French départements launched in 2018. The experiment includes the introduction of a standardized assessment protocol for GPs, clear referral guidelines, and full reimbursement of visits to psychologists upon GP referral. Seemingly simple, the policy raises several issues related to the regulation, training and reimbursement of psychologists, and illustrates the need for careful preparation and workforce planning to ensure success and stakeholder support. An independent evaluation of the local experiments is planned, which provides the opportunity to fine-tune the policy before any broader rollout. The issues raised in France and the on-going debate is relevant for other countries preparing similar policies for improving mental care. DA - 2019/11// PY - 2019 DO - 10.1016/j.healthpol.2019.08.006 DP - EBSCOhost VL - 123 IS - 11 SP - 1021 EP - 1027 J2 - Health Policy SN - 0168-8510 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139275808&site=ehost-live&scope=site DB - CINAHL Complete ER - TY - JOUR TI - Expert vs. general working sample differences in KSAO 'improvability' ratings and relationships with measures relevant to occupational and organizational psychology. AU - Maurer TJ AU - Lippstreu M T2 - Journal of Occupational & Organizational Psychology AB - Abroad sample of workers from the U.S. workforce as well as a group of Ph.D.s in Applied or I-O Psychology rated a varied set of KSAOs in terms of the extent to which each KSAO could be improved by people through effort. Results in the general working population reflected a type of 'Horatio Algermyth' of work-related human capability, or a belief that it is possible to change most of any work-related attribute of oneself through effort. Expert psychologists did not agree with the worker sample, differentiating among KSAOs to a greater extent and rating KSAOs as less improvable overall.We initiated a taxonomy of perceived improvability of KSAOs, providing some indication of the expected perceived improvability of KSAOs. Within the worker sample, observed differences in 'improvability' ratings could be attributed mainly to individual differences in people. These individual differences related to a broad set of other important individual measures relevant to occupational and organizational psychology, including motivation for employee development, attitudes towards selection tests and performance appraisal systems, learning/performance goal orientation, and job analysis ratings of KSAO importance and needed at job entry. The total set of results strongly suggests that KSAO improvability ratings may be an additional tool that can be used effectively to understand some aspects of occupational and organizational psychology. DA - 2008/12// PY - 2008 DP - EBSCOhost VL - 81 IS - 4 SP - 813 EP - 829 J2 - Journal of Occupational & Organizational Psychology SN - 0963-1798 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105616261&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Analysis of Variance KW - Human KW - Data Analysis Software KW - Funding Source KW - Surveys KW - Comparative Studies KW - Coefficient Alpha KW - Post Hoc Analysis KW - Data Collection Methods KW - Employee Attitudes KW - Employee Performance Appraisal KW - Psychology, Occupational ER - TY - JOUR TI - Explaining Self-Reported Resilience in Child-Protection Social Work: The Role of Organisational Factors, Demographic Information and Job Characteristics. AU - McFadden, Paula AU - Mallett, John AU - Campbell, Anne AU - Taylor, Brian T2 - British Journal of Social Work AB - Child-protection social work is a stressful occupation that results in workforce concerns about poor levels of staff retention and high levels of inexperience. This paper presents results from a cross-sectional survey and reports findings from a sample of 162 Northern Irish social workers. The sample were measured for 'resilience' (acceptance of self and life and individual competence, RS14 Resilience Scale), 'burnout' (emotional exhaustion EE, depersonalisation DP, personal accomplishment PA, Maslach Burnout Inventory) and organisational subscales (work-load, community, values, equity and control, Area of Work Life Scale (AWLS)). Pearson zero-order correlations showed that higher resilience was associated with lower EE and higher PA. Hierarchical linear regression analysis was used to identify unique demographic and work-specific predictors of resilience in addition to the AWLS subscales of control and values. The final model significantly accounted for 27 per cent of the variance in resilience scores, providing increased knowledge about resilience enhancing factors. As resilience is not an apolitical concept, the wider debates and politics of resilience are acknowledged. Specifically, contextual concerns are addressed that relate to the organisational factors that impact on social workers. The paper concludes by calling for organisational interventions to support resilience in social workers and maintain expertise in child-protection services. DA - 2019/01// PY - 2019 DO - 10.1093/bjsw/bcy015 DP - EBSCOhost VL - 49 IS - 1 SP - 198 EP - 216 J2 - British Journal of Social Work SN - 0045-3102 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134691332&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Ireland KW - Organizational Culture KW - Human KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Surveys KW - Burnout, Professional KW - Hardiness KW - Scales KW - Cross Sectional Studies KW - Pearson's Correlation Coefficient KW - Linear Regression KW - Random Sample KW - Child Welfare KW - Social Workers -- Psychosocial Factors -- Ireland ER - TY - JOUR TI - Exploit e-staff record for better workforce planning, physio leaders told. AU - Hitchcock, Gill T2 - Frontline (20454910) DA - 2019/03/06/ PY - 2019 DP - EBSCOhost VL - 25 IS - 5 SP - 14 EP - 14 J2 - Frontline (20454910) SN - 2045-4910 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135498580&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Physical Therapists KW - Planning Techniques KW - Personnel Staffing and Scheduling Information Systems ER - TY - JOUR TI - Exploration of an allied health workforce redesign model: quantifying the work of allied health assistants in a community workforce. AU - Somerville, Lisa AU - Davis, Annette AU - Milne, Sarah AU - Terrill, Desiree AU - Philip, Kathleen T2 - Australian Health Review AB - The Victorian Assistant Workforce Model (VAWM) enables a systematic approach for the identification and quantification of work that can be delegated from allied health professionals (AHPs) to allied health assistants (AHAs). The aim of the present study was to explore the effect of implementation ofVAWMin the community and ambulatory health care setting. Data captured using mixed methods from allied health professionals working across the participating health services enabled the measurement of opportunity for workforce redesign in the community and ambulatory allied health workforce. A total of 1112 AHPs and 135 AHAs from the 27 participating organisations took part in the present study. AHPs identified that 24% of their time was spent undertaking tasks that could safely be delegated to an appropriately qualified and supervised AHA. This equates to 6837 h that could be redirected to advanced and expanded AHP practice roles or expanded patientcentred service models. The VAWM demonstrates potential for more efficient implementation of assistant workforce roles across allied health. Data outputs from implementation of the VAWM are vital in informing strategic planning and sustainability of workforce change.Amore efficient and effective workforce promotes service delivery by the right person, in the right place, at the right time. DA - 2018/07// PY - 2018 DO - 10.1071/AH16266 DP - EBSCOhost VL - 42 IS - 4 SP - 469 EP - 474 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131090161&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Models, Theoretical KW - Community Health Services KW - Professional Role KW - Ambulatory Care Facilities KW - Human KW - Communities KW - Surveys KW - Descriptive Statistics KW - Data Collection Methods KW - Allied Health Personnel KW - Strategic Planning KW - Patient Centered Care KW - Work Redesign KW - Outcomes Research ER - TY - JOUR TI - Exploring functional outcomes and allied health staffing levels in an inpatient paediatric rehabilitation unit. AU - Ireland, Penelope J. AU - Francis, Amanda AU - Jackman, Shani AU - McLennan, Kim T2 - Disability & Rehabilitation AB - Purpose: This study provides data from a paediatric tertiary hospital on the length of stay, functional improvement and allied health workload for children and adolescents on active inpatient rehabilitation programs. Methods: An audit was conducted of records of patients managed through an inpatient rehabilitation program at a 359 bed tertiary children's hospital in Brisbane, Australia between December 2014 and December 2015. Data relating to diagnosis, length of stay, functional change, occasions of allied health service and hours of patient attributable allied health professional time were collected. Results: Data on 94 children and adolescents with a total of 102 rehabilitation episodes of care were sourced. The greatest average length of stay was for the "Stroke" group. The highest average allied health professional contact hours were for the "Brain Dysfunction - Traumatic" group. The greatest average functional change was observed in the "Brain Dysfunction- Traumatic group." Physiotherapy accounted for the largest proportion of allied health professional service time, with an average of 32% of total time. Conclusions: This review from a tertiary hospital-based inpatient paediatric rehabilitation service provides information regarding the length of stay, functional change and allied health workload for children and adolescents on active inpatient rehabilitation programs. As expected, total and rehabilitation episode length of stay, functional improvement and allied health contact and input varied according to diagnostic groups. This information is likely to be of value to other Paediatric Rehabilitation Medicine inpatient units when developing staffing for services and benchmarking service delivery. Implications for Rehabilitation: Paediatric Rehabilitation Medicine supports children and adolescents to achieve the highest level possible of physical, cognitive, psychological and social functioning following accident or injury. There are little data in the literature to inform the optimal allied health staffing levels required for intensive inpatient multidisciplinary for children and adolescents suffering acquired neurological impairments. Data from this tertiary hospital-based paediatric inpatient rehabilitation program provide information on the length of stay, functional improvement and allied health professional contact for patients across broad diagnostic groupings. This information is useful for other paediatric rehabilitation services when planning for allied health staffing in service development. DA - 2019/02// PY - 2019 DO - 10.1080/09638288.2017.1387293 DP - EBSCOhost VL - 41 IS - 3 SP - 293 EP - 298 J2 - Disability & Rehabilitation SN - 0963-8288 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134694345&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Child KW - Australia KW - Inpatients KW - Human KW - Descriptive Statistics KW - Case Mix KW - Multidisciplinary Care Team KW - Audit KW - Allied Health Personnel KW - Workload Measurement KW - Functional Status -- In Infancy and Childhood KW - Health Care Delivery -- Utilization KW - Length of Stay -- Evaluation KW - Rehabilitation, Pediatric KW - Spinal Cord Injuries -- Diagnosis KW - Stroke -- Diagnosis -- In Infancy and Childhood ER - TY - JOUR TI - Exploring students' views of interprofessional education...including commentary by Reeves S and Kennard J AU - Johnson R T2 - International Journal of Therapy & Rehabilitation AB - Interprofessional education is thought to underpin a patient-centred, integrated approach to healthand social-care provision. It is promoted as a means to encourage collaborative practice, improve services and implement workforce strategies. The benefits for students are said to be changes in knowledge, skills, attitudes and beliefs, but there is little research into the student experience of interprofessional education.This study investigates first year students' views of a university health and social care interprofessional module. Qualitative comments were collected from 65 students by means of the standard faculty module evaluation form. The findings reveal a wide range of views among the students, from those who found the module a stimulating and beneficial experience to those who found it irrelevant and confusing. DA - 2003/07// PY - 2003 DP - EBSCOhost VL - 10 IS - 7 SP - 314 EP - 320 J2 - International Journal of Therapy & Rehabilitation SN - 1741-1645 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106871314&site=ehost-live&scope=site DB - CINAHL Complete KW - Human KW - Exploratory Research KW - Content Analysis KW - Descriptive Statistics KW - Cross Sectional Studies KW - Stratified Random Sample KW - Course Evaluation KW - Education, Allied Health KW - Student Attitudes KW - Education, Interdisciplinary KW - Attitude Measures ER - TY - JOUR TI - Exploring the integration of internationally educated occupational therapists into the workforce. AU - Mulholland, Susan J. AU - Dietrich, Tracy A. AU - Bressler, Sandra I. AU - Corbett, Kathy G. T2 - Canadian Journal of Occupational Therapy DA - 2013/02// PY - 2013 DO - 10.1177/0008417412472653 DP - EBSCOhost VL - 80 IS - 1 SP - 8 EP - 18 J2 - Canadian Journal of Occupational Therapy SN - 0008-4174 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104029812&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Workforce KW - Focus Groups KW - Canada KW - British Columbia KW - Communication Barriers KW - Occupational Therapists KW - Employment KW - Language KW - Human KW - Qualitative Studies KW - Thematic Analysis KW - Support, Psychosocial KW - Funding Source KW - Semi-Structured Interview KW - Information Needs KW - Descriptive Research KW - Purposive Sample KW - Success KW - Registration KW - Foreign Professional Personnel KW - Occupational Therapy -- Organizations -- Canada ER - TY - JOUR TI - Exploring the integration of internationally educated occupational therapists into the workforce. AU - Mulholland, Susan J. AU - Dietrich, Tracy A. AU - Bressler, Sandra I. AU - Corbett, Kathy G. T2 - Canadian Journal of Occupational Therapy AB - The article discusses a study to explore the experiences of primary stakeholders involved in the integration of internationally educated occupational therapists (IEOTs) in British Columbia (BC). Topics discussed include interviews with stakeholders, emphasis on workforce integration for IEOTs, and benefits of hiring IEOTs. It also mentions the significance of peer relationship in enhancing the learning process of IEOTs. DA - 2013/02// PY - 2013 DO - 10.1177/0008417412472653 DP - EBSCOhost VL - 80 IS - 1 SP - 8 EP - 18 J2 - Canadian Journal of Occupational Therapy SN - 0008-4174 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=94593550&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Workforce KW - Focus Groups KW - Canada KW - British Columbia KW - Communication Barriers KW - Occupational Therapists KW - Employment KW - Language KW - Human KW - Qualitative Studies KW - Thematic Analysis KW - Support, Psychosocial KW - Funding Source KW - Semi-Structured Interview KW - Information Needs KW - Descriptive Research KW - Purposive Sample KW - Success KW - Registration KW - Foreign Professional Personnel KW - Occupational Therapy -- Organizations -- Canada ER - TY - JOUR TI - Exploring the negative social evaluation of patients by specialist physiotherapists working in residential intermediate care AU - Thomson, Di AU - Love, Helen T2 - Physiotherapy AB - Abstract: Background: Residential intermediate care represents an innovative model of care that facilitates early hospital discharge and avoids unnecessary hospital admission. It also represents an environment where patients may demonstrate emotional vulnerability following a period of acute illness or injury, and this may impact on the quality of the patient/physiotherapist relationship. Objective: To gain an understanding of the negative social evaluation of patients by specialist physiotherapists, and to explore possible coping strategies in order to engage patients in appropriately designed rehabilitation programmes. Method: Using a grounded theory approach, physiotherapists working in an intermediate care facility in a senior role were invited to participate in a focus group. Following the focus group analysis, a further four physiotherapists, with similar levels of experience to those in the focus group, were recruited to participate in semi-structured interviews to explore the emerging categories in greater depth. Results: The findings revealed some categories that the therapists believed resided with the patients (alcohol dependency, failing to adapt/accept their condition and patients whose families hindered the process of rehabilitation) and some that appeared to reside within the context of intermediate rehabilitation (labelling, the 6-week model of intermediate care and the process of transition into the service). Coping strategies cited were workforce planning, goal setting and reflective practice. Conclusion: While supportive strategies have been developed locally to assist staff in managing their anxiety related to therapeutic interactions with ‘difficult patients’, it is also recognised that they have the potential for demotivation and are a possible precursor for stress. DA - 2013/03// PY - 2013 DO - 10.1016/j.physio.2011.09.003 DP - EBSCOhost VL - 99 IS - 1 SP - 71 EP - 77 J2 - Physiotherapy SN - 0031-9406 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=85154425&site=ehost-live&scope=site DB - CINAHL Complete KW - Attitude of Health Personnel KW - Focus Groups KW - Grounded Theory KW - Human KW - Qualitative Studies KW - Support, Psychosocial KW - Semi-Structured Interview KW - Residential Care KW - Community Role KW - Alcoholism KW - Data Analysis KW - Physical Therapists ER - TY - JOUR TI - Exploring the Role of Co-worker Social Support on Health Care Utilization and Sickness Absence. AU - Tamers, Sara L. AU - Beresford, Shirley A. A. AU - Thompson, Beti AU - Zheng, Yingye AU - Cheadle, Allen D. T2 - Journal of Occupational & Environmental Medicine DA - 2011/07// PY - 2011 DO - 10.1097/JOM.0b013e318223d42f DP - EBSCOhost VL - 53 IS - 7 SP - 751 EP - 757 J2 - Journal of Occupational & Environmental Medicine SN - 1076-2752 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108251916&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Prospective Studies KW - Self Report KW - Confidence Intervals KW - Human KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Funding Source KW - Surveys KW - Descriptive Statistics KW - P-Value KW - Health Resource Utilization -- Evaluation KW - Repeated Measures KW - Regression KW - Data Analysis, Statistical KW - Workforce -- Evaluation KW - Absenteeism -- Evaluation KW - Interpersonal Relations -- Evaluation KW - Support, Psychosocial -- Evaluation ER - TY - JOUR TI - Exploring the Role of Co-worker Social Support on Health Care Utilization and Sickness Absence. AU - Tamers, Sara L. AU - Beresford, Shirley A. A. AU - Thompson, Beti AU - Zheng, Yingye AU - Cheadle, Allen D. T2 - Journal of Occupational & Environmental Medicine DA - 2011/07// PY - 2011 DO - 10.1097/JOM.0b013e318223d42f DP - EBSCOhost VL - 53 IS - 7 SP - 751 EP - 757 J2 - Journal of Occupational & Environmental Medicine SN - 1076-2752 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=63247908&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Prospective Studies KW - Self Report KW - Confidence Intervals KW - Human KW - Questionnaires KW - Data Analysis Software KW - Middle Age KW - Funding Source KW - Surveys KW - Descriptive Statistics KW - P-Value KW - Health Resource Utilization -- Evaluation KW - Repeated Measures KW - Regression KW - Data Analysis, Statistical KW - Workforce -- Evaluation KW - Absenteeism -- Evaluation KW - Interpersonal Relations -- Evaluation KW - Support, Psychosocial -- Evaluation ER - TY - JOUR TI - Exploring 'use of title' for occupational therapists in Canada. AU - Putman, Julie AU - Craik, Janet AU - von Zweck, Claudia T2 - Occupational Therapy Now DA - 2011/03// PY - 2011 DP - EBSCOhost VL - 13 IS - 2 SP - 24 EP - 27 J2 - Occupational Therapy Now SN - 1481-5532 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104846756&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Focus Groups KW - Age Factors KW - Canada KW - Professional Role KW - Human KW - Thematic Analysis KW - Surveys KW - Personnel Retention KW - Professional Regulation KW - Canadian Association of Occupational Therapists KW - Occupational Therapists -- Classification -- Canada KW - Professional Practice -- Standards KW - Registration -- Statistics and Numerical Data -- Canada ER - TY - JOUR TI - Exploring 'use of title' for occupational therapists in Canada. AU - Putman, Julie AU - Craik, Janet AU - von Zweck, Claudia T2 - Occupational Therapy Now DA - 2011/03// PY - 2011 DP - EBSCOhost VL - 13 IS - 2 SP - 24 EP - 27 J2 - Occupational Therapy Now SN - 1481-5532 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104846758&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Focus Groups KW - Age Factors KW - Canada KW - Professional Role KW - Human KW - Thematic Analysis KW - Surveys KW - Personnel Retention KW - Professional Regulation KW - Canadian Association of Occupational Therapists KW - Occupational Therapists -- Classification -- Canada KW - Professional Practice -- Standards KW - Registration -- Statistics and Numerical Data -- Canada ER - TY - JOUR TI - Exploring, defining, and illustrating a concept: Structural and psychological empowerment in the workplace. AU - Abel, Sarah E. AU - Hand, Mikel W. T2 - Nursing Forum AB - Aim: The aim of this concept analysis is to clarify the meaning and relationship of psychological and structural empowerment. Background: Empowerment is linked to positive organizational and individual constructs and outcomes. Improving the work environment may assist in sustaining a fragile and essential workforce. Design: Walker and Avant's method was used to guide an analysis of this concept. Data Source: Resources published from 1970 to 2018 were identified via electronic databases, empirical works, and modern operational usage of the terms. Review Methods: A literature review and search for concept maps were completed and analyzed to identify uses and definitions of the concept: attributes, antecedents, consequences, and empirical referents. It also includes identifying model, borderline, and contrary cases to differentiate empowerment from other related concepts. Results: A comprehensive, inclusive review of empowerment must include both constructs, structural and psychological. A conceptual map of these akin constructs illustrates their syndication. Conclusions: The concept of examining empowerment from both constructs, structural and psychological, is necessary to develop evidence‐based practice strategies and improve the work environment and workforce. DA - 2018/10// PY - 2018 DO - 10.1111/nuf.12289 DP - EBSCOhost VL - 53 IS - 4 SP - 579 EP - 584 J2 - Nursing Forum SN - 0029-6473 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=133117536&site=ehost-live&scope=site DB - CINAHL Complete KW - Human KW - Concept Analysis KW - Empowerment KW - Work Environment KW - Psycinfo KW - Psychological Well-Being KW - Systematic Review KW - Workforce -- Psychosocial Factors KW - Cumulative Index to Nursing & Allied Health Literature Print Index KW - Work Capacity Evaluation ER - TY - JOUR TI - Facilitators and barriers to the use of standing orders for vaccination in obstetrics and gynecology settings. AU - Barnard, Juliana G. AU - Dempsey, Amanda F. AU - Brewer, Sarah E. AU - Pyrzanowski, Jennifer AU - Mazzoni, Sara E. AU - O'Leary, Sean T. AU - O'Leary, Sean T T2 - American Journal of Obstetrics & Gynecology AB - Background: Many young and middle-aged women receive their primary health care from their obstetrician-gynecologists. A recent change to vaccination recommendations during pregnancy has forced the integration of new clinical processes at obstetrician-gynecology practices. Evidence-based best practices for vaccination delivery include the establishment of vaccination standing orders.Objectives: As part of an intervention to increase adoption of evidence-based vaccination strategies for women in safety-net and private obstetrician-gynecology settings, we conducted a qualitative study to identify the facilitators and barriers experienced by obstetrician-gynecology sites when establishing vaccination standing orders.Study Design: At 6 safety-net and private obstetrician-gynecology practices, 51 semistructured interviews were completed by trained qualitative researchers over 2 years with clinical staff and vaccination program personnel. Standardized qualitative research methods were used during data collection and team-based data analysis to identify major themes and subthemes within the interview data.Results: All study practices achieved partial to full implementation of vaccine standing orders for human papillomavirus, tetanus diphtheria pertussis, and influenza vaccines. Facilitating factors for vaccine standing order adoption included process standardization, acceptance of a continual modification process, and staff training. Barriers to vaccine standing order adoption included practice- and staff-level competing demands, pregnant women's preference for medical providers to discuss vaccine information with them, and staff hesitation in determining HPV vaccine eligibility.Conclusions: With guidance and commitment to integration of new processes, obstetrician-gynecology practices are able to establish vaccine standing orders for pregnant and nonpregnant women. Attention to certain process barriers can aid the adoption of processes to support the delivery of vaccinations in obstetrician-gynecology practice setting, and provide access to preventive health care for many women. DA - 2017/01// PY - 2017 DO - 10.1016/j.ajog.2016.09.096 DP - EBSCOhost VL - 216 IS - 1 SP - 69.e1 EP - 69.e7 J2 - American Journal of Obstetrics & Gynecology SN - 0002-9378 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120296557&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Attitude of Health Personnel KW - Administrative Personnel KW - Physician Executives KW - Pregnancy KW - Patient Satisfaction KW - Nurses KW - Human KW - Qualitative Studies KW - Allied Health Personnel KW - Diphtheria -- Prevention and Control KW - Diphtheria-Tetanus-acellular Pertussis Vaccines -- Therapeutic Use KW - Gynecology KW - Immunization KW - Influenza Vaccine -- Therapeutic Use KW - Influenza, Human -- Prevention and Control KW - Obstetrics KW - Papillomavirus Infections -- Prevention and Control KW - Papillomavirus Vaccine -- Therapeutic Use KW - Prenatal Care KW - Tetanus -- Prevention and Control KW - Whooping Cough -- Prevention and Control ER - TY - JOUR TI - Factors affecting the involvement of day centre care staff in the delivery of physiotherapy to adults with intellectual disabilities: an exploratory study in one London borough. AU - Middleton M AU - Kitchen SS T2 - Journal of Applied Research in Intellectual Disabilities AB - Background: Physiotherapists for adults with intellectual disabilities often work in day centres, relying on care staff to support programmes. This study investigates factors affecting physiotherapy delivery in 4 day centres in one London borough. Materials and Method: Semi-structured interviews were carried out with day centre care staff, managers and physiotherapists. Results: Service users' needs were reported not to be met at three of the four centres. Barriers included low staffing levels, high absences and use of agency staff. Relevant variables included level of physiotherapist attendance, management priorities for care staff time, care staff confidence and whether a consistent team support delivery. Discrepancies emerged between staff and physiotherapists' views on training needs. Conclusions: Physiotherapy delivered in day centres is an important part of a complex care package. It requires effective multiagency working to meet the known - and potentially unidentified - needs of individuals and to ensure that care staff are adequately supported. DA - 2008/05// PY - 2008 DP - EBSCOhost VL - 21 IS - 3 SP - 227 EP - 235 J2 - Journal of Applied Research in Intellectual Disabilities SN - 1360-2322 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105657125&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Human KW - Audiorecording KW - Thematic Analysis KW - Content Analysis KW - Funding Source KW - Semi-Structured Interview KW - Descriptive Statistics KW - Quantitative Studies KW - Physical Therapy KW - Physical Therapists KW - Health Care Delivery -- Administration KW - Community Mental Health Services -- Manpower KW - Intellectual Disability -- Rehabilitation KW - Learning Disorders KW - Residential Care -- Organizations ER - TY - JOUR TI - Factors associated with rural work for nursing and allied health graduates 15-17 years after an undergraduate rural placement through the University Department of Rural Health program. AU - Playford, Denese AU - Moran, Monica C. AU - Thompson, Sandra T2 - Rural & Remote Health AB - INTRODUCTION: Very little is known about the long term workforce outcomes, or factors relating to these outcomes, for nursing and allied health rural placement programs. The positive evidence that does exist is based on short term (1-3 year) evaluations, which suggest that undergraduate rural placements are associated with substantial immediate rural practice of 25-30% graduates practising rurally. These positive data suggest the value of examining long term practice outcomes, since such data are necessary to providing an evidence base for future workforce strategies. The objective was to measure long term (15-17 year) rural practice outcomes for nursing and allied health graduates who had completed an undergraduate rural placement of 2-18 weeks through a university department of rural health (UDRH). METHODS: This was a longitudinal cohort study, with measures taken at the end of the placement, at one year and at 15-17 years post-graduation. Participants were all nursing and allied health students who had taken part in a UDRH rural placement, who consented to be followed up, and whose practice location was able to be identified. The main outcome measure was factors associated with location of practice as being either urban (RA 1) or rural (RA 2-5). RESULTS: Of 776 graduates initially surveyed, 474 (61%) were able to be contacted in the year after their graduation, and 244 (31%) were identified through the Australian Health Practitioner Regulation Agency, 15-17 years later. In univariate analysis at the first graduate year, previously lived rural, weeks in placement, discipline and considering future rural practice all had significant relationships with initial rural practice. In multivariate analysis, only rural background retained significance (odds ratio (OR) 3.19, confidence interval (CI) 1.71-5.60). In univariate analysis 15-17 years later, previously lived rural and first job being rural were significantly related to current rural practice. In multivariate analysis, only first job being rural retained significance (OR 11.57, CI 2.77-48.97). CONCLUSION: The most significant long term practice factor identified in this study was initial rural practice. This suggests that funding to facilitate a rural pathway to not just train but also support careers in rural nursing and allied health rural training, similar to that already established for pharmacy and medicine, is likely to have beneficial long term workforce outcomes. This result adds to the evidence base of strategies that could be implemented for the successful development of a long term rural health workforce. DA - 2020/01// PY - 2020 DO - 10.22605/RRH5334 DP - EBSCOhost VL - 20 IS - 1 SP - 1 EP - 7 J2 - Rural & Remote Health SN - 1445-6354 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141541155&site=ehost-live&scope=site DB - CINAHL Complete ER - TY - JOUR TI - Factors associated with the recruitment and retention of social workers in Wales: employer and employee perspectives. AU - Evans S AU - Huxley P T2 - Health & Social Care in the Community AB - Despite acute staffing shortages in social work, workforce planning within the UK social care sector is compromised by poor workforce intelligence. This study aimed to inform the evidence base providing new data on recruitment and retention in Wales, examining what personal and organizational characteristics are associated with intentions to leave, and what initiatives or incentives might mediate that effect. A multi-method design facilitated comparisons between two data sources - a census of all 22 Welsh local authority employers about recruitment and retention practices and a survey of all social workers and senior practitioners employed in social services ( n = 998; response rate 45.9%) about demography, workforce characteristics, working patterns, morale and plans and reasons for leaving one's job. Vacancy (mean 14.4%) and turnover (mean 15%) rates were statistically significantly higher in children's services than in adult services; vacancy rates were also higher in authorities that offered higher starting salaries. The provision of certain types of traineeship might also be associated with higher vacancy rates but these results should be treated with some caution. There was little evidence that recruitment and retention initiatives were associated with lower vacancy or turnover rates, despite employers' perceptions about their effectiveness. Social workers derived a lot of satisfaction from their work, but more than a quarter wanted to leave their job within 6 months, and almost as many were actively seeking alternative employment. Intention to leave was explained by job and employer satisfaction, and negative feelings about pay. Senior practitioners and staff members with longer lengths of service were less likely to want to leave, even if they were dissatisfied with their job or employer. Job and employer dissatisfaction was associated with retention initiatives related to facilities, good caseload management and home-working, suggesting that dissatisfied staff might remain in employment for longer if these initiatives were in place. DA - 2009/05// PY - 2009 DO - 10.1111/j.1365-2524.2008.00818.x DP - EBSCOhost VL - 17 IS - 3 SP - 254 EP - 266 J2 - Health & Social Care in the Community SN - 0966-0410 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105502361&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Demography KW - Age Factors KW - Analysis of Variance KW - Job Satisfaction KW - Wales KW - Human KW - Data Analysis Software KW - Middle Age KW - Surveys KW - Descriptive Statistics KW - Work Environment KW - Comparative Studies KW - Scales KW - Chi Square Test KW - Summated Rating Scaling KW - Personnel Recruitment KW - Personnel Retention KW - T-Tests KW - Post Hoc Analysis KW - Pearson's Correlation Coefficient KW - Linear Regression KW - Mann-Whitney U Test KW - Kruskal-Wallis Test KW - Employee Attitudes KW - Personnel Turnover KW - Job Characteristics KW - Organizational Structure KW - Social Workers -- Administration -- Wales KW - Wilcoxon Rank Sum Test ER - TY - JOUR TI - Factors influencing the recruitment and retention of senior mental health occupational therapists...RCOT (Royal College of Occupational Therapist) Annual Conference 2017 AU - M., Morley AU - J., Smith AU - H., Miles T2 - British Journal of Occupational Therapy AB - This paper presents the survey results on issues affecting the recruitment and retention of senior occupational therapists in a mental health organisation and shares actions to improve workforce turnover. Mental health organisations struggle to recruit and retain staff across all roles, with particular challenges in London (COT 2006). In order to provide greater consistency for patients and meet NHS targets on agency spend, it is important to understand factors that attract staff and reduce attrition. Local workforce data highlighted the vacancy levels for senior occupational therapists of 22-29%. Occupational therapists were invited to share their views anonymously on factors relating to recruitment and retention via an electronic questionnaire (SurveyMonkey 2015). Descriptive analysis was used to identify the key themes and the results shared with managers. Respondents wanted a robust professional structure, clear supervision as well as opportunities for continuing professional development. Staff felt valued by their team but wanted acknowledgement from senior managers for their contribution. Opportunities for professional career progression were pivotal in staff deciding to stay and people liked posts with a clearly defined occupational therapy role. However, large caseloads and unachievable targets were identified as challenges in community posts. These findings have been used to develop a trust-wide workforce plan for occupational therapy, including the piloting of revised job plans and a structured programme to move from junior to senior posts. The findings and action plan may also be of interest to other organisations to inform local recruitment and retention strategies, and reduce vacancy levels and agency spending. DA - 2017/08/02/ PY - 2017 DP - EBSCOhost VL - 80 SP - 24 EP - 24 J2 - British Journal of Occupational Therapy SN - 0308-0226 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125557436&site=ehost-live&scope=site DB - CINAHL Complete ER - TY - JOUR TI - Factors that affect job satisfaction and intention to leave of allied health professionals in a metropolitan hospital. AU - Wilson, Natalie A. T2 - Australian Health Review AB - Objective: The purpose of the present study was to determine the aspects of the allied health professional's job that contribute most to job satisfaction and intention to leave in a metropolitan hospital. Method: Data were collected via a questionnaire that was emailed to all clinical allied health staff at Campbelltown and Camden Hospitals in New South Wales, Australia. The participants then rated their level of satisfaction with various job aspects. Results: A significant correlation was found between several job satisfaction factors and intention to leave in this study group, including quality of supervision, level of competency to do the job, recognition for doing the job, advancement opportunities, autonomy, feelings of worthwhile accomplishment, communication and support from the manager. Conclusion: In relation to Herzberg's job satisfaction theory, both intrinsic and extrinsic work factors have been shown to have a significant correlation with intention to leave in this study group. This information can assist workforce planners to implement strategies to improve retention levels of allied health professionals in the work place. What is known about the topic? Job satisfaction is a significant predictor of retention in the workplace for allied health professionals in rural and remote areas; however, limited research has reviewed predictors of job satisfaction of allied health professionals in metropolitan hospitals. What does this paper add? This paper provides evidence that job satisfaction factors are important predictors of intention to leave for allied health in metropolitan hospitals, and that both intrinsic and extrinsic job satisfaction factors have a significant correlation with intention to leave. What are the implications for practice? Those involved in workforce management of allied health professionals can implement strategies to improve job satisfaction and assist with retention of the allied health workforce. DA - 2015/06// PY - 2015 DO - 10.1071/AH14198 DP - EBSCOhost VL - 39 IS - 3 SP - 290 EP - 294 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103327894&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Health Status KW - Job Satisfaction KW - Intention KW - Wales KW - Rural Areas KW - Allied Health Personnel KW - Allied Health Professions ER - TY - JOUR TI - Factors that contribute to high-quality clinical supervision of the rural allied health workforce: lessons from the coalface. AU - Martin, Priya AU - Baldock, Katherine AU - Kumar, Saravana AU - Lizarondo, Lucylynn T2 - Australian Health Review AB - Objective: The aim of this study was to identify the factors contributing to high-quality clinical supervision of the allied health workforce in rural and remote settings. Methods: This quantitative study was part of a broader project that used a mixed-methods sequential explanatory design. Participants were 159 allied health professionals from two Australian states. Quantitative data were collected using an online customised survey and the Manchester Clinical Supervision Scale (MCSS-26). Data were analysed using regression analyses. Results: Supervisee's work setting and choice of supervisor were found to have a positive and significant influence on clinical supervision quality. Supervisee profession and time in work role were found to have a negative and significant influence on the quality of clinical supervision. Conclusions: High-quality clinical supervision is essential to achieve quality and safety of health care, as well as to support the health workforce. Information on high-quality clinical supervision identified in this study can be applied to clinical supervision practices in rural and remote settings, and to professional support policies and training to enhance the quality of supervision. What is known about the topic?: There is mounting evidence on the benefits of clinical supervision to health professionals, organisations and patients. Clinical supervision enhances recruitment and retention of the health workforce. However, there are still gaps regarding the factors that contribute to high-quality clinical supervision, especially for rural and remote health professionals. What does this paper add?: This study, the first of its kind, recruited rural and remote health professionals from seven allied health disciplines across two Australian states. It investigated the factors that influence high-quality clinical supervision in this under-resourced group. This paper outlines specific factors that contribute to clinical supervision quality for rural and remote allied health professionals. What are the implications for practitioners?: Effective and high-quality clinical supervision of the rural and remote allied health workforce can enhance recruitment and retention in those areas. Healthcare organisations can facilitate effective clinical supervision delivery by using the evidence gathered in this study in clinical supervision policy, training and practice. DA - 2019/11// PY - 2019 DO - 10.1071/AH17258 DP - EBSCOhost VL - 43 IS - 6 SP - 682 EP - 688 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140032085&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Workforce KW - South Australia KW - Confidence Intervals KW - Queensland KW - Human KW - Data Analysis Software KW - Middle Age KW - Support, Psychosocial KW - Surveys KW - Descriptive Statistics KW - Work Environment KW - Scales KW - Multimethod Studies KW - Multiple Regression KW - Quantitative Studies KW - Rural Areas KW - Allied Health Personnel KW - Supervisors and Supervision KW - Clinical Supervision -- Standards ER - TY - JOUR TI - Failure to Report: Sometimes you need to walk away. But that's not all. AU - Kirsch, Nancy R. T2 - PT in Motion AB - The article presents a scenario which require physical therapists (PT) and physical therapist assistants to protect the public interest by both modeling and policing legal and ethical conduct. Topics covered include the ways wherein improper use of therapy personnel could affect public attitudes toward the capabilities and effectiveness of PT, and illegal and unethical work situation that PT should walk away from. DA - 2019/06// PY - 2019 DP - EBSCOhost VL - 11 IS - 5 SP - 14 EP - 17 J2 - PT in Motion SN - 1949-3711 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136584678&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Salaries and Fringe Benefits KW - Job Satisfaction KW - Ethics, Medical KW - Part Time Employment KW - Reflection KW - Physical Therapists -- Psychosocial Factors KW - Decision Making, Ethical KW - Physical Therapy -- Legislation and Jurisprudence ER - TY - JOUR TI - Falls clinics in Australia: a survey of current practice, and recommendations for future development. AU - Hill K AU - Smith R AU - Schwarz J T2 - Australian Health Review AB - The aim of this study was to identify common themes and differences in structure and function of Falls Clinics in Australia, to provide a framework for planning future activity. A paper-based survey was circulated to 20 identified Falls Clinic services throughout Australia in late 2000. Fifteen responses (75%) were received, although two of the 15 Clinics were not operating at the time of the survey, and so their responses were not included. Nine of the Clinics had commenced operation since 1998. Staffing commonly included a physiotherapist, geriatrician, and an occupational therapist, with the comprehensive multidisciplinary assessment process taking an average of 130 minutes. Although standard assessment tools were used by more than half of the Clinics, there were no universally applied assessment tools. Waiting lists for initial assessments ranged up to 16 weeks (average 6 weeks). Most Clinics instituted a number of management options themselves, but also used a range of existing community services to provide some of the planned interventions. Limited formal evaluation of the effectiveness of Clinics was reported. Recommended future activity included increasing staff levels and operating times for Clinics to more adequately meet identified need, increased networking and data sharing between Clinics, and a greater emphasis on research and staff training. We conclude that the recent increase in the number of Falls Clinics around Australia has occurred in a relatively unstructured manner, with many differences in staffing, operation and evaluation. There is a need for improved communication and standardisation of core procedures and assessment tools to facilitate best practice in all Clinics, and to provide a framework for a systematic evaluation of the effectiveness of Falls Clinics in Australia. DA - 2001/12// PY - 2001 DP - EBSCOhost VL - 24 IS - 4 SP - 163 EP - 174 J2 - Australian Health Review SN - 0156-5788 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106957318&site=ehost-live&scope=site DB - CINAHL Complete KW - Aged KW - Australia KW - Personnel Staffing and Scheduling KW - Aged, 80 and Over KW - Human KW - Convenience Sample KW - Surveys KW - Descriptive Statistics KW - Survey Research KW - Patient Assessment KW - Accidental Falls -- In Old Age -- Australia KW - Ambulatory Care Facilities -- Australia ER - TY - JOUR TI - Family psychology and systemic approaches: working effectively in a variety of contexts. AU - Harway, Michele AU - Gottlieb, Michael C AU - Kadin, Steve AU - Nutt, Roberta L AU - Celano, Marianne T2 - Professional Psychology: Research & Practice AB - This series considers the importance of family psychology training and ethical concerns that scarcity of training in this area may leave psychologists poorly prepared with couples and families. In the lead article, Michele Harway and Steve Kadin set the stage for using systemic formulations to treat couples and families. They challenge practitioners to obtain additional exposure. Using clinical vignettes, they suggest combining systemic approaches with traditional approaches. The efficacy of systemic interventions is considered, as are ethical issues of working with couples and families. The three commentaries support that psychology must make a paradigm shift to accommodate the changing needs of service recipients. Michael Gottlieb argues that the time is now for systems interventions. Integrated models of patient-centered health care require psychologists with systems training as pivotal members of the team. Medicine's acknowledgment that physical ailments occur in relationships requires family psychologists to be part of that team. Roberta Nutt suggests that as our population changes and becomes more diverse, family psychology has much to contribute to cultural competence training. Since many cultural groups are collectivistic, systemic approaches must be taught side-by-side with individualistic approaches. Systemic perspectives can also address the intersectionality of identities, which can help navigate multiple systems. Marianne Celano proposes family psychology training for psychologists treating children. She notes that family assessment should be a key component of any psychiatric evaluation including youths. Systemic interventions are extremely effective with youths' behavioral health problems, and they can assist families in negotiating the multiplicity of systems in which they are embedded. DA - 2012/08// PY - 2012 DO - 10.1037/a0029134 DP - EBSCOhost VL - 43 IS - 4 SP - 315 EP - 327 J2 - Professional Psychology: Research & Practice SN - 0735-7028 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108142878&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Male KW - Family Health KW - Workforce KW - Professional Practice KW - Psychology KW - Psychotherapy KW - Mental Health Services KW - Couples Counseling KW - Couples Counseling -- Education KW - Ethics, Professional KW - Family Conflict KW - Family Therapy KW - Family Therapy -- Education KW - Family Therapy -- Ethical Issues KW - Systems Theory ER - TY - JOUR TI - Feminisation of the health workforce and wage conditions of health professions: an exploratory analysis. AU - Shannon, Geordan AU - Minckas, Nicole AU - Tan, Des AU - Haghparast-Bidgoli, Hassan AU - Batura, Neha AU - Mannell, Jenevieve T2 - Human Resources for Health AB - Background: The feminisation of the global health workforce presents a unique challenge for human resource policy and health sector reform which requires an explicit gender focus. Relatively little is known about changes in the gender composition of the health workforce and its impact on drivers of global health workforce dynamics such as wage conditions. In this article, we use a gender analysis to explore if the feminisation of the global health workforce leads to a deterioration of wage conditions in health.Methods: We performed an exploratory, time series analysis of gender disaggregated WageIndicator data. We explored global gender trends, wage gaps and wage conditions over time in selected health occupations. We analysed a sample of 25 countries over 9 years between 2006 and 2014, containing data from 970,894 individuals, with 79,633 participants working in health occupations (48,282 of which reported wage data). We reported by year, country income level and health occupation grouping.Results: The health workforce is feminising, particularly in lower- and upper-middle-income countries. This was associated with a wage gap for women of 26 to 36% less than men, which increased over time. In lower- and upper-middle-income countries, an increasing proportion of women in the health workforce was associated with an increasing gender wage gap and decreasing wage conditions. The gender wage gap was pronounced in both clinical and allied health professions and over lower-middle-, upper-middle- and high-income countries, although the largest gender wage gaps were seen in allied healthcare occupations in lower-middle-income countries.Conclusion: These results, if a true reflection of the global health workforce, have significant implications for health policy and planning and highlight tensions between current, purely economic, framing of health workforce dynamics and the need for more extensive gender analysis. They also highlight the value of a more nuanced approach to health workforce planning that is gender sensitive, specific to countries' levels of development, and considers specific health occupations. DA - 2019/10/17/ PY - 2019 DO - 10.1186/s12960-019-0406-0 DP - EBSCOhost VL - 17 IS - 1 SP - N.PAG EP - N.PAG J2 - Human Resources for Health SN - 1478-4491 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139185869&site=ehost-live&scope=site DB - CINAHL Complete KW - Female KW - Professional Role KW - Scales KW - Women KW - Salaries and Fringe Benefits -- Trends KW - Health Occupations -- Economics KW - Health Occupations -- Trends KW - Impact of Events Scale KW - Interrupted Time Series Analysis ER - TY - JOUR TI - Finding the "Right-Size" Physical Therapy Workforce: International Perspective Across 4 Countries. AU - Jesus, Tiago S. AU - Koh, Gerald AU - Landry, Michel AU - Peck-Hoon Ong AU - Lopes, Antonio M. F. AU - Green, Peter L. AU - Hoenig, Helen T2 - Physical Therapy AB - Finding the "right-size" physical therapy workforce is an increasingly important issue, but it has had limited study, particularly across nations. This perspective article provides a comprehensive examination of physical therapy workforce issues across 4 countries (United States, Singapore, Portugal, and Bangladesh), which were deliberately selected to allow consideration of key contextual factors. This investigation provides a theoretical model uniquely adapted to focus on variables most likely to affect physical therapy workforce needs. This theoretical model was used to guide acquisition of public domain data across the respective countries. The data then were used to provide a contextualized interpretation about the physical therapy workforce supply (ie, physical therapists per capita) across the 4 countries in light of the following factors: indicators of physical therapy need, financial and administrative barriers affecting physical therapy access and demand, the proportion of physical therapy graduates (with varying trends over time across the countries), and the role of emigration/immigration in supply inequalities among countries of lower and higher income. In addition, both the physical therapy workforce supply and scope of practice were analyzed in the context of other related professions across the 4 countries. This international comparison indicated that there may not be a "one-size-fits-all" recommendation for physical therapy workforce supply across countries or an ideal formula for its determination. The optimal, country-specific physical therapy workforce supply appears to be affected by discipline-specific health care and contextual factors that may vary across countries, and even within the same country. This article provides a conceptual framework and basis for such contextualized evaluations of the physical therapy workforce. DA - 2016/10// PY - 2016 DO - 10.2522/ptj.20160014 DP - EBSCOhost VL - 96 IS - 10 SP - 1597 EP - 1609 J2 - Physical Therapy SN - 0031-9023 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118521025&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Models, Theoretical KW - Needs Assessment KW - Singapore KW - Prospective Studies KW - Health Services Accessibility KW - Portugal KW - Human KW - Convenience Sample KW - Descriptive Statistics KW - Scope of Practice KW - New Graduates KW - Bangladesh KW - Education, Physical Therapy KW - Physical Therapists -- Statistics and Numerical Data KW - Workforce -- Bangladesh KW - Workforce -- Portugal KW - Workforce -- Singapore KW - Workforce -- United States ER - TY - JOUR TI - First year allied health student transition to a regional university. AU - Gray, Marion AU - Gordon, Susan AU - O'Neill, Maureen AU - Pearce, Wendy M. T2 - Australian Journal of Rural Health AB - Objective: Students from regional and remote backgrounds are more likely to stay and work in regional and remote locations. Health students transition and retention at university impacts the retainment of a competent rural health workforce. This study aimed to examine the perceptions of allied health students as they reflected upon their first six weeks at university and identified strategies which enhanced these experiences. Design: A cross‐sectional study. Surveys were administered to students who then completed a reflection exercise. Data were analysed using Pearson correlation coefficient and chi‐squares. Setting: An Australian regional university. Participants: First year occupational therapy, physiotherapy and speech pathology students. Main outcome measures: Factors influencing the first 6 weeks at university. Results: One hundred and forty‐three students participated. Homesickness was the major challenge in transitioning to university life. Subthemes identified were adjusting to being away from home, adjusting to university culture and the mature‐aged student. Specific issues included a lack of familiarity with university campuses and services, being unprepared for the workload and confusion while learning new skills. Conclusion: Orientation week activities assist students transition into university and age‐appropriate and family‐friendly activities should be considered for mature‐age students. All students were found to benefit from support to address economic pressures and skill development focusing on coping with university workload. The development of regional university policy including these strategies is likely to enhance student success. DA - 2019/12// PY - 2019 DO - 10.1111/ajr.12581 DP - EBSCOhost VL - 27 IS - 6 SP - 497 EP - 504 J2 - Australian Journal of Rural Health SN - 1038-5282 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140852462&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Adolescence KW - Australia KW - Workforce KW - Loneliness KW - Cluster Analysis KW - Age Factors KW - Socioeconomic Factors KW - Social Participation KW - Workload KW - Human KW - Qualitative Studies KW - Data Analysis Software KW - Thematic Analysis KW - Content Analysis KW - Descriptive Statistics KW - Life Experiences KW - Rural Health Services KW - Comparative Studies KW - Cross Sectional Studies KW - Chi Square Test KW - Purposive Sample KW - Pearson's Correlation Coefficient KW - Quantitative Studies KW - Student Retention KW - Student Attitudes KW - Reflection KW - Students, Physical Therapy KW - Student Placement KW - Colleges and Universities KW - Correlation Coefficient KW - Academic Achievement KW - Communication Skills KW - Confusion KW - Students, Allied Health -- Psychosocial Factors -- Australia KW - Students, Occupational Therapy KW - Students, Speech-Language Pathology KW - Transitional Programs ER - TY - JOUR TI - Fly in Fly out and Drive in Drive out - useful contribution or worrying trend? AU - Perkins, David T2 - Australian Journal of Rural Health AB - The author discusses Fly-in Fly-out (FIFO) and Drive-in Drive-out (DIDO) health workers in the mining industry, which include medical specialists and generalists, nurses and allied health staff, managers and administrators who work in public, private and voluntary sectors. However, the main cause of concern with this group of professionals is whether so many traveling is actually a good thing or not in terms of costs incurred. Several benefits provided by visiting staff are highlighted. DA - 2012/10// PY - 2012 DO - 10.1111/j.1440-1584.2012.01308.x DP - EBSCOhost VL - 20 IS - 5 SP - 239 EP - 240 J2 - Australian Journal of Rural Health SN - 1038-5282 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=80204169&site=ehost-live&scope=site DB - CINAHL Complete KW - Australia KW - Workforce KW - Rural Health Personnel -- Manpower KW - Travel -- Economics KW - Traveling Health Professionals -- Australia KW - Traveling Health Professionals -- Economics ER - TY - JOUR TI - Forensic Occupational Therapy: A survey. AU - Cronin-Davis, Jane AU - Spybey, Mark T2 - Mental Health Occupational Therapy AB - The national Occupational Therapy Forensic Forum exists to support occupational therapy staff working in forensic settings. This forum wanted to explore and communicate the work practices for occupational therapists in forensic settings across the UK. A survey questionnaire was distributed to forensic occupational therapy staff (n=120) attending the national conference in 2009. The aims of the survey were to: collate information relating to the demographics and working practices of forensic occupational therapy staff; to establish challenges experienced and identify potential solutions. There was a 68% response rate to the questionnaire. The information gathered related to areas of: work, posts in forensic settings, length of experience of occupational therapy staff in forensic settings, caseload ratios, staffing and staff supervision. The challenges identified were: the lack of evidence-base, the need for research, the need to promote the role of forensic occupational therapy and the need for specific practice guidelines. Solutions offered by respondents included designated research posts and academic contributions to the evidence and practice-base for forensic occupational therapy. The Forensic Forum is responding to these challenges by providing study days and conferences, forming a partnership with the Research Centre for Occupation in Mental Health and working with the College of Occupational Therapists to develop practice guidelines, specifically for forensic settings. DA - 2011/03// PY - 2011 DP - EBSCOhost VL - 16 IS - 1 SP - 20 EP - 26 J2 - Mental Health Occupational Therapy SN - 1363-4682 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104664083&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - United Kingdom KW - Sex Factors KW - Personnel Staffing and Scheduling KW - Employment KW - Human KW - Questionnaires KW - Middle Age KW - Surveys KW - Descriptive Statistics KW - Public Offenders KW - National Health Programs -- United Kingdom KW - Forensic Medicine KW - Occupational Therapists -- United Kingdom KW - Occupational Therapy Practice -- United Kingdom ER - TY - JOUR TI - Forensic Occupational Therapy: A survey. AU - Cronin-Davis, Jane AU - Spybey, Mark T2 - Mental Health Occupational Therapy AB - The national Occupational Therapy Forensic Forum exists to support occupational therapy staff working in forensic settings. This forum wanted to explore and communicate the work practices for occupational therapists in forensic settings across the UK. A survey questionnaire was distributed to forensic occupational therapy staff (n=120) attending the national conference in 2009. The aims of the survey were to: collate information relating to the demographics and working practices of forensic occupational therapy staff; to establish challenges experienced and identify potential solutions. There was a 68% response rate to the questionnaire. The information gathered related to areas of: work, posts in forensic settings, length of experience of occupational therapy staff in forensic settings, caseload ratios, staffing and staff supervision. The challenges identified were: the lack of evidence-base, the need for research, the need to promote the role of forensic occupational therapy and the need for specific practice guidelines. Solutions offered by respondents included designated research posts and academic contributions to the evidence and practice-base for forensic occupational therapy. The Forensic Forum is responding to these challenges by providing study days and conferences, forming a partnership with the Research Centre for Occupation in Mental Health and working with the College of Occupational Therapists to develop practice guidelines, specifically for forensic settings. DA - 2011/03// PY - 2011 DP - EBSCOhost VL - 16 IS - 1 SP - 20 EP - 26 J2 - Mental Health Occupational Therapy SN - 1363-4682 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=61931028&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - United Kingdom KW - Sex Factors KW - Personnel Staffing and Scheduling KW - Employment KW - Human KW - Questionnaires KW - Middle Age KW - Surveys KW - Descriptive Statistics KW - Public Offenders KW - National Health Programs -- United Kingdom KW - Forensic Medicine KW - Occupational Therapists -- United Kingdom KW - Occupational Therapy Practice -- United Kingdom ER - TY - JOUR TI - Four Futures for Dietetics Workforce Supply and Demand: 2012-2022 Scenarios AU - Rhea, Marsha AU - Bettles, Craig T2 - Journal of the Academy of Nutrition & Dietetics AB - Executive Summary: The four future views of dietetics workforce supply and demand that will be discussed in this paper illustrate the critical changes and choices ahead for the profession if registered dietitians and dietetic technicians, registered want vital roles in nutrition, food, and health. These scenarios were built using a four-quadrant approach based on workforce supply and demand. This yielded four views: a preferred future of high supply, high demand; an underprepared future of low supply, high demand; an overproduced future of high supply, low demand, and a feared future of low supply, low demand. These scenarios are not projections about the future; rather, they are designed to help the profession prepare for the future. Registered dietitian leaders participating in a scenario workshop judged either the overproduced or underprepared scenarios to be the most likely future and the preferred future to be the most challenging for the profession. DA - 2012/03/02/ PY - 2012 DO - 10.1016/j.jand.2011.12.007 DP - EBSCOhost VL - 112 SP - S25 EP - S34 J2 - Journal of the Academy of Nutrition & Dietetics SN - 2212-2672 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=72599487&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Health Services Needs and Demand KW - Professional Role KW - Funding Source KW - Gerontologic Care KW - Personnel Shortage KW - Health Care Reform KW - Dietitians -- Manpower -- United States ER - TY - JOUR TI - Four Futures for Dietetics Workforce Supply and Demand: 2012-2022 Scenarios. AU - Rhea, Marsha AU - Bettles, Craig T2 - Journal of the Academy of Nutrition & Dietetics AB - Executive Summary: The four future views of dietetics workforce supply and demand that will be discussed in this paper illustrate the critical changes and choices ahead for the profession if registered dietitians and dietetic technicians, registered want vital roles in nutrition, food, and health. These scenarios were built using a four-quadrant approach based on workforce supply and demand. This yielded four views: a preferred future of high supply, high demand; an underprepared future of low supply, high demand; an overproduced future of high supply, low demand, and a feared future of low supply, low demand. These scenarios are not projections about the future; rather, they are designed to help the profession prepare for the future. Registered dietitian leaders participating in a scenario workshop judged either the overproduced or underprepared scenarios to be the most likely future and the preferred future to be the most challenging for the profession. DA - 2012/03/02/ PY - 2012 DO - 10.1016/j.jand.2011.12.007 DP - EBSCOhost VL - 112 SP - S25 EP - 34 J2 - Journal of the Academy of Nutrition & Dietetics SN - 2212-2672 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104528105&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Health Services Needs and Demand KW - Professional Role KW - Funding Source KW - Gerontologic Care KW - Personnel Shortage KW - Health Care Reform KW - Dietitians -- Manpower -- United States ER - TY - JOUR TI - Framework for advanced nursing, midwifery and allied health professional practice in Wales: the implementation process. AU - Ryley, Nicola AU - Middleton, Carolyn T2 - Journal of Nursing Management (John Wiley & Sons, Inc.) AB - Aim To discuss the implementation of the Welsh Government's Advanced Practice Framework into a Welsh University Health Board. Background A plethora of advanced practice roles have evolved across all healthcare areas in response to the European Working Time Directive and workforce shortage drivers, leading to confusion and lack of structure. Evaluation A literature review was undertaken and a staged plan implemented. Data presented as descriptive statistics and graphs include staff numbers, grade, educational qualifications job plans and funding streams. Key issues Advanced practice should be viewed as a level of practice and not as a role. It must be underpinned by robust Governance arrangements and included in workforce planning. Audit of practice demonstrates the impact of advanced practice roles in the delivery of high quality safe patient care. Conclusions The Advanced Practice Framework will ensure consistency in clinical practice skills and theoretical knowledge of practitioners holding the protected title. It will support organisations to deliver high quality responsive services. Implications for Nursing Management Health-care delivery continues to evolve rapidly with advanced practice forming part of the future delivery model of flexible and affordable services, whilst ensuring safe, high quality patient care. It also provides a clear career development structure. DA - 2016/01// PY - 2016 DO - 10.1111/jonm.12291 DP - EBSCOhost VL - 24 IS - 1 SP - E70 EP - E76 J2 - Journal of Nursing Management (John Wiley & Sons, Inc.) SN - 0966-0429 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112227190&site=ehost-live&scope=site DB - CINAHL Complete KW - Program Evaluation KW - Professional Role KW - Wales KW - Descriptive Statistics KW - Allied Health Personnel KW - Health Manpower KW - Seminars and Workshops KW - Advanced Nursing Practice -- Wales KW - Education, Nursing, Continuing -- Wales KW - Midwifery -- Wales KW - Program Implementation -- Wales ER - TY - JOUR TI - Frances Rutherford Lecture 2015: Possibilities for the future: Doing well together as agents of change. AU - Reed, Kirk T2 - New Zealand Journal of Occupational Therapy AB - None of us can predict what the future holds. However, as an agent of change, occupational therapists will not only strengthen the profession, they will make a significant difference to the health, well-being, and occupational outcomes of the people and communities we serve. I suggest the challenges ahead include: how and where we practice, how to be more responsive in the bi-cultural context, how to educate the next generation of occupational therapists, how to support and develop leaders, and how to build a stronger profession. Our success in the changing world will require reform, responsibility, and innovation. "He waka eke noa" - we are all in this same boat together. DA - 2016/04// PY - 2016 DP - EBSCOhost VL - 63 IS - 1 SP - 4 EP - 13 J2 - New Zealand Journal of Occupational Therapy SN - 1171-0462 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114721962&site=ehost-live&scope=site DB - CINAHL Complete KW - Primary Health Care KW - Leadership KW - Occupational Therapy KW - New Zealand KW - Culture KW - Change Management KW - Workforce -- New Zealand KW - Maori ER - TY - JOUR TI - From state to market: the Nicaraguan labour market for health personnel. AU - Nigenda, G AU - Machado, M H T2 - Health Policy & Planning AB - Few countries in Latin America have experienced in such a short period the shift from a socialist government and centrally planned economy to a liberal market economy as Nicaragua. The impact of such a change in the health field has been supported by the quest for reform of the health system and the involvement of external financial agencies aimed at leading the process. However, this change has not been reflected in the planning of human resources for health. Trends in education reflect the policies of past decades. The Ministry of Health is the main employer of health personnel in the country, but in recent years its capacity to recruit new personnel has diminished. Currently, various categories of health personnel are looking for new opportunities in a changing labour environment where new actors are appearing and claiming an influential role. It may take more than political willingness from the government to redefine the new priorities in the field of human resources for health and subsequently turn it into positive action. DA - 2000/09// PY - 2000 DP - EBSCOhost VL - 15 IS - 3 SP - 312 EP - 318 J2 - Health Policy & Planning SN - 0268-1080 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104722476&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Dentists KW - Job Satisfaction KW - Physicians KW - Employment KW - Politics KW - Pharmacists KW - Government KW - Human KW - Questionnaires KW - Middle Age KW - Organizational Change KW - Allied Health Personnel KW - Health Manpower -- Trends KW - Health Care Industry -- Trends KW - Health Care Reform -- Administration KW - Nicaragua ER - TY - JOUR TI - 'Fuller' or 'extended' working lives: a critical commentary. AU - Phillipson, Chris T2 - Quality in Ageing & Older Adults AB - Purpose -- The purpose of this paper is to, first, provide some background to the treatment of older workers; second, highlight the distinction between a 'fuller' and an 'extended' working life; third, note the importance of separating out different groups within the category 'older worker'; finally, identify areas for action to suppose those now facing working into their 60s and beyond. Design/methodology/approach -- Commentary paper analysing development of policies towards older workers. Findings -- This paper identifies problems implementing policy of extending working and provides various areas of action to support older workers. Research limitations/implications -- This paper suggests extending work unlikely to be achieved without ensuring greater security for older workers. Practical implications -- Importance of developing more support for older workers. Social implications -- Challenge of resolving insecurity in the labour force as an impediment to extended working. Originality/value -- This paper outlines a critical assessment of current government policy towards older workers. DA - 2014/12// PY - 2014 DO - 10.1108/QAOA-09-2014-0017 DP - EBSCOhost VL - 15 IS - 4 SP - 237 EP - 240 J2 - Quality in Ageing & Older Adults SN - 1471-7794 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103751861&site=ehost-live&scope=site DB - CINAHL Complete KW - Aged KW - United Kingdom KW - Life Expectancy KW - Social Change KW - Middle Age KW - Workforce -- In Old Age KW - Economic and Social Security KW - Employer-Employee Relations -- In Old Age KW - Health Policy -- Evaluation -- United Kingdom KW - Pensions ER - TY - JOUR TI - Further examination of predictors of turnover intention among mental health professionals. AU - Yanchus, N. J. AU - Periard, D. AU - Osatuke, K. T2 - Journal of Psychiatric & Mental Health Nursing (John Wiley & Sons, Inc.) AB - Accessible summary What is known on the subject? When mental health professionals leave organizations, detrimental effects on quality of patient care occur., Reasons for leaving include incivility, lack of autonomy, perceptions of unfair treatment and feeling psychologically unsafe at work., This paper sought to investigate additional reasons why mental health professionals intend to quit or to cognitively withdraw from their jobs., What does this paper add to existing knowledge? Past research on this topic is limited in its scope and data. Mainly fragmented evidence is available about predictors of job satisfaction and turnover intention (i.e. different mental health occupations examined in separate studies). Only two existing studies that examined broader mental health provider groups were limited by including few workforce settings, small sample sizes and insufficiently rigorous statistical analyses., We examined four occupations (mental health nurses, social workers, psychologists and psychiatrists), each represented through a large sample in multiple settings, all within one large healthcare network with complex patients., Our contribution is finding additional predictors (supervisory support, emotional exhaustion) of job satisfaction/turnover intention., What are the implications for practice? Organizations can consider using culture change initiatives to increase civility at work; this includes leadership support and role modelling of workplace behaviours., Leaders should monitor staffing levels and high workloads to pre-empt emotional exhaustion, which predicts turnover., Hiring and training supervisors should involve not only technical expertise, but also 'soft skills' necessary for creating civil and supportive work environments., Leaders and managers should use employee feedback data (e.g. organizational surveys) to learn about the workplace environments, and address areas of employees' concern., Abstract Introduction Given the global shortage of mental health professionals, high turnover rates within this workforce are concerning. We used United States of America Veterans Health Administration data to add to the limited knowledge about this topic. Aim We examined predictors of turnover intention, or an employee's cognitive withdrawal from their job, in a large sample of direct care mental health professionals, separating among occupations to increase the pragmatic relevance of our findings. Method Survey data from 10 997 mental health employees working in direct patient contact (2432 registered nurses, 3769 social workers, 2520 psychologists and 1276 psychiatrists) were used in a cross-sectional design with structural equation modelling techniques for model testing. Results Job satisfaction was predicted by civility (courteous and respectful workplace behaviours) and supervisory support. Job satisfaction predicted emotional exhaustion which predicted turnover intention. Job satisfaction also directly predicted turnover intention and turnover plans. Discussion Predictors of job satisfaction included civility and supervisory support. Emotional exhaustion predicted turnover intention. Results inform organizational actions to address these work environment characteristics. Implications for practice Organizations can initiate culture changes to improve civility and develop supervisors' 'soft skills' in conjunction with technical expertise. DA - 2017/02// PY - 2017 DO - 10.1111/jpm.12354 DP - EBSCOhost VL - 24 IS - 1 SP - 41 EP - 56 J2 - Journal of Psychiatric & Mental Health Nursing (John Wiley & Sons, Inc.) SN - 1351-0126 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120747259&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Male KW - Social Workers KW - Organizational Culture KW - Confidence Intervals KW - Job Satisfaction KW - Intention KW - United States Department of Veterans Affairs KW - Human KW - Middle Age KW - Surveys KW - Burnout, Professional KW - Cross Sectional Studies KW - Chi Square Test KW - Regression KW - Random Sample KW - Registered Nurses KW - Structural Equation Modeling KW - Personnel Turnover KW - Psychologists KW - Supervisors and Supervision KW - Mental Health Personnel KW - Kendall's Tau KW - Psychiatrists ER - TY - JOUR TI - Future Changes Driving Dietetics Workforce Supply and Demand: Future Scan 2012-2022 AU - Rhea, Marsha AU - Bettles, Craig T2 - Journal of the Academy of Nutrition & Dietetics AB - Executive Summary: The dietetics profession faces many workforce challenges and opportunities to ensure that registered dietitians (RDs) and dietetic technicians, registered (DTRs) are at the forefront of health and nutrition. The profession must prepare for new public priorities, changes in population, and the restructuring of how people learn and work, as well as new advances in science and technology. In September 2010, the Dietetics Workforce Demand Task Force, in consultation with a panel of thought leaders, identified 10 change drivers that affect dietetics workforce supply and demand. This future scan report provides an overview of eight of these drivers. Two change drivers—health care reform and population risk factors/nutrition initiatives—are addressed in separate technical articles. A change matrix has been included at the end of this executive summary. The matrix contains a summary of each change driver and its expected impact and is designed to present the drivers in the context of a larger, dynamic system of change in the dietetics profession. The impact of any of these change drivers individually and collectively in a dynamic system is uncertain. The outcome of any change driver is also uncertain. The dietetics profession faces many choices within each change driver to meet the workforce challenges and seize the opportunities for leadership and growth. DA - 2012/03/02/ PY - 2012 DO - 10.1016/j.jand.2011.12.008 DP - EBSCOhost VL - 112 SP - S10 EP - S24 J2 - Journal of the Academy of Nutrition & Dietetics SN - 2212-2672 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=72599486&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Aged KW - Workforce KW - Collaboration KW - Health Services Needs and Demand KW - Professional Role KW - Funding Source KW - Gerontologic Care KW - Dietitians KW - Health Care Reform -- United States KW - Dietetics KW - Job Characteristics KW - Education, Continuing (Credit) KW - Food Industry ER - TY - JOUR TI - Future Changes Driving Dietetics Workforce Supply and Demand: Future Scan 2012-2022. AU - Rhea, Marsha AU - Bettles, Craig T2 - Journal of the Academy of Nutrition & Dietetics AB - Executive Summary: The dietetics profession faces many workforce challenges and opportunities to ensure that registered dietitians (RDs) and dietetic technicians, registered (DTRs) are at the forefront of health and nutrition. The profession must prepare for new public priorities, changes in population, and the restructuring of how people learn and work, as well as new advances in science and technology. In September 2010, the Dietetics Workforce Demand Task Force, in consultation with a panel of thought leaders, identified 10 change drivers that affect dietetics workforce supply and demand. This future scan report provides an overview of eight of these drivers. Two change drivers—health care reform and population risk factors/nutrition initiatives—are addressed in separate technical articles. A change matrix has been included at the end of this executive summary. The matrix contains a summary of each change driver and its expected impact and is designed to present the drivers in the context of a larger, dynamic system of change in the dietetics profession. The impact of any of these change drivers individually and collectively in a dynamic system is uncertain. The outcome of any change driver is also uncertain. The dietetics profession faces many choices within each change driver to meet the workforce challenges and seize the opportunities for leadership and growth. DA - 2012/03/02/ PY - 2012 DO - 10.1016/j.jand.2011.12.008 DP - EBSCOhost VL - 112 SP - S10 EP - 24 J2 - Journal of the Academy of Nutrition & Dietetics SN - 2212-2672 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104528103&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Aged KW - Workforce KW - Collaboration KW - Health Services Needs and Demand KW - Professional Role KW - Funding Source KW - Gerontologic Care KW - Dietitians KW - Health Care Reform -- United States KW - Dietetics KW - Job Characteristics KW - Education, Continuing (Credit) KW - Food Industry ER - TY - JOUR TI - Future Dietitian 2025: informing the development of a workforce strategy for dietetics. AU - Hickson, M. AU - Child, J. AU - Collinson, A. T2 - Journal of Human Nutrition & Dietetics AB - Abstract: Background: Healthcare is changing and the professions that deliver it need to adapt and change too. The aim of this research was to inform the development of a workforce strategy for Dietetics for 2020–2030. This included an understanding of the drivers for change, the views of stakeholders and recommendations to prepare the profession for the future. Methods: The research included three phases: (i) establishing the context which included a literature and document review (environmental scan); (ii) discovering the profession and professional issues using crowd‐sourcing technology; and (iii) articulating the vision for the future using appreciative inquiry. Results: The environmental scan described the current status of the dietetic profession, the changing healthcare environment, the context in which dietitians work and what future opportunities exist for the profession. The online conversation facilitated by crowd‐sourcing technology asked the question: ‘How can dietitians strengthen their future role, influence and impact?’ Dietitians and interested stakeholders (726 and 109, respectively) made 6130 contributions. Seven priorities were identified and fed into the appreciative inquiry event. The event bought together 54 dietitians and analysis of the discussions generated five themes: (i) professional identity; (ii) strong foundations‐creating structure and direction for the profession; (iii) amplifying visibility and influence; (iv) embracing advances in science and technology; and (v) career advancement and emerging opportunities. Conclusions: A series of recommendations were made for the next steps in moving the workforce to a new future. The future for dietetics looks bright, embracing technology, as well as exploring different ways of working and new opportunities, as this dynamic profession continues to evolve. DA - 2018/02// PY - 2018 DO - 10.1111/jhn.12509 DP - EBSCOhost VL - 31 IS - 1 SP - 23 EP - 32 J2 - Journal of Human Nutrition & Dietetics SN - 0952-3871 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127390467&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Leadership KW - United Kingdom KW - Australia KW - Public Health KW - Organizational Objectives KW - Workforce KW - Politics KW - Nursing Care KW - Career Planning and Development KW - Scope of Practice KW - World Health KW - British Dietetic Association KW - Strategic Planning KW - Food Services KW - Technology KW - Education, Dietetics KW - Multimedia KW - Nutrition Policy KW - Research, Dietetics ER - TY - JOUR TI - Future workforce: new ODPs, new students. AU - Hide, Katie T2 - Technic: The Journal of Operating Department Practice AB - The new academic year means that as newly-registered ODPs begin practice, a new year of freshers also commence their professional education following months of preparation by educators. DA - 2011/09// PY - 2011 DP - EBSCOhost VL - 2 IS - 5 SP - 1 EP - 1 J2 - Technic: The Journal of Operating Department Practice SN - 1756-1132 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104681460&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Faculty, Allied Health KW - Students, Allied Health KW - Workforce -- United Kingdom KW - Surgical Technologists -- United Kingdom ER - TY - JOUR TI - Gathering data on support personnel: a CAOT update. AU - von Zweck C T2 - Occupational Therapy Now AB - Kim Schryburt-Brown, Chris Dixon, Denise Paton, Sandra Connolly and Janet Craik are cross-country collaborators in the pursuit of best practices. DA - 2004/11// PY - 2004 DP - EBSCOhost VL - 6 IS - 6 SP - 24 EP - 25 J2 - Occupational Therapy Now SN - 1481-5532 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106502231&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Canada KW - Occupational Therapists KW - Human KW - Descriptive Statistics KW - Survey Research KW - Canadian Association of Occupational Therapists KW - Health Personnel, Unlicensed -- Utilization -- Canada KW - Occupational Therapy -- Manpower ER - TY - JOUR TI - Geographic distribution of occupational therapists. AU - Langwell KM AU - Wilson SD AU - Deane RT T2 - AJOT: American Journal of Occupational Therapy DA - 1981/05// PY - 1981 DP - EBSCOhost VL - 35 SP - 299 EP - 305 J2 - AJOT: American Journal of Occupational Therapy SN - 0161-326X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107658882&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Health Manpower KW - Occupational Therapists -- United States ER - TY - JOUR TI - Geographic Variation in the Supply of Selected Behavioral Health Providers. AU - Andrilla, C Holly A AU - Patterson, Davis G AU - Garberson, Lisa A AU - Coulthard, Cynthia AU - Larson, Eric H T2 - American Journal of Preventive Medicine AB - Introduction: In 2015, an estimated 43.4 million Americans aged 18 and older suffered from a behavioral health issue. Accurate estimates of the number of psychiatrists, psychologists, and psychiatric nurse practitioners are needed as demand for behavioral health care grows.Methods: The National Plan and Provider Enumeration System National Provider Identifier data (October 2015) was used to examine the supply of psychiatrists, psychologists, and psychiatric nurse practitioners. Providers were classified into three geographic categories based on their practicing county (metropolitan, micropolitan, and non-core). Claritas 2014 U.S. population data were used to calculate provider-to-population ratios for each provider type. Analysis was completed in 2016.Results: Substantial variation exists across Census Divisions in the per capita supply of psychiatrists, psychologists, and psychiatric nurse practitioners. The New England Census Division had the highest per capita supply and the West South Central Census Division had among the lowest supply of all three provider types. Nationally, the per capita supply of these providers was substantially lower in non-metropolitan counties than in metropolitan counties, but Census Division disparities persisted across geographic categories. There was a more than tenfold difference in the percentage of counties lacking a psychiatrist between the New England Census Division (6%) and the West North Central Census Division (69%). Higher percentages of non-metropolitan counties lacked a psychiatrist.Conclusions: Psychiatrists, psychologists, and psychiatric nurse practitioners are unequally distributed throughout the U.S. Disparities exist across Census Divisions and geographic categories. Understanding this unequal distribution is necessary for developing approaches to improving access to behavioral health services for underserved populations.Supplement Information: This article is part of a supplement entitled The Behavioral Health Workforce: Planning, Practice, and Preparation, which is sponsored by the Substance Abuse and Mental Health Services Administration and the Health Resources and Services Administration of the U.S. Department of Health and Human Services. DA - 2018/06// PY - 2018 DO - 10.1016/j.amepre.2018.01.004 DP - EBSCOhost VL - 54 IS - 6 SP - S199 EP - S207 J2 - American Journal of Preventive Medicine SN - 0749-3797 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129726671&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Health Services Accessibility KW - Human KW - Comparative Studies KW - Multicenter Studies KW - Mental Health Services -- Administration KW - Validation Studies KW - Evaluation Research KW - Mental Disorders -- Therapy KW - Mental Disorders -- Epidemiology KW - Mental Health Services -- Statistics and Numerical Data KW - Nurse Practitioners -- Statistics and Numerical Data KW - Psychiatry -- Statistics and Numerical Data KW - Psychology -- Statistics and Numerical Data ER - TY - JOUR TI - Georgia Maternal and Infant Health Research Group (GMIHRG): Mobilizing Allied Health Students and Community Partners to Put Data into Action. AU - Zertuche, Adrienne AU - Spelke, Bridget AU - Julian, Zoë AU - Pinto, Meredith AU - Rochat, Roger T2 - Maternal & Child Health Journal AB - Purpose Despite having an obstetrician/gynecologist (ob/gyn) workforce comparable to the national average, Georgia is ranked 50th in maternal mortality and 40th in infant mortality. The Georgia Maternal and Infant Health Research Group (GMIHRG) was founded in 2010 to evaluate and address this paradox. Description In the several years since GMIHRG's inception, its graduate allied health student researchers and advisors have collaborated with community partners to complete several requisite research initiatives. Their initial work demonstrated that over half the Georgia areas outside metropolitan Atlanta lack adequate access to obstetric services, and their subsequent research evaluated the reasons for and the consequences of this maldistribution of obstetric providers. Assessment In order to translate their workforce and outcomes data for use in policymaking and programming, GMIHRG created reader-friendly reports for distribution to a wide variety of stakeholders and prepared concise, compelling presentations with targeted recommendations for change. This commitment to advocacy ultimately enabled them to: (a) inspire the Georgia Study Committees on Medicaid Reform and Medical Education, (b) influence Georgia General Assembly abortion bills, medical scholarship/loan legislation, and appropriations, and (c) motivate programming initiatives to improve midwifery education and perinatal regionalization in Georgia. Conclusion GMIHRG members have employed inventive research methods and maximized collaborative partnerships to enable their data on Georgia's maternal and infant outcomes and obstetric workforce to effectively inform state organizations and policymakers. With this unique approach, GMIHRG serves as a cost-efficient and valuable model for student engagement in the translation of research into advocacy efforts, policy change, and innovative programming. DA - 2016/07// PY - 2016 DO - 10.1007/s10995-016-1996-y DP - EBSCOhost VL - 20 IS - 7 SP - 1323 EP - 1332 J2 - Maternal & Child Health Journal SN - 1092-7875 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116170889&site=ehost-live&scope=site DB - CINAHL Complete KW - Adult KW - Female KW - Adolescence KW - Workforce KW - Community Health Services KW - Pregnancy KW - Motivation KW - Health Services Accessibility KW - Georgia KW - Human KW - Middle Age KW - Maternal-Child Health KW - Students, Allied Health KW - Education, Midwifery KW - Infant Mortality KW - Obstetric Care ER - TY - JOUR TI - Geropsychology Mentoring: A Survey of Current Practices and Perceived Needs. AU - Fiske, Amy AU - Zimmerman, Jennifer A. AU - Scogin, Forrest T2 - Educational Gerontology AB - The need for clinical geropsychologists currently exceeds their availability, and this imbalance is expected to worsen along with the impending growth in the older adult population. Effective geropsychology mentoring may be helpful in meeting this challenge. However, little is known about mentoring within clinical geropsychology. The present paper reports on a survey of mentoring practices and needs. Findings indicate that a large majority of clinical geropsychology trainees and professionals at all levels have a mentor and that the contributions mentors make are highly valued. Among the needs identified by survey respondents was guidance for effective mentoring. Results of the survey suggest that efforts to enhance mentoring within clinical geropsychology may contribute to the goal of expanding the workforce to meet future needs. DA - 2011/05// PY - 2011 DO - 10.1080/03601277.2011.553558 DP - EBSCOhost VL - 37 IS - 5 SP - 370 EP - 377 J2 - Educational Gerontology SN - 0360-1277 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104863545&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Demography KW - Age Factors KW - Internet KW - Professional Practice KW - Geriatrics KW - Human KW - Questionnaires KW - Surveys KW - Mentorship KW - Psychologists KW - Membership KW - Clinical Supervision KW - Interns and Residents KW - Psychologists -- Organizations ER - TY - JOUR TI - Geropsychology Mentoring: A Survey of Current Practices and Perceived Needs. AU - Fiske, Amy AU - Zimmerman, JenniferA. AU - Scogin, Forrest T2 - Educational Gerontology AB - The need for clinical geropsychologists currently exceeds their availability, and this imbalance is expected to worsen along with the impending growth in the older adult population. Effective geropsychology mentoring may be helpful in meeting this challenge. However, little is known about mentoring within clinical geropsychology. The present paper reports on a survey of mentoring practices and needs. Findings indicate that a large majority of clinical geropsychology trainees and professionals at all levels have a mentor and that the contributions mentors make are highly valued. Among the needs identified by survey respondents was guidance for effective mentoring. Results of the survey suggest that efforts to enhance mentoring within clinical geropsychology may contribute to the goal of expanding the workforce to meet future needs. DA - 2011/05// PY - 2011 DO - 10.1080/03601277.2011.553558 DP - EBSCOhost VL - 37 IS - 5 SP - 370 EP - 377 J2 - Educational Gerontology SN - 0360-1277 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=59793007&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Demography KW - Age Factors KW - Internet KW - Professional Practice KW - Geriatrics KW - Human KW - Questionnaires KW - Surveys KW - Mentorship KW - Psychologists KW - Membership KW - Clinical Supervision KW - Interns and Residents KW - Psychologists -- Organizations ER - TY - JOUR TI - "Getting Everyone on the Same Page": Child Welfare Workers' Collaboration Challenges on Cases Involving Intimate Partner Violence. AU - Langenderfer-Magruder, Lisa AU - Alven, Lucas AU - Wilke, Dina J. AU - Spinelli, Carmella T2 - Journal of Family Violence AB - Child welfare professionals frequently serve families experiencing intimate partner violence (IPV). As such, collaboration with other types of providers as part of a larger network of IPV responders is often necessary, though can be challenging for various reasons. The present study explores child welfare workers' perspectives on collaboration challenges specific to child welfare cases that also involve IPV. Data were drawn from the fourth wave of the Florida Study of Professionals for Safe Families, a longitudinal study of child welfare workforce retention. Authors explored qualitative short responses of 493 child welfare workers with active caseloads who reported ever working on cases with IPV. Participants cited communication, complexity of IPV cases, participation in the collaborative process, and competence as the most challenging aspects of IPV case collaboration. Tensions between child welfare agencies and victim advocacy services were noted throughout. Findings suggest opportunities for sustained engagement to facilitate understanding of responder roles and responsibilities may alleviate some collaboration challenges corroborated by previous research. However, local needs assessments inclusive of all responder roles would better identify community-specific challenges, leading to more tailored intervention strategies to improve responder collaborations. DA - 2019/01// PY - 2019 DO - 10.1007/s10896-018-0002-4 DP - EBSCOhost VL - 34 IS - 1 SP - 21 EP - 31 J2 - Journal of Family Violence SN - 0885-7482 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134037863&site=ehost-live&scope=site DB - CINAHL Complete KW - Communication KW - Workforce KW - Collaboration KW - Needs Assessment KW - Prospective Studies KW - Social Workers KW - Professional-Family Relations KW - Florida KW - Human KW - Qualitative Studies KW - Child Welfare KW - Interinstitutional Relations KW - Child Advocacy KW - Community Service KW - Intimate Partner Violence -- Therapy KW - Victims ER - TY - JOUR TI - Getting to the hub of the matter. AU - Cassie, Fiona T2 - Nursing Review (1173-8014) DA - 2012/05// PY - 2012 DP - EBSCOhost VL - 13 IS - 1 SP - 20 EP - 21 J2 - Nursing Review (1173-8014) SN - 1173-8014 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107937322&site=ehost-live&scope=site DB - CINAHL Complete KW - Collaboration KW - New Zealand KW - Allied Health Personnel KW - Health Manpower KW - Training Support, Financial KW - Nurse Practitioners KW - Physician Assistants KW - Workforce -- New Zealand KW - Health Care Delivery -- New Zealand KW - Multidisciplinary Care Team -- New Zealand ER - TY - JOUR TI - Give us a tool for optimum staffing levels. AU - Aguilar Stone, Shan T2 - Frontline (20454910) DA - 2018/04/11/ PY - 2018 DP - EBSCOhost VL - 24 IS - 7 SP - 30 EP - 33 J2 - Frontline (20454910) SN - 2045-4910 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129192872&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Health Facility Administration KW - Personnel Staffing and Scheduling KW - The Chartered Society of Physiotherapy KW - Decision Support Systems, Management KW - Physical Therapists -- Manpower -- United Kingdom ER - TY - JOUR TI - Give us guidance on safe staffing level, CSP urged. AU - Henson, Gary AU - Millett, Robert AU - McMILLAN, Ian A. T2 - Frontline (20454910) DA - 2014/03/19/ PY - 2014 DP - EBSCOhost VL - 20 IS - 6 SP - 14 EP - 15 J2 - Frontline (20454910) SN - 2045-4910 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107897108&site=ehost-live&scope=site DB - CINAHL Complete KW - Patient Safety KW - Personnel Staffing and Scheduling KW - Physical Therapists KW - The Chartered Society of Physiotherapy ER - TY - JOUR TI - Give us guidance on safe staffing level, CSP urged. AU - HENSON, GARY AU - MILLETT, ROBERT AU - McMILLAN, IAN A. T2 - Frontline (20454910) DA - 2014/03/19/ PY - 2014 DP - EBSCOhost VL - 20 IS - 6 SP - 14 EP - 15 J2 - Frontline (20454910) SN - 2045-4910 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=95103220&site=ehost-live&scope=site DB - CINAHL Complete KW - Patient Safety KW - Personnel Staffing and Scheduling KW - Physical Therapists KW - The Chartered Society of Physiotherapy ER - TY - JOUR TI - Giving Voice to Rural and Urban Social Service Providers: Recessionary Effects on the Provision of Services in Hawai'i. AU - Stotzer, Rebecca L. AU - Rocchio, Christopher C. C. T2 - Journal of Family Social Work AB - Utilizing an Internet-based survey, 98 administrators, managers, and supervisors in social service settings answered quantitative and qualitative questions about recessionary effects on services and strategies employed to cope with budget shortfalls. Respondents reported making reductions in personnel and programs, with private providers suffering more reductions, and rural counties cutting programs and personnel at higher rates than urban counterparts. Respondents also related concerns about program sustainability, caseload sizes, personnel burnout, impacts to quality, and long-term impacts to clients. Providers utilized a variety of strategies in an attempt to preserve services for vulnerable individuals and their families. DA - 2013/02/01/Jan/ undefined PY - 2013 DO - 10.1080/10522158.2012.747460 DP - EBSCOhost VL - 16 IS - 1 SP - 20 EP - 35 J2 - Journal of Family Social Work SN - 1052-2158 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104309644&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Administrative Personnel KW - Socioeconomic Factors KW - Social Workers KW - Poverty KW - Internet KW - Workload KW - Human KW - Snowball Sample KW - Communities KW - Survey Research KW - Burnout, Professional KW - Professional Development KW - Chi Square Test KW - Summated Rating Scaling KW - Multimethod Studies KW - Coding KW - Policy Making KW - Financial Management -- Evaluation KW - Hawaii KW - Social Service Assessment -- Hawaii KW - Social Work Service -- Economics ER - TY - JOUR TI - Giving Voice to Rural and Urban Social Service Providers: Recessionary Effects on the Provision of Services in Hawai'i. AU - Stotzer, RebeccaL. AU - Rocchio, ChristopherC. C. T2 - Journal of Family Social Work AB - Utilizing an Internet-based survey, 98 administrators, managers, and supervisors in social service settings answered quantitative and qualitative questions about recessionary effects on services and strategies employed to cope with budget shortfalls. Respondents reported making reductions in personnel and programs, with private providers suffering more reductions, and rural counties cutting programs and personnel at higher rates than urban counterparts. Respondents also related concerns about program sustainability, caseload sizes, personnel burnout, impacts to quality, and long-term impacts to clients. Providers utilized a variety of strategies in an attempt to preserve services for vulnerable individuals and their families. DA - 2013/02/01/Jan/ undefined PY - 2013 DO - 10.1080/10522158.2012.747460 DP - EBSCOhost VL - 16 IS - 1 SP - 20 EP - 35 J2 - Journal of Family Social Work SN - 1052-2158 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=85318610&site=ehost-live&scope=site DB - CINAHL Complete KW - Workforce KW - Administrative Personnel KW - Socioeconomic Factors KW - Social Workers KW - Poverty KW - Internet KW - Workload KW - Human KW - Snowball Sample KW - Communities KW - Survey Research KW - Burnout, Professional KW - Professional Development KW - Chi Square Test KW - Summated Rating Scaling KW - Multimethod Studies KW - Coding KW - Policy Making KW - Financial Management -- Evaluation KW - Hawaii KW - Social Service Assessment -- Hawaii KW - Social Work Service -- Economics ER - TY - JOUR TI - Global thinking. AU - Fradd E T2 - Nursing Management - UK AB - To meet current and future healthcare challenges effectively, workforce planners around the world must develop and strengthen their organisations, says Liz Fradd. DA - 2006/12// PY - 2006 DP - EBSCOhost VL - 13 IS - 8 SP - 20 EP - 26 J2 - Nursing Management - UK SN - 1354-5760 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106236118&site=ehost-live&scope=site DB - CINAHL Complete KW - United Kingdom KW - Workforce KW - Nurses KW - Personnel Recruitment KW - Personnel Retention KW - Rural Areas KW - Allied Health Personnel KW - Career Mobility, International ER - TY - JOUR TI - Governance for workforce planning. T2 - Podiatry Now DA - 2009/11// PY - 2009 DP - EBSCOhost VL - 12 IS - 11 SP - 14 EP - 14 J2 - Podiatry Now SN - 1460-731X UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105139615&site=ehost-live&scope=site DB - CINAHL Complete KW - Governing Board KW - Workforce KW - Allied Health Professions -- Organizations ER - TY - JOUR TI - Growing GRACE: one woman's quest to expand the eldercare workforce. T2 - Aging Today DA - 2019/10/09/Sep/ undefined PY - 2019 DP - EBSCOhost VL - 40 IS - 5 SP - 15 EP - 15 J2 - Aging Today SN - 1067-8379 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139123976&site=ehost-live&scope=site DB - CINAHL Complete KW - United States KW - Workforce KW - Social Workers KW - Aging KW - Gerontologic Care KW - Congresses and Conferences -- United States ER - TY - JOUR TI - Growth and geographic distribution of selected health professions, 1971-1996. AU - Shih YT T2 - Journal of Allied Health AB - This article examines the growth and geographic distribution of selected health professions in a 26-year period. The health professionals investigated were physicians, dentists, pharmacists, registered nurses, other health practitioners, dieticians and therapists, medical technologists and technicians, and health service workers. Allied health professions are represented by the last three of these groups. Samples of health professionals were extracted from the Current Population Survey from 1971 to 1996. The ratio technique and GIN1 index are used to describe the growth trend and geographic distribution of each health professional group over time. This historical overview reveals the following general trends in the 1990s: 1) growth of every selected health professional group has slowed down; 2) workforce disparities between the most and least abundantly supplied geographic areas have decreased; 3) selected health professions have become less evenly distributed among the population; and 4) the trends in pharmacy and dentistry call for immediate attention in workforce planning. The findings suggest that with the exception of dentistry, health personnel shortages are no longer an issue in such planning. Future health workforce policies should continue focusing on improving the distribution of workers among the general population. DA - 1999/// PY - 1999 DP - EBSCOhost VL - 28 IS - 2 SP - 61 EP - 70 J2 - Journal of Allied Health SN - 0090-7421 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107229164&site=ehost-live&scope=site DB - CINAHL Complete KW - Health Personnel KW - Workforce KW - Time Factors KW - Human KW - Descriptive Statistics KW - Geographic Factors KW - Data Collection Methods KW - Allied Health Personnel -- Manpower ER - TY - JOUR TI - GUEST EDITORIAL. Physiotherapy's place in the world. AU - Skinner, Margot A. T2 - New Zealand Journal of Physiotherapy DA - 2015/11// PY - 2015 DO - 10.15619/NZJP/43.3.01 DP - EBSCOhost VL - 43 IS - 3 SP - 73 EP - 74 J2 - New Zealand Journal of Physiotherapy SN - 0303-7193 UR - http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110962243&site=ehost-live&scope=site DB - CINAHL Complete KW - Organizational Objectives KW - Workforce KW - World Health Organization KW - Human Rights KW - Physical Therapy KW - United Nations KW - Physical Therapists KW - World Health KW - Education, Physical Therapy KW - World Confederation for Physical Therapy ER - TY - JOUR TI - How do Cochrane authors conduct web searching to identify studies? Findings from a cross-sectional sample of Cochrane Reviews AU - Briscoe, Simon AU - Nunns, Michael AU - Shaw, Liz T2 - Health Information & Libraries Journal AB - Background Searching the World Wide Web using search engines and websites can be conducted to identify studies for systematic reviews. When searching to support systematic reviews, the searcher faces challenges in using the basic search interfaces of most search engines and websites. Objectives To describe and evaluate current practice of web searching in a cross-sectional sample of Cochrane Reviews. The study also describes the stated aims of web searching, i.e. the identification of published or unpublished studies or both. Methods A six-month cross-sectional sample of Cochrane Reviews was identified via the Cochrane Library. Reviews were inspected for detail about web searching. Findings were described and evaluated using a framework of key principles for web searching. Results 423 Cochrane Reviews published August 2016–January 2017 were identified of which 61 (14%) reported web searching. Web searches were typically simplified versions of the bibliographic database search. Advanced and iterative approaches were not widely used. Google Search and Google Scholar were the most popular search engines. Most reports stated identification of grey literature as their aim. Conclusion Basic web search interfaces necessitate simple searches. However, there is scope to use more diverse search features and techniques and a greater variety of search engines. DO - 10.1111/hir.12313 DP - Wiley Online Library VL - n/a IS - n/a LA - en SN - 1471-1842 ST - How do Cochrane authors conduct web searching to identify studies? UR - https://onlinelibrary.wiley.com/doi/abs/10.1111/hir.12313 Y2 - 2020/06/10/06:40:35 L1 - https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/hir.12313 L2 - https://onlinelibrary.wiley.com/doi/full/10.1111/hir.12313?af=R KW - literature searching KW - review KW - current awareness services KW - health care KW - information management KW - internet KW - literature KW - systematized KW - Web 2.0 ER - TY - JOUR TI - Barriers and facilitators systematic reviews in health: A methodological review and recommendations for reviewers AU - Bach‐Mortensen, Anders Malthe AU - Verboom, Ben T2 - Research Synthesis Methods AB - Background Systematic reviews cataloguing the barriers to and facilitators of various outcomes are increasingly popular, despite criticisms of this type of review on philosophical, methodological, and practical grounds. The aims of this review are to appraise, analyse, and discuss the reporting and synthesis practices used in recently published barriers and facilitators reviews in health services research. Methods All English-language peer-reviewed systematic reviews that synthesised research on barriers and facilitators in a health services context were eligible for inclusion. We searched 11 databases over a thirteen-month period (November first 2017-November 30th 2018) using an exhaustive list of search terms for “barrier(s)”, “facilitator(s)”, and “systematic review”. Results One hundred reviews were included. We found a high degree of variation in the synthesis practices used in these reviews, with the majority employing aggregative (rather than interpretive) approaches. The findings echo common critiques of this review type, including concerns about the reduction of complex phenomena to simplified, discrete factors. Although several reviews highlighted the “complexity” of barriers and facilitators, this was usually not analysed systematically. Analysis of the subsample of reviews that explicitly discussed the barriers and facilitators approach revealed some common issues. These tended to be either conceptual/definitional (eg, ideas about interrelationships and overlap between factors) and methodological/practical (eg, challenges related to aggregating heterogeneous research). Conclusion Barriers and facilitators reviews should (1) clearly operationally define “barrier” and ‘facilitator’, (2) explicitly describe how factors are extracted and subsequently synthesised, and (3) provide critical reflection on the contextual variability and reliability of identified factors. This article is protected by copyright. All rights reserved. DO - 10.1002/jrsm.1447 DP - Wiley Online Library VL - n/a IS - n/a LA - en SN - 1759-2887 ST - Barriers and facilitators systematic reviews in health UR - https://onlinelibrary.wiley.com/doi/abs/10.1002/jrsm.1447 Y2 - 2020/09/02/07:39:03 L1 - https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jrsm.1447 L2 - https://onlinelibrary.wiley.com/doi/abs/10.1002/jrsm.1447?campaign=wolacceptedarticle ER - TY - JOUR TI - Leveraging the opportunities of mixed methods in research synthesis: Key decisions in systematic mixed studies review methodology AU - Ferguson, Sarah L. AU - Kerrigan, Monica Reid AU - Hovey, Katrina A. T2 - Research Synthesis Methods AB - This article identifies and unpacks three key decision points in a systematic mixed research synthesis, a mixed methods approach to research synthesis. The research community has increasingly recognized the value of synthesis studies in expanding our understanding of phenomena. Mixed-methodology broadly has also gained ground as a pragmatic approach to research investigations. By leveraging mixed methods approaches in a synthesis review, systematic mixed studies review (SMSR) enables a broad and integrated summary of existing research on the topic. Yet SMSRs can be challenging to undertake given the complexity of working with research synthesis and mixed methods requirements. This methods guidance article presents information to assist novice researchers in navigating these critical decisions in SMSRs, and provides examples of how these were addressed by researchers in the two case studies provided. Implications of the SMSRs for the research community and future research directions are also discussed. DO - 10.1002/jrsm.1436 DP - Wiley Online Library VL - n/a IS - n/a LA - en SN - 1759-2887 ST - Leveraging the opportunities of mixed methods in research synthesis UR - https://onlinelibrary.wiley.com/doi/abs/10.1002/jrsm.1436 Y2 - 2020/09/03/07:01:46 L1 - https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jrsm.1436 L2 - https://onlinelibrary.wiley.com/doi/full/10.1002/jrsm.1436 KW - methods guidance KW - mixed research synthesis KW - mixed-methods research KW - systematic mixed studies review ER - TY - JOUR TI - Combining the Power of Stories and the Power of Numbers: Mixed Methods Research and Mixed Studies Reviews AU - Pluye, Pierre AU - Hong, Quan Nha T2 - Annual Review of Public Health AB - This article provides an overview of mixed methods research and mixed studies reviews. These two approaches are used to combine the strengths of quantitative and qualitative methods and to compensate for their respective limitations. This article is structured in three main parts. First, the epistemological background for mixed methods will be presented. Afterward, we present the main types of mixed methods research designs and techniques as well as guidance for planning, conducting, and appraising mixed methods research. In the last part, we describe the main types of mixed studies reviews and provide a tool kit and examples. Future research needs to offer guidance for assessing mixed methods research and reporting mixed studies reviews, among other challenges. DA - 2014/03/18/ PY - 2014 DO - 10.1146/annurev-publhealth-032013-182440 DP - annualreviews.org (Atypon) VL - 35 IS - 1 SP - 29 EP - 45 J2 - Annu. Rev. Public Health SN - 0163-7525 ST - Combining the Power of Stories and the Power of Numbers UR - https://www.annualreviews.org/doi/10.1146/annurev-publhealth-032013-182440 Y2 - 2020/09/03/07:03:42 L1 - https://www.annualreviews.org/doi/pdf/10.1146/annurev-publhealth-032013-182440 L2 - https://www.annualreviews.org/doi/10.1146/annurev-publhealth-032013-182440 ER - TY - JOUR TI - Systematic mixed studies reviews: leveraging the literature to answer complex questions through the integration of quantitative and qualitative evidence AU - Cerigo, Helen AU - Quesnel-Vallée, Amélie T2 - International Journal of Public Health DA - 2020/06/01/ PY - 2020 DO - 10.1007/s00038-020-01386-3 DP - Springer Link VL - 65 IS - 5 SP - 699 EP - 703 J2 - Int J Public Health LA - en SN - 1661-8564 ST - Systematic mixed studies reviews UR - https://doi.org/10.1007/s00038-020-01386-3 Y2 - 2020/09/03/07:06:14 ER - TY - JOUR TI - Mega-map of systematic reviews and evidence and gap maps on the interventions to improve child well-being in low- and middle-income countries AU - Saran, Ashrita AU - White, Howard AU - Albright, Kerry AU - Adona, Jill T2 - Campbell Systematic Reviews AB - Background Despite a considerable reduction in child mortality, nearly six million children under the age of five die each year. Millions more are poorly nourished and in many parts of the world, the quality of education remains poor. Children are at risk from multiple violations of their rights, including child labour, early marriage, and sexual exploitation. Research plays a crucial role in helping to close the remaining gaps in child well-being, yet the global evidence base for interventions to meet these challenges is mostly weak, scattered and often unusable by policymakers and practitioners. This mega-map encourages the generation and use of rigorous evidence on effective ways to improve child well-being for policy and programming. Objectives The aim of this mega-map is to identify, map and provide an overview of the existing evidence synthesis on the interventions aimed at improving child well-being in low- and middle-income countries (LMICs). Methods Campbell evidence and gap maps (EGMs) are based on a review of existing mapping standards (Saran & White, 2018) which drew in particular of the approach developed by 3ie (Snilstveit, Vojtkova, Bhavsar, & Gaarder, 2013). As defined in the Campbell EGM guidance paper; “Mega-map is a map of evidence synthesis, that is, systematic reviews, and does not include primary studies” (Campbell Collaboration, 2020). The mega-map on child well-being includes studies with participants aged 0–18 years, conducted in LMICs, and published from year 2000 onwards. The search followed strict inclusion criteria for interventions and outcomes in the domains of health, education, social work and welfare, social protection, environmental health, water supply and sanitation (WASH) and governance. Critical appraisal of included systematic reviews was conducted using “A Measurement Tool to Assess Systematic Reviews”-AMSTAR-2 rating scale (Shea, et al., 2017). Results We identified 333 systematic reviews and 23 EGMs. The number of studies being published has increased year-on-year since 2000. However, the distribution of studies across World Bank regions, intervention and outcome categories are uneven. Most systematic reviews examine interventions pertaining to traditional areas of health and education. Systematic reviews in these traditional areas are also the most funded. There is limited evidence in social work and social protection. About 69% (231) of the reviews are assessed to be of low and medium quality. There are evidence gaps with respect to key vulnerable populations, including children with disabilities and those who belong to minority groups. Conclusion Although an increasing number of systematic reviews addressing child well-being topics are being published, some clear gaps in the evidence remain in terms of quality of reviews and some interventions and outcome areas. The clear gap is the small number of reviews focusing explicitly on either equity or programmes for disadvantaged groups and those who are discriminated against. DA - 2020/// PY - 2020 DO - 10.1002/cl2.1116 DP - Wiley Online Library VL - 16 IS - 4 SP - e1116 LA - en SN - 1891-1803 UR - https://onlinelibrary.wiley.com/doi/abs/10.1002/cl2.1116 Y2 - 2020/11/05/12:40:45 L1 - https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/cl2.1116 L2 - https://onlinelibrary.wiley.com/doi/full/10.1002/cl2.1116 ER - TY - VIDEO TI - Creating an interactive evidence (gap) map using EPPI-Mapper v2.0 AB - This video introduces you to creating an interactive evidence gap map using the EPPI-Mapper app, based on data extracted from EPPI-Reviewer. To find out more about EPPI-Reviewer, please head to our gateway here: https://eppi.ioe.ac.uk/cms/Default.as... To use EPPI-Reviewer Web: https://eppi.ioe.ac.uk/EPPIReviewer-Web/ To use the EPPI-Mapper App: http://eppimapper.digitalsolutionfoun... For support enquiries, please contact us at EPPISupport@ucl.ac.uk DA - 2020/11/05/ PY - 2020 DP - YouTube UR - https://www.youtube.com/watch?v=nW353pA75io&feature=youtu.be Y2 - 2020/11/05/12:41:00 ER - TY - JOUR TI - The Policy on Gender Equality in Ireland Update 2015 AU - Barry, Ursula AB - Upon request by the FEMM Committee, this paper explores changes in gender equality legislation, policies and practices in Ireland with particular emphasis on the period from 2012-2015. Gender equality infrastructure, gender gaps in employment, unemployment, poverty and pay rates are analysed and women’s level of participation in political, economic and administrative decision-making in Ireland is detailed. Provision of childcare services, as well as the extent to which gender dimensions are taken into account in health and welfare policies, are also examined. DP - Zotero SP - 36 LA - en L1 - https://www.europarl.europa.eu/RegData/etudes/IDAN/2015/536450/IPOL_IDA%282015%29536450_EN.pdf ER - TY - BOOK TI - Anti-Gender Campaigns in Europe: Mobilizing Against Equality A3 - Kuhar, Roman A3 - Paternotte, David AB - After decades of steady progress in terms of gender and sexual rights, several parts of Europe are facing new waves of resistance to a so-called 'gender ideology' or 'gender theory'. Opposition to progressive gender equality is manifested in challenges to marriage equality, abortion, reproductive technologies, gender mainstreaming, sex education, sexual liberalism, transgender rights, antidiscrimination policies and even to the notion of gender itself. This book examines how an academic concept of gender, when translated by religious organizations such as the Roman Catholic Church, can become a mobilizing tool for, and the target of, social movements. How can we explain religious discourses about sex difference turning intro massive street demonstrations? How do forms of organization and protest travel across borders? Who are the actors behind these movements? This collection is a transnational and comparative attempt to better understand anti-gender mobilizations in Europe. It focuses on national manifestations in eleven European countries, including Russia, from massive street protests to forms of resistance such as email bombarding and street vigils. It examines the intersection of religious politics with rising populism and nationalistic anxieties in contemporary Europe. CY - London ; New York DA - 2017/08/30/ PY - 2017 DP - Amazon ET - Illustrated edition SP - 304 LA - English PB - Rowman & Littlefield Publishers SN - 978-1-78348-999-2 ST - Anti-Gender Campaigns in Europe L2 - https://www.amazon.co.uk/Anti-Gender-Campaigns-Europe-Mobilizing-Equality/dp/1783489995 ER - TY - JOUR TI - The effects of supportive management and job quality on the turnover intentions and health of military personnel AU - Dupré, Kathryne AU - Day, Arla T2 - Human Resource Management AB - To be competitive in today's increasingly complex and rapidly changing envi-ronment, organizations must retain personnel and promote the well-being of employees. We examine the relationship of both support provided to person-nel and job quality with employee health and turnover intentions among a sample of 450 military personnel. Factors involving the supportive manage-ment of personnel (i.e., supervisory support, organizational support, and work-life balance) and factors pertaining to job quality (i.e., work stimulation and job clarity) were indirectly related to health and to turnover intentions through the mediating influence of job satisfaction. copyright 2007 Wiley Periodicals, Inc. [ABSTRACT FROM AUTHOR] Copyright of Human Resource Management is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) DA - 2007/06/01/ PY - 2007 DO - 10.1002/hrm.20156 DP - ResearchGate VL - 46 SP - 185 EP - 201 J2 - Human Resource Management L1 - https://www.researchgate.net/profile/Arla_Day/publication/211385366_The_effects_of_supportive_management_and_job_quality_on_the_turnover_intentions_and_health_of_military_personnel/links/5b723810299bf14c6d9c424a/The-effects-of-supportive-management-and-job-quality-on-the-turnover-intentions-and-health-of-military-personnel.pdf L4 - https://www.researchgate.net/publication/211385366_The_effects_of_supportive_management_and_job_quality_on_the_turnover_intentions_and_health_of_military_personnel/references ER - TY - JOUR TI - A Closer Look at Select Cognitive Precursors to Organizational Turnover: What Has Been Missed and Why AU - Fuller, Jerry AU - Hester, Kim AU - Dickson, Pat AU - Allison, Barbara AU - Birdseye, Meg T2 - Psychological Reports AB - Two meta-analytic procedures are used to investigate the relationship between job satisfaction and selected withdrawal cognitions. Moderating influences not found in previous integrative research were identified by controlling for the influence of a large sample-size outlier and a target of behavioral intention, i.e., intention to stay versus intention to leave. Findings for 49 studies indicate previous integrative models of turnover by Hom, Caranikas-Walker, Prussia, and Griffeth, and of Tett and Meyer should be altered to reflect context (civilian versus military) and intention target (staying versus leaving) moderators but not an intention to turnover or a moderator of withdrawal cognition as indicated by Tett and Meyer in 1993. The adequacy of measures of current intention to leave is discussed regarding their consistency with recent intention theory. General implications for meta-analytic research are discussed with regard to accounting for sample-size outliers. 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AU - McClave, Annette K AU - McKnight-Eily, Lela R AU - Davis, Shane P AU - Dube, Shanta R T2 - American Journal of Public Health DA - 2010/// PY - 2010 DO - 10.2105/ajph.2009.188136 VL - 100 IS - 12 SP - 2464 EP - 72 UR - https://app.dimensions.ai/details/publication/pub.1068844935 and https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2978196 ER - TY - JOUR TI - Current cigarette smoking prevalence among working adults–United States, 2004-2010. T2 - MMWR Morbidity and Mortality Weekly Report DA - 2011/// PY - 2011 VL - 60 IS - 38 SP - 1305 EP - 9 UR - https://app.dimensions.ai/details/publication/pub.1078455846 ER - TY - JOUR TI - Does a Flexibility/Support Organizational Initiative Improve High-Tech Employees’ Well-Being? Evidence from the Work, Family, and Health Network AU - Moen, Phyllis AU - Kelly, Erin L. AU - Fan, Wen AU - Lee, Shi-Rong AU - Almeida, David AU - Kossek, Ellen Ernst AU - Buxton, Orfeu M. T2 - American Sociological Review AB - This study tests a central theoretical assumption of stress process and job strain models, namely that increases in employees’ control and support at work should promote well-being. To do so, we use a group-randomized field trial with longitudinal data from 867 information technology (IT) workers to investigate the well-being effects of STAR, an organizational intervention designed to promote greater employee control over work time and greater supervisor support for workers’ personal lives. We also offer a unique analysis of an unexpected field effect—a company merger—among workers surveyed earlier versus later in the study period, before or after the merger announcement. We find few STAR effects for the latter group, but over 12 months, STAR reduced burnout, perceived stress, and psychological distress, and increased job satisfaction, for the early survey group. STAR effects are partially mediated by increases in schedule control and declines in family-to-work conflict and burnout (an outcome and mediator) by six months. Moderating effects show that STAR benefits women in reducing psychological distress and perceived stress, and increases non-supervisory employees’ job satisfaction. This study demonstrates, with a rigorous design, that organizational-level initiatives can promote employee well-being. DA - 2016/02/01/ PY - 2016 DO - 10.1177/0003122415622391 DP - SAGE Journals VL - 81 IS - 1 SP - 134 EP - 164 J2 - Am Sociol Rev LA - en SN - 0003-1224 ST - Does a Flexibility/Support Organizational Initiative Improve High-Tech Employees’ Well-Being? UR - https://doi.org/10.1177/0003122415622391 Y2 - 2021/02/08/12:55:41 L1 - https://dspace.mit.edu/bitstream/1721.1/111139/1/Subjective-Wellbeing-Erin-Kelly-%20as%20submitted-0815.pdf KW - gender KW - subjective well-being KW - flexibility KW - organizational intervention KW - work-family ER - TY - JOUR TI - 5 turnover and retention research: a glance at the past, a closer review of the present, and a venture into the future AU - Holtom, Brooks C AU - Mitchell, Terence R AU - Lee, Thomas W AU - Eberly, Marion B T2 - Academy of Management annals AB - Given the extensive research on the topic of voluntary employee turnover in the past decade as well as new managerial approaches to employee retention, labor market dynamism, and evolution in research methodology and technology, it is important that researchers evaluate the current state of the field. In this chapter, we critically review prior research to provide a solid foundation and clear perspective to guide future research. Some of the major trends of the past decade include: (1) new individual difference predictions of turnover (e.g., personality, motivating forces); (2) increased emphasis on contextual variables with an emphasis on interpersonal relationships (e.g., leader–member exchange, interpersonal citizenship behaviors); (3) enhanced focus on factors looking specifically at staying (e.g., organizational commitment and job embeddedness); and (4) dynamic modeling of turnover processes with the consideration of time (e.g., changes in job satisfaction). We believe these trends point to a number of important issues to consider in the next decade, including the influence of social networks, differences across cultures, temporal aspects (e.g., early vs. late turnover), consequences of turnover, multi‐level investigations of turnover and other types of withdrawal (e.g., retirement). DA - 2008/// PY - 2008 VL - 2 IS - 1 SP - 231 EP - 274 SN - 1941-6520 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The 2009 Carl Ludwig Lecture: pathophysiology of the human sympathetic nervous system in cardiovascular diseases: the transition from mechanisms to medical management AU - Esler, Murray T2 - Journal of Applied Physiology DA - 2009/// PY - 2009 DO - 10.1152/japplphysiol.00832.2009 VL - 108 IS - 2 SP - 227 EP - 237 UR - https://app.dimensions.ai/details/publication/pub.1036971847 http://pdfs.semanticscholar.org/26b4/f1342a14ec5a90c656beb7207b8816e49949.pdf AN - pub.1036971847 DB - Eller 2011 Refs (38) Y2 - 2021/02/04/ ER - TY - JOUR TI - The 2013 Canadian Forces Mental Health Survey AU - Zamorski, Mark A. AU - Bennett, Rachel E. AU - Boulos, David AU - Garber, Bryan G. AU - Jetly, Rakesh AU - Sareen, Jitender T2 - The Canadian Journal of Psychiatry DA - 2016/// PY - 2016 DO - 10.1177/0706743716632731 VL - 61 IS - 1_suppl SP - 10s EP - 25s UR - https://app.dimensions.ai/details/publication/pub.1017559356 https://journals.sagepub.com/doi/pdf/10.1177/0706743716632731 AN - pub.1017559356 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Accepting Responsibility for Long‐Term Care—A Paradox in Times of a Global Nursing Shortage? AU - Hirschfeld, Miriam J. T2 - Journal of Nursing Scholarship DA - 2009/// PY - 2009 DO - 10.1111/j.1547-5069.2009.01257.x VL - 41 IS - 1 SP - 104 EP - 111 UR - https://app.dimensions.ai/details/publication/pub.1002508898 AN - pub.1002508898 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - Adapting the survey of perceived organizational support AU - Wojtkowska, Katarzyna AU - Andersz, Nina AU - Czarnota-Bojarska, Joanna T2 - Polish Journal of Applied Psychology DA - 2016/// PY - 2016 VL - 14 IS - 4 SP - 47 EP - 57 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Adapting to Family-Centered Hospital Design: Changes in Providers' Attitudes over a Two-Year Period AU - France, Daniel AU - Throop, Patricia AU - Joers, Barbara AU - Allen, Lauran AU - Parekh, Amruta AU - Rickard, Dorsey AU - Deshpande, Jayant K. T2 - HERD Health Environments Research & Design Journal DA - 2009/// PY - 2009 DO - 10.1177/193758670900300107 VL - 3 IS - 1 SP - 79 EP - 96 UR - https://app.dimensions.ai/details/publication/pub.1049581874 AN - pub.1049581874 DB - Steele 2015 Refs (38) Y2 - 2021/02/08/ ER - TY - JOUR TI - Addressing burnout in radiologists AU - Chetlen, Alison L AU - Chan, Tiffany L AU - Ballard, David H AU - Frigini, L Alexandre AU - Hildebrand, Andrea AU - Kim, Shannon AU - Brian, James M AU - Krupinski, Elizabeth A AU - Ganeshan, Dhakshinamoorthy T2 - Academic radiology DA - 2019/// PY - 2019 VL - 26 IS - 4 SP - 526 EP - 533 SN - 1076-6332 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Addressing Exclusion in Organizations: Social Desire Paths and Undocumented Students Attending College AU - Nichols, Laura T2 - Social Problems DA - 2020/// PY - 2020 VL - 67 IS - 3 SP - 471 EP - 487 SN - 0037-7791 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Addressing the issue of job performance among hospital physicians in Pakistan: The role of job security, organizational support, and job satisfaction AU - Umrani, Waheed Ali AU - Afsar, Bilal AU - Khan, Mirwise AU - Ahmed, Umair T2 - Journal of Applied Biobehavioral Research DA - 2019/// PY - 2019 VL - 24 IS - 3 SP - e12169 SN - 1071-2089 DB - Neves 2018 Cited by (6) ER - TY - JOUR TI - ADHD remission, inclusive special education, and socioeconomic disparities AU - Kim, Margeum AU - King, Marissa D AU - Jennings, Jennifer T2 - SSM-population health DA - 2019/// PY - 2019 VL - 8 SP - 100420 SN - 2352-8273 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - The adoption of smoke-free hospital campuses in the United States AU - Williams, S. C. AU - Hafner, J. M. AU - Morton, D. J. AU - Holm, A. L. AU - Milberger, S. M. AU - Koss, R. G. AU - Loeb, J. M. T2 - Tobacco Control DA - 2009/// PY - 2009 DO - 10.1136/tc.2009.030494 VL - 18 IS - 6 SP - 451 UR - https://app.dimensions.ai/details/publication/pub.1044037086 AN - pub.1044037086 DB - Ripley-Moffitt 2010 Refs (10) Y2 - 2021/02/08/ ER - TY - JOUR TI - Adults living with irritable bowel syndrome (IBS): A qualitative systematic review AU - Shorey, Shefaly AU - Demutska, Alla AU - Chan, Valerie AU - Siah, Kewin Tien Ho T2 - Journal of Psychosomatic Research DA - 2020/// PY - 2020 SP - 110289 SN - 0022-3999 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Adults Meeting Fruit and Vegetable Intake Recommendations - United States, 2013 AU - Moore, Latetia V. AU - Thompson, Frances E. T2 - MMWR Morbidity and Mortality Weekly Report DA - 2015/// PY - 2015 VL - 64 IS - 26 SP - 709 EP - 13 UR - https://app.dimensions.ai/details/publication/pub.1079115007 AN - pub.1079115007 DB - Williams 2020 Refs (15) Y2 - 2021/02/06/ ER - TY - JOUR TI - Adults' Sedentary Behavior Determinants and Interventions AU - Owen, Neville AU - Sugiyama, Takemi AU - Eakin, Elizabeth E. AU - Gardiner, Paul A. AU - Tremblay, Mark S. AU - Sallis, James F. T2 - American Journal of Preventive Medicine DA - 2011/// PY - 2011 DO - 10.1016/j.amepre.2011.05.013 VL - 41 IS - 2 SP - 189 EP - 196 UR - https://app.dimensions.ai/details/publication/pub.1028684017 AN - pub.1028684017 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Advances in leader and leadership development: A review of 25years of research and theory AU - Day, David V. AU - Fleenor, John W. AU - Atwater, Leanne E. AU - Sturm, Rachel E. AU - McKee, Rob A. T2 - The Leadership Quarterly DA - 2014/// PY - 2014 DO - 10.1016/j.leaqua.2013.11.004 VL - 25 IS - 1 SP - 63 EP - 82 UR - https://app.dimensions.ai/details/publication/pub.1021236753 AN - pub.1021236753 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - Advances in recovery research: What have we learned? What should be done next? AU - Sonnentag, Sabine AU - Venz, Laura AU - Casper, Anne T2 - Journal of occupational health psychology AB - Job-stress recovery during nonwork time is an important factor for employee well-being. This article reviews the recovery literature, starting with a brief historical overview. It provides a definition of recovery that differentiates between recovery as a process and recovery as an outcome. Empirical studies have shown that recovery activities (e.g., physical exercise) and recovery experiences (e.g., psychological detachment from work) are negatively associated with strain symptoms (e.g., exhaustion) and positively associated with positive well-being indicators (e.g., vigor). Recovery activities and recovery experiences suffer when employees face a high level of job stressors. Psychological mechanisms underlying recovery seem to be similar across different temporal recovery settings (e.g., work breaks, free evenings, vacations) and seem to be enhanced in natural environments. Intervention studies have pointed to a diverse set of strategies for how everyday job-stress recovery can be supported. This article discusses 5 avenues for future research, with a particular focus on individual and contextual factors that may influence recovery as well as highlighting more complex temporal patterns than those uncovered in previous research. DA - 2017/// PY - 2017 VL - 22 IS - 3 SP - 365 SN - 1433890879 DB - Allard 2011 Cited By ER - TY - JOUR TI - Advancing a sociotechnical systems approach to workplace safety – developing the conceptual framework AU - Carayon, Pascale AU - Hancock, Peter AU - Leveson, Nancy AU - Noy, Ian AU - Sznelwar, Laerte AU - van Hootegem, Geert T2 - Ergonomics DA - 2015/// PY - 2015 DO - 10.1080/00140139.2015.1015623 VL - 58 IS - 4 SP - 548 EP - 564 UR - https://app.dimensions.ai/details/publication/pub.1050719863 http://europepmc.org/articles/pmc4647652?pdf=render AN - pub.1050719863 DB - Robertson 2017 Refs (47) Y2 - 2021/02/08/ ER - TY - JOUR TI - Advancing organizational support theory into the twenty-first century world of work AU - Baran, Benjamin E AU - Shanock, Linda Rhoades AU - Miller, Lindsay R T2 - Journal of Business and Psychology DA - 2012/// PY - 2012 VL - 27 IS - 2 SP - 123 EP - 147 SN - 0889-3268 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Advancing women of color in STEM: an imperative for US global competitiveness AU - Alfred, Mary V AU - Ray, Sarah M AU - Johnson, Michele A T2 - Advances in Developing Human Resources DA - 2019/// PY - 2019 VL - 21 IS - 1 SP - 114 EP - 132 SN - 1523-4223 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Adverse effects of effort–reward imbalance on work ability: longitudinal findings from the German Sociomedical Panel of Employees AU - Bethge, Matthias AU - Radoschewski, Friedrich Michael T2 - International journal of public health DA - 2012/// PY - 2012 VL - 57 IS - 5 SP - 797 EP - 805 SN - 1661-8564 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Age differences in workplace intervention effects on employees' nighttime and daytime sleep AU - Lee, Soomi AU - Almeida, David M AU - Berkman, Lisa AU - Olson, Ryan AU - Moen, Phyllis AU - Buxton, Orfeu M T2 - Sleep health DA - 2016/// PY - 2016 VL - 2 IS - 4 SP - 289 EP - 296 SN - 2352-7218 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Agreement between activPAL and ActiGraph for assessing children's sedentary time AU - Ridgers, Nicola D. AU - Salmon, Jo AU - Ridley, Kate AU - O'Connell, Eoin AU - Arundell, Lauren AU - Timperio, Anna T2 - International Journal of Behavioral Nutrition and Physical Activity DA - 2012/// PY - 2012 DO - 10.1186/1479-5868-9-15 VL - 9 IS - 1 SP - 15 UR - https://app.dimensions.ai/details/publication/pub.1017057460 https://ijbnpa.biomedcentral.com/track/pdf/10.1186/1479-5868-9-15 AN - pub.1017057460 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Allocation techniques for balance at baseline in cluster randomized trials: a methodological review AU - Ivers, Noah M. AU - Halperin, Ilana J. AU - Barnsley, Jan AU - Grimshaw, Jeremy M. AU - Shah, Baiju R. AU - Tu, Karen AU - Upshur, Ross AU - Zwarenstein, Merrick T2 - Trials DA - 2012/// PY - 2012 DO - 10.1186/1745-6215-13-120 VL - 13 IS - 1 SP - 120 UR - https://app.dimensions.ai/details/publication/pub.1041095548 https://trialsjournal.biomedcentral.com/track/pdf/10.1186/1745-6215-13-120 AN - pub.1041095548 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Alternative formats AU - Wilson, Susan Annette DA - 2017/// PY - 2017 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Ambidexterity in family firms: The interplay between family influences within and beyond the executive suite AU - Van Doorn, Sebastiaan AU - Tretbar, Torben AU - Reimer, Marko AU - Heyden, Mariano T2 - Long Range Planning DA - 2020/// PY - 2020 SP - 101998 SN - 0024-6301 DB - Alfes 2018 Cited by (6) ER - TY - JOUR TI - Analyse exploratoire des approches de promotion de la santé des travailleurs des Centres de santé et de services sociaux (CSSS) et Centres hospitaliers de la région de Montréal AU - Perreault, G AU - Résidente, V T2 - Public Health Branch, Agence de la santé et des services sociaux de Montréal DA - 2009/// PY - 2009 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - An analysis of CEO visions in Thailand AU - Kantamara, P AU - Saratun, M T2 - International Journal of Business … AB - The purpose of this paper is to examine whether Thai organisational leaders develop a vision for their organisation and people. It also explores the nature of these visions to see if corporate sustainability is mentioned in the content of these visions, since this issue has … DA - 2017/// PY - 2017 UR - https://www.inderscienceonline.com/doi/abs/10.1504/IJBIR.2017.080709 DB - Kukkurainen 2012 Cited by (17) ER - TY - JOUR TI - Analysis of Longitudinal Data: The Integration of Theoretical Model, Temporal Design, and Statistical Model AU - Collins, Linda M. T2 - Annual Review of Psychology DA - 2006/// PY - 2006 DO - 10.1146/annurev.psych.57.102904.190146 VL - 57 IS - 1 SP - 505 EP - 528 UR - https://app.dimensions.ai/details/publication/pub.1013282122 http://pdfs.semanticscholar.org/12d2/ef426ce3b84d1554123914e42465362e2fd4.pdf AN - pub.1013282122 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - and Lauren M. Menger AU - Chen, Peter Y AU - Cigularov, Konstantin P T2 - Research Methods in Occupational Health Psychology: Measurement, Design, and Data Analysis DA - 2012/// PY - 2012 SP - 180 SN - 0415879329 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Anne van der Put: Conceptualization, Methodology, Formal Analysis, Writing–Original Draft, Visualization AU - Mandemakers, Jornt AU - de Wit, John AU - van der Lippe, Tanja DA - 2019/// PY - 2019 SN - 2352-8273 DB - Hendriksen 2016 Cited by (46) ER - TY - JOUR TI - Annual Research Review: The state of implementation science in child psychology and psychiatry: a review and suggestions to advance the field AU - Williams, Nathaniel J. AU - Beidas, Rinad S. T2 - Journal of Child Psychology and Psychiatry DA - 2018/// PY - 2018 DO - 10.1111/jcpp.12960 VL - 60 IS - 4 SP - 430 EP - 450 UR - https://app.dimensions.ai/details/publication/pub.1106330652 http://europepmc.org/articles/pmc6389440?pdf=render AN - pub.1106330652 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Another work–family interface: Work characteristics and family intentions in Japan AU - Yu, Wei-hsin AU - Kuo, Janet Chen-Lan T2 - Demographic Research DA - 2017/// PY - 2017 VL - 36 SP - 391 EP - 426 SN - 1435-9871 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Answers to 20 Questions About Interrater Reliability and Interrater Agreement AU - LeBreton, James M. AU - Senter, Jenell L. T2 - Organizational Research Methods DA - 2007/// PY - 2007 DO - 10.1177/1094428106296642 VL - 11 IS - 4 SP - 815 EP - 852 UR - https://app.dimensions.ai/details/publication/pub.1044163254 AN - pub.1044163254 Y2 - 2021/02/04/ ER - TY - JOUR TI - Antecedents of Job Stress and its impact on employee’s Job Satisfaction and Turnover Intentions AU - Sheraz, Ahmad AU - Wajid, Muhammad AU - Sajid, Muhammad AU - Qureshi, Wajahat Hussain AU - Rizwan, Muhammad T2 - International Journal of Learning & Development DA - 2014/// PY - 2014 VL - 4 IS - 2 SP - 204 EP - 226 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Anthropometry-based approach for side-mounted desktop chairs design evaluation for university students in Ecuador AU - Pérez-Gosende, P T2 - 2017 IEEE Second Ecuador Technical … AB - It is quite common to find side-mounted desktop chairs as main classroom furniture in Ecuadorian universities. However, there is no evidence this furniture is designed to fit the anthropometric characteristics of the students who use it. In this context, this research aims … DA - 2017/// PY - 2017 UR - https://ieeexplore.ieee.org/abstract/document/8247516/ DB - Robertson 2017 Cited by (23) ER - TY - JOUR TI - Application of lean visual process management tools AU - Parry, G. C. AU - Turner, C. E. T2 - Production Planning & Control DA - 2006/// PY - 2006 DO - 10.1080/09537280500414991 VL - 17 IS - 1 SP - 77 EP - 86 UR - https://app.dimensions.ai/details/publication/pub.1026748019 AN - pub.1026748019 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Applying Lean in Process Innovation in Healthcare: The Case of Hip Fracture AU - Morales-Contreras, MF AU - Chana-Valero, P AU - ... T2 - International Journal of … AB - Academic literature and practitioners acknowledge that there is a need to improve efficiency and service quality in the healthcare industry. In Spain, osteoporotic fractures represent a great cost in socio-economic and morbi-mortality terms, hip fracture being the surgical … DA - 2020/// PY - 2020 UR - https://www.mdpi.com/1660-4601/17/15/5273 DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - The appraisal of chronic stress and the development of the metabolic syndrome: a systematic review of prospective cohort studies AU - Bergmann, N. AU - Gyntelberg, F. AU - Faber, J. T2 - Endocr Connect AB - Chronic psychosocial stress has been proposed as a risk factor for the development of the metabolic syndrome (MES). This review gives a systematic overview of prospective cohort studies investigating chronic psychosocial stress as a risk factor for incident MES and the individual elements of MES. Thirty-nine studies were included. An association between chronic psychosocial stress and the development of MES was generally supported. Regarding the four elements of MES: i) weight gain: the prospective studies supported etiological roles for relationship stress, perceived stress, and distress, while the studies on work-related stress (WS) showed conflicting results; ii) dyslipidemi: too few studies on psychosocial stress as a risk factor for dyslipidemia were available to draw a conclusion; however, a trend toward a positive association was present; iii) type 2 diabetes mellitus (DM2): prospective studies supported perceived stress and distress as risk factors for the development of DM2 among men, but not among women, while WS was generally not supported as a risk factor among neither men nor women; iv) hypertension: marital stress and perceived stress might have an influence on blood pressure (BP), while no association was found regarding distress. Evaluating WS the results were equivocal and indicated that different types of WS affected the BP differently between men and women. In conclusion, a longitudinal association between chronic psychosocial stress and the development of MES seems present. However, the number of studies with sufficient quality is limited and the design of the studies is substantially heterogeneous. DA - 2014/06//undefined PY - 2014 DO - 10.1530/EC-14-0031 VL - 3 IS - 2 SP - R55 EP - 80 SN - 2049-3614 (Print) 2049-3614 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/24743684 AN - 24743684 DB - Allard 2011 Cited By KW - psychological stress KW - adiposity KW - dyslipidemia KW - hypertension KW - job stress KW - metabolic syndrome KW - type 2 diabetes mellitus ER - TY - JOUR TI - Appropriateness of care and moral distress among neonatal intensive care unit staff: repeated measurements AU - de Boer, Jacoba AU - van Rosmalen, Joost AU - Bakker, Arnold B AU - van Dijk, Monique T2 - Nursing in critical care DA - 2016/// PY - 2016 VL - 21 IS - 3 SP - e19 EP - e27 SN - 1362-1017 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Are disease severity, sleep-related problems, and anxiety associated with work functioning in patients with obstructive sleep apnoea? AU - Timkova, Vladimira AU - Nagyova, Iveta AU - Reijneveld, Sijmen A AU - Tkacova, Ruzena AU - van Dijk, Jitse P AU - Bültmann, Ute T2 - Disability and rehabilitation DA - 2019/// PY - 2019 VL - 41 IS - 18 SP - 2164 EP - 2174 SN - 0963-8288 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Are job stress models capturing important dimensions of the psychosocial work environment? AU - Bourbonnais, Renée T2 - Occupational and Environmental Medicine DA - 2007/// PY - 2007 DO - 10.1136/oem.2007.032979 VL - 64 IS - 10 SP - 640 UR - https://app.dimensions.ai/details/publication/pub.1043009787 http://europepmc.org/articles/pmc2078385?pdf=render AN - pub.1043009787 DB - Inoue 2013 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Are leaders' well-being, behaviours and style associated with the affective well-being of their employees? A systematic review of three decades of research AU - Skakon, Janne AU - Nielsen, Karina AU - Borg, Vilhelm AU - Guzman, Jaime T2 - Work & Stress DA - 2010/// PY - 2010 DO - 10.1080/02678373.2010.495262 VL - 24 IS - 2 SP - 107 EP - 139 UR - https://app.dimensions.ai/details/publication/pub.1038194060 AN - pub.1038194060 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Are quit attempts among US female nurses who smoke different from female smokers in the general population? An analysis of the 2006/2007 tobacco use supplement to the current population survey AU - Sarna, Linda AU - Bialous, Stella Aguinaga AU - Nandy, Karabi AU - Yang, Qing T2 - BMC women's health DA - 2012/// PY - 2012 VL - 12 IS - 1 SP - 1 EP - 9 SN - 1472-6874 DB - Ripley-Moffitt 2010 Cited By (14) ER - TY - JOUR TI - Are risk estimates biased in follow-up studies of psychosocial factors with low base-line participation? AU - Kaerlev, Linda AU - Kolstad, Henrik A. AU - Hansen, Åse Marie AU - Thomsen, Jane Frølund AU - Kærgaard, Anette AU - Rugulies, Reiner AU - Mikkelsen, Sigurd AU - Andersen, Johan Hviid AU - Mors, Ole AU - Grynderup, Matias B. AU - Bonde, Jens Peter T2 - BMC Public Health DA - 2011/// PY - 2011 DO - 10.1186/1471-2458-11-539 VL - 11 IS - 1 SP - 539 UR - https://app.dimensions.ai/details/publication/pub.1051657339 https://doi.org/10.1186/1471-2458-11-539 AN - pub.1051657339 DB - Barrech 2018 Refs (44) Y2 - 2021/02/04/ ER - TY - JOUR TI - Are Spanish SMEs good places to work? AU - Adame‐Sánchez, Consolación AU - Miquel‐Romero, María‐José T2 - Management Decision DA - 2012/// PY - 2012 SN - 0025-1747 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Are we correcting correctly? Interdependence of reliabilities in meta-analysis AU - Köhler, Tine AU - Cortina, Jose M AU - Kurtessis, James N AU - Gölz, Markus T2 - Organizational Research Methods DA - 2015/// PY - 2015 VL - 18 IS - 3 SP - 355 EP - 428 SN - 1094-4281 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Are work organization interventions effective in preventing or reducing work-related musculoskeletal disorders? A systematic review of the literature AU - Stock, Susan R AU - Nicolakakis, Nektaria AU - Vézina, Nicole AU - Vézina, Michel AU - Gilbert, Louis AU - Turcot, Alice AU - Sultan-Taïeb, Hélène AU - Sinden, Kathryn AU - Kin, R AU - Denis, Marie-Agnès T2 - Scandinavian journal of work, environment & health DA - 2018/// PY - 2018 SP - 113 EP - 133 SN - 0355-3140 DB - Gilbert-Ouimet 2011 Cited by (42) ER - TY - JOUR TI - Are workplace health promotion programs effective at improving presenteeism in workers? a systematic review and best evidence synthesis of the literature AU - Cancelliere, Carol AU - Cassidy, J. David AU - Ammendolia, Carlo AU - Côté, Pierre T2 - BMC Public Health DA - 2011/// PY - 2011 DO - 10.1186/1471-2458-11-395 VL - 11 IS - 1 SP - 395 UR - https://app.dimensions.ai/details/publication/pub.1028092606 https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/1471-2458-11-395 AN - pub.1028092606 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - Areas of worklife as predictors of occupational health–A validation study in two German samples AU - Brom, Sarah S AU - Buruck, Gabriele AU - Horváth, Irén AU - Richter, Peter AU - Leiter, Michael P T2 - Burnout Research DA - 2015/// PY - 2015 VL - 2 IS - 2-3 SP - 60 EP - 70 SN - 2213-0586 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Ascertainment of chronic diseases using population health data: a comparison of health administrative data and patient self-report AU - Muggah, Elizabeth AU - Graves, Erin AU - Bennett, Carol AU - Manuel, Douglas G. T2 - BMC Public Health DA - 2013/// PY - 2013 DO - 10.1186/1471-2458-13-16 VL - 13 IS - 1 SP - 16 UR - https://app.dimensions.ai/details/publication/pub.1052555181 https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/1471-2458-13-16 AN - pub.1052555181 DB - Brakenridge 2016 Refs (51) Y2 - 2021/02/04/ ER - TY - JOUR TI - Assessing Altruistic Behavior, Burnout, and Wellness Outcomes of Entry Level, Live-in and Live on Residence Life Professionals AU - Vaughn, Erin Coquese DA - 2013/// PY - 2013 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Assessing the feasibility of preventing injury risks and improving work safety amongst factory workers in an urban slum: a participatory before-and-after intervention study AU - Caleo, Grazia AU - Dada, Martins AU - Gray, Nell AU - Sangma, Mitchell AU - Scoizzato, Luca AU - Bangs, Gary W AU - Stringer, Beverley AU - Islam, Zahirul AU - Baset, Kamrun Ul DA - 2018/// PY - 2018 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Assessment and management of work-related stress in hospital emergency departments in Italy AU - d'Ettorre, Gabriele T2 - The Journal of medical practice management: MPM DA - 2016/// PY - 2016 VL - 31 IS - 5 SP - 280 SN - 8755-0229 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Assessment of Differing Definitions of Accelerometer Nonwear Time AU - Evenson, Kelly R. AU - Terry, James W. T2 - Research Quarterly for Exercise and Sport DA - 2009/// PY - 2009 DO - 10.1080/02701367.2009.10599570 VL - 80 IS - 2 SP - 355 EP - 362 UR - https://app.dimensions.ai/details/publication/pub.1032405223 http://europepmc.org/articles/pmc3321743?pdf=render AN - pub.1032405223 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Assessment of psychosocial factors in office and operational groups of employees of a Regional Electricity Distribution Company in Iran - A case study AU - Aminian, O. AU - Moradi, A. AU - Eftekhari, S. T2 - Heliyon AB - Background: Many studies have shown an association between unfavorable psychosocial factors and personal and organizational outcomes. In recent years, psychosocial issues have received top priority between work environment factors. This study aimed to provide a first insight into psychosocial stressors in electricity distribution industry in Iran and compare the psychosocial factors between two job categories of office and operational workers. Methods: The study population was employees of an electricity distribution company in Iran. The standard Persian medium size of Copenhagen psychosocial questionnaire (COPSOQ) was used in this study to measure psychosocial factors. The questionnaire comprised 5 domains and 26 scale. Mean and standard deviation of each scale and domain were obtained for office and operational workers separately and the results were compared. Results: Higher scores were obtained in the domain of "job demands" of operational workers. In the domain of "job contents", More Unfavorable condition was obtained for office workers. No significant difference was seen in the domain of "inter personal relationship". More unfavorable scores for operational workers were obtained in the domain of work-individual interface" in a univariate analysis, but after adjusting the confounders including age, type of employment, directorship status and income, multivariate analysis did not show any significant difference. In the domain of "individual Health and well-being", higher scores were obtained for operational workers. Conclusion: This study provides support regarding the differences of psychosocial working environments between office and operational workers in electrical distribution industry. It is worth considering these differences of psychosocial factors at employees scheduling. 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How work and working conditions contribute to health disparities AU - Burgard, Sarah A AU - Lin, Katherine Y T2 - American Behavioral Scientist DA - 2013/// PY - 2013 VL - 57 IS - 8 SP - 1105 EP - 1127 SN - 0002-7642 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Barriers to Adoption of Wellness Programs: A Worked Example of an Augmented Best-Fit Framework Synthesis AU - Oliver, Dalton DA - 2017/// PY - 2017 DB - Merrill 2011 Cited by (24) ER - TY - JOUR TI - Barriers to participation in a worksite wellness program AU - Person, Ashley Lynne AU - Colby, Sarah Elizabeth AU - Bulova, Jessica Ann AU - Eubanks, Janie Whitehurst T2 - Nutrition Research and Practice DA - 2010/// PY - 2010 DO - 10.4162/nrp.2010.4.2.149 VL - 4 IS - 2 SP - 149 EP - 154 UR - https://app.dimensions.ai/details/publication/pub.1050499934 http://europepmc.org/articles/pmc2867226?pdf=render AN - pub.1050499934 DB - Merrill 2011 Refs (18) Y2 - 2021/02/08/ ER - TY - JOUR TI - Baruch College and The Graduate Center City University of New York AU - Shockley, Kristen DA - 2014/// PY - 2014 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Baseline psychosocial and affective context characteristics predict outcome expectancy as a process appraisal of an organizational health intervention AU - Lehmann, AI AU - Brauchli, R AU - Jenny, GJ AU - ... 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Results from the work, family, and health network AU - Moen, Phyllis AU - Kelly, Erin L AU - Lee, Shi-Rong AU - Oakes, J Michael AU - Fan, Wen AU - Bray, Jeremy AU - Almeida, David AU - Hammer, Leslie AU - Hurtado, David AU - Buxton, Orfeu T2 - Social Problems DA - 2017/// PY - 2017 VL - 64 IS - 1 SP - 53 EP - 85 SN - 0037-7791 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Can a participatory organizational intervention improve social capital and organizational readiness to change? Cluster randomized controlled trial at five Danish … AU - Jakobsen, MD AU - Clausen, T AU - ... 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T2 - American Journal of … AB - Objective: To examine whether a fitness tracker (FT) intervention changes physical activity (PA) behavior compared to a control condition or compared to an alternative intervention. Data Source: Searches between January 01, 2010, and January 01, 2019, were conducted … DA - 2020/// PY - 2020 UR - https://journals.sagepub.com/doi/abs/10.1177/0890117119895204 DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Changing the way we work: elevating energy expenditure with workstation alternatives AU - Tudor-Locke, C. AU - Schuna, J. M. AU - Frensham, L. J. AU - Proenca, M. T2 - International Journal of Obesity DA - 2013/// PY - 2013 DO - 10.1038/ijo.2013.223 VL - 38 IS - 6 SP - 755 EP - 765 UR - https://app.dimensions.ai/details/publication/pub.1025388472 AN - pub.1025388472 DB - Brakenridge 2016 Refs (51) Y2 - 2021/02/04/ ER - TY - JOUR TI - Changing Work and Work-Family Conflict AU - Kelly, Erin L. AU - Moen, Phyllis AU - Oakes, J. Michael AU - Fan, Wen AU - Okechukwu, Cassandra AU - Davis, Kelly D. AU - Hammer, Leslie B. AU - Kossek, Ellen Ernst AU - King, Rosalind Berkowitz AU - Hanson, Ginger C. AU - Mierzwa, Frank AU - Casper, Lynne M. T2 - American Sociological Review DA - 2014/// PY - 2014 DO - 10.1177/0003122414531435 VL - 79 IS - 3 SP - 485 EP - 516 UR - https://app.dimensions.ai/details/publication/pub.1017342105 http://europepmc.org/articles/pmc4208075?pdf=render AN - pub.1017342105 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Changing work and work-family conflict: Evidence from the work, family, and health network AU - Kelly, Erin L AU - Moen, Phyllis AU - Oakes, J Michael AU - Fan, Wen AU - Okechukwu, Cassandra AU - Davis, Kelly D AU - Hammer, Leslie B AU - Kossek, Ellen Ernst AU - King, Rosalind Berkowitz AU - Hanson, Ginger C T2 - American sociological review DA - 2014/// PY - 2014 VL - 79 IS - 3 SP - 485 EP - 516 SN - 0003-1224 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Changing Work, Changing Health AU - Moen, Phyllis AU - Kelly, Erin L. AU - Tranby, Eric AU - Huang, Qinlei T2 - Journal of Health and Social Behavior DA - 2011/// PY - 2011 DO - 10.1177/0022146511418979 VL - 52 IS - 4 SP - 404 EP - 429 UR - https://app.dimensions.ai/details/publication/pub.1017228480 http://europepmc.org/articles/pmc3267478?pdf=render AN - pub.1017228480 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Changing Workplaces to Reduce Work-Family Conflict AU - Kelly, Erin L. AU - Moen, Phyllis AU - Tranby, Eric T2 - American Sociological Review DA - 2011/// PY - 2011 DO - 10.1177/0003122411400056 VL - 76 IS - 2 SP - 265 EP - 290 UR - https://app.dimensions.ai/details/publication/pub.1043844761 http://europepmc.org/articles/pmc3094103?pdf=render AN - pub.1043844761 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Charisma and organizational change: A multilevel study of perceived charisma, commitment to change, and team performance AU - Nohe, Christoph AU - Michaelis, Björn AU - Menges, Jochen I. AU - Zhang, Zhen AU - Sonntag, Karlheinz T2 - The Leadership Quarterly DA - 2013/// PY - 2013 DO - 10.1016/j.leaqua.2013.02.001 VL - 24 IS - 2 SP - 378 EP - 389 UR - https://app.dimensions.ai/details/publication/pub.1035759460 AN - pub.1035759460 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - Chasing productivity demands, worker well-being, and firm performance AU - Ab Wahab, Mastura AU - Tatoglu, Ekrem T2 - Personnel Review DA - 2020/// PY - 2020 SN - 0048-3486 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Choral singing as an arts-based organisational intervention: a qualitative study of employees' experiences AU - Giaver, F AU - Vaag, JR AU - Wennes, G T2 - Arts & Health AB - Background. There is currently not much in-depth understanding of employee perspectives on the adoption of arts-based organisational interventions. This paper focuses on how one intervention consisting of choral singing in a workplace affected the employees' sense of … DA - 2017/// PY - 2017 UR - https://www.tandfonline.com/doi/abs/10.1080/17533015.2016.1182564 DB - Turgut 2016 Cited by (33) ER - TY - JOUR TI - Chronic workplace stress and insufficient physical activity: a cohort study AU - Kouvonen, Anne AU - Vahtera, Jussi AU - Oksanen, Tuula AU - Pentti, Jaana AU - Väänänen, Ari K. P. AU - Heponiemi, Tarja AU - Salo, Paula AU - Virtanen, Marianna AU - Kivimäki, Mika T2 - Occupational and Environmental Medicine DA - 2012/// PY - 2012 DO - 10.1136/oemed-2012-100808 VL - 70 IS - 1 SP - 3 UR - https://app.dimensions.ai/details/publication/pub.1040281843 https://helda.helsinki.fi/bitstream/10138/234096/1/kouvonen_ym_2013_Chronic_workplace_stress_and_insufficient_physical_activity_a_cohort_study.pdf AN - pub.1040281843 DB - Basu 2016 Refs (22) Y2 - 2021/02/04/ ER - TY - JOUR TI - Clarifying Work–Family Intervention Processes: The Roles of Work–Family Conflict and Family-Supportive Supervisor Behaviors AU - Hammer, Leslie B. AU - Kossek, Ellen Ernst AU - Anger, W. Kent AU - Bodner, Todd AU - Zimmerman, Kristi L. T2 - Journal of Applied Psychology DA - 2011/// PY - 2011 DO - 10.1037/a0020927 VL - 96 IS - 1 SP - 134 EP - 150 UR - https://app.dimensions.ai/details/publication/pub.1031011150 http://europepmc.org/articles/pmc3022973?pdf=render AN - pub.1031011150 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Classification of Individual Well-Being Scores for the Determination of Adverse Health and Productivity Outcomes in Employee Populations AU - Shi, Yuyan AU - Sears, Lindsay E. AU - Coberley, Carter R. AU - Pope, James E. T2 - Population Health Management DA - 2012/// PY - 2012 DO - 10.1089/pop.2012.0039 VL - 16 IS - 2 SP - 90 EP - 98 UR - https://app.dimensions.ai/details/publication/pub.1051191096 http://europepmc.org/articles/pmc3698675?pdf=render AN - pub.1051191096 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - Clinical use of the Kessler psychological distress scales with culturally diverse groups AU - Stolk, Yvonne AU - Kaplan, Ida AU - Szwarc, Josef T2 - International journal of methods in psychiatric research DA - 2014/// PY - 2014 VL - 23 IS - 2 SP - 161 EP - 183 SN - 1049-8931 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Clinician Perceptions of a Changing Hospital Environment AU - Maguire, Denise J. AU - Burger, Kristina J. AU - O'Donnell, Patricia A. AU - Parnell, Lisa T2 - HERD Health Environments Research & Design Journal DA - 2013/// PY - 2013 DO - 10.1177/193758671300600306 VL - 6 IS - 3 SP - 69 EP - 79 UR - https://app.dimensions.ai/details/publication/pub.1064079593 AN - pub.1064079593 DB - Steele 2015 Refs (38) Y2 - 2021/02/08/ ER - TY - JOUR TI - Clocking In: The Organization of Work Time and Health in the United States AU - Kleiner, S. AU - Pavalko, E. K. T2 - Social Forces DA - 2010/// PY - 2010 DO - 10.1353/sof.0.0301 VL - 88 IS - 3 SP - 1463 EP - 1486 UR - https://app.dimensions.ai/details/publication/pub.1065049377 AN - pub.1065049377 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Club Fit: Development of a Physical Activity and Healthy Eating Intervention at a Boys & Girls Club After School Program AU - Wieland, Mark L AU - Biggs, Bridget K AU - Brockman, Tabetha A AU - Johnson, Amy AU - Meiers, Sonja J AU - Sim, Leslie A AU - Tolleson, Ellen AU - Hanza, Marcelo M AU - Weis, Jennifer A AU - Rosenman, Jane R T2 - The journal of primary prevention DA - 2020/// PY - 2020 VL - 41 IS - 2 SP - 153 EP - 170 SN - 1573-6547 DB - Wieneke 2016 Cited by (23) ER - TY - JOUR TI - A Cluster Randomized Controlled Trial to Reduce Office Workers’ Sitting Time AU - Healy, Genevieve N. AU - Eakin, Elizabeth G. AU - Owen, Neville AU - Lamontagne, Anthony D. AU - Moodie, Marj AU - Winkler, Elisabeth A. H. AU - Fjeldsoe, Brianna S. AU - Wiesner, Glen AU - Willenberg, Lisa AU - Dunstan, David W. T2 - Medicine & Science in Sports & Exercise DA - 2016/// PY - 2016 DO - 10.1249/mss.0000000000000972 VL - 48 IS - 9 SP - 1787 EP - 1797 UR - https://app.dimensions.ai/details/publication/pub.1025046259 http://pdfs.semanticscholar.org/87c9/6d50ab3fafa77c8c6812e8b73ea765104bac.pdf AN - pub.1025046259 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - A Cluster RCT to Reduce Workers’ Sitting Time AU - Healy, Genevieve N. AU - Winkler, Elisabeth A. H. AU - Eakin, Elizabeth G. AU - Owen, Neville AU - Lamontagne, Anthony D. AU - Moodie, Marj AU - Dunstan, David W. T2 - Medicine & Science in Sports & Exercise DA - 2017/// PY - 2017 DO - 10.1249/mss.0000000000001328 VL - 49 IS - 10 SP - 2032 EP - 2039 UR - https://app.dimensions.ai/details/publication/pub.1085575305 AN - pub.1085575305 DB - Brakenridge 2016 Refs (51) Y2 - 2021/02/04/ ER - TY - JOUR TI - Cognitive and Psychosocial Assessment of Sit or Stand Workstations AU - Caple, D T2 - Congress of the International Ergonomics Association AB - The biomechanical benefits of changing posture from sitting to standing are evident from the research on prevention of musculoskeletal disorders. However, the decision for workers who choose to sit or stand is also related to the cognitive and psychosocial needs in their work … DA - 2018/// PY - 2018 UR - https://link.springer.com/chapter/10.1007/978-3-319-96083-8_26 DB - Robertson 2017 Cited by (23) ER - TY - JOUR TI - Cognitive Appraisal as a Mechanism Linking Negative Organizational Shocks and Intentions to Leave AU - Biggane, Jonathan E. 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AU - Groening, Marlee AU - Gibson, Peter AU - Osborne, Marg AU - Schultz, Annette T2 - Patient Education and Counseling DA - 2009/// PY - 2009 DO - 10.1016/j.pec.2009.02.013 VL - 77 IS - 2 SP - 289 EP - 295 UR - https://app.dimensions.ai/details/publication/pub.1045562261 AN - pub.1045562261 DB - Seidel 2017 Refs (18) Y2 - 2021/02/08/ ER - TY - JOUR TI - Comparative effectiveness of caregiver training in mindfulness-based positive behavior support (MBPBS) and positive behavior support (PBS) in a randomized controlled trial AU - Singh, Nirbhay N AU - Lancioni, Giulio E AU - Medvedev, Oleg N AU - Myers, Rachel E AU - Chan, Jeffrey AU - McPherson, Carrie L AU - Jackman, Monica M AU - Kim, Eunjin T2 - Mindfulness DA - 2020/// PY - 2020 VL - 11 IS - 1 SP - 99 EP - 111 SN - 1868-8535 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - A comparative study of the physiological and psychological effects of forest bathing (Shinrin-yoku) on working age people with and without depressive tendencies AU - Furuyashiki, Akemi AU - Tabuchi, Keiji AU - Norikoshi, Kensuke AU - Kobayashi, Toshio AU - Oriyama, Sanae T2 - Environmental health and preventive medicine DA - 2019/// PY - 2019 VL - 24 IS - 1 SP - 1 EP - 11 SN - 1347-4715 DB - Inoue 2013 Cited by (44) ER - TY - JOUR TI - Compared to palliative care, working in intensive care more than doubles the chances of burnout: results from a nationwide comparative study AU - Martins Pereira, Sandra AU - Teixeira, Carla Margarida AU - Carvalho, Ana Sofia AU - Hernández-Marrero, Pablo AU - InPalIn T2 - PloS one DA - 2016/// PY - 2016 VL - 11 IS - 9 SP - e0162340 SN - 1932-6203 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Comparing the Contributions of Well-Being and Disease Status to Employee Productivity AU - Gandy, William M. 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T2 - Journal of Occupational and Environmental Medicine DA - 2014/// PY - 2014 DO - 10.1097/jom.0000000000000109 VL - 56 IS - 3 SP - 252 EP - 257 UR - https://app.dimensions.ai/details/publication/pub.1046954473 AN - pub.1046954473 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - Comparing the Effectiveness of the Two Different Education Methods on Musculoskeletal Pain and Functional Disability among Teachers living in Savojbolagh City, Iran AU - Naderi, Elham AU - Keshavarz Mohammadi, Nastaran AU - Sabour, Siamak AU - Saremi, Mahnaz AU - Khakpur, Mohammad T2 - International Journal of Musculoskeletal Pain Prevention DA - 2017/// PY - 2017 DP - Robertson 2008 Cited By (156) VL - 2 IS - 3 SP - 299 EP - 306 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Comparing the risk associated with psychosocial work conditions and health behaviours on incident hypertension over a nine-year period in Ontario, Canada AU - Smith, Peter M AU - Mustard, Cameron A AU - Lu, Hong AU - Glazier, Richard H T2 - Canadian Journal of Public Health DA - 2013/// PY - 2013 VL - 104 IS - 1 SP - e82 EP - e86 SN - 1920-7476 DB - Gilbert-Ouimet 2011 Cited by (42) ER - TY - JOUR TI - Comparison of temporary and permanent workers’ job satisfaction and mental health in Isfahan steel company AU - Mazaheri, Maryam Amidi T2 - Advances in Industrial Engineering and Management DA - 2014/// PY - 2014 VL - 3 IS - 1 SP - 89 EP - 94 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - A comparison of the restorative effect of a natural environment with that of a simulated natural environment AU - Kjellgren, Anette AU - Buhrkall, Hanne T2 - Journal of Environmental Psychology DA - 2010/// PY - 2010 DO - 10.1016/j.jenvp.2010.01.011 VL - 30 IS - 4 SP - 464 EP - 472 UR - https://app.dimensions.ai/details/publication/pub.1001449963 AN - pub.1001449963 DB - Steele 2015 Refs (38) Y2 - 2021/02/08/ ER - TY - JOUR TI - Comparison of the Utility of Two Assessments for Explaining and Predicting Productivity Change AU - Gandy, William M AU - Coberley, Carter AU - Pope, James E AU - Rula, Elizabeth Y DA - 2015/// PY - 2015 DB - Hamar 2015 Cited by (33) ER - TY - JOUR TI - Comparison of the utility of two assessments for explaining and predicting productivity change: well-being versus an HRA AU - Gandy, William M AU - Coberley, Carter AU - Pope, James E AU - Rula, Elizabeth Y T2 - Journal of occupational and environmental medicine DA - 2016/// PY - 2016 VL - 58 IS - 1 SP - 69 EP - 75 SN - 1076-2752 DB - Hamar 2015 Cited by (33) ER - TY - JOUR TI - A comparison of work stressors in higher and lower resourced emergency medicine health settings AU - de Haan, Sebastian AU - Lamprecht, Hein AU - Howlett, Michael K AU - Fraser, Jacqueline AU - Sohi, Dylan AU - Adisesh, Anil AU - Atkinson, Paul R T2 - Canadian Journal of Emergency Medicine DA - 2018/// PY - 2018 VL - 20 IS - 5 SP - 713 EP - 720 SN - 1481-8035 DB - Basu 2016 Cited by (24) ER - TY - JOUR TI - The Competing Roles of Middle Management: Negotiated Order In the Context of Change AU - Bryant, Melanie AU - Stensaker, Inger T2 - Journal of Change Management DA - 2011/// PY - 2011 DO - 10.1080/14697017.2011.586951 VL - 11 IS - 3 SP - 353 EP - 373 UR - https://app.dimensions.ai/details/publication/pub.1045779705 AN - pub.1045779705 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - Compromiso organizacional y riesgos psicosociales del sector marítimo portuario ecuatoriano AU - Salvador Moreno, Janeth Elizabeth DA - 2020/// PY - 2020 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Computational Tools for Probing Interactions in Multiple Linear Regression, Multilevel Modeling, and Latent Curve Analysis AU - Preacher, Kristopher J. 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Review of the vitality-related research domain AU - Lavrusheva, Olga T2 - New Ideas in Psychology DA - 2020/// PY - 2020 VL - 56 SP - 100752 SN - 0732-118X DB - Hendriksen 2016 Cited by (46) ER - TY - JOUR TI - Concepts of social epidemiology in health services research AU - von dem Knesebeck, Olaf T2 - BMC health services research DA - 2015/// PY - 2015 VL - 15 IS - 1 SP - 1 EP - 4 SN - 1472-6963 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - The conceptual framework of kaizen influence on employee performance AU - Shojaei, M AU - Shojaei, P T2 - International Journal of Productivity … AB - Kaizen is a complex organisational phenomenon with potential ability to affect both a technical system (eg, performance of work area) and a social system (for example, participating employees and work area employees). The aim of this study was determination … DA - 2020/// PY - 2020 UR - https://www.inderscienceonline.com/doi/abs/10.1504/IJPQM.2020.109360 DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - Conducting organizational-level occupational health interventions: What works? AU - Nielsen, Karina AU - Randall, Raymond AU - Holten, Ann-Louise AU - González, Eusebio Rial T2 - Work & Stress DA - 2010/// PY - 2010 DO - 10.1080/02678373.2010.515393 VL - 24 IS - 3 SP - 234 EP - 259 UR - https://app.dimensions.ai/details/publication/pub.1020865702 AN - pub.1020865702 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Confirmatory Factor Analysis of the Way of Coping Checklist‐Revised (WCCL‐R) in the Asian Context AU - Sawang, Sukanlaya AU - Oei, Tian PS AU - Goh, Yong Wah AU - Mansoer, Wilman AU - Markhum, Enoch AU - Ranawake, D T2 - Applied Psychology DA - 2010/// PY - 2010 VL - 59 IS - 2 SP - 202 EP - 219 SN - 0269-994X DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Confronting a Neglected Epidemic: Tobacco Cessation for Persons with Mental Illnesses and Substance Abuse Problems AU - Schroeder, Steven A. AU - Morris, Chad D. 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T2 - Personnel Psychology DA - 2005/// PY - 2005 DO - 10.1111/j.1744-6570.2005.00672.x VL - 58 IS - 2 SP - 281 EP - 342 UR - https://app.dimensions.ai/details/publication/pub.1011264642 AN - pub.1011264642 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Consequences of routine work-schedule instability for worker health and well-being AU - Schneider, Daniel AU - Harknett, Kristen T2 - American Sociological Review DA - 2019/// PY - 2019 VL - 84 IS - 1 SP - 82 EP - 114 SN - 0003-1224 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Considerations on the calculation of fractions of cardiovascular disease attributable to psychosocial work factors AU - Backé, E. AU - Burr, H. AU - Latza, U. T2 - International Archives of Occupational and Environmental Health DA - 2013/// PY - 2013 DO - 10.1007/s00420-013-0919-0 VL - 87 IS - 7 SP - 801 EP - 803 UR - https://app.dimensions.ai/details/publication/pub.1009823811 https://link.springer.com/content/pdf/10.1007%2Fs00420-013-0919-0.pdf AN - pub.1009823811 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - Considering underrepresented populations in work and family research AU - Agars, Mark D AU - French, Kimberly A DA - 2016/// PY - 2016 SN - 0199337535 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - CONSORT 2010 Explanation and Elaboration: updated guidelines for reporting parallel group randomised trials AU - Moher, David AU - Hopewell, Sally AU - Schulz, Kenneth F. AU - Montori, Victor AU - Gøtzsche, Peter C. AU - Devereaux, P. J. AU - Elbourne, Diana AU - Egger, Matthias AU - Altman, Douglas G. 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Insights into Gender Asymmetries AU - Carreri, Anna T2 - Social Sciences DA - 2020/// PY - 2020 VL - 9 IS - 6 SP - 107 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Control over time: employers, workers, and families shaping work schedules AU - Gerstel, Naomi AU - Clawson, Dan T2 - Annual review of sociology DA - 2018/// PY - 2018 VL - 44 SP - 77 EP - 97 SN - 0360-0572 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Controlling or Channeling Demands? How Schedule Control Influences the Link Between Job Pressure and the Work-Family Interface AU - Badawy, Philip J AU - Schieman, Scott T2 - Work and Occupations DA - 2020/// PY - 2020 SP - 0730888420965650 SN - 0730-8884 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Controlling working crowds: The impact of digitalization on worker autonomy and monitoring across hierarchical levels AU - Gerten, Elisa AU - Beckmann, Michael AU - Bellmann, Lutz T2 - Jahrbücher für Nationalökonomie und Statistik DA - 2019/// PY - 2019 VL - 239 IS - 3 SP - 441 EP - 481 SN - 0021-4027 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Convergence analysis of the factors influencing terminal care attitude AU - Yang, Seung T2 - Journal of the Korea Convergence Society DA - 2015/// PY - 2015 VL - 6 IS - 4 SP - 73 EP - 88 SN - 2233-4890 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - The Copenhagen Psychosocial Questionnaire--a tool for the assessment and improvement of the psychosocial work environment AU - Kristensen, Tage S. AU - Hannerz, Harald AU - Høgh, Annie AU - Borg, Vilhelm T2 - Scandinavian Journal of Work, Environment & Health DA - 2005/// PY - 2005 DO - 10.5271/sjweh.948 VL - 31 IS - 6 SP - 438 EP - 49 UR - https://app.dimensions.ai/details/publication/pub.1072739150 http://www.sjweh.fi/download.php?abstract_id=948&file_nro=1 AN - pub.1072739150 DB - Barrech 2018 Refs (44) Y2 - 2021/02/04/ ER - TY - JOUR TI - Coping with work-related stress through guided imagery and music (GIM): randomized controlled trial AU - Beck, BD AU - Hansen, ÅM AU - Gold, C T2 - Journal of music therapy AB - Background: Long-term stress-related sick leave constitutes a serious health threat and an economic burden on both the single worker and the society. Effective interventions for the rehabilitation and facilitation of return to work are needed. Objective: The aim of the study … DA - 2015/// PY - 2015 UR - https://academic.oup.com/jmt/article-abstract/52/3/323/2614186 DB - Vaag 2013 Cited by (33) ER - TY - JOUR TI - Corporate social responsibility as corporate social control: The case of work-site health promotion AU - Holmqvist, Mikael T2 - Scandinavian Journal of Management DA - 2009/// PY - 2009 DO - 10.1016/j.scaman.2008.08.001 VL - 25 IS - 1 SP - 68 EP - 72 UR - https://app.dimensions.ai/details/publication/pub.1007770461 AN - pub.1007770461 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - A Corporate Wellness Program and Nursing Home Employees' Health AU - Kernan, Gabriela AU - Cifuentes, Manuel AU - Gore, Rebecca AU - Kriebel, David AU - Punnett, Laura T2 - Frontiers in Public Health DA - 2020/// PY - 2020 VL - 8 SP - 646 SN - 2296-2565 DB - Hendriksen 2016 Cited by (46) ER - TY - JOUR TI - Correlates of job satisfaction amongst quantity surveyors in consulting firms in Lagos, Nigeria AU - Onukwube, Henry Ndubuisi T2 - Construction Economics and Building DA - 2012/// PY - 2012 VL - 12 IS - 2 SP - 54 EP - 54 SN - 2204-9029 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - A correlation study of emergency department nurses’ fatigue, perceived stress, social support and self-efficacy in grade III A hospitals of Xi’an AU - Wu, Chao AU - Ge, Yiling AU - Xu, Chao AU - Zhang, Xinyan AU - Lang, Hongjuan T2 - Medicine DA - 2020/// PY - 2020 VL - 99 IS - 32 DB - Basu 2016 Cited by (24) ER - TY - JOUR TI - Correlation Study of Emotional Labor, Self-esteem and Perceived Health Status of Construction Supervisors AU - Park, A Young AU - Kim, Ja-Ok AU - Park, Hae-Ryoung T2 - Medico Legal Update DA - 2019/// PY - 2019 VL - 19 IS - 1 SP - 592 EP - 596 SN - 0974-1283 DB - Hendriksen 2016 Cited by (46) ER - TY - JOUR TI - Cost and visit duration of same-day access at an academic ophthalmology department vs emergency department AU - Singman, Eric L AU - Smith, Kerry AU - Mehta, Radhika AU - Boland, Michael V AU - Srikumaran, Divya AU - Frick, Kevin AU - Young, Lynne AU - Locco, Gina AU - Tian, Jing AU - Kowalewski, Cathy T2 - JAMA ophthalmology DA - 2019/// PY - 2019 VL - 137 IS - 7 SP - 729 EP - 735 SN - 2168-6165 DB - Basu 2016 Cited by (24) ER - TY - JOUR TI - Cost-effectiveness of a workplace intervention for sick-listed employees with common mental disorders: design of a randomized controlled trial AU - van Oostrom, Sandra H. AU - Anema, Johannes R. AU - Terluin, Berend AU - de Vet, Henrica C. W. AU - Knol, Dirk L. AU - van Mechelen, Willem T2 - BMC Public Health DA - 2008/// PY - 2008 DO - 10.1186/1471-2458-8-12 VL - 8 IS - 1 SP - 12 UR - https://app.dimensions.ai/details/publication/pub.1049429138 https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/1471-2458-8-12 AN - pub.1049429138 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - Costs of a work-family intervention: evidence from the work, family, and health network AU - Barbosa, Carolina AU - Bray, Jeremy W AU - Brockwood, Krista AU - Reeves, Daniel T2 - American Journal of Health Promotion DA - 2014/// PY - 2014 VL - 28 IS - 4 SP - 209 EP - 217 SN - 0890-1171 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - The Costs of Obesity in the Workplace AU - Finkelstein, Eric A. AU - DiBonaventura, Marco daCosta AU - Burgess, Somali M. AU - Hale, Brent C. T2 - Journal of Occupational and Environmental Medicine DA - 2010/// PY - 2010 DO - 10.1097/jom.0b013e3181f274d2 VL - 52 IS - 10 SP - 971 EP - 976 UR - https://app.dimensions.ai/details/publication/pub.1020152797 AN - pub.1020152797 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - Counseling psychology and occupational health psychology AU - Eggerth, Donald E AU - Cunningham, Thomas R DA - 2012/// PY - 2012 SN - 0195342313 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Counselors and Workplace Wellness Programs: A Conceptual Model AU - Saliba, Y AU - Barden, S T2 - Professional Counselor AB - Occupational stress is a top source of stress for over 65% of Americans due to extended hours in the workplace. Recent changes in health care have encouraged employers to build workplace wellness programs to improve physical and mental health for employees to … DA - 2017/// PY - 2017 UR - https://eric.ed.gov/?id=EJ1165662 DB - Jarman 2015 Cited by (27) ER - TY - JOUR TI - Counterbalancing work-related stress? Work engagement among intensive care professionals AU - van Mol, Margo MC AU - Nijkamp, Marjan D AU - Bakker, Jan AU - Schaufeli, Wilmar B AU - Kompanje, Erwin JO T2 - Australian Critical Care DA - 2018/// PY - 2018 VL - 31 IS - 4 SP - 234 EP - 241 SN - 1036-7314 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - The Status Dynamics of Role Blurring in the Time of COVID-19 AU - Schieman, Scott AU - Badawy, Philip J T2 - Socius DA - 2020/// PY - 2020 VL - 6 SP - 2378023120944358 SN - 2378-0231 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Crafting careers in a technology-enabled flexible work environment AU - Field, Justin Craig AU - Smith-Ruig, Theresa AU - Sheridan, Alison AU - Conway, Mary-Louise DA - 2017/// PY - 2017 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Crafting sustainable work: development of personal resources AU - Kira, Mari AU - van Eijnatten, Frans M. AU - Balkin, David B. T2 - Journal of Organizational Change Management DA - 2010/// PY - 2010 DO - 10.1108/09534811011071315 VL - Volume 23 IS - Issue 5 SP - 616 EP - 632 UR - https://app.dimensions.ai/details/publication/pub.1015822467 AN - pub.1015822467 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - Crafting the Change: The Role of Employee Job Crafting Behaviors for Successful Organizational Change AU - Petrou, Paraskevas AU - Demerouti, Evangelia AU - Schaufeli, Wilmar B. T2 - Journal of Management DA - 2016/// PY - 2016 DO - 10.1177/0149206315624961 VL - 44 IS - 5 SP - 1766 EP - 1792 UR - https://app.dimensions.ai/details/publication/pub.1023290337 AN - pub.1023290337 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Creating a compassion system to achieve efficiency and quality in health care delivery AU - Vogus, TJ AU - McClelland, LE AU - Lee, YSH AU - ... T2 - Journal of Service … AB - Purpose Health care delivery is experiencing a multi-faceted epidemic of suffering among patients and care providers. Compassion is defined as noticing, feeling and responding to suffering. However, compassion is typically seen as an individual rather than a more … DA - 2021/// PY - 2021 UR - https://www.emerald.com/insight/content/doi/10.1108/JOSM-05-2019-0132/full/html DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - Creating a healthy workplace for new‐generation nurses AU - Lavoie‐Tremblay, Mélanie AU - Wright, David AU - Desforges, Nicole AU - Gélinas, Céline AU - Marchionni, Caroline AU - Drevniok, Ulrika T2 - Journal of Nursing Scholarship DA - 2008/// PY - 2008 VL - 40 IS - 3 SP - 290 EP - 297 SN - 1527-6546 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Creating Office Ergonomic Awareness among the Staff of Katsina State Local Government Offices in Nigeria: A Viable Strategy for Reducing the Prevalence of Work Related Musculo-Skeletal Disorders AU - Gambo, Abdu AU - Wee, Seow Ta AU - Mohamed, Sulzakimin T2 - International Journal of Research and Review DA - 2017/// PY - 2017 DP - Robertson 2008 Cited By (156) SP - 2454 EP - 2237 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Creating Positive Employee Change Evaluation: The Role of Different Levels of Organizational Support and Change Participation AU - Fuchs, Sebastian AU - Prouska, Rea T2 - Journal of Change Management DA - 2014/// PY - 2014 DO - 10.1080/14697017.2014.885460 VL - 14 IS - 3 SP - 361 EP - 383 UR - https://app.dimensions.ai/details/publication/pub.1031464989 http://researchopen.lsbu.ac.uk/510/1/Fuchs%20and%20Prouska%202014%20Creating%20positive%20employee%20change%20evaluation_JCM_Symplectic%20article.pdf AN - pub.1031464989 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - Creating workplace well-being: Time for practical wisdom AU - Bennett, Joel B AU - Weaver, John AU - Senft, Mim AU - Neeper, Michael DA - 2017/// PY - 2017 SN - 1118993772 DB - Hamar 2015 Cited by (33) ER - TY - JOUR TI - The CREATION Model: A whole-person wellness model to facilitate patient-provider partnerships for health promotion AU - ANDERSON, Gabriella A AU - SAWYER, Amanda T AU - HARRIS, Stephanie L AU - ROBINSON, Patricia S T2 - Journal of Health and Social Sciences DA - 2020/// PY - 2020 VL - 5 IS - 4 SP - 485 EP - 500 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Critical care nurses' perceptions of their knowledge and self-efficacy about providing end-of-life care AU - Gaffney, Mary Kathryn DA - 2015/// PY - 2015 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Critical care of patients with cancer AU - Shimabukuro‐Vornhagen, Alexander AU - Böll, Boris AU - Kochanek, Matthias AU - Azoulay, Éli AU - von Bergwelt‐Baildon, Michael S T2 - CA: a cancer journal for clinicians DA - 2016/// PY - 2016 VL - 66 IS - 6 SP - 496 EP - 517 SN - 0007-9235 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Cross-cultural adaptation, from Dutch to Swedish language, of the Individual Work Performance Questionnaire AU - Dåderman, Anna M AU - Ingelgård, Anders AU - Koopmans, Linda T2 - Work DA - 2020/// PY - 2020 VL - 65 IS - 1 SP - 97 EP - 109 SN - 1051-9815 DB - Hendriksen 2016 Cited by (46) ER - TY - JOUR TI - Cross-functional training of front-line hotel employees, in-role and extra-role job performance, customer satisfaction, and customer loyalty: a conceptual model proposal AU - Sumaneeva, Ksenia A AU - Eluwole, Kayode Kolawole AU - Turgay, AVCI T2 - Journal of Environmental Management and Tourism DA - 2019/// PY - 2019 VL - 9 IS - 6 SP - 1183 EP - 1189 SN - 2068-7729 DB - Neves 2018 Cited by (6) ER - TY - JOUR TI - A cross‐sectional survey on occupational stress and associated dyslipidemia among medical staff in tertiary public hospitals in Wenzhou, China AU - Zhang, Hui AU - Shao, Meng‐Meng AU - Lin, Xian‐Da AU - Cheng, Li‐Jun AU - Ovlyakulov, Begench AU - Chen, Bo‐Bei AU - Chen, Ke‐Yang T2 - Brain and Behavior DA - 2020/// PY - 2020 SP - e02014 SN - 2162-3279 DB - Basu 2016 Cited by (24) ER - TY - JOUR TI - Crossover of job demands and emotional exhaustion within teams: a longitudinal multilevel study AU - Westman, Mina AU - Bakker, Arnold B. AU - Roziner, Ilan AU - Sonnentag, Sabine T2 - Anxiety Stress & Coping DA - 2011/// PY - 2011 DO - 10.1080/10615806.2011.558191 VL - 24 IS - 5 SP - 561 EP - 577 UR - https://app.dimensions.ai/details/publication/pub.1053351614 AN - pub.1053351614 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - Crossover of resources and well-being within employee-partner dyads: through increased schedule control AU - Lee, Soomi AU - Lawson, Katie M AU - Damaske, Sarah T2 - Community, work & family DA - 2019/// PY - 2019 VL - 22 IS - 4 SP - 391 EP - 411 SN - 1366-8803 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Cultural activities and public health: research in Norway and Sweden. An overview AU - Cuypers, Koenraad Frans AU - Knudtsen, Margunn Skjei AU - Sandgren, Maria AU - Krokstad, Steinar AU - Wikström, Britt Maj AU - Theorell, Töres T2 - Arts & Health DA - 2011/// PY - 2011 DO - 10.1080/17533015.2010.481288 VL - 3 IS - 1 SP - 6 EP - 26 UR - https://app.dimensions.ai/details/publication/pub.1042693007 AN - pub.1042693007 DB - Vaag 2013 Refs (19) Y2 - 2021/02/08/ ER - TY - JOUR TI - Cultural Participation and Health: A Randomized Controlled Trial Among Medical Care Staff AU - Bygren, Lars Olov AU - Weissglas, Gösta AU - Wikström, Britt-Maj AU - Konlaan, Boinkum Benson AU - Grjibovski, Andrej AU - Karlsson, Ann-Brith AU - Andersson, Sven-Olof AU - Sjöström, Michael T2 - Psychosomatic Medicine DA - 2009/// PY - 2009 DO - 10.1097/psy.0b013e31819e47d4 VL - 71 IS - 4 SP - 469 EP - 473 UR - https://app.dimensions.ai/details/publication/pub.1017615922 AN - pub.1017615922 DB - Vaag 2013 Refs (19) Y2 - 2021/02/08/ ER - TY - JOUR TI - Cultural Values as Moderators of Employee Reactions to Job Insecurity: The Role of Individualism and Collectivism AU - Probst, Tahira M. AU - Lawler, John T2 - Applied Psychology DA - 2006/// PY - 2006 DO - 10.1111/j.1464-0597.2006.00239.x VL - 55 IS - 2 SP - 234 EP - 254 UR - https://app.dimensions.ai/details/publication/pub.1001713283 AN - pub.1001713283 DB - Neves 2018 Refs (53) Y2 - 2021/02/08/ ER - TY - JOUR TI - Culture and public health activities in Sweden and Norway AU - Theorell, T AU - Knudtsen, MS AU - Horwitz, EB AU - ... T2 - Oxford textbook of … AB - This chapter builds on a recent review of research on cultural activities for health promotion in Norway and Sweden (Cuypers et al. 2011). Our aim in this chapter, however, is to provide the reader with some illustrations of the wide range of ongoing activities in Sweden and … DA - 2015/// PY - 2015 UR - https://books.google.com/books?hl=en&lr=&id=GvhJDwAAQBAJ&oi=fnd&pg=PA171&ots=oVfSYB1hFo&sig=Tx40kCgGnNb4xwSehtOB-JmPqy8 DB - Vaag 2013 Cited by (33) ER - TY - JOUR TI - The Culture of Women in Tech AU - Hardey, Mariann DA - 2019/// PY - 2019 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - The cumulative effect of reporting and citation biases on the apparent efficacy of treatments: the case of depression AU - de Vries, Y. A. AU - Roest, A. M. AU - de Jonge, P. AU - Cuijpers, P. AU - Munafò, M. R. AU - Bastiaansen, J. A. T2 - Psychological Medicine DA - 2018/// PY - 2018 DO - 10.1017/s0033291718001873 VL - 48 IS - 15 SP - 2453 EP - 2455 UR - https://app.dimensions.ai/details/publication/pub.1105953492 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/71D73CADE32C0D3D996DABEA3FCDBF57/S0033291718001873a.pdf/div-class-title-the-cumulative-effect-of-reporting-and-citation-biases-on-the-apparent-efficacy-of-treatments-the-case-of-depression-div.pdf AN - pub.1105953492 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Current cigarette smoking prevalence among working adults--United States, 2004-2010 T2 - MMWR Morbidity and Mortality Weekly Report DA - 2011/// PY - 2011 VL - 60 IS - 38 SP - 1305 EP - 9 UR - https://app.dimensions.ai/details/publication/pub.1078455846 AN - pub.1078455846 DB - Seidel 2017 Refs (18) Y2 - 2021/02/08/ ER - TY - JOUR TI - De ontwikkeling van een interventie voor werkhervatting bij veelvoorkomende psychische klachten AU - van Oostrom, SH AU - Anema, JR AU - Terluin, B AU - Venema, A AU - de Vet, HCW AU - van Mechelen, W T2 - TBV–Tijdschrift voor Bedrijfs-en Verzekeringsgeneeskunde DA - 2008/// PY - 2008 VL - 16 IS - 8 SP - 329 EP - 335 SN - 1876-5858 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Debriefing to improve outcomes from critical illness: a systematic review and meta-analysis AU - Couper, Keith AU - Salman, Bilal AU - Soar, Jasmeet AU - Finn, Judith AU - Perkins, Gavin D T2 - Intensive care medicine DA - 2013/// PY - 2013 VL - 39 IS - 9 SP - 1513 EP - 1523 SN - 1432-1238 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Defining and Measuring Quality Outcomes in Long-Term Care AU - Mor, Vincent T2 - Journal of the American Medical Directors Association DA - 2007/// PY - 2007 DO - 10.1016/j.jamda.2006.12.014 VL - 8 IS - 3 SP - e129 EP - e137 UR - https://app.dimensions.ai/details/publication/pub.1009095656 AN - pub.1009095656 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - Defining lean production: some conceptual and practical issues AU - Pettersen, Jostein T2 - The TQM Journal DA - 2009/// PY - 2009 DO - 10.1108/17542730910938137 VL - Volume 21 IS - Issue 2 SP - 127 EP - 142 UR - https://app.dimensions.ai/details/publication/pub.1040846371 http://pdfs.semanticscholar.org/28f2/eec7b8b06214b53e000ecdc299645e6c0255.pdf AN - pub.1040846371 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Defining the methodological challenges and opportunities for an effective science of sociotechnical systems and safety AU - Waterson, Patrick AU - Robertson, Michelle M AU - Cooke, Nancy J AU - Militello, Laura AU - Roth, Emilie AU - Stanton, Neville A T2 - Ergonomics DA - 2015/// PY - 2015 DP - Robertson 2008 Cited By (156) VL - 58 IS - 4 SP - 565 EP - 599 SN - 0014-0139 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Démarche d’intervention sur l’organisation du travail afin d’agir sur les problèmes de santé mentale au travail AU - St-Arnaud, Louise AU - Gignac, Sylviane AU - Gourdeau, Pierre AU - Pelletier, Mariève AU - Vézina, Michel T2 - Perspectives interdisciplinaires sur le travail et la santé DA - 2010/// PY - 2010 IS - 12-3 SN - 1481-9384 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Demographic Faultlines: A Meta-Analysis of the Literature AU - Thatcher, Sherry M. B. AU - Patel, Pankaj C. T2 - Journal of Applied Psychology DA - 2011/// PY - 2011 DO - 10.1037/a0024167 VL - 96 IS - 6 SP - 1119 EP - 1139 UR - https://app.dimensions.ai/details/publication/pub.1052232010 AN - pub.1052232010 Y2 - 2021/02/04/ ER - TY - JOUR TI - Demonstration and evaluation of a method for assessing mediated moderation AU - Morgan-Lopez, Antonio A. AU - Mackinnon, David P. T2 - Behavior Research Methods DA - 2006/// PY - 2006 DO - 10.3758/bf03192752 VL - 38 IS - 1 SP - 77 EP - 87 UR - https://app.dimensions.ai/details/publication/pub.1042134284 https://link.springer.com/content/pdf/10.3758%2FBF03192752.pdf AN - pub.1042134284 DB - Neves 2018 Refs (53) Y2 - 2021/02/08/ ER - TY - JOUR TI - Dependent leaders AU - Voorn, Bart DA - 2017/// PY - 2017 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Depressive symptoms and psychosocial stress at work among older employees in three continents AU - Siegrist, Johannes AU - Lunau, Thorsten AU - Wahrendorf, Morten AU - Dragano, Nico T2 - Globalization and Health DA - 2012/// PY - 2012 DO - 10.1186/1744-8603-8-27 VL - 8 IS - 1 SP - 27 UR - https://app.dimensions.ai/details/publication/pub.1023334878 https://globalizationandhealth.biomedcentral.com/track/pdf/10.1186/1744-8603-8-27 AN - pub.1023334878 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - Desafios e possibilidades para a saúde do trabalhador na contemporaneidade AU - Alcantara, Ariana Celis T2 - Anais do Encontro Internacional e Nacional de Política Social DA - 2019/// PY - 2019 VL - 1 IS - 1 SN - 2175-098X DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Designing and psychometric evaluation of stretching exercise influencing scale (SEIS) AU - Delshad, MH AU - Tavafian, SS AU - Kazemnejad, A T2 - BMJ open AB - Objective The lack of reliable and valid tools for assessing the factors that influence stretching exercises (SEs) among Iranian office employees is obvious. This study aimed to design and evaluate psychometric properties of this instrument. Design Cross-sectional … DA - 2019/// PY - 2019 UR - https://bmjopen.bmj.com/content/9/5/e026565.abstract DB - Robertson 2017 Cited by (23) ER - TY - JOUR TI - Designing healthy workspaces: Results from Australian certified open-plan offices AU - Candido, C AU - Marzban, S AU - Haddad, S AU - Mackey, M AU - Loder, A T2 - Facilities AB - Purpose From poor indoor environmental quality conditions to musculoskeletal discomfort, the interior design of workspaces has the potential to negatively affect human health. One of the key responses from industry has been the rise of health-related guidelines, certification … DA - 2020/// PY - 2020 UR - https://www.emerald.com/insight/content/doi/10.1108/F-02-2020-0018/full/html DB - Arundell 2018 Cited by (32) ER - TY - JOUR TI - Designing Work, Family & Health Organizational Change Initiatives AU - Kossek, Ellen Ernst AU - Hammer, Leslie B. AU - Kelly, Erin L. AU - Moen, Phyllis T2 - Organizational Dynamics DA - 2014/// PY - 2014 DO - 10.1016/j.orgdyn.2013.10.007 VL - 43 IS - 1 SP - 53 EP - 63 UR - https://app.dimensions.ai/details/publication/pub.1052636353 https://doi.org/10.1016/j.orgdyn.2013.10.007 AN - pub.1052636353 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Desk ownership in the workplace: The effect of non-territorial working on employee workplace satisfaction, perceived productivity and health AU - Kim, Jungsoo AU - Candido, Christhina AU - Thomas, Leena AU - de Dear, Richard T2 - Building and Environment DA - 2016/// PY - 2016 DO - 10.1016/j.buildenv.2016.04.015 VL - 103 SP - 203 EP - 214 UR - https://app.dimensions.ai/details/publication/pub.1004365845 AN - pub.1004365845 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - A detailed description of the short-term musculoskeletal and cognitive effects of prolonged standing for office computer work AU - Baker, R AU - Coenen, P AU - Howie, E AU - Lee, J AU - Williamson, A AU - ... T2 - Ergonomics AB - Due to concerns about excessive sedentary exposure for office workers, alternate work positions such as standing are being trialled. However, prolonged standing may have health and productivity impacts, which this study assessed. Twenty adult participants undertook two … DA - 2018/// PY - 2018 UR - https://www.tandfonline.com/doi/abs/10.1080/00140139.2017.1420825 DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Determinants and prevalence of burnout in emergency nurses: A systematic review of 25 years of research AU - Adriaenssens, Jef AU - De Gucht, Véronique AU - Maes, Stan T2 - International Journal of Nursing Studies DA - 2014/// PY - 2014 DO - 10.1016/j.ijnurstu.2014.11.004 VL - 52 IS - 2 SP - 649 EP - 661 UR - https://app.dimensions.ai/details/publication/pub.1048557743 AN - pub.1048557743 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - Determinants of return-to-work among employees absent due to mental health problems AU - St-Arnaud, Louise AU - Bourbonnais, Renée AU - Saint-Jean, Micheline AU - Rhéaume, Jacques T2 - Relations industrielles/Industrial Relations DA - 2007/// PY - 2007 VL - 62 IS - 4 SP - 690 EP - 713 SN - 0034-379X DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Determining the effect of auditors' skeptical personality traits with considering the characteristics of organizational behaviour on job Audit Durability AU - Jari, Azam AU - Foroghi, Daruosh AU - Amir, Hadi T2 - Advances in Mathematical Finance and Applications DA - 2020/// PY - 2020 VL - 5 IS - 4 SP - 1 EP - 29 SN - 2538-5569 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Developing an Observational Technique of Assessing and Identifying Ergonomic and Health Risk Factors Associated with Office Work: A Study of Selected Offices in Three State-Owned Tertiary Institutions of Katsina State in Nigeria AU - Gambo, Abdu T2 - International Journal of Science and Healthcare Research International Journal of Science and Healthcare Research (Www. Gkpublication. In) DA - 2017/// PY - 2017 DP - Robertson 2008 Cited By (156) VL - 22 IS - 2 SP - 2455 EP - 7587 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Developing and Investigating the Use of Single-Item Measures in Organizational Research AU - Fisher, Gwenith G. AU - Matthews, Russell A. AU - Gibbons, Alyssa Mitchell T2 - Journal of Occupational Health Psychology DA - 2016/// PY - 2016 DO - 10.1037/a0039139 VL - 21 IS - 1 SP - 3 EP - 23 UR - https://app.dimensions.ai/details/publication/pub.1032321513 AN - pub.1032321513 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Developing caring conversations in care homes: An appreciative inquiry AU - Dewar, B AU - MacBride, T T2 - Health & social care in the community AB - Relationship‐centred practice is key to delivering quality care in care homes. Evidence is strong about the centrality of human interaction in developing relationships that promote dignity and compassion. The Caring Conversations framework is a framework for delivering … DA - 2017/// PY - 2017 UR - https://onlinelibrary.wiley.com/doi/abs/10.1111/hsc.12436 DB - Joen 2015 Cited by (37) ER - TY - JOUR TI - Developing new ways of evaluating organizational-level interventions AU - Nielsen, Karina AU - Randall, Raymond AU - Christensen, Karl Bang T2 - Contemporary occupational health psychology: Global perspectives on research and practice DA - 2010/// PY - 2010 VL - 1 SP - 21 EP - 45 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Development and evaluation of smoke-free or tobacco-free policies in university settings: a systematic scoping review AU - Bardus, M AU - El Boukhari, N AU - Nakkash, R T2 - Health Education Research DA - 2020/// PY - 2020 VL - 35 IS - 4 SP - 306 EP - 351 SN - 0268-1153 DB - Ripley-Moffitt 2010 Cited By (14) ER - TY - JOUR TI - Development and initial testing of the Person-centered Care Assessment Tool (P-CAT) AU - Edvardsson, David AU - Fetherstonhaugh, Deirdre AU - Nay, Rhonda AU - Gibson, Stephen T2 - International Psychogeriatrics DA - 2009/// PY - 2009 DO - 10.1017/s1041610209990688 VL - 22 IS - 1 SP - 101 EP - 108 UR - https://app.dimensions.ai/details/publication/pub.1050612823 http://pdfs.semanticscholar.org/6229/31a69e4db91893cafbc499880fdb9a96475f.pdf AN - pub.1050612823 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - The development and validation of a job crafting measure for use with blue-collar workers AU - Nielsen, Karina AU - Abildgaard, Johan Simonsen T2 - Work & Stress DA - 2012/// PY - 2012 DO - 10.1080/02678373.2012.733543 VL - 26 IS - 4 SP - 365 EP - 384 UR - https://app.dimensions.ai/details/publication/pub.1025758242 https://www.tandfonline.com/doi/pdf/10.1080/02678373.2012.733543?needAccess=true AN - pub.1025758242 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - Development and validation of employee wellbeing scale–a formative measurement model AU - Khatri, Puja AU - Gupta, Pragya T2 - International Journal of Workplace Health Management DA - 2019/// PY - 2019 SN - 1753-8351 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Development of a Benefits Ambassadors programme to leverage coworker relationships to increase employee knowledge AU - Perrault, Evan K AU - Hildenbrand, Grace M T2 - Knowledge Management Research & Practice DA - 2019/// PY - 2019 DB - Wieneke 2016 Cited by (23) ER - TY - JOUR TI - Development of a workplace intervention for sick-listed employees with stress-related mental disorders: Intervention Mapping as a useful tool AU - van Oostrom, Sandra H AU - Anema, Johannes R AU - Terluin, Berend AU - Venema, Anita AU - de Vet, Henrica CW AU - van Mechelen, Willem T2 - BMC health services research DA - 2007/// PY - 2007 VL - 7 IS - 1 SP - 1 EP - 13 SN - 1472-6963 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Development of an individual work performance questionnaire AU - Koopmans, Linda AU - Bernaards, Claire AU - Hildebrandt, Vincent AU - van Buuren, Stef AU - van der Beek, Allard J. AU - de Vet, Henrica C. W. T2 - International Journal of Productivity and Performance Management DA - 2012/// PY - 2012 DO - 10.1108/17410401311285273 VL - Volume 62 IS - Issue 1 SP - 6 EP - 28 UR - https://app.dimensions.ai/details/publication/pub.1052815739 http://pdfs.semanticscholar.org/6297/1a0c5fa4e51b251061ff48e058ef439dc986.pdf AN - pub.1052815739 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - Development of depressive symptoms and depression during organizational change--a two-year follow-up study of civil servants AU - Netterstrøm, Bo AU - Blønd, Morten AU - Nielsen, Martin AU - Rugulies, Reiner AU - Eskelinen, Leena T2 - Scandinavian Journal of Work, Environment & Health DA - 2010/// PY - 2010 DO - 10.5271/sjweh.3075 VL - 36 IS - 6 SP - 445 EP - 8 UR - https://app.dimensions.ai/details/publication/pub.1072738147 http://www.sjweh.fi/download.php?abstract_id=3075&file_nro=1 AN - pub.1072738147 DB - Eller 2011 Refs (38) Y2 - 2021/02/04/ ER - TY - JOUR TI - The development of five scales to measure employees’ appraisals of organizational-level stress management interventions AU - Randall, Raymond AU - Nielsen, Karina AU - Tvedt, Sturle D. T2 - Work & Stress DA - 2009/// PY - 2009 DO - 10.1080/02678370902815277 VL - 23 IS - 1 SP - 1 EP - 23 UR - https://app.dimensions.ai/details/publication/pub.1000725878 AN - pub.1000725878 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Development of the Motivators of and Barriers to Health-Smart Behaviors Inventory AU - Tucker, Carolyn M. AU - Rice, Kenneth G. AU - Hou, Wei AU - Kaye, Lillian B. AU - Nolan, Sarah E. M. AU - Grandoit, Delphia J. AU - Gonzales, Lucia AU - Smith, Mary B. AU - Desmond, Frederic F. T2 - Psychological Assessment DA - 2011/// PY - 2011 DO - 10.1037/a0022299 VL - 23 IS - 2 SP - 487 EP - 503 UR - https://app.dimensions.ai/details/publication/pub.1047264002 AN - pub.1047264002 DB - Williams 2020 Refs (15) Y2 - 2021/02/06/ ER - TY - JOUR TI - The Developmental Leadership Questionnaire (DLQ): Some psychometric properties AU - Larsson, Gerry T2 - Scandinavian Journal of Psychology DA - 2006/// PY - 2006 DO - 10.1111/j.1467-9450.2006.00515.x VL - 47 IS - 4 SP - 253 EP - 262 UR - https://app.dimensions.ai/details/publication/pub.1050644919 AN - pub.1050644919 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - A developmental perspective on the link between parents’ employment and children’s obesity AU - Crosnoe, Robert AU - Dunifon, Rachel T2 - American Psychologist DA - 2017/// PY - 2017 VL - 72 IS - 5 SP - 474 SN - 1935-990X DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - DÉVELOPPEMENT, MISE EN ŒUVRE ET CARACTÉRISATION D’UN PROCESSUS DE SURVEILLANCE CONTINUE PAR INTERNET DE FACTEURS PSYCHOSOCIAUX EN VUE DE SON UTILISATION ÉVENTUELLE DANS LA PRÉVENTION DES CRISES ORGANISATIONNELLES AU - VOIROL, CHRISTIAN GERARD DA - 2010/// PY - 2010 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Diabetes mellitus and work. Assessment and questionnaires revision AU - Vicente-Herrero, MT AU - Delgado-Bueno, S T2 - Endocrinología, Diabetes y … AB - Diabetes mellitus presents high prevalence, severe complications, clinical repercussions, costs and occupational implications. Their assessment requires the use of the medical history and support questionnaires. A literature review was conducted on the topic of clinical … DA - 2019/// PY - 2019 UR - https://www.sciencedirect.com/science/article/pii/S2530018019301131 DB - Arundell 2018 Cited by (32) ER - TY - JOUR TI - “Diagnosing” burnout among healthcare professionals: can we find consensus? AU - Doulougeri, Karolina AU - Georganta, Katerina AU - Montgomery, Anthony T2 - Cogent Medicine DA - 2016/// PY - 2016 VL - 3 IS - 1 SP - 1237605 SN - 2331-205X DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Diagnostic ergonomique résultant de la présence de risques psychosociaux contribuant aux troubles musculo-squelettiques: le cas des centres d’appels d’urgence 9-1-1 AU - Toulouse, Georges AU - St-Arnaud, Louise AU - Duhalde, Denis AU - Lévesque, Julie AU - Delisle, Alain AU - Comtois, Alain-Steve T2 - Perspectives interdisciplinaires sur le travail et la santé DA - 2013/// PY - 2013 DP - Robertson 2008 Cited By (156) IS - 15-2 SN - 1481-9384 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Die Arbeitswelt als gesundheitliche Herausforderung AU - Hünefeld, Lena T2 - Arbeitsbedingungen als Einflussfaktoren auf den Gesundheitszustand und das Gesundheitsverhalten von Angestellten in Deutschland DA - 2016/// PY - 2016 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Die Last von der Seele reden: Wie sich Sterbebegleiter vor dem Burnout retten AU - Oberhofer, Elke T2 - Angewandte Schmerztherapie und Palliativmedizin DA - 2012/// PY - 2012 VL - 5 IS - 2 SP - 14 EP - 14 SN - 1866-1424 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Diet, physical exercise and cognitive behavioral training as a combined workplace based intervention to reduce body weight and increase physical capacity in health care workers - a randomized controlled trial AU - Christensen, Jeanette R. AU - Faber, Anne AU - Ekner, Dorte AU - Overgaard, Kristian AU - Holtermann, Andreas AU - Søgaard, Karen T2 - BMC Public Health DA - 2011/// PY - 2011 DO - 10.1186/1471-2458-11-671 VL - 11 IS - 1 SP - 671 UR - https://app.dimensions.ai/details/publication/pub.1043713099 https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/1471-2458-11-671 AN - pub.1043713099 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - Differences among women in response to workplace incivility AU - Oyet, Mercy C AU - Arnold, Kara A AU - Dupré, Kathryne E T2 - Equality, Diversity and Inclusion: An International Journal DA - 2019/// PY - 2019 SN - 2040-7149 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Differences between day and nonday workers in exposure to physical and psychosocial work factors in the Danish eldercare sector AU - Nabe-Nielsen, Kirsten AU - Tüchsen, Finn AU - Christensen, Karl Bang AU - Garde, Anne Helene AU - Diderichsen, Finn T2 - Scandinavian Journal of Work, Environment & Health DA - 2009/// PY - 2009 DO - 10.5271/sjweh.1307 VL - 35 IS - 1 SP - 48 EP - 55 UR - https://app.dimensions.ai/details/publication/pub.1072736721 AN - pub.1072736721 DB - Barrech 2018 Refs (44) Y2 - 2021/02/04/ ER - TY - JOUR TI - Differences between women and men in the relationship between psychosocial stressors at work and the 7.5-year incidence of medically certified work absence due to mental health problem in a cohort of 7138 workers AU - Gilbert-Ouimet, Mahée AU - Trudel, Xavier AU - Aubé, Karine AU - Ndjaboue, Ruth AU - Duchaine, Caroline AU - Blanchette, Caty AU - Mâsse, Benoît AU - Vézina, Michel AU - Milot, Alain AU - Brisson, Chantal T2 - Occupational and environmental medicine DA - 2020/// PY - 2020 SN - 1351-0711 DB - Gilbert-Ouimet 2011 Cited by (42) ER - TY - JOUR TI - Differences between women and men in the relationship between psychosocial stressors at work and work absence due to mental health problem AU - Gilbert-Ouimet, Mahée AU - Trudel, Xavier AU - Aubé, Karine AU - Ndjaboue, Ruth AU - Duchaine, Caroline AU - Blanchette, Caty AU - Mâsse, Benoît AU - Vézina, Michel AU - Milot, Alain AU - Brisson, Chantal T2 - Occupational and Environmental Medicine DA - 2020/// PY - 2020 DO - 10.1136/oemed-2019-106242 VL - 77 IS - 9 SP - 603 EP - 610 UR - https://app.dimensions.ai/details/publication/pub.1127987892 AN - pub.1127987892 DB - Gilbert-Ouimet 2011 Refs (27) Y2 - 2021/02/04/ ER - TY - JOUR TI - Differences in Myers-Briggs Personality Types Among High School Band, Orchestra, and Choir Members AU - MacLellan, Christin Reardon T2 - Journal of Research in Music Education DA - 2011/// PY - 2011 DO - 10.1177/0022429410395579 VL - 59 IS - 1 SP - 85 EP - 100 UR - https://app.dimensions.ai/details/publication/pub.1063644435 AN - pub.1063644435 DB - Vaag 2013 Refs (19) Y2 - 2021/02/08/ ER - TY - JOUR TI - Differences in occupants' satisfaction and perceived productivity in high-and low-performance offices AU - Göçer, Ö AU - Candido, C AU - Thomas, L AU - Göçer, K T2 - Buildings AB - This paper reports the results from a dataset comprising 9794 post-occupancy evaluation (POE) surveys from 77 Australian open-plan offices. This paper specifically focuses on a sub-set of 20 offices (n= 2133), identified from ranking 10 offices each, with the least (n= 1063) … DA - 2019/// PY - 2019 UR - https://www.mdpi.com/2075-5309/9/9/199 DB - Arundell 2018 Cited by (32) ER - TY - JOUR TI - Different computer tasks affect the exposure of the upper extremity to biomechanical risk factors AU - Dennerlein, Jack T. AU - Johnson, Peter W. T2 - Ergonomics DA - 2006/// PY - 2006 DO - 10.1080/00140130500321845 VL - 49 IS - 1 SP - 45 EP - 61 UR - https://app.dimensions.ai/details/publication/pub.1047759459 AN - pub.1047759459 DB - Robertson 2017 Refs (47) Y2 - 2021/02/08/ ER - TY - JOUR TI - Different contexts, different effects? Work time and mental health in the United States and Germany AU - Kleiner, Sibyl AU - Schunck, Reinhard AU - Schömann, Klaus T2 - Journal of Health and Social Behavior DA - 2015/// PY - 2015 VL - 56 IS - 1 SP - 98 EP - 113 SN - 0022-1465 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - DIFFERENTIATING BETWEEN LOW LEVEL ACTIVITIES IN SEDENTARY OCCUPATIONS UTILIZING FITBITS AU - Forkan, Trace A DA - 2016/// PY - 2016 DP - Robertson 2008 Cited By (156) DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - A Digital Tool to Build the Capacity of Leaders to Improve Working Conditions Related to Psychological Health and Well-Being in Teams: Intervention Approach, Prototype, and Evaluation Design of the Web-Application “wecoach” AU - Grimm, Luisa A AU - Bauer, Georg F AU - Jenny, Gregor J T2 - Frontiers in Public Health DA - 2020/// PY - 2020 VL - 8 DB - Lundmark 2017 Cited by (21) ER - TY - JOUR TI - Diminishing the social network in organizations: does there need to be such a phenomenon as ‘survivor syndrome’ after downsizing? AU - Travaglione, Anthony AU - Cross, Bernadette T2 - Strategic Change DA - 2006/// PY - 2006 DO - 10.1002/jsc.743 VL - 15 IS - 1 SP - 1 EP - 13 UR - https://app.dimensions.ai/details/publication/pub.1037459392 https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jsc.743 AN - pub.1037459392 DB - Neves 2018 Refs (53) Y2 - 2021/02/08/ ER - TY - JOUR TI - Dirbančiųjų kompiuteriais nusiskundimai skeleto raumenų skausmų bei jų sąsajos su ergonominiais ir psichosocialiniais darbo aplinkos veiksniais:[Rankraštis]: daktaro disertacija: biomedicinos mokslai, visuomenės sveikata (09B) AU - Kalinienė, Gintarė DA - 2014/// PY - 2014 DP - Robertson 2008 Cited By (156) DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Direct and Mediated Relationships Between Participation in a Telephonic Health Coaching Program and Health Behavior, Life Satisfaction, and Optimism AU - Sears, Lindsay E AU - Coberley, Carter R AU - Pope, James E T2 - Journal of occupational and environmental medicine DA - 2016/// PY - 2016 VL - 58 IS - 7 SP - 690 EP - 695 SN - 1076-2752 DB - Hamar 2015 Cited by (33) ER - TY - JOUR TI - Disagreements on leadership styles between supervisors and employees are related to employees’ well-being and work team outcomes AU - Vignoli, Michela AU - Depolo, Marco AU - Cifuentes, Manuels AU - Punnett, Laura T2 - International Journal of Workplace Health Management DA - 2018/// PY - 2018 SN - 1753-8351 DB - Lundmark 2017 Cited by (21) ER - TY - JOUR TI - Discretionary remote working helps mothers without harming non-mothers: Evidence from a field experiment AU - Sherman, Eliot L T2 - Management Science DA - 2020/// PY - 2020 VL - 66 IS - 3 SP - 1351 EP - 1374 SN - 0025-1909 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Disparities in Knowledge Employees’ Actual, Contractual, and Desired Working Schedules AU - Ruubel, Raul AU - Hazak, Aaro T2 - Knowl Manag DA - 2018/// PY - 2018 VL - 1 SP - 17 EP - 30 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Dispositional Resistance to Change: Measurement Equivalence and the Link to Personal Values Across 17 Nations AU - Oreg, Shaul AU - Bayazıt, Mahmut AU - Vakola, Maria AU - Arciniega, Luis AU - Armenakis, Achilles AU - Barkauskiene, Rasa AU - Bozionelos, Nikos AU - Fujimoto, Yuka AU - González, Luis AU - Han, Jian AU - Hřebíčková, Martina AU - Jimmieson, Nerina AU - Kordačová, Jana AU - Mitsuhashi, Hitoshi AU - Mlačić, Boris AU - Ferić, Ivana AU - Topić, Marina Kotrla AU - Ohly, Sandra AU - Saksvik, Per Øystein AU - Hetland, Hilde AU - Saksvik, Ingvild AU - van Dam, Karen T2 - Journal of Applied Psychology DA - 2008/// PY - 2008 DO - 10.1037/0021-9010.93.4.935 VL - 93 IS - 4 SP - 935 EP - 944 UR - https://app.dimensions.ai/details/publication/pub.1031478869 http://pdfs.semanticscholar.org/a973/e9e442d3b47171451b9c09e8cd59b7c08c83.pdf AN - pub.1031478869 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - Divergent Effects of Transformational and Passive Leadership on Employee Safety AU - Kelloway, E. Kevin AU - Mullen, Jane AU - Francis, Lori T2 - Journal of Occupational Health Psychology DA - 2006/// PY - 2006 DO - 10.1037/1076-8998.11.1.76 VL - 11 IS - 1 SP - 76 EP - 86 UR - https://app.dimensions.ai/details/publication/pub.1009097652 AN - pub.1009097652 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Do as you say AU - Biron, Caroline AU - Parent-Lamarche, Annick AU - Ivers, Hans AU - Baril-Gingras, Genevieve T2 - International Journal of Workplace Health Management DA - 2018/// PY - 2018 SN - 1753-8351 DB - Gilbert-Ouimet 2011 Cited by (42) ER - TY - JOUR TI - Do bonding and bridging social capital have differential effects on self-rated health? A community based study in Japan AU - Iwase, Toshihide AU - Suzuki, Etsuji AU - Fujiwara, Takeo AU - Takao, Soshi AU - Doi, Hiroyuki AU - Kawachi, Ichiro T2 - Journal of Epidemiology & Community Health DA - 2010/// PY - 2010 DO - 10.1136/jech.2010.115592 VL - 66 IS - 6 SP - 557 UR - https://app.dimensions.ai/details/publication/pub.1005321078 https://dash.harvard.edu/bitstream/1/41288143/1/46588%20Iwase.pdf AN - pub.1005321078 DB - van Scheppingen 2014 Refs (33) Y2 - 2021/02/06/ ER - TY - JOUR TI - Do Changes in Job Control Predict Differences in Health Status? Results From a Longitudinal National Survey of Canadians AU - Smith, Peter AU - Frank, John AU - Bondy, Susan AU - Mustard, Cameron T2 - Psychosomatic Medicine DA - 2007/// PY - 2007 DO - 10.1097/psy.0b013e31815c4103 VL - 70 IS - 1 SP - 85 EP - 91 UR - https://app.dimensions.ai/details/publication/pub.1008082329 AN - pub.1008082329 DB - Allard 2011 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Do colleagues influence our lifestyle: the matter of smoking, body mass index and leisure-time physical activity? AU - Quist, Helle Gram AU - Christensen, Ulla AU - Carneiro, Isabella Gomes AU - Hansen, Jørgen Vinsløv AU - Bjorner, Jakob Bue T2 - Preventive medicine AB - Objective: Previous research has indicated that health behaviours tend to cluster in social networks, but few have studied the cluster effect in workgroups. We examined the effect of workgroups on current state and change in three indicators of health behaviours (smoking, body mass index (BMI) and physical activity). Further, we examined whether health behaviours of the respondents at group level predicted lifestyle changes. Methods: In a prospective cohort (n=4730), employees from 250 workgroups in the Danish eldercare sector answered questionnaires at baseline (2005) and follow-up (2006). Multilevel regression models were used to examine the effect of workgroups. Results: Workgroups accounted for 6.49% of the variation in smoking status, 6.56% of amount smoked and 2.62% of the variation in current BMI. We found no significant workgroup clustering in physical activity or lifestyle changes. Furthermore, changes in smoking status (cessation) and weight gain were seen in workgroups with high percentage of smokers and high levels of BMI. Conclusion: We found modest evidence for clustering of some health behaviours within workgroups, which could be due to social learning or selection into and out of workgroups. Future health promotion programmes at worksites should recognize the potential clustering of lifestyle behaviours within workgroups. DA - 2014/// PY - 2014 VL - 67 SP - 166 EP - 170 SN - 0091-7435 DB - Allard 2011 Cited By ER - TY - JOUR TI - Do Different Training Conditions Facilitate Team Implementation? A Quasi-Experimental Mixed Methods Study AU - Nielsen, Karina AU - Randall, Raymond AU - Christensen, Karl B. T2 - Journal of Mixed Methods Research DA - 2016/// PY - 2016 DO - 10.1177/1558689815589050 VL - 11 IS - 2 SP - 223 EP - 247 UR - https://app.dimensions.ai/details/publication/pub.1064062940 https://repository.lboro.ac.uk/articles/journal_contribution/Do_different_training_conditions_facilitate_team_implementation_A_quasi-experimental_mixed_methods_study/9501587/files/17128322.pdf AN - pub.1064062940 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Do firms implement work–life balance policies to benefit their workers or themselves? AU - Adame-Sánchez, Consolación AU - González-Cruz, Tomás F AU - Martínez-Fuentes, Clara T2 - Journal of Business Research DA - 2016/// PY - 2016 VL - 69 IS - 11 SP - 5519 EP - 5523 SN - 0148-2963 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Do Inclusive Leaders Help to Reduce Turnover in Diverse Groups? The Moderating Role of Leader–Member Exchange in the Diversity to Turnover Relationship AU - Nishii, Lisa H. AU - Mayer, David M. T2 - Journal of Applied Psychology DA - 2009/// PY - 2009 DO - 10.1037/a0017190 VL - 94 IS - 6 SP - 1412 EP - 1426 UR - https://app.dimensions.ai/details/publication/pub.1042657920 http://webuser.bus.umich.edu/dmmayer/Published%20Articles/Nishii%20%26%20Mayer_2009_JAP.pdf AN - pub.1042657920 Y2 - 2021/02/04/ ER - TY - JOUR TI - Do smartphone applications and activity trackers increase physical activity in adults? Systematic review, meta-analysis and metaregression AU - Laranjo, L AU - Ding, D AU - Heleno, B AU - Kocaballi, B AU - ... T2 - British journal of sports … AB - Objective To determine the effectiveness of physical activity interventions involving mobile applications (apps) or trackers with automated and continuous self-monitoring and feedback. Design Systematic review and meta-analysis. Data sources PubMed and seven … DA - 2020/// PY - 2020 UR - https://bjsm.bmj.com/content/early/2020/12/08/bjsports-2020-102892.abstract DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Do time-invariant confounders explain away the association between job stress and workers' mental health?: Evidence from Japanese occupational panel data AU - Oshio, Takashi AU - Tsutsumi, Akizumi AU - Inoue, Akiomi T2 - Social Science & Medicine DA - 2015/// PY - 2015 VL - 126 SP - 138 EP - 144 SN - 0277-9536 DB - Inoue 2013 Cited by (44) ER - TY - JOUR TI - Do walking strategies to increase physical activity reduce reported sitting in workplaces: a randomized control trial AU - Gilson, Nicholas D. AU - Puig-Ribera, Anna AU - McKenna, Jim AU - Brown, Wendy J. AU - Burton, Nicola W. AU - Cooke, Carlton B. T2 - International Journal of Behavioral Nutrition and Physical Activity DA - 2009/// PY - 2009 DO - 10.1186/1479-5868-6-43 VL - 6 IS - 1 SP - 43 UR - https://app.dimensions.ai/details/publication/pub.1009766219 https://ijbnpa.biomedcentral.com/track/pdf/10.1186/1479-5868-6-43 AN - pub.1009766219 DB - Brakenridge 2016 Refs (51) Y2 - 2021/02/04/ ER - TY - JOUR TI - Do women still care? Cohort changes in US women's care for the ill or disabled AU - Pavalko, Eliza K AU - Wolfe, Joseph D T2 - Social Forces DA - 2016/// PY - 2016 VL - 94 IS - 3 SP - 1359 EP - 1384 SN - 1534-7605 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Do Workplace Health Promotion (Wellness) Programs Work? AU - Goetzel, Ron Z. AU - Henke, Rachel Mosher AU - Tabrizi, Maryam AU - Pelletier, Kenneth R. AU - Loeppke, Ron AU - Ballard, David W. AU - Grossmeier, Jessica AU - Anderson, David R. AU - Yach, Derek AU - Kelly, Rebecca K. AU - McCalister, Tre AU - Serxner, Seth AU - Selecky, Christobel AU - Shallenberger, Leba G. AU - Fries, James F. AU - Baase, Catherine AU - Isaac, Fikry AU - Crighton, K. Andrew AU - Wald, Peter AU - Exum, Ellen AU - Shurney, Dexter AU - Metz, R. Douglas T2 - Journal of Occupational and Environmental Medicine DA - 2014/// PY - 2014 DO - 10.1097/jom.0000000000000276 VL - 56 IS - 9 SP - 927 EP - 934 UR - https://app.dimensions.ai/details/publication/pub.1017071453 AN - pub.1017071453 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - Does a corporate worksite physical activity program reach those who are inactive? Findings from an evaluation of the Global Corporate Challenge AU - Macniven, Rona AU - Engelen, Lina AU - Kacen, Mia J. AU - Bauman, Adrian T2 - Health Promotion Journal of Australia DA - 2015/// PY - 2015 DO - 10.1071/he14033 VL - 26 IS - 2 SP - 142 EP - 145 UR - https://app.dimensions.ai/details/publication/pub.1044807933 AN - pub.1044807933 DB - Brakenridge 2016 Refs (51) Y2 - 2021/02/04/ ER - TY - JOUR TI - Does a flexibility/support organizational initiative improve high-tech employees’ well-being? Evidence from the work, family, and health network AU - Moen, Phyllis AU - Kelly, Erin L AU - Fan, Wen AU - Lee, Shi-Rong AU - Almeida, David AU - Kossek, Ellen Ernst AU - Buxton, Orfeu M T2 - American Sociological Review DA - 2016/// PY - 2016 VL - 81 IS - 1 SP - 134 EP - 164 SN - 0003-1224 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Does an ‘Activity-Permissive’ Workplace Change Office Workers’ Sitting and Activity Time? AU - Gorman, Erin AU - Ashe, Maureen C. AU - Dunstan, David W. AU - Hanson, Heather M. AU - Madden, Ken AU - Winkler, Elisabeth A. H. AU - McKay, Heather A. AU - Healy, Genevieve N. T2 - PLoS ONE DA - 2013/// PY - 2013 DO - 10.1371/journal.pone.0076723 VL - 8 IS - 10 SP - e76723 UR - https://app.dimensions.ai/details/publication/pub.1025460123 https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0076723&type=printable AN - pub.1025460123 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Does an open-plan office actually work? A workplace gap analysis: importance and perceived support of key activities AU - Vega, RJC AU - Gale, SP AU - Kim, Y AU - Hong, S AU - ... T2 - Journal of Corporate Real … AB - Purpose This study aims to investigate the performance of open-plan office layouts and to identify occupants' concerns in existing open-plan office layouts. Design/methodology/approach Workplace activity questionnaire (WAQ) was administered in the form of an online … DA - 2020/// PY - 2020 UR - https://www.emerald.com/insight/content/doi/10.1108/JCRE-03-2020-0014/full/html DB - Arundell 2018 Cited by (32) ER - TY - JOUR TI - Does change process healthiness reduce the negative effects of organizational change on the psychosocial work environment? AU - Tvedt, Sturle D. AU - Saksvik, Per Øystein AU - Nytr⊘, Kjell T2 - Work & Stress DA - 2009/// PY - 2009 DO - 10.1080/02678370902857113 VL - 23 IS - 1 SP - 80 EP - 98 UR - https://app.dimensions.ai/details/publication/pub.1006755650 AN - pub.1006755650 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Does Dialogue Improve the Sustainable Employability of Low-Educated Employees? A Study Protocol for an Effect and Process Evaluation of “Healthy HR” AU - Hazelzet, Emmelie AU - Bosma, Hans AU - de Rijk, Angelique AU - Houkes, Inge T2 - Frontiers in public health DA - 2020/// PY - 2020 VL - 8 SP - 446 SN - 2296-2565 DB - Tafvelin 2019 Cited by (12) ER - TY - JOUR TI - Does employee happiness have an impact on productivity? AU - Bellet, Clement AU - De Neve, Jan-Emmanuel AU - Ward, George DA - 2020/// PY - 2020 SN - 2042-2695 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Does Enhancing Work-Time Control and Flexibility Reduce Turnover? A Naturally Occurring Experiment AU - Moen, Phyllis AU - Kelly, Erin L. AU - Hill, Rachelle T2 - Social Problems DA - 2011/// PY - 2011 DO - 10.1525/sp.2011.58.1.69 VL - 58 IS - 1 SP - 69 EP - 98 UR - https://app.dimensions.ai/details/publication/pub.1067700209 http://europepmc.org/articles/pmc3084004?pdf=render AN - pub.1067700209 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Does ethical leadership reduce turnover intention? The mediating effects of psychological empowerment and organizational identification AU - Suifan, Taghrid S AU - Diab, Hannah AU - Alhyari, Salah AU - Sweis, Rateb J T2 - Journal of Human Behavior in the Social Environment DA - 2020/// PY - 2020 VL - 30 IS - 4 SP - 410 EP - 428 SN - 1091-1359 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Does flexible work ‘work’in Australia? A survey of employed mothers’ and fathers’ work, family and health AU - Hokke, Stacey AU - Bennetts, Shannon K AU - Crawford, Sharinne AU - Leach, Liana AU - Hackworth, Naomi J AU - Strazdins, Lyndall AU - Nguyen, Cattram AU - Nicholson, Jan M AU - Cooklin, Amanda R T2 - Community, Work & Family DA - 2019/// PY - 2019 SP - 1 EP - 19 SN - 1366-8803 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Does mothers' employment affect adolescents' weight and activity levels? Improving our empirical estimates AU - Martin, Molly A AU - Lippert, Adam M AU - Chandler, Kelly D AU - Lemmon, Megan T2 - SSM-population health DA - 2018/// PY - 2018 VL - 4 SP - 291 EP - 300 SN - 2352-8273 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Does passion for physical activity spillover into performance at work? Examining the direct and indirect effects of passion and life satisfaction on organisational performance and innovativeness AU - Clohessy, Trevor AU - Whelan, Eoin AU - Paradis, Kyle F T2 - International Journal of Sport and Exercise Psychology DA - 2020/// PY - 2020 SP - 1 EP - 21 SN - 1612-197X DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Does psychosocial competency training for junior physicians working in pediatric medicine improve individual skills and perceived job stress AU - Bernburg, Monika AU - Baresi, Lisa AU - Groneberg, David AU - Mache, Stefanie T2 - European journal of pediatrics DA - 2016/// PY - 2016 VL - 175 IS - 12 SP - 1905 EP - 1912 SN - 1432-1076 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Does stress at work make you gain weight? A two-year longitudinal study AU - Berset, Martial AU - Semmer, Norbert K. AU - Elfering, Achim AU - Jacobshagen, Nicola AU - Meier, Laurenz L. T2 - Scandinavian Journal of Work, Environment & Health DA - 2010/// PY - 2010 DO - 10.5271/sjweh.3089 VL - 37 IS - 1 SP - 45 EP - 53 UR - https://app.dimensions.ai/details/publication/pub.1072738159 http://www.sjweh.fi/download.php?abstract_id=3089&file_nro=1 AN - pub.1072738159 DB - Allard 2011 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Does support for smoke-free outdoor spaces increase after implementation?: A case study of a Dutch research center’s smoke-free campus transition AU - Bommelé, Jeroen AU - Troelstra, Sigrid AU - Walters, Bethany Hipple AU - Willemsen, Marc T2 - Tobacco Prevention & Cessation DA - 2020/// PY - 2020 VL - 6 DB - Seidel 2017 Cited by (6) ER - TY - JOUR TI - Does survey feedback enhance the psychosocial work environment and decrease sick leave? AU - Björklund, Christina AU - Grahn, Anders AU - Jensen, Irene AU - Bergström, Gunnar T2 - European Journal of Work and Organizational Psychology DA - 2007/// PY - 2007 DO - 10.1080/13594320601112169 VL - 16 IS - 1 SP - 76 EP - 93 UR - https://app.dimensions.ai/details/publication/pub.1037872630 AN - pub.1037872630 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - Does using multiple computer monitors for office tasks affect user experience? a systematic review AU - Gallagher, Kaitlin M AU - Cameron, Laura AU - De Carvalho, Diana AU - Boulé, Madison T2 - Human factors DA - 2019/// PY - 2019 DP - Robertson 2008 Cited By (156) SP - 0018720819889533 SN - 0018-7208 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Dollars and sense: the financial impact of Canadian wellness initiatives AU - Wilkin, Christa L AU - Connelly, Catherine E T2 - Health promotion international DA - 2015/// PY - 2015 VL - 30 IS - 3 SP - 495 EP - 504 SN - 1460-2245 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Don't abandon the water cooler yet: Flexible work arrangements and the unique effect of face-to-face informal communication on Idea generation and innovation AU - McAlpine, Kristie Lynne DA - 2017/// PY - 2017 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Double time: is health affected by a spouse's time at work? AU - Kleiner, Sibyl AU - Pavalko, Eliza K T2 - Social Forces DA - 2014/// PY - 2014 VL - 92 IS - 3 SP - 983 EP - 1007 SN - 1534-7605 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - downloaded from the King’s Research Portal at https://kclpure. kcl. ac. uk/portal AU - Taylor, Benjamin Peter DA - 2016/// PY - 2016 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - The Dynamic Integrated Evaluation Model (DIEM): Achieving Sustainability in Organizational Intervention through a Participatory Evaluation Approach AU - Schwarz, Ulrica Thiele AU - Lundmark, Robert AU - Hasson, Henna T2 - Stress and Health DA - 2016/// PY - 2016 DO - 10.1002/smi.2701 VL - 32 IS - 4 SP - 285 EP - 293 UR - https://app.dimensions.ai/details/publication/pub.1009763429 https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/smi.2701 AN - pub.1009763429 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - The Dynamics of Shared Leadership: Building Trust and Enhancing Performance AU - Drescher, Marcus A. AU - Korsgaard, M. Audrey AU - Welpe, Isabell M. AU - Picot, Arnold AU - Wigand, Rolf T. T2 - Journal of Applied Psychology DA - 2014/// PY - 2014 DO - 10.1037/a0036474 VL - 99 IS - 5 SP - 771 EP - 783 UR - https://app.dimensions.ai/details/publication/pub.1031845953 http://pdfs.semanticscholar.org/361a/732d2e54d0ed0ec75794ad6dd5d8f6cb666a.pdf AN - pub.1031845953 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - An early intervention to promote well-being and flourishing and reduce anxiety and depression: A randomized controlled trial AU - Schotanus-Dijkstra, Marijke AU - Drossaert, Constance HC AU - Pieterse, Marcel E AU - Boon, Brigitte AU - Walburg, Jan A AU - Bohlmeijer, Ernst T T2 - Internet interventions DA - 2017/// PY - 2017 VL - 9 SP - 15 EP - 24 SN - 2214-7829 DB - Hamar 2015 Cited by (33) ER - TY - JOUR TI - Economic evaluations of mental health interventions: A systematic review of interventions with work-focused components AU - Gaillard, Aurélie AU - Sultan-Taïeb, Hélène AU - Sylvain, Chantal AU - Durand, Marie-José T2 - Safety Science DA - 2020/// PY - 2020 DO - 10.1016/j.ssci.2020.104982 VL - 132 SP - 104982 UR - https://app.dimensions.ai/details/publication/pub.1130693661 AN - pub.1130693661 DB - Gilbert-Ouimet 2011 Refs (27) Y2 - 2021/02/04/ ER - TY - JOUR TI - Editor’s Desk: The Well-Being Issue AU - Terry, Paul E AU - Harrington, Suzy AU - Baxter, Siyan DA - 2016/// PY - 2016 SN - 2168-6602 DB - Hamar 2015 Cited by (33) ER - TY - JOUR TI - Educating nursing home staff on fracture prevention: a cluster randomised trial AU - Cox, Helen AU - Puffer, Suezann AU - Morton, Veronica AU - Cooper, Cyrus AU - Hodson, Jean AU - Masud, Tahir AU - Oliver, David AU - Preedy, Danielle AU - Selby, Peter AU - Stone, Mike AU - Sutcliffe, Anne AU - Torgerson, David T2 - Age and Ageing DA - 2007/// PY - 2007 DO - 10.1093/ageing/afm168 VL - 37 IS - 2 SP - 167 EP - 172 UR - https://app.dimensions.ai/details/publication/pub.1045842562 https://academic.oup.com/ageing/article-pdf/37/2/167/17423712/afm168.pdf AN - pub.1045842562 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - Educational attainment & quitting smoking: A structural equation model approach AU - Sauer, Ann Goding AU - Fedewa, Stacey A AU - Kim, Jihye AU - Jemal, Ahmedin AU - Westmaas, J Lee T2 - Preventive medicine DA - 2018/// PY - 2018 VL - 116 SP - 32 EP - 39 SN - 0091-7435 DB - Seidel 2017 Cited by (6) ER - TY - JOUR TI - Effect modification by coping strategies on the association of organizational justice with psychological distress in Japanese workers AU - Nakagawa, Yuko AU - Inoue, Akiomi AU - Kawakami, Norito AU - Tsuno, Kanami AU - Tomioka, Kimiko AU - Nakanishi, Mayuko AU - Mafune, Kosuke AU - Hiro, Hisanori T2 - Journal of occupational health DA - 2014/// PY - 2014 SP - 13 EP - 0233-OA SN - 1341-9145 DB - Inoue 2013 Cited by (44) ER - TY - JOUR TI - Effect of a brief stress management intervention on work-related stress in employees of Isfahan Steel Company, Iran AU - Mazaheri, Maryam Amidi AU - Darani, Firoze Mostafavi AU - Eslami, Ahmad Ali T2 - Journal of Research in Medical Science DA - 2012/// PY - 2012 VL - 17 SP - 87 EP - 92 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - The effect of a health promotion intervention for construction workers on work-related outcomes: results from a randomized controlled trial AU - Viester, Laura AU - Verhagen, Evert A. L. M. AU - Bongers, Paulien M. AU - van der Beek, Allard J. T2 - International Archives of Occupational and Environmental Health DA - 2014/// PY - 2014 DO - 10.1007/s00420-014-1007-9 VL - 88 IS - 6 SP - 789 EP - 798 UR - https://app.dimensions.ai/details/publication/pub.1011379445 AN - pub.1011379445 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - Effect of a leadership intervention on subordinate well-being AU - Elo, Anna-Liisa AU - Ervasti, Jenni AU - Kuosma, Eeva AU - Mattila-Holappa, Pauliina T2 - Journal of Management Development DA - 2014/// PY - 2014 SN - 0262-1711 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Effect of a participative work conference on psychosocial work environment and well-being AU - Mattila, Pauliina AU - Elo, Anna-Liisa AU - Kuosma, Eeva AU - Kylä-Setälä, Eeva T2 - European Journal of Work and Organizational Psychology DA - 2006/// PY - 2006 DO - 10.1080/13594320600901729 VL - 15 IS - 4 SP - 459 EP - 476 UR - https://app.dimensions.ai/details/publication/pub.1052672274 AN - pub.1052672274 DB - Elo 2008 Refs (31) Y2 - 2021/02/04/ ER - TY - JOUR TI - Effect of a workplace design and training intervention on individual performance, group effectiveness and collaboration: the role of environmental control AU - Robertson, Michelle M. AU - Huang, Yueng-Hsiang T2 - Work DA - 2006/// PY - 2006 VL - 27 IS - 1 SP - 3 EP - 12 UR - https://app.dimensions.ai/details/publication/pub.1077275392 AN - pub.1077275392 DB - Robertson 2017 Refs (47) Y2 - 2021/02/08/ ER - TY - JOUR TI - Effect of Background Music, Speech and Silence on Office Workers' Selective Attention AU - Speer, Shanna DA - 2011/// PY - 2011 DP - Robertson 2008 Cited By (156) DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Effect of brief stress management intervention on work-related stress in employees of Isfahan Steel Company AU - Mazaheri, Maryam Amidi AU - Darani, Firoze Mostafavi AU - Eslami, Ahmad Ali T2 - Journal of Research in Medical Sciences DA - 2012/// PY - 2012 VL - 17 IS - 4 SP - 1 SN - 1735-1995 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - The Effect of Educational Intervention Using Attitude-Behavior Pattern of Health Nutrition on Labor Productivity Index AU - YARAHMADI, Rasoul AU - MORIDI, Parvin AU - Peyman, YARI AU - NAJIBI, Seyyede Narjes AU - SOLEIMANI-ALYAR, Somayeh T2 - Occupational Hygiene and Health Promotion DA - 2018/// PY - 2018 DP - Robertson 2008 Cited By (156) SN - 2588-3062 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - The effect of HRM attributions on emotional exhaustion and the mediating roles of job involvement and work overload AU - Shantz, Amanda AU - Arevshatian, Lilith AU - Alfes, Kerstin AU - Bailey, Catherine T2 - Human Resource Management Journal DA - 2016/// PY - 2016 DO - 10.1111/1748-8583.12096 VL - 26 IS - 2 SP - 172 EP - 191 UR - https://app.dimensions.ai/details/publication/pub.1027316354 http://gala.gre.ac.uk/id/eprint/14288/15/14288_SHANTZ_Emotional_Exhaustion_%26_Work_Overload_2016.pdf AN - pub.1027316354 Y2 - 2021/02/04/ ER - TY - JOUR TI - The effect of leadership on job morale for graduate students AU - Terrell, Nicole Rose DA - 2013/// PY - 2013 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The effect of nurses' leadership behavior on the quality of nursing care and patient outcomes AU - Akbiyik, A AU - Korhan, EA AU - Kiray, S AU - ... T2 - Creative nursing AB - Objective The effect of nursing management styles on patient outcomes and the quality of nursing care (QNC) has recently become a topic of discussion. This review was conducted to examine the effects of leadership styles or behaviors on QNC and on patient outcomes … DA - 2020/// PY - 2020 UR - https://connect.springerpub.com/content/sgrcn/26/1/e8 DB - Joen 2015 Cited by (37) ER - TY - JOUR TI - Effect of organization-directed workplace interventions on physician burnout: a systematic review AU - DeChant, Paul F AU - Acs, Annabel AU - Rhee, Kyu B AU - Boulanger, Talia S AU - Snowdon, Jane L AU - Tutty, Michael A AU - Sinsky, Christine A AU - Craig, Kelly J Thomas T2 - Mayo Clinic Proceedings: Innovations, Quality & Outcomes DA - 2019/// PY - 2019 VL - 3 IS - 4 SP - 384 EP - 408 SN - 2542-4548 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Effect of physical exercise on workplace social capital: cluster randomized controlled trial AU - Andersen, LL AU - Poulsen, OM AU - ... T2 - … journal of public … AB - Aims: While workplace health promotion with group-based physical exercise can improve workers' physical health, less is known about potential carry-over effects to psychosocial factors. This study investigates the effect of physical exercise on social capital at work … DA - 2015/// PY - 2015 UR - https://journals.sagepub.com/doi/abs/10.1177/1403494815598404 DB - Kukkurainen 2012 Cited by (17) ER - TY - JOUR TI - Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy AU - Lee, I. Min AU - Shiroma, Eric J. AU - Lobelo, Felipe AU - Puska, Pekka AU - Blair, Steven N. AU - Katzmarzyk, Peter T. AU - Group, for the Lancet Physical Activity Series Working T2 - The Lancet DA - 2012/// PY - 2012 DO - 10.1016/s0140-6736(12)61031-9 VL - 380 IS - 9838 SP - 219 EP - 229 UR - https://app.dimensions.ai/details/publication/pub.1006011967 http://europepmc.org/articles/pmc3645500?pdf=render AN - pub.1006011967 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - THE EFFECT OF POLITICAL SKILL, EMOTION REACTIVITY, AND RESILIENCE ON STRESS AU - MANGGOR, ENNY MARLINAH AU - ISMAIL, IDA ROSNITA T2 - E PROCEEDING IC RISE UKM GSB 2019 DA - 2019/// PY - 2019 SP - 11 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Effect of psychosocial work factors on the risk of depression: a protocol of a systematic review and meta-analysis of prospective studies AU - Duchaine, Caroline S. AU - Aubé, Karine AU - Gilbert-Ouimet, Mahee AU - Gralle, Ana Paula Bruno Pena AU - Vezina, Michel AU - Ndjaboue, Ruth AU - Massamba, Victoria K. 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T2 - Journal of Occupational and Environmental Medicine DA - 2014/// PY - 2014 DO - 10.1097/jom.0000000000000116 VL - 56 IS - 3 SP - 258 EP - 265 UR - https://app.dimensions.ai/details/publication/pub.1027486142 AN - pub.1027486142 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - Effectiveness of a comprehensive stress management program to reduce work-related stress in a medium-sized enterprise AU - Kim, Shin-Ae AU - Suh, Chunhui AU - Park, Mi-Hee AU - Kim, Kunhyung AU - Lee, Chae-Kwan AU - Son, Byung-Chul AU - Kim, Jeong-Ho AU - Lee, Jong-Tae AU - Woo, Kuck-Hyun AU - Kang, Kabsoon T2 - Annals of occupational and environmental medicine DA - 2014/// PY - 2014 VL - 26 IS - 1 SP - 1 EP - 9 SN - 2052-4374 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Effectiveness of a digital platform-based implementation strategy to prevent work stress in a healthcare organization: a 12-month follow-up controlled trial AU - Havermans, Bo M AU - Boot, Cécile RL AU - Brouwers, Evelien PM AU - Houtman, Irene LD AU - Heerkens, Yvonne F AU - Zijlstra-Vlasveld, Moniek C AU - Twisk, Jos WR AU - Anema, Johannes R AU - van der Beek, Allard J T2 - Scandinavian journal of work, environment & health DA - 2018/// PY - 2018 VL - 44 IS - 6 SP - 613 EP - 621 SN - 0355-3140 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Effectiveness of a Multidisciplinary Worksite Stress Reduction Programme for Women AU - Werneburg, Brooke L. 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T2 - Stress and Health DA - 2011/// PY - 2011 DO - 10.1002/smi.1380 VL - 27 IS - 5 SP - 356 EP - 364 UR - https://app.dimensions.ai/details/publication/pub.1014796752 AN - pub.1014796752 DB - Wieneke 2016 Refs (5) Y2 - 2021/02/06/ ER - TY - JOUR TI - Effectiveness of a Web-Based, Computer-Tailored, Pedometer-Based Physical Activity Intervention for Adults: A Cluster Randomized Controlled Trial AU - Compernolle, Sofie AU - Vandelanotte, Corneel AU - Cardon, Greet AU - De Bourdeaudhuij, Ilse AU - De Cocker, Katrien T2 - Journal of Medical Internet Research DA - 2015/// PY - 2015 DO - 10.2196/jmir.3402 VL - 17 IS - 2 SP - e38 UR - https://app.dimensions.ai/details/publication/pub.1011285593 https://doi.org/10.2196/jmir.3402 AN - pub.1011285593 DB - Brakenridge 2016 Refs (51) Y2 - 2021/02/04/ ER - TY - JOUR TI - Effectiveness of a worksite lifestyle intervention on vitality, work engagement, productivity, and sick leave: results of a randomized controlled trial AU - Strijk, Jorien E. 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T2 - The Lancet Diabetes & Endocrinology DA - 2016/// PY - 2016 DO - 10.1016/s2213-8587(16)30284-4 VL - 4 IS - 12 SP - 983 EP - 995 UR - https://app.dimensions.ai/details/publication/pub.1015085131 AN - pub.1015085131 DB - Brakenridge 2016 Refs (51) Y2 - 2021/02/04/ ER - TY - JOUR TI - Effectiveness of an Activity Tracker- and Internet-Based Adaptive Walking Program for Adults: A Randomized Controlled Trial AU - Poirier, Josée AU - Bennett, Wendy L. AU - Jerome, Gerald J. AU - Shah, Nina G. AU - Lazo, Mariana AU - Yeh, Hsin-Chieh AU - Clark, Jeanne M. AU - Cobb, Nathan K. 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AU - Brug, Johannes AU - De Bourdeaudhuij, Ilse T2 - European Journal of Public Health DA - 2011/// PY - 2011 DO - 10.1093/eurpub/ckr098 VL - 22 IS - 5 SP - 677 EP - 683 UR - https://app.dimensions.ai/details/publication/pub.1038745675 https://academic.oup.com/eurpub/article-pdf/22/5/677/17358068/ckr098.pdf AN - pub.1038745675 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - Effectiveness of workplace interventions in the prevention of upper extremity musculoskeletal disorders and symptoms: an update of the evidence AU - Van Eerd, D AU - Munhall, C AU - Irvin, E AU - Rempel, D AU - Brewer, S AU - Van Der Beek, AJ AU - Dennerlein, JT AU - Tullar, J AU - Skivington, K AU - Pinion, C T2 - Occupational and Environmental Medicine DA - 2016/// PY - 2016 DP - Robertson 2008 Cited By (156) VL - 73 IS - 1 SP - 62 EP - 70 SN - 1351-0711 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - The effectiveness of yoga for the improvement of well-being and resilience to stress in the workplace AU - Hartfiel, Ned AU - Havenhand, Jon AU - Khalsa, Sat Bir AU - Clarke, Graham AU - Krayer, Anne T2 - Scandinavian Journal of Work, Environment & Health DA - 2010/// PY - 2010 DO - 10.5271/sjweh.2916 VL - 37 IS - 1 SP - 70 EP - 6 UR - https://app.dimensions.ai/details/publication/pub.1072738116 http://www.sjweh.fi/download.php?abstract_id=2916&file_nro=1 AN - pub.1072738116 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - The effects of a cluster randomized controlled workplace intervention on sleep and work-family conflict outcomes in an extended care setting AU - Marino, Miguel AU - Killerby, Marie AU - Lee, Soomi AU - Klein, Laura Cousino AU - Moen, Phyllis AU - Olson, Ryan AU - Kossek, Ellen Ernst AU - King, Rosalind AU - Erickson, Leslie AU - Berkman, Lisa F T2 - Sleep health DA - 2016/// PY - 2016 VL - 2 IS - 4 SP - 297 EP - 308 SN - 2352-7218 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Effects of a flexibility/support intervention on work performance: Evidence from the work, family, and health network AU - Bray, Jeremy W AU - Hinde, Jesse M AU - Kaiser, David J AU - Mills, Michael J AU - Karuntzos, Georgia T AU - Genadek, Katie R AU - Kelly, Erin L AU - Kossek, Ellen E AU - Hurtado, David A T2 - American Journal of Health Promotion DA - 2018/// PY - 2018 VL - 32 IS - 4 SP - 963 EP - 970 SN - 0890-1171 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Effects of a multidisciplinary stress treatment programme on patient return to work rate and symptom reduction: results from a randomised, wait-list controlled trial AU - Netterstrøm, Bo AU - Friebel, Lene AU - Ladegaard, Yun T2 - Psychotherapy and psychosomatics DA - 2013/// PY - 2013 VL - 82 IS - 3 SP - 177 EP - 186 SN - 0033-3190 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - The effects of a non‐smoking policy on nursing staff smoking behaviour and attitudes in a psychiatric hospital AU - Bloor, R. 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A majority of employees do not know how to properly handle stress and keep it under control. Having high level of occupational stress can lead to detrimental physical habits, such as poor nutrition, smoking … DA - 2020/// PY - 2020 UR - https://kb.gcsu.edu/thecorinthian/vol20/iss1/17/ DB - Jarman 2015 Cited by (27) ER - TY - JOUR TI - Effects of Hospital workers’ friendship networks on job stress AU - Shin, Sung Yae AU - Lee, Sang Gyu T2 - PloS one DA - 2016/// PY - 2016 VL - 11 IS - 2 SP - e0149428 SN - 1932-6203 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - The effects of leadership and ward factors on job satisfaction in nursing homes: a multilevel approach AU - Havig, Anders K. AU - Skogstad, Anders AU - Veenstra, Marijke AU - Romøren, Tor I. T2 - Journal of Clinical Nursing DA - 2011/// PY - 2011 DO - 10.1111/j.1365-2702.2011.03697.x VL - 20 IS - 23‐24 SP - 3532 EP - 3542 UR - https://app.dimensions.ai/details/publication/pub.1005112641 AN - pub.1005112641 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - The Effects of Military Leadership and its Implication on Mental Health Stigma and Treatment Seeking Behaviors of Veterans in Garrison and Noncombat Deployment Environments AU - Charrys, Alexis May DA - 2021/// PY - 2021 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The effects of moving into an activity-based office on communication, social relations and work demands–a controlled intervention with repeated follow-up AU - Haapakangas, Annu AU - Hallman, David M AU - Mathiassen, Svend Erik AU - Jahncke, Helena T2 - Journal of Environmental Psychology DA - 2019/// PY - 2019 DP - Robertson 2008 Cited By (156) VL - 66 SP - 101341 SN - 0272-4944 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Effects of music therapy on occupational stress and burn-out risk of operating room staff AU - Kacem, I AU - Kahloul, M AU - Arem, S El AU - Ayachi, S AU - ... T2 - Libyan Journal of … AB - The operating theatre staff is exposed to various constraints such as excessive working hours, severe medical conditions and dreadful consequences in case of malpractice. These working conditions may lead to high and chronic levels of stress, which can interfere with … DA - 2020/// PY - 2020 UR - https://www.tandfonline.com/doi/abs/10.1080/19932820.2020.1768024 DB - Turgut 2016 Cited by (33) ER - TY - JOUR TI - Effects of nationality on job satisfaction: Domestic versus expatriate bank employees in the United Arab Emirates AU - Elamin, Abdallah M T2 - International Journal of Management DA - 2011/// PY - 2011 VL - 28 IS - 1 SP - 20 SN - 0813-0183 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Effects of Occupational Stress Management Intervention Programs: A Meta-Analysis AU - Richardson, Katherine M. AU - Rothstein, Hannah R. T2 - Journal of Occupational Health Psychology DA - 2008/// PY - 2008 DO - 10.1037/1076-8998.13.1.69 VL - 13 IS - 1 SP - 69 EP - 93 UR - https://app.dimensions.ai/details/publication/pub.1037806308 AN - pub.1037806308 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - The effects of office ergonomic training on musculoskeletal complaints, sickness absence, and psychological well-being: a cluster randomized control trial AU - Mahmud, Norashikin AU - Kenny, Dianna T AU - Md Zein, Raemy AU - Hassan, Siti Nurani T2 - Asia pacific journal of public health DA - 2015/// PY - 2015 DP - Robertson 2008 Cited By (156) VL - 27 IS - 2 SP - NP1652 EP - NP1668 SN - 1010-5395 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Effects of Organizational Change on Work‐related Empowerment, Employee Satisfaction, and Motivation AU - Kuokkanen, Liisa AU - Suominen, Tarja AU - Härkönen, Eeva AU - Kukkurainen, Marja-Leena AU - Doran, Diane T2 - Nursing Administration Quarterly DA - 2009/// PY - 2009 DO - 10.1097/naq.0b013e3181a10c86 VL - 33 IS - 2 SP - 116 EP - 124 UR - https://app.dimensions.ai/details/publication/pub.1011341898 AN - pub.1011341898 DB - Kukkurainen 2012 Refs (35) Y2 - 2021/02/08/ ER - TY - JOUR TI - Effects of Organizational Support on Potency in Work Teams AU - Kennedy, Frances A. AU - Loughry, Misty L. AU - Klammer, Thomas P. AU - Beyerlein, Michael M. T2 - Small Group Research DA - 2008/// PY - 2008 DO - 10.1177/1046496408326744 VL - 40 IS - 1 SP - 72 EP - 93 UR - https://app.dimensions.ai/details/publication/pub.1012813374 AN - pub.1012813374 Y2 - 2021/02/04/ ER - TY - JOUR TI - The effects of perceived organisational support, social capital, and health promotion on job satisfaction of employees in hospitals AU - Tsai, Chung-Hung T2 - International Journal of Electronic Customer Relationship Management DA - 2013/// PY - 2013 VL - 7 IS - 2 SP - 135 EP - 160 SN - 1750-0664 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Effects of relocation to activity-based workplaces on perceived productivity: Importance of change-oriented leadership AU - Bergsten, EL AU - Haapakangas, A AU - Larsson, J AU - Jahncke, H AU - ... T2 - Applied Ergonomics AB - Activity-based workplaces (ABWs) are becoming popular in Western countries and were implemented at four office sites of a large Swedish government agency. A fifth office was used as a control group. The study aim was to examine the effects of relocation to ABW on … DA - 2021/// PY - 2021 UR - https://www.sciencedirect.com/science/article/pii/S0003687020302969 DB - Arundell 2018 Cited by (32) ER - TY - JOUR TI - Effects of singing groups on staff well-being: a feasibility study AU - Skingley, A AU - Ross, L T2 - Nursing Standard AB - Aim The high levels of stress among NHS staff plus the evidence base for the value of singing for wellbeing, led to the current research aims:• To determine the feasibility of recruiting and retaining staff singing for wellbeing groups over three months and the … DA - 2018/// PY - 2018 UR - https://repository.canterbury.ac.uk/item/8895x/effects-of-singing-groups-on-staff-well-being-a-feasibility-study DB - Vaag 2013 Cited by (33) ER - TY - JOUR TI - The effects of stress on physical activity and exercise AU - Stults-Kolehmainen, M. A. AU - Sinha, R. T2 - Sports Med AB - BACKGROUND: Psychological stress and physical activity (PA) are believed to be reciprocally related; however, most research examining the relationship between these constructs is devoted to the study of exercise and/or PA as an instrument to mitigate distress. OBJECTIVE: The aim of this paper was to review the literature investigating the influence of stress on indicators of PA and exercise. METHODS: A systematic search of Web of Science, PubMed, and SPORTDiscus was employed to find all relevant studies focusing on human participants. Search terms included "stress", "exercise", and "physical activity". A rating scale (0-9) modified for this study was utilized to assess the quality of all studies with multiple time points. RESULTS: The literature search found 168 studies that examined the influence of stress on PA. Studies varied widely in their theoretical orientation and included perceived stress, distress, life events, job strain, role strain, and work-family conflict but not lifetime cumulative adversity. To more clearly address the question, prospective studies (n = 55) were considered for further review, the majority of which indicated that psychological stress predicts less PA (behavioral inhibition) and/or exercise or more sedentary behavior (76.4 %). Both objective (i.e., life events) and subjective (i.e., distress) measures of stress related to reduced PA. Prospective studies investigating the effects of objective markers of stress nearly all agreed (six of seven studies) that stress has a negative effect on PA. This was true for research examining (a) PA at periods of objectively varying levels of stress (i.e., final examinations vs. a control time point) and (b) chronically stressed populations (e.g., caregivers, parents of children with a cancer diagnosis) that were less likely to be active than controls over time. Studies examining older adults (>50 years), cohorts with both men and women, and larger sample sizes (n > 100) were more likely to show an inverse association. 85.7 % of higher-quality prospective research (>/= 7 on a 9-point scale) showed the same trend. Interestingly, some prospective studies (18.2 %) report evidence that PA was positively impacted by stress (behavioral activation). This should not be surprising as some individuals utilize exercise to cope with stress. Several other factors may moderate stress and PA relationships, such as stages of change for exercise. Habitually active individuals exercise more in the face of stress, and those in beginning stages exercise less. Consequently, stress may have a differential impact on exercise adoption, maintenance, and relapse. Preliminary evidence suggests that combining stress management programming with exercise interventions may allay stress-related reductions in PA, though rigorous testing of these techniques has yet to be produced. CONCLUSIONS: Overall, the majority of the literature finds that the experience of stress impairs efforts to be physically active. Future work should center on the development of a theory explaining the mechanisms underlying the multifarious influences of stress on PA behaviors. DA - 2014/01//undefined PY - 2014 DO - 10.1007/s40279-013-0090-5 VL - 44 IS - 1 SP - 81 EP - 121 SN - 1179-2035 (Electronic) 0112-1642 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/24030837 AN - 24030837 DB - Allard 2011 Cited By KW - Humans KW - *Health Behavior KW - Sedentary Behavior KW - Habits KW - Exercise/*psychology KW - Stress, Psychological/*complications/*psychology ER - TY - JOUR TI - The effects of transformational leadership on followers’ perceived work characteristics and psychological well-being: A longitudinal study AU - Nielsen, Karina AU - Randall, Raymond AU - Yarker, Joanna AU - Brenner, Sten-Olof T2 - Work & Stress DA - 2008/// PY - 2008 DO - 10.1080/02678370801979430 VL - 22 IS - 1 SP - 16 EP - 32 UR - https://app.dimensions.ai/details/publication/pub.1014693446 https://repository.lboro.ac.uk/articles/journal_contribution/The_effects_of_transformational_leadership_on_followers_perceived_work_characteristics_and_psychological_well-being_a_longitudinal_study/9502736/files/17129483.pdf AN - pub.1014693446 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Effects of web-based supervisor training on supervisor support and psychological distress among workers: a randomized controlled trial AU - Kawakami, Norito AU - Kobayashi, Yuka AU - Takao, Soshi AU - Tsutsumi, Akizumi T2 - Preventive Medicine DA - 2005/// PY - 2005 DO - 10.1016/j.ypmed.2005.01.001 VL - 41 IS - 2 SP - 471 EP - 478 UR - https://app.dimensions.ai/details/publication/pub.1025025731 AN - pub.1025025731 DB - Elo 2008 Refs (31) Y2 - 2021/02/04/ ER - TY - JOUR TI - Effects of work arrangements on the sleep regimen of creative R&D employees AU - Hazak, Aaro AU - Sõõru, Erve AU - Hein, Heili AU - Männasoo, Kadri DA - 2018/// PY - 2018 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Effects of work arrangements on the sleep regimen of creative research and development employees AU - Hazak, Aaro AU - Sõõru, Erve AU - Hein, Heili AU - Männasoo, Kadri T2 - International Journal of Occupational Safety and Ergonomics DA - 2020/// PY - 2020 VL - 26 IS - 4 SP - 728 EP - 739 SN - 1080-3548 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - The Effects of Workplace Flexibility on Health Behaviors: A Cross-Sectional and Longitudinal Analysis AU - Grzywacz, Joseph G. AU - Casey, Patrick R. AU - Jones, Fiona A. T2 - Journal of Occupational and Environmental Medicine DA - 2007/// PY - 2007 DO - 10.1097/jom.0b013e31815ae9bc VL - 49 IS - 12 SP - 1302 EP - 1309 UR - https://app.dimensions.ai/details/publication/pub.1019503996 AN - pub.1019503996 DB - Moen 2011 Ref (66) Y2 - 2021/02/08/ ER - TY - JOUR TI - Effects of Workplace Intervention on Affective Well-Being in Employees’ Children AU - Lawson, Katie M. AU - Davis, Kelly D. AU - McHale, Susan M. AU - Almeida, David M. AU - Kelly, Erin L. AU - King, Rosalind B. T2 - Developmental Psychology DA - 2016/// PY - 2016 DO - 10.1037/dev0000098 VL - 52 IS - 5 SP - 772 EP - 777 UR - https://app.dimensions.ai/details/publication/pub.1037688194 https://dspace.mit.edu/bitstream/1721.1/128483/1/nihms-764861.pdf AN - pub.1037688194 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - The effects of workplace occupational mental health and related activities on psychological distress among workers: A multilevel cross-sectional analysis AU - Eguchi, Hisashi AU - Tsuda, Yoko AU - Tsukahara, Teruomi AU - Washizuka, Shinsuke AU - Kawakami, Norito AU - Nomiyama, Tetsuo T2 - Journal of occupational and environmental medicine DA - 2012/// PY - 2012 VL - 54 IS - 8 SP - 939 EP - 947 SN - 1076-2752 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Effects of worksite health promotion interventions on employee diets: a systematic review AU - Ni Mhurchu, Cliona AU - Aston, Louise M. AU - Jebb, Susan A. T2 - BMC Public Health DA - 2010/// PY - 2010 DO - 10.1186/1471-2458-10-62 VL - 10 IS - 1 SP - 62 UR - https://app.dimensions.ai/details/publication/pub.1025304857 https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/1471-2458-10-62 AN - pub.1025304857 DB - Williams 2020 Refs (15) Y2 - 2021/02/06/ ER - TY - JOUR TI - Efficacy of a cognitive-behavioral program to improve psychological adjustment among soldiers in recruit training AU - Cohn, Andrew AU - Pakenham, Ken T2 - Military Medicine DA - 2008/// PY - 2008 DO - 10.7205/milmed.173.12.1151 VL - 173 IS - 12 SP - 1151 EP - 7 UR - https://app.dimensions.ai/details/publication/pub.1073663263 https://academic.oup.com/milmed/article-pdf/173/12/1151/21582962/milmed.173.12.1151.pdf AN - pub.1073663263 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Efficacy of an E-Mail Intervention for the Promotion of Physical Activity and Nutrition Behavior in the Workplace Context AU - Plotnikoff, Ronald C. AU - McCargar, Linda J. AU - Wilson, Philip M. AU - Loucaides, Constantinos A. T2 - American Journal of Health Promotion DA - 2005/// PY - 2005 DO - 10.4278/0890-1171-19.6.422 VL - 19 IS - 6 SP - 422 EP - 429 UR - https://app.dimensions.ai/details/publication/pub.1004836546 AN - pub.1004836546 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - Efficacy of the Berkshire Health System Cardiovascular Health Risk Reduction Program AU - Merrill, Ray M. AU - Aldana, Steven G. AU - Ellrodt, Gray AU - Orsi, Roberta AU - Grelle-Laramee, Jenna T2 - Journal of Occupational and Environmental Medicine DA - 2009/// PY - 2009 DO - 10.1097/jom.0b013e3181b11bb3 VL - 51 IS - 9 SP - 1024 EP - 1031 UR - https://app.dimensions.ai/details/publication/pub.1019957537 AN - pub.1019957537 DB - Merrill 2011 Refs (18) Y2 - 2021/02/08/ ER - TY - JOUR TI - The efficiency of slacking off: Evidence from the emergency department AU - Chan, David C T2 - Econometrica DA - 2018/// PY - 2018 VL - 86 IS - 3 SP - 997 EP - 1030 SN - 0012-9682 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Effort-reward imbalance and perceived quality of patient care: a cross-sectional study among physicians in Germany AU - Loerbroks, Adrian AU - Weigl, Matthias AU - Li, Jian AU - Angerer, Peter T2 - BMC Public Health DA - 2016/// PY - 2016 VL - 16 IS - 1 SP - 1 EP - 9 SN - 1471-2458 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Effort-reward imbalance and work ability: cross-sectional and longitudinal findings from the Second German Sociomedical Panel of Employees AU - Bethge, Matthias AU - Radoschewski, Friedrich Michael AU - Gutenbrunner, Christoph T2 - BMC public health DA - 2012/// PY - 2012 VL - 12 IS - 1 SP - 1 EP - 9 SN - 1471-2458 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Effort-reward imbalance at work and cardiovascular diseases AU - Siegrist, Johannes T2 - International journal of occupational medicine and environmental health DA - 2010/// PY - 2010 VL - 23 IS - 3 SP - 279 SN - 1232-1087 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Effort-reward imbalance at work and recurrent coronary heart disease events: a 4-year prospective study of post-myocardial infarction patients AU - Aboa-Éboulé, Corine AU - Brisson, Chantal AU - Maunsell, Elizabeth AU - Bourbonnais, Renée AU - Vézina, Michel AU - Milot, Alain AU - Dagenais, Gilles R T2 - Psychosomatic Medicine DA - 2011/// PY - 2011 VL - 73 IS - 6 SP - 436 EP - 447 SN - 0033-3174 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Effort-reward imbalance, procedural injustice and relational injustice as psychosocial predictors of health: complementary or redundant models? AU - Kivimäki, Mika AU - Vahtera, Jussi AU - Elovainio, Marko AU - Virtanen, Marianna AU - Siegrist, Johannes T2 - Occupational and Environmental Medicine DA - 2007/// PY - 2007 DO - 10.1136/oem.2006.031310 VL - 64 IS - 10 SP - 659 UR - https://app.dimensions.ai/details/publication/pub.1034384478 https://discovery.ucl.ac.uk/id/eprint/5469/1/5469.pdf AN - pub.1034384478 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - The Effort‐reward Imbalance Questionnaire in Greek: Translation, Validation and Psychometric Properties in Health Professionals AU - Msaouel, Pavlos AU - Keramaris, Nikolaos C. AU - Apostolopoulos, Alexandros P. AU - Syrmos, Nikolaos AU - Kappos, Theocharis AU - Tasoulis, Athanasios AU - Tripodaki, Elli‐Sophia AU - Kagiampaki, Evangelia AU - Lekkas, Ioannis AU - Siegrist, Johannes T2 - Journal of Occupational Health DA - 2012/// PY - 2012 DO - 10.1539/joh.11-0197-oa VL - 54 IS - 2 SP - 119 EP - 130 UR - https://app.dimensions.ai/details/publication/pub.1028302387 https://www.jstage.jst.go.jp/article/joh/54/2/54_11-0197-OA/_pdf AN - pub.1028302387 DB - Basu 2016 Refs (22) Y2 - 2021/02/04/ ER - TY - JOUR TI - Effort–reward imbalance at work and job dissatisfaction in Chinese healthcare workers: a validation study AU - Li, Jian AU - Yang, Wenjie AU - Cheng, Yawen AU - Siegrist, Johannes AU - Cho, Sung-Il T2 - International Archives of Occupational and Environmental Health DA - 2005/// PY - 2005 DO - 10.1007/s00420-004-0581-7 VL - 78 IS - 3 SP - 198 EP - 204 UR - https://app.dimensions.ai/details/publication/pub.1029989750 AN - pub.1029989750 DB - Basu 2016 Refs (22) Y2 - 2021/02/04/ ER - TY - JOUR TI - Effort—reward imbalance, heart rate, and heart rate variability: the cardiovascular risk in young finns study AU - Hintsanen, Mirka AU - Elovainio, Marko AU - Puttonen, Sampsa AU - Kivimäki, Mika AU - Koskinen, Tuomas AU - Raitakari, Olli T. AU - Keltikangas-Järvinen, Liisa T2 - International Journal of Behavioral Medicine DA - 2007/// PY - 2007 DO - 10.1007/bf03002994 VL - 14 IS - 4 SP - 202 EP - 212 UR - https://app.dimensions.ai/details/publication/pub.1026552767 AN - pub.1026552767 DB - Eller 2011 Refs (38) Y2 - 2021/02/04/ ER - TY - JOUR TI - Effort/reward imbalance and sedentary lifestyle: an observational study in a large occupational cohort AU - Kouvonen, A. AU - Kivimäki, M. AU - Elovainio, M. AU - Pentti, J. AU - Linna, A. AU - Virtanen, M. AU - Vahtera, J. T2 - Occupational and Environmental Medicine DA - 2006/// PY - 2006 DO - 10.1136/oem.2005.020974 VL - 63 IS - 6 SP - 422 UR - https://app.dimensions.ai/details/publication/pub.1023891073 http://europepmc.org/articles/pmc2078103?pdf=render AN - pub.1023891073 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - Ein Stressmodell für Mitarbeiter in der psychiatrischen Rehabilitation–Effekte von Person-und Organisationsmerkmalen AU - Queri, S AU - Konrad, M AU - Keller, K T2 - Die Rehabilitation DA - 2012/// PY - 2012 VL - 51 IS - 04 SP - 245 EP - 253 SN - 0034-3536 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Electronic cigarettes on hospital campuses AU - Meernik, Clare AU - Baker, Hannah M AU - Paci, Karina AU - Fischer-Brown, Isaiah AU - Dunlap, Daniel AU - Goldstein, Adam O T2 - International journal of environmental research and public health DA - 2016/// PY - 2016 VL - 13 IS - 1 SP - 87 DB - Ripley-Moffitt 2010 Cited By (14) ER - TY - JOUR TI - Emergency physicians accumulate more stress factors than other physicians–results from the French SESMAT study AU - Estryn-Behar, M. AU - Doppia, M. A. AU - Guetarni, K. AU - Fry, C. AU - Machet, G. AU - Pelloux, P. AU - Aune, I. AU - Muster, D. AU - Lassaunière, J. M. AU - Prudhomme, C. T2 - Emergency Medicine Journal DA - 2010/// PY - 2010 DO - 10.1136/emj.2009.082594 VL - 28 IS - 5 SP - 397 UR - https://app.dimensions.ai/details/publication/pub.1026595557 AN - pub.1026595557 DB - Basu 2016 Refs (22) Y2 - 2021/02/04/ ER - TY - JOUR TI - Emotional Efficacy Beliefs at Work and Turnover Intentions: The Mediational Role of Organizational Socialization and Identification AU - Cepale, Gianluca AU - Alessandri, Guido AU - Borgogni, Laura AU - Perinelli, Enrico AU - Avanzi, Lorenzo AU - Livi, Stefano AU - Coscarelli, Alessandra T2 - Journal of Career Assessment DA - 2020/// PY - 2020 SP - 1069072720983209 SN - 1069-0727 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Empathy and burnout of emergency professionals of a health region: A cross-sectional study AU - Yuguero, Oriol AU - Forné, Carles AU - Esquerda, Montserrat AU - Pifarré, Josep AU - Abadías, María José AU - Viñas, Joan T2 - Medicine DA - 2017/// PY - 2017 VL - 96 IS - 37 DB - Basu 2016 Cited by (24) ER - TY - JOUR TI - An Empirical Evaluation of the Use of Fixed Cutoff Points in RMSEA Test Statistic in Structural Equation Models AU - Feinian, Chen AU - Curran, Patrick J. AU - Bollen, Kenneth A. AU - Kirby, James AU - Paxton, Pamela T2 - Sociological Methods & Research DA - 2008/// PY - 2008 DO - 10.1177/0049124108314720 VL - 36 IS - 4 SP - 462 EP - 494 UR - https://app.dimensions.ai/details/publication/pub.1040965035 http://europepmc.org/articles/pmc2743032?pdf=render AN - pub.1040965035 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Employee attitudes and smoking behavior at the City of Hope National Medical Center smoke-free campus AU - Lin, David AU - Stahl, Douglas C. AU - Iklé, David AU - Grannis, Frederic W. T2 - Journal of the National Comprehensive Cancer Network DA - 2006/// PY - 2006 DO - 10.6004/jnccn.2006.0045 VL - 4 IS - 6 SP - 535 EP - 42 UR - https://app.dimensions.ai/details/publication/pub.1077263588 http://pdfs.semanticscholar.org/3941/7b5b10bede71a524f9446dbd241dd5470acd.pdf AN - pub.1077263588 DB - Gadomski 2010 Refs (16) Y2 - 2021/02/04/ ER - TY - JOUR TI - EMPLOYEE ATTRIBUTIONS OF THE “WHY” OF HR PRACTICES: THEIR EFFECTS ON EMPLOYEE ATTITUDES AND BEHAVIORS, AND CUSTOMER SATISFACTION AU - Nishii, Lisa H. AU - Lepak, David P. AU - Schneider, Benjamin T2 - Personnel Psychology DA - 2008/// PY - 2008 DO - 10.1111/j.1744-6570.2008.00121.x VL - 61 IS - 3 SP - 503 EP - 545 UR - https://app.dimensions.ai/details/publication/pub.1023982488 https://ecommons.cornell.edu/bitstream/1813/77366/1/WP08_03.pdf AN - pub.1023982488 Y2 - 2021/02/04/ ER - TY - JOUR TI - Employee Health and Presenteeism: A Systematic Review AU - Schultz, Alyssa B. AU - Edington, Dee W. T2 - Journal of Occupational Rehabilitation DA - 2007/// PY - 2007 DO - 10.1007/s10926-007-9096-x VL - 17 IS - 3 SP - 547 EP - 579 UR - https://app.dimensions.ai/details/publication/pub.1002807744 AN - pub.1002807744 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - Employee Participation in Organizational Change: Investigating the Effects of Proactive vs. Reactive Implementation of Downsizing in Swedish Hospitals AU - Sverke, M. AU - Hellgren, J. AU - Na swall, K. AU - Go ransson, S. AU - O hrming, J. T2 - German Journal of Human Resource Management DA - 2008/// PY - 2008 DO - 10.1177/239700220802200202 VL - 22 IS - 2 SP - 111 EP - 129 UR - https://app.dimensions.ai/details/publication/pub.1064093477 https://www.econstor.eu/bitstream/10419/70986/1/732475392.pdf AN - pub.1064093477 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - Employee perceived effects of workplace health promotion AU - Nöhammer, Elisabeth AU - Schusterschitz, Claudia AU - Stummer, Harald T2 - International Journal of Workplace Health Management DA - 2013/// PY - 2013 DO - 10.1108/17538351311312312 VL - Volume 6 IS - Issue 1 SP - 38 EP - 53 UR - https://app.dimensions.ai/details/publication/pub.1043142807 AN - pub.1043142807 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - Employee weight management through health coaching AU - Merrill, R. M. AU - Aldana, S. G. AU - Bowden, D. E. T2 - Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity DA - 2010/// PY - 2010 DO - 10.1007/bf03325280 VL - 15 IS - 1-2 SP - e52 EP - e59 UR - https://app.dimensions.ai/details/publication/pub.1078178799 AN - pub.1078178799 DB - Merrill 2011 Refs (18) Y2 - 2021/02/08/ ER - TY - JOUR TI - Employee wellbeing, productivity, and firm performance AU - Krekel, Christian AU - Ward, George AU - De Neve, Jan‐Emmanuel T2 - Saïd Business School WP DA - 2019/// PY - 2019 VL - 4 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Employee Wellness Program Participation: Exploring Participation of Registered Nurses in East Tennessee AU - Turner, Jacquelyn DA - 2020/// PY - 2020 DB - Hendriksen 2016 Cited by (46) ER - TY - JOUR TI - Employees' involvement in continuous improvement processes of the enterprises in Poland–barriers and the ways of reducing them AU - Walentynowicz, P T2 - SHS Web of Conferences AB - In the writing, the results of empirical studies regarding the barriers of regular employees' involvement in continuous improvements processes of the enterprises in Poland and the ways of breaking the barriers identified on the basis of the related literature and the author's … DA - 2018/// PY - 2018 UR - https://www.shs-conferences.org/articles/shsconf/abs/2018/18/shsconf_infoglob2018_01031/shsconf_infoglob2018_01031.html DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - Employees’ Social Context and Change-Oriented Citizenship AU - Chiaburu, Dan S. AU - Lorinkova, Natalia M. AU - Van Dyne, Linn T2 - Group & Organization Management DA - 2013/// PY - 2013 DO - 10.1177/1059601113476736 VL - 38 IS - 3 SP - 291 EP - 333 UR - https://app.dimensions.ai/details/publication/pub.1044665973 AN - pub.1044665973 Y2 - 2021/02/04/ ER - TY - JOUR TI - Employment arrangements, work conditions and health inequalities AU - Siegrist, Johannes AU - Benach, Joan AU - McKnight, Abigail AU - Goldblatt, Peter AU - Muntaner, C T2 - Report on new evidence on health inequality reduction, produced by Task group DA - 2009/// PY - 2009 VL - 2 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Employment Contracts: Cross‐sectional and Longitudinal Relations with Quality of Working Life, Health and Well‐being AU - Kompier, Michiel AU - Ybema, Jan Fekke AU - Janssen, Julia AU - Taris, Toon T2 - Journal of Occupational Health DA - 2009/// PY - 2009 DO - 10.1539/joh.l8150 VL - 51 IS - 3 SP - 193 EP - 203 UR - https://app.dimensions.ai/details/publication/pub.1020244294 https://www.jstage.jst.go.jp/article/joh/51/3/51_L8150/_pdf AN - pub.1020244294 DB - Inoue 2013 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Enhancing Employee Retention in Supervisory Support context: role of Person-Organizations Fit and Career Commitment AU - Khan, Hafiz Ghufran Ali AU - Abass, Zafar AU - Khan, Muhanmmed Jehanger AU - Ahmad, Ijaz T2 - NICE Research Journal DA - 2020/// PY - 2020 SP - 24 EP - 46 SN - 2517-987X DB - Neves 2018 Cited by (6) ER - TY - JOUR TI - Enhancing Multiple Domains of Well-Being by Decreasing Multiple Health Risk Behaviors: A Randomized Clinical Trial AU - Prochaska, James O. AU - Evers, Kerry E. AU - Castle, Patricia H. AU - Johnson, Janet L. AU - Prochaska, Janice M. AU - Rula, Elizabeth Y. AU - Coberley, Carter AU - Pope, James E. T2 - Population Health Management DA - 2012/// PY - 2012 DO - 10.1089/pop.2011.0060 VL - 15 IS - 5 SP - 276 EP - 286 UR - https://app.dimensions.ai/details/publication/pub.1006834499 https://www.liebertpub.com/doi/pdf/10.1089/pop.2011.0060 AN - pub.1006834499 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - Enhancing precision in the prediction of voluntary turnover and retirement AU - Smith, Daryl R AU - Holtom, Brooks C AU - Mitchell, Terence R T2 - Journal of Vocational Behavior DA - 2011/// PY - 2011 VL - 79 IS - 1 SP - 290 EP - 302 SN - 0001-8791 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Environmental interventions for altering eating behaviours of employees in the workplace: a systematic review AU - Allan, J. AU - Querstret, D. AU - Banas, K. AU - de Bruin, M. T2 - Obesity Reviews DA - 2016/// PY - 2016 DO - 10.1111/obr.12470 VL - 18 IS - 2 SP - 214 EP - 226 UR - https://app.dimensions.ai/details/publication/pub.1002281446 http://epubs.surrey.ac.uk/829309/1/__homes.surrey.ac.uk_home_.System_Desktop_AllanQuerstretEtAl_2016_EnvIntEatBeh_ObesityReviews_FinalAccepted.pdf AN - pub.1002281446 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Environmental, behavioural and multicomponent interventions to reduce adults' sitting time: a systematic review and meta-analysis AU - Peachey, MM AU - Richardson, J AU - Tang, AV AU - ... T2 - British journal of sports … AB - Objective To examine the overall effectiveness of interventions for reducing adult sedentary behaviour and to directly compare environmental, behavioural and multicomponent interventions. Design Intervention systematic review with meta-analysis. Data sources Ovid … DA - 2020/// PY - 2020 UR - https://bjsm.bmj.com/content/54/6/315.abstract DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Epidemiological Sociology and the Social Shaping of Population Health∗ AU - Link, Bruce G. T2 - Journal of Health and Social Behavior DA - 2008/// PY - 2008 DO - 10.1177/002214650804900401 VL - 49 IS - 4 SP - 367 EP - 384 UR - https://app.dimensions.ai/details/publication/pub.1044615976 AN - pub.1044615976 DB - Moen 2011 Ref (66) Y2 - 2021/02/08/ ER - TY - JOUR TI - Epidemiological studies of the relationship between cultural experiences and public health AU - Theorell, T AU - Ullén, F T2 - Oxford textbook of creative arts, health, and … AB - Cultural participation can be defined in several ways: in the present chapter it is defined as participation in any cultural activity—music, dance, theatre, painting, drawing, sculpture, photography, or writing. The authors, however, make no judgement with regard to genre. For … DA - 2016/// PY - 2016 UR - https://books.google.com/books?hl=en&lr=&id=GvhJDwAAQBAJ&oi=fnd&pg=PA55&ots=oVfSYB1hFo&sig=lw1Ey65QBb9EbLfG65YDrzi3Qg0 DB - Vaag 2013 Cited by (33) ER - TY - JOUR TI - Ergonomic assessment of working postures for the design of university computer workstations AU - Chowdhury, Nabila AU - Aghazadeh, Fereydoun AU - Amini, Milad T2 - Occupational Ergonomics DA - 2017/// PY - 2017 DP - Robertson 2008 Cited By (156) VL - 13 IS - S1 SP - 37 EP - 46 SN - 1359-9364 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Ergonomic Evaluation of Electrically Adjustable Table in VDU Work AU - Choi, Dong-Shik T2 - Engineering DA - 2011/// PY - 2011 DP - Robertson 2008 Cited By (156) SP - 118 EP - 125 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Ergonomic mismatch between students anthropometry and university classroom furniture AU - Parvez, MS AU - Rahman, A AU - Tasnim, N T2 - Theoretical Issues in … AB - University students spend most of their time in classrooms, mostly in a sitting position. Prolonged sitting on ill-fitted furniture and the resulting bad posture is making students suffer from different musculoskeletal disorders (MSDs). This study evaluates the potential … DA - 2019/// PY - 2019 UR - https://www.tandfonline.com/doi/abs/10.1080/1463922X.2019.1617909 DB - Robertson 2017 Cited by (23) ER - TY - JOUR TI - AN ERGONOMIC RISK ASSESSMENT FOR CATERING WORKERS AU - Jagannath, M AU - Shelat, Minal V AU - Tamilselvi, D T2 - International Journal of Current Research and Review DA - 2013/// PY - 2013 DP - Robertson 2008 Cited By (156) VL - 5 IS - 1 SP - 100 SN - 2231-2196 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Ergonomic training reduces musculoskeletal disorders among office workers: results from the 6-month follow-up AU - Mahmud, Norashikin AU - Kenny, Dianna Theadora AU - Zein, Raemy Md AU - Hassan, Siti Nurani T2 - The Malaysian journal of medical sciences: MJMS DA - 2011/// PY - 2011 DP - Robertson 2008 Cited By (156) VL - 18 IS - 2 SP - 16 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Ergonomics Climate Assessment: A measure of operational performance and employee well-being AU - Hoffmeister, Krista AU - Gibbons, Alyssa AU - Schwatka, Natalie AU - Rosecrance, John T2 - Applied Ergonomics DA - 2015/// PY - 2015 DP - Robertson 2008 Cited By (156) VL - 50 SP - 160 EP - 169 SN - 0003-6870 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Ergonomics work stations decreases the health impairment and saves electrical energy at the woodworking workshop in Bali, Indonesia AU - Sudiajeng, Lilik AU - Adiputra, Nyoman AU - Leibbrandt, Richard T2 - Journal of human ergology DA - 2012/// PY - 2012 DP - Robertson 2008 Cited By (156) VL - 41 IS - 1_2 SP - 41 EP - 54 SN - 0300-8134 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Ergonomics, musculoskeletal disorders and computer work AU - Wahlström, Jens T2 - Occupational Medicine DA - 2005/// PY - 2005 DO - 10.1093/occmed/kqi083 VL - 55 IS - 3 SP - 168 EP - 176 UR - https://app.dimensions.ai/details/publication/pub.1034968297 https://academic.oup.com/occmed/article-pdf/55/3/168/4223312/kqi083.pdf AN - pub.1034968297 DB - Robertson 2017 Refs (47) Y2 - 2021/02/08/ ER - TY - JOUR TI - An erosion model of employee turnover based on network centrality AU - Feeley, Thomas Hugh AU - Moon, Shin-Il AU - Kozey, Ryan S AU - Slowe, Anne Solbu T2 - Journal of Applied Communication Research DA - 2010/// PY - 2010 VL - 38 IS - 2 SP - 167 EP - 188 SN - 0090-9882 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Essential long‐term care workers commonly hold second jobs and double‐or triple‐duty caregiving roles AU - Van Houtven, Courtney Harold AU - DePasquale, Nicole AU - Coe, Norma B T2 - Journal of the American Geriatrics Society DA - 2020/// PY - 2020 VL - 68 IS - 8 SP - 1657 EP - 1660 SN - 0002-8614 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Establishment and application of performance measure indicators for universities AU - Chen, SH AU - Wang, HH AU - Yang, KJ T2 - The TQM Journal AB - To promote university education quality, performance measure indicators (PMIs) must be established. These indicators ensure the maintenance of university operating standards, encourage individual universities to work on inadequacies, and promote university … DA - 2009/// PY - 2009 UR - https://www.emerald.com/insight/content/doi/10.1108/17542730910953004/full/html?fullSc=1 DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - Estimating the reproducibility of psychological science AU - Collaboration, Open Science T2 - Science DA - 2015/// PY - 2015 DO - 10.1126/science.aac4716 VL - 349 IS - 6251 SP - aac4716 UR - https://app.dimensions.ai/details/publication/pub.1033571999 http://hub.hku.hk/bitstream/10722/230596/1/Content.pdf AN - pub.1033571999 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Estimating the return on investment from a health risk management program offered to small Colorado-based employers AU - Goetzel, Ron Z AU - Tabrizi, Maryam AU - Henke, Rachel Mosher AU - Benevent, Richele AU - Brockbank, Claire v S AU - Stinson, Kaylan AU - Trotter, Margo AU - Newman, Lee S T2 - Journal of occupational and environmental medicine/American College of Occupational and Environmental Medicine DA - 2014/// PY - 2014 VL - 56 IS - 5 SP - 554 DB - Merrill 2011 Cited by (24) ER - TY - JOUR TI - Estrategias que modulan el síndrome de Burnout en enfermeros (as): una revisión bibliográfica AU - Vargas-Cruz, Luz Dalila AU - Niño-Cardozo, Carmen Lucía AU - Acosta-Maldonado, Jessica Yurlay T2 - Revista Ciencia y Cuidado DA - 2017/// PY - 2017 VL - 14 IS - 1 SP - 111 EP - 131 SN - 2322-7028 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Ethical decision making in intensive care units: a burnout risk factor? Results from a multicentre study conducted with physicians and nurses AU - Teixeira, Carla AU - Ribeiro, Orquídea AU - Fonseca, António M AU - Carvalho, Ana Sofia T2 - Journal of medical ethics DA - 2014/// PY - 2014 VL - 40 IS - 2 SP - 97 EP - 103 SN - 0306-6800 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Ethical dilemmas: balancing choice and risk with a duty of care in extending personalisation into the care home AU - Miller, E AU - Barrie, K T2 - Ageing and Society AB - The article reports on the perspectives of senior care staff as part of an action learning study exploring the possibilities for personalisation in care homes. Behind the conceptual sword and shield of choice-and-control associated with personalisation in the UK, lie irreconcilable … DA - 2020/// PY - 2020 UR - https://strathprints.strath.ac.uk/id/eprint/74683 DB - Joen 2015 Cited by (37) ER - TY - JOUR TI - European Approaches to Work-Related Stress: A Critical Review on Risk Evaluation AU - Zoni, Silvia AU - Lucchini, Roberto G. T2 - Safety and Health at Work DA - 2012/// PY - 2012 DO - 10.5491/shaw.2012.3.1.43 VL - 3 IS - 1 SP - 43 EP - 49 UR - https://app.dimensions.ai/details/publication/pub.1037037941 https://doi.org/10.5491/shaw.2012.3.1.43 AN - pub.1037037941 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Evaluating organizational stress-management interventions using adapted study designs AU - Randall, Raymond AU - Griffiths, Amanda AU - Cox, Tom T2 - European Journal of Work and Organizational Psychology DA - 2005/// PY - 2005 DO - 10.1080/13594320444000209 VL - 14 IS - 1 SP - 23 EP - 41 UR - https://app.dimensions.ai/details/publication/pub.1022650628 AN - pub.1022650628 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - Evaluating short-term musculoskeletal pain changes in desk-based workers receiving a workplace sitting-reduction intervention AU - Brakenridge, CL AU - Chong, YY AU - Winkler, EAH AU - ... T2 - International journal of … AB - This paper explores changes in musculoskeletal pain among desk-based workers over three months of a workplace-delivered, sitting-reduction intervention. Participants (n= 153, 46% female; mean±SD aged 38.9±8.0 years) were cluster-randomized (n= 18 work teams) … DA - 2018/// PY - 2018 UR - https://www.mdpi.com/1660-4601/15/9/1975 DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Evaluating the Impact of an Office Ergonomics Program AU - Hedge, Alan AU - Puleio, Jonathan AU - Wang, Vincent T2 - Proceedings of the Human Factors and Ergonomics Society Annual Meeting DA - 2011/// PY - 2011 DO - 10.1177/1071181311551121 VL - 55 IS - 1 SP - 594 EP - 598 UR - https://app.dimensions.ai/details/publication/pub.1063952935 AN - pub.1063952935 DB - Robertson 2017 Refs (47) Y2 - 2021/02/08/ ER - TY - JOUR TI - Evaluating the impact of organizational interventions implemented as part of the Québec Healthy Enterprise Standard on physical and psychosocial work factors and work-related musculoskeletal problems AU - Aubé, Karine DA - 2017/// PY - 2017 DB - Gilbert-Ouimet 2011 Cited by (42) ER - TY - JOUR TI - Evaluating the performance of employee assistance programs (EAP): a checklist developed from a large sample of public agencies AU - Hsu, Yen-chen AU - Wang, Ching-wen AU - Lan, Jun-bang T2 - Asia Pacific Journal of Management DA - 2019/// PY - 2019 SP - 1 EP - 21 SN - 1572-9958 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Evaluating the short-term impact of a tobacco-free policy in an inpatient addiction treatment setting AU - Romano, Isabella AU - Costello, Mary Jean AU - Ropp, Courtney AU - Li, Yao AU - Sousa, Sarah AU - Bruce, Dominique AU - Roth, Don AU - MacKillop, James AU - Rush, Brian T2 - Journal of substance abuse treatment DA - 2019/// PY - 2019 VL - 107 SP - 50 EP - 59 SN - 0740-5472 DB - Gadomski 2010 Cited By (31) ER - TY - JOUR TI - Evaluation of a Best-Practice Worksite Wellness Program in a Small-Employer Setting Using Selected Well-being Indices AU - Merrill, Ray M. AU - Aldana, Steven G. AU - Pope, James E. AU - Anderson, David R. AU - Coberley, Carter R. AU - Vyhlidal, Tonya P. AU - Howe, Greg AU - Whitmer, R. William T2 - Journal of Occupational and Environmental Medicine DA - 2011/// PY - 2011 DO - 10.1097/jom.0b013e3182143ed0 VL - 53 IS - 4 SP - 448 EP - 454 UR - https://app.dimensions.ai/details/publication/pub.1049183160 AN - pub.1049183160 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - Evaluation of an open‐rota system in a Danish psychiatric hospital: a mechanism for improving job satisfaction and work–life balance AU - Pryce, Joanna AU - Albertsen, Karen AU - Nielsen, Karina T2 - Journal of Nursing Management DA - 2006/// PY - 2006 DO - 10.1111/j.1365-2934.2006.00617.x VL - 14 IS - 4 SP - 282 EP - 288 UR - https://app.dimensions.ai/details/publication/pub.1027967047 https://research.gold.ac.uk/22/2/jnm_617_GRO.pdf AN - pub.1027967047 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - An evaluation of EU legislation concerning risk assessment and preventive measures in occupational safety and health AU - Niskanen, Toivo AU - Naumanen, Paula AU - Hirvonen, Maria L T2 - Applied ergonomics DA - 2012/// PY - 2012 DP - Robertson 2008 Cited By (156) VL - 43 IS - 5 SP - 829 EP - 842 SN - 0003-6870 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Evaluation of incidence of low back pain and its relationship with ergonomic risk level of wards among nurses AU - Saremi, Mahnaz AU - Khayati, Fatemeh T2 - Journal of Modern Rehabilitation DA - 2015/// PY - 2015 DP - Robertson 2008 Cited By (156) VL - 9 IS - 4 SP - 68 EP - 77 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Evaluation of Posture, Muscle Activity and Comfort during Portable Computer Use AU - Hoang, Claudia Faith DA - 2016/// PY - 2016 DP - Robertson 2008 Cited By (156) DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Evaluation of scapular dyskinesis and ergonomic risk level in office workers AU - Ozdemir, Filiz AU - Toy, Seyma T2 - International Journal of Occupational Safety and Ergonomics DA - 2020/// PY - 2020 DP - Robertson 2008 Cited By (156) SP - 1 EP - 6 SN - 1080-3548 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Evaluation of the Built Environment: Staff and Family Satisfaction Pre- and Post-Occupancy of the Children's Hospital AU - Kotzer, Anne Marie AU - Zacharakis, Susan Koch AU - Raynolds, Mary AU - Buenning, Fred T2 - HERD Health Environments Research & Design Journal DA - 2011/// PY - 2011 DO - 10.1177/193758671100400405 VL - 4 IS - 4 SP - 60 EP - 78 UR - https://app.dimensions.ai/details/publication/pub.1025136433 AN - pub.1025136433 DB - Steele 2015 Refs (38) Y2 - 2021/02/08/ ER - TY - JOUR TI - EVALUATION OF THE PREPARATORY PHASE OF A STRESS INTERVENTION AU - Dollard, Maureen F AU - Zadow, Amy T2 - Organizational Interventions for Health and Well-being: A Handbook for Evidence-Based Practice DA - 2018/// PY - 2018 SP - 69 SN - 1315410478 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Evaluation of the Quebec healthy Enterprise standard: effect on adverse physical and psychosocial work factors and work-related musculoskeletal problems AU - Aubé, Karine AU - Duchaine, Caroline S AU - Dionne, Clermont E AU - Vézina, Michel AU - Mantha-Bélisle, Marie-Michèle AU - Sultan-Taïeb, Hélène AU - St-Hilaire, France AU - Biron, Caroline AU - Brisson, Chantal T2 - Journal of occupational and environmental medicine DA - 2019/// PY - 2019 VL - 61 IS - 3 SP - 203 EP - 211 SN - 1076-2752 DB - Gilbert-Ouimet 2011 Cited by (42) ER - TY - JOUR TI - Evaluation of the Quebec Healthy Enterprise Standard: effect on adverse psychosocial work factors and psychological distress AU - Letellier, Marie-Claude AU - Duchaine, Caroline S AU - Aubé, Karine AU - Talbot, Denis AU - Mantha-Bélisle, Marie-Michèle AU - Sultan-Taïeb, Hélène AU - St-Hilaire, France AU - Biron, Caroline AU - Vézina, Michel AU - Brisson, Chantal T2 - International journal of environmental research and public health DA - 2018/// PY - 2018 VL - 15 IS - 3 SP - 426 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Evaluation of work-related musculoskeletal disorders and ergonomic risk levels among instrumentalist musicians AU - Ozdemir, Filiz AU - Tutus, Nisanur AU - Akgun, Sakir Orcun AU - Kilcik, Melek Havva T2 - Age DA - 2019/// PY - 2019 DP - Robertson 2008 Cited By (156) VL - 25 SP - 4 EP - 17 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Evaluation, Identification & Control of Ergonomic Risk Factors in Electronics Companies (Case Study Engineering Company Behpajooh) AU - Hashempour, Fatemeh AU - Sadra Abarghouei, Naser T2 - Iranian Journal of Ergonomics DA - 2018/// PY - 2018 DP - Robertson 2008 Cited By (156) VL - 5 IS - 4 SP - 1 EP - 8 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Evidence-based practices that deal with work-family conflict and enrichment: systematic literature review AU - Vadvilavičius, Tadas AU - Stelmokienė, Aurelija T2 - Business: Theory and Practice DA - 2020/// PY - 2020 VL - 21 IS - 2 SP - 820 EP - 826 SN - 1822-4202 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Examination of the Relationship between Inter-organizational Factors and Employees' Psychological Pressures (Case Study of Tehran Regional Electricity Distribution Company) AU - Matin, Yagoub Alavi AU - Namavar, Abdolreza T2 - Annals of Biological Research DA - 2012/// PY - 2012 VL - 3 IS - 8 SP - 4033 EP - 4038 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Examining Employee Preferences for Workplace Wellbeing Intervention Designs AU - McLeod, Elise DA - 2019/// PY - 2019 DB - Tafvelin 2019 Cited by (12) ER - TY - JOUR TI - Examining mental health knowledge, stigma, and service use intentions among public safety personnel AU - Krakauer, Rachel L AU - Stelnicki, Andrea M AU - Carleton, R Nicholas T2 - Frontiers in psychology DA - 2020/// PY - 2020 VL - 11 DB - Fikretoglu 2019 Cited by (5) ER - TY - JOUR TI - Examining new ways of office work between the Netherlands and the USA AU - Robertson, M AU - Vink, P T2 - Work DA - 2012/// PY - 2012 DP - Robertson 2008 Cited By (156) VL - 41 IS - Supplement 1 SP - 5086 EP - 5090 SN - 1051-9815 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Examining the relationships between job control and health status: a path analysis approach AU - Smith, P. M. AU - Frank, J. W. AU - Mustard, C. A. AU - Bondy, S. J. T2 - Journal of Epidemiology & Community Health DA - 2007/// PY - 2007 DO - 10.1136/jech.2006.057539 VL - 62 IS - 1 SP - 54 UR - https://app.dimensions.ai/details/publication/pub.1009838023 AN - pub.1009838023 DB - Allard 2011 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Exercise, physical activity, and self-determination theory: A systematic review AU - Teixeira, Pedro J. AU - Carraça, Eliana V. AU - Markland, David AU - Silva, Marlene N. AU - Ryan, Richard M. T2 - International Journal of Behavioral Nutrition and Physical Activity DA - 2012/// PY - 2012 DO - 10.1186/1479-5868-9-78 VL - 9 IS - 1 SP - 78 UR - https://app.dimensions.ai/details/publication/pub.1017788261 https://ijbnpa.biomedcentral.com/track/pdf/10.1186/1479-5868-9-78 AN - pub.1017788261 DB - van Scheppingen 2014 Refs (33) Y2 - 2021/02/06/ ER - TY - JOUR TI - The Experience, Use, and Negotiation of Formal and Informal Breaks at Work AU - Solebello, Nicholas P DA - 2016/// PY - 2016 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Experiences and psychological distress of fertility treatment and employment AU - Payne, Nicola AU - Seenan, Susan AU - van den Akker, Olga T2 - Journal of Psychosomatic Obstetrics & Gynecology DA - 2019/// PY - 2019 VL - 40 IS - 2 SP - 156 EP - 165 SN - 0167-482X DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Experimental and quasi-experimental designs in occupational health psychology AU - Chen, Peter Y AU - Cigularov, Konstantin P AU - Menger, Lauren M DA - 2013/// PY - 2013 SN - 0415879329 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - An expert system framework for lifestyle counselling AU - Szakonyi, B AU - Lőrincz, T AU - Lipovits, Á AU - ... T2 - Proceedings of the … AB - The implementation and support of proper lifestyle is a key factor in preventing chronic diseases and also in the management of already manifested ones. This paper presents a CLIPS (C Language Integrated Production System) based framework that can be used to … DA - 2018/// PY - 2018 UR - http://real.mtak.hu/90148/ DB - Robertson 2017 Cited by (23) ER - TY - JOUR TI - EXPLANATION OF THE ROLE OF INTERMEDIARY PERCEPTION OF ORGANIZATIONAL JUSTICE IN RELATIONSHIPS BETWEEN ABUSIVE SUPERVISION AND INNOVATIVE SELF-EFFICACY IN THE SHIRAZ UNIVERSITY OF MEDICAL SCIENCES PERSONNEL AU - Marzooghi, Rahmatollah AU - HEIDARI, ELHAM DA - 2017/// PY - 2017 DB - Inoue 2013 Cited by (44) ER - TY - JOUR TI - Exploration of the impact of organisational context on a workplace safety and health intervention AU - Hammer, Leslie B AU - Truxillo, Donald M AU - Bodner, Todd AU - Pytlovany, Amy C AU - Richman, Amy T2 - Work & Stress DA - 2019/// PY - 2019 VL - 33 IS - 2 SP - 192 EP - 210 SN - 0267-8373 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Exploring Academics’ Work-Life Balance and Stress Levels Using Flexible Working Arrangements AU - Subramaniam, Geetha AU - Ramachandran, Jayalakshmy AU - Putit, Lennora AU - Raju, Rajeswari T2 - Environment-Behaviour Proceedings Journal DA - 2020/// PY - 2020 VL - 5 IS - 15 SP - 469 EP - 476 SN - 2398-4287 DB - Hamar 2015 Cited by (33) ER - TY - JOUR TI - Exploring environment-intervention fit: a study of a work environment intervention program for the care sector AU - Smith, Louise Hardman AU - Aust, Birgit AU - Flyvholm, Mari-Ann T2 - The Scientific World Journal DA - 2015/// PY - 2015 VL - 2015 SN - 2356-6140 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Exploring the contributions of human and social capital to productivity AU - Greve, Arent AU - Benassi, Mario AU - Sti, Arne Dag T2 - International Review of Sociology DA - 2010/// PY - 2010 DO - 10.1080/03906701003643261 VL - 20 IS - 1 SP - 35 EP - 58 UR - https://app.dimensions.ai/details/publication/pub.1039527356 https://openaccess.nhh.no/nhh-xmlui/bitstream/11250/164326/1/SOLDiscussion_paper_3_2007.pdf AN - pub.1039527356 DB - van Scheppingen 2014 Refs (33) Y2 - 2021/02/06/ ER - TY - JOUR TI - Exploring the Effect of Organization Culture Factors on Job Satisfaction: A Study of Polis Diraja Malaysia AU - Sulaiman, Yaty T2 - Journal of Economics DA - 2015/// PY - 2015 VL - 3 IS - 3 SP - 165 EP - 168 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Exploring the effects of workplace health promotions: A critical examination of a familiar organizational practice AU - Ford, Jessica L AU - Scheinfeld, Emily N T2 - Annals of the International Communication Association DA - 2016/// PY - 2016 VL - 40 IS - 1 SP - 277 EP - 305 SN - 2380-8985 DB - Hamar 2015 Cited by (33) ER - TY - JOUR TI - Exploring the Social Ledger: Negative Relationships and Negative Asymmetry in Social Networks in Organizations AU - Labianca, Giuseppe AU - Brass, Daniel J. T2 - Academy of Management Review DA - 2006/// PY - 2006 DO - 10.5465/amr.2006.21318920 VL - 31 IS - 3 SP - 596 EP - 614 UR - https://app.dimensions.ai/details/publication/pub.1072899276 http://pdfs.semanticscholar.org/b9a7/55a14ae7c11cb494029e273fbc04536d360d.pdf AN - pub.1072899276 Y2 - 2021/02/04/ ER - TY - JOUR TI - Exploring the views of desk-based office workers and their employers' beliefs regarding strategies to reduce occupational sitting time, with an emphasis on technology … AU - Stephenson, A AU - McDonough, SM AU - ... T2 - … of occupational and … AB - Objective: Employee and employer views regarding how technology-supported strategies can best meet their needs to reduce occupational sitting are not well known. This study explored target user and key stakeholder beliefs regarding strategies to reduce occupational … DA - 2020/// PY - 2020 UR - https://journals.lww.com/joem/fulltext/2020/02000/exploring_the_views_of_desk_based_office_workers.9.aspx DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Exploring Wellness Among Childcare Staff in North Carolina: Creating a Culture of Health for Adults and Young Children AU - Aylward, Aileen DA - 2016/// PY - 2016 DB - Wieneke 2016 Cited by (23) ER - TY - JOUR TI - Exposing compassion fatigue and burnout syndrome in a trauma team: A qualitative study AU - Berg, Gina M AU - Harshbarger, Jenni L AU - Ahlers-Schmidt, Carolyn R AU - Lippoldt, Diana T2 - Journal of trauma nursing DA - 2016/// PY - 2016 VL - 23 IS - 1 SP - 3 EP - 10 SN - 1078-7496 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - An extrapolation of Foucault’s Technologies of the Self to effect positive transformation in the intensivist as teacher and mentor AU - Papadimos, Thomas J AU - Manos, Joanna E AU - Murray, Stuart J T2 - Philosophy, Ethics, and Humanities in Medicine DA - 2013/// PY - 2013 VL - 8 IS - 1 SP - 1 EP - 7 SN - 1747-5341 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Facteurs de stress et conséquences du stress en médecine d’urgence : enquête nationale AU - Sende, J. 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T2 - Child Development Perspectives DA - 2010/// PY - 2010 DO - 10.1111/j.1750-8606.2009.00110.x VL - 4 IS - 1 SP - 10 EP - 18 UR - https://app.dimensions.ai/details/publication/pub.1050082757 http://europepmc.org/articles/pmc2848495?pdf=render AN - pub.1050082757 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - Factors affecting pain relief in response to physical exercise interventions among healthcare workers AU - Jakobsen, MD AU - Sundstrup, E AU - Brandt, Mikkel AU - Andersen, Lars L T2 - Scandinavian journal of medicine & science in sports DA - 2017/// PY - 2017 VL - 27 IS - 12 SP - 1854 EP - 1863 SN - 0905-7188 DB - Hamar 2015 Cited by (33) ER - TY - JOUR TI - Factors affecting stress in emergency medicine residents while working in the ED AU - Wrenn, Keith AU - Lorenzen, Brent AU - Jones, Ian AU - Zhou, Chuan AU - Aronsky, Dominik T2 - The American Journal of Emergency Medicine DA - 2010/// PY - 2010 DO - 10.1016/j.ajem.2009.05.001 VL - 28 IS - 8 SP - 897 EP - 902 UR - https://app.dimensions.ai/details/publication/pub.1029439984 AN - pub.1029439984 DB - Basu 2016 Refs (22) Y2 - 2021/02/04/ ER - TY - JOUR TI - Factors Associated With Availability of, and Employee Participation in, Comprehensive Workplace Health Promotion in a Large and Diverse Australian Public Sector Setting AU - Kilpatrick, Michelle AU - Blizzard, Leigh AU - Sanderson, Kristy AU - Teale, Brook AU - Venn, Alison T2 - Journal of Occupational and Environmental Medicine DA - 2015/// PY - 2015 DO - 10.1097/jom.0000000000000538 VL - 57 IS - 11 SP - 1197 EP - 1206 UR - https://app.dimensions.ai/details/publication/pub.1010509915 AN - pub.1010509915 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - Factors associated with care workers' intention to leave employment in nursing homes: A secondary data analysis of the Swiss Nursing Homes Human Resources … AU - Gaudenz, C AU - Geest, S De AU - ... T2 - Journal of Applied … AB - The emerging care personnel shortage in Swiss nursing homes is aggravated by high turnover rates. As intention to leave is a predictor of turnover, awareness of its associated factors is essential. This study applied a secondary data analysis to evaluate the prevalence … DA - 2019/// PY - 2019 UR - https://journals.sagepub.com/doi/abs/10.1177/0733464817721111 DB - Joen 2015 Cited by (37) ER - TY - JOUR TI - Factors associated with employee stress in psychiatric rehabilitation: Identifying vulnerability and resilience AU - Queri, Silvia K T2 - Journal of Social Service Research DA - 2016/// PY - 2016 VL - 42 IS - 3 SP - 386 EP - 401 SN - 0148-8376 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Factors associated with healthcare professionals' intent to stay in hospital: a comparison across five occupational categories AU - Gilles, Ingrid AU - Burnand, Bernard AU - Peytremann-Bridevaux, Isabelle T2 - International journal for quality in health care DA - 2014/// PY - 2014 VL - 26 IS - 2 SP - 158 EP - 166 SN - 1464-3677 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Factors associated with non-participation and drop-out in a lifestyle intervention for workers with an elevated risk of cardiovascular disease AU - Groeneveld, Iris F. 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T2 - International Journal of … AB - We examine the determinants of employees' intention to apply ergonomics at workplace and the moderating effects of Hofstede's cultural dimensions on the proposed research model. A research model, based on the decomposed theory of planned behaviour (DTPB), the unified … DA - 2019/// PY - 2019 UR - https://www.inderscienceonline.com/doi/abs/10.1504/IJHFE.2019.099584 DB - Robertson 2017 Cited by (23) ER - TY - JOUR TI - Factors Influencing Implementation of a Workplace Tobacco Cessation Intervention in India: A Qualitative Exploration AU - Gupte, Himanshu A AU - D’Costa, Marina AU - Ramanadhan, Shoba AU - Viswanath, Kasisomayajula T2 - Workplace Health & Safety DA - 2020/// PY - 2020 SP - 2165079920952761 SN - 2165-0799 DB - Seidel 2017 Cited by (6) ER - TY - JOUR TI - Factors Influencing Job Satisfaction of Employees: A Study on Telecommunication Sector of Bangladesh AU - Uddin, Md Kafil AU - Akther, Sharmin AU - Tumpa, Anindita Saha T2 - work DA - 2016/// PY - 2016 VL - 8 IS - 11 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Factors that contribute to physician variability in decisions to limit life support in the ICU: a qualitative study AU - Wilson, Michael E AU - Rhudy, Lori M AU - Ballinger, Beth A AU - Tescher, Ann N AU - Pickering, Brian W AU - Gajic, Ognjen T2 - Intensive care medicine DA - 2013/// PY - 2013 VL - 39 IS - 6 SP - 1009 EP - 1018 SN - 1432-1238 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Faculty career-enhancing training opportunity effects on perceived organizational support, job satisfaction, and organizational commitment AU - Bryant, Laura Pateri DA - 2016/// PY - 2016 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - A family information brochure and dedicated website to improve the ICU experience for patients’ relatives: an Italian multicenter before-and-after study AU - Mistraletti, Giovanni AU - Umbrello, Michele AU - Mantovani, Elena Silvia AU - Moroni, Benedetta AU - Formenti, Paolo AU - Spanu, Paolo AU - Anania, Stefania AU - Andrighi, Elisa AU - Di Carlo, Alessandra AU - Martinetti, Federica T2 - Intensive care medicine DA - 2017/// PY - 2017 VL - 43 IS - 1 SP - 69 EP - 79 SN - 0342-4642 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Family Member's Perceptions of Side Rail Use in Geriatric Hospital AU - Lee, Keum-Jae AU - Park, Gyeong-Sook AU - Park, Yeon-Suk T2 - Journal of Digital Convergence DA - 2016/// PY - 2016 VL - 14 IS - 12 SP - 503 EP - 513 SN - 2713-6434 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Family members' experiences of decision-making processes in the context of withholding or withdrawing treatment in the ICU. A qualitative interview study AU - Lind, Ranveig DA - 2013/// PY - 2013 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - “Family-friendly” jobs and motherhood pay penalties: The impact of flexible work arrangements across the educational spectrum AU - Fuller, Sylvia AU - Hirsh, C Elizabeth T2 - Work and Occupations DA - 2019/// PY - 2019 VL - 46 IS - 1 SP - 3 EP - 44 SN - 0730-8884 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Family‐supportive supervisor behaviors: A review and recommendations for research and practice AU - Crain, Tori L AU - Stevens, Shalyn C T2 - Journal of Organizational behavior DA - 2018/// PY - 2018 VL - 39 IS - 7 SP - 869 EP - 888 SN - 0894-3796 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Fatigue and recovery in 12‐hour dayshift hospital nurses AU - Chen, Jie AU - Davis, Kermit G AU - Daraiseh, Nancy M AU - Pan, Wei AU - Davis, Linda S T2 - Journal of nursing management DA - 2014/// PY - 2014 VL - 22 IS - 5 SP - 593 EP - 603 SN - 0966-0429 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Feasibility and Effectiveness of Online Physical Activity Advice Based on a Personal Activity Monitor: Randomized Controlled Trial AU - Slootmaker, Sander M. 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T2 - BMJ Open DA - 2013/// PY - 2013 DO - 10.1136/bmjopen-2013-003555 VL - 3 IS - 11 SP - e003555 UR - https://app.dimensions.ai/details/publication/pub.1025274187 https://bmjopen.bmj.com/content/3/11/e003555.full.pdf AN - pub.1025274187 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Fifty Communities Putting Prevention to Work: Accelerating Chronic Disease Prevention Through Policy, Systems and Environmental Change AU - Bunnell, Rebecca AU - O’Neil, Dara AU - Soler, Robin AU - Payne, Rebecca AU - Giles, Wayne H. 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Work, family, and stress among young adult women in the United States AU - Lippert, Adam M AU - Damaske, Sarah T2 - Social Forces DA - 2019/// PY - 2019 VL - 98 IS - 2 SP - 885 EP - 914 SN - 0037-7732 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Flexi work, financial well-being, work-life balance and their effects on subjective experiences of productivity and job satisfaction of females in an institution of higher learning AU - Jackson, Leon TB AU - Fransman, Edwina I T2 - South African Journal of Economic and Management Sciences DA - 2018/// PY - 2018 VL - 21 IS - 1 SP - 1 EP - 13 SN - 2222-3436 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Flexible and fit: Examining the relationship between flexible work arrangements and employee health AU - Goguen, Kandice DA - 2017/// PY - 2017 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Flexible Scheduling AU - Leschyshyn, Ashley AU - Minnotte, Krista Lynn T2 - Encyclopedia of Family Studies DA - 2016/// PY - 2016 SP - 1 EP - 4 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Flexible work arrangements in open workspaces and relations to occupational stress, need for recovery and psychological detachment from work AU - Mache, Stefanie AU - Servaty, Ricarda AU - Harth, Volker T2 - Journal of Occupational Medicine and Toxicology DA - 2020/// PY - 2020 VL - 15 IS - 1 SP - 1 EP - 11 SN - 1745-6673 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Flexible work designs and employee well‐being: Examining the effects of resources and demands AU - ter Hoeven, Claartje L AU - van Zoonen, Ward T2 - New Technology, Work and Employment DA - 2015/// PY - 2015 VL - 30 IS - 3 SP - 237 EP - 255 SN - 0268-1072 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Flexible Work Practices over Time in an IT Organization: Evidence from the Work, Family & Health Network Study AU - Kaduk, Anne AU - Genadek, Katie AU - Kelly, Erin AU - Moen, Phyllis AU - Buxton, Orfeu AU - Kossek, Ellen Ernst DA - 2014/// PY - 2014 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Flexible working conditions and their effects on employee health and wellbeing AU - Joyce, Kerry AU - Pabayo, Roman AU - Critchley, Julia A. 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T2 - Applied Ergonomics DA - 2008/// PY - 2008 DO - 10.1016/j.apergo.2008.02.022 VL - 39 IS - 4 SP - 482 EP - 494 UR - https://app.dimensions.ai/details/publication/pub.1006097716 AN - pub.1006097716 DB - Robertson 2017 Refs (47) Y2 - 2021/02/08/ ER - TY - JOUR TI - Flow at Work: Evidence for an Upward Spiral of Personal and Organizational Resources* AU - Salanova, Marisa AU - Bakker, Arnold B. 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T2 - Economic and … AB - In the realm of work environment improvements, the Nordic countries have led the way in demonstrating that employee participation is a key requisite for achieving improvements. Despite this, there is a lack of precision as to what 'participatory'in a participatory work … DA - 2020/// PY - 2020 UR - https://journals.sagepub.com/doi/abs/10.1177/0143831X17743576 DB - Vaag 2013 Cited by (33) ER - TY - JOUR TI - Fractions of cardiovascular diseases and mental disorders attributable to psychosocial work factors in 31 countries in Europe AU - Niedhammer, Isabelle AU - Sultan-Taïeb, Hélène AU - Chastang, Jean-François AU - Vermeylen, Greet AU - Parent-Thirion, Agnès T2 - International Archives of Occupational and Environmental Health DA - 2013/// PY - 2013 DO - 10.1007/s00420-013-0879-4 VL - 87 IS - 4 SP - 403 EP - 411 UR - https://app.dimensions.ai/details/publication/pub.1024934979 AN - pub.1024934979 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - Framework to support the process of decision-making on life-sustaining treatments in the ICU: Results of a Delphi study AU - Kerckhoffs, Monika C AU - Senekal, Jannien AU - Van Dijk, Diederik AU - Artigas, Antonio AU - Butler, Jenie AU - Michalsen, Andrej AU - van Mol, Margo MC AU - Moreno, Rui AU - da Silva, Filipa Pais AU - Picetti, Edoardo T2 - Critical care medicine DA - 2020/// PY - 2020 VL - 48 IS - 5 SP - 645 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - French language questionnaires assessing burnout among caregivers: a literature review AU - El Kettani, A AU - Serhier, Z AU - Othmani, M Bennani AU - Agoub, M AU - Battas, O T2 - Journal of Medical and Surgical Research DA - 2019/// PY - 2019 VL - 6 SP - 622 EP - 626 SN - 0975-6299 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - From crisis to development–analysis of air traffic control work processes AU - Teperi, Anna-Maria AU - Leppänen, Anneli T2 - Applied ergonomics DA - 2011/// PY - 2011 DP - Robertson 2008 Cited By (156) VL - 42 IS - 3 SP - 426 EP - 436 SN - 0003-6870 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - From Face Time to Flex Time: The Role of Physical Space in Worker Temporal Flexibility AU - Gonsalves, Leroy T2 - 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Journal of International Business Studies DA - 2010/// PY - 2010 DO - 10.1057/jibs.2009.88 VL - 41 IS - 2 SP - 178 EP - 184 UR - https://app.dimensions.ai/details/publication/pub.1027780226 https://link.springer.com/content/pdf/10.1057%2Fjibs.2009.88.pdf AN - pub.1027780226 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - From the Top Down: Assisting Critical Care Nurses in Coping with Job Stresses AU - Bryant, Cynthia R DA - 2017/// PY - 2017 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - From the Workplace to Home AU - Pinkerton, Sean AU - Wilson, Kathleen S AU - Rutkowski, Elaine AU - Sherman, Clay T2 - Californian Journal of Health Promotion DA - 2016/// PY - 2016 VL - 14 IS - 3 SP - 31 EP - 44 SN - 1545-8725 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - From the Workplace to Home: The Impact of an Email Intervention Targeting the Family AU - Pinkerton, Sean AU - Wilson, Kathleen S AU - Rutkowski, Elaine AU - Sherman, Clay T2 - Californian Journal of Health Promotion DA - 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Muntlin Athlin, Åsa AU - von Thiele Schwarz, Ulrica T2 - BMC Health Services Research DA - 2014/// PY - 2014 DO - 10.1186/1472-6963-14-218 VL - 14 IS - 1 SP - 218 UR - https://app.dimensions.ai/details/publication/pub.1014014619 https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/1472-6963-14-218 AN - pub.1014014619 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - Further Examination of the Link Between Work-Family Conflict and Physical Health AU - Allen, Tammy D. AU - Armstrong, Jeremy T2 - American Behavioral Scientist DA - 2006/// PY - 2006 DO - 10.1177/0002764206286386 VL - 49 IS - 9 SP - 1204 EP - 1221 UR - https://app.dimensions.ai/details/publication/pub.1063545084 AN - pub.1063545084 DB - Moen 2011 Ref (66) Y2 - 2021/02/08/ ER - TY - JOUR TI - Further investigating the influence of personality in employee response to organisational change: the moderating role of change‐related factors AU - Caldwell, Steven D. AU - Liu, Yi T2 - Human Resource Management Journal DA - 2010/// PY - 2010 DO - 10.1111/j.1748-8583.2010.00127.x VL - 21 IS - 1 SP - 74 EP - 89 UR - https://app.dimensions.ai/details/publication/pub.1042617038 AN - pub.1042617038 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - The future of organizational interventions: Addressing the challenges of today's organizations AU - Nielsen, Karina AU - Taris, Toon W. AU - Cox, Tom T2 - Work & Stress DA - 2010/// PY - 2010 DO - 10.1080/02678373.2010.519176 VL - 24 IS - 3 SP - 219 EP - 233 UR - https://app.dimensions.ai/details/publication/pub.1011262689 AN - pub.1011262689 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - A Fuzzy Decision-Making Trial and Evaluation Laboratory approach to analyse risk factors related to environmental health and safety aspects in the healthcare industry AU - Bhalaji, RKA AU - Bathrinath, S AU - Ponnambalam, SG AU - Saravanasankar, S T2 - Sādhanā DA - 2019/// PY - 2019 VL - 44 IS - 3 SP - 55 SN - 0256-2499 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Gender and organizational justice preferences AU - Clay‐Warner, Jody AU - Culatta, Elizabeth AU - James, Katie R T2 - Sociology Compass DA - 2013/// PY - 2013 VL - 7 IS - 12 SP - 1074 EP - 1084 SN - 1751-9020 DB - Inoue 2013 Cited by (44) ER - TY - JOUR TI - Gender and wellbeing at work AU - Ravenswood, Katherine AU - Harris, Candice AU - Wrapson, Wendy T2 - New Zealand Journal of Employment Relations DA - 2017/// PY - 2017 VL - 42 IS - 3 SP - 1 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Gender Differences in Associating Musculoskeletal Complaints, Housework, Electronic Device Usage and Physical Exercise for Administrative Workers AU - Lima, TM AU - Coelho, DA T2 - International Journal of Occupational Safety … AB - Introduction. The study assessed musculoskeletal complaints (MSCs) in administrative workers, associating MSCs with non-paid housework, home use of electronic devices and physical exercise, while keeping a distinctive gender approach. This may promote the … DA - 2021/// PY - 2021 UR - https://www.tandfonline.com/doi/abs/10.1080/10803548.2021.1878695 DB - Robertson 2017 Cited by (23) ER - TY - JOUR TI - Gender differences in job strain, effort-reward imbalance, and health functioning among Chinese physicians AU - Li, Jian AU - Yang, Wenjie AU - Cho, Sung-il T2 - Social Science & Medicine DA - 2005/// PY - 2005 DO - 10.1016/j.socscimed.2005.07.011 VL - 62 IS - 5 SP - 1066 EP - 1077 UR - https://app.dimensions.ai/details/publication/pub.1023626850 AN - pub.1023626850 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - Gender differences in occupational exposure patterns AU - Eng, Amanda AU - Mannetje, Andrea 't AU - McLean, Dave AU - Ellison-Loschmann, Lis AU - Cheng, Soo AU - Pearce, Neil T2 - Occupational and Environmental Medicine DA - 2011/// PY - 2011 DO - 10.1136/oem.2010.064097 VL - 68 IS - 12 SP - 888 UR - https://app.dimensions.ai/details/publication/pub.1000417367 https://researchonline.lshtm.ac.uk/id/eprint/20521/1/workforce_survey_gender-2.pdf AN - pub.1000417367 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - Gender Differences in Self-perception of Health at a Wellness Center AU - Sood, Richa AU - Jenkins, Sarah M AU - Sood, Amit AU - Clark, Matthew M T2 - American journal of health behavior DA - 2019/// PY - 2019 VL - 43 IS - 6 SP - 1129 EP - 1135 SN - 1087-3244 DB - Wieneke 2016 Cited by (23) ER - TY - JOUR TI - Gender Differences in Sleep Disruption among Retail Food Workers AU - Maume, David J. AU - Sebastian, Rachel A. AU - Bardo, Anthony R. T2 - American Sociological Review DA - 2009/// PY - 2009 DO - 10.1177/000312240907400607 VL - 74 IS - 6 SP - 989 EP - 1007 UR - https://app.dimensions.ai/details/publication/pub.1005646589 AN - pub.1005646589 DB - Moen 2011 Ref (66) Y2 - 2021/02/08/ ER - TY - JOUR TI - Gender differences in the effect of social resources and social status on the retirement satisfaction and health of retirees AU - Wang, Yihan AU - Matz-Costa, Christina T2 - Journal of gerontological social work DA - 2019/// PY - 2019 VL - 62 IS - 1 SP - 86 EP - 107 SN - 0163-4372 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Gender differences in work–home interplay and symptom perception among Swedish white-collar employees AU - Berntsson, L. AU - Lundberg, U. AU - Krantz, G. T2 - Journal of Epidemiology & Community Health DA - 2006/// PY - 2006 DO - 10.1136/jech.2005.042192 VL - 60 IS - 12 SP - 1070 UR - https://app.dimensions.ai/details/publication/pub.1014724861 http://europepmc.org/articles/pmc2465494?pdf=render AN - pub.1014724861 DB - Eller 2011 Refs (38) Y2 - 2021/02/04/ ER - TY - JOUR TI - Gendered Challenge, Gendered Response AU - Kelly, Erin L. AU - Ammons, Samantha K. AU - Chermack, Kelly AU - Moen, Phyllis T2 - Gender & Society DA - 2010/// PY - 2010 DO - 10.1177/0891243210372073 VL - 24 IS - 3 SP - 281 EP - 303 UR - https://app.dimensions.ai/details/publication/pub.1052928720 http://europepmc.org/articles/pmc2900795?pdf=render AN - pub.1052928720 DB - Moen 2011 Ref (66) Y2 - 2021/02/08/ ER - TY - JOUR TI - Gendered working environments as a determinant of mental health inequalities: a systematic review of 27 studies AU - Milner, Allison AU - Scovelle, Anna Joy AU - King, Tania AU - Marck, Claudia AU - McAllister, Ashley AU - Kavanagh, Anne AU - Shields, Marissa AU - Török, Eszter AU - Maheen, Humaira AU - O'Neil, Adrienne T2 - Occupational and environmental medicine DA - 2020/// PY - 2020 SN - 1351-0711 DB - Inoue 2013 Cited by (44) ER - TY - JOUR TI - Gene–environment interactions and alcohol use and dependence: current status and future challenges AU - Van Der Zwaluw, Carmen S. AU - Engels, Rutger C. M. E. T2 - Addiction DA - 2009/// PY - 2009 DO - 10.1111/j.1360-0443.2009.02563.x VL - 104 IS - 6 SP - 907 EP - 914 UR - https://app.dimensions.ai/details/publication/pub.1033836418 AN - pub.1033836418 DB - Allard 2011 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Gene–Environment Interactions in the Etiology of Obesity: Defining the Fundamentals AU - Bouchard, Claude T2 - Obesity DA - 2008/// PY - 2008 DO - 10.1038/oby.2008.528 VL - 16 IS - S3 SP - s5 EP - s10 UR - https://app.dimensions.ai/details/publication/pub.1001230349 https://onlinelibrary.wiley.com/doi/pdfdirect/10.1038/oby.2008.528 AN - pub.1001230349 DB - Allard 2011 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Getting There from Here: Research on the Effects of Work-Family Initiatives on Work-Family Conflict and Business Outcomes AU - Kelly, E. L. AU - Kossek, E. E. AU - Hammer, L. B. AU - Durham, M. AU - Bray, J. AU - Chermack, K. AU - Murphy, L. A. AU - Kaskubar, D. T2 - Acad Manag Ann AB - Many employing organizations have adopted work-family policies, programs, and benefits. Yet managers in employing organizations simply do not know what organizational initiatives actually reduce work-family conflict and how these changes are likely to impact employees and the organization. We examine scholarship that addresses two broad questions: first, do work-family initiatives reduce employees' work-family conflict and/or improve work-family enrichment? Second, does reduced work-family conflict improve employees' work outcomes and, especially, business outcomes at the organizational level? We review over 150 peer-reviewed studies from a number of disciplines in order to summarize this rich literature and identify promising avenues for research and conceptualization. We propose a research agenda based on four primary conclusions: the need for more multi-level research, the necessity of an interdisciplinary approach, the benefits of longitudinal studies that employ quasi-experimental or experimental designs and the challenges of translating research into practice in effective ways. DA - 2008/08//undefined PY - 2008 DO - 10.1080/19416520802211610 VL - 2 IS - 1 SP - 305 EP - 349 SN - 1941-6520 (Print) 1941-6520 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/20589229 AN - 20589229 DB - Moen 2011 Ref (66) Y2 - 2021/02/08/ ER - TY - JOUR TI - Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010 AU - Whiteford, Harvey A. AU - Degenhardt, Louisa AU - Rehm, Jürgen AU - Baxter, Amanda J. AU - Ferrari, Alize J. AU - Erskine, Holly E. AU - Charlson, Fiona J. AU - Norman, Rosana E. AU - Flaxman, Abraham D. AU - Johns, Nicole AU - Burstein, Roy AU - Murray, Christopher J. L. AU - Vos, Theo T2 - The Lancet DA - 2013/// PY - 2013 DO - 10.1016/s0140-6736(13)61611-6 VL - 382 IS - 9904 SP - 1575 EP - 1586 UR - https://app.dimensions.ai/details/publication/pub.1020593522 AN - pub.1020593522 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - The Global Burden of Mental, Neurological and Substance Use Disorders: An Analysis from the Global Burden of Disease Study 2010 AU - Whiteford, Harvey A. AU - Ferrari, Alize J. AU - Degenhardt, Louisa AU - Feigin, Valery AU - Vos, Theo T2 - PLoS ONE DA - 2015/// PY - 2015 DO - 10.1371/journal.pone.0116820 VL - 10 IS - 2 SP - e0116820 UR - https://app.dimensions.ai/details/publication/pub.1011256270 https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0116820&type=printable AN - pub.1011256270 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis AU - Woo, Tiffany AU - Ho, Roger AU - Tang, Arthur AU - Tam, Wilson T2 - Journal of psychiatric research DA - 2020/// PY - 2020 VL - 123 SP - 9 EP - 20 SN - 0022-3956 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Globalization in health care: is international standardization of quality a step toward outsourcing? 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T2 - Journal of Psychiatric and Mental Health Nursing DA - 2016/// PY - 2016 DO - 10.1111/jpm.12309 VL - 23 IS - 5 SP - 290 EP - 302 UR - https://app.dimensions.ai/details/publication/pub.1053091865 AN - pub.1053091865 DB - Seidel 2017 Refs (18) Y2 - 2021/02/08/ ER - TY - JOUR TI - Greetings from Doris Grinspun, Executive Director Registered Nurses’ Association of Ontario AU - Grinspun, Doris AU - Ont, O DA - 2008/// PY - 2008 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Group Dynamics in Healthcare Settings: A Strategic Framework for Cohesion AU - McTighe, Adam J AU - Donovan, Samantha T2 - Science and Education DA - 2017/// PY - 2017 VL - 5 IS - 1 SP - 30 EP - 35 DB - Wieneke 2016 Cited by (23) ER - TY - JOUR TI - Growth Opportunity, Supportive Management, Meaningful Work and Turnover Intention among Generation Y Employees: A quantitative Study in the Public Sector in Astana, Kazakhstan AU - Shaimerdenova, Ainur AU - Singh, Jugindar Singh Kartar AU - Suppramaniam, Subaashnii T2 - International Journal of Recent Technology and Engineering (IJRTE) ISSN DA - 2019/// PY - 2019 SP - 2277 EP - 3878 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - H-WORK Project: Multilevel Interventions to Promote Mental Health in SMEs and Public Workplaces AU - Angelis, M De AU - Giusino, D AU - Nielsen, K AU - Aboagye, E AU - ... T2 - International Journal of … AB - The paper describes the study design, research questions and methods of a large, international intervention project aimed at improving employee mental health and well-being in SMEs and public organisations. The study is innovative in multiple ways. First, it goes … DA - 2020/// PY - 2020 UR - https://www.mdpi.com/1660-4601/17/21/8035 DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - Happiness is flextime AU - Okulicz-Kozaryn, Adam AU - Golden, Lonnie T2 - Applied Research in Quality of Life DA - 2018/// PY - 2018 VL - 13 IS - 2 SP - 355 EP - 369 SN - 1871-2576 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Hasta Bakım Sonuçlarında Kilit Nokta: Hemşirelik Hizmetleri Yönetiminde Liderlik AU - AKBIYIK, A AU - KORHAN, EA T2 - Turkiye Klinikleri Hemsirelik … AB - ÖZET Günümüzde, hemşirelik bakım kalitesinin geliştirilmesi ve ideal hasta sonuçlarının elde edilmesi sağlık kurumlarının öncelikli hedefleri arasındadır. Bu hedeflerin gerçekleşebilmesi ancak etkili liderlik becerilerinin veya davranışlarının sergilendiği … DA - 2017/// PY - 2017 UR - http://search.ebscohost.com/login.aspx?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=1308092X&AN=125586675&h=HcGFYIiOqOdnK6PhxRTqwcGAZSJ4dQW7f2QLoTOPDGe0NdmBUoq%2Bl9UuU2n4tEy%2FvNUZPO0ouLj8wNfN2N82yg%3D%3D&crl=c DB - Joen 2015 Cited by (37) ER - TY - JOUR TI - The Health and Cost Benefits of Work Site Health-Promotion Programs AU - Goetzel, Ron Z. AU - Ozminkowski, Ronald J. T2 - Annual Review of Public Health DA - 2008/// PY - 2008 DO - 10.1146/annurev.publhealth.29.020907.090930 VL - 29 IS - 1 SP - 303 EP - 323 UR - https://app.dimensions.ai/details/publication/pub.1023772500 https://www.annualreviews.org/doi/pdf/10.1146/annurev.publhealth.29.020907.090930 AN - pub.1023772500 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - Health and Globalization AU - Shinohara, Chika T2 - The Blackwell Encyclopedia of Sociology DA - 2007/// PY - 2007 SP - 1 EP - 6 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Health and Productivity as a Business Strategy AU - Loeppke, Ronald AU - Taitel, Michael AU - Richling, Dennis AU - Parry, Thomas AU - Kessler, Ronald C. AU - Hymel, Pam AU - Konicki, Doris T2 - Journal of Occupational and Environmental Medicine DA - 2007/// PY - 2007 DO - 10.1097/jom.0b013e318133a4be VL - 49 IS - 7 SP - 712 EP - 721 UR - https://app.dimensions.ai/details/publication/pub.1019246794 AN - pub.1019246794 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - Health and Productivity as a Business Strategy: A Multiemployer Study AU - Loeppke, Ronald AU - Taitel, Michael AU - Haufle, Vince AU - Parry, Thomas AU - Kessler, Ronald C. AU - Jinnett, Kimberly T2 - Journal of Occupational and Environmental Medicine DA - 2009/// PY - 2009 DO - 10.1097/jom.0b013e3181a39180 VL - 51 IS - 4 SP - 411 EP - 428 UR - https://app.dimensions.ai/details/publication/pub.1025481214 AN - pub.1025481214 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - Health care restructuring, work environment, and health of nurses AU - Bourbonnais, Renée AU - Brisson, Chantal AU - Malenfant, Romaine AU - Vézina, Michel T2 - American journal of industrial medicine DA - 2005/// PY - 2005 VL - 47 IS - 1 SP - 54 EP - 64 SN - 0271-3586 DB - Bourbonnais 2006 Refs (40) ER - TY - JOUR TI - Health Hazards and Emergency Care for Health Care Workers AU - Behrman, Amy J T2 - Occupational Emergency Medicine DA - 2011/// PY - 2011 SP - 175 EP - 198 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Health issues and injury risks associated with prolonged sitting and sedentary lifestyles AU - Lurati, AR T2 - Workplace health & safety AB - Using a case study, this article reviews the health risks associated with prolonged sitting and the reasons sedentary workers are at risk for musculoskeletal injuries. Other health issues associated with prolonged sitting or sedentary behavior as well as the benefits of exercise … DA - 2018/// PY - 2018 UR - https://journals.sagepub.com/doi/abs/10.1177/2165079917737558 DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Health promotion in small business: a systematic review of factors influencing adoption and effectiveness of worksite wellness programs AU - McCoy, Ms Kira AU - Stinson, Ms Kaylan AU - Scott, Mr Kenneth AU - Tenney, Ms Liliana AU - Newman, Lee S T2 - Journal of occupational and environmental medicine/American College of Occupational and Environmental Medicine DA - 2014/// PY - 2014 VL - 56 IS - 6 SP - 579 DB - Merrill 2011 Cited by (24) ER - TY - JOUR TI - Health Self-Management Applications in the Work Environment: The Effects on Employee Autonomy. Front. Digit AU - Bonvanie, A AU - Broekhuis, M AU - Janssen, O AU - Maeckelberghe, E AU - Wortmann, JC T2 - Health DA - 2020/// PY - 2020 VL - 2 IS - 9 DB - Hendriksen 2016 Cited by (46) ER - TY - JOUR TI - The Health Status of Nonparticipants in a Population-based Health StudyThe Hordaland Health Study AU - Knudsen, Ann Kristin AU - Hotopf, Matthew AU - Skogen, Jens Christoffer AU - Øverland, Simon AU - Mykletun, Arnstein T2 - American Journal of Epidemiology DA - 2010/// PY - 2010 DO - 10.1093/aje/kwq257 VL - 172 IS - 11 SP - 1306 EP - 1314 UR - https://app.dimensions.ai/details/publication/pub.1003128148 https://academic.oup.com/aje/article-pdf/172/11/1306/480104/kwq257.pdf AN - pub.1003128148 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - Health-related behavior as a mechanism behind the relationship between neighborhood social capital and individual health - a multilevel analysis AU - Mohnen, Sigrid M. AU - Völker, Beate AU - Flap, Henk AU - Groenewegen, Peter P. T2 - BMC Public Health DA - 2012/// PY - 2012 DO - 10.1186/1471-2458-12-116 VL - 12 IS - 1 SP - 116 UR - https://app.dimensions.ai/details/publication/pub.1025578860 https://doi.org/10.1186/1471-2458-12-116 AN - pub.1025578860 DB - van Scheppingen 2014 Refs (33) Y2 - 2021/02/06/ ER - TY - JOUR TI - Health-specific leadership: Is there an association between leader consideration for the health of employees and their strain and well-being? AU - Gurt, Jochen AU - Schwennen, Christian AU - Elke, Gabriele T2 - Work & Stress DA - 2011/// PY - 2011 DO - 10.1080/02678373.2011.595947 VL - 25 IS - 2 SP - 108 EP - 127 UR - https://app.dimensions.ai/details/publication/pub.1045676258 AN - pub.1045676258 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Healthcare work and organizational interventions to prevent work-related stress in Brindisi, Italy AU - d'Ettorre, Gabriele AU - Greco, Mariarita T2 - Safety and health at work DA - 2015/// PY - 2015 VL - 6 IS - 1 SP - 35 EP - 38 SN - 2093-7911 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Healthy ageing at work—Efficacy of group interventions on the mental health of nurses aged 45 and older: Results of a randomised, controlled trial AU - Maatouk, Imad AU - Müller, Andreas AU - Angerer, Peter AU - Schmook, Renate AU - Nikendei, Christoph AU - Herbst, Kirsten AU - Gantner, Melanie AU - Herzog, Wolfgang AU - Gündel, Harald T2 - PloS one DA - 2018/// PY - 2018 VL - 13 IS - 1 SP - e0191000 SN - 1932-6203 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Healthy change in intervention research and reorganization AU - Saksvik, PØ AU - Karanika-Murray, M T2 - The Positive Side of Occupational … AB - In this chapter, we will look at reorganization and interventions that aim to improve the conditions for employees to enable them to work under more health-promoting conditions. In this respect, we will examine the common core of two different research traditions … DA - 2017/// PY - 2017 UR - https://link.springer.com/chapter/10.1007/978-3-319-66781-2_12 DB - Vaag 2013 Cited by (33) ER - TY - JOUR TI - Healthy hospital choices; promoting healthy hospital food, physical activity, breastfeeding and lactation support and tobacco-free choices: recommendations and approaches from an expert panel AU - Belay, Brook AU - Boothe, Allison AU - Reynolds, Meredith A AU - Wiseman, Andrea DA - 2012/// PY - 2012 DB - Gadomski 2010 Cited By (31) ER - TY - JOUR TI - Healthy Work Revisited: Do Changes in Time Strain Predict Well-Being? AU - Moen, Phyllis AU - Kelly, Erin L. AU - Lam, Jack T2 - Journal of Occupational Health Psychology DA - 2013/// PY - 2013 DO - 10.1037/a0031804 VL - 18 IS - 2 SP - 157 EP - 172 UR - https://app.dimensions.ai/details/publication/pub.1026091415 http://europepmc.org/articles/pmc3698878?pdf=render AN - pub.1026091415 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Heart Healthy and Stroke Free Successful Business Strategies to Prevent Cardiovascular Disease AU - Koffman, Dyann M. Matson AU - Goetzel, Ron Z. AU - Anwuri, Victoria V. AU - Shore, Karen K. 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T2 - Asia Pacific Journal of Human Resources DA - 2008/// PY - 2008 DO - 10.1177/1038411107086542 VL - 46 IS - 1 SP - 38 EP - 55 UR - https://app.dimensions.ai/details/publication/pub.1063922018 AN - pub.1063922018 Y2 - 2021/02/04/ ER - TY - JOUR TI - High-Performance Work Systems and Occupational Safety AU - Zacharatos, Anthea AU - Barling, Julian AU - Iverson, Roderick D. 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AU - Van Rhenen, Willem T2 - Journal of Organizational Behavior DA - 2009/// PY - 2009 DO - 10.1002/job.595 VL - 30 IS - 7 SP - 893 EP - 917 UR - https://app.dimensions.ai/details/publication/pub.1001061179 https://lirias.kuleuven.be/bitstream/123456789/486750/1/15.pdf AN - pub.1001061179 DB - Vaag 2013 Refs (19) Y2 - 2021/02/08/ ER - TY - JOUR TI - How changes in subjective general health predict future time perspective, and development and generativity motives over the lifespan AU - Kooij, Dorien AU - Van De Voorde, Karina T2 - Journal of Occupational and Organizational Psychology DA - 2011/// PY - 2011 DO - 10.1111/j.2044-8325.2010.02012.x VL - 84 IS - 2 SP - 228 EP - 247 UR - https://app.dimensions.ai/details/publication/pub.1006828298 AN - pub.1006828298 Y2 - 2021/02/04/ ER - TY - JOUR TI - How do employees prioritise when they schedule their own shifts? AU - Nabe-Nielsen, Kirsten AU - Lund, Henrik AU - Ajslev, Jeppe Z AU - Hansen, Åse Marie AU - Albertsen, Karen AU - Hvid, Helge AU - Garde, Anne Helene T2 - Ergonomics DA - 2013/// PY - 2013 VL - 56 IS - 8 SP - 1216 EP - 1224 SN - 0014-0139 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - How do iLead? Validation of a scale measuring active and passive implementation leadership in Swedish healthcare AU - Mosson, Rebecca AU - von Thiele Schwarz, Ulrica AU - Hasson, Henna AU - Lundmark, Robert AU - Richter, Anne T2 - BMJ open DA - 2018/// PY - 2018 VL - 8 IS - 6 SP - e021992 SN - 2044-6055 DB - Lundmark 2017 Cited by (21) ER - TY - JOUR TI - How do occupational stressor-strain effects vary with time? A review and meta-analysis of the relevance of time lags in longitudinal studies AU - Ford, Michael T. AU - Matthews, Russell A. AU - Wooldridge, Jessica D. AU - Mishra, Vipanchi AU - Kakar, Urszula M. AU - Strahan, Sarah R. T2 - Work & Stress DA - 2014/// PY - 2014 DO - 10.1080/02678373.2013.877096 VL - 28 IS - 1 SP - 9 EP - 30 UR - https://app.dimensions.ai/details/publication/pub.1039296046 AN - pub.1039296046 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - How do transformational leaders influence followers' affective well-being? Exploring the mediating role of self-efficacy AU - Nielsen, Karina AU - Munir, Fehmidah T2 - Work & Stress DA - 2009/// PY - 2009 DO - 10.1080/02678370903385106 VL - 23 IS - 4 SP - 313 EP - 329 UR - https://app.dimensions.ai/details/publication/pub.1038684581 AN - pub.1038684581 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - How Family-Friendly Are Workplace Policies? A Critical Synthesis of the Literature AU - Tuepah, Taylor DA - 2016/// PY - 2016 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - How Leaders Cultivate Social Capital and Nurture Employee Vigor: Implications for Job Performance AU - Carmeli, Abraham AU - Ben-Hador, Batia AU - Waldman, David A. AU - Rupp, Deborah E. T2 - Journal of Applied Psychology DA - 2009/// PY - 2009 DO - 10.1037/a0016429 VL - 94 IS - 6 SP - 1553 EP - 1561 UR - https://app.dimensions.ai/details/publication/pub.1040624500 AN - pub.1040624500 DB - van Scheppingen 2014 Refs (33) Y2 - 2021/02/06/ ER - TY - JOUR TI - How Much Distress Is Too Much on Deployed Operations? Validation of the Kessler Psychological Distress Scale (K10) for Application in Military Operational Settings AU - Blanc, Sébastien AU - Zamorski, Mark AU - Ivey, Gary AU - Edge, Heather McCuaig AU - Hill, Kate T2 - Military Psychology DA - 2014/// PY - 2014 DO - 10.1037/mil0000033 VL - 26 IS - 2 SP - 88 EP - 100 UR - https://app.dimensions.ai/details/publication/pub.1035358676 AN - pub.1035358676 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - How organizational characteristics shape gender difference and inequality at work AU - Gorman, Elizabeth H AU - Mosseri, Sarah T2 - Sociology Compass DA - 2019/// PY - 2019 VL - 13 IS - 3 SP - e12660 SN - 1751-9020 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - How organizational support impacts affective commitment and turnover among Italian nurses: a multilevel mediation model AU - Akremi, Assâad El AU - Colaianni, Gabriele AU - Portoghese, Igor AU - Galletta, Maura AU - Battistelli, Adalgisa T2 - The International Journal of Human Resource Management DA - 2013/// PY - 2013 DO - 10.1080/09585192.2013.826713 VL - 25 IS - 9 SP - 1185 EP - 1207 UR - https://app.dimensions.ai/details/publication/pub.1001390623 AN - pub.1001390623 Y2 - 2021/02/04/ ER - TY - JOUR TI - How to design, implement and evaluate organizational interventions for maximum impact: The Sigtuna Principles AU - Schwarz, U von Thiele AU - Nielsen, K AU - ... T2 - European Journal of … AB - Research on organizational interventions needs to meet the objectives of both researchers and participating organizations. This duality means that real-world impact has to be considered throughout the research process, simultaneously addressing both scientific … DA - 2020/// PY - 2020 UR - https://www.tandfonline.com/doi/abs/10.1080/1359432X.2020.1803960 DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - How to Implement Employee Assistance Programs in Higher Education: A Literature Review AU - Nurhadi, Didik T2 - Teknologi dan Kejuruan: Jurnal Teknologi, Kejuruan, dan Pengajarannya DA - 2020/// PY - 2020 VL - 43 IS - 2 SP - 106 EP - 118 SN - 2477-0442 DB - Hendriksen 2016 Cited by (46) ER - TY - JOUR TI - How to Measure the Intervention Process? An Assessment of Qualitative and Quantitative Approaches to Data Collection in the Process Evaluation of Organizational Interventions AU - Abildgaard, J. S. AU - Saksvik, P. O. AU - Nielsen, K. T2 - Front Psychol AB - Organizational interventions aiming at improving employee health and wellbeing have proven to be challenging to evaluate. To analyze intervention processes two methodological approaches have widely been used: quantitative (often questionnaire data), or qualitative (often interviews). Both methods are established tools, but their distinct epistemological properties enable them to illuminate different aspects of organizational interventions. In this paper, we use the quantitative and qualitative process data from an organizational intervention conducted in a national postal service, where the Intervention Process Measure questionnaire (N = 285) as well as an extensive interview study (N = 50) were used. We analyze what type of knowledge about intervention processes these two methodologies provide and discuss strengths and weaknesses as well as potentials for mixed methods evaluation methodologies. DA - 2016/// PY - 2016 DO - 10.3389/fpsyg.2016.01380 VL - 7 SP - 1380 SN - 1664-1078 (Print) 1664-1078 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/27713707 AN - 27713707 DB - Gilbert-Ouimet 2011 Refs (27) Y2 - 2021/02/04/ KW - mixed methods KW - qualitative methods KW - organizational interventions KW - process evaluation KW - quantitative methods KW - research methodology ER - TY - JOUR TI - How transformational leadership predicts employees’ affective commitment and performance AU - Ribeiro, Neuza AU - Yücel, İlhami AU - Gomes, Daniel T2 - International Journal of Productivity and Performance Management DA - 2018/// PY - 2018 SN - 1741-0401 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - How Visual Management for Continuous Improvement Might Guide and Affect Hospital Staff AU - Ulhassan, Waqar AU - von Thiele Schwarz, Ulrica AU - Westerlund, Hugo AU - Sandahl, Christer AU - Thor, Johan T2 - Quality Management in Health Care DA - 2015/// PY - 2015 DO - 10.1097/qmh.0000000000000073 VL - 24 IS - 4 SP - 222 EP - 228 UR - https://app.dimensions.ai/details/publication/pub.1039929740 AN - pub.1039929740 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - How work redesign interventions affect performance: An evidence-based model from a systematic review AU - Knight, Caroline AU - Parker, Sharon K T2 - Human Relations DA - 2021/// PY - 2021 DP - Robertson 2008 Cited By (156) VL - 74 IS - 1 SP - 69 EP - 104 SN - 0018-7267 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - HR practices and HRM outcomes: the role of basic need satisfaction AU - Marescaux, Elise AU - De Winne, Sophie AU - Sels, Luc T2 - Personnel Review DA - 2012/// PY - 2012 DO - 10.1108/00483481311285200 VL - Volume 42 IS - Issue 1 SP - 4 EP - 27 UR - https://app.dimensions.ai/details/publication/pub.1039301460 AN - pub.1039301460 Y2 - 2021/02/04/ ER - TY - JOUR TI - HSE Management Standards and stress-related work outcomes AU - Kerr, Robert AU - McHugh, Marie AU - McCrory, Mark T2 - Occupational medicine DA - 2009/// PY - 2009 VL - 59 IS - 8 SP - 574 EP - 579 SN - 1471-8405 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The HSE management standards indicator tool: concurrent and construct validity AU - Marcatto, Francesco AU - Colautti, Lorenzo AU - Larese Filon, Francesca AU - Luis, Ornella AU - Ferrante, Donatella T2 - Occupational medicine DA - 2014/// PY - 2014 VL - 64 IS - 5 SP - 365 EP - 371 SN - 1471-8405 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - HUBUNGAN ANTARA HEALTH CONSCIOUSNESS DENGAN EMPLOYEE WELL-BEING PADA KARYAWAN DI DKI JAKARTA AU - Sadida, Nuri T2 - Journal of Psychological Science and Profession DA - 2018/// PY - 2018 VL - 2 IS - 3 SP - 216 EP - 221 SN - 2598-3075 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Human critical success factors for kaizen and its impacts in industrial performance AU - García, Jorge L. AU - Maldonado, Aidé A. AU - Alvarado, Alejandro AU - Rivera, Denisse G. T2 - The International Journal of Advanced Manufacturing Technology DA - 2013/// PY - 2013 DO - 10.1007/s00170-013-5445-4 VL - 70 IS - 9-12 SP - 2187 EP - 2198 UR - https://app.dimensions.ai/details/publication/pub.1035140822 AN - pub.1035140822 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Human resource management training of supervisors for improving health and well‐being of employees AU - Kuehnl, A AU - Seubert, C AU - Rehfuess, E AU - ... T2 - Cochrane Database … AB - Background Many workers suffer from work‐related stress and are at increased risk of work‐related cardiovascular, musculoskeletal, or mental disorders. In the European Union the prevalence of work‐related stress was estimated at about 22%. There is consensus that … DA - 2019/// PY - 2019 UR - https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010905.pub2/abstract DB - Joen 2015 Cited by (37) ER - TY - JOUR TI - Human resource management, Lean processes and outcomes for employees: towards a research agenda AU - Bamber, Greg J. AU - Stanton, Pauline AU - Bartram, Timothy AU - Ballardie, Ruth T2 - The International Journal of Human Resource Management DA - 2014/// PY - 2014 DO - 10.1080/09585192.2014.962563 VL - 25 IS - 21 SP - 2881 EP - 2891 UR - https://app.dimensions.ai/details/publication/pub.1014226859 http://gala.gre.ac.uk/id/eprint/19751/7/19751%20BALLARDIE_Human_Resource_Management_2014.pdf AN - pub.1014226859 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Human Systems Integration AU - Boehm-Davis, Deborah A AU - Durso, Francis T DA - 2015/// PY - 2015 DP - Robertson 2008 Cited By (156) DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Humanization of critical care—psychological effects on healthcare professionals and relatives: a systematic review AU - Galvin, Imelda M AU - Leitch, Jordan AU - Gill, Rebecca AU - Poser, Katherine AU - McKeown, Sandra T2 - Canadian Journal of Anesthesia/Journal canadien d'anesthésie DA - 2018/// PY - 2018 VL - 65 IS - 12 SP - 1348 EP - 1371 SN - 1496-8975 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - ‘I have a dream’: A process for visioning in practice development AU - Boomer, Christine AU - Collin, Ita AU - McCormack, Brendan T2 - Practice Development in Health Care DA - 2008/// PY - 2008 DO - 10.1002/pdh.251 VL - 7 IS - 2 SP - 70 EP - 78 UR - https://app.dimensions.ai/details/publication/pub.1039895320 AN - pub.1039895320 DB - Kukkurainen 2012 Refs (35) Y2 - 2021/02/08/ ER - TY - JOUR TI - Identification and Occupational Stress: A Stress‐Buffering Perspective AU - Newton, Cameron AU - Teo, Stephen T2 - Human Resource Management DA - 2013/// PY - 2013 DO - 10.1002/hrm.21598 VL - 53 IS - 1 SP - 89 EP - 113 UR - https://app.dimensions.ai/details/publication/pub.1034408752 https://eprints.qut.edu.au/65964/3/65964a.pdf AN - pub.1034408752 Y2 - 2021/02/04/ ER - TY - JOUR TI - Identifying characteristics of indicators of sedentary behavior using objective measurements AU - Yamamoto, K AU - Matsuda, F AU - Matsukawa, T AU - ... T2 - … of occupational health AB - Objective: Recent attention has been focused on sedentary behavior (SB) affecting health outcomes, but the characteristics of indicators reflecting SB remain to be identified. This cross-sectional study aims to identify the characteristics of indicators of SB, focusing on the … DA - 2020/// PY - 2020 UR - https://www.jstage.jst.go.jp/article/joh/62/1/62_e12089/_article/-char/ja/ DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Identifying Job Stressors in an Iranian Industrial Company and Their Relationships with Employees Mental Health and Job Satisfaction AU - Hashemi Sheykhshabani, Seyedesmaeil AU - Taghipour, Azin T2 - International Journal of Psychology (IPA) DA - 2010/// PY - 2010 VL - 4 IS - 2 SN - 2008-1251 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Identifying well-being challenges and solutions in the police service: A World Café approach AU - Clements, Andrew James AU - Sharples, Adrienne AU - Kinman, Gail T2 - The Police Journal DA - 2020/// PY - 2020 SP - 0032258X19898723 SN - 0032-258X DB - Tafvelin 2019 Cited by (12) ER - TY - JOUR TI - If We See, Will We Agree? Unpacking the Complex Relationship Between Stimuli and Team Climate Strength AU - Perrigino, Matthew B AU - Chen, Hongzhi AU - Dunford, Benjamin B AU - Pratt, Benjamin R T2 - Academy of Management Annals DA - 2020/// PY - 2020 IS - ja SN - 1941-6520 DB - Alfes 2018 Cited by (6) ER - TY - JOUR TI - Impact of a Culturally Sensitive Health Self-Empowerment Workshop Series on Health Behaviors/Lifestyles, Body Mass Index, and Blood Pressure of Culturally Diverse Overweight/Obese Adults AU - Tucker, Carolyn M. AU - Butler, Ashley AU - Kaye, Lillian B. AU - Nolan, Sarah E. M. AU - Flenar, Delphia J. AU - Marsiske, Michael AU - Bragg, Marie AU - Hoover, Eddie AU - Daly, Katherine T2 - American Journal of Lifestyle Medicine DA - 2013/// PY - 2013 DO - 10.1177/1559827613503117 VL - 8 IS - 2 SP - 122 EP - 132 UR - https://app.dimensions.ai/details/publication/pub.1008936033 http://europepmc.org/articles/pmc4042846?pdf=render AN - pub.1008936033 DB - Williams 2020 Refs (15) Y2 - 2021/02/06/ ER - TY - JOUR TI - Impact of a long-term tobacco-free policy at a comprehensive cancer center: a series of cross-sectional surveys AU - Martínez, Cristina AU - Fu, Marcela AU - Martínez-Sánchez, Jose María AU - Antón, Laura AU - Fernández, Paz AU - Ballbè, Montse AU - Andrés, Ana AU - Riccobene, Anna AU - Sureda, Xisca AU - Gallart, Albert T2 - BMC public health DA - 2014/// PY - 2014 VL - 14 IS - 1 SP - 1 EP - 10 SN - 1471-2458 DB - Gadomski 2010 Cited By (31) ER - TY - JOUR TI - Impact of a pedometer-based workplace health program on cardiovascular and diabetes risk profile AU - Freak-Poli, Rosanne AU - Wolfe, Rory AU - Backholer, Kathryn AU - de Courten, Maximilian AU - Peeters, Anna T2 - Preventive Medicine DA - 2011/// PY - 2011 DO - 10.1016/j.ypmed.2011.06.005 VL - 53 IS - 3 SP - 162 EP - 171 UR - https://app.dimensions.ai/details/publication/pub.1011846243 AN - pub.1011846243 DB - Brakenridge 2016 Refs (51) Y2 - 2021/02/04/ ER - TY - JOUR TI - The Impact of a Prospective Survey-Based Workplace Intervention Program on Employee Health, Biologic Stress Markers, and Organizational Productivity AU - Anderzén, Ingrid AU - Arnetz, Bengt B. T2 - Journal of Occupational and Environmental Medicine DA - 2005/// PY - 2005 DO - 10.1097/01.jom.0000167259.03247.1e VL - 47 IS - 7 SP - 671 EP - 682 UR - https://app.dimensions.ai/details/publication/pub.1020291604 AN - pub.1020291604 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - The impact of a refurbishment of two communal spaces in a care home on residents’ subjective well-being AU - Weenig, Mieneke W. H. AU - Staats, Henk T2 - Journal of Environmental Psychology DA - 2010/// PY - 2010 DO - 10.1016/j.jenvp.2010.04.003 VL - 30 IS - 4 SP - 542 EP - 552 UR - https://app.dimensions.ai/details/publication/pub.1043359081 AN - pub.1043359081 DB - Steele 2015 Refs (38) Y2 - 2021/02/08/ ER - TY - JOUR TI - Impact of a sit-stand workstation on chronic low back pain: results of a randomized trial AU - Ognibene, Grant T AU - Torres, Wilson AU - von Eyben, Rie AU - Horst, Kathleen C T2 - Journal of occupational and environmental medicine DA - 2016/// PY - 2016 DP - Robertson 2008 Cited By (156) VL - 58 IS - 3 SP - 287 EP - 293 SN - 1076-2752 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Impact of a Smoke-Free Hospital Campus Policy on Employee and Consumer Behavior AU - Wheeler, J. Gary AU - Pulley, LeaVonne AU - Felix, Holly C. AU - Bursac, Zoran AU - Siddiqui, Nadia J. AU - Stewart, M. Kathryn AU - Mays, Glen P. AU - Gauss, C. Heath T2 - Public Health Reports DA - 2007/// PY - 2007 DO - 10.1177/003335490712200606 VL - 122 IS - 6 SP - 744 EP - 752 UR - https://app.dimensions.ai/details/publication/pub.1077527502 http://europepmc.org/articles/pmc1997242?pdf=render AN - pub.1077527502 DB - Ripley-Moffitt 2010 Refs (10) Y2 - 2021/02/08/ ER - TY - JOUR TI - The impact of a smoke-free psychiatric hospitalization on patient smoking outcomes: A systematic review AU - Stockings, Emily A AU - Bowman, Jenny A AU - Prochaska, Judith J AU - Baker, Amanda L AU - Clancy, Richard AU - Knight, Jenny AU - Wye, Paula M AU - Terry, Margarett AU - Wiggers, John H T2 - Australian & New Zealand Journal of Psychiatry DA - 2014/// PY - 2014 VL - 48 IS - 7 SP - 617 EP - 633 SN - 0004-8674 DB - Gadomski 2010 Cited By (31) ER - TY - JOUR TI - Impact of a Sudarshan Kriya-based occupational stress management intervention on physiological and psychological outcomes AU - Mulla, Zubin R AU - Vedamuthachar T2 - Management and Labour Studies DA - 2014/// PY - 2014 VL - 39 IS - 4 SP - 381 EP - 395 SN - 0258-042X DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Impact of activity-based working and height-adjustable desks on physical activity, sedentary behavior, and space utilization among office workers: a natural … AU - Jindo, T AU - Kai, Y AU - Kitano, N AU - Wakaba, K AU - ... T2 - International journal of … AB - It has been reported that office environment is an important determinant of physical activity (PA) and sedentary behavior (SB) in office workers. However, the effect of changes in office environment (office renovation) is unclear. The purpose of this study was to examine PA, SB … DA - 2020/// PY - 2020 UR - https://www.mdpi.com/1660-4601/17/1/236 DB - Arundell 2018 Cited by (32) ER - TY - JOUR TI - The Impact of an Ergonomics Intervention on Psychosocial Factors and Musculoskeletal Symptoms among Thai Hospital Orderlies AU - Chanchai, Withaya AU - Songkham, Wanpen AU - Ketsomporn, Pranom AU - Sappakitchanchai, Punnarat AU - Siriwong, Wattasit AU - Robson, Mark Gregory T2 - International Journal of Environmental Research and Public Health DA - 2016/// PY - 2016 DO - 10.3390/ijerph13050464 VL - 13 IS - 5 SP - 464 UR - https://app.dimensions.ai/details/publication/pub.1032405379 https://www.mdpi.com/1660-4601/13/5/464/pdf AN - pub.1032405379 DB - Gilbert-Ouimet 2011 Refs (27) Y2 - 2021/02/04/ ER - TY - JOUR TI - Impact of an intervention on the availability and consumption of fruits and vegetables in the workplace AU - Bandoni, Daniel Henrique AU - Sarno, Flávio AU - Jaime, Patricia Constante T2 - Public Health Nutrition DA - 2010/// PY - 2010 DO - 10.1017/s1368980010003460 VL - 14 IS - 6 SP - 975 EP - 981 UR - https://app.dimensions.ai/details/publication/pub.1040013567 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/3F8F2DCF5788397C9B95FF67A15A2AA8/S1368980010003460a.pdf/div-class-title-impact-of-an-intervention-on-the-availability-and-consumption-of-fruits-and-vegetables-in-the-workplace-div.pdf AN - pub.1040013567 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - The impact of anticipated stigma on psychological and physical health problems in the unemployed group AU - O’Donnell, Aisling T AU - Corrigan, Fiona AU - Gallagher, Stephen T2 - Frontiers in psychology DA - 2015/// PY - 2015 VL - 6 SP - 1263 SN - 1664-1078 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The impact of cognitive flexibility on resistance to organizational change AU - Su, Ying-Fang AU - Chung, Shao-Hsi AU - Su, Shao-Wen T2 - Social Behavior and Personality An International Journal DA - 2012/// PY - 2012 DO - 10.2224/sbp.2012.40.5.735 VL - 40 IS - 5 SP - 735 EP - 745 UR - https://app.dimensions.ai/details/publication/pub.1035494425 AN - pub.1035494425 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - The impact of compensation on public sector construction workers in Jigawa State of Nigeria AU - Bappa Salisu, Jamilu DA - 2016/// PY - 2016 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The impact of compensation on the job satisfaction of public sector construction workers of jigawa state of Nigeria AU - Salisu, Jamilu B AU - Chinyio, Ezekiel AU - Suresh, Subashini T2 - The Business & Management Review DA - 2015/// PY - 2015 VL - 6 IS - 4 SP - 282 SN - 2047-2854 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Impact of Depression and Antidepressant Treatment on Heart Rate Variability: A Review and Meta-Analysis AU - Kemp, Andrew H. AU - Quintana, Daniel S. AU - Gray, Marcus A. AU - Felmingham, Kim L. AU - Brown, Kerri AU - Gatt, Justine M. T2 - Biological Psychiatry DA - 2010/// PY - 2010 DO - 10.1016/j.biopsych.2009.12.012 VL - 67 IS - 11 SP - 1067 EP - 1074 UR - https://app.dimensions.ai/details/publication/pub.1005574213 AN - pub.1005574213 DB - Eller 2011 Refs (38) Y2 - 2021/02/04/ ER - TY - JOUR TI - The Impact of Diabetes on Employment and Work Productivity AU - Tunceli, Kaan AU - Bradley, Cathy J. AU - Nerenz, David AU - Williams, L. Keoki AU - Pladevall, Manel AU - Elston Lafata, Jennifer T2 - Diabetes Care DA - 2005/// PY - 2005 DO - 10.2337/diacare.28.11.2662 VL - 28 IS - 11 SP - 2662 EP - 2667 UR - https://app.dimensions.ai/details/publication/pub.1042052328 http://care.diabetesjournals.org/content/28/11/2662.full.pdf AN - pub.1042052328 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - The impact of ergonomics intervention on psychosocial factors and musculoskeletal symptoms among office workers AU - Choobineh, Alireza AU - Motamedzade, Majid AU - Kazemi, Maryam AU - Moghimbeigi, Abbas AU - Pahlavian, Ahmad Heidari T2 - International Journal of Industrial Ergonomics DA - 2011/// PY - 2011 DO - 10.1016/j.ergon.2011.08.007 VL - 41 IS - 6 SP - 671 EP - 676 UR - https://app.dimensions.ai/details/publication/pub.1031420939 AN - pub.1031420939 DB - Gilbert-Ouimet 2011 Refs (27) Y2 - 2021/02/04/ ER - TY - JOUR TI - The impact of implementing continuous improvement upon stress within a Lean production framework AU - Stimec, A AU - Grima, F T2 - International Journal of Production Research AB - The purpose of this research is to understand the impact of implementing continuous improvement upon the occupational stress of employees within the framework of Lean management. The outcomes of empirical research mobilising a mixed methodology prove … DA - 2019/// PY - 2019 UR - https://www.tandfonline.com/doi/abs/10.1080/00207543.2018.1494391 DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - Impact of institutional smoking bans on reducing harms and secondhand smoke exposure AU - Frazer, Kate AU - McHugh, Jack AU - Callinan, Joanne E AU - Kelleher, Cecily T2 - Cochrane Database of Systematic Reviews DA - 2016/// PY - 2016 IS - 5 SN - 1465-1858 DB - Gadomski 2010 Cited By (31) ER - TY - JOUR TI - The impact of job strain on smoking cessation and relapse in the Canadian population: a cohort study AU - Rowe, D. J. AU - Dunn, J. R. AU - Muntaner, C. T2 - J Epidemiol Community Health AB - BACKGROUND: The aim of this study is to investigate the impact of job strain, as measured by the Karasek demand/control model (DCM), on smoking cessation and relapse in a representative general population sample. METHODS: A secondary analysis of data from the Canadian National Population Health Survey (NPHS) was undertaken. Daily smokers and former daily smokers (n=1287 and 1184, respectively) at cycle 1 (1994/1995) of the NPHS were followed up at cycle 2 (1996/1997). Measures of job strain (the independent variables) were based on data from cycle 1, predicting smoking status at cycle 2. Logistic regression analysis was employed in two ways. Individuals were stratified into job strain quartiles while continuous measures were also employed in separate analyses for job strain and its component dimensions. RESULTS: In the quartile analysis, no effect of job strain was observed on the likelihood of cessation, while a non-linear effect was observed on the likelihood of relapse, although this relationship lost significance (p>0.05 and <0.10) after controlling for personal characteristics. No effect was observed using the continuous measure of job strain or the continuous measure of job demand on either cessation or relapse. For job control, no effect was observed on the likelihood of cessation, but increased control was found to decrease the likelihood of relapse in the unadjusted model only. CONCLUSIONS: Psychosocial work environments may be too diverse for uniform trends in the relationship between job stress and smoking behaviour to emerge in a population sample. Future research should avoid use of the scaled-down DCM instrument where possible. DA - 2015/10//undefined PY - 2015 DO - 10.1136/jech-2014-205227 VL - 69 IS - 10 SP - 931 EP - 6 SN - 1470-2738 (Electronic) 0143-005X (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/25903755 AN - 25903755 DB - Allard 2011 Cited By KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Middle Aged KW - Logistic Models KW - Longitudinal Studies KW - Likelihood Functions KW - Smoking KW - Recurrence KW - Employment KW - Internal-External Control KW - Stress KW - Professional Autonomy KW - Work stress KW - Canada/epidemiology KW - Health Surveys/statistics & numerical data KW - Smoking Cessation/methods/*psychology/statistics & numerical data KW - Smoking/epidemiology/*psychology KW - Stress, Psychological/*complications/etiology KW - Workplace/*psychology ER - TY - JOUR TI - The impact of job stress on employee job satisfaction a study on telecommunication sector of Pakistan AU - Mansoor, Muhammad AU - Fida, Sabtain AU - Nasir, Saima AU - Ahmad, Zubair T2 - Journal of Business Studies Quarterly DA - 2011/// PY - 2011 VL - 2 IS - 3 SP - 50 SN - 2152-1034 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Impact of Kentucky Governor Beshear’s Tobacco-Free Executive Order AU - Hahn, Ellen J AU - Ickes, Melinda J AU - Wiggins, Amanda AU - Polivka, Bradley J DA - 2015/// PY - 2015 DB - Gadomski 2010 Cited By (31) ER - TY - JOUR TI - The Impact of Leadership and Change Management Strategy on Organizational Culture and Individual Acceptance of Change during a Merger AU - Kavanagh, Marie H. AU - Ashkanasy, Neal M. T2 - British Journal of Management DA - 2006/// PY - 2006 DO - 10.1111/j.1467-8551.2006.00480.x VL - 17 IS - S1 SP - s81 EP - s103 UR - https://app.dimensions.ai/details/publication/pub.1039974007 http://eprints.usq.edu.au/6362/3/Kavanagh_Ashkanasy_2006_AV.pdf AN - pub.1039974007 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - The impact of life stresses on physical activity participation during adolescence: A 5-year longitudinal study AU - Abi Nader, P. AU - Ward, S. AU - Eltonsy, S. AU - Belanger, M. T2 - Prev Med AB - Life stresses (LS) could affect levels of physical activity (PA) during adolescence, however research is limited. As different types of PA may have different determinants, the effects of LS on participation in moderate-to-vigorous PA (MVPA) and on organized and unorganized PA (OPA, UPA) were examined in a sample of 937 students (10-11years-old) followed up over five years. Questionnaires were administered three times per year as part of the Monitoring Activities for Teenagers to Comprehend their Habits (MATCH) study. A total of 16 survey cycles were available for this analysis. At each survey cycle, participants reported exposure to nineteen LS, number of days per week attaining at least 60min of MVPA, and participation in OPA and in UPA. LS were classified as personal or extrinsic life events, or personal or extrinsic life circumstances. Relationships among the four LS categories and PA outcomes were assessed using gender stratified mixed effects models. Personal circumstances attenuated the increase in MVPA in late childhood, and accentuated the decrease in MVPA in early adolescence (p<0.001). In contrast, experiencing more extrinsic events attenuated the decrease in the number of reported UPA (p<0.05). Among girls, experiencing more personal events attenuated the decrease in the number of UPA and OPA by 4.8% and 5.1% respectively. Among boys, experiencing more extrinsic circumstances attenuated the decrease in the number of UPA by 3.4%. The effect of LS on PA differed by gender and by type of PA, highlighting the need for careful tailoring of interventions. DA - 2018/11//undefined PY - 2018 DO - 10.1016/j.ypmed.2018.08.030 VL - 116 SP - 6 EP - 12 SN - 1096-0260 (Electronic) 0091-7435 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/30170013 AN - 30170013 DB - Allard 2011 Cited By KW - Adolescent KW - Female KW - Humans KW - Male KW - Child KW - Surveys and Questionnaires KW - Sex Factors KW - Longitudinal Studies KW - *Stress, Psychological KW - *Habits KW - Exercise/*physiology KW - *Adolescents KW - *Life stresses KW - *Longitudinal KW - *Moderate-to-vigorous KW - *Organized KW - *Physical activity KW - *Unorganized KW - Adolescent Behavior/*psychology ER - TY - JOUR TI - THE IMPACT OF MANAGERIAL FLEXIBILITY IN DATABASES MAINTENANCE AU - Bran, Constantin AU - Simion, Petronela Cristina AU - Tiganoaia, Bogdan AU - Serban, Doina AU - Ionescu, Sorin Cristian T2 - Journal of Information Systems & Operations Management DA - 2016/// PY - 2016 VL - 10 IS - 2 SN - 1843-4711 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Impact of music on oncology hospital staff's well-being AU - Delerue, C AU - Rabusseau, S T2 - Music and Medicine AB - The oncology staff is particularly susceptible to burnout and stress. Music listening may contribute to increased well-being. The aim of this study was to obtain in-depth feedback on hospital staff's experience of a music listening program. 20 health professionals and … DA - 2020/// PY - 2020 UR - http://mmd.iammonline.com/index.php/musmed/article/view/674 DB - Vaag 2013 Cited by (33) ER - TY - JOUR TI - Impact of nutrition interventions and dietary nutrient density on productivity in the workplace AU - Drewnowski, A T2 - Nutrition reviews AB - The global spread of diet-related noncommunicable diseases represents a threat to public health and national economies alike. The elimination of poverty and the eradication of hunger, two key United Nations Sustainable Development Goals, cannot be accomplished … DA - 2020/// PY - 2020 UR - https://academic.oup.com/nutritionreviews/article-abstract/78/3/215/5690624 DB - Arundell 2018 Cited by (32) ER - TY - JOUR TI - The impact of occupational stress on employee’s performance: A study at Twifo oil palm plantation limited AU - Asamoah-Appiah, W AU - Aggrey-Fynn, I T2 - African Journal of Applied Research (AJAR) DA - 2017/// PY - 2017 VL - 3 IS - 1 SP - 14 EP - 25 SN - 2408-7920 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - The Impact of Operations Tempo on Turnover Intentions of Army Personnel AU - Huffman, Ann H. AU - Adler, Amy B. AU - Dolan, Carol A. AU - Castro, Carl Andrew T2 - Military Psychology DA - 2005/// PY - 2005 DO - 10.1207/s15327876mp1703_4 VL - 17 IS - 3 SP - 175 UR - https://app.dimensions.ai/details/publication/pub.1036958283 AN - pub.1036958283 DB - Dupré 2007 Refs (95) Y2 - 2021/02/04/ ER - TY - JOUR TI - Impact of perceived organizational culture on job involvement and subjective well-being: A moderated mediation model AU - Zhou, Qiwei AU - Chen, Guoquan AU - Liu, Wei T2 - Social Behavior and Personality: an international journal DA - 2019/// PY - 2019 VL - 47 IS - 1 SP - 1 EP - 13 SN - 0301-2212 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Impact of quality management practices on change readiness due to new quality implementations AU - Uluskan, M AU - McCreery, JK AU - Rothenberg, L T2 - International Journal of … AB - Purpose Implementing new quality initiatives in organizations is challenging, as it requires managers and employees to adjust to new processes, methodologies and even mindsets. The purpose of this study is to investigate the relationship between quality management … DA - 2018/// PY - 2018 UR - https://www.emerald.com/insight/content/doi/10.1108/IJLSS-05-2017-0049/full/html DB - Steele 2015 Cited by (12) ER - TY - JOUR TI - The impact of restructuring on employee well-being: a systematic review of longitudinal studies AU - de Jong, Tanja AU - Wiezer, Noortje AU - de Weerd, Marjolein AU - Nielsen, Karina AU - Mattila-Holappa, Pauliina AU - Mockałło, Zosia T2 - Work & Stress DA - 2016/// PY - 2016 DO - 10.1080/02678373.2015.1136710 VL - 30 IS - 1 SP - 91 EP - 114 UR - https://app.dimensions.ai/details/publication/pub.1042617841 https://ueaeprints.uea.ac.uk/id/eprint/57207/1/Restructuringreview2015.docx AN - pub.1042617841 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Impact of smoke-free hospital grounds policies: patient experiences and perceptions AU - Shopik, Nicole A AU - Schultz, Annette SH AU - Nykiforuk, Candace IJ AU - Finegan, Barry A AU - Kvern, Margaret A T2 - Health Policy DA - 2012/// PY - 2012 VL - 108 IS - 1 SP - 93 EP - 99 SN - 0168-8510 DB - Gadomski 2010 Cited By (31) ER - TY - JOUR TI - Impact of stress on job satisfaction of managerial employees working in commercial banks: a case study of District Ghotki Sindh AU - Raza, Ali AU - Irfan, Muhammad T2 - Eur. J. Bus. Manag DA - 2014/// PY - 2014 VL - 6 IS - 31 SP - 330 EP - 335 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Impact of supervisor support on work ability in an IT company AU - Sugimura, H AU - Thériault, G T2 - Occupational medicine DA - 2010/// PY - 2010 VL - 60 IS - 6 SP - 451 EP - 457 SN - 1471-8405 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Impact of supervisory communication skills on employee job satisfaction: A case study on Kia Motors AU - Tasnim, Mayesha AU - Akkas, Ali T2 - European Journal of Business and Management DA - 2017/// PY - 2017 VL - 9 IS - 6 SP - 82 EP - 108 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Impact of tobacco control policies in hospitals: Evaluation of a national smoke-free campus ban in Spain AU - Sureda, Xisca AU - Ballbè, Montse AU - Martínez, Cristina AU - Fu, Marcela AU - Carabasa, Esther AU - Saltó, Esteve AU - Martínez-Sánchez, Jose M AU - Fernández, Esteve T2 - Preventive medicine reports DA - 2014/// PY - 2014 VL - 1 SP - 56 EP - 61 SN - 2211-3355 DB - Gadomski 2010 Cited By (31) ER - TY - JOUR TI - Impact of training and professional development on health management and leadership competence AU - Ayeleke, RO AU - North, NH AU - Dunham, A AU - ... T2 - Journal of health … AB - Purpose Training to improve health management and leadership competence is recommended. However, there is limited evidence showing the impact of training on competence. The purpose of this paper is to evaluate the evidence for the impact of training … DA - 2019/// PY - 2019 UR - https://www.emerald.com/insight/content/doi/10.1108/JHOM-11-2018-0338/full/html DB - Joen 2015 Cited by (37) ER - TY - JOUR TI - Impact of transformational leadership on job satisfaction and organizational commitment and the re-enlistment intention of Virginia army national guard soldiers AU - Sider, Kervin Gregory DA - 2014/// PY - 2014 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The impact of transformational leadership on turnover intention: The mediating role of affective commitment AU - Shahsavan, Mahshid Rahpeyk AU - Safari, Alborz T2 - Journal of Economic & Management Perspectives DA - 2017/// PY - 2017 VL - 11 IS - 3 SP - 1104 EP - 1111 SN - 2523-5338 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The impact of Transformational leadership on turnover intentions directly and through talent engagement in the banking sector of twin cities of Pakistan AU - Shah, Syed Haider Ali AU - Saeed, Mohammad Ali AU - Yasir, Muhammad AU - Siddique, Muhammad AU - Umar, Arslan T2 - Journal of Managerial Sciences DA - 2018/// PY - 2018 VL - 3 IS - 11 SP - 410 EP - 430 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The Impact of Two Organizational Interventions on the Health of Service Sector Workers AU - Dahl-Jørgensen, Carla AU - Saksvik, Per Oystein T2 - International Journal of Health Services DA - 2005/// PY - 2005 DO - 10.2190/p67f-3u5y-3ddw-mgt1 VL - 35 IS - 3 SP - 529 EP - 549 UR - https://app.dimensions.ai/details/publication/pub.1037849997 AN - pub.1037849997 DB - Vaag 2013 Refs (19) Y2 - 2021/02/08/ ER - TY - JOUR TI - The impact of work-family conflict on work stress and job satisfaction among Macau table game dealers AU - Chau, Sio-leng T2 - International Journal of Tourism Sciences DA - 2019/// PY - 2019 VL - 19 IS - 1 SP - 1 EP - 17 SN - 1598-0634 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The impact of work-related physical assaults on mental health among Japanese employees with different socioeconomic status: the Japan Work Stress and Health Cohort Study (JSTRESS) AU - Tsuno, Kanami AU - Kawakami, Norito T2 - SSM-population health DA - 2016/// PY - 2016 VL - 2 SP - 572 EP - 579 SN - 2352-8273 DB - Inoue 2013 Cited by (44) ER - TY - JOUR TI - The impact of worksite wellness programs by size of business: a 3-year longitudinal study of participation, health benefits, absenteeism, and presenteeism AU - Schwatka, Natalie V AU - Smith, Derek AU - Weitzenkamp, David AU - Atherly, Adam AU - Dally, Miranda J AU - Brockbank, Claire VS AU - Tenney, Liliana AU - Goetzel, Ron Z AU - Jinnett, Kimberly AU - McMillen, James T2 - Annals of work exposures and health DA - 2018/// PY - 2018 VL - 62 IS - Supplement_1 SP - S42 EP - S54 SN - 2398-7308 DB - Merrill 2011 Cited by (24) ER - TY - JOUR TI - Impact of workspace design on employee's productivity: a case study of public sector universities in Hazara division AU - Nawaz, Ahsan AU - Javed, Asad AU - Raja, Uzma Mehmood T2 - International Journal of Sustainable Real Estate and Construction Economics DA - 2019/// PY - 2019 DP - Robertson 2008 Cited By (156) VL - 1 IS - 3 SP - 201 EP - 214 SN - 2059-7770 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - The Impacts of Employee Benefits, Procedural Justice, and Managerial Trustworthiness on Work Attitudes: Integrated Understanding Based on Social Exchange Theory AU - Ko, Jaekwon AU - Hur, SeungUk T2 - Public Administration Review DA - 2013/// PY - 2013 DO - 10.1111/puar.12160 VL - 74 IS - 2 SP - 176 EP - 187 UR - https://app.dimensions.ai/details/publication/pub.1002672575 AN - pub.1002672575 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - Impacts of Supervisor Support on Turnover Intentions: Mediating Role of Job Satisfaction AU - Iqbal, Shuja AU - Hongyun, Tian AU - Akhtar, Shamim AU - Ahmad, Usama AU - Ankomah, Fred Nyarko T2 - Asian Journal of Education and Social Studies DA - 2020/// PY - 2020 SP - 1 EP - 9 SN - 2581-6268 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The Implementation Leadership Scale (ILS): development of a brief measure of unit level implementation leadership AU - Aarons, G. A. AU - Ehrhart, M. G. AU - Farahnak, L. R. T2 - Implement Sci AB - BACKGROUND: In healthcare and allied healthcare settings, leadership that supports effective implementation of evidenced-based practices (EBPs) is a critical concern. However, there are no empirically validated measures to assess implementation leadership. This paper describes the development, factor structure, and initial reliability and convergent and discriminant validity of a very brief measure of implementation leadership: the Implementation Leadership Scale (ILS). METHODS: Participants were 459 mental health clinicians working in 93 different outpatient mental health programs in Southern California, USA. Initial item development was supported as part of a two United States National Institutes of Health (NIH) studies focused on developing implementation leadership training and implementation measure development. Clinician work group/team-level data were randomly assigned to be utilized for an exploratory factor analysis (n = 229; k = 46 teams) or for a confirmatory factor analysis (n = 230; k = 47 teams). The confirmatory factor analysis controlled for the multilevel, nested data structure. Reliability and validity analyses were then conducted with the full sample. RESULTS: The exploratory factor analysis resulted in a 12-item scale with four subscales representing proactive leadership, knowledgeable leadership, supportive leadership, and perseverant leadership. Confirmatory factor analysis supported an a priori higher order factor structure with subscales contributing to a single higher order implementation leadership factor. The scale demonstrated excellent internal consistency reliability as well as convergent and discriminant validity. CONCLUSIONS: The ILS is a brief and efficient measure of unit level leadership for EBP implementation. The availability of the ILS will allow researchers to assess strategic leadership for implementation in order to advance understanding of leadership as a predictor of organizational context for implementation. The ILS also holds promise as a tool for leader and organizational development to improve EBP implementation. DA - 2014/04/14/ PY - 2014 DO - 10.1186/1748-5908-9-45 VL - 9 IS - 1 SP - 45 SN - 1748-5908 (Electronic) 1748-5908 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/24731295 AN - 24731295 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Middle Aged KW - Attitude of Health Personnel KW - Reproducibility of Results KW - Organizational Innovation KW - Psychometrics KW - California KW - *Leadership KW - Factor Analysis, Statistical KW - Cooperative Behavior KW - Translational Medical Research/*standards ER - TY - JOUR TI - Implementation of a “Serenity Room”: Promoting resiliency in the ED AU - Salmela, Lynn AU - Woehrle, Theo AU - Marleau, Eastan AU - Kitch, Laura T2 - Nursing2020 DA - 2020/// PY - 2020 VL - 50 IS - 10 SP - 58 EP - 63 SN - 0360-4039 DB - Basu 2016 Cited by (24) ER - TY - JOUR TI - Implementation of a complex intervention to support leadership development in nursing homes: a multimethod participatory study AU - Dewar, B AU - Barrie, K AU - Sharp, C AU - ... T2 - Journal of Applied … AB - Leadership is key to quality improvement in nursing homes. This article reports on the initial analysis of the transformational My Home Life Leadership Support program for nursing home managers being implemented in Scotland. It analyses learning from a multimethod … DA - 2019/// PY - 2019 UR - https://journals.sagepub.com/doi/abs/10.1177/0733464817705957 DB - Joen 2015 Cited by (37) ER - TY - JOUR TI - Implementation of a participatory organisational-level occupational health intervention - focusing on the primary task AU - Framke, Elisabeth AU - Sørensen, Ole Henning T2 - International Journal of Human Factors and Ergonomics DA - 2015/// PY - 2015 DO - 10.1504/ijhfe.2015.072998 VL - 3 IS - 3/4 SP - 254 UR - https://app.dimensions.ai/details/publication/pub.1067459804 AN - pub.1067459804 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Implementation of a smoke-free policy in a high secure mental health inpatient facility: staff survey to describe experience and attitudes AU - Hehir, Angela M. AU - Indig, Devon AU - Prosser, Shani AU - Archer, Vicki A. T2 - BMC Public Health DA - 2013/// PY - 2013 DO - 10.1186/1471-2458-13-315 VL - 13 IS - 1 SP - 315 UR - https://app.dimensions.ai/details/publication/pub.1041367959 https://doi.org/10.1186/1471-2458-13-315 AN - pub.1041367959 DB - Seidel 2017 Refs (18) Y2 - 2021/02/08/ ER - TY - JOUR TI - Implementation of an organizational-level intervention on the psychosocial environment of work: comparison of managers' and employees' views AU - Hasson, Henna AU - Gilbert-Ouimet, Mahee AU - Baril-Gingras, Genevieve AU - Brisson, Chantal AU - Vézina, Michel AU - Bourbonnais, Renee AU - Montreuil, Sylvie T2 - Journal of Occupational and Environmental Medicine DA - 2012/// PY - 2012 VL - 54 IS - 1 SP - 85 EP - 91 SN - 1076-2752 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Implementation of diagnosis-related mental health programs: impact on health care providers AU - Lavoie-Tremblay, Melanie AU - Bonin, Jean-Pierre AU - Lesage, Alain AU - Farand, Lambert AU - Lavigne, Geneviève L AU - Trudel, Julie T2 - The health care manager DA - 2011/// PY - 2011 VL - 30 IS - 1 SP - 4 EP - 14 SN - 1525-5794 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - The Implementation of Workplace Wellness Program and its Impact on Employee Work Productivity: The Case of Safaricom Company Ltd AU - Ganu, Daniel AU - Ganu, Josephine AU - Nyaranga, Caleb K T2 - Journal of Applied Medical Sciences DA - 2017/// PY - 2017 VL - 6 IS - 1 SP - 1 EP - 10 DB - Merrill 2011 Cited by (24) ER - TY - JOUR TI - Implementation of workplace-based smoking cessation support activities and smoking cessation among employees: the Finnish public sector study AU - Kouvonen, Anne AU - Kivimäki, Mika AU - Oksanen, Tuula AU - Pentti, Jaana AU - Heponiemi, Tarja AU - Väänänen, Ari AU - Virtanen, Marianna AU - Vahtera, Jussi T2 - American journal of public health DA - 2012/// PY - 2012 VL - 102 IS - 7 SP - e56 EP - e62 SN - 1541-0048 DB - Ripley-Moffitt 2010 Cited By (14) ER - TY - JOUR TI - Implementing a smoke-free campus: a medical center initiative AU - Gajendra, Sangeeta AU - Ossip, Deborah J AU - Panzer, Robert J AU - McIntosh, Scott T2 - Journal of community health DA - 2011/// PY - 2011 VL - 36 IS - 4 SP - 684 EP - 692 SN - 0094-5145 DB - Gadomski 2010 Cited By (31) ER - TY - JOUR TI - Implementing action research in hospital settings: a systematic review AU - Montgomery, Anthony AU - Doulougeri, Karolina AU - Panagopoulou, Efharis T2 - Journal of health organization and management DA - 2015/// PY - 2015 SN - 1477-7266 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Implementing Best Practice Models of Return to Work AU - Kristman, Vicki L AU - Boot, Cécile RL AU - Sanderson, Kathy AU - Sinden, Kathryn E AU - Williams-Whitt, Kelly T2 - Handbook of Disability, Work and Health DA - 2020/// PY - 2020 SP - 1 EP - 25 SN - 3319753819 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Implementing work-life balance policies in SMEs: a multiple case study in the software industry AU - Rodríguez, María Candela AU - Dabos, Guillermo E AU - Rivero, Andrea G T2 - Estudios Gerenciales DA - 2018/// PY - 2018 VL - 34 IS - 147 SP - 172 EP - 189 SN - 0123-5923 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Implications of work effort and discretion for employee well-being and career-related outcomes: an integrative assessment AU - Avgoustaki, Argyro AU - Frankort, Hans TW T2 - ILR Review DA - 2019/// PY - 2019 VL - 72 IS - 3 SP - 636 EP - 661 SN - 0019-7939 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Importance and performance of managerial skills in the Australian aged care sector – a middle managers' perspective AU - Meissner, Ellen AU - Radford, Katrina T2 - Journal of Nursing Management DA - 2014/// PY - 2014 DO - 10.1111/jonm.12208 VL - 23 IS - 6 SP - 784 EP - 793 UR - https://app.dimensions.ai/details/publication/pub.1010256491 https://research-repository.griffith.edu.au/bitstream/10072/63041/1/91275_1.pdf AN - pub.1010256491 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - The importance of career insecurity for turnover intentions in the Dutch military AU - van Eetveldt, Martijn W AU - van de Ven, Niels AU - van den Tooren, Marieke AU - Versteeg, Renzo C T2 - Military Psychology DA - 2013/// PY - 2013 VL - 25 IS - 5 SP - 489 EP - 501 SN - 0899-5605 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The importance of employee participation and perceptions of changes in procedures in a teamworking intervention AU - Nielsen, Karina AU - Randall, Raymond T2 - Work & Stress DA - 2012/// PY - 2012 DO - 10.1080/02678373.2012.682721 VL - 26 IS - 2 SP - 91 EP - 111 UR - https://app.dimensions.ai/details/publication/pub.1022338978 https://www.tandfonline.com/doi/pdf/10.1080/02678373.2012.682721?needAccess=true AN - pub.1022338978 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - The Importance of Temporal Design: How Do Measurement Intervals Affect the Accuracy and Efficiency of Parameter Estimates in Longitudinal Research? AU - Timmons, Adela C. AU - Preacher, Kristopher J. T2 - Multivariate Behavioral Research DA - 2015/// PY - 2015 DO - 10.1080/00273171.2014.961056 VL - 50 IS - 1 SP - 41 EP - 55 UR - https://app.dimensions.ai/details/publication/pub.1009627502 AN - pub.1009627502 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - The importance of vertical and shared leadership within new venture top management teams: Implications for the performance of startups AU - Ensley, Michael D. AU - Hmieleski, Keith M. AU - Pearce, Craig L. T2 - The Leadership Quarterly DA - 2006/// PY - 2006 DO - 10.1016/j.leaqua.2006.02.002 VL - 17 IS - 3 SP - 217 EP - 231 UR - https://app.dimensions.ai/details/publication/pub.1027951326 http://digitalcommons.unl.edu/cgi/viewcontent.cgi?article=1073&context=managementfacpub AN - pub.1027951326 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - Improvement of effectiveness by applying pdca cycle or kaizen: an experimental study on engineering students AU - Hasan, Z AU - Hossain, MS T2 - Journal of Scientific Research AB - This study mainly focused on developing skills on different field of perspective like software-based skills and interpersonal skills which will help an individual to become more proactive and efficient in their desired job field. In this memorizing based educational system students … DA - 2018/// PY - 2018 UR - https://www.banglajol.info/index.php/JSR/article/view/35638 DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - Improvements in musculoskeletal health and computing behaviors: Effects of a macroergonomics office workplace and training intervention AU - Robertson, Michelle M AU - Huang, Yueng Hsiang AU - Lee, Jin T2 - Applied ergonomics DA - 2017/// PY - 2017 DP - Robertson 2008 Cited By (156) VL - 62 SP - 182 EP - 196 SN - 0003-6870 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Improving Diet and Physical Activity with ALIVE A Worksite Randomized Trial AU - Sternfeld, Barbara AU - Block, Clifford AU - Quesenberry, Charles P. AU - Block, Torin J. AU - Husson, Gail AU - Norris, Jean C. AU - Nelson, Melissa AU - Block, Gladys T2 - American Journal of Preventive Medicine DA - 2009/// PY - 2009 DO - 10.1016/j.amepre.2009.01.036 VL - 36 IS - 6 SP - 475 EP - 483 UR - https://app.dimensions.ai/details/publication/pub.1042552520 AN - pub.1042552520 DB - Brakenridge 2016 Refs (51) Y2 - 2021/02/04/ ER - TY - JOUR TI - Improving employee well-being through worksite health promotion? The employees’ perspective AU - Nöhammer, Elisabeth AU - Stummer, Harald AU - Schusterschitz, Claudia T2 - Journal of Public Health DA - 2010/// PY - 2010 DO - 10.1007/s10389-010-0364-4 VL - 19 IS - 2 SP - 121 EP - 129 UR - https://app.dimensions.ai/details/publication/pub.1042397985 https://www.ssoar.info/ssoar/bitstream/document/24412/1/ssoar-jpublichealth-2010-2-nohammer_et_al-improving_employee_well-being_through_worksite.pdf AN - pub.1042397985 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - Improving managers’ psychophysical well-being: effectiveness of respiratory sinus arrhythmia biofeedback AU - Munafo, Marianna AU - Patron, Elisabetta AU - Palomba, Daniela T2 - Applied psychophysiology and biofeedback DA - 2016/// PY - 2016 VL - 41 IS - 2 SP - 129 EP - 139 SN - 1090-0586 DB - Eller 2011 Cited By (21) ER - TY - JOUR TI - Improving nutrition and physical activity in the workplace: a meta-analysis of intervention studies AU - Hutchinson, Amanda D. AU - Wilson, Carlene T2 - Health Promotion International DA - 2011/// PY - 2011 DO - 10.1093/heapro/dar035 VL - 27 IS - 2 SP - 238 EP - 249 UR - https://app.dimensions.ai/details/publication/pub.1024784986 https://academic.oup.com/heapro/article-pdf/27/2/238/17053127/dar035.pdf AN - pub.1024784986 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - Improving post-secondary academic and support staff wellbeing: A review of the literature AU - Smith, Cameron W DA - 2019/// PY - 2019 DP - Robertson 2008 Cited By (156) DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Improving quality and safety in the hospital: The link between organizational culture, burnout and quality of care. D 9.1 Scientific report on “Can organisational change improve quality of care: The role of action research” Project details AU - PANAGOPOULOU, EFHARIS DA - 2009/// PY - 2009 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Improving Working Conditions and Job Satisfaction in Healthcare: A Study Concept Design on a Participatory Organizational Level Intervention in Psychosocial Risks Management AU - Di Tecco, Cristina AU - Nielsen, Karina AU - Ghelli, Monica AU - Ronchetti, Matteo AU - Marzocchi, Ivan AU - Persechino, Benedetta AU - Iavicoli, Sergio T2 - International Journal of Environmental Research and Public Health DA - 2020/// PY - 2020 VL - 17 IS - 10 SP - 3677 DB - Tafvelin 2019 Cited by (12) ER - TY - JOUR TI - Improving working conditions to promote worker safety, health, and wellbeing for low-wage workers: the workplace organizational health study AU - Sorensen, Glorian AU - Peters, Susan AU - Nielsen, Karina AU - Nagler, Eve AU - Karapanos, Melissa AU - Wallace, Lorraine AU - Burke, Lisa AU - Dennerlein, Jack T AU - Wagner, Gregory R T2 - International journal of environmental research and public health DA - 2019/// PY - 2019 VL - 16 IS - 8 SP - 1449 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - In situ perceptions of a move: Facility management interns consider scientist end‐users at a national lab AU - Hebert, Paulette R T2 - Journal of Facilities Management DA - 2012/// PY - 2012 DP - Robertson 2008 Cited By (156) SN - 1472-5967 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - In the Eye of the Beholder: How Self-Other Agreements Influence Leadership Training Outcomes as Perceived by Leaders and Their Followers AU - Nielsen, Karina AU - Tafvelin, Susanne AU - von Thiele Schwartz, Ulrica AU - Hasson, Henna T2 - Journal of Business and Psychology DA - 2020/// PY - 2020 SP - 1 EP - 18 SN - 1573-353X DB - Tafvelin Are 2019b Cited by (12) ER - TY - JOUR TI - In This Issue of Occupational Medicine AU - Nimmo, Steven Brian T2 - Occupational Medicine DA - 2016/// PY - 2016 VL - 66 IS - 9 SP - 685 EP - 685 SN - 0962-7480 DB - Basu 2016 Cited by (24) ER - TY - JOUR TI - Increased physical work loads in modern work – a necessity for better health and performance? AU - Straker, Leon AU - Mathiassen, Svend Erik T2 - Ergonomics DA - 2009/// PY - 2009 DO - 10.1080/00140130903039101 VL - 52 IS - 10 SP - 1215 EP - 1225 UR - https://app.dimensions.ai/details/publication/pub.1042821181 AN - pub.1042821181 DB - Robertson 2017 Refs (47) Y2 - 2021/02/08/ ER - TY - JOUR TI - Individual nurse empowerment: A concept analysis AU - Woodward, KF T2 - Nursing forum AB - Aim This concept analysis aims to distinguish the concept of nurse empowerment as an individual professional process rather than a job‐related process and to identify ways in which a clarified understanding of individual empowerment can impact the discipline … DA - 2020/// PY - 2020 UR - https://onlinelibrary.wiley.com/doi/abs/10.1111/nuf.12407 DB - Kukkurainen 2012 Cited by (17) ER - TY - JOUR TI - Individual, organizational and social level antecedents of work-family enrichment: Does gender acts as a moderator? AU - Mishra, Pavitra AU - Bhatnagar, Jyotsna T2 - Journal of Asia Business Studies DA - 2019/// PY - 2019 SN - 1558-7894 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Inequality in work time: Gender and class stratify hours and schedules, flexibility, and unpredictability in jobs and families AU - Gerstel, Naomi AU - Clawson, Dan T2 - Sociology Compass DA - 2015/// PY - 2015 VL - 9 IS - 12 SP - 1094 EP - 1105 SN - 1751-9020 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - The Influence of Active Workstations on Work Performance, Productivity Indicators and Sedentary Time: A Systematic Review AU - Ramos, S AU - Maheronnaghsh, S AU - Vila-Chã, C AU - ... T2 - … Safety and Health AB - The most of strategies to promote physical activity in workplaces interfere with work tasks and many organizations declined these programs. The aim of this review is to understand the impact of the active workstations on the performance and productivity indicators, and … DA - 2019/// PY - 2019 UR - https://link.springer.com/chapter/10.1007/978-3-030-14730-3_51 DB - Arundell 2018 Cited by (32) ER - TY - JOUR TI - The Influence Of Emotional Intelligence, Leadership Behaviour And Organizational Commitment On Organizational Readiness For Change In Higher Learning Institution AU - Nordin, Norshidah T2 - Procedia - Social and Behavioral Sciences DA - 2011/// PY - 2011 DO - 10.1016/j.sbspro.2011.11.217 VL - 29 SP - 129 EP - 138 UR - https://app.dimensions.ai/details/publication/pub.1011383188 https://doi.org/10.1016/j.sbspro.2011.11.217 AN - pub.1011383188 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - Influence of individual characteristics and tobacco control policy on smoking cessation in patients in German somatic and psychosomatic rehabilitation AU - Birk, Tanja AU - Piontek, Daniela AU - Kröger, Christoph B AU - Nowak, Dennis T2 - Drugs: Education, Prevention and Policy DA - 2014/// PY - 2014 VL - 21 IS - 6 SP - 451 EP - 459 SN - 0968-7637 DB - Gadomski 2010 Cited By (31) ER - TY - JOUR TI - The influence of interdependent self-construal on procedural fairness effects AU - Brockner, Joel AU - De Cremer, David AU - van den Bos, Kees AU - Chen, Ya-Ru T2 - Organizational Behavior and Human Decision Processes DA - 2005/// PY - 2005 DO - 10.1016/j.obhdp.2004.11.001 VL - 96 IS - 2 SP - 155 EP - 167 UR - https://app.dimensions.ai/details/publication/pub.1000352704 http://dspace.library.uu.nl/bitstream/1874/7598/1/bos_2005_influence_interdependent_self-contrual_155.pdf AN - pub.1000352704 DB - Inoue 2013 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Influence of lifestyle factors on long-term sickness absence among female healthcare workers: a prospective cohort study AU - Quist, Helle Gram AU - Thomsen, Birthe L AU - Christensen, Ulla AU - Clausen, Thomas AU - Holtermann, Andreas AU - Bjorner, Jakob B AU - Andersen, Lars L T2 - BMC public health AB - Background While previous research has indicated that unhealthy lifestyle is associated with sickness absence, this association may be confounded by occupational class. To avoid this potential confounding, we examined the association between lifestyle factors (smoking, leisure-time physical activity and body mass index) and the occurrence of long-term sickness absence (LTSA; more than three consecutive weeks of registered sickness absence) within a cohort of female health care workers. Methods A total of 7401 employees filled out a questionnaire about their health behaviour and work environment. Subsequently, they were followed for 12 months in a national register on social transfer payments (DREAM register). Cox’s regression analyses, applied to grouped survival data, were used to estimate the prospective association between these lifestyle factors and LTSA. Results We found significant associations between all three lifestyle factors and risk of LTSA. The strongest lifestyle factor was current smoking, which increased the risk of LTSA by 35% (95% CI: 1.17-1.54) compared to non- smokers. For body mass index, the risk of LTSA increased with the distance away from 18.5 kg/m2 in either direction (below 18.5 kg/m2: HR: 1.32 per kg/m2; 95% CI. 1.06-1.66; above 18.5 kg/m2: HR: 1.04 per kg/m2; 95% CI: 1.03-1.05). In other words, the more underweight or overweight the women were, the higher the risk of LTSA. A dose–response relationship was found between LTSA and leisure-time physical activity (trend test p-value = 0.01), so that increasing physical activity results in decreasing risk of LTSA. Conclusion In female healthcare workers, an unhealthy lifestyle (too high/ too low body mass index, smoking, and low physical activity) is associated with higher risk of LTSA. DA - 2014/// PY - 2014 VL - 14 IS - 1 SP - 1 EP - 8 SN - 1471-2458 DB - Allard 2011 Cited By ER - TY - JOUR TI - Influence of materialism, job satisfaction, and perceived managerial trustworthiness on attitude towards fraudulent behaviours in selected Nigerian Universities AU - Adekanmbi, Foluso Philip AU - Ukpere, Wilfred I T2 - Psychology and Education Journal DA - 2020/// PY - 2020 VL - 57 IS - 7 SP - 503 EP - 515 SN - 0033-3077 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The influence of office layout features on employee perception of organizational culture AU - Zerella, Sarah AU - Von Treuer, Kathryn AU - Albrecht, Simon L T2 - Journal of Environmental Psychology DA - 2017/// PY - 2017 DP - Robertson 2008 Cited By (156) VL - 54 SP - 1 EP - 10 SN - 0272-4944 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - The Influence Of Spiritual Leadership On Intention To Leave Of The Employees AU - Yusof, Juhaizi Mohd AU - Zulkiffli, Siti Nur Atikah AU - Muda, Mohd Shaladdin DA - 2016/// PY - 2016 SN - 0972-7302 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The Influence of Staffing Characteristics on Quality of Care in Nursing Homes AU - Castle, Nicholas G. AU - Engberg, John T2 - Health Services Research DA - 2007/// PY - 2007 DO - 10.1111/j.1475-6773.2007.00704.x VL - 42 IS - 5 SP - 1822 EP - 1847 UR - https://app.dimensions.ai/details/publication/pub.1022209143 http://europepmc.org/articles/pmc2254574?pdf=render AN - pub.1022209143 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - The influence of team members’ motivation and leaders’ behaviour on scientific knowledge sharing in universities AU - Ballesteros-Rodríguez, José Luis AU - De Saá-Pérez, Petra AU - García-Carbonell, Natalia AU - Martín-Alcázar, Fernando AU - Sánchez-Gardey, Gonzalo T2 - International Review of Administrative Sciences DA - 2020/// PY - 2020 SP - 0020852320921220 SN - 0020-8523 DB - Tafvelin Are 2019b Cited by (12) ER - TY - JOUR TI - The Influence of Technological Reliability and Supervisor Supportiveness on Work Stress AU - Morgan, Justin W AU - Gore, Jonathan S T2 - Kentucky Journal of Undergraduate Scholarship DA - 2019/// PY - 2019 VL - 3 IS - 1 SP - 6 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - A influência da atividade física no controle autonômico da frequência cardíaca em mulheres com diferentes escores de depressão AU - Tonello, Laís DA - 2014/// PY - 2014 DB - Eller 2011 Cited By (21) ER - TY - JOUR TI - Information system quality in work-life balance AU - Gopinathan, Sharmini AU - Raman, Murali T2 - Knowledge Management & E-Learning: An International Journal DA - 2016/// PY - 2016 VL - 8 IS - 2 SP - 216 EP - 226 SN - 2073-7904 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Initiative for Burnout of ICU Caregivers: Feasibility and Preliminary Results of a Psychological Support AU - Ricou, Bara AU - Gigon, Fabienne AU - Durand-Steiner, Edith AU - Liesenberg, Maud AU - Chemin-Renais, Christine AU - Merlani, Paolo AU - Delaloye, Sylvette T2 - Journal of intensive care medicine DA - 2020/// PY - 2020 VL - 35 IS - 6 SP - 562 EP - 569 SN - 0885-0666 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Injustice at work and health: causation or correlation? AU - Kawachi, I. T2 - Occupational and Environmental Medicine DA - 2006/// PY - 2006 DO - 10.1136/oem.2006.028365 VL - 63 IS - 9 SP - 578 UR - https://app.dimensions.ai/details/publication/pub.1051366346 http://europepmc.org/articles/pmc2078168?pdf=render AN - pub.1051366346 DB - Inoue 2013 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Injustice at work and incidence of psychiatric morbidity: the Whitehall II study AU - Ferrie, J. E. AU - Head, J. AU - Shipley, M. J. AU - Vahtera, J. AU - Marmot, M. G. AU - Kivimäki, M. T2 - Occupational and Environmental Medicine DA - 2006/// PY - 2006 DO - 10.1136/oem.2005.022269 VL - 63 IS - 7 SP - 443 UR - https://app.dimensions.ai/details/publication/pub.1031428131 https://oem.bmj.com/content/63/7/443.full.pdf AN - pub.1031428131 DB - Inoue 2013 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Innovative approaches to analysis of job quality: factors, elements and outcomes AU - Shvets, Anastasiia DA - 2018/// PY - 2018 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Insecurity and turnover as robots take charge: impact of neuroticism and change-related uncertainty AU - Priyadarshi, Pushpendra AU - Premchandran, Rajesh T2 - Personnel Review DA - 2021/// PY - 2021 SN - 0048-3486 DB - Barrech 2018 Cited by (5) ER - TY - JOUR TI - Integrating managerial perceptions and transformational leadership into a work‐unit level model of employee involvement AU - Richardson, Hettie A. AU - Vandenberg, Robert J. T2 - Journal of Organizational Behavior DA - 2005/// PY - 2005 DO - 10.1002/job.329 VL - 26 IS - 5 SP - 561 EP - 589 UR - https://app.dimensions.ai/details/publication/pub.1017031546 AN - pub.1017031546 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - Integrating work and home when patients are dying: a mixed-methods study of hospice care workers and work–family conflict in the US AU - Cain, Cindy L AU - Lam, Jack T2 - International Journal of Care and Caring DA - 2020/// PY - 2020 SN - 2397-8821 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Integration of palliative care services in the intensive care unit: a roadmap for overcoming barriers AU - Baker, Mary AU - Luce, Jim AU - Bosslet, Gabriel T T2 - Clinics in chest medicine DA - 2015/// PY - 2015 VL - 36 IS - 3 SP - 441 EP - 448 SN - 0272-5231 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - An Integrative, Multilevel, and Transdisciplinary Research Approach to Challenges of Work, Family, and Health AU - Bray, Jeremy W. AU - Kelly, Erin L. AU - Hammer, Leslie B. AU - Almeida, David M. AU - Dearing, James W. AU - King, Rosalind B. AU - Buxton, Orfeu M. T2 - Methods report (RTI Press) DA - 2013/// PY - 2013 SP - 1 EP - 38 UR - https://app.dimensions.ai/details/publication/pub.1078878486 AN - pub.1078878486 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - An integrative, systematic review exploring the research, effectiveness, adoption, implementation, and maintenance of interventions to reduce sedentary behaviour in … AU - MacDonald, B AU - Janssen, X AU - Kirk, A AU - Patience, M AU - ... T2 - International journal of … AB - Sedentary behaviour is associated with poor health outcomes, and office-based workers are at significant health risk, as they accumulate large proportions of their overall sitting time at work. The aim of this integrated systematic review was to collate and synthesize published … DA - 2018/// PY - 2018 UR - https://www.mdpi.com/1660-4601/15/12/2876 DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Intent-to-Treat vs. Non-Intent-to-Treat Analyses under Treatment Non-Adherence in Mental Health Randomized Trials AU - Ten Have, Thomas R. AU - Normand, Sharon-Lise T. AU - Marcus, Sue M. AU - Brown, C. Hendricks AU - Lavori, Philip AU - Duan, Naihua T2 - Psychiatric Annals DA - 2008/// PY - 2008 DO - 10.3928/00485713-20081201-10 VL - 38 IS - 12 SP - 772 EP - 783 UR - https://app.dimensions.ai/details/publication/pub.1071710293 http://europepmc.org/articles/pmc2921714?pdf=render AN - pub.1071710293 DB - van Scheppingen 2014 Refs (33) Y2 - 2021/02/06/ ER - TY - JOUR TI - Internet-Based Health and Well-Being Interventions in a Working Population AU - Raines, Justin M DA - 2013/// PY - 2013 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Intervention development and implementation: Understanding and addressing barriers to organizational-level interventions AU - LaMontagne, Anthony D AU - Noblet, Andrew J AU - Landsbergis, Paul A DA - 2012/// PY - 2012 SN - 1848720564 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Intervention mapping for development of a participatory return-to-work intervention for temporary agency workers and unemployed workers sick-listed due to musculoskeletal disorders AU - Vermeulen, Sylvia J AU - Anema, Johannes R AU - Schellart, Antonius JM AU - van Mechelen, Willem AU - van der Beek, Allard J T2 - BMC public health DA - 2009/// PY - 2009 VL - 9 IS - 1 SP - 1 EP - 15 SN - 1471-2458 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Intervention research on working conditions and mental health: persistent challenges, new directions and opportunities to integrate research agendas AU - Smith, Peter AU - Bielecky, Amber AU - Frank, John T2 - Healthc Pap DA - 2011/// PY - 2011 VL - 11 IS - Sp SP - 67 EP - 72 DB - Gilbert-Ouimet 2011 Cited by (42) ER - TY - JOUR TI - Intervention studies in occupational epidemiology AU - Kristensen, T. S. T2 - Occupational and Environmental Medicine DA - 2005/// PY - 2005 DO - 10.1136/oem.2004.016097 VL - 62 IS - 3 SP - 205 UR - https://app.dimensions.ai/details/publication/pub.1052281493 https://oem.bmj.com/content/62/3/205.full.pdf AN - pub.1052281493 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Interventions for preventing falls in older people in care facilities and hospitals AU - Cameron, ID AU - Dyer, SM AU - Panagoda, CE AU - ... T2 - Cochrane database … AB - Background Falls in care facilities and hospitals are common events that cause considerable morbidity and mortality for older people. This is an update of a review first published in 2010 and updated in 2012. Objectives To assess the effects of interventions … DA - 2018/// PY - 2018 UR - https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005465.pub4/abstract DB - Joen 2015 Cited by (37) ER - TY - JOUR TI - Interventions for preventing falls in older people in residential care facilities and hospitals AU - Cameron, ID AU - Murray, GR AU - Gillespie, LD AU - ... T2 - Cochrane Database … AB - Background Falls in care facilities and hospitals are common events that cause considerable morbidity and mortality for older people. This is an update of a review first published in 2010 and updated in 2012. 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T2 - Applied ergonomics AB - Although worksite interventions increase physical activity, little is known about their effects on work ability. The objective of this scoping review was to examine the extent, range and nature of interventions to promote work ability by increasing the physical activity or … DA - 2020/// PY - 2020 UR - https://www.sciencedirect.com/science/article/pii/S0003687019301796 DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Interventions to reduce job stress and improve work organization and worker health AU - Landsbergis, Paul A T2 - Unhealthy work: Causes, consequences, cures DA - 2009/// PY - 2009 SP - 193 EP - 209 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Interventions to reduce sedentary behavior and increase physical activity during productive work: a systematic review AU - Commissaris, Dianne Acm AU - Huysmans, Maaike A. AU - Mathiassen, Svend Erik AU - Srinivasan, Divya AU - Koppes, Lando Lj AU - Hendriksen, Ingrid Jm T2 - Scandinavian Journal of Work, Environment & Health DA - 2015/// PY - 2015 DO - 10.5271/sjweh.3544 VL - 42 IS - 3 SP - 181 EP - 91 UR - https://app.dimensions.ai/details/publication/pub.1072738573 https://www.sjweh.fi/download.php?abstract_id=3544&file_nro=1 AN - pub.1072738573 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Intrinsic Job Satisfaction, Overall Satisfaction, and Intention to Leave the Job Among Nursing Assistants in Nursing Homes AU - Decker, Frederic H. AU - Harris-Kojetin, Lauren D. 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AU - Airila, Auli AU - Hakanen, Jari AU - Punakallio, Anne AU - Lusa, Sirpa AU - Luukkonen, Ritva T2 - International Archives of Occupational and Environmental Health DA - 2012/// PY - 2012 DO - 10.1007/s00420-012-0732-1 VL - 85 IS - 8 SP - 915 EP - 925 UR - https://app.dimensions.ai/details/publication/pub.1011404824 AN - pub.1011404824 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - It’s All about Control AU - Lyness, Karen S. AU - Gornick, Janet C. AU - Stone, Pamela AU - Grotto, Angela R. T2 - American Sociological Review DA - 2012/// PY - 2012 DO - 10.1177/0003122412465331 VL - 77 IS - 6 SP - 1023 EP - 1049 UR - https://app.dimensions.ai/details/publication/pub.1004906352 AN - pub.1004906352 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Iterative development of Stand Up Australia: a multi-component intervention to reduce workplace sitting AU - Neuhaus, Maike AU - Healy, Genevieve N. AU - Fjeldsoe, Brianna S. AU - Lawler, Sheleigh AU - Owen, Neville AU - Dunstan, David W. AU - LaMontagne, Anthony D. AU - Eakin, Elizabeth G. T2 - International Journal of Behavioral Nutrition and Physical Activity DA - 2014/// PY - 2014 DO - 10.1186/1479-5868-11-21 VL - 11 IS - 1 SP - 21 UR - https://app.dimensions.ai/details/publication/pub.1007565789 https://ijbnpa.biomedcentral.com/track/pdf/10.1186/1479-5868-11-21 AN - pub.1007565789 DB - Brakenridge 2016 Refs (51) Y2 - 2021/02/04/ ER - TY - JOUR TI - Jenseits von Kontrolle und Belohnung–Moderne arbeitspsychologische Ansätze zur Bewertung und Gestaltung von Arbeit/Beyond control and reward. Approaches on evaluation and design of work in modern occupational health psychology AU - Richter, Peter AU - Wolf, Sandra AU - Nebel, Claudia T2 - Arbeit DA - 2009/// PY - 2009 VL - 18 IS - 4 SP - 265 EP - 281 SN - 0941-5025 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Job and organizational determinants of nursing home employee commitment, job satisfaction and intent to turnover AU - Karsh, B. AU - Booske, B. C. AU - Sainfort, F. T2 - Ergonomics DA - 2005/// PY - 2005 DO - 10.1080/00140130500197195 VL - 48 IS - 10 SP - 1260 EP - 1281 UR - https://app.dimensions.ai/details/publication/pub.1046958174 AN - pub.1046958174 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - Job autonomy and schedule flexibility as moderators of the relationship between work-family conflict and work-related outcomes AU - Yucel, Deniz T2 - Applied Research in Quality of Life DA - 2019/// PY - 2019 VL - 14 IS - 5 SP - 1393 EP - 1410 SN - 1871-2576 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Job burnout among critical care nurses from 14 adult intensive care units in northeastern China: a cross-sectional survey AU - Zhang, Xiao-Chun AU - Huang, De-Sheng AU - Guan, Peng T2 - BMJ open DA - 2014/// PY - 2014 VL - 4 IS - 6 SN - 2044-6055 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Job characteristics associated with self-rated fair or poor health among US workers AU - Luckhaupt, Sara E AU - Alterman, Toni AU - Li, Jia AU - Calvert, Geoffrey M T2 - American journal of preventive medicine DA - 2017/// PY - 2017 VL - 53 IS - 2 SP - 216 EP - 224 SN - 0749-3797 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Job Decision Latitude Lowers Worker Stress, but for Whom? Results from the National Longitudinal Study of Adolescent to Adult Health AU - Lippert, Adam M AU - Venechuk, Grace T2 - Population Research and Policy Review DA - 2020/// PY - 2020 SP - 1 EP - 9 SN - 1573-7829 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Job demands and job control as correlates of early retirement thoughts in Finnish social and health care employees AU - Elovainio, Marko AU - Forma, Pauli AU - Kivimäki, Mika AU - Sinervo, Timo AU - Sutinen, Risto AU - Laine, Marjukka T2 - Work & Stress DA - 2005/// PY - 2005 DO - 10.1080/02678370500084623 VL - 19 IS - 1 SP - 84 EP - 92 UR - https://app.dimensions.ai/details/publication/pub.1038382998 AN - pub.1038382998 DB - Elo 2008 Refs (31) Y2 - 2021/02/04/ ER - TY - JOUR TI - The Job Demands‐Resources model: state of the art AU - Bakker, Arnold B. AU - Demerouti, Evangelia T2 - Journal of Managerial Psychology DA - 2007/// PY - 2007 DO - 10.1108/02683940710733115 VL - Volume 22 IS - Issue 3 SP - 309 EP - 328 UR - https://app.dimensions.ai/details/publication/pub.1026283526 http://pdfs.semanticscholar.org/535b/dddb991b5ebe252e4030fd4c02c2368e9f14.pdf AN - pub.1026283526 DB - Neves 2018 Refs (53) Y2 - 2021/02/08/ ER - TY - JOUR TI - Job design and behavioural outcome of employees in agricultural research training, Ibadan, Nigeria AU - Osibanjo, Adewale Omotayo AU - Abiodun, AJ AU - Salau, Odunayo Paul AU - Adeniji, AA AU - Falola, Hezekiah Olubusayo AU - Alimi, II T2 - Data in brief DA - 2018/// PY - 2018 DP - Robertson 2008 Cited By (156) VL - 19 SP - 1880 EP - 1887 SN - 2352-3409 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Job design under lean manufacturing and the quality of working life: a job demands and resources perspective AU - Cullinane, Sarah-Jane AU - Bosak, Janine AU - Flood, Patrick C. AU - Demerouti, Evangelia T2 - The International Journal of Human Resource Management DA - 2014/// PY - 2014 DO - 10.1080/09585192.2014.948899 VL - 25 IS - 21 SP - 2996 EP - 3015 UR - https://app.dimensions.ai/details/publication/pub.1007103074 http://doras.dcu.ie/19703/1/Job_Design_under_Lean_Manufacturing_and_the_Quality_of_Working_Life.pdf AN - pub.1007103074 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Job design, employment practices and well-being: A systematic review of intervention studies AU - Daniels, Kevin AU - Gedikli, Cigdem AU - Watson, David AU - Semkina, Antonina AU - Vaughn, Oluwafunmilayo T2 - Ergonomics DA - 2017/// PY - 2017 DP - Robertson 2008 Cited By (156) VL - 60 IS - 9 SP - 1177 EP - 1196 SN - 0014-0139 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Job insecurity and remuneration in Chinese family‐owned business workers AU - Hu, Qiao AU - Schaufeli, Wilmar B. T2 - Career Development International DA - 2011/// PY - 2011 DO - 10.1108/13620431111107784 VL - Volume 16 IS - Issue 1 SP - 6 EP - 19 UR - https://app.dimensions.ai/details/publication/pub.1039550242 http://www.wilmarschaufeli.nl/publications/Schaufeli/344.pdf AN - pub.1039550242 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - Job satisfaction among expatriate and national employees in an Arabian Gulf context AU - AbdelRahman, AbdelRahman Ahmed AU - Elamin, Abdallah M AU - Aboelmaged, Mohamed Gamal T2 - International Journal of Business Research and Development DA - 2012/// PY - 2012 VL - 1 IS - 1 SN - 1929-0977 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Job satisfaction among nurses: a literature review AU - Lu, Hong AU - While, Alison E. AU - Barriball, K. Louise T2 - International Journal of Nursing Studies DA - 2005/// PY - 2005 DO - 10.1016/j.ijnurstu.2004.09.003 VL - 42 IS - 2 SP - 211 EP - 227 UR - https://app.dimensions.ai/details/publication/pub.1002129044 AN - pub.1002129044 DB - Quenot 2012 Refs (28) Y2 - 2021/02/08/ ER - TY - JOUR TI - Job satisfaction among the expatriates in the UAE AU - Singh, Abhilasha T2 - International Journal of Business and Social Research DA - 2012/// PY - 2012 VL - 2 IS - 5 SP - 234 EP - 249 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Job satisfaction and associated variables among nurse assistants working in residential care AU - Wallin, Anneli Orrung AU - Jakobsson, Ulf AU - Edberg, Anna-Karin T2 - International Psychogeriatrics DA - 2012/// PY - 2012 DO - 10.1017/s1041610212001159 VL - 24 IS - 12 SP - 1904 EP - 1918 UR - https://app.dimensions.ai/details/publication/pub.1001319778 AN - pub.1001319778 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - Job satisfaction and intention to quit: A bibliometric review of work-family conflict and research agenda AU - Mumu, Jinnatul Raihan AU - Tahmid, Tahani AU - Azad, Md Abul Kalam T2 - Applied Nursing Research DA - 2020/// PY - 2020 SP - 151334 SN - 0897-1897 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Job satisfaction and organizational commitment among public sector employees in Saudi Arabia AU - Azeem, Syed Muhammad AU - Akhtar, Nadeem T2 - International Journal of Business and Social Science DA - 2014/// PY - 2014 VL - 5 IS - 7 SN - 2219-1933 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Job satisfaction and the psychosocial work environment: Does the relationship vary by hospital patient care workers’ age? AU - Miller, Julie AU - Hopcia, Karen AU - Wagner, Gregory R AU - Boden, Leslie I AU - Hashimoto, Dean AU - Sorensen, Glorian AU - Sabbath, Erika L T2 - Journal of Workplace Behavioral Health DA - 2018/// PY - 2018 VL - 33 IS - 3-4 SP - 221 EP - 240 SN - 1555-5240 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Job satisfaction articles-comparison upon selected criteria AU - Došenović, Dragana T2 - FACTA UNIVERSITATIS-Economics and Organization DA - 2018/// PY - 2018 VL - 15 IS - 4 SP - 363 EP - 378 SN - 0354-4699 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Job Satisfaction Dimensions and Organizational Commitment: Tools to Understand Employee Turnover Intention of IT/ITES Industry of the Gujarat State with a Focus on BPO Segment AU - Bhatt, Ranna AU - Sharma, Mahendra DA - 2009/// PY - 2009 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Job satisfaction of public sector middle managers in the process of NPM change AU - Pick, David AU - Teo, Stephen TT T2 - Public Management Review DA - 2017/// PY - 2017 VL - 19 IS - 5 SP - 705 EP - 724 SN - 1471-9037 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Job strain and smoking cessation among Japanese male employees: a two-year follow-up study AU - Fukuoka, Etsuko AU - Hirokawa, Kumi AU - Kawakami, Norito AU - Tsuchiya, Masao AU - Haratani, Takashi AU - Kobayashi, Fumio AU - Araki, Shunichi AU - Doi, Hiroyuki T2 - Acta Medica Okayama DA - 2008/// PY - 2008 DO - 10.18926/amo/30959 VL - 62 IS - 2 SP - 83 EP - 91 UR - https://app.dimensions.ai/details/publication/pub.1077646247 AN - pub.1077646247 DB - Allard 2011 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Job Strain and the Risk of Depression: Is Reporting Biased? AU - Kolstad, Henrik A. AU - Hansen, Åse Marie AU - Kærgaard, Anette AU - Thomsen, Jane F. AU - Kaerlev, Linda AU - Mikkelsen, Sigurd AU - Grynderup, Matias B. AU - Mors, Ole AU - Rugulies, Reiner AU - Kristensen, Ann S. AU - Andersen, Johan H. AU - Bonde, Jens Peter T2 - American Journal of Epidemiology DA - 2010/// PY - 2010 DO - 10.1093/aje/kwq318 VL - 173 IS - 1 SP - 94 EP - 102 UR - https://app.dimensions.ai/details/publication/pub.1020253030 https://academic.oup.com/aje/article-pdf/173/1/94/295657/kwq318.pdf AN - pub.1020253030 DB - Barrech 2018 Refs (44) Y2 - 2021/02/04/ ER - TY - JOUR TI - Job strain, time strain, and well-being: A longitudinal, person-centered approach in two industries AU - Fan, Wen AU - Moen, Phyllis AU - Kelly, Erin L AU - Hammer, Leslie B AU - Berkman, Lisa F T2 - Journal of vocational behavior DA - 2019/// PY - 2019 VL - 110 SP - 102 EP - 116 SN - 0001-8791 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Job stress in young adults is associated with a range of poorer health behaviors in the childhood determinants of adult health (CDAH) study AU - Wang, S AU - Sanderson, K AU - Dwyer, T AU - ... T2 - … of occupational and … AB - Objective: To examine job stress and health behaviors, including their co-occurrence, in Australians aged 31 to 41 year assessed in 2009 to 2011. Methods: Cross-sectional analyses using multivariable regression models of the association between the Effort … DA - 2018/// PY - 2018 UR - https://www.ingentaconnect.com/content/wk/jom/2018/00000060/00000003/art00001 DB - Jarman 2015 Cited by (27) ER - TY - JOUR TI - Job stress interventions and the organization of work AU - Semmer, Norbert K. T2 - Scandinavian Journal of Work, Environment & Health DA - 2006/// PY - 2006 DO - 10.5271/sjweh.1056 VL - 32 IS - 6 SP - 515 EP - 27 UR - https://app.dimensions.ai/details/publication/pub.1072736570 http://www.sjweh.fi/download.php?abstract_id=1056&file_nro=1 AN - pub.1072736570 DB - Elo 2008 Refs (31) Y2 - 2021/02/04/ ER - TY - JOUR TI - Job uncertainty and personal control during downsizing: A comparison of survivors and victims AU - Paulsen, Neil AU - Callan, Victor J. AU - Grice, Tim A. AU - Rooney, David AU - Gallois, Cindy AU - Jones, Elizabeth AU - Jimmieson, Nerina L. AU - Bordia, Prashant T2 - Human Relations DA - 2005/// PY - 2005 DO - 10.1177/0018726705055033 VL - 58 IS - 4 SP - 463 EP - 496 UR - https://app.dimensions.ai/details/publication/pub.1006019775 https://research-repository.griffith.edu.au/bitstream/10072/4729/1/31803_1.pdf AN - pub.1006019775 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - Job-Leisure Conflict, Turnover Intention and the Role of Job Satisfaction as a Mediator: An Empirical Study of Indian IT Professionals AU - Sharma, Anupama AU - Nambudiri, Ranjeet T2 - South Asian Journal of Management DA - 2015/// PY - 2015 VL - 22 IS - 1 SN - 0971-5428 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Just leave AU - Albiston, Catherine AU - O'Connor, Lindsey Trimble T2 - Harv. Women's LJ DA - 2016/// PY - 2016 VL - 39 SP - 1 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Justice at Work, Job Stress, and Employee Health AU - Fujishiro, Kaori AU - Heaney, Catherine A. T2 - Health Education & Behavior DA - 2007/// PY - 2007 DO - 10.1177/1090198107306435 VL - 36 IS - 3 SP - 487 EP - 504 UR - https://app.dimensions.ai/details/publication/pub.1040589414 AN - pub.1040589414 DB - Inoue 2013 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Justicia organizacional y cultura organizacional de los docentes de una unidad educativa, Guayaquil, 2018 AU - Ramón Saraguro, Karem Lilibeth DA - 2019/// PY - 2019 DB - Inoue 2013 Cited by (44) ER - TY - JOUR TI - Kahdentoista viikon yhdistetyn voima-ja kestävyysharjoittelun vaikutukset fyysiseen kuntoon, työstressiin ja työkykyindeksiin istumatyötä tekevillä naisilla AU - Hautala, Janne DA - 2018/// PY - 2018 DB - Eller 2011 Cited By (21) ER - TY - JOUR TI - Kaizen event approach: a case study in the packaging industry AU - Vo, B AU - Kongar, E AU - Barraza, MFS T2 - International Journal of Productivity … AB - Purpose The purpose of this paper is twofold: first, a case study on the application of lean production principles in a manufacturing facility is presented to demonstrate the impact of frequent and systematic use of a Kaizen event on quality and delivery performance. Second … DA - 2019/// PY - 2019 UR - https://www.emerald.com/insight/content/doi/10.1108/IJPPM-07-2018-0282/full/html DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - Kaizen: A Method of Process Improvement in the Emergency Department AU - Jacobson, Gregory H. AU - McCoin, Nicole Streiff AU - Lescallette, Richard AU - Russ, Stephan AU - Slovis, Corey M. T2 - Academic Emergency Medicine DA - 2009/// PY - 2009 DO - 10.1111/j.1553-2712.2009.00580.x VL - 16 IS - 12 SP - 1341 EP - 1349 UR - https://app.dimensions.ai/details/publication/pub.1020870714 https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/j.1553-2712.2009.00580.x AN - pub.1020870714 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Keeping patients safe: transforming the work environment of nurses T2 - Choice Reviews Online DA - 2005/// PY - 2005 DO - 10.5860/choice.42-2844 VL - 42 IS - 05 SP - 42 EP - 2844-42-2844 SN - 0009-4978 1523-8253 UR - https://app.dimensions.ai/details/publication/pub.1073399346 AN - pub.1073399346 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - Keeping Your Headcount When All About You Are Losing Theirs: Downsizing, Voluntary Turnover Rates, and The Moderating Role of HR Practices AU - Trevor, Charlie O. AU - Nyberg, Anthony J. T2 - Academy of Management Journal DA - 2008/// PY - 2008 DO - 10.5465/amj.2008.31767250 VL - 51 IS - 2 SP - 259 EP - 276 UR - https://app.dimensions.ai/details/publication/pub.1072895712 http://pdfs.semanticscholar.org/716a/6d5706305697a4b22d5dd694a7ee668b842f.pdf AN - pub.1072895712 DB - Neves 2018 Refs (53) Y2 - 2021/02/08/ ER - TY - JOUR TI - Kommunikation im Team und Burnout AU - Schwarzkopf, D AU - Meissner, W AU - Wedding, U AU - Riedemann, NC AU - Pfeifer, R AU - Fritzenwanger, M AU - Günther, A AU - Egerland, K AU - Henkel, M AU - Skupin, H T2 - Zeitschrift für Palliativmedizin DA - 2012/// PY - 2012 VL - 13 IS - 06 SP - 293 EP - 300 SN - 1615-2921 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Kommunikation in der Intensivmedizin AU - De Heer, G AU - Kluge, S T2 - Medizinische Klinik-Intensivmedizin und Notfallmedizin DA - 2012/// PY - 2012 VL - 107 IS - 4 SP - 249 EP - 254 SN - 1615-6722 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - L’influence longitudinale de la justice organisationnelle sur le bien-être psychologique au travail: quels types de justice sont déterminants? AU - Savard, Y Provost AU - Dagenais-Desmarais, V T2 - Psychologie du Travail et des Organisations DA - 2018/// PY - 2018 VL - 24 IS - 3 SP - 219 EP - 235 SN - 1420-2530 DB - Inoue 2013 Cited by (44) ER - TY - JOUR TI - L’intervention en santé au travail: l’intérêt de l’étude de cas d’intervention AU - Rouat, Sabrina AU - Sarnin, Philippe T2 - Le travail humain DA - 2018/// PY - 2018 VL - 81 IS - 4 SP - 331 EP - 363 SN - 0041-1868 DB - Gilbert-Ouimet 2011 Cited by (42) ER - TY - JOUR TI - L’utilité de la formation dans la prévention des risques psychosociaux au travailprévention des risques psychosociaux, santé au travail, formation, ressources psychosociales. Les effets d’une formation aux RPS sur le développement des ressources psychosociales AU - Rouat, Sabrina T2 - Perspectives interdisciplinaires sur le travail et la santé DA - 2019/// PY - 2019 IS - 21-1 SN - 1481-9384 DB - Gilbert-Ouimet 2011 Cited by (42) ER - TY - JOUR TI - La gestión administrativa incide en la percepción de la justicia organizacional de la Universidad Técnica de Machala AU - Quezada Abad, César Javier DA - 2016/// PY - 2016 DB - Inoue 2013 Cited by (44) ER - TY - JOUR TI - La prévention des problèmes de santé psychologique liés au travail: nouveau défi pour la santé publique AU - Vézina, Michel T2 - Santé publique DA - 2008/// PY - 2008 VL - 20 IS - hs SP - 121 EP - 128 SN - 0995-3914 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Lagged Effects of Family-Supportive Organization Perceptions and Supervision in Relation to Generalized Work-Related Resources AU - Matthews, Russell A. AU - Toumbeva, Tatiana H. T2 - Journal of Occupational Health Psychology DA - 2015/// PY - 2015 DO - 10.1037/a0038377 VL - 20 IS - 3 SP - 301 EP - 313 UR - https://app.dimensions.ai/details/publication/pub.1009712219 AN - pub.1009712219 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - Latent Variable Modeling of Differences and Changes with Longitudinal Data AU - McArdle, John J. T2 - Annual Review of Psychology DA - 2009/// PY - 2009 DO - 10.1146/annurev.psych.60.110707.163612 VL - 60 IS - 1 SP - 577 EP - 605 UR - https://app.dimensions.ai/details/publication/pub.1013870962 AN - pub.1013870962 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - Le burn-out en réanimation: évaluation, prévention et dispositifs d’intervention AU - Fournier, Alicia AU - Laurent, Alexandra T2 - Médecine Intensive Réanimation DA - 2020/// PY - 2020 SN - 2678-7385 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Le processus d’intervention en santé au travail: éclairer les enjeux de l’action par un exercice de formalisation de l’activité AU - Rouat, Sabrina AU - Cuvillier, Bruno AU - Laneyrie, Elsa T2 - Pratiques Psychologiques DA - 2019/// PY - 2019 SN - 1269-1763 DB - Gilbert-Ouimet 2011 Cited by (42) ER - TY - JOUR TI - Leader–Member Exchange and Affective Organizational Commitment: The Contribution of Supervisor's Organizational Embodiment AU - Eisenberger, Robert AU - Karagonlar, Gokhan AU - Stinglhamber, Florence AU - Neves, Pedro AU - Becker, Thomas E. AU - Gonzalez-Morales, M. Gloria AU - Steiger-Mueller, Meta T2 - Journal of Applied Psychology DA - 2010/// PY - 2010 DO - 10.1037/a0020858 VL - 95 IS - 6 SP - 1085 EP - 1103 UR - https://app.dimensions.ai/details/publication/pub.1019891609 http://pdfs.semanticscholar.org/bca5/908616094111b816167a78b6dc103072c07a.pdf AN - pub.1019891609 DB - Neves 2018 Refs (53) Y2 - 2021/02/08/ ER - TY - JOUR TI - Leader–member exchange in teams: An examination of the interaction between relationship differentiation and mean LMX in explaining team-level outcomes AU - Boies, Kathleen AU - Howell, Jane M. T2 - The Leadership Quarterly DA - 2006/// PY - 2006 DO - 10.1016/j.leaqua.2006.02.004 VL - 17 IS - 3 SP - 246 EP - 257 UR - https://app.dimensions.ai/details/publication/pub.1022723670 AN - pub.1022723670 Y2 - 2021/02/04/ ER - TY - JOUR TI - Leaders’ strategies for dealing with own and their subordinates’ stress in public human service organisations AU - Skagert, Katrin AU - Dellve, Lotta AU - Eklöf, Mats AU - Pousette, Anders AU - Ahlborg Jr, Gunnar T2 - Applied ergonomics DA - 2008/// PY - 2008 VL - 39 IS - 6 SP - 803 EP - 811 SN - 0003-6870 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Leadership and management in the aged care sector: A narrative synthesis AU - Jeon, Yun‐Hee AU - Merlyn, Teri AU - Chenoweth, Lynn T2 - Australasian Journal on Ageing DA - 2010/// PY - 2010 DO - 10.1111/j.1741-6612.2010.00426.x VL - 29 IS - 2 SP - 54 EP - 60 UR - https://app.dimensions.ai/details/publication/pub.1018757552 AN - pub.1018757552 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - Leadership and stress: A meta-analytic review AU - Harms, P. D. AU - Credé, Marcus AU - Tynan, Michael AU - Leon, Matthew AU - Jeung, Wonho T2 - The Leadership Quarterly DA - 2017/// PY - 2017 DO - 10.1016/j.leaqua.2016.10.006 VL - 28 IS - 1 SP - 178 EP - 194 UR - https://app.dimensions.ai/details/publication/pub.1046942136 AN - pub.1046942136 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - Leadership competencies for implementing planned organizational change AU - Battilana, Julie AU - Gilmartin, Mattia AU - Sengul, Metin AU - Pache, Anne-Claire AU - Alexander, Jeffrey A. T2 - The Leadership Quarterly DA - 2010/// PY - 2010 DO - 10.1016/j.leaqua.2010.03.007 VL - 21 IS - 3 SP - 422 EP - 438 UR - https://app.dimensions.ai/details/publication/pub.1050690806 AN - pub.1050690806 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Leadership development as an intervention in occupational health psychology AU - Kelloway, E. Kevin AU - Barling, Julian T2 - Work & Stress DA - 2010/// PY - 2010 DO - 10.1080/02678373.2010.518441 VL - 24 IS - 3 SP - 260 EP - 279 UR - https://app.dimensions.ai/details/publication/pub.1031387744 AN - pub.1031387744 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - Leadership in Teams: A Functional Approach to Understanding Leadership Structures and Processes AU - Morgeson, Frederick P. AU - DeRue, D. Scott AU - Karam, Elizabeth P. T2 - Journal of Management DA - 2009/// PY - 2009 DO - 10.1177/0149206309347376 VL - 36 IS - 1 SP - 5 EP - 39 UR - https://app.dimensions.ai/details/publication/pub.1016993219 AN - pub.1016993219 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - Leadership style and employee turnover intentions in organizations in Kenya: A case of xyz company AU - Ntenga, Everlyne Kemunto AU - Awuor, Emmanuel T2 - Journal of Human Resource & Leadership DA - 2018/// PY - 2018 VL - 2 IS - 3 SP - 87 EP - 109 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review AU - Cummings, Greta G. AU - MacGregor, Tara AU - Davey, Mandy AU - Lee, How AU - Wong, Carol A. AU - Lo, Eliza AU - Muise, Melanie AU - Stafford, Erin T2 - International Journal of Nursing Studies DA - 2009/// PY - 2009 DO - 10.1016/j.ijnurstu.2009.08.006 VL - 47 IS - 3 SP - 363 EP - 385 UR - https://app.dimensions.ai/details/publication/pub.1024038473 AN - pub.1024038473 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - Leadership Styles and Turnover Intentions of Public Sector Employees of Lahore (Pakistan): The Mediating Effect of Affective Commitment AU - Razzaq, Ali Abdul AU - Khalid, Ramsha AU - Haroon, Arshad T2 - International Journal of Economics and Business Administration DA - 2019/// PY - 2019 VL - 5 IS - 2 SP - 44 EP - 54 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Leadership, innovation climate, and attitudes toward evidence-based practice during a statewide implementation AU - Aarons, G. A. AU - Sommerfeld, D. H. T2 - J Am Acad Child Adolesc Psychiatry AB - OBJECTIVE: Leadership is important in practice change, yet there are few studies addressing this issue in mental health and social services. This study examined the differential roles of transformational (i.e., charismatic) leadership and leader-member exchange (i.e., the relationship between a supervisor and their direct service providers) on team innovation climate (i.e., openness to new innovations) and provider attitudes toward adopting evidence-based practice (EBP) during a statewide evidence-based practice implementation (EBPI) of an intervention to reduce child neglect. METHOD: Participants were 140 case-managers in 30 teams providing home-based services to families in a statewide child-welfare system. Teams were assigned by region to EBPI or services as usual (SAU) conditions. Multiple group path analysis was used to examine associations of transformational leadership and leader-member exchange with innovation climate and attitudes toward adoption and use of EBP. RESULTS: Transformational leadership predicted higher innovation climate during implementation, whereas leader-member exchange predicted higher innovation climate during SAU. Innovation climate was, in turn, associated with more positive attitudes toward EBP for the EBPI group. CONCLUSIONS: Strategies designed to enhance supervisor transformational leadership have the potential to facilitate implementation efforts by promoting a strong climate for EBPI and positive provider attitudes toward adoption and use of EBP. DA - 2012/04//undefined PY - 2012 DO - 10.1016/j.jaac.2012.01.018 VL - 51 IS - 4 SP - 423 EP - 31 SN - 1527-5418 (Electronic) 0890-8567 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/22449648 AN - 22449648 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ KW - Adult KW - Female KW - Humans KW - Male KW - Aged KW - Child, Preschool KW - Middle Aged KW - Longitudinal Studies KW - *Attitude of Health Personnel KW - Organizational Culture KW - *Leadership KW - Infant KW - *Diffusion of Innovation KW - Problem Solving KW - Personnel Management KW - Case Management/*organization & administration KW - Child Abuse/*prevention & control/*psychology KW - Child Welfare/*psychology KW - Education/organization & administration KW - Evidence-Based Practice/*education/*organization & administration KW - Home Care Agencies/*organization & administration KW - Inservice Training/*organization & administration ER - TY - JOUR TI - Leadership, Job Well-Being, and Health Effects—A Systematic Review and a Meta-Analysis AU - Kuoppala, Jaana AU - Lamminpää, Anne AU - Liira, Juha AU - Vainio, Harri T2 - Journal of Occupational and Environmental Medicine DA - 2008/// PY - 2008 DO - 10.1097/jom.0b013e31817e918d VL - 50 IS - 8 SP - 904 EP - 915 UR - https://app.dimensions.ai/details/publication/pub.1039484496 AN - pub.1039484496 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Leadership, staffing and quality of care in nursing homes AU - Havig, Anders Kvale AU - Skogstad, Anders AU - Kjekshus, Lars Erik AU - Romøren, Tor Inge T2 - BMC Health Services Research DA - 2011/// PY - 2011 DO - 10.1186/1472-6963-11-327 VL - 11 IS - 1 SP - 327 UR - https://app.dimensions.ai/details/publication/pub.1048294812 https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/1472-6963-11-327 AN - pub.1048294812 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - Leading for safety: A question of leadership focus AU - Molnar, Malin Mattson AU - Schwarz, Ulrica Von Thiele AU - Hellgren, Johnny AU - Hasson, Henna AU - Tafvelin, Susanne T2 - Safety and health at work DA - 2019/// PY - 2019 VL - 10 IS - 2 SP - 180 EP - 187 SN - 2093-7911 DB - Lundmark 2017 Cited by (21) ER - TY - JOUR TI - Leading implementation in health and social care: the line manager in the spotlight AU - Mosson, Rebecca DA - 2018/// PY - 2018 SN - 9178311470 DB - Lundmark 2017 Cited by (21) ER - TY - JOUR TI - Leading Virtual Teams: Hierarchical Leadership, Structural Supports, and Shared Team Leadership AU - Hoch, Julia E. AU - Kozlowski, Steve W. J. T2 - Journal of Applied Psychology DA - 2014/// PY - 2014 DO - 10.1037/a0030264 VL - 99 IS - 3 SP - 390 EP - 403 UR - https://app.dimensions.ai/details/publication/pub.1052857677 AN - pub.1052857677 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - Leading well: Challenges to researching leadership in occupational health psychology–and some ways forward AU - Nielsen, Karina AU - Taris, Toon W T2 - Work & Stress DA - 2019/// PY - 2019 VL - 33 IS - 2 SP - 107 EP - 118 SN - 0267-8373 DB - Barrech 2018 Cited by (5) ER - TY - JOUR TI - Lean and the working environment: a review of the literature AU - Hasle, Peter AU - Bojesen, Anders AU - Jensen, Per Langaa AU - Bramming, Pia T2 - International Journal of Operations & Production Management DA - 2012/// PY - 2012 DO - 10.1108/01443571211250103 VL - Volume 32 IS - Issue 7 SP - 829 EP - 849 UR - https://app.dimensions.ai/details/publication/pub.1016186988 AN - pub.1016186988 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Lean implementation at different levels in Swedish hospitals: the importance for working conditions and stress AU - Dellve, Lotta AU - Williamsson, Anna AU - Strömgren, Marcus AU - Holden, Richard J. AU - Eriksson, Andrea T2 - International Journal of Human Factors and Ergonomics DA - 2015/// PY - 2015 DO - 10.1504/ijhfe.2015.073001 VL - 3 IS - 3/4 SP - 235 UR - https://app.dimensions.ai/details/publication/pub.1067459806 http://pdfs.semanticscholar.org/a891/918328544d4eb7985ab93f277d086cd909d7.pdf AN - pub.1067459806 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Lean in healthcare: The unfilled promise? AU - Radnor, Zoe J. AU - Holweg, Matthias AU - Waring, Justin T2 - Social Science & Medicine DA - 2011/// PY - 2011 DO - 10.1016/j.socscimed.2011.02.011 VL - 74 IS - 3 SP - 364 EP - 371 UR - https://app.dimensions.ai/details/publication/pub.1008786238 http://openaccess.city.ac.uk/20646/1/Lean%20in%20healthcare%20the%20unfilled%20promise.pdf AN - pub.1008786238 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Lean management and occupational health: team learning as a key factor AU - Stimec, A T2 - Journal of Workplace Learning AB - Purpose Liker (2003) asserts that continuous improvement's goal is to favour organisational learning (OL), the latter being one of the key principles of lean management (LM). Yet, OL may result in better occupational health (Panari et al., 2010). The purpose of this paper is to … DA - 2020/// PY - 2020 UR - https://www.emerald.com/insight/content/doi/10.1108/JWL-08-2019-0104/full/html DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - Lean production tools and decision latitude enable conditions for innovative learning in organizations: A multilevel analysis AU - Ståhl, Anna-Carin Fagerlind AU - Gustavsson, Maria AU - Karlsson, Nadine AU - Johansson, Gun AU - Ekberg, Kerstin T2 - Applied Ergonomics DA - 2014/// PY - 2014 DO - 10.1016/j.apergo.2014.10.013 VL - 47 SP - 285 EP - 291 UR - https://app.dimensions.ai/details/publication/pub.1034367893 http://liu.diva-portal.org/smash/get/diva2:767750/FULLTEXT01 AN - pub.1034367893 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Lean Production—An Evaluation of the Possibilities for an Employee Supportive Lean Practice AU - Hasle, Peter T2 - Human Factors and Ergonomics in Manufacturing & Service Industries DA - 2012/// PY - 2012 DO - 10.1002/hfm.20350 VL - 24 IS - 1 SP - 40 EP - 53 UR - https://app.dimensions.ai/details/publication/pub.1047176741 AN - pub.1047176741 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Lean Thinking in Emergency Departments: A Critical Review AU - Holden, Richard J. T2 - Annals of Emergency Medicine DA - 2010/// PY - 2010 DO - 10.1016/j.annemergmed.2010.08.001 VL - 57 IS - 3 SP - 265 EP - 278 UR - https://app.dimensions.ai/details/publication/pub.1025399811 http://europepmc.org/articles/pmc6548198?pdf=render AN - pub.1025399811 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Learning from a Natural Experiment: Studying a Corporate Work-Time Policy Initiative AU - Moen, Phyllis AU - Kelly, Erin AU - Chermack, Kelly T2 - Work-life policies. National Symposium on Family Issues (15th : 2007 : Pennsylvania State University) DA - 2009/// PY - 2009 VL - 2009 SP - 97 EP - 131 UR - https://app.dimensions.ai/details/publication/pub.1079035207 AN - pub.1079035207 DB - Moen 2011 Ref (66) Y2 - 2021/02/08/ ER - TY - JOUR TI - Levels of burnout and risk factors in medical area nurses: A meta-analytic study AU - Molina-Praena, Jesús AU - Ramirez-Baena, Lucia AU - Gómez-Urquiza, José L AU - Cañadas, Gustavo R AU - De la Fuente, Emilia I T2 - International journal of environmental research and public health DA - 2018/// PY - 2018 VL - 15 IS - 12 SP - 2800 DB - Basu 2016 Cited by (24) ER - TY - JOUR TI - Leveraging technology to improve military mental health: Novel uses of smartphone apps AU - Vermetten, Eric AU - Granek, Josh AU - Boland, Hamid AU - Berge, Erik ten AU - Binsch, Olaf AU - Carmi, Lior AU - Zohar, Joseph AU - Wynn, Gary AU - Jetly, Rakesh T2 - Journal of Military, Veteran and Family Health DA - 2020/// PY - 2020 VL - 6 IS - S1 SP - 36 EP - 43 SN - 2368-7924 DB - Fikretoglu 2019 Cited by (5) ER - TY - JOUR TI - Lifestyle-focused interventions at the workplace to reduce the risk of cardiovascular disease--a systematic review AU - Groeneveld, Iris F. AU - Proper, Karin I. AU - van der Beek, Allard J. AU - Hildebrandt, Vincent H. AU - van Mechelen, Willem T2 - Scandinavian Journal of Work, Environment & Health DA - 2010/// PY - 2010 DO - 10.5271/sjweh.2891 VL - 36 IS - 3 SP - 202 EP - 15 UR - https://app.dimensions.ai/details/publication/pub.1072738092 http://www.sjweh.fi/download.php?abstract_id=2891&file_nro=1 AN - pub.1072738092 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - Liikunnanopettajat tyytyväisiä työhönsä-mutta osamminen kysyttyä muissakin tehtävissä AU - Mäkelä, Kasper AU - Tutkija, LitT T2 - Liikunta & Tiede (51) DA - 2014/// PY - 2014 SP - 63 EP - 66 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Limitation of therapeutic effort experienced by intensive care nurses AU - Velarde-García, Juan Francisco AU - Luengo-González, Raquel AU - González-Hervías, Raquel AU - Cardenete-Reyes, César AU - Álvarez-Embarba, Beatriz AU - Palacios-Ceña, Domingo T2 - Nursing ethics DA - 2018/// PY - 2018 VL - 25 IS - 7 SP - 867 EP - 879 SN - 0969-7330 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - The limitations of dispositional resistance in relation to organizational change AU - Michel, Alexandra AU - By, Rune Todnem AU - Burnes, Bernard T2 - Management Decision DA - 2013/// PY - 2013 DO - 10.1108/00251741311326554 VL - Volume 51 IS - Issue 4 SP - 761 EP - 780 UR - https://app.dimensions.ai/details/publication/pub.1048048505 AN - pub.1048048505 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - Limited economic evaluation to assess the effectiveness of a university-wide office ergonomics program AU - Bidassie, Balmatee AU - McGlothlin, James D AU - Goh, Alina AU - Feyen, Robert G AU - Barany, James W T2 - Applied Ergonomics DA - 2010/// PY - 2010 DP - Robertson 2008 Cited By (156) VL - 41 IS - 3 SP - 417 EP - 427 SN - 0003-6870 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Line managers’ influence on employee usage of a web-based system for occupational health management AU - Frykman, Mandus AU - Lundmark, Robert AU - von Thiele Schwarz, Ulrica AU - Villaume, Karin AU - Hasson, Henna T2 - International Journal of Workplace Health Management DA - 2018/// PY - 2018 SN - 1753-8351 DB - Lundmark 2017 Cited by (21) ER - TY - JOUR TI - The Link Between Workforce Health and Safety and the Health of the Bottom Line AU - Fabius, Raymond AU - Thayer, R. Dixon AU - Konicki, Doris L. AU - Yarborough, Charles M. AU - Peterson, Kent W. AU - Isaac, Fikry AU - Loeppke, Ronald R. AU - Eisenberg, Barry S. AU - Dreger, Marianne T2 - Journal of Occupational and Environmental Medicine DA - 2013/// PY - 2013 DO - 10.1097/jom.0b013e3182a6bb75 VL - 55 IS - 9 SP - 993 EP - 1000 UR - https://app.dimensions.ai/details/publication/pub.1003969091 AN - pub.1003969091 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - Linking hospital workers’ organisational work environment to depressive symptoms: a mediating effect of effort–reward imbalance? The ORSOSA study AU - Jolivet, Anne AU - Caroly, Sandrine AU - Ehlinger, Virgine AU - Kelly-Irving, Michelle AU - Delpierre, Cyrille AU - Balducci, Franck AU - Sobaszek, Annie AU - De Gaudemaris, Régis AU - Lang, Thierry T2 - Social science & medicine DA - 2010/// PY - 2010 VL - 71 IS - 3 SP - 534 EP - 540 SN - 0277-9536 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Linking Job Demands and Resources to Employee Engagement and Burnout: A Theoretical Extension and Meta-Analytic Test AU - Crawford, Eean R. AU - LePine, Jeffery A. AU - Rich, Bruce Louis T2 - Journal of Applied Psychology DA - 2010/// PY - 2010 DO - 10.1037/a0019364 VL - 95 IS - 5 SP - 834 EP - 848 UR - https://app.dimensions.ai/details/publication/pub.1002576828 AN - pub.1002576828 DB - Neves 2018 Refs (53) Y2 - 2021/02/08/ ER - TY - JOUR TI - Linking Organizational Resources and Work Engagement to Employee Performance and Customer Loyalty: The Mediation of Service Climate AU - Salanova, Marisa AU - Agut, Sonia AU - Peiró, José María T2 - Journal of Applied Psychology DA - 2005/// PY - 2005 DO - 10.1037/0021-9010.90.6.1217 VL - 90 IS - 6 SP - 1217 EP - 1227 UR - https://app.dimensions.ai/details/publication/pub.1029957065 AN - pub.1029957065 DB - Vaag 2013 Refs (19) Y2 - 2021/02/08/ ER - TY - JOUR TI - Linking transformational leadership to employee turnover: The moderating role of alternative job opportunity AU - Amankwaa, Albert AU - Anku-Tsede, Olivia T2 - International Journal of Business Administration DA - 2015/// PY - 2015 VL - 6 IS - 4 SP - 19 SN - 1923-4007 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Linking transformational leadership to turnover intention in the public sector AU - Gyensare, Michael Asiedu AU - Kumedzro, Lucky Enyonam AU - Sanda, Aminu AU - Boso, Nathaniel T2 - African Journal of Economic and Management Studies DA - 2017/// PY - 2017 SN - 2040-0705 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Listen to the data when results are not significant AU - Hewitt, Catherine E. AU - Mitchell, Natasha AU - Torgerson, David J. T2 - The BMJ DA - 2008/// PY - 2008 DO - 10.1136/bmj.39379.359560.ad VL - 336 IS - 7634 SP - 23 UR - https://app.dimensions.ai/details/publication/pub.1005918832 http://europepmc.org/articles/pmc2174757?pdf=render AN - pub.1005918832 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Long-Term Effectiveness of a Stress Management Intervention at Work: A 9-Year Follow-Up Study Based on a Randomized Wait-List Controlled Trial in Male Managers AU - Li, Jian AU - Riedel, Natalie AU - Barrech, Amira AU - Herr, Raphael M. AU - Aust, Birgit AU - Mörtl, Kathrin AU - Siegrist, Johannes AU - Gündel, Harald AU - Angerer, Peter T2 - BioMed Research International DA - 2017/// PY - 2017 DO - 10.1155/2017/2853813 VL - 2017 SP - 2853813 UR - https://app.dimensions.ai/details/publication/pub.1092273462 http://downloads.hindawi.com/journals/bmri/2017/2853813.pdf AN - pub.1092273462 DB - Gilbert-Ouimet 2011 Refs (27) Y2 - 2021/02/04/ ER - TY - JOUR TI - Long-term effects of an intervention on psychosocial work factors among healthcare professionals in a hospital setting AU - Bourbonnais, Renée AU - Brisson, Chantal AU - Vézina, Michel T2 - Occupational and Environmental Medicine DA - 2011/// PY - 2011 VL - 68 IS - 7 SP - 479 EP - 486 SN - 1351-0711 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Long-term effects of psychosocial factors of home and work on biomarkers of stress AU - Eller, Nanna Hurwitz AU - Kristiansen, Jesper AU - Hansen, Åse Marie T2 - International Journal of Psychophysiology DA - 2010/// PY - 2010 DO - 10.1016/j.ijpsycho.2010.10.009 VL - 79 IS - 2 SP - 195 EP - 202 UR - https://app.dimensions.ai/details/publication/pub.1031717367 AN - pub.1031717367 DB - Eller 2011 Refs (38) Y2 - 2021/02/04/ ER - TY - JOUR TI - The long-term impact of a change in Effort-Reward imbalance on mental health-results from the prospective MAN-GO study AU - Barrech, Amira AU - Riedel, Natalie AU - Li, Jian AU - Herr, Raphael M. AU - Mörtl, Kathrin AU - Angerer, Peter AU - Gündel, Harald T2 - European Journal of Public Health DA - 2017/// PY - 2017 DO - 10.1093/eurpub/ckx068 VL - 27 IS - 6 SP - 1021 EP - 1026 UR - https://app.dimensions.ai/details/publication/pub.1085547670 https://academic.oup.com/eurpub/article-pdf/27/6/1021/21962532/ckx068.pdf AN - pub.1085547670 DB - Gilbert-Ouimet 2011 Refs (27) Y2 - 2021/02/04/ ER - TY - JOUR TI - A longitudinal assessment of the impact of smoke-free worksite policies on tobacco use AU - Bauer, Joseph E. AU - Hyland, Andrew AU - Li, Qiang AU - Steger, Craig AU - Cummings, K. Michael T2 - American Journal of Public Health DA - 2005/// PY - 2005 DO - 10.2105/ajph.2004.048678 VL - 95 IS - 6 SP - 1024 EP - 9 UR - https://app.dimensions.ai/details/publication/pub.1068842636 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1449303 AN - pub.1068842636 DB - Ripley-Moffitt 2010 Refs (10) Y2 - 2021/02/08/ ER - TY - JOUR TI - A longitudinal assessment of the road to mental readiness training among municipal police AU - Carleton, R. Nicholas AU - Korol, Stephanie AU - Mason, Julia E. AU - Hozempa, Kadie AU - Anderson, Gregory S. AU - Jones, Nicholas A. AU - Dobson, Keith S. AU - Szeto, Andrew AU - Bailey, Suzanne T2 - Cognitive Behaviour Therapy DA - 2018/// PY - 2018 DO - 10.1080/16506073.2018.1475504 VL - 47 IS - 6 SP - 1 EP - 21 UR - https://app.dimensions.ai/details/publication/pub.1104899183 https://www.tandfonline.com/doi/pdf/10.1080/16506073.2018.1475504?needAccess=true AN - pub.1104899183 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - The Longitudinal Effects of Work-Family Conflict and Positive Spillover on Depressive Symptoms Among Dual-Earner Couples AU - Hammer, Leslie B. AU - Cullen, Jennifer C. AU - Neal, Margaret B. AU - Sinclair, Robert R. AU - Shafiro, Margarita V. T2 - Journal of Occupational Health Psychology DA - 2005/// PY - 2005 DO - 10.1037/1076-8998.10.2.138 VL - 10 IS - 2 SP - 138 EP - 154 UR - https://app.dimensions.ai/details/publication/pub.1002177027 AN - pub.1002177027 DB - Moen 2011 Ref (66) Y2 - 2021/02/08/ ER - TY - JOUR TI - The Longitudinal Impact of Moral Injury on Combat Soldiers: A Narrative Inquiry Study AU - Gosling, David DA - 2020/// PY - 2020 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The longitudinal relationship between control over working hours and depressive symptoms: Results from SLOSH, a population-based cohort study AU - Albrecht, Sophie C AU - Kecklund, Göran AU - Rajaleid, Kristiina AU - Leineweber, Constanze T2 - Journal of affective disorders DA - 2017/// PY - 2017 VL - 215 SP - 143 EP - 151 SN - 0165-0327 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - The longitudinal relationship between flourishing mental health and incident mood, anxiety and substance use disorders AU - Schotanus-Dijkstra, Marijke AU - Ten Have, Margreet AU - Lamers, Sanne MA AU - de Graaf, Ron AU - Bohlmeijer, Ernst T T2 - The European Journal of Public Health DA - 2017/// PY - 2017 VL - 27 IS - 3 SP - 563 EP - 568 SN - 1101-1262 DB - Hamar 2015 Cited by (33) ER - TY - JOUR TI - Longitudinal relationship between sitting time on a working day and vitality, work performance, presenteeism, and sickness absence AU - Hendriksen, Ingrid JM AU - Bernaards, Claire M AU - Steijn, Wouter MP AU - Hildebrandt, Vincent H T2 - Journal of occupational and environmental medicine DA - 2016/// PY - 2016 VL - 58 IS - 8 SP - 784 DB - Hendriksen 2016 Cited by (46) ER - TY - JOUR TI - Longitudinal Research: The Theory, Design, and Analysis of Change AU - Ployhart, Robert E. AU - Vandenberg, Robert J. T2 - Journal of Management DA - 2009/// PY - 2009 DO - 10.1177/0149206309352110 VL - 36 IS - 1 SP - 94 EP - 120 UR - https://app.dimensions.ai/details/publication/pub.1046054815 AN - pub.1046054815 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - Longitudinal Study of Adjustable Workstations AU - Sandy, Megan Elizabeth DA - 2016/// PY - 2016 DP - Robertson 2008 Cited By (156) DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - A Longitudinal Study of Coping and Gender in a Female-Dominated Occupation: Predicting Teachers’ Burnout AU - González-Morales, M. Gloria AU - Rodríguez, Isabel AU - Peiró, José M. T2 - Journal of Occupational Health Psychology DA - 2010/// PY - 2010 DO - 10.1037/a0018232 VL - 15 IS - 1 SP - 29 EP - 44 UR - https://app.dimensions.ai/details/publication/pub.1018207320 AN - pub.1018207320 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - Lost in Autonomy–Temporal Structures and Their Implications for Employees’ Autonomy and Well-Being among Knowledge Workers AU - Väänänen, Ari AU - Toivanen, Minna AU - Lallukka, Tea T2 - Occupational health science DA - 2020/// PY - 2020 VL - 4 IS - 1 SP - 83 EP - 101 SN - 2367-0142 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Macroergonomic approaches as a solution to local wisdom-based tourist village development planning AU - Padhil, A AU - Purnomo, H T2 - MATEC Web of Conferences AB - Tourist villages are among the tourist attractions which are often visited by tourists. The development of these tourist destinations is undertaken by referring to the data of the Ministry of Tourism and Creative Economy. Currently, there are a total of 978 tourist villages … DA - 2018/// PY - 2018 UR - https://www.matec-conferences.org/articles/matecconf/abs/2018/13/matecconf_icet4sd2018_01080/matecconf_icet4sd2018_01080.html DB - Robertson 2017 Cited by (23) ER - TY - JOUR TI - Macroergonomic Work Systems' Design Factors and Elements: A Literature Review AU - Realyvásquez, Arturo AU - Maldonado-Macías, Aidé Aracely AU - Romero-González, Jaime T2 - Handbook of Research on Managerial Strategies for Achieving Optimal Performance in Industrial Processes DA - 2016/// PY - 2016 DP - Robertson 2008 Cited By (156) SP - 116 EP - 136 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Maintenance of tobacco cessation programmes in public hospitals in Catalonia, Spain AU - Ballbè, Montse AU - Martínez, Cristina AU - Saltó, Esteve AU - Cabezas, Carmen AU - Riccobene, Anna AU - Valverde, Araceli AU - Gual, Antoni AU - Fernández, Esteve T2 - Addictive behaviors DA - 2015/// PY - 2015 VL - 42 SP - 136 EP - 139 SN - 0306-4603 DB - Ripley-Moffitt 2010 Cited By (14) ER - TY - JOUR TI - Major ingredients of fidelity: A review and scientific guide to improving quality of intervention research implementation AU - Gearing, Robin Edward AU - El-Bassel, Nabila AU - Ghesquiere, Angela AU - Baldwin, Susanna AU - Gillies, John AU - Ngeow, Evelyn T2 - Clinical Psychology Review DA - 2010/// PY - 2010 DO - 10.1016/j.cpr.2010.09.007 VL - 31 IS - 1 SP - 79 EP - 88 UR - https://app.dimensions.ai/details/publication/pub.1036335812 AN - pub.1036335812 DB - Robertson 2017 Refs (47) Y2 - 2021/02/08/ ER - TY - JOUR TI - Making it fit: Associations of line managers' behaviours with the outcomes of an organizational‐level intervention AU - Lundmark, Robert AU - von Thiele Schwarz, Ulrica AU - Hasson, Henna AU - Stenling, Andreas AU - Tafvelin, Susanne T2 - Stress and Health DA - 2018/// PY - 2018 VL - 34 IS - 1 SP - 163 EP - 174 SN - 1532-3005 DB - Lundmark 2017 Cited by (21) ER - TY - JOUR TI - ”… man orkar mer och har mer arbetsglädje”: om arbetstidsförkortningens påverkan på välbefinnande och arbetssituation utifrån socialsekreterares perspektiv AU - Wreiding, Karin DA - 2020/// PY - 2020 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Management Are Aliens! AU - Bordia, Prashant AU - Jones, Elizabeth AU - Gallois, Cindy AU - Callan, Victor J. AU - DiFonzo, Nicholas T2 - Group & Organization Management DA - 2006/// PY - 2006 DO - 10.1177/1059601106286880 VL - 31 IS - 5 SP - 601 EP - 621 UR - https://app.dimensions.ai/details/publication/pub.1032015585 AN - pub.1032015585 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - ‘Management Standards’ and work-related stress in Great Britain: Progress on their implementation AU - Mellor, Nadine AU - Mackay, Colin AU - Packham, Claire AU - Jones, Rhiannon AU - Palferman, David AU - Webster, Simon AU - Kelly, Peter T2 - Safety Science DA - 2011/// PY - 2011 DO - 10.1016/j.ssci.2011.01.010 VL - 49 IS - 7 SP - 1040 EP - 1046 UR - https://app.dimensions.ai/details/publication/pub.1032273413 AN - pub.1032273413 DB - Basu 2016 Refs (22) Y2 - 2021/02/04/ ER - TY - JOUR TI - Manager Characteristics and Employee Job Insecurity around a Merger Announcement: The Role of Status and Crossover AU - Lam, Jack AU - Fox, Kimberly AU - Fan, Wen AU - Moen, Phyllis AU - Kelly, Erin AU - Hammer, Leslie AU - Kossek, Ellen Ernst T2 - Sociological Quarterly DA - 2015/// PY - 2015 DO - 10.1111/tsq.12092 VL - 56 IS - 3 SP - 558 EP - 580 UR - https://app.dimensions.ai/details/publication/pub.1039381244 http://europepmc.org/articles/pmc4504681?pdf=render AN - pub.1039381244 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Manager Support for Wellness Champions A Case Study for Consideration and Practice Implications AU - Mitchell, L. AU - Amaya, M. AU - Battista, L. AU - Melnyk, B. AU - Andridge, R. AU - Kaye, G. T2 - Workplace Health Saf AB - BACKGROUND: Wellness champion networks are deemed an important component to workplace wellness programs. By encouraging colleagues to engage in healthy behaviors, champions can help improve employee health and well-being outcomes, while reducing healthcare costs and increasing productivity. However, little evidence exists regarding factors that impact the effectiveness of a wellness champion. This study examined the relationship between employee engagement in a workplace wellness champion program and the direct manager's support of the wellness champion role. METHODS: A descriptive study was conducted with a 15-item cross-sectional survey that was developed and disseminated to 470 wellness champions at a large academic institution. Survey questions addressed manager/supervisor support for the wellness champion, manager/supervisor support for faculty and staff direct reports participating in wellness activities, and demographic questions. FINDINGS: One hundred and ninety-nine (42%) wellness champions responded to the survey and responded to at least half of the questions. Wellness champions who reported a high level of manager support for their role were more likely to have high levels of engagement in communicating wellness initiatives (p = .0004), motivating and encouraging colleagues (p < .0001), and planning wellness activities (p = .04). CONCLUSION/APPLICATION TO PRACTICE: Findings suggested that support wellness champions received from direct managers was a key determinant to their level of engagement in efforts to improve their colleagues' health and well-being. As employers desire to impact the health and productivity of their employees and generate cost-savings, manager support of wellness champions is necessary to facilitate employee engagement in workplace wellness champion programs. DA - 2020/11/11/ PY - 2020 DO - 10.1177/2165079920952759 SP - 2165079920952759 SN - 2165-0969 (Electronic) 2165-0799 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/33172350 AN - 33172350 DB - Wieneke 2016 Cited by (23) KW - health promotion KW - manager KW - wellness champion KW - worksite health and safety ER - TY - JOUR TI - Managers as role models for health: Moderators of the relationship of transformational leadership with employee exhaustion and cynicism AU - Kranabetter, Caroline AU - Niessen, Cornelia T2 - Journal of Occupational Health Psychology DA - 2017/// PY - 2017 VL - 22 IS - 4 SP - 492 SN - 1939-1307 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Managers' Active Support when Implementing Teams: The Impact on Employee Well‐Being AU - Nielsen, Karina AU - Randall, Raymond T2 - Applied Psychology Health and Well-Being DA - 2009/// PY - 2009 DO - 10.1111/j.1758-0854.2009.01016.x VL - 1 IS - 3 SP - 374 EP - 390 UR - https://app.dimensions.ai/details/publication/pub.1022159612 AN - pub.1022159612 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Managing Implementation AU - Hasson, Henna AU - Villaume, Karin AU - von Thiele Schwarz, Ulrica AU - Palm, Kristina T2 - Journal of Occupational and Environmental Medicine DA - 2014/// PY - 2014 DO - 10.1097/jom.0000000000000020 VL - 56 IS - 1 SP - 58 EP - 65 UR - https://app.dimensions.ai/details/publication/pub.1025581190 AN - pub.1025581190 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Managing pain-related limitations in the workplace: The role of the employer AU - Main, Chris J AU - Shaw, William S T2 - Work and pain: A lifespan development approach DA - 2019/// PY - 2019 SP - 143 SN - 019256336X DB - Lundmark 2017 Cited by (21) ER - TY - JOUR TI - Managing remote workers during quarantine: Insights from organizational research on boundary management AU - Perrigino, Matthew B AU - Raveendhran, Roshni T2 - Behavioral Science & Policy DA - 2020/// PY - 2020 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Managing Risk of Difficult Behaviors in the Hospital Emergency Department: The Use of Cigarette Breaks With Mental Health Patients AU - Donley, Euan R T2 - Social work in mental health DA - 2014/// PY - 2014 VL - 12 IS - 1 SP - 36 EP - 51 SN - 1533-2985 DB - Gadomski 2010 Cited By (31) ER - TY - JOUR TI - Measurement Development and Validation of the Family Supportive Supervisor Behavior Short-Form (FSSB-SF) AU - Hammer, Leslie B. AU - Kossek, Ellen Ernst AU - Bodner, Todd AU - Crain, Tori T2 - Journal of Occupational Health Psychology DA - 2013/// PY - 2013 DO - 10.1037/a0032612 VL - 18 IS - 3 SP - 285 EP - 296 UR - https://app.dimensions.ai/details/publication/pub.1034825879 http://europepmc.org/articles/pmc3863646?pdf=render AN - pub.1034825879 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Measuring and Modeling Shared Leadership: Traditional Approaches and New Ideas AU - Gockel, Christine AU - Werth, Lioba T2 - Journal of Personnel Psychology DA - 2010/// PY - 2010 DO - 10.1027/1866-5888/a000023 VL - 9 IS - 4 SP - 172 EP - 180 UR - https://app.dimensions.ai/details/publication/pub.1056347461 AN - pub.1056347461 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - Measuring individual work performance: identifying and selecting indicators AU - Koopmans, Linda AU - Bernaards, Claire M. AU - Hildebrandt, Vincent H. AU - de Vet, Henrica C. W. AU - van der Beek, Allard J. T2 - Work DA - 2014/// PY - 2014 DO - 10.3233/wor-131659 VL - 48 IS - 2 SP - 229 EP - 38 UR - https://app.dimensions.ai/details/publication/pub.1078748937 AN - pub.1078748937 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - Measuring Worker Turnover in Long-Term Care: Lessons From the Better Jobs Better Care DemonstrationKathleen Walsh Piercy, PhD, Editor AU - Barry, Theresa “Teta” AU - Kemper, Peter AU - Brannon, S. Diane T2 - The Gerontologist DA - 2008/// PY - 2008 DO - 10.1093/geront/48.3.394 VL - 48 IS - 3 SP - 394 EP - 400 UR - https://app.dimensions.ai/details/publication/pub.1048108815 https://academic.oup.com/gerontologist/article-pdf/48/3/394/1470746/394.pdf AN - pub.1048108815 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - Measuring young graduates’ job quality through a composite indicator AU - Boccuzzo, Giovanna AU - Gianecchini, Martina T2 - Social Indicators Research DA - 2015/// PY - 2015 VL - 122 IS - 2 SP - 453 EP - 478 SN - 0303-8300 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Mechanisms of Legal Effect: Perspectives from the Law & Society Tradition AU - Stryker, Robin T2 - Public Health Law Research Methods Monograph Series DA - 2012/// PY - 2012 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - The mediating effect of work-life interference on the relationship between work-time control and depressive and musculoskeletal symptoms AU - Albrecht, Sophie C AU - Kecklund, Göran AU - Leineweber, Constanze T2 - Scandinavian journal of work, environment & health DA - 2020/// PY - 2020 VL - 46 IS - 5 SP - 469 EP - 479 SN - 0355-3140 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Mediating effects of work-family factors in the relationship between organizational characteristics and intention to stay AU - Mustapha, Noraani AU - Ahmad, Aminah AU - Uli, Jegak AU - Idris, Khairuddin T2 - European Journal of Social Sciences DA - 2010/// PY - 2010 VL - 16 IS - 1 SP - 117 EP - 137 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Mediating impact of social capital on the relationship between perceived organizational support and employee well-being AU - Tsai, Chung-Hung T2 - Journal of Applied Sciences DA - 2013/// PY - 2013 VL - 13 IS - 21 SP - 4726 EP - 4731 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Mediating Role of Job Involvement in the Relationship between Work-Family Conflict and Perceived organizational support with Turnover Intention among military personnel AU - Zarei, Salman T2 - Counseling Culture and Psycotherapy DA - 2019/// PY - 2019 VL - 10 IS - 37 SP - 171 EP - 198 SN - 2345-6051 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Mediating role of job satisfaction, affective well-being, and health in the relationship between indoor environment and absenteeism: Work patterns matter! AU - Soriano, Aida AU - Kozusznik, Malgorzata W AU - Peiró, José M AU - Mateo, Carolina T2 - Work DA - 2018/// PY - 2018 VL - 61 IS - 2 SP - 313 EP - 325 SN - 1051-9815 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Mediation Models for Longitudinal Data in Developmental Research AU - Selig, James P. AU - Preacher, Kristopher J. T2 - Research in Human Development DA - 2009/// PY - 2009 DO - 10.1080/15427600902911247 VL - 6 IS - 2-3 SP - 144 EP - 164 UR - https://app.dimensions.ai/details/publication/pub.1018733051 AN - pub.1018733051 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - Medicine, Health and Working Life AU - REDAZIONE, LETTERE IN T2 - Rivista fondata nel DA - 2017/// PY - 2017 DP - Robertson 2008 Cited By (156) VL - 108 IS - 3 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Men and women expecting to work longer: Do changing work conditions matter? AU - Moen, Phyllis AU - Kojola, Erik AU - Kelly, Erin L AU - Karakaya, Yagmur T2 - Work, aging and retirement DA - 2016/// PY - 2016 VL - 2 IS - 3 SP - 321 EP - 344 SN - 2054-4650 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Men's mental health promotion interventions: A scoping review AU - Seaton, CL AU - Bottorff, JL AU - ... T2 - American journal of … AB - There is an increasing need for mental health promotion strategies that effectively engage men. Although researchers have examined the effectiveness of diverse mental wellness interventions in male-dominated industries, and reviewed suicide prevention, early … DA - 2017/// PY - 2017 UR - https://journals.sagepub.com/doi/abs/10.1177/1557988317728353 DB - Jarman 2015 Cited by (27) ER - TY - JOUR TI - Mental health initiatives in the workplace: models, methods and results from the Mental Health Commission of Canada AU - Dobson, Keith S. AU - Szeto, Andrew AU - Knaak, Stephanie AU - Krupa, Terry AU - Kirsh, Bonnie AU - Luong, Dorothy AU - McLean, Robyn AU - Pietrus, Micheal T2 - World Psychiatry DA - 2018/// PY - 2018 DO - 10.1002/wps.20574 VL - 17 IS - 3 SP - 370 EP - 371 UR - https://app.dimensions.ai/details/publication/pub.1106829518 https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/wps.20574 AN - pub.1106829518 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Mental health services use intentions among Canadian military recruits AU - Lee, Jennifer E. C. AU - Fikretoglu, Deniz AU - Blais, Ann-Renée AU - Sudom, Kerry A. AU - Beatty, Erin T2 - Military Psychology DA - 2016/// PY - 2016 DO - 10.1037/mil0000112 VL - 28 IS - 6 SP - 498 UR - https://app.dimensions.ai/details/publication/pub.1024030337 AN - pub.1024030337 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Mental health training with soldiers four months after returning from iraq: Randomization by platoon AU - Castro, Carl Andrew AU - Adler, Amy B. AU - McGurk, Dennis AU - Bliese, Paul D. T2 - Journal of Traumatic Stress DA - 2012/// PY - 2012 DO - 10.1002/jts.21721 VL - 25 IS - 4 SP - 376 EP - 383 UR - https://app.dimensions.ai/details/publication/pub.1016637402 AN - pub.1016637402 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Mental Skills Training With Basic Combat Training Soldiers: A Group-Randomized Trial AU - Adler, Amy B. AU - Bliese, Paul D. AU - Pickering, Michael A. 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T2 - Nicotine & Tobacco Research DA - 2010/// PY - 2010 DO - 10.1093/ntr/ntq071 VL - 12 IS - 7 SP - 724 EP - 33 UR - https://app.dimensions.ai/details/publication/pub.1059943444 http://europepmc.org/articles/pmc6281036?pdf=render AN - pub.1059943444 DB - Allard 2011 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Nature contacts: employee wellness in healthcare AU - Trau, Deborah AU - Keenan, Kimberly A AU - Goforth, Meggan AU - Large, Vernon T2 - HERD: Health Environments Research & Design Journal DA - 2016/// PY - 2016 VL - 9 IS - 3 SP - 47 EP - 62 SN - 1937-5867 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - The Nature of Work and the Stress of Higher Status∗ AU - Schieman, Scott AU - Whitestone, Yuko Kurashina AU - Van Gundy, Karen T2 - Journal of Health and Social Behavior DA - 2006/// PY - 2006 DO - 10.1177/002214650604700304 VL - 47 IS - 3 SP - 242 EP - 257 UR - https://app.dimensions.ai/details/publication/pub.1010537028 AN - pub.1010537028 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - The Neglected Science and Art of Quasi-Experimentation AU - Grant, Adam M. AU - Wall, Toby D. T2 - Organizational Research Methods DA - 2008/// PY - 2008 DO - 10.1177/1094428108320737 VL - 12 IS - 4 SP - 653 EP - 686 UR - https://app.dimensions.ai/details/publication/pub.1045429737 AN - pub.1045429737 DB - Neves 2018 Refs (53) Y2 - 2021/02/08/ ER - TY - JOUR TI - New evidence on retaining Air Force members with young children: Exploring work and personal factors by gender AU - King, Erika L AU - DiNitto, Diana M AU - Snowden, David AU - Salas-Wright, Christopher P T2 - Military Behavioral Health DA - 2020/// PY - 2020 VL - 8 IS - 1 SP - 86 EP - 95 SN - 2163-5781 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - A new overall approach to psychosocial risk prevention and well-being development AU - Aissa, Hazem Ben T2 - Recherches en Sciences de Gestion DA - 2015/// PY - 2015 IS - 5 SP - 89 EP - 112 SN - 2259-6372 DB - Gilbert-Ouimet 2011 Cited by (42) ER - TY - JOUR TI - A New Perspective on Method Variance: A Measure-Centric Approach AU - Spector, Paul E. 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We try to understand how an individual's organisational commitment (OC) and professional commitment (PC) mediate this … DA - 2016/// PY - 2016 UR - https://www.inderscienceonline.com/doi/abs/10.1504/IJMD.2016.076553 DB - Turgut 2016 Cited by (33) ER - TY - JOUR TI - Personality, context, and resistance to organizational change AU - Oreg, Shaul T2 - European Journal of Work and Organizational Psychology DA - 2006/// PY - 2006 DO - 10.1080/13594320500451247 VL - 15 IS - 1 SP - 73 EP - 101 UR - https://app.dimensions.ai/details/publication/pub.1020378221 AN - pub.1020378221 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - Personnel recruitment and retention in long‐term eldercare AU - Chenoweth, L AU - Lapkin, S AU - Boll, T AU - Ferring, D AU - ... T2 - Cultures of care in … AB - Global population ageing and an ageing nursing workforce have led to worldwide nursing shortages in long-term eldercare (LTC). 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Preventing and reducing prolonged sedentary behavior require interventions, and persuasive technology is expected to make a contribution in this domain … DA - 2018/// PY - 2018 UR - https://www.sciencedirect.com/science/article/pii/S2352648317300387 DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Pharmacist‐led cardiovascular risk prevention in Western Canada: a qualitative study AU - Kapanen, Anita I AU - Conklin, Annalijn I AU - Gobis, Barbara AU - Leung, Larry AU - Yuen, Jamie AU - Zed, Peter J T2 - International Journal of Pharmacy Practice DA - 2020/// PY - 2020 SN - 0961-7671 DB - Hendriksen 2016 Cited by (46) ER - TY - JOUR TI - Physical Activity in the United States Measured by Accelerometer AU - Troiano, Richard P. AU - Berrigan, David AU - Dodd, Kevin W. AU - MÂSse, Louise C. 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T2 - Work AB - BACKGROUND: Psychosocial factors, including job demands and poor resources, have been linked to stress, health problems, and negative job attitudes. However, worksite based interventions and programs targeting psychosocial factors may change employees' … DA - 2017/// PY - 2017 UR - https://content.iospress.com/articles/work/wor2522 DB - Turgut 2016 Cited by (33) ER - TY - JOUR TI - Point-of-Choice Prompts to Reduce Sitting Time at Work A Randomized Trial AU - Evans, Rhian E. AU - Fawole, Henrietta O. AU - Sheriff, Stephanie A. AU - Dall, Philippa M. AU - Grant, P. Margaret AU - Ryan, Cormac G. 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T2 - Occupational and Environmental Medicine DA - 2008/// PY - 2008 DO - 10.1136/oem.2007.038430 VL - 65 IS - 7 SP - 438 UR - https://app.dimensions.ai/details/publication/pub.1032494040 AN - pub.1032494040 DB - Allard 2011 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Psychosocial factors at work, long work hours, and obesity: a systematic review AU - Solovieva, Svetlana AU - Lallukka, Tea AU - Virtanen, Marianna AU - Viikari-Juntura, Eira T2 - Scandinavian journal of work, environment & health AB - Objectives Associations between psychosocial work environment and excess weight have not been systematically addressed. The aim of this systematic review was to summarize the published evidence for the associations of psychosocial factors at work and long work hours with weight-related outcomes . Methods We conducted a search of Medline and Embase for all original articles published up to September 2012 using predefined keywords. After excluding studies with a definite selection bias, we included 39 articles. Results About 60% of the studies reported at least one positive association between psychosocial factors at work and a weight-related outcome. However, 76% of the tested associations were found to be non-significant. Furthermore, the associations were rather weak. Studies of higher quality tended to observe associations more often than those of lower quality. Positive associations were found more frequently (i) among women versus men, (ii) in cross-sectional versus longitudinal studies, and (iii) for overweight or obesity versus other outcomes. About 70% of the studies reported positive associations between long work hours and weight-related outcomes. All four studies that evaluated the association between working overtime and weight gain (three longitudinal and one cross-sectional), showed a positive association among men and two of them also observed associations among women. Conclusions We found evidence for weak associations between psychosocial factors at work and excess weight. Associations were observed between long work hours, working overtime, and weight gain, especially among men. More cohort studies among non-obese baseline participants using appropriate analytical methods based on an elaborated hypothetical model are needed. 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T2 - Journal of clinical … AB - In midlife, women experience hormonal changes due to menopausal transition. A decrease especially in estradiol has been hypothesized to cause loss of muscle mass. 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T2 - Biological Psychology DA - 2006/// PY - 2006 DO - 10.1016/j.biopsycho.2005.11.013 VL - 74 IS - 2 SP - 224 EP - 242 UR - https://app.dimensions.ai/details/publication/pub.1039952984 AN - pub.1039952984 DB - Eller 2011 Refs (38) Y2 - 2021/02/04/ ER - TY - JOUR TI - Rules, relations, and work AU - Roscigno, Vincent J AU - Sauer, Carsten AU - Valet, Peter T2 - American Journal of Sociology DA - 2018/// PY - 2018 VL - 123 IS - 6 SP - 1784 EP - 1825 SN - 0002-9602 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - ‘Same, but different’: A mixed-methods realist evaluation of a cluster-randomized controlled participatory organizational intervention AU - Abildgaard, Johan Simonsen AU - Nielsen, Karina AU - Wåhlin-Jacobsen, Christian Dyrlund AU - Maltesen, Thomas AU - Christensen, Karl Bang AU - Holtermann, Andreas T2 - human relations DA - 2020/// PY - 2020 VL - 73 IS - 10 SP - 1339 EP - 1365 SN - 0018-7267 DB - Lundmark 2017 Cited by (21) ER - TY - JOUR TI - Satisfaction of hotel professionals study of the relationships with personal and organizational variables AU - Borralha, Sérgio Jorge Pereira da DA - 2018/// PY - 2018 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Schedule control and mental health: the relevance of coworkers’ reports AU - Hurtado, David A AU - Glymour, M Maria AU - Berkman, Lisa F AU - Hashimoto, Dean AU - Reme, Silje E AU - Sorensen, Glorian T2 - Community, Work & Family DA - 2015/// PY - 2015 VL - 18 IS - 4 SP - 416 EP - 434 SN - 1366-8803 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Schedule flexibility and stress: Linking formal flexible arrangements and perceived flexibility to employee health AU - Grzywacz, Joseph G. 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AU - Matthews, Charles E. AU - Dunstan, David W. AU - Winkler, Elisabeth A. H. AU - Owen, Neville T2 - European Heart Journal DA - 2011/// PY - 2011 DO - 10.1093/eurheartj/ehq451 VL - 32 IS - 5 SP - 590 EP - 597 UR - https://app.dimensions.ai/details/publication/pub.1010520664 https://academic.oup.com/eurheartj/article-pdf/32/5/590/17049759/ehq451.pdf AN - pub.1010520664 DB - Brakenridge 2016 Refs (51) Y2 - 2021/02/04/ ER - TY - JOUR TI - Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: a systematic review and meta-analysis AU - Biswas, Aviroop AU - Oh, Paul I. AU - Faulkner, Guy E. AU - Bajaj, Ravi R. AU - Silver, Michael A. AU - Mitchell, Marc S. AU - Alter, David A. T2 - Annals of Internal Medicine DA - 2015/// PY - 2015 DO - 10.7326/m14-1651 VL - 162 IS - 2 SP - 123 EP - 32 UR - https://app.dimensions.ai/details/publication/pub.1073742443 AN - pub.1073742443 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Selecting and evaluating decision-making strategies in the intensive care unit: A systematic review AU - Kerckhoffs, Monika C AU - Kant, Matthijs AU - van Delden, Johannes JM AU - Hooft, Lotty AU - Kesecioglu, Jozef AU - van Dijk, Diederik T2 - Journal of critical care DA - 2019/// PY - 2019 VL - 51 SP - 39 EP - 45 SN - 0883-9441 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Selective effects of sleep on emotional memory: What mechanisms are responsible? AU - Bennion, Kelly A AU - Payne, Jessica D AU - Kensinger, Elizabeth A T2 - Translational Issues in Psychological Science DA - 2015/// PY - 2015 VL - 1 IS - 1 SP - 79 SN - 1433820595 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Self-managed working time and employee effort: Microeconometric evidence AU - Beckmann, Michael AU - Cornelissen, Thomas DA - 2014/// PY - 2014 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Self-managed working time and employee effort: Theory and evidence AU - Beckmann, Michael AU - Cornelissen, Thomas AU - Kräkel, Matthias T2 - Journal of Economic Behavior & Organization DA - 2017/// PY - 2017 VL - 133 SP - 285 EP - 302 SN - 0167-2681 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Self-rated productivity and employee well-being in activity-based offices: The role of environmental perceptions and workspace use AU - Haapakangas, Annu AU - Hallman, David M AU - Mathiassen, Svend Erik AU - Jahncke, Helena T2 - Building and Environment DA - 2018/// PY - 2018 DP - Robertson 2008 Cited By (156) VL - 145 SP - 115 EP - 124 SN - 0360-1323 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Sensitivity of Fit Indices to Model Misspecification and Model Types AU - Fan, Xitao AU - Sivo, Stephen A. T2 - Multivariate Behavioral Research DA - 2007/// PY - 2007 DO - 10.1080/00273170701382864 VL - 42 IS - 3 SP - 509 EP - 529 UR - https://app.dimensions.ai/details/publication/pub.1034200094 AN - pub.1034200094 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Sensitivity to Change of Objectively-Derived Measures of Sedentary Behavior AU - Chastin, Sebastien F. M. AU - Winkler, Elisabeth A. H. AU - Eakin, Elizabeth G. AU - Gardiner, Paul A. AU - Dunstan, David W. AU - Owen, Neville AU - Healy, Genevieve N. T2 - Measurement in Physical Education and Exercise Science DA - 2015/// PY - 2015 DO - 10.1080/1091367x.2015.1050592 VL - 19 IS - 3 SP - 138 EP - 147 UR - https://app.dimensions.ai/details/publication/pub.1002214023 AN - pub.1002214023 DB - Brakenridge 2016 Refs (51) Y2 - 2021/02/04/ ER - TY - JOUR TI - Severe burnout is common among critical care physician assistants AU - Bhatt, Muneer AU - Lizano, Danny AU - Carlese, Anthony AU - Kvetan, Vladimir AU - Gershengorn, Hayley Beth T2 - Critical care medicine DA - 2017/// PY - 2017 VL - 45 IS - 11 SP - 1900 EP - 1906 SN - 0090-3493 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Shared Leadership and Innovation: The Role of Vertical Leadership and Employee Integrity AU - Hoch, Julia E. T2 - Journal of Business and Psychology DA - 2012/// PY - 2012 DO - 10.1007/s10869-012-9273-6 VL - 28 IS - 2 SP - 159 EP - 174 UR - https://app.dimensions.ai/details/publication/pub.1014788716 http://www.csun.edu/sites/default/files/JBP_2013_Hoch_article_0.pdf AN - pub.1014788716 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - Shared Leadership and Team Performance in a Business Strategy Simulation AU - Boies, Kathleen AU - Lvina, Elena AU - Martens, Martin L. T2 - Journal of Personnel Psychology DA - 2010/// PY - 2010 DO - 10.1027/1866-5888/a000021 VL - 9 IS - 4 SP - 195 EP - 202 UR - https://app.dimensions.ai/details/publication/pub.1056347459 AN - pub.1056347459 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - SHARED LEADERSHIP IN TEAMS: AN INVESTIGATION OF ANTECEDENT CONDITIONS AND PERFORMANCE AU - Carson, J. B. AU - Tesluk, P. E. AU - Marrone, J. A. T2 - Academy of Management Journal DA - 2007/// PY - 2007 DO - 10.2307/20159921 VL - 50 IS - 5 SP - 1217 EP - 1234 UR - https://app.dimensions.ai/details/publication/pub.1069697230 AN - pub.1069697230 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - The shared leadership of teams: A meta-analysis of proximal, distal, and moderating relationships AU - Nicolaides, Vias C. AU - LaPort, Kate A. AU - Chen, Tiffani R. AU - Tomassetti, Alan J. AU - Weis, Eric J. AU - Zaccaro, Stephen J. AU - Cortina, Jose M. T2 - The Leadership Quarterly DA - 2014/// PY - 2014 DO - 10.1016/j.leaqua.2014.06.006 VL - 25 IS - 5 SP - 923 EP - 942 UR - https://app.dimensions.ai/details/publication/pub.1038428561 AN - pub.1038428561 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - Shared leadership theory AU - Pearce, Craig L. AU - Conger, Jay A. AU - Locke, Edwin A. T2 - The Leadership Quarterly DA - 2008/// PY - 2008 DO - 10.1016/j.leaqua.2008.07.005 VL - 19 IS - 5 SP - 622 EP - 628 UR - https://app.dimensions.ai/details/publication/pub.1047633268 http://digitalcommons.unl.edu/cgi/viewcontent.cgi?article=1076&context=managementfacpub AN - pub.1047633268 DB - Tafvelin Are 2019b Refs Y2 - 2021/02/08/ ER - TY - JOUR TI - Shared time pressure at work and its health-related outcomes: Job satisfaction as a mediator AU - Silla, Inmaculada AU - Gamero, Nuria T2 - European Journal of Work and Organizational Psychology DA - 2014/// PY - 2014 VL - 23 IS - 3 SP - 405 EP - 418 SN - 1359-432X DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Shedding light on followers' innovation implementation behavior AU - Michaelis, Björn AU - Stegmaier, Ralf AU - Sonntag, Karlheinz T2 - Journal of Managerial Psychology DA - 2010/// PY - 2010 DO - 10.1108/02683941011035304 VL - Volume 25 IS - Issue 4 SP - 408 EP - 429 UR - https://app.dimensions.ai/details/publication/pub.1047714770 AN - pub.1047714770 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Shift work and sickness absence—the mediating roles of work–home conflict and perceived health AU - Jacobsen, Dag Ingvar AU - Fjeldbraaten, Elin M T2 - Human Resource Management DA - 2018/// PY - 2018 VL - 57 IS - 5 SP - 1145 EP - 1157 SN - 0090-4848 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States AU - Buxton, Orfeu M. AU - Marcelli, Enrico T2 - Social Science & Medicine DA - 2010/// PY - 2010 DO - 10.1016/j.socscimed.2010.05.041 VL - 71 IS - 5 SP - 1027 EP - 1036 UR - https://app.dimensions.ai/details/publication/pub.1043656918 AN - pub.1043656918 DB - Moen 2011 Ref (66) Y2 - 2021/02/08/ ER - TY - JOUR TI - A short generic measure of work stress in the era of globalization: effort–reward imbalance AU - Siegrist, Johannes AU - Wege, Natalia AU - Pühlhofer, Frank AU - Wahrendorf, Morten T2 - International Archives of Occupational and Environmental Health DA - 2008/// PY - 2008 DO - 10.1007/s00420-008-0384-3 VL - 82 IS - 8 SP - 1005 UR - https://app.dimensions.ai/details/publication/pub.1050811422 AN - pub.1050811422 DB - Allard 2011 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Should all ICU clinicians regularly be tested for burnout? Yes AU - Papazian, Laurent AU - Sylvestre, Aude AU - Herridge, Margaret DA - 2018/// PY - 2018 SN - 1432-1238 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Should office workers spend fewer hours at their computer? A systematic review of the literature AU - Ijmker, S. AU - Huysmans, M. A. AU - Blatter, B. M. AU - van der Beek, A. J. AU - van Mechelen, W. AU - Bongers, P. M. T2 - Occupational and Environmental Medicine DA - 2006/// PY - 2006 DO - 10.1136/oem.2006.026468 VL - 64 IS - 4 SP - 211 UR - https://app.dimensions.ai/details/publication/pub.1021976843 https://oem.bmj.com/content/64/4/211.full.pdf AN - pub.1021976843 DB - Robertson 2017 Refs (47) Y2 - 2021/02/08/ ER - TY - JOUR TI - Significant indicators of intent to leave among army dental corps junior officers AU - Shelley, Johnette Joy AU - McQuistan, Michelle R AU - Delacruz, Georgia AU - Marshall, Teresa A AU - Momany, Elizabeth T T2 - Military medicine DA - 2011/// PY - 2011 VL - 176 IS - 6 SP - 631 EP - 638 SN - 1930-613X DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Síndrome de burnout y enfermería. Evidencia para la práctica AU - Fernández-García, María Victoria AU - Zárate-Grajales, Rosa Amarilis AU - Bautista-Paredes, Lorena AU - Domínguez-Sánchez, Patricia AU - Ortega-Vargas, Carolina AU - Cruz-Corchado, Maricela AU - Montesinos-Jiménez, Graciela T2 - Rev Enferm Inst Mex Seguro Soc DA - 2012/// PY - 2012 VL - 20 IS - 1 SP - 45 EP - 53 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Singing Together AU - Theorell, T T2 - Psychological Health Effects of Musical Experiences AB - In choir singing, the group factor is added to other aspects of singing. Choir singing is popular in many countries. In Sweden, singing in a choir at least once a week was reported by between 3 and 4% of the adult population in the years 1982–2006. It has been more … DA - 2014/// PY - 2014 UR - https://link.springer.com/chapter/10.1007/978-94-017-8920-2_8 DB - Vaag 2013 Cited by (33) ER - TY - JOUR TI - Sira Karvinen1†, Matthew J. Jergenson2†, Matti Hyvärinen1, Pauliina Aukee3, Tuija Tammelin4, Sarianna Sipilä1, Vuokko Kovanen1, Urho M. Kujala5 and Eija K … AU - Kararigas, G AU - Kolwicz, SC AU - Driscoll, I AU - ... T2 - New Insights into … AB - Cardiovascular disease (CVD) is the primary cause of mortality in women in developed countries. CVD risk rises with age, yet for women there is a rapid increase in CVD risk that occurs after the onset of menopause. This observation suggests the presence of factors in … DA - 2020/// PY - 2020 UR - https://books.google.com/books?hl=en&lr=&id=Am_hDwAAQBAJ&oi=fnd&pg=PA57&ots=6K_MtX8fMd&sig=Dtw9Z9zNitvX4ijvWVHBxF8DYYE DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Sit Less and Move More—A Multicomponent Intervention With and Without Height-Adjustable Workstations in Contact Center Call Agents: A Pilot Randomized … AU - Morris, AS AU - Murphy, RC AU - Hopkins, ND AU - ... T2 - … of Occupational and … AB - Objective: To pilot a multicomponent intervention to sit less and move more, with (SLAMM+) and without (SLAMM) height-adjustable workstations, in contact center call agents. Methods: Agents were individually randomized to SLAMM or SLAMM+ in this 10-month, parallel, open … DA - 2021/// PY - 2021 UR - https://journals.lww.com/joem/Fulltext/2021/01000/Sit_Less_and_Move_More_A_Multicomponent.7.aspx DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Sit–stand desks in call centres: Associations of use and ergonomics awareness with sedentary behavior AU - Straker, Leon AU - Abbott, Rebecca A. AU - Heiden, Marina AU - Mathiassen, Svend Erik AU - Toomingas, Allan T2 - Applied Ergonomics DA - 2012/// PY - 2012 DO - 10.1016/j.apergo.2012.11.001 VL - 44 IS - 4 SP - 517 EP - 522 UR - https://app.dimensions.ai/details/publication/pub.1052223661 AN - pub.1052223661 DB - Robertson 2017 Refs (47) Y2 - 2021/02/08/ ER - TY - JOUR TI - Sit–Stand Workstations A Pilot Intervention to Reduce Office Sitting Time AU - Alkhajah, Taleb A. AU - Reeves, Marina M. AU - Eakin, Elizabeth G. AU - Winkler, Elisabeth A. H. AU - Owen, Neville AU - Healy, Genevieve N. T2 - American Journal of Preventive Medicine DA - 2012/// PY - 2012 DO - 10.1016/j.amepre.2012.05.027 VL - 43 IS - 3 SP - 298 EP - 303 UR - https://app.dimensions.ai/details/publication/pub.1006589708 https://espace.library.uq.edu.au/view/UQ:281252/UQ281252_OA.pdf AN - pub.1006589708 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Sitting Less and Moving More: Improved Glycaemic Control for Type 2 Diabetes Prevention and Management AU - Dempsey, Paddy C. AU - Owen, Neville AU - Yates, Thomas E. AU - Kingwell, Bronwyn A. AU - Dunstan, David W. T2 - Current Diabetes Reports DA - 2016/// PY - 2016 DO - 10.1007/s11892-016-0797-4 VL - 16 IS - 11 SP - 114 UR - https://app.dimensions.ai/details/publication/pub.1043104711 AN - pub.1043104711 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Sitting patterns after relocation to activity-based offices: A controlled study of a natural intervention AU - Hallman, David M. AU - Mathiassen, Svend Erik AU - Jahncke, Helena T2 - Preventive Medicine DA - 2017/// PY - 2017 DO - 10.1016/j.ypmed.2017.11.031 VL - 111 SP - 384 EP - 390 UR - https://app.dimensions.ai/details/publication/pub.1093110955 https://doi.org/10.1016/j.ypmed.2017.11.031 AN - pub.1093110955 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Sitting patterns at work: objective measurement of adherence to current recommendations AU - Ryan, Cormac G. AU - Dall, Philippa M. AU - Granat, Malcolm H. AU - Grant, P. Margaret T2 - Ergonomics DA - 2011/// PY - 2011 DO - 10.1080/00140139.2011.570458 VL - 54 IS - 6 SP - 531 EP - 538 UR - https://app.dimensions.ai/details/publication/pub.1004978731 AN - pub.1004978731 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Smart and Sustainable Offices (SSO): Showcasing a holistic approach to realise the next generation offices AU - Cordero, A Cobaleda AU - Rahe, U AU - Wallbaum, H AU - Jin, Q AU - Forooraghi, M T2 - Informes de la Construcción AB - The Smart Sustainable Offices project (SSO) is a product of years of research with large sets of data collected from more than 30 office buildings in Switzerland, Sweden, and Spain. Based on scientific evidence, the concept of SSO, initially conceived as a research plan to address the interdependencies between office users and their working environment in a European context, is now used as a qualitative and quantitative mixed method approach for office diagnosis and ideation. At the current stage, the SSO methodology aims to implement a new paradigm of user-oriented, lower carbon footprint and resilient office design solutions. The main strategy is articulated around the “office DNA” of every organisation, decoded as a compound of work patterns, operational and individual needs, and their potential to define design criteria. The practical application of SSO and its tentative findings exemplified through three pilot test office-demonstrators are described in this paper. DA - 2017/// PY - 2017 DP - Robertson 2008 Cited By (156) VL - 69 IS - 548 SP - e221 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Smart Health AU - Zheng, X AU - Zeng, DD AU - Chen, H AU - Leischow, SJ T2 - Conference proceedings ICSH AB - Advancing informatics for health care and health-care applications has become an international research priority. 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Married couples’ nonstandard work schedules over the life course AU - Leupp, Katrina AU - Kornrich, Sabino AU - Brines, Julie T2 - Community, Work & Family DA - 2021/// PY - 2021 VL - 24 IS - 1 SP - 20 EP - 38 SN - 1366-8803 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - A study of job satisfaction between external and internal auditors: An Iranian scenario AU - Salehi, Mahdi AU - Ghaderi, Ali Reza AU - Rostami, Vahab T2 - Research Journal of Applied Sciences, Engineering and Technology DA - 2012/// PY - 2012 VL - 4 SN - 2040-7459 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - A Study of Job Stress on Job Satisfaction among the Employees of Small Scale Industries AU - Venkataraman, PS AU - Ganapathi, R T2 - IOSR Journal of Business and Management (IOSR-JBM) DA - 2013/// PY - 2013 VL - 13 IS - 3 SP - 18 EP - 22 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - A Study of Onboarding and Turnover Mediating Variables in US Air Force Officers AU - Bowers, Brett S DA - 2019/// PY - 2019 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - A study of play across the lifespan AU - Cosco, Sarah L DA - 2017/// PY - 2017 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Study of the Furniture Used for Students in a Peruvian University AU - Corrales, C AU - Atoche, W AU - Rojas, J T2 - International Conference on Applied … AB - The furniture used by students in schools and universities is usually purchased in average dimensions so that all male and female students, small and large, use them without distinction. It is very difficult to find furniture that fits the dimensions of each individual and it … DA - 2020/// PY - 2020 UR - https://link.springer.com/chapter/10.1007/978-3-030-51549-2_45 DB - Robertson 2017 Cited by (23) ER - TY - JOUR TI - A study of work related complaints of arm, neck and shoulder (CANS) among office workers in Selangor and Kuala Lumpur AU - Faryza, Erna AU - Murad, Mohd Suleiman AU - Anwar, Syamsul T2 - Malaysian J Public Health Med DA - 2015/// PY - 2015 DP - Robertson 2008 Cited By (156) VL - 15 SP - 8 EP - 16 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - A Study of Workplace Justice Differences During Times of Change AU - Bernerth, Jeremy B. AU - Walker, H. Jack AU - Walter, Frank AU - Hirschfeld, Robert R. T2 - The Journal of Applied Behavioral Science DA - 2011/// PY - 2011 DO - 10.1177/0021886311404929 VL - 47 IS - 3 SP - 336 EP - 359 UR - https://app.dimensions.ai/details/publication/pub.1021765972 AN - pub.1021765972 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - A study on university teachers’ job stress-from the aspect of job involvement AU - Li, Jun-Jie T2 - Journal of Interdisciplinary Mathematics DA - 2018/// PY - 2018 VL - 21 IS - 2 SP - 341 EP - 349 SN - 0972-0502 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Study protocol of a co-created primary organizational-level intervention with the aim to improve organizational and social working conditions and decrease stress within the construction industry–a controlled trial AU - Cedstrand, Emma AU - Nyberg, Anna AU - Bodin, Theo AU - Augustsson, Hanna AU - Johansson, Gun T2 - BMC public health DA - 2020/// PY - 2020 VL - 20 SP - 1 EP - 8 DB - Lundmark 2017 Cited by (21) ER - TY - JOUR TI - Subjective indicators as a gauge for improving organizational well-being. An attempt to apply the cognitive activation theory to organizations AU - Arnetz, Bengt B. T2 - Psychoneuroendocrinology DA - 2005/// PY - 2005 DO - 10.1016/j.psyneuen.2005.03.016 VL - 30 IS - 10 SP - 1022 EP - 1026 UR - https://app.dimensions.ai/details/publication/pub.1011450379 AN - pub.1011450379 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - Substance abuse among nurses—Defining the issue AU - Dunn, Debra T2 - AORN Journal DA - 2005/// PY - 2005 DO - 10.1016/s0001-2092(06)60028-8 VL - 82 IS - 4 SP - 572 EP - 596 UR - https://app.dimensions.ai/details/publication/pub.1044986690 AN - pub.1044986690 DB - Barrech 2018 Refs (44) Y2 - 2021/02/04/ ER - TY - JOUR TI - Subtitle: Psychosocial Work Environment and Personal Lifestyle–A prospective AU - Quist, Helle Susanne Gram T2 - International Journal of Occupational Medicine and Environmental Health DA - 2010/// PY - 2010 VL - 23 SP - 239 EP - 253 DB - Allard 2011 Cited By ER - TY - JOUR TI - Success or failure? Interpreting and understanding the impact of interventions in four similar worksites AU - Nielsen, Karina AU - Fredslund, Hanne AU - Christensen, Karl B. AU - Albertsen, Karen T2 - Work & Stress DA - 2006/// PY - 2006 DO - 10.1080/02678370601022688 VL - 20 IS - 3 SP - 272 EP - 287 UR - https://app.dimensions.ai/details/publication/pub.1038362370 AN - pub.1038362370 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - Successful Ingredients in the SMILE Study: Resident, Staff, and Management Factors Influence the Effects of Humor Therapy in Residential Aged Care AU - Brodaty, Henry AU - Low, Lee-Fay AU - Liu, Zhixin AU - Fletcher, Jennifer AU - Roast, Joel AU - Goodenough, Belinda AU - Chenoweth, Lynn T2 - American Journal of Geriatric Psychiatry DA - 2013/// PY - 2013 DO - 10.1016/j.jagp.2013.08.005 VL - 22 IS - 12 SP - 1427 EP - 1437 UR - https://app.dimensions.ai/details/publication/pub.1026884067 AN - pub.1026884067 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - Supervisor and coworker support: a source congruence approach to buffering role conflict and physical stressors AU - Mayo, Margarita AU - Sanchez, Juan I. AU - Pastor, Juan C. AU - Rodriguez, Alfredo T2 - The International Journal of Human Resource Management DA - 2012/// PY - 2012 DO - 10.1080/09585192.2012.676930 VL - 23 IS - 18 SP - 3872 EP - 3889 UR - https://app.dimensions.ai/details/publication/pub.1022073789 AN - pub.1022073789 Y2 - 2021/02/04/ ER - TY - JOUR TI - Supervisor support as predictor of reporting of physical symptoms and psychological distress among employees’ Isfahan steel company AU - KIANI, FARIBA AU - KHODABAKHSH, MOHAMADREZA T2 - International Journal of Occupational Hygiene DA - 2013/// PY - 2013 VL - 5 IS - 1 SP - 12 EP - 18 SN - 2008-5435 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Supervisor-Specific Outcomes of a Work-Family Intervention: Evidence from the Work, Family, & Health Study AU - Perry, MacKenna Laine DA - 2015/// PY - 2015 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - The Supervisor's Perceived Role in Employee Well-Being: Results From Mayo Clinic AU - Wieneke, K. C. AU - Schaepe, K. S. AU - Egginton, J. S. AU - Jenkins, S. M. AU - Block, N. C. AU - Riley, B. A. AU - Sifuentes, L. E. AU - Clark, M. M. T2 - Am J Health Promot AB - PURPOSE: Novel approaches are needed to enhance employee well-being and perhaps supervisors can be an effective agent for worksite health promotion. The aim of this study was to examine the supervisor's perceived needs, barriers, and role for influencing employee well-being for incorporation into program development. DESIGN: Semistructured, qualitative interviews of supervisors. SETTING: Large, integrated academic health-care organization with over 30 000 employees and 2600 supervisors having access to comprehensive well-being programs and a successful well-being champion network comprised of 600 champions. PARTICIPANTS: Twenty supervisors representing clinical, research, and administrative units. METHODS: Semistructured, one-on-one interviews were conducted and audio recorded. Analysis included content log development and open coding by a trained analyst to reveal key themes. More formalized content coding using specialized software for qualitative analyses was also conducted. RESULTS: Supervisor responses were wide ranging regarding their perceived and desired role in promoting workplace well-being. Barriers from the supervisor perspective included high current workload, ambivalence about promoting wellness, lack of support from leadership, lack of flexibility and control at work, and difficulty accessing on-site resources. They perceived their potential role in well-being as remaining a positive role model and encouraging their staff in wellness activities. CONCLUSION: Although findings are generated from a small sample size, these qualitative data provide compelling and early insights into building a workplace well-being strategy leveraging an underutilized key stakeholder, the workplace supervisor. DA - 2019/02//undefined PY - 2019 DO - 10.1177/0890117118784860 VL - 33 IS - 2 SP - 300 EP - 311 SN - 2168-6602 (Electronic) 0890-1171 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/29973056 AN - 29973056 DB - Wieneke 2016 Cited by (23) KW - Female KW - Humans KW - Male KW - Time Factors KW - Socioeconomic Factors KW - Interviews as Topic KW - Organizational Culture KW - *Leadership KW - Motivation KW - Workload KW - Work Engagement KW - Health Promotion/*organization & administration KW - Workplace/*psychology KW - *employee well-being KW - *organizational relationships KW - *perceptions KW - *supervisor KW - *wellness culture KW - Occupational Health Services/*organization & administration KW - Professional Role/*psychology ER - TY - JOUR TI - Supplementary breaks and stretching exercises for data entry operators: A follow‐up field study AU - Galinsky, Traci AU - Swanson, Naomi AU - Sauter, Steven AU - Dunkin, Robin AU - Hurrell, Joseph AU - Schleifer, Lawrence T2 - American Journal of Industrial Medicine DA - 2007/// PY - 2007 DO - 10.1002/ajim.20472 VL - 50 IS - 7 SP - 519 EP - 527 UR - https://app.dimensions.ai/details/publication/pub.1028522812 AN - pub.1028522812 DB - Robertson 2017 Refs (47) Y2 - 2021/02/08/ ER - TY - JOUR TI - Support for aged care workers and quality care in Australia: A case of contract failure? AU - Xerri, M AU - Brunetto, Y AU - ... T2 - Australian Journal of Public … AB - This paper is guided by Conservation of Resources theory and aims to investigate the impact of personal and organisational support on the quality of clinical care given to aged care residents in for‐profit (FP) and not‐for‐profit (NFP) facilities. 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T2 - Journal of Environmental and Public Health DA - 2012/// PY - 2012 DO - 10.1155/2012/515874 VL - 2012 SP - 515874 UR - https://app.dimensions.ai/details/publication/pub.1030906785 https://doi.org/10.1155/2012/515874 AN - pub.1030906785 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - A systematic grounded approach to the development of complex interventions: The Australian WorkHealth Program – Arthritis as a case study AU - Reavley, Nicola AU - Livingston, Jenni AU - Buchbinder, Rachelle AU - Bennell, Kim AU - Stecki, Chris AU - Osborne, Richard Harry T2 - Social Science & Medicine DA - 2009/// PY - 2009 DO - 10.1016/j.socscimed.2009.10.006 VL - 70 IS - 3 SP - 342 EP - 350 UR - https://app.dimensions.ai/details/publication/pub.1016751132 AN - pub.1016751132 DB - van Scheppingen 2014 Refs (33) Y2 - 2021/02/06/ ER - TY - JOUR TI - A systematic review and meta‐analysis of workplace intervention strategies to reduce sedentary time in white‐collar workers AU - Chu, A. H. 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T2 - Journal of Occupational and Environmental Medicine DA - 2013/// PY - 2013 DO - 10.1097/jom.0b013e3182728d3c VL - 55 IS - 2 SP - 209 EP - 222 UR - https://app.dimensions.ai/details/publication/pub.1000812658 AN - pub.1000812658 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - A systematic review of the health promotion for workers; participatory action research and community based participatory research AU - Hwang, Won Ju AU - Ha, Ji Sun AU - Jo, Hyun Hee T2 - Journal of the Korea Convergence Society DA - 2018/// PY - 2018 VL - 9 IS - 12 SP - 459 EP - 466 SN - 2233-4890 DB - Merrill 2011 Cited by (24) ER - TY - JOUR TI - A systematic review of the impact of work environment on smoking cessation, relapse and amount smoked AU - Albertsen, Karen AU - Borg, Vilhelm AU - Oldenburg, Brian T2 - Preventive Medicine DA - 2006/// PY - 2006 DO - 10.1016/j.ypmed.2006.05.001 VL - 43 IS - 4 SP - 291 EP - 305 UR - https://app.dimensions.ai/details/publication/pub.1027463825 AN - pub.1027463825 DB - Allard 2011 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - A Systematic Review of the Job-stress Intervention Evaluation Literature, 1990–2005 AU - Lamontagne, Anthony D. AU - Keegel, Tessa AU - Louie, Amber M. AU - Ostry, Aleck AU - Landsbergis, Paul A. 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Suzanne T2 - British Journal of Health Psychology DA - 2013/// PY - 2013 DO - 10.1111/bjhp.12052 VL - 19 IS - 1 SP - 149 EP - 180 UR - https://app.dimensions.ai/details/publication/pub.1046439722 https://nottingham-repository.worktribe.com/preview/722059/BJHP%20-%20Malik%20et%20al%20Final.pdf AN - pub.1046439722 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - A systematic review of workplace mental health promotion interventions AU - Mackenzie, Jessica DA - 2014/// PY - 2014 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Systematic review on the association between employee worktime control and work-non-work balance, health and well-being, and job-related outcomes AU - Nijp, Hylco H. AU - Beckers, Debby G. J. AU - Geurts, Sabine A. E. AU - Tucker, Philip AU - Kompier, Michiel A. J. T2 - Scandinavian Journal of Work, Environment & Health DA - 2012/// PY - 2012 DO - 10.5271/sjweh.3307 VL - 38 IS - 4 SP - 299 EP - 313 UR - https://app.dimensions.ai/details/publication/pub.1072738332 http://www.sjweh.fi/download.php?abstract_id=3307&file_nro=1 AN - pub.1072738332 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - A systematic survey of the methods literature on the reporting quality and optimal methods of handling participants with missing outcome data for continuous outcomes in randomized controlled trials AU - Zhang, Yuqing AU - Alyass, Akram AU - Vanniyasingam, Thuva AU - Sadeghirad, Behnam AU - Flórez, Iván D. AU - Pichika, Sathish Chandra AU - Kennedy, Sean Alexander AU - Abdulkarimova, Ulviya AU - Zhang, Yuan AU - Iljon, Tzvia AU - Morgano, Gian Paolo AU - Lozano, Luis E. Colunga AU - Abu Bakar Aloweni, Fazila AU - Lopes, Luciane C. AU - Yepes-Nuñez, Juan José AU - Fei, Yutong AU - Wang, Li AU - Kahale, Lara A. AU - Meyre, David AU - Akl, Elie A. AU - Thabane, Lehana AU - Guyatt, Gordon H. T2 - Journal of Clinical Epidemiology DA - 2017/// PY - 2017 DO - 10.1016/j.jclinepi.2017.05.016 VL - 88 SP - 67 EP - 80 UR - https://app.dimensions.ai/details/publication/pub.1085749759 https://repositorio.unesp.br/bitstream/11449/159846/1/WOS000411916500011.pdf AN - pub.1085749759 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Tailored tobacco dependence support for mental health patients: a model for inpatient and community services AU - Parker, Camilla AU - McNeill, Ann AU - Ratschen, Elena T2 - Addiction DA - 2012/// PY - 2012 DO - 10.1111/j.1360-0443.2012.04082.x VL - 107 IS - S2 SP - 18 EP - 25 UR - https://app.dimensions.ai/details/publication/pub.1033601367 https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/j.1360-0443.2012.04082.x AN - pub.1033601367 DB - Seidel 2017 Refs (18) Y2 - 2021/02/08/ ER - TY - JOUR TI - Take a Stand!-a multi-component intervention aimed at reducing sitting time among office workers-a cluster randomized trial AU - Danquah, I. H. AU - Kloster, S. AU - Holtermann, A. AU - Aadahl, M. AU - Bauman, A. AU - Ersbøll, A. K. AU - Tolstrup, J. S. T2 - International Journal of Epidemiology DA - 2016/// PY - 2016 DO - 10.1093/ije/dyw009 VL - 46 IS - 1 SP - 128 EP - 140 UR - https://app.dimensions.ai/details/publication/pub.1059676665 AN - pub.1059676665 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - A Tale of Three Perspectives AU - Richardson, Hettie A. AU - Simmering, Marcia J. AU - Sturman, Michael C. T2 - Organizational Research Methods DA - 2009/// PY - 2009 DO - 10.1177/1094428109332834 VL - 12 IS - 4 SP - 762 EP - 800 UR - https://app.dimensions.ai/details/publication/pub.1012132227 https://ecommons.cornell.edu/bitstream/1813/72364/1/Sturman5_A_tale_of_three_perspectives.pdf AN - pub.1012132227 Y2 - 2021/02/04/ ER - TY - JOUR TI - ‘Teaching an old dog new tricks’: A practice development approach to organizational change in mental health AU - Lamont, Scott AU - Walker, Peter AU - Brunero, Scott T2 - Practice Development in Health Care DA - 2009/// PY - 2009 VL - 8 IS - 2 SP - 65 EP - 76 SN - 1475-9861 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Team change climate: A group-level analysis of the relationships among change information and change participation, role stressors, and well-being AU - Rafferty, Alannah E. AU - Jimmieson, Nerina L. 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The research comprised group interviews, participant observation and … DA - 2015/// PY - 2015 UR - https://www.ingentaconnect.com/content/intellect/ijcm/2015/00000008/00000002/art00004 DB - Vaag 2013 Cited by (33) ER - TY - JOUR TI - Unit-Level Voluntary Turnover Rates and Customer Service Quality: Implications of Group Cohesiveness, Newcomer Concentration, and Size AU - Hausknecht, John P. AU - Trevor, Charlie O. AU - Howard, Michael J. T2 - Journal of Applied Psychology DA - 2009/// PY - 2009 DO - 10.1037/a0015898 VL - 94 IS - 4 SP - 1068 EP - 1075 UR - https://app.dimensions.ai/details/publication/pub.1029586997 https://ecommons.cornell.edu/bitstream/1813/75183/1/Hausknecht5_Unit_level_voluntary_turnover.pdf AN - pub.1029586997 Y2 - 2021/02/04/ ER - TY - JOUR TI - The United Kingdom right to request as a model for flexible work in the European Union AU - Bird, Robert C AU - Brown, Liz T2 - American Business Law Journal DA - 2018/// PY - 2018 VL - 55 IS - 1 SP - 53 EP - 115 SN - 0002-7766 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - USAF Female Pilot Turnover Influence: A Delphi Study of Work-Home Conflict AU - Caswell, David C DA - 2016/// PY - 2016 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - The use of arts interventions for mental health and wellbeing in health settings AU - Jensen, A AU - Bonde, LO T2 - Perspectives in public health AB - Aims: This literature review aims to illustrate the variety and multitude of studies showing that participation in arts activities and clinical arts interventions can be beneficial for citizens with mental and physical health problems. The article is focused on mental health benefits … DA - 2018/// PY - 2018 UR - https://journals.sagepub.com/doi/abs/10.1177/1757913918772602 DB - Turgut 2016 Cited by (33) ER - TY - JOUR TI - Use of Safety and Lean Integrated Kaizen to Improve Performance in Modular Homebuilding AU - Ikuma, Laura H. AU - Nahmens, Isabelina AU - James, Joel T2 - Journal of Construction Engineering and Management DA - 2010/// PY - 2010 DO - 10.1061/(asce)co.1943-7862.0000330 VL - 137 IS - 7 SP - 551 EP - 560 UR - https://app.dimensions.ai/details/publication/pub.1057626392 http://pdfs.semanticscholar.org/39a5/264c221ee3dc3a87e2fa5443bf9403c44e4d.pdf AN - pub.1057626392 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Use of Well-Being in Identification of Members With Future Health Risk Factors and Future Diagnosed Chronic Disease AU - Hamar, Brent AU - Jones, Ashlin AU - Rickles, Michael AU - Coberley, Carter AU - Rula, Elizabeth Y T2 - Journal of occupational and environmental medicine DA - 2019/// PY - 2019 VL - 61 IS - 2 SP - 168 EP - 176 SN - 1076-2752 DB - Hamar 2015 Cited by (33) ER - TY - JOUR TI - A user-specific activity pattern generation framework for evidence-based ABW planning AU - Ma, JH AU - Cha, SH T2 - Building and Environment AB - To plan successful activity-based workplaces (ABW), architects need to clearly understand user-specific activity patterns through the accurate recognition of user activity. Because user activity is closely associated with space, equipment, and users, such diverse activity-related … DA - 2021/// PY - 2021 UR - https://www.sciencedirect.com/science/article/pii/S0360132320308866 DB - Arundell 2018 Cited by (32) ER - TY - JOUR TI - Using a mixed method audit to inform organizational stress management interventions in sport AU - Rumbold, James L AU - Fletcher, David AU - Daniels, Kevin T2 - Psychology of Sport and Exercise DA - 2018/// PY - 2018 VL - 35 SP - 27 EP - 38 SN - 1469-0292 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Using Effect Size—or Why the P Value Is Not Enough AU - Sullivan, Gail M. AU - Feinn, Richard T2 - Journal of Graduate Medical Education DA - 2012/// PY - 2012 DO - 10.4300/jgme-d-12-00156.1 VL - 4 IS - 3 SP - 279 EP - 82 UR - https://app.dimensions.ai/details/publication/pub.1036149543 https://www.jgme.org/doi/pdf/10.4300/JGME-D-12-00156.1 AN - pub.1036149543 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Using mixed methods to assess fidelity of delivery and its influencing factors in a complex self-management intervention for people with osteoarthritis and low back pain AU - Toomey, Elaine AU - Matthews, James AU - Hurley, Deirdre A. T2 - BMJ Open DA - 2017/// PY - 2017 DO - 10.1136/bmjopen-2016-015452 VL - 7 IS - 8 SP - e015452 UR - https://app.dimensions.ai/details/publication/pub.1091082886 https://bmjopen.bmj.com/content/bmjopen/7/8/e015452.full.pdf AN - pub.1091082886 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Using organization theory to understand the determinants of effective implementation of worksite health promotion programs AU - Weiner, Bryan J. AU - Lewis, Megan A. AU - Linnan, Laura A. T2 - Health Education Research DA - 2008/// PY - 2008 DO - 10.1093/her/cyn019 VL - 24 IS - 2 SP - 292 EP - 305 UR - https://app.dimensions.ai/details/publication/pub.1040528202 https://academic.oup.com/her/article-pdf/24/2/292/1535431/cyn019.pdf AN - pub.1040528202 DB - van Scheppingen 2014 Refs (33) Y2 - 2021/02/06/ ER - TY - JOUR TI - Using Organizational Mission, Vision, and Values to Guide Professional Practice Model Development and Measurement of Nurse Performance AU - Ingersoll, Gail L. AU - Witzel, Patricia A. AU - Smith, Toni C. 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A new approach to evaluating kaizen-inspired (and other) intervention tools AU - Wåhlin-Jacobsen, CD T2 - … Interventions for Health and Well-being: A … AB - This quote is taken from a participatory intervention workshop where two participating employees 1 discussed the Kaizen-based tool evaluated in this chapter, the “Improvement Board”. The employees had repeatedly discussed problems with ill-fitting work shoes in team meetings over a period … DA - 2018/// PY - 2018 UR - https://books.google.com/books?hl=en&lr=&id=Q2JgDwAAQBAJ&oi=fnd&pg=PT187&ots=GwN_tgydt0&sig=T6ZQ0akiD6NavapeQchQE2_XnSk DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - Validation and Standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the General Population AU - Löwe, Bernd AU - Decker, Oliver AU - Müller, Stefanie AU - Brähler, Elmar AU - Schellberg, Dieter AU - Herzog, Wolfgang AU - Herzberg, Philipp Yorck T2 - Medical Care DA - 2008/// PY - 2008 DO - 10.1097/mlr.0b013e318160d093 VL - 46 IS - 3 SP - 266 EP - 274 UR - https://app.dimensions.ai/details/publication/pub.1031338592 AN - pub.1031338592 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Validation of a clinical leadership qualities framework for managers in aged care: a Delphi study AU - Jeon, Yun‐Hee AU - Conway, Jane AU - Chenoweth, Lynn AU - Weise, Janelle AU - Thomas, Tamsin H. T. AU - Williams, Anna T2 - Journal of Clinical Nursing DA - 2014/// PY - 2014 DO - 10.1111/jocn.12682 VL - 24 IS - 7-8 SP - 999 EP - 1010 UR - https://app.dimensions.ai/details/publication/pub.1035397705 AN - pub.1035397705 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - Validation of the French and English Versions of the Worklife Pulse Survey AU - Lavigne, Genevieve L. AU - Sounan, Charles AU - Lavoie-Tremblay, Mélanie AU - Mitchell, Jonathan I. AU - MacDonald, Bernadette T2 - The Health Care Manager DA - 2012/// PY - 2012 DO - 10.1097/hcm.0b013e3182619efc VL - 31 IS - 3 SP - 276 EP - 283 UR - https://app.dimensions.ai/details/publication/pub.1038394190 AN - pub.1038394190 DB - Gilbert-Ouimet 2011 Refs (27) Y2 - 2021/02/04/ ER - TY - JOUR TI - Validation of Wearable Monitors for Assessing Sedentary Behavior AU - Kozey-Keadle, Sarah AU - Libertine, Amanda AU - Lyden, Kate AU - Staudenmayer, John AU - Freedson, Patty S. T2 - Medicine & Science in Sports & Exercise DA - 2011/// PY - 2011 DO - 10.1249/mss.0b013e31820ce174 VL - 43 IS - 8 SP - 1561 EP - 1567 UR - https://app.dimensions.ai/details/publication/pub.1004883363 http://pdfs.semanticscholar.org/1754/ad6b6205ad3ab427476f48c025ca3438c1c5.pdf AN - pub.1004883363 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Validity and reliability of a single question for leisure-time physical activity assessment in middle-aged women AU - Hyvärinen, M AU - Sipilä, S AU - Kulmala, J AU - ... T2 - Journal of aging … AB - Purpose: To investigate the validity and test–retest reliability of a single seven-level scale physical activity assessment question (SR-PA L7) and its three-level categorization (SR-PA C3). Methods: The associations of SR-PA L7 and C3 with accelerometer-measured leisure … DA - 2019/// PY - 2019 UR - https://journals.humankinetics.com/view/journals/japa/28/2/article-p231.xml DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Validity of Global Physical and Emotional SUDS AU - Tanner, Barry A. T2 - Applied Psychophysiology and Biofeedback DA - 2011/// PY - 2011 DO - 10.1007/s10484-011-9174-x VL - 37 IS - 1 SP - 31 EP - 34 UR - https://app.dimensions.ai/details/publication/pub.1024945859 AN - pub.1024945859 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Validity of the GAD-7 scale as an outcome measure of disability in patients with generalized anxiety disorders in primary care AU - Ruiz, Miguel A. AU - Zamorano, Enric AU - García-Campayo, Javier AU - Pardo, Antonio AU - Freire, Olga AU - Rejas, Javier T2 - Journal of Affective Disorders DA - 2010/// PY - 2010 DO - 10.1016/j.jad.2010.07.010 VL - 128 IS - 3 SP - 277 EP - 286 UR - https://app.dimensions.ai/details/publication/pub.1030664940 AN - pub.1030664940 DB - Fikretoglu 2019 Refs (46) Y2 - 2021/02/04/ ER - TY - JOUR TI - Validity of Two Wearable Monitors to Estimate Breaks from Sedentary Time AU - Lyden, Kate AU - Keadle, Sarah L. Kozey AU - Staudenmayer, John W. AU - Freedson, Patty S. T2 - Medicine & Science in Sports & Exercise DA - 2012/// PY - 2012 DO - 10.1249/mss.0b013e318260c477 VL - 44 IS - 11 SP - 2243 EP - 2252 UR - https://app.dimensions.ai/details/publication/pub.1045360687 http://europepmc.org/articles/pmc3475768?pdf=render AN - pub.1045360687 DB - Brakenridge 2016 Refs (51) Y2 - 2021/02/04/ ER - TY - JOUR TI - The value of a well-being improvement strategy: longitudinal success across subjective and objective measures observed in a firm adopting a consumer-driven health plan AU - Guo, Xiaobo AU - Coberley, Carter AU - Pope, James E AU - Wells, Aaron T2 - Journal of occupational and environmental medicine DA - 2015/// PY - 2015 VL - 57 IS - 10 SP - 1055 DB - Hamar 2015 Cited by (33) ER - TY - JOUR TI - The value of worker well-being AU - Adams, Jerome M T2 - Public Health Reports DA - 2019/// PY - 2019 VL - 134 IS - 6 SP - 583 EP - 586 SN - 0033-3549 DB - Hamar 2015 Cited by (33) ER - TY - JOUR TI - Value stream maps: Improving procurement of ergonomic office equipment AU - Hayden, MA AU - Schwerha, DJ T2 - Professional Safety AB - 54 PSJ PROFESSIONAL SAFETY MAY 2019 assp. org tasks, the incidence of injuries in these tasks and potential costs in terms of employee health, especially musculoskeletal disorders (MSDs). Known to occur in office workers, MSDs are soft-tissue injuries that may … DA - 2019/// PY - 2019 UR - https://onepetro.org/journal-paper/ASSE-19-05-53 DB - Robertson 2017 Cited by (23) ER - TY - JOUR TI - Valuing alternative work arrangements AU - Mas, Alexandre AU - Pallais, Amanda T2 - American Economic Review DA - 2017/// PY - 2017 VL - 107 IS - 12 SP - 3722 EP - 59 SN - 0002-8282 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Verità è rassicurazione: il progetto www. intensiva. it AU - Mistraletti, Giovanni AU - Andrighi, Elisa AU - Di Carlo, Alessandra AU - Moroni, Benedetta AU - Brenna, Giovanni AU - Astori, Morena AU - Iapichino, Gaetano T2 - Scenario DA - 2018/// PY - 2018 VL - 31 IS - 1 SP - 48 EP - 50 SN - 2239-6403 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Versorgungsqualität von Gesundheitseinrichtungen AU - Kockert, Svenja T2 - Die Bedeutung von Organisationsmerkmalen der Reha-Einrichtung für den Behandlungserfolg: Eine online-basierte Delphi-Studie. Veröffentlichungsreihe des Zentrums für Versorgungsforschung Fakultät Gesundheitswissenschaften Universität Bielefeld. Zugriff am DA - 2011/// PY - 2011 VL - 30 IS - 1 SP - 2014 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Veterans and job satisfaction in the US federal government: The importance of role clarity in the first years of civilian employment AU - Tao, Andrew K AU - Campbell, Jesse W T2 - Public Personnel Management DA - 2020/// PY - 2020 VL - 49 IS - 4 SP - 508 EP - 531 SN - 0091-0260 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Violence and burnout in health care emergency workers in Santiago, Chile: A survey-based cross-sectional study AU - Jiménez, Rosa E AU - Bachelet, Vivienne C AU - Gomolán, Patricio AU - Lefio, Luis Álvaro AU - Goyenechea, Matías T2 - International emergency nursing DA - 2019/// PY - 2019 VL - 47 SP - 100792 SN - 1755-599X DB - Basu 2016 Cited by (24) ER - TY - JOUR TI - Vision AU - Ford, Jeffrey D. AU - Pasmore, William A. T2 - The Journal of Applied Behavioral Science DA - 2006/// PY - 2006 DO - 10.1177/0021886306286346 VL - 42 IS - 2 SP - 172 EP - 176 UR - https://app.dimensions.ai/details/publication/pub.1006071434 AN - pub.1006071434 DB - Kukkurainen 2012 Refs (35) Y2 - 2021/02/08/ ER - TY - JOUR TI - Vision effects in customer and staff satisfaction: an empirical investigation AU - Kantabutra, Sooksan AU - Avery, Gayle C. T2 - Leadership & Organization Development Journal DA - 2007/// PY - 2007 DO - 10.1108/01437730710739648 VL - Volume 28 IS - Issue 3 SP - 209 EP - 229 UR - https://app.dimensions.ai/details/publication/pub.1002715072 AN - pub.1002715072 DB - Kukkurainen 2012 Refs (35) Y2 - 2021/02/08/ ER - TY - JOUR TI - Vision effects: a critical gap in educational leadership research AU - Kantabutra, Sooksan T2 - International Journal of Educational Management DA - 2010/// PY - 2010 DO - 10.1108/09513541011055956 VL - Volume 24 IS - Issue 5 SP - 376 EP - 390 UR - https://app.dimensions.ai/details/publication/pub.1049749591 AN - pub.1049749591 DB - Kukkurainen 2012 Refs (35) Y2 - 2021/02/08/ ER - TY - JOUR TI - Vision-Based Leaders And Their Followers In Retail Stores: Relationships And Consequences In Australia AU - Kantabutra, Sooksan AU - Vimolratana, Pisanu T2 - Journal of Applied Business Research (JABR) DA - 2010/// PY - 2010 DO - 10.19030/jabr.v26i6.335 VL - 26 IS - 6 UR - https://app.dimensions.ai/details/publication/pub.1068746030 https://clutejournals.com/index.php/JABR/article/download/335/325 AN - pub.1068746030 DB - Kukkurainen 2012 Refs (35) Y2 - 2021/02/08/ ER - TY - JOUR TI - Vitality at work and its associations with lifestyle, self-determination, organizational culture, and with employees' performance and sustainable employability AU - van Scheppingen, Arjella R. AU - de Vroome, Ernest M. M. AU - Ten Have, Kristin C. J. M. AU - Zwetsloot, Gerard I. J. M. AU - Wiezer, Noortje AU - van Mechelen, Willem T2 - Work DA - 2015/// PY - 2015 DO - 10.3233/wor-141947 VL - 52 IS - 1 SP - 45 EP - 55 UR - https://app.dimensions.ai/details/publication/pub.1037014261 http://pdfs.semanticscholar.org/386a/aa699c7f74cf3c9bee8a47a6cb350aadec98.pdf AN - pub.1037014261 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - Want to, need to, ought to: employee commitment to organizational change AU - Parish, Janet Turner AU - Cadwallader, Susan AU - Busch, Paul T2 - Journal of Organizational Change Management DA - 2008/// PY - 2008 DO - 10.1108/09534810810847020 VL - Volume 21 IS - Issue 1 SP - 32 EP - 52 UR - https://app.dimensions.ai/details/publication/pub.1043925853 AN - pub.1043925853 DB - Neves 2018 Refs (53) Y2 - 2021/02/08/ ER - TY - JOUR TI - Waseda University Doctoral Dissertation AU - RAMLI, Azizul Azhar Bin DA - 2016/// PY - 2016 DP - Robertson 2008 Cited By (156) DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - Waste reduction using lean tools in a multicultural environment AU - Purushothaman, M babu AU - Seadon, J AU - Moore, D T2 - Journal of Cleaner … AB - There is a significant body of knowledge linking lean tools to waste reduction. This research considered system-wide relationships that enabled lean tools to aid waste reduction in industrial processes in a multicultural workplace environment in organisations that … DA - 2020/// PY - 2020 UR - https://www.sciencedirect.com/science/article/pii/S0959652620317285 DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - The Ways of Coping Checklist revision-Asian version (WCCL-ASIAN): a new factor structure with confirmatory factor AU - Sawang, Sukanlaya AU - Oei, Tian Po DA - 2009/// PY - 2009 SN - 1464-0597 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Web-based office ergonomics intervention on work-related complaints: a field study AU - Meinert, Marina AU - König, Mirjam AU - Jaschinski, Wolfgang T2 - Ergonomics DA - 2013/// PY - 2013 DO - 10.1080/00140139.2013.835872 VL - 56 IS - 11 SP - 1658 EP - 1668 UR - https://app.dimensions.ai/details/publication/pub.1042711104 AN - pub.1042711104 DB - Gilbert-Ouimet 2011 Refs (27) Y2 - 2021/02/04/ ER - TY - JOUR TI - Well-being and organizational performance: An organizational-level test of the happy-productive worker hypothesis AU - Taris, Toon W. AU - Schreurs, Paul J. G. T2 - Work & Stress DA - 2009/// PY - 2009 DO - 10.1080/02678370903072555 VL - 23 IS - 2 SP - 120 EP - 136 UR - https://app.dimensions.ai/details/publication/pub.1001378166 AN - pub.1001378166 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - The Well-Being Assessment for Productivity AU - Prochaska, James O. AU - Evers, Kerry E. AU - Johnson, Janet L. AU - Castle, Patricia H. AU - Prochaska, Janice M. AU - Sears, Lindsay E. AU - Rula, Elizabeth Y. AU - Pope, James E. T2 - Journal of Occupational and Environmental Medicine DA - 2011/// PY - 2011 DO - 10.1097/jom.0b013e318222af48 VL - 53 IS - 7 SP - 735 EP - 742 UR - https://app.dimensions.ai/details/publication/pub.1037709228 AN - pub.1037709228 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - Well-Being at Work AU - Randall, Raymond AU - Nielsen, Karina T2 - Occupational health psychology DA - 2010/// PY - 2010 SP - 88 SN - 1444324160 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Well-Being Champion Impact on Employee Engagement, Staff Satisfaction, and Employee Well-Being AU - Wieneke, K. C. AU - Egginton, J. S. AU - Jenkins, S. M. AU - Kruse, G. C. AU - Lopez-Jimenez, F. AU - Mungo, M. M. AU - Riley, B. A. AU - Limburg, P. J. T2 - Mayo Clin Proc Innov Qual Outcomes AB - Objective: To evaluate the potential impact of a workplace well-being champion on employee and organizational measures of well-being. Patients and Methods: Baseline well-being measures were collected in October 2-20, 2017 and analyzed from January 1, 2018 through June 30, 2018 by incorporating a focused question set (addressing meaning in work, work-life integration, and physical, social, financial, emotional, and general well-being) into the biennial Mayo Clinic All-Staff Survey. Results: The survey was distributed to 64,059 employees, with a response rate of 73%. Employees with a work unit well-being champion had more favorable responses overall than did employees reporting no well-being champion. The percentage responding "favorably" to each well-being measure differed from 2 to 12 percentage points and were all highly statistically significant (P<.001). Measures with the greatest difference included questions associated with the well-being domains of physical (85% vs 73%), social (84% vs 72%), and financial (72% vs 63%), as well as general well-being (69% vs 60%). Those reporting having a well-being champion had more favorable responses to several questions regarding the immediate supervisor and the work environment being conducive to carry out organizational values, trust within the work unit, ability to speak freely, efforts to make everyone feel a part of the team, and accountability within the work unit. Conclusion: Having a work unit well-being champion, coupled with an organizational commitment to employee well-being, is associated with better employee engagement, satisfaction, and perception of personal well-being, as well as a more favorable perception of the organization, strongly supporting the multilevel benefits of a robust well-being champion program. DA - 2019/06//undefined PY - 2019 DO - 10.1016/j.mayocpiqo.2019.04.001 VL - 3 IS - 2 SP - 106 EP - 115 SN - 2542-4548 (Electronic) 2542-4548 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/31193868 AN - 31193868 DB - Wieneke 2016 Cited by (23) KW - WCP KW - well-being champion program ER - TY - JOUR TI - Well-being in times of task restructuring: The buffering potential of workplace learning AU - Nikolova, Irina AU - Van Ruysseveldt, Joris AU - De Witte, Hans AU - Syroit, Jef T2 - Work & Stress DA - 2014/// PY - 2014 DO - 10.1080/02678373.2014.929601 VL - 28 IS - 3 SP - 217 EP - 235 UR - https://app.dimensions.ai/details/publication/pub.1022969358 AN - pub.1022969358 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - Well-Being, Health, and Productivity Improvement After an Employee Well-Being Intervention in Large Retail Distribution Centers AU - Rajaratnam, Augustine S. AU - Sears, Lindsay E. AU - Shi, Yuyan AU - Coberley, Carter R. AU - Pope, James E. T2 - Journal of Occupational and Environmental Medicine DA - 2014/// PY - 2014 DO - 10.1097/jom.0000000000000349 VL - 56 IS - 12 SP - 1291 EP - 1296 UR - https://app.dimensions.ai/details/publication/pub.1019585447 AN - pub.1019585447 DB - Hamar 2015 Refs (37) Y2 - 2021/02/04/ ER - TY - JOUR TI - Wellness Champions: A Critical Strategy for Universities to Enhance Population Health and Wellbeing during the COVID-19 Pandemic AU - Amaya, Megan AU - Battista, Lauren AU - Melnyk, Bernadette Mazurek AU - Winn, Josh AU - Johnson, Nicole AU - Buffington, Brenda T2 - Building Healthy Academic Communities Journal DA - 2020/// PY - 2020 VL - 4 IS - 2 SP - 7 EP - 16 SN - 2573-7643 DB - Wieneke 2016 Cited by (23) ER - TY - JOUR TI - What about me? The impact of employee change agents' person-role fit on their job satisfaction during organisational change AU - Nielsen, K AU - Dawson, J AU - Hasson, H AU - Schwarz, UT T2 - Work & Stress AB - Organisational changes do not always achieve their intended outcomes and have been found to have negative consequences on employee wellbeing. It has been argued that this is because change processes need to support employees adopting the change. In the … DA - 2020/// PY - 2020 UR - https://www.tandfonline.com/doi/abs/10.1080/02678373.2020.1730481 DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - What are the ethical dimensions in the profession of intensive care specialist? AU - Quenot, Jean-Pierre AU - Ecarnot, Fiona AU - Meunier-Beillard, Nicolas AU - Dargent, Auguste AU - Eraldi, Jean-Pierre AU - Bougerol, François AU - Large, Audrey AU - Andreu, Pascal AU - Rigaud, Jean-Philippe T2 - Annals of translational medicine DA - 2017/// PY - 2017 VL - 5 IS - Suppl 4 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - What Are the Perceptions, Experiences, and Behaviors of Health Care Providers After Implementation of a Comprehensive Smoke-Free Hospital Policy? AU - Luck, Kerrie E AU - Doucet, Shelley T2 - Global qualitative nursing research DA - 2018/// PY - 2018 VL - 5 SP - 2333393618756770 SN - 2333-3936 DB - Gadomski 2010 Cited By (31) ER - TY - JOUR TI - What benefits do healthcare organisations receive from leadership and management development programmes? A systematic review of the evidence AU - Seidman, G AU - Pascal, L AU - McDonough, J T2 - BMJ Leader AB - Introduction Leadership and management training/development programmes have gained increasing institutional attention in healthcare organisations, and they have a wide variety of formats and approaches. However, limited evidence exists about effects of these … DA - 2020/// PY - 2020 UR - https://bmjleader.bmj.com/content/4/1/21.abstract DB - Joen 2015 Cited by (37) ER - TY - JOUR TI - What do the different ergonomic interventions accomplish in the workplace? A systematic review AU - Heidarimoghadam, R AU - Mohammadfam, I AU - ... T2 - International Journal … AB - Introduction. Improving well-being and overall system performance are the ultimate goals of ergonomics, which are achieved through ergonomic interventions. This systematic review aimed to answer the question of what different ergonomic interventions accomplish in the … DA - 2020/// PY - 2020 UR - https://www.tandfonline.com/doi/abs/10.1080/10803548.2020.1811521 DB - Robertson 2017 Cited by (23) ER - TY - JOUR TI - What do the different ergonomic interventions accomplish in the workplace? A systematic review AU - Heidarimoghadam, Rashid AU - Mohammadfam, Iraj AU - Babamiri, Mohammad AU - Soltanian, Ali Reza AU - Khotanlou, Hassan AU - Sohrabi, Mohammad Sadegh T2 - International Journal of Occupational Safety and Ergonomics DA - 2020/// PY - 2020 DP - Robertson 2008 Cited By (156) SP - 1 EP - 25 SN - 1080-3548 DB - Robertson 2008 Cited By (156) ER - TY - JOUR TI - What Does It Take to Implement Change Successfully? A Study of the Behaviors of Successful Change Leaders AU - Higgs, Malcolm AU - Rowland, Deborah T2 - The Journal of Applied Behavioral Science DA - 2011/// PY - 2011 DO - 10.1177/0021886311404556 VL - 47 IS - 3 SP - 309 EP - 335 UR - https://app.dimensions.ai/details/publication/pub.1035118446 AN - pub.1035118446 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - What is actually measured in process evaluations for worksite health promotion programs: a systematic review AU - Wierenga, Debbie AU - Engbers, Luuk H. AU - Van Empelen, Pepijn AU - Duijts, Saskia AU - Hildebrandt, Vincent H. AU - Van Mechelen, Willem T2 - BMC Public Health DA - 2013/// PY - 2013 DO - 10.1186/1471-2458-13-1190 VL - 13 IS - 1 SP - 1190 UR - https://app.dimensions.ai/details/publication/pub.1025898991 https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/1471-2458-13-1190 AN - pub.1025898991 DB - Brakenridge 2016 Refs (51) Y2 - 2021/02/04/ ER - TY - JOUR TI - What is self-rated health and why does it predict mortality? Towards a unified conceptual model AU - Jylhä, Marja T2 - Social Science & Medicine DA - 2009/// PY - 2009 DO - 10.1016/j.socscimed.2009.05.013 VL - 69 IS - 3 SP - 307 EP - 316 UR - https://app.dimensions.ai/details/publication/pub.1033705993 AN - pub.1033705993 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - What is the relationship between long working hours, over-employment, under-employment and the subjective well-being of workers? Longitudinal evidence from the UK AU - Angrave, David AU - Charlwood, Andy T2 - Human Relations DA - 2015/// PY - 2015 DO - 10.1177/0018726714559752 VL - 68 IS - 9 SP - 1491 EP - 1515 UR - https://app.dimensions.ai/details/publication/pub.1003679260 https://repository.lboro.ac.uk/articles/journal_contribution/What_is_the_relationship_between_long_working_hours_over-employment_under-employment_and_the_subjective_well-being_of_workers_Longitudinal_evidence_from_the_UK_/9503489/files/17130326.pdf AN - pub.1003679260 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - What Men Can Do to Reduce Gender Inequality in Science, Medicine, and Global Health: Small Wins and Organizational Change AU - Yavorsky, Jill AU - Banks, George Christopher AU - McGonagle, Alyssa DA - 2019/// PY - 2019 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - What works for whom in which circumstances? On the need to move beyond the ‘what works?’ question in organizational intervention research AU - Nielsen, Karina AU - Miraglia, Mariella T2 - Human Relations DA - 2016/// PY - 2016 DO - 10.1177/0018726716670226 VL - 70 IS - 1 SP - 40 EP - 62 UR - https://app.dimensions.ai/details/publication/pub.1052525552 http://eprints.whiterose.ac.uk/105626/4/Nielsen-and-Miraglia-to-editKMN.pdf AN - pub.1052525552 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - When do health and well-being interventions work? Managerial commitment and context AU - Greasley, Kay AU - Edwards, Paul T2 - Economic and Industrial Democracy DA - 2014/// PY - 2014 DO - 10.1177/0143831x13508590 VL - 36 IS - 2 SP - 355 EP - 377 UR - https://app.dimensions.ai/details/publication/pub.1048056413 https://eprints.lancs.ac.uk/id/eprint/79675/2/EID_September_2013.pdf AN - pub.1048056413 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - When fit matters more: The effect of regulatory fit on adaptation to change AU - Petrou, Paraskevas AU - Demerouti, Evangelia AU - Häfner, Michael T2 - European Journal of Work and Organizational Psychology DA - 2013/// PY - 2013 DO - 10.1080/1359432x.2013.832209 VL - 24 IS - 1 SP - 126 EP - 142 UR - https://app.dimensions.ai/details/publication/pub.1034619537 https://pure.tue.nl/ws/files/3984733/23194973078631.pdf AN - pub.1034619537 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - When Managers and Their Teams Disagree: A Longitudinal Look at the Consequences of Differences in Perceptions of Organizational Support AU - Bashshur, Michael R. AU - Hernández, Ana AU - González-Romá, Vicente T2 - Journal of Applied Psychology DA - 2011/// PY - 2011 DO - 10.1037/a0022675 VL - 96 IS - 3 SP - 558 EP - 573 UR - https://app.dimensions.ai/details/publication/pub.1044591917 AN - pub.1044591917 Y2 - 2021/02/04/ ER - TY - JOUR TI - When rendering hospitality becomes collateral damage: Psycho-organisational variables and job burnout amongst hotel workers in metropolitan Nigeria AU - Ojedokun, Oluyinka AU - Idemudia, Erhabor S AU - Omotoso, Arike O T2 - SA Journal of Industrial Psychology DA - 2013/// PY - 2013 VL - 39 IS - 1 SP - 1 EP - 9 SN - 2071-0763 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - When the job has lost its appeal: Intentions to quit among direct care workers AU - Gray, Jennifer A AU - Muramatsu, Naoko T2 - Journal of Intellectual and Developmental Disability DA - 2013/// PY - 2013 VL - 38 IS - 2 SP - 124 EP - 133 SN - 1366-8250 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - When Work Interferes with Life: Work-Nonwork Interference and the Influence of Work-Related Demands and Resources AU - Schieman, Scott AU - Glavin, Paul AU - Milkie, Melissa A. T2 - American Sociological Review DA - 2009/// PY - 2009 DO - 10.1177/000312240907400606 VL - 74 IS - 6 SP - 966 EP - 988 UR - https://app.dimensions.ai/details/publication/pub.1011517201 AN - pub.1011517201 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - When would creative R&D employees like to work? AU - Hazak, Aaro AU - Ruubel, Raul AU - Virkebau, Marko T2 - International Journal of Organizational Analysis DA - 2019/// PY - 2019 SN - 1934-8835 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Whenever the Clarion Call, Whatever the Time, You Shall Work: Work-Life Balance in the Nigerian Army AU - Adekoya, Olatunji David AU - Ajonbadi, Hakeem Adeniyi AU - Mordi, Chima T2 - Economic Insights-Trends & Challenges DA - 2019/// PY - 2019 IS - 2 SN - 2284-8576 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Whiteboards: Mediating professional tensions in clinical practice AU - Riley, Robin AU - Forsyth, Rowena AU - Manias, Elizabeth AU - Iedema, Rick T2 - Communication & Medicine DA - 2007/// PY - 2007 DO - 10.1515/cam.2007.020 VL - 4 IS - 2 SP - 165 EP - 175 UR - https://app.dimensions.ai/details/publication/pub.1005977647 https://opus.lib.uts.edu.au/bitstream/10453/1108/3/2007000934.pdf AN - pub.1005977647 DB - Von Thiele 2017 Refs (62) Y2 - 2021/02/06/ ER - TY - JOUR TI - Whole-system approaches to improving the health and wellbeing of healthcare workers: A systematic review AU - Brand, S. L. AU - Thompson Coon, J. AU - Fleming, L. E. AU - Carroll, L. AU - Bethel, A. AU - Wyatt, K. T2 - PLoS One AB - BACKGROUND: Healthcare professionals throughout the developed world report higher levels of sickness absence, dissatisfaction, distress, and "burnout" at work than staff in other sectors. There is a growing call for the 'triple aim' of healthcare delivery (improving patient experience and outcomes and reducing costs; to include a fourth aim: improving healthcare staff experience of healthcare delivery. A systematic review commissioned by the United Kingdom's (UK) Department of Health reviewed a large number of international healthy workplace interventions and recommended five whole-system changes to improve healthcare staff health and wellbeing: identification and response to local need, engagement of staff at all levels, and the involvement, visible leadership from, and up-skilling of, management and board-level staff. OBJECTIVES: This systematic review aims to identify whole-system healthy workplace interventions in healthcare settings that incorporate (combinations of) these recommendations and determine whether they improve staff health and wellbeing. METHODS: A comprehensive and systematic search of medical, education, exercise science, and social science databases was undertaken. Studies were included if they reported the results of interventions that included all healthcare staff within a healthcare setting (e.g. whole hospital; whole unit, e.g. ward) in collective activities to improve physical or mental health or promote healthy behaviours. RESULTS: Eleven studies were identified which incorporated at least one of the whole-system recommendations. Interventions that incorporated recommendations to address local need and engage the whole workforce fell in to four broad types: 1) pre-determined (one-size-fits-all) and no choice of activities (two studies); or 2) pre-determined and some choice of activities (one study); 3) A wide choice of a range of activities and some adaptation to local needs (five studies); or, 3) a participatory approach to creating programmes responsive and adaptive to local staff needs that have extensive choice of activities to participate in (three studies). Only five of the interventions included substantial involvement and engagement of leadership and efforts aimed at up-skilling the leadership of staff to support staff health and wellbeing. Incorporation of more of the recommendations did not appear to be related to effectiveness. The heterogeneity of study designs, populations and outcomes excluded a meta-analysis. All studies were deemed by their authors to be at least partly effective. Two studies reported statistically significant improvement in objectively measured physical health (BMI) and eight in subjective mental health. Six studies reported statistically significant positive changes in subjectively assessed health behaviours. CONCLUSIONS: This systematic review identified 11 studies which incorporate at least one of the Boorman recommendations and provides evidence that whole-system healthy workplace interventions can improve health and wellbeing and promote healthier behaviours in healthcare staff. DA - 2017/// PY - 2017 DO - 10.1371/journal.pone.0188418 VL - 12 IS - 12 SP - e0188418 SN - 1932-6203 (Electronic) 1932-6203 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/29200422 AN - 29200422 DB - Wieneke 2016 Cited by (23) KW - Humans KW - Leadership KW - United Kingdom KW - *Mental Health KW - Health Promotion/*methods KW - Workplace/*psychology KW - Burnout, Professional/*prevention & control KW - Delivery of Health Care/*organization & administration KW - Health Personnel/*psychology ER - TY - JOUR TI - Whose experience is it anyway? Toward a constructive engagement of tensions in patient-centered health care AU - Vogus, TJ AU - Gallan, A AU - Rathert, C AU - El-Manstrly, D AU - ... T2 - Journal of Service … AB - Purpose Healthcare delivery faces increasing pressure to move from a provider-centered approach to become more consumer-driven and patient-centered. However, many of the actions taken by clinicians, patients and organizations fail to achieve that aim. This paper … DA - 2020/// PY - 2020 UR - https://www.emerald.com/insight/content/doi/10.1108/JOSM-04-2020-0095/full/html DB - Von Thiele 2017 Cited by (68) ER - TY - JOUR TI - Why and how inequality matters AU - McLeod, Jane D T2 - Journal of Health and Social Behavior DA - 2015/// PY - 2015 VL - 56 IS - 2 SP - 149 EP - 165 SN - 0022-1465 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Why do nurses intend to leave their organization? A large‐scale analysis in long‐term care AU - Tummers, LG AU - Groeneveld, SM AU - ... T2 - Journal of advanced … AB - Aim To analyse the impact of six job characteristics on the intention of nurses to leave their organization, specifically focusing on long‐term care settings: nursing homes, care homes and home care. Background When nurses leave their organization, this can negatively affect … DA - 2013/// PY - 2013 UR - https://onlinelibrary.wiley.com/doi/abs/10.1111/jan.12249 DB - Kukkurainen 2012 Cited by (17) ER - TY - JOUR TI - Why force owls to start work early? The work schedules of R&D employees and sleep AU - Sõõru, Erve AU - Hein, Heili AU - Hazak, Aaro T2 - TTU Economic Research Series DA - 2017/// PY - 2017 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Why interventions fail: A systematic review of occupational health psychology interventions AU - Burgess, Matthew G AU - Brough, Paula AU - Biggs, Amanda AU - Hawkes, Amy J T2 - International Journal of Stress Management DA - 2020/// PY - 2020 VL - 27 IS - 2 SP - 195 SN - 1573-3424 DB - Elo 2008 Cited By (91) ER - TY - JOUR TI - Winning Loyalty With a Vision and a Corporate Soul AU - Piper, Llewellyn Edward T2 - The Health Care Manager DA - 2005/// PY - 2005 DO - 10.1097/00126450-200510000-00012 VL - 24 IS - 4 SP - 374 EP - 378 UR - https://app.dimensions.ai/details/publication/pub.1023443181 AN - pub.1023443181 DB - Kukkurainen 2012 Refs (35) Y2 - 2021/02/08/ ER - TY - JOUR TI - With Greater Power Comes Greater Stress? Authority, Supervisor Support, and Work‐Family Strains AU - Badawy, Philip J AU - Schieman, Scott T2 - Journal of Marriage and Family DA - 2021/// PY - 2021 VL - 83 IS - 1 SP - 40 EP - 56 SN - 0022-2445 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Women’s Progression in the Workplace AU - Jones, Laura DA - 2019/// PY - 2019 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Work ability assessment in a worker population: comparison and determinants of Work Ability Index and Work Ability score AU - El Fassi, Mehdi AU - Bocquet, Valery AU - Majery, Nicole AU - Lair, Marie Lise AU - Couffignal, Sophie AU - Mairiaux, Philippe T2 - BMC Public Health DA - 2013/// PY - 2013 DO - 10.1186/1471-2458-13-305 VL - 13 IS - 1 SP - 305 UR - https://app.dimensions.ai/details/publication/pub.1034677130 https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/1471-2458-13-305 AN - pub.1034677130 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - The work ability index and single-item question: associations with sick leave, symptoms, and health--a prospective study of women on long-term sick leave AU - Ahlstrom, Linda AU - Grimby-Ekman, Anna AU - Hagberg, Mats AU - Dellve, Lotta T2 - Scandinavian Journal of Work, Environment & Health DA - 2010/// PY - 2010 DO - 10.5271/sjweh.2917 VL - 36 IS - 5 SP - 404 EP - 12 UR - https://app.dimensions.ai/details/publication/pub.1072738117 http://www.sjweh.fi/download.php?abstract_id=2917&file_nro=1 AN - pub.1072738117 DB - Tafvelin 2019 Refs (57) Y2 - 2021/02/08/ ER - TY - JOUR TI - Work ability--a comprehensive concept for occupational health research and prevention AU - Ilmarinen, Jussi T2 - Scandinavian Journal of Work, Environment & Health DA - 2009/// PY - 2009 DO - 10.5271/sjweh.1304 VL - 35 IS - 1 SP - 1 EP - 5 UR - https://app.dimensions.ai/details/publication/pub.1072736719 http://www.sjweh.fi/download.php?abstract_id=1304&file_nro=1 AN - pub.1072736719 DB - Lundmark 2017 Refs (68) Y2 - 2021/02/08/ ER - TY - JOUR TI - Work adjustment of middle-aged Korean women and its implications for policy AU - Lee, Young-Min AU - Choi, Young-Sup AU - Lim, Jung-Yon T2 - International Journal of Economic Policy in Emerging Economies DA - 2017/// PY - 2017 VL - 10 IS - 2 SP - 200 EP - 224 SN - 1752-0452 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Work and family in the second decade of the 21st century AU - Perry‐Jenkins, Maureen AU - Gerstel, Naomi T2 - Journal of Marriage and Family DA - 2020/// PY - 2020 VL - 82 IS - 1 SP - 420 EP - 453 SN - 0022-2445 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Work and Family Research in the First Decade of the 21st Century AU - Bianchi, Suzanne M. AU - Milkie, Melissa A. T2 - Journal of Marriage and Family DA - 2010/// PY - 2010 DO - 10.1111/j.1741-3737.2010.00726.x VL - 72 IS - 3 SP - 705 EP - 725 UR - https://app.dimensions.ai/details/publication/pub.1013893807 AN - pub.1013893807 DB - Moen 2011 Ref (66) Y2 - 2021/02/08/ ER - TY - JOUR TI - Work and health of parents of adult children with serious mental illness AU - Song, Jieun AU - Mailick, Marsha R AU - Greenberg, Jan S T2 - Family relations DA - 2014/// PY - 2014 VL - 63 IS - 1 SP - 122 EP - 134 SN - 0197-6664 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Work characteristics and the preventive health behaviors and subjective health of married parents with preschool age children AU - Pedersen, Daphne E T2 - Journal of Family and Economic Issues DA - 2015/// PY - 2015 VL - 36 IS - 1 SP - 48 EP - 63 SN - 1573-3475 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Work design–related antecedents of turnover intention: A multilevel approach AU - Chang, Wan‐Jing April AU - Wang, Yung‐Shui AU - Huang, Tung‐Chun T2 - Human Resource Management DA - 2013/// PY - 2013 VL - 52 IS - 1 SP - 1 EP - 26 SN - 0090-4848 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Work environment and worksite health promotion in nine European countries AU - Maas, Ineke AU - Poortman, Anne-Rigt AU - van Slageren, Jaap DA - 2019/// PY - 2019 DB - Hendriksen 2016 Cited by (46) ER - TY - JOUR TI - Work Environment and Worksite Health Promotion in Nine European Countries AU - van der Put, Anne C AU - van der Lippe, Tanja T2 - Journal of occupational and environmental medicine DA - 2020/// PY - 2020 VL - 62 IS - 4 SP - 272 EP - 278 SN - 1076-2752 DB - Hendriksen 2016 Cited by (46) ER - TY - JOUR TI - Work Environmental Factors and Retention of Nurses AU - Hayhurst, Anna AU - Saylor, Coleen AU - Stuenkel, Diane T2 - Journal of Nursing Care Quality DA - 2005/// PY - 2005 DO - 10.1097/00001786-200507000-00015 VL - 20 IS - 3 SP - 283 EP - 288 UR - https://app.dimensions.ai/details/publication/pub.1005593429 AN - pub.1005593429 DB - Joen 2015 Refs (43) Y2 - 2021/02/08/ ER - TY - JOUR TI - Work Health Promotion, Job Well-Being, and Sickness Absences—A Systematic Review and Meta-Analysis AU - Kuoppala, Jaana AU - Lamminpää, Anne AU - Husman, Päivi T2 - Journal of Occupational and Environmental Medicine DA - 2008/// PY - 2008 DO - 10.1097/jom.0b013e31818dbf92 VL - 50 IS - 11 SP - 1216 EP - 1227 UR - https://app.dimensions.ai/details/publication/pub.1001089554 AN - pub.1001089554 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - Work in brief AU - Palmer, Keith T2 - Occupational and Environmental Medicine DA - 2006/// PY - 2006 VL - 63 IS - 7 SP - 437 SN - 1351-0711 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - The work of bus drivers and their contribution to excellence in public transportation AU - Brunoro, Claudio Marcelo AU - Sznelwar, Laerte Idal AU - Bolis, Ivan AU - Abrahao, Julia T2 - Production DA - 2015/// PY - 2015 VL - 25 IS - 2 SP - 323 EP - 335 SN - 0103-6513 DB - Gilbert-Ouimet 2011 Cited by (42) ER - TY - JOUR TI - Work Redefined AU - Brown, Amy T2 - Work DA - 2013/// PY - 2013 VL - 4 IS - 3 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Work Role Ambiguity, Job Satisfaction, and Job Performance: Meta-Analyses and Review AU - Abramis, David J. T2 - Psychological Reports AB - Formal meta-analytic methods were used to examine studies of two primary correlates of work role ambiguity, (a) job satisfaction (global and intrinsic) and (b) job performance (self- and independently evaluated). 88 studies were examined, 39 of which were included in the meta-analyses. Results suggest role ambiguity is significantly and negatively related to both satisfaction and performance but very weakly to the latter. Also, true variance in correlations exists across studies, suggesting that the effects of role ambiguity vary depending upon other variables. Results are consistent with previous research and suggest that role ambiguity is a valid construct in organizational research and is usually associated with lower job satisfaction. The primary sources used in the meta-analysis are included. DA - 2016/// PY - 2016 DO - 10.2466/pr0.1994.75.3f.1411 VL - 75 IS - 3_suppl SP - 1411 EP - 1433 SN - 0033-2941 1558-691X UR - https://journals.sagepub.com/doi/abs/10.2466/pr0.1994.75.3f.1411 DB - Dupré 2007 Refs (95) ER - TY - JOUR TI - Work role stressors and turnover intentions: a study of professional clergy in Hong Kong AU - Hang-yue, Ngo AU - Foley, Sharon AU - Loi, Raymond T2 - The International Journal of Human Resource Management DA - 2005/// PY - 2005 DO - 10.1080/09585190500315141 VL - 16 IS - 11 SP - 2133 EP - 2146 UR - https://app.dimensions.ai/details/publication/pub.1031285859 AN - pub.1031285859 Y2 - 2021/02/04/ ER - TY - JOUR TI - Work satisfaction and the relationship between the psychological contract and an employee’s intention to quit. The results of a survey of public administration employees in Poland AU - Rogozińska-Pawełczyk, Anna T2 - JEEMS Journal of East European Management Studies DA - 2020/// PY - 2020 VL - 25 IS - 2 SP - 301 EP - 324 SN - 0949-6181 DB - Neves 2018 Cited by (6) ER - TY - JOUR TI - Work Strain, Health, and Absenteeism: A Meta-Analysis AU - Darr, Wendy AU - Johns, Gary T2 - Journal of Occupational Health Psychology DA - 2008/// PY - 2008 DO - 10.1037/a0012639 VL - 13 IS - 4 SP - 293 EP - 318 UR - https://app.dimensions.ai/details/publication/pub.1032260317 http://pdfs.semanticscholar.org/89c3/7955f34b2c65c6ea7dc3010366e41ba7a389.pdf AN - pub.1032260317 DB - Turget 2016 Refs (59) Y2 - 2021/02/08/ ER - TY - JOUR TI - Work Stress and Adverse Health Behaviors AU - Heikkilä, Katriina T2 - Handbook of Socioeconomic Determinants of Occupational Health: From Macro-level to Micro-level Evidence DA - 2020/// PY - 2020 SP - 1 EP - 13 SN - 3030050319 DB - Allard 2011 Cited By ER - TY - JOUR TI - Work stress and altered biomarkers: a synthesis of findings based on the effort–reward imbalance model AU - Siegrist, Johannes AU - Li, Jian T2 - International journal of environmental research and public health DA - 2017/// PY - 2017 VL - 14 IS - 11 SP - 1373 DB - Eller 2011 Cited By (21) ER - TY - JOUR TI - Work stress and autonomic nervous system activity AU - Jarczok, Marc N AU - Jarczok, Marion AU - Thayer, Julian F T2 - Handbook of Socioeconomic Determinants of Occupational Health: From Macro-level to Micro-level Evidence DA - 2020/// PY - 2020 SP - 1 EP - 33 SN - 3030050319 DB - Eller 2011 Cited By (21) ER - TY - JOUR TI - Work stress and coronary heart disease: what are the mechanisms? AU - Chandola, Tarani AU - Britton, Annie AU - Brunner, Eric AU - Hemingway, Harry AU - Malik, Marek AU - Kumari, Meena AU - Badrick, Ellena AU - Kivimaki, Mika AU - Marmot, Michael T2 - European Heart Journal DA - 2008/// PY - 2008 DO - 10.1093/eurheartj/ehm584 VL - 29 IS - 5 SP - 640 EP - 648 UR - https://app.dimensions.ai/details/publication/pub.1048643229 https://academic.oup.com/eurheartj/article-pdf/29/5/640/1202967/ehm584.pdf AN - pub.1048643229 DB - Basu 2016 Refs (22) Y2 - 2021/02/04/ ER - TY - JOUR TI - Work stress and health risk behavior AU - Siegrist, Johannes AU - Rödel, Andreas T2 - Scandinavian Journal of Work, Environment & Health DA - 2006/// PY - 2006 DO - 10.5271/sjweh.1052 VL - 32 IS - 6 SP - 473 EP - 81 UR - https://app.dimensions.ai/details/publication/pub.1072736566 http://www.sjweh.fi/download.php?abstract_id=1052&file_nro=1 AN - pub.1072736566 DB - Allard 2011 Refs (45) Y2 - 2021/02/04/ ER - TY - JOUR TI - Work Stress and Metabolic Syndrome in Police Officers. A Prospective Study AU - Garbarino, S. AU - Magnavita, N. T2 - PLoS One AB - OBJECTIVE: The aim of this longitudinal study was to evaluate the association between occupational stress and metabolic syndrome (MetS) in a rapid response police unit. METHOD: Work-related stress was continuously monitored during the 5-year period with both the Demand-Control-Support (DCS) and the Effort-Reward Imbalance (ERI) models. Blood pressure, body mass index (BMI), waist circumference, triglycerides, HDL-cholesterol, and fasting blood glucose were measured at baseline in January 2009, and in January 2014. 234 out of 290 police officers (81%) completed the follow-up. RESULTS: The majority of police officers had high stress levels. At follow-up, police officers in the highest quartile of stress had significantly higher mean levels of triglycerides, and lower levels of HDL-cholesterol than their colleagues in the lowest quartile. Police officers with high stress had an increased adjusted risk of developing MetS (aOR = 2.68; CI95% = 1.08-6.70), and hypertriglyceridemia (aOR = 7.86; CI95 = 1.29-48.04). Demand and Effort were significant predictors of MetS. CONCLUSION: Our study supports the hypothesis that work-related stress induces MetS, particularly through its effects on blood lipids. Future longitudinal studies with continuous monitoring of stress levels will definitively confirm this hypothesis. DA - 2015/// PY - 2015 DO - 10.1371/journal.pone.0144318 VL - 10 IS - 12 SP - e0144318 SN - 1932-6203 (Electronic) 1932-6203 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/26641879 AN - 26641879 DB - Allard 2011 Cited By KW - Adult KW - Humans KW - Male KW - Risk Factors KW - Workforce KW - Logistic Models KW - Longitudinal Studies KW - Prospective Studies KW - Socioeconomic Factors KW - Body Mass Index KW - Italy KW - *Police KW - Blood Pressure/physiology KW - Cholesterol, HDL/blood KW - Metabolic Syndrome/*etiology KW - Occupational Diseases/etiology/psychology KW - Stress, Psychological/*complications KW - Triglycerides/blood ER - TY - JOUR TI - Work stress in the etiology of coronary heart disease--a meta-analysis AU - Kivimäki, Mika AU - Virtanen, Marianna AU - Elovainio, Marko AU - Kouvonen, Anne AU - Väänänen, Ari AU - Vahtera, Jussi T2 - Scandinavian Journal of Work, Environment & Health DA - 2006/// PY - 2006 DO - 10.5271/sjweh.1049 VL - 32 IS - 6 SP - 431 EP - 42 UR - https://app.dimensions.ai/details/publication/pub.1072736562 http://www.sjweh.fi/download.php?abstract_id=1049&file_nro=1 AN - pub.1072736562 DB - Elo 2008 Refs (31) Y2 - 2021/02/04/ ER - TY - JOUR TI - Work stress, weight gain and weight loss: evidence for bidirectional effects of job strain on body mass index in the Whitehall II study AU - Kivimäki, M. AU - Head, J. AU - Ferrie, J. E. AU - Shipley, M. J. AU - Brunner, E. AU - Vahtera, J. AU - Marmot, M. G. T2 - International Journal of Obesity DA - 2006/// PY - 2006 DO - 10.1038/sj.ijo.0803229 VL - 30 IS - 6 SP - 982 EP - 987 UR - https://app.dimensions.ai/details/publication/pub.1027360079 https://www.nature.com/articles/0803229.pdf AN - pub.1027360079 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - Work-life balance among shift workers: results from an intervention study about self-rostering AU - Albertsen, Karen AU - Garde, Anne Helene AU - Nabe-Nielsen, Kirsten AU - Hansen, Åse Marie AU - Lund, Henrik AU - Hvid, Helge T2 - International Archives of Occupational and Environmental Health DA - 2014/// PY - 2014 VL - 87 IS - 3 SP - 265 EP - 274 SN - 1432-1246 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Work-life balance, job satisfaction and nurses retention: moderating role of work volition AU - Aamir, Alamzeb AU - Hamid, Abu Bakar Abdul AU - Haider, Maqsood AU - Akhtar, Chaudhry Shoaib T2 - International Journal of Business Excellence DA - 2016/// PY - 2016 VL - 10 IS - 4 SP - 488 EP - 501 SN - 1756-0047 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Work-Life Flexibility Policies: Do Unions Affect Employee Access and Use? AU - Berg, Peter AU - Kossek, Ellen Ernst AU - Misra, Kaumudi AU - Belman, Dale T2 - ILR Review DA - 2014/// PY - 2014 DO - 10.1177/001979391406700105 VL - 67 IS - 1 SP - 111 EP - 137 UR - https://app.dimensions.ai/details/publication/pub.1001168706 AN - pub.1001168706 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Work-privacy conflict and musculoskeletal pain: a population-based test of a stress-sleep-mediation model AU - Elfering, Achim AU - Igic, Ivana AU - Keller, Anita C AU - Meier, Laurenz L AU - Semmer, Norbert K T2 - Health psychology and behavioral medicine DA - 2016/// PY - 2016 VL - 4 IS - 1 SP - 70 EP - 90 SN - 2164-2850 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Work-Related Psychosocial Factors and the Development of Ischemic Heart Disease AU - Eller, Nanna H. AU - Netterstrøm, Bo AU - Gyntelberg, Finn AU - Kristensen, Tage S. AU - Nielsen, Finn AU - Steptoe, Andrew AU - Theorell, Töres T2 - Cardiology in Review DA - 2009/// PY - 2009 DO - 10.1097/crd.0b013e318198c8e9 VL - 17 IS - 2 SP - 83 EP - 97 UR - https://app.dimensions.ai/details/publication/pub.1010611722 AN - pub.1010611722 DB - Barrech 2018 Refs (44) Y2 - 2021/02/04/ ER - TY - JOUR TI - Work-related psychosocial risk factors for stress-related mental disorders: an updated systematic review and meta-analysis AU - van der Molen, Henk F AU - Nieuwenhuijsen, Karen AU - Frings-Dresen, Monique HW AU - de Groene, Gerda T2 - BMJ open DA - 2020/// PY - 2020 VL - 10 IS - 7 SP - e034849 SN - 2044-6055 DB - Inoue 2013 Cited by (44) ER - TY - JOUR TI - Work-related stress factors associated with problem drinking: A study of the Spanish working population AU - Colell, E. AU - Sanchez-Niubo, A. AU - Benavides, F. G. AU - Delclos, G. L. AU - Domingo-Salvany, A. T2 - Am J Ind Med AB - BACKGROUND: Workers may drink to cope with stress or to overcome negative emotions arising from an aversive working context, but results of previous studies are inconclusive on the specific work features affecting alcohol use. METHODS: A cross-sectional study was designed with data on 13,005 working individuals from the Household Survey on Alcohol and Drugs in Spain (EDADES)-2007. We examined the associations between two drinking patterns and four measures of work-related stress factors. RESULTS: Moderate and high levels of exposure to a noxious working environment (OR = 2.15 [95% CI = 1.51-3.06] and OR = 2.23 [95% CI = 1.49-3.36]) and a high level of lack of social support (OR = 1.62 [95% CI = 1.16-2.28]) were associated with heavy drinking, and precariousness with binge drinking for both moderate (OR = 1.22 [95% CI = 1.01-1.46]) and high (OR = 1.33 [95% CI = 1.04-1.70]) levels (OR = 1.21; 95% CI = 1.04-1.40) in men. Significant associations among women were only found when stress factors were analyzed separately. CONCLUSIONS: Preventive practices in the workplace targeting alcohol abuse should consider specific production processes and organizational features. DA - 2014/07//undefined PY - 2014 DO - 10.1002/ajim.22333 VL - 57 IS - 7 SP - 837 EP - 46 SN - 1097-0274 (Electronic) 0271-3586 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/24760618 AN - 24760618 DB - Allard 2011 Cited By KW - Adolescent KW - Adult KW - Female KW - Humans KW - Male KW - Young Adult KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Logistic Models KW - Social Support KW - Cross-Sectional Studies KW - Health Surveys KW - Odds Ratio KW - workplace KW - alcohol drinking KW - Alcoholism/epidemiology/*psychology KW - epidemiology KW - Occupational Diseases/epidemiology/*psychology KW - Spain/epidemiology KW - Stress, Psychological/epidemiology/*etiology ER - TY - JOUR TI - Work-related stress: Implications for physical and mental health AU - Navinés, Ricard AU - Martín-Santos, Rocío AU - Olivé, Victòria AU - Valdés, Manuel T2 - Medicina clínica DA - 2016/// PY - 2016 VL - 146 IS - 8 SP - 359 EP - 366 SN - 1578-8989 DB - Bourbonnais 2006 Cited By (178) ER - TY - JOUR TI - Work‐Family Policies AU - Gassman‐Pines, Anna AU - Goldstein, Rachel T2 - The Wiley Handbook of Early Childhood Development Programs, Practices, and Policies DA - 2017/// PY - 2017 SP - 469 EP - 486 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Work‐related empowerment of the multidisciplinary team at the Rheumatism Foundation Hospital AU - Suominen, Tarja AU - Savikko, Niina AU - Kukkurainen, MarjaLeena AU - Kuokkanen, Liisa AU - Doran, Diane Irvine T2 - International Journal of Nursing Practice DA - 2006/// PY - 2006 DO - 10.1111/j.1440-172x.2006.00555.x VL - 12 IS - 2 SP - 94 EP - 104 UR - https://app.dimensions.ai/details/publication/pub.1053125274 AN - pub.1053125274 DB - Kukkurainen 2012 Refs (35) Y2 - 2021/02/08/ ER - TY - JOUR TI - Work–family conflict and health among working parents: Potential linkages for family science and social neuroscience AU - Grzywacz, Joseph G AU - Smith, Amy M T2 - Family relations DA - 2016/// PY - 2016 VL - 65 IS - 1 SP - 176 EP - 190 SN - 0197-6664 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Work–family conflict and well-being among German couples: A longitudinal and dyadic approach AU - Yucel, Deniz AU - Fan, Wen T2 - Journal of health and social behavior DA - 2019/// PY - 2019 VL - 60 IS - 3 SP - 377 EP - 395 SN - 0022-1465 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Work–family conflict, cardiometabolic risk, and sleep duration in nursing employees AU - Berkman, Lisa F AU - Liu, Sze Yan AU - Hammer, Leslie AU - Moen, Phyllis AU - Klein, Laura Cousino AU - Kelly, Erin AU - Fay, Martha AU - Davis, Kelly AU - Durham, Mary AU - Karuntzos, Georgia T2 - Journal of occupational health psychology DA - 2015/// PY - 2015 VL - 20 IS - 4 SP - 420 SN - 1939-1307 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Work–family conflict, family-supportive supervisor behaviors (FSSB), and sleep outcomes AU - Crain, Tori L AU - Hammer, Leslie B AU - Bodner, Todd AU - Kossek, Ellen Ernst AU - Moen, Phyllis AU - Lilienthal, Richard AU - Buxton, Orfeu M T2 - Journal of occupational health psychology DA - 2014/// PY - 2014 VL - 19 IS - 2 SP - 155 SN - 1939-1307 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Work–family spillover and metabolic syndrome indicators: Findings from a national sample AU - Versey, H Shellae AU - Tan, Mingxuan T2 - Journal of health psychology DA - 2020/// PY - 2020 VL - 25 IS - 10-11 SP - 1771 EP - 1783 SN - 1359-1053 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Work–life balance and firms: a matter of women? AU - Adame, Consolación AU - Caplliure, Eva-María AU - Miquel, María-José T2 - Journal of Business Research DA - 2016/// PY - 2016 VL - 69 IS - 4 SP - 1379 EP - 1383 SN - 0148-2963 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Work–life flexibility for whom? Occupational status and work–life inequality in upper, middle, and lower level jobs AU - Kossek, Ellen Ernst AU - Lautsch, Brenda A T2 - Academy of Management Annals DA - 2018/// PY - 2018 VL - 12 IS - 1 SP - 5 EP - 36 SN - 1941-6520 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Work–life, diversity and intersectionality: A critical review and research agenda AU - Özbilgin, Mustafa F AU - Beauregard, T Alexandra AU - Tatli, Ahu AU - Bell, Myrtle P T2 - International Journal of Management Reviews DA - 2011/// PY - 2011 VL - 13 IS - 2 SP - 177 EP - 198 SN - 1460-8545 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Work–Life, Diversity and Intersectionality: A Critical Review and Research Agendaijmr_291 AU - Özbilgin, Mustafa F AU - Beauregard, T Alexandra AU - Tatli, Ahu AU - Bell, Myrtle P DA - 2010/// PY - 2010 SN - 1468-2370 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Work, family and life-course fit: Does control over work time matter? AU - Moen, Phyllis AU - Kelly, Erin AU - Huang, Qinlei T2 - Journal of Vocational Behavior DA - 2008/// PY - 2008 DO - 10.1016/j.jvb.2008.08.002 VL - 73 IS - 3 SP - 414 EP - 425 UR - https://app.dimensions.ai/details/publication/pub.1023214982 http://europepmc.org/articles/pmc2678808?pdf=render AN - pub.1023214982 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Work/family demands and cardiometabolic risk and sleep duration in extended care employees: multilevel findings from the Work, family and Health Network AU - Berkman, Lisa AU - Liu, Sze Yan AU - Hammer, Leslie AU - Moen, Phyllis AU - Klein, Laura Cousino AU - Kelly, Erin AU - Fay, Martha AU - Davis, Kelly AU - Durham, Mary AU - Karuntzos, Georgia T2 - Journal of Occupational Health DA - 2015/// PY - 2015 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Working From Home and the Division of Housework and Childcare Among Dual Earner Couples During the Pandemic in the UK AU - Chung, Heejung AU - Birkett, Holly AU - Forbes, Sarah AU - Seo, Hyojin DA - 2020/// PY - 2020 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Working hours mismatch, macroeconomic changes, and mental well-being in Europe AU - De Moortel, Deborah AU - Thévenon, Olivier AU - De Witte, Hans AU - Vanroelen, Christophe T2 - Journal of health and social behavior DA - 2017/// PY - 2017 VL - 58 IS - 2 SP - 217 EP - 231 SN - 0022-1465 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Working in a physically dangerous work environment: Employee vitality and sustainable behavior AU - Afshar Jahanshahi, Asghar AU - Brem, Alexander AU - Gholami, Hussain T2 - Sustainability DA - 2019/// PY - 2019 VL - 11 IS - 19 SP - 5170 DB - Hendriksen 2016 Cited by (46) ER - TY - JOUR TI - Working to Live or Living to Work: Should Individuals and Organizations Care? AU - Burke, Ronald J. T2 - Journal of Business Ethics DA - 2008/// PY - 2008 DO - 10.1007/s10551-008-9703-6 VL - 84 IS - Suppl 2 SP - 167 EP - 172 UR - https://app.dimensions.ai/details/publication/pub.1046150714 AN - pub.1046150714 Y2 - 2021/02/04/ ER - TY - JOUR TI - Working While Ill as a Risk Factor for Serious Coronary Events: The Whitehall II Study AU - Kivimäki, Mika AU - Head, Jenny AU - Ferrie, Jane E. AU - Hemingway, Harry AU - Shipley, Martin J. AU - Vahtera, Jussi AU - Marmot, Michael G. T2 - American Journal of Public Health DA - 2005/// PY - 2005 DO - 10.2105/ajph.2003.035873 VL - 95 IS - 1 SP - 98 EP - 102 UR - https://app.dimensions.ai/details/publication/pub.1068842476 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1449859 AN - pub.1068842476 DB - Elo 2008 Refs (31) Y2 - 2021/02/04/ ER - TY - JOUR TI - Workplace building design and office‐based workers' activity: a study of a natural experiment AU - Jancey, Jonine M. AU - McGann, Sarah AU - Creagh, Robyn AU - Blackford, Krysten D. AU - Howat, Peter AU - Tye, Marian T2 - Australian and New Zealand Journal of Public Health DA - 2015/// PY - 2015 DO - 10.1111/1753-6405.12464 VL - 40 IS - 1 SP - 78 EP - 82 UR - https://app.dimensions.ai/details/publication/pub.1014276235 https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/1753-6405.12464 AN - pub.1014276235 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - Workplace Bullying and Psychological Distress AU - Tsuno, Kanami AU - Kawachi, Ichiro AU - Kawakami, Norito AU - Miyashita, Kazuhisa DA - 2018/// PY - 2018 DB - Inoue 2013 Cited by (44) ER - TY - JOUR TI - Workplace bullying and psychological distress: a longitudinal multilevel analysis among Japanese employees AU - Tsuno, Kanami AU - Kawachi, Ichiro AU - Kawakami, Norito AU - Miyashita, Kazuhisa T2 - Journal of occupational and environmental medicine DA - 2018/// PY - 2018 VL - 60 IS - 12 SP - 1067 EP - 1072 SN - 1076-2752 DB - Inoue 2013 Cited by (44) ER - TY - JOUR TI - Workplace design, the physical environment, and human thriving at work AU - Spreitzer, Gretchen AU - Bacevice, Peter AU - Garrett, Lyndon T2 - Organizational behaviour and the physical environment DA - 2019/// PY - 2019 SP - 235 SN - 1351682369 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Workplace financial transparency and Job distress AU - Zheng, Hui AU - Tarrence, Jacob AU - Roscigo, Vincent AU - Schieman, Scott T2 - Social Science Research DA - 2021/// PY - 2021 SP - 102525 SN - 0049-089X DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Workplace Flexibility and Remote Work Best Practices AU - Emek, Sharon DA - 2016/// PY - 2016 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Workplace Health and Well-Being AU - Massey, Alan T2 - Good Health and Well-Being DA - 2020/// PY - 2020 SP - 800 EP - 810 SN - 3319956809 DB - Moen 2016 Cited by (168) ER - TY - JOUR TI - Workplace Health Promotion A Meta-Analysis of Effectiveness AU - Rongen, Anne AU - Robroek, Suzan J. W. AU - van Lenthe, Frank J. AU - Burdorf, Alex T2 - American Journal of Preventive Medicine DA - 2013/// PY - 2013 DO - 10.1016/j.amepre.2012.12.007 VL - 44 IS - 4 SP - 406 EP - 415 UR - https://app.dimensions.ai/details/publication/pub.1013779681 AN - pub.1013779681 DB - Hendriksen 2016 Refs (30) Y2 - 2021/02/04/ ER - TY - JOUR TI - Workplace health promotion for older workers: a systematic literature review AU - Poscia, Andrea AU - Moscato, Umberto AU - La Milia, Daniele Ignazio AU - Milovanovic, Sonja AU - Stojanovic, Jovana AU - Borghini, Alice AU - Collamati, Agnese AU - Ricciardi, Walter AU - Magnavita, Nicola T2 - BMC health services research DA - 2016/// PY - 2016 VL - 16 IS - 5 SP - 415 EP - 428 SN - 1472-6963 DB - Merrill 2011 Cited by (24) ER - TY - JOUR TI - A workplace intervention improves sleep: Results from the randomized controlled Work, Family, and Health Study AU - Olson, Ryan AU - Crain, Tori L AU - Bodner, Todd E AU - King, Rosalind AU - Hammer, Leslie B AU - Klein, Laura Cousino AU - Erickson, Leslie AU - Moen, Phyllis AU - Berkman, Lisa F AU - Buxton, Orfeu M T2 - Sleep Health DA - 2015/// PY - 2015 VL - 1 IS - 1 SP - 55 EP - 65 SN - 2352-7218 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Workplace interventions for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers AU - Parry, SP AU - Coenen, P AU - Shrestha, N AU - ... T2 - Cochrane database … AB - Background The prevalence of musculoskeletal symptoms among sedentary workers is high. Interventions that promote occupational standing or walking have been found to reduce occupational sedentary time, but it is unclear whether these interventions ameliorate … DA - 2019/// PY - 2019 UR - https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD012487.pub2/abstract DB - Robertson 2017 Cited by (23) ER - TY - JOUR TI - Workplace interventions for reducing sitting at work AU - Shrestha, N AU - Kukkonen‐Harjula, KT AU - ... T2 - Cochrane Database … AB - Background A large number of people are employed in sedentary occupations. Physical inactivity and excessive sitting at workplaces have been linked to increased risk of cardiovascular disease, obesity, and all‐cause mortality. Objectives To evaluate the … DA - 2018/// PY - 2018 UR - https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010912.pub4/abstract DB - Brakenridge 2016 Cited by (74) ER - TY - JOUR TI - Workplace interventions for smoking cessation AU - Cahill, Kate AU - Lancaster, Tim T2 - Cochrane Database of Systematic Reviews DA - 2014/// PY - 2014 DO - 10.1002/14651858.cd003440.pub4 IS - 2 SP - cd003440 UR - https://app.dimensions.ai/details/publication/pub.1023403785 AN - pub.1023403785 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Workplace interventions to prevent musculoskeletal and visual symptoms and disorders among computer users: A systematic review AU - Brewer, Shelley AU - Eerd, Dwayne Van AU - Amick Iii, Benjamin C. AU - Irvin, Emma AU - Daum, Kent M. AU - Gerr, Fred AU - Moore, J. Steven AU - Cullen, Kim AU - Rempel, David T2 - Journal of Occupational Rehabilitation DA - 2006/// PY - 2006 DO - 10.1007/s10926-006-9031-6 VL - 16 IS - 3 SP - 317 UR - https://app.dimensions.ai/details/publication/pub.1022123724 AN - pub.1022123724 DB - Robertson 2017 Refs (47) Y2 - 2021/02/08/ ER - TY - JOUR TI - Workplace policies and mental health among working-class, new parents AU - Perry-Jenkins, Maureen AU - Smith, JuliAnna Z AU - Wadsworth, Lauren Page AU - Halpern, Hillary Paul T2 - Community, work & family DA - 2017/// PY - 2017 VL - 20 IS - 2 SP - 226 EP - 249 SN - 1366-8803 DB - Moen 2011 Cited by (240) ER - TY - JOUR TI - Workplace predictors of family-facilitative coworker support AU - Mesmer-Magnus, Jessica AU - Glew, David J T2 - Journal of Workplace Behavioral Health DA - 2012/// PY - 2012 VL - 27 IS - 4 SP - 289 EP - 310 SN - 1555-5240 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Workplace Re-organization and Changes in Physiological Stress Markers AU - Carlsson, Rikke Hinge AU - Hansen, Åse Marie AU - Kristiansen, Jesper AU - Nielsen, Martin Lindhardt AU - Blønd, Morten AU - Netterstrøm, Bo T2 - Occupational Medicine & Health Affairs DA - 2014/// PY - 2014 SP - 1 EP - 8 SN - 2329-6879 DB - Eller 2011 Cited By (21) ER - TY - JOUR TI - Workplace screening programs for chronic disease prevention: a rapid AU - Bellew, Bill AU - St George, Alexis AU - King, Lesley DA - 2012/// PY - 2012 DB - Merrill 2011 Cited by (24) ER - TY - JOUR TI - Workplace Sedentary Behavior and Productivity: A Cross-Sectional Study AU - Rosenkranz, SK AU - Mailey, EL AU - Umansky, E AU - ... T2 - International Journal of … AB - Reducing sedentary behavior in the workplace has become an important public health priority; however, some employers have expressed concerns regarding the potential for reduced productivity if employees are not seated while at work. Therefore, the aim of this … DA - 2020/// PY - 2020 UR - https://www.mdpi.com/1660-4601/17/18/6535 DB - Arundell 2018 Cited by (32) ER - TY - JOUR TI - Workplace Sitting and Height-Adjustable Workstations A Randomized Controlled Trial AU - Neuhaus, Maike AU - Healy, Genevieve N. AU - Dunstan, David W. AU - Owen, Neville AU - Eakin, Elizabeth G. T2 - American Journal of Preventive Medicine DA - 2014/// PY - 2014 DO - 10.1016/j.amepre.2013.09.009 VL - 46 IS - 1 SP - 30 EP - 40 UR - https://app.dimensions.ai/details/publication/pub.1036392391 https://espace.library.uq.edu.au/view/UQ:320388/UQ320388_postprint.pdf AN - pub.1036392391 DB - Arundell 2018 Refs (34) Y2 - 2021/02/08/ ER - TY - JOUR TI - WORKPLACE SOCIAL SUPPORT AND WORK–FAMILY CONFLICT: A META‐ANALYSIS CLARIFYING THE INFLUENCE OF GENERAL AND WORK–FAMILY‐SPECIFIC SUPERVISOR AND ORGANIZATIONAL SUPPORT AU - Kossek, Ellen Ernst AU - Pichler, Shaun AU - Bodner, Todd AU - Hammer, Leslie B. T2 - Personnel Psychology DA - 2011/// PY - 2011 DO - 10.1111/j.1744-6570.2011.01211.x VL - 64 IS - 2 SP - 289 EP - 313 UR - https://app.dimensions.ai/details/publication/pub.1031668568 http://europepmc.org/articles/pmc3116443?pdf=render AN - pub.1031668568 DB - Moen 2016 Refs (94) Y2 - 2021/02/08/ ER - TY - JOUR TI - Workplace Stress Management Interventions and Health Promotion AU - Tetrick, Lois E. AU - Winslow, Carolyn J. T2 - Annual Review of Organizational Psychology and Organizational Behavior DA - 2015/// PY - 2015 DO - 10.1146/annurev-orgpsych-032414-111341 VL - 2 IS - 1 SP - 1 EP - 21 UR - https://app.dimensions.ai/details/publication/pub.1041776030 http://pdfs.semanticscholar.org/5b60/e0f099b9c098c477fc7d71e6b241d84e18e1.pdf AN - pub.1041776030 DB - Jarman 2015 Refs (54) Y2 - 2021/02/08/ ER - TY - JOUR TI - The Workplace Support for Health Scale: Reliability and Validity of a Brief Scale to Measure Employee Perceptions of Wellness AU - Kava, C. M. AU - Passey, D. AU - Harris, J. R. AU - Chan, K. C. G. AU - Hannon, P. A. T2 - Am J Health Promot AB - PURPOSE: To examine the reliability and validity of a brief measure (the Workplace Support for Health [WSH] scale) to assess employees' perceived support for a healthy lifestyle. DESIGN: Repeated cross-sectional surveys. SETTING: We collected employer- and employee-level survey data from small, low-wage workplaces in King County, WA enrolled in a randomized controlled trial. SAMPLE: We analyzed data from 68 workplaces that had 2,820 and 2,640 employees complete surveys at baseline and 15 months, respectively. MEASURES: The WSH scale consisted of five items. To assess validity, we examined associations between the WSH scale and employer implementation of evidence-based interventions for health promotion, employee self-rated health, and job satisfaction. ANALYSIS: We performed an exploratory factor analysis to assess the unidimensionality of the WSH scale items, and produced Cronbach's alpha coefficients to examine scale reliability. We ran regression models using generalized estimating equations to examine validity. RESULTS: The factor analysis indicated one factor, which accounted for 59% of the total variance in the workplace support for health items. The scale had good reliability at baseline (alpha = 0.82) and 15 months (alpha = 0.83). Employer evidence-based intervention implementation was positively associated with WSH. WSH was also associated with higher self-rated health and job satisfaction. These associations indicate good concurrent validity. CONCLUSION: The WSH scale is a reliable and valid measure of perceived workplace support for health. Employers can use the scale to identify gaps in support and create a plan for improvement. DA - 2020/08/18/ PY - 2020 DO - 10.1177/0890117120949807 SP - 890117120949807 SN - 2168-6602 (Electronic) 0890-1171 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/32808553 AN - 32808553 DB - Wieneke 2016 Cited by (23) KW - workplace KW - employee health KW - reliability KW - scale KW - validity KW - workplace support for health ER - TY - JOUR TI - Workplace wellness champions: lessons learned and implications for future programming AU - Amaya, Megan AU - Melnyk, Bernadette Mazurek AU - Buffington, Brenda AU - Battista, Lauren T2 - Building Healthy Academic Communities Journal DA - 2017/// PY - 2017 VL - 1 IS - 1 SP - 59 EP - 67 SN - 2573-7643 DB - Wieneke 2016 Cited by (23) ER - TY - JOUR TI - Workplace-based organizational interventions promoting mental health and happiness among healthcare workers: A realist review AU - Gray, P AU - Senabe, S AU - Naicker, N AU - Kgalamono, S AU - ... T2 - International journal of … AB - Mental illness, deemed globally to account for 32% of years lived with a disability, generates significant impacts on workplaces. In particular, healthcare workers experience high rates of mental ill health such as burnout, stress, and depression due to workplace conditions … DA - 2019/// PY - 2019 UR - https://www.mdpi.com/1660-4601/16/22/4396 DB - Joen 2015 Cited by (37) ER - TY - JOUR TI - Workplace-based organizational interventions promoting mental health and happiness among healthcare workers: A realist review AU - Gray, Patricia AU - Senabe, Sipho AU - Naicker, Nisha AU - Kgalamono, Spo AU - Yassi, Annalee AU - Spiegel, Jerry M T2 - International journal of environmental research and public health DA - 2019/// PY - 2019 VL - 16 IS - 22 SP - 4396 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - Worksite health promotion and social inequalities in health AU - van der Put, Anne C AU - Mandemakers, Jornt J AU - de Wit, John BF AU - Van Der Lippe, Tanja T2 - SSM-population health DA - 2020/// PY - 2020 VL - 10 SP - 100543 SN - 2352-8273 DB - Hendriksen 2016 Cited by (46) ER - TY - JOUR TI - Worksite Opportunities for Wellness (WOW): Effects on cardiovascular disease risk factors after 1 year AU - Racette, Susan B. AU - Deusinger, Susan S. AU - Inman, Cindi L. AU - Burlis, Tamara L. AU - Highstein, Gabrielle R. AU - Buskirk, Trent D. AU - Steger-May, Karen AU - Peterson, Linda R. T2 - Preventive Medicine DA - 2009/// PY - 2009 DO - 10.1016/j.ypmed.2009.06.022 VL - 49 IS - 2-3 SP - 108 EP - 114 UR - https://app.dimensions.ai/details/publication/pub.1007760501 http://europepmc.org/articles/pmc4399499?pdf=render AN - pub.1007760501 DB - Merrill 2011 Refs (18) Y2 - 2021/02/08/ ER - TY - JOUR TI - YANGON UNIVERSITY OF ECONOMICS DEPARTMENT OF MANAGEMENT STUDIES MBA PROGRAMME AU - II, MBA DA - 2019/// PY - 2019 DB - Dupré 2007 Cited By (200) ER - TY - JOUR TI - Year in review in intensive care medicine 2012. II: pneumonia and infection, sepsis, coagulation, hemodynamics, cardiovascular and microcirculation, critical care organization, imaging, ethics and legal issues AU - Antonelli, Massimo AU - Bonten, Marc AU - Cecconi, Maurizio AU - Chastre, Jean AU - Citerio, Giuseppe AU - Conti, Giorgio AU - Curtis, J Randall AU - Hedenstierna, Goran AU - Joannidis, Michael AU - Macrae, Duncan T2 - Intensive care medicine DA - 2013/// PY - 2013 VL - 39 IS - 3 SP - 345 EP - 364 SN - 1432-1238 DB - Quenot 2012 Cited by (105) ER - TY - JOUR TI - You get me: Examining the implications of couples’ depersonalization agreement for employee recovery AU - Wilson, Kelly Schwind AU - Kleshinski, Catherine E AU - Matta, Fadel K T2 - Personnel Psychology DA - 2020/// PY - 2020 SN - 0031-5826 DB - Moen 2016 Cited by (168) ER - TY - ELEC TI - CLEAR T2 - CLEAR AB - The CLEAR Regulatory News blog keeps professional and occupational regulation stakeholders up-to-date on important issues related to administration, legislation and policy; entry to practice; compliance and discipline; and testing and examinations. UR - https://clear.blogs.com/clear/ Y2 - 2021/03/09/17:20:47 ER - TY - ELEC TI - Risk-based regulation of healthcare professionals: What are the implications for pharmacists?: Health, Risk & Society: Vol 13, No 3 UR - https://www.tandfonline.com/doi/abs/10.1080/13698575.2011.558624 Y2 - 2021/03/09/18:02:29 L2 - https://www.tandfonline.com/doi/abs/10.1080/13698575.2011.558624 ER - TY - ELEC TI - Risk-based regulation of healthcare professionals: What are the implications for pharmacists?: Health, Risk & Society: Vol 13, No 3 UR - https://www.tandfonline.com/doi/abs/10.1080/13698575.2011.558624 Y2 - 2021/03/09/18:04:14 L2 - https://www.tandfonline.com/doi/abs/10.1080/13698575.2011.558624 ER - TY - ELEC TI - Risk-based regulation and reforms to fitness to practise tribunals in the United Kingdom: Serving the public interest?: Health, Risk & Society: Vol 18, No 5-6 UR - https://www.tandfonline.com/doi/full/10.1080/13698575.2016.1232374 Y2 - 2021/03/09/18:05:42 L2 - https://www.tandfonline.com/doi/full/10.1080/13698575.2016.1232374 ER - TY - JOUR TI - Professional practice following regulatory change: An evaluation using principles of "Better Regulation" AU - Lynch, Matthew AU - Kodate, Naonori T2 - Research in Social and Administrative Pharmacy AB - Background The provisions in place internationally to regulate the practice of healthcare professionals have undergone significant change. However, this changing regulatory environment as experienced by healthcare professionals in the practice setting has not to date been widely researched. Objective To describe the “lived experience” of pharmacists in community practice in Ireland of the model of regulation introduced by the Pharmacy Act 2007 and their perception of it as fulfilling the seven principles of “better regulation”: Necessity; Effectiveness/Targeted; Proportionality; Transparency; Accountability; Consistency and Agility. Method 20 community pharmacists purposively selected, shared their lived experiences of the Act, as implemented in a semi-structured interview. A qualitative content analysis incorporating a framework analysis based on the seven principles of better regulation was used to analyze the data. Results The Act and its implementation by the Pharmaceutical Society of Ireland (PSI) was not perceived by community pharmacists overall as fulfilling the principles of better regulation. While there was agreement that the Act was necessary, its implementation by the PSI was not viewed as being effective, targeted, proportional and consistent. The PSI was considered to act as a deterrence regulator that is not adequately transparent or accountable. The Act is not sufficiently agile to respond to changes in pharmacy practice. Conclusion Community pharmacists acknowledge the need for the Pharmacy Act but perceive that the PSI needs to adopt a more responsive approach to implementation if the Act is to be considered a model of better regulation. The study findings are of interest as there is little published research on how regulation is experienced by healthcare professionals who are subject to its provisions. The principles of better regulation provide an effective qualitative methodology to examine models of professional regulation based on the “lived experience” of regulatees. DA - 2020/02/01/ PY - 2020 DO - 10.1016/j.sapharm.2019.05.007 DP - ScienceDirect VL - 16 IS - 2 SP - 208 EP - 215 J2 - Research in Social and Administrative Pharmacy LA - en SN - 1551-7411 ST - Professional practice following regulatory change UR - https://www.sciencedirect.com/science/article/pii/S1551741119303973 Y2 - 2021/03/10/13:55:44 L2 - https://www.sciencedirect.com/science/article/abs/pii/S1551741119303973 KW - Implementation KW - Regulation KW - Community pharmacist KW - Healthcare professional KW - Lived experience KW - Pharmacy law ER - TY - ELEC TI - Search CORE UR - https://core.ac.uk/search?q=%22risk-based%20regulation%22%20AND%20(healthcare)&allOfTheWords=&exactPhrase=risk-based%20regulation&atLeastOneOfTheWords=healthcare&withoutTheWords=&advAuthor=&publisher=&advRepository=&yearFrom=&yearTo=&findThoseWords=anywhere&doi= Y2 - 2021/03/23/12:03:48 L2 - https://core.ac.uk/search?q=%22risk-based%20regulation%22%20AND%20(healthcare)&allOfTheWords=&exactPhrase=risk-based%20regulation&atLeastOneOfTheWords=healthcare&withoutTheWords=&advAuthor=&publisher=&advRepository=&yearFrom=&yearTo=&findThoseWords=anywhere&doi= ER - TY - ELEC TI - Guidance_for_regulators_to_implement_outcomes_and_risk-based_regulation-October_2016.pdf UR - https://www.productivity.nsw.gov.au/sites/default/files/2018-05/Guidance_for_regulators_to_implement_outcomes_and_risk-based_regulation-October_2016.pdf Y2 - 2021/03/23/12:45:28 L1 - https://www.productivity.nsw.gov.au/sites/default/files/2018-05/Guidance_for_regulators_to_implement_outcomes_and_risk-based_regulation-October_2016.pdf ER - TY - ELEC TI - Housing with support for older people: a... | HRB Open Research UR - https://hrbopenresearch.org/articles/3-64/v2 Y2 - 2021/04/22/09:30:30 ER - TY - JOUR TI - Housing with support for older people: a mixed-methods systematic review protocol AU - Coyle, Camille AU - Buggy, Sarah AU - Cagney, Olivia AU - Farragher, Louise AU - Lee, Caitriona AU - Patje, Darren AU - Long, Jean T2 - HRB Open Research AB - Background: The implementation of housing with support is rapidly expanding, particularly as life expectancy is increasing throughout the world. This expansion is likely to intensify in the context of coronavirus disease 2019 (COVID-19), which has revealed the risks of relying primarily on nursing homes. This mixed-methods systematic review aims to: 1) explore older people’s perceptions and experiences of housing with support and 2) examine the impact of providing housing with support for older people on their quality of life. Methods: The databases Ovid Medline, Ovid Social Policy & Practice, EBSCO CINAHL, and EBSCO SOCIndex will be searched, and grey literature will also be identified. Quality assessment will be carried out using Joanna Briggs Institute’s Critical Appraisal Checklist for Qualitative Research as well as a tool from the National Institutes of Health for observational cohort studies. This review will employ convergent parallel design; as such, qualitative and quantitative findings will be synthesised separately in the initial stage of analysis. The results from the qualitative and quantitative syntheses will then be integrated in the final stage of the analysis. Conclusion: This systematic review will synthesise the evidence regarding older people’s perceptions and experiences of housing with support and the impact of providing housing with support for older people on their quality of life. DA - 2020/11/11/ PY - 2020 DO - 10.12688/hrbopenres.13124.2 DP - DOI.org (Crossref) VL - 3 SP - 64 J2 - HRB Open Res LA - en SN - 2515-4826 ST - Housing with support for older people UR - https://hrbopenresearch.org/articles/3-64/v2 Y2 - 2021/04/22/10:23:54 L1 - https://hrbopenresearch.org/articles/3-64/v2/pdf L2 - https://hrbopenresearch.org/articles/3-64 ER - TY - RPRT TI - Regional health organisations. An evidence review AU - Quigley, Joan M AU - Coyle, Camille AU - Dwyer, Claire AU - O'Brien, Doireann AU - O'Nolan, Gerald AU - Farragher, Louise AU - Long, Jean AB - Regional health organisations have been implemented in health systems throughout the world as a means of ensuring that health services meet local needs. The aim of this evidence review was to investigate the impact of introducing a regionalised healthcare system and to determine the key barriers to and facilitators of the implementation of regionalisation. We conducted two systematic reviews; the first assessed the impact of regionalisation and the second examined the barriers to and facilitators of regionalisation. We included 33 articles for the systematic review on impact; these articles reported on outcomes such as utilisation of resources, cost, equity, health and care outcomes, and efficiency. The impact of regionalisation on specific outcomes was highly dependent on country context. The second systematic review on barriers to and facilitators of implementation of regionalisation included 27 studies. Three thematic areas were identified across the included studies: influence of central government on regionalisation, balancing competing interests between central government and regional health organisations, and processes and procedures within regional health organisations. We found some evidence to suggest that a regionalised healthcare system could ultimately lead to a healthy population and an efficient health system. However, policymakers need to consider important barriers to and facilitators of effective implementation. Moreover, the implementation of regional health organisations involves a vast array of interconnected elements, which should be reflected in the design of a national monitoring and evaluation framework. Regionalisation is a complex process, for which outcomes are neither straightforward nor predictable, but dependent on a country’s socioeconomic, institutional, and cultural context. CY - Dublin DA - 2019/08/15/ PY - 2019 M3 - HRB Evidence Review PB - Health Research Board UR - https://www.hrb.ie/data-collections-evidence/hrb-evidence-centre/publications/publication/regional-health-organisations-an-evidence-review/returnPage/1/ Y2 - 2021/04/22/10:25:20 KW - HRB KW - HRB Evidence Centre ER - TY - RPRT TI - Housing with Support for Older People. An evidence review AU - Coyle, Camille AU - Buggy, Sarah AU - Cagney, Olivia AU - Farragher, Louise AU - Lee, Caitriona AU - Patje, Darren AU - Long, Jean AB - Housing with support is purpose-built, non-institutional accommodation where older people have their own front door and where support or care services are available. The implementation of housing with support for older people is rapidly expanding, particularly as life expectancy is increasing throughout the world. This expansion is likely to intensify in the context of coronavirus disease 2019 (COVID-19), which has revealed the risks of relying primarily on nursing homes. In order to ensure that housing with support meets the needs of the population it aims to serve, we need to understand the perceptions and experiences of older people themselves. Doing so can allow those involved in policy and practice to incorporate the preferences of older people, which could contribute to more appropriate housing models and to efforts to increase demand for housing with support. Additionally, it is imperative that the expansion of housing with support be informed by a systematic and comprehensive assessment of its impact thus far. Therefore, this mixed methods systematic review aimed to: 1) explore older people’s perceptions and experiences of housing with support and 2) examine the impact of providing housing with support for older people on their quality of life. Following a search of four databases and a grey literature search, 39 qualitative articles and 36 quantitative articles were included. The qualitative and quantitative evidence showed that individual choice and autonomy are crucial for older people to successfully transition to, age in place in, and die in place in housing with support. Additionally, housing with support can allow older people to continue to live in their own locality, allowing them to maintain their previous social networks and access the same amenities and community services, which eases their transition to their new home. Personal care and support services are a key aspect of housing with support, and reablement, cognitive support, and mental health services are particularly important. Yet communal spaces, organised social activities, volunteerism, and mutual support are also fundamental to well-being, as they foster social engagement and create cohesion in the community. Above all, housing with support enables a self-directed life that maximises free choice and independence, which is integral to improving quality of life for older people. CY - Dublin DA - 2021/02/24/ PY - 2021 LA - en PB - Health Research Board UR - https://www.hrb.ie/data-collections-evidence/hrb-evidence-centre/publications/publication/housing-with-support-for-older-people/returnPage/1/ Y2 - 2021/04/22/10:45:32 L2 - https://www.hrb.ie/data-collections-evidence/hrb-evidence-centre/publications/publication/housing-with-support-for-older-people/returnPage/1/ ER - TY - ELEC TI - Clinical governance, risk and duty of care for aged care providers in times of COVID-19: a look at CPR | Lexology AU - Tan, Russell Kennedy-Melanie AU - Courtney, Anita AU - Harcourt, Victor AU - Heaven, Johanna AB - The additional scrutiny on aged care as a result of COVID-19 draws particular attention to issues such as infection control and workforce management… LA - en ST - Clinical governance, risk and duty of care for aged care providers in times of COVID-19 UR - https://www.lexology.com/library/detail.aspx?g=9c470359-22f3-48f0-8602-dbe612103870 Y2 - 2021/05/20/11:16:31 L2 - https://www.lexology.com/library/detail.aspx?g=9c470359-22f3-48f0-8602-dbe612103870 KW - Australia ER - TY - RPRT TI - Care Standards for Nursing Homes AU - Department of Health, Social Servioces and Public Safety Northern Ireland UR - https://www.rqia.org.uk/RQIA/media/RQIA/Resources/Standards/nursing_homes_standards_-_april_2015.pdf Y2 - 2021/05/20/11:17:53 L1 - https://www.rqia.org.uk/RQIA/media/RQIA/Resources/Standards/nursing_homes_standards_-_april_2015.pdf KW - Northern Ireland ER - TY - RPRT TI - Clinical Guidance for Nursing Home and Residential Care Residents and COVID-19 AU - Scottish Government UR - https://www.careinspectorate.com/images/COVID-19_-_Clinical_Guidance_for_Nursing_Home_and_Residential_Care_Residents.pdf Y2 - 2021/05/20/11:19:33 L1 - https://www.careinspectorate.com/images/COVID-19_-_Clinical_Guidance_for_Nursing_Home_and_Residential_Care_Residents.pdf ER - TY - RPRT TI - COVID-19: Guidance for Nursing and Residential Care Homes in Northern Ireland AU - Northern Ireland Department of Health AB - This guidance is aimed at Health and Social Care Trusts and registered providers of accommodation for people who need personal or nursing care. In addition, there are also important messages for relatives and friends of those in nursing and residential homes. UR - https://www.health-ni.gov.uk/sites/default/files/publications/health/doh-guidance-for-nursing-residential-care-homes-ni.pdf Y2 - 2021/05/20/11:25:00 L1 - https://www.health-ni.gov.uk/sites/default/files/publications/health/doh-guidance-for-nursing-residential-care-homes-ni.pdf KW - Northern Ireland ER - TY - JOUR TI - Quality improvement in long-term care settings: a scoping review of effective strategies used in care homes AU - Chadborn, Neil H. AU - Devi, Reena AU - Hinsliff-Smith, Kathryn AU - Banerjee, Jay AU - Gordon, Adam L. T2 - European Geriatric Medicine AB - To review quality improvement in care homes and identify quality improvement approach, process evaluation and resident outcomes. DA - 2021/02/01/ PY - 2021 DO - 10.1007/s41999-020-00389-w DP - Springer Link VL - 12 IS - 1 SP - 17 EP - 26 J2 - Eur Geriatr Med LA - en SN - 1878-7657 ST - Quality improvement in long-term care settings UR - https://doi.org/10.1007/s41999-020-00389-w Y2 - 2021/05/20/11:29:21 L1 - https://link.springer.com/content/pdf/10.1007%2Fs41999-020-00389-w.pdf ER - TY - JOUR TI - An overview of clinical governance policies, practices and initiatives AU - Braithwaite, Jeffrey AB - Objective: To map the emergence of, and define, clinical governance; to discuss current best practices, and to explore the implications of these for boards oAfusdtirHeecatoltrhsRaenvdISeSxNe:c0u1t5iv6e-s578w8is1hiFnegb-to phreoamlthotseer©rauvAaicrcuyleisns2t i.0Hc0ae8lal3gth2ovR1ee1rv0n-a220n20c8e approach in their www.aushealthre- Methodsv:iewR.ecvoimew.auand analysis of the published and greyGloitevreartunraenocne clinical governance from 1966 to 2006. Medline and CINAHL databases, key journals and websites were systematically searched. Results: Central issues were identified in the literature as key to effective clinical governance. These include: ensuring that links are made between health services’ clinical and corporate governance; the use of clinical governance to promote quality and safety through a focus on quality assurance and continuous improvement; the creation of clinical governance structures to improve safety and quality and manage risk and performance; the development of strategies to ensure the effective exchange of data, knowledge and expertise; and the sponsoring of a patientcentred approach to service delivery. Conclusions: A comprehensive approach to clinical governance necessarily includes the active participation of boards and executives in sponsoring and promoting clinical governance as a quality and safety strategy. Although this is still a relatively recent development, the signs are promising. DA - 2008/// PY - 2008 DP - Zotero VL - 32 IS - 1 SP - 13 LA - en L1 - http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.600.5260&rep=rep1&type=pdf ER - TY - RPRT TI - Caring for an Aging Population in a Post-Pandemic World: Emerging trends in the U.S. Older Adult Care Industry AU - Kong, Lu AU - Hu, Kejia AU - Walsman, Matthew AB - In this paper, we examine older adult care services after a global pandemic and identify new opportunities for care in a post-pandemic world, while recognizing the existing models that will continue successfully. Primary survey data was collected from both the supply side (n=29) and demand side (n=134) of the U.S. older adult care system. The results indicate a trend in the demand side that customers’ preferences for senior care is moving towards de-institutional care options after the outbreak of the Covid-19 pandemic; a development confirmed by the supply side, indicated by occupancy becoming a more challenging issue after pandemic outbreak. Findings also suggest a strong agreement between the demand and supply on the most important aspects of institutional care. Both customers and industry practitioners consider safety and quality of clinical services the top care priority. Lastly, staffing continues to be a major challenge for most institutional practitioners. As the first paper (to the best of our knowledge) that systematically evaluable the situation of the U.S. senior care industry after the pandemic outbreak, our timely results have pinpointed the emerging trends and provide many actionable implications for stakeholders such as care receivers, industry practitioners, and policy makers. CY - Rochester, NY DA - 2021/02/14/ PY - 2021 DP - papers.ssrn.com LA - en M3 - SSRN Scholarly Paper PB - Social Science Research Network SN - ID 3785389 ST - Caring for an Aging Population in a Post-Pandemic World UR - https://papers.ssrn.com/abstract=3785389 Y2 - 2021/05/20/18:15:35 L2 - https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3785389 KW - COVID-19 KW - Healthcare Operations KW - Older Adult Care KW - Service Operations ER - TY - BLOG TI - The Importance Of Nursing Home Transparency And Oversight, Even In The Midst Of A Pandemic | Health Affairs Blog AU - Stevenson, David G. AU - Bonner, Alice AB - During the COVID-19 crisis, nursing home oversight agencies must emphasize transparency while ensuring that residents and staff are connected to the resources and social supports they desperately need. DA - 2020/05/12/ PY - 2020 LA - en UR - https://www.healthaffairs.org/do/10.1377/hblog20200511.431267/full/ Y2 - 2021/05/20/18:32:18 L2 - https://www.healthaffairs.org/do/10.1377/hblog20200511.431267/full/ ER - TY - BLOG TI - The Future Of Nursing Home Regulation: Time For A Conversation? | Health Affairs Blog AU - Stevenson, David G. AB - Stakeholders have expressed divergent views about the current state of nursing home quality and, more specifically, the effectiveness of regulatory oversight efforts. These disagreements arguably limit policy makers’ ability to engage others in constructive dialogue in considering potential reforms and to assess whether they are needed at all. DA - 2019/08/23/ PY - 2019 LA - en ST - The Future Of Nursing Home Regulation UR - https://www.healthaffairs.org/do/10.1377/hblog20180820.660365/full/ Y2 - 2021/05/20/18:33:46 L2 - https://www.healthaffairs.org/do/10.1377/hblog20180820.660365/full/ ER - TY - BLOG TI - Pushing Past The Status Quo To Protect Nursing Home Residents | Health Affairs Blog AU - Stevenson, David G. AB - Providers and advocates may disagree about the scope of the nursing home quality problem and how best to address it, but it is hard for either side to ignore the troubling lapses in care that have been highlighted in congressional testimony and elsewhere. DA - 2019/10/01/ PY - 2019 LA - en UR - https://www.healthaffairs.org/do/10.1377/hblog20190926.292183/full/ Y2 - 2021/05/20/18:33:53 L2 - https://www.healthaffairs.org/do/10.1377/hblog20190926.292183/full/ ER - TY - ELEC TI - Nursing Homes | CMS UR - https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/NHs Y2 - 2021/05/20/18:35:36 L2 - https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/NHs ER - TY - BOOK TI - Regulating aged care: ritualism and the new pyramid AU - Braithwaite, John AU - Makkai, Toni AU - Braithwaite, V. A. CN - RA997 .B695 2007 CY - Cheltenham, UK ; Northampton, MA DA - 2007/// PY - 2007 DP - Library of Congress ISBN SP - 372 LA - en PB - Edward Elgar SN - 978-1-84720-001-3 ST - Regulating aged care L1 - http://johnbraithwaite.com/wp-content/uploads/2016/06/Regulating-Aged-Care-Ritualis.pdf KW - United States KW - Australia KW - Nursing Homes KW - Homes for the Aged KW - Cross-Cultural Comparison KW - Great Britain KW - Nursing homes KW - Inspection KW - legislation & jurisprudence ER - TY - JOUR TI - Regulating U.S. Nursing Homes: Are We Learning From Experience? AU - Walshe, Kieran T2 - Health Affairs AB - The quality of care in U.S. nursing homes has been a recurrent matter of public concern and policy attention for more than thirty years. A complex regulatory system of state licensure and federal certification is in place, but problems of poor quality and neglect and abuse of patients still appear to be endemic. This paper describes how the current system of regulation developed, examines its impact, and draws on the wider literature on regulation to outline some characteristics that may have detracted from its effectiveness and contributed to its disappointing results. Future regulatory reform should pay more attention to the lessons of regulation in other settings and make more use of research and formative evaluation. DA - 2001/11/01/ PY - 2001 DO - 10.1377/hlthaff.20.6.128 DP - healthaffairs.org (Atypon) VL - 20 IS - 6 SP - 128 EP - 144 SN - 0278-2715 ST - Regulating U.S. Nursing Homes UR - https://www.healthaffairs.org/doi/full/10.1377/hlthaff.20.6.128 Y2 - 2021/05/20/18:39:27 L2 - https://www.healthaffairs.org/doi/full/10.1377/hlthaff.20.6.128 ER - TY - CHAP TI - Policy instruments to promote good quality long-term care services AU - Malley, Juliette AU - Trukeschitz, Birgit AU - Trigg, Lisa DA - 2015/// PY - 2015 DP - Zotero SP - 36 LA - en L1 - http://eprints.lse.ac.uk/85136/1/Malley%20et%20al._Policy%20instruments%20to%20promote.pdf ER - TY - JOUR TI - Quality Assurance in Long-Term Care and Development of Quality Indicators in Japan AU - Igarashi, Ayumi AU - Eltaybani, Sameh AU - Takaoka, Manami AU - Noguchi-Watanabe, Maiko AU - Yamamoto-Mitani, Noriko T2 - Gerontology and Geriatric Medicine AB - Dealing with an aging society is a global challenge, and more countries than ever before are now mobilizing their healthcare systems to provide high-quality long-term care (LTC) to older adults. This paper reviews the current situation pertaining to aging and the issues for measuring the LTC quality in Japan. It also introduces current efforts to develop quality indicators for measuring LTC quality. Assuring the quality of LTC and developing indicators to measure its quality is a challenge worldwide. Detailed systems for LTC quality measurement have been developed and managed, primarily in the US. In Japan, on the other hand, such systems do not exist; the public LTC system mostly depends on the evaluation of structural aspects, such as facility structure and staffing. Our research group has been developing quality indicators to measure LTC quality. In the future, we aim to evaluate care quality in various LTC settings using the proposed quality indicators, aiming to improve care quality across LTC settings in the community-based integrated care system. DA - 2020/01/01/ PY - 2020 DO - 10.1177/2333721420975320 DP - SAGE Journals VL - 6 SP - 2333721420975320 J2 - Gerontology and Geriatric Medicine LA - en SN - 2333-7214 UR - https://doi.org/10.1177/2333721420975320 Y2 - 2021/05/20/19:31:00 L1 - https://journals.sagepub.com/doi/pdf/10.1177/2333721420975320 KW - long-term care KW - aging in Japan KW - care quality assurance KW - geriatric care quality indicators ER - TY - JOUR TI - Eurohealth: Enhancing the sustainability of long-term care DA - 2019/// PY - 2019 VL - 25 IS - 4 ER - TY - ELEC TI - Protecting older people in nursing homes: Lessons learned from the COVID-19 first wave AB - Tuesday 15 December 2020 from 12:00-13:00 CET Across Europe, the COVID-19 pandemic has highlighted and exacerbated pre-existing problems in the long-term care sector. Nursing homes have long faced a myriad of financial, staffing, and operational difficulties. The pandemic has ushered in new concerns and, in many countries, nursing home residents have been especially vulnerable to COVID-19. What can we learn from the measures taken during the first wave? And, given the need to understand how governments and the sector itself can strengthen long-term care systems both now and into the future, what can we learn in order to develop a more resilient long-term sector post-COVID? Join us in this webinar to learn more about tackling COVID-19 in nursing homes.Speakers Margrieta Langins, WHO Regional Office for EuropeChristian Berringer, Federal Ministry of Health, GermanyHenk Nies, Vilans – National Centre of Expertise for Long-Term Care, the NetherlandsFacilitators Matthias Wismar & Erica Richardson (European Observatory on Health Systems and Policies)This webinar is part of a series of webinars which draws lessons from country experiences based on the COVID-19 Health System Response Monitor (HSRM) - a joint undertaking with the WHO Regional Office for Europe, the European Commission and the European Observatory. The COVID-19 HSRM builds on the expertise of the Health Systems and Policy Monitor network and the WHO Country Offices and the knowledge and work of colleagues in the Regional Office and DG SANTE who are dealing with the pandemic and supporting countries. The webinar series is indebted to them all.Webinar RecordingClick here for the recording LA - en ST - Protecting older people in nursing homes UR - https://eurohealthobservatory.who.int/news-room/events/item/2020/12/15/default-calendar/protecting-older-people-in-nursing-homes-lessons-learned-from-the-covid-19-first-wave Y2 - 2021/05/20/19:35:13 L2 - https://eurohealthobservatory.who.int/news-room/events/item/2020/12/15/default-calendar/protecting-older-people-in-nursing-homes-lessons-learned-from-the-covid-19-first-wave ER - TY - JOUR TI - Provincial legislative and regulatory standards for pain assessment and management in long-term care homes: a scoping review and in-depth case analysis AU - Gallant, Natasha L. AU - Peckham, Allie AU - Marchildon, Gregory AU - Hadjistavropoulos, Thomas AU - Roblin, Blair AU - Stopyn, Rhonda J. N. T2 - BMC Geriatrics AB - Among Canadian residents living in long-term care (LTC) facilities, and especially among those with limited ability to communicate due to dementia, pain remains underassessed and undermanaged. Although evidence-based clinical guidelines for the assessment and management of pain exist, these clinical guidelines are not widely implemented in LTC facilities. A relatively unexplored avenue for change is the influence that statutes and regulations could exert on pain practices within LTC. This review is therefore aimed at identifying the current landscape of policy levers used across Canada to assess and manage pain among LTC residents and to evaluate the extent to which they are concordant with evidence-based clinical guidelines proposed by an international consensus group consisting of both geriatric pain and public policy experts. DA - 2020/11/09/ PY - 2020 DO - 10.1186/s12877-020-01758-7 DP - BioMed Central VL - 20 IS - 1 SP - 458 J2 - BMC Geriatrics SN - 1471-2318 ST - Provincial legislative and regulatory standards for pain assessment and management in long-term care homes UR - https://doi.org/10.1186/s12877-020-01758-7 Y2 - 2021/05/20/19:50:59 L1 - https://bmcgeriatr.biomedcentral.com/track/pdf/10.1186/s12877-020-01758-7 L2 - https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-020-01758-7 KW - Long-term care KW - Canada KW - Pain management KW - Pain assessment KW - Quality standards ER - TY - ELEC TI - Long-Term Care Homes in Canada – How are They Funded and Regulated? AU - loprespub T2 - HillNotes AB - According to census data, almost 160,000 people lived in Canada’s long-term care (LTC) facilities in 2016. Health Canada defines residential LTC as “living accommodation for people who require onsite delivery of 24 hour, 7 days a week supervised care, including professional health services, personal care and services such as meals, laundry and housekeeping.” DA - 2020/10/22/T15:06:10+00:00 PY - 2020 LA - en-US UR - https://hillnotes.ca/2020/10/22/long-term-care-homes-in-canada-how-are-they-funded-and-regulated/ Y2 - 2021/05/20/19:54:20 L2 - https://hillnotes.ca/2020/10/22/long-term-care-homes-in-canada-how-are-they-funded-and-regulated/ ER - TY - RPRT TI - A Guide to the Long-Term Care Homes Act, 2007 and Regulation 79/10 CN - ISBN 978-1-4435-4691-1 DA - 2011/// PY - 2011 DP - Zotero SP - 137 LA - en L1 - https://www.health.gov.on.ca/en/public/programs/ltc/docs/ltcha_guide_phase1.pdf ER - TY - BILL TI - Long-Term Care Homes Act, 2007, S.O. 2007, c. 8 AB - Welcome to the new e-Laws. It’s now easier than ever to find Ontario laws. We welcome your feedback. DA - 2007/// PY - 2007 LA - en UR - https://www.ontario.ca/laws/view Y2 - 2021/05/20/19:57:44 L2 - https://www.ontario.ca/laws/statute/07l08 ER - TY - BOOK TI - Regulating Long-Term Care Quality AU - Vincent Mor, Tiziana Leone, Anna Maresso AB - The number of elderly people relying on formal long-term care services is dramatically increasing year after year, and the challenge of ensuring the quality and financial stability of care provision is one faced by governments in both the developed and developing world. This edited book is the first to provide a comprehensive international survey of long-term care provision and regulation, built around a series of case studies from Europe, North America and Asia. The analytical framework allows the different approaches that countries have adopted to be compared side by side and readers are encouraged to consider which quality assurance approaches might best meet their own country's needs. Wider issues underpinning the need to regulate the quality of long-term care are also discussed. This timely book is a valuable resource for policymakers working in the health care sector, researchers and students taking graduate courses on health policy and management. DA - 2014/// PY - 2014 LA - en-ie PB - Cambridge UR - https://www.ebooks.com/en-ie/book/1579056/regulating-long-term-care-quality/vincent-mor/ Y2 - 2021/05/20/20:57:53 L2 - https://www.ebooks.com/en-ie/book/1579056/regulating-long-term-care-quality/vincent-mor/ ER - TY - JOUR TI - Regulating Long-Term Care Quality DP - www.academia.edu LA - en UR - https://www.academia.edu/25292775/Regulating_Long_Term_Care_Quality Y2 - 2021/05/24/09:41:43 ER - TY - JOUR TI - Long-Term Care Policy after Covid-19 — Solving the Nursing Home Crisis AU - Werner, Rachel M. AU - Hoffman, Allison K. AU - Coe, Norma B. T2 - New England Journal of Medicine DA - 2020/09/03/ PY - 2020 DO - 10.1056/NEJMp2014811 DP - Taylor and Francis+NEJM VL - 383 IS - 10 SP - 903 EP - 905 SN - 0028-4793 UR - https://doi.org/10.1056/NEJMp2014811 Y2 - 2021/05/24/09:53:28 L1 - https://www.nejm.org/doi/pdf/10.1056/nejmp2014811 L2 - https://www.nejm.org/doi/full/10.1056/nejmp2014811 ER - TY - ELEC TI - Aging and long term care systems : a review of finance and governance arrangements in Europe, North America and Asia-Pacific T2 - World Bank AB - Aging and long term care systems : a review of finance and governance arrangements in Europe, North America and Asia-Pacific (English) LA - en M3 - Text/HTML ST - Aging and long term care systems UR - https://documents.worldbank.org/en/publication/documents-reports/documentdetail/761221511952743424/Aging-and-long-term-care-systems-a-review-of-finance-and-governance-arrangements-in-Europe-North-America-and-Asia-Pacific Y2 - 2021/05/24/09:55:44 L2 - https://documents.worldbank.org/en/publication/documents-reports/documentdetail/761221511952743424/aging-and-long-term-care-systems-a-review-of-finance-and-governance-arrangements-in-europe-north-america-and-asia-pacific ER - TY - JOUR TI - POLICY OPTIONS FOR FINANCING LONG-TERM CARE IN THE U.S. AU - Weiner, Janet AU - Coe, Norma B AU - Hoffman, Allison K AU - Werner, Rachel M DP - Zotero SP - 8 LA - en L1 - https://ldi.upenn.edu/sites/default/files/pdf/LDI%20Issue%20Brief%202020%20Vol.%2023%20No.%203_6_0.pdf ER - TY - RPRT TI - JOINT COMMISSION INTERNATIONAL ACCREDITATION STANDARDS FOR LONG TERM CARE AU - Joint Commission International DA - 2012/// PY - 2012 UR - https://www.jointcommissioninternational.org/-/media/jci/jci-documents/accreditation/long-term-care/long-term-care-standards-onlypdf.pdf Y2 - 2021/05/24/10:03:30 L1 - https://www.jointcommissioninternational.org/-/media/jci/jci-documents/accreditation/long-term-care/long-term-care-standards-onlypdf.pdf ER - TY - ELEC TI - Long-term care staffing study T2 - Ontario.ca AB - Read the advice on staffing in the long-term care sector in response to key recommendations made by the Honourable Eileen E. Gillese, Commissioner of the Long-Term Care Homes Public Inquiry. Download PDF DA - 2020/07/24/T17:05:03-04:00 PY - 2020 LA - en UR - https://www.ontario.ca/page/long-term-care-staffing-study Y2 - 2021/05/24/10:05:34 L2 - https://www.ontario.ca/page/long-term-care-staffing-study ER - TY - ELEC TI - Public Inquiry into the Safety and Security of Residents in the Long-Term Care Homes System UR - https://www.attorneygeneral.jus.gov.on.ca/english/about/pubs/ltc-review/ Y2 - 2021/05/24/10:05:39 L2 - https://www.attorneygeneral.jus.gov.on.ca/english/about/pubs/ltc-review/ ER - TY - JOUR TI - The social care and health systems of nine countries AU - Robertson, Ruth AU - Gregory, Sarah AU - Jabbal, Joni DP - Zotero SP - 60 LA - en L1 - https://www.kingsfund.org.uk/sites/default/files/media/commission-background-paper-social-care-health-system-other-countries.pdf ER - TY - ELEC TI - International Common Data Elements for Residential Long-term Care: Gerontology and Geriatric Medicine T2 - SAGE Journals AB - View articles in this Published Special Issue of Gerontology and Geriatric Medicine LA - en ST - International Common Data Elements for Residential Long-term Care UR - https://journals.sagepub.com/topic/collections-ggm/ggm-1-international_common_data_elements/ggma Y2 - 2021/05/25/06:48:36 L2 - https://journals.sagepub.com/topic/collections-ggm/ggm-1-international_common_data_elements/ggma ER - TY - JOUR TI - The effectiveness of an aged care specific leadership and management program on workforce, work environment, and care quality outcomes: design of a cluster randomised controlled trial AU - Jeon, Yun-Hee AU - Simpson, Judy M AU - Chenoweth, Lynn AU - Cunich, Michelle AU - Kendig, Hal T2 - Implementation Science : IS AB - Background A plethora of observational evidence exists concerning the impact of management and leadership on workforce, work environment, and care quality. Yet, no randomised controlled trial has been conducted to test the effectiveness of leadership and management interventions in aged care. An innovative aged care clinical leadership program (Clinical Leadership in Aged Care − CLiAC) was developed to improve managers’ leadership capacities to support the delivery of quality care in Australia. This paper describes the study design of the cluster randomised controlled trial testing the effectiveness of the program. Methods Twenty-four residential and community aged care sites were recruited as managers at each site agreed in writing to participate in the study and ensure that leaders allocated to the control arm would not be offered the intervention program. Sites undergoing major managerial or structural changes were excluded. The 24 sites were randomly allocated to receive the CLiAC program (intervention) or usual care (control), stratified by type (residential vs. community, six each for each arm). Treatment allocation was masked to assessors and staff of all participating sites. The objective is to establish the effectiveness of the CLiAC program in improving work environment, workforce retention, as well as care safety and quality, when compared to usual care. The primary outcomes are measures of work environment, care quality and safety, and staff turnover rates. Secondary outcomes include manager leadership capacity, staff absenteeism, intention to leave, stress levels, and job satisfaction. Differences between intervention and control groups will be analysed by researchers blinded to treatment allocation using linear regression of individual results adjusted for stratification and clustering by site (primary analysis), and additionally for baseline values and potential confounders (secondary analysis). Outcomes measured at the site level will be compared by cluster-level analysis. The overall costs and benefits of the program will also be assessed. Discussion The outcomes of the trial have the potential to inform actions to enhance leadership and management capabilities of the aged care workforce, address pressing issues about workforce shortages, and increase the quality of aged care services. Trial registration Australian New Zealand Clinical Trials Registry (ACTRN12611001070921) DA - 2013/// PY - 2013 DO - 10.1186/1748-5908-8-126 DP - PubMed Central VL - 8 SP - 126 J2 - Implement Sci SN - 1748-5908 ST - The effectiveness of an aged care specific leadership and management program on workforce, work environment, and care quality outcomes UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3874748/ Y2 - 2021/06/21/08:46:53 L1 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3874748/pdf/1748-5908-8-126.pdf L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3874748/ ER - TY - JOUR TI - Challenges of 21st-century health governance AU - MacVane Phipps, Fiona T2 - International Journal of Health Governance AB - Purpose The purpose of this review is to provide an overview of the articles included within one issue of International Journal of Health Governance (IJHG) together with some commentary and reference to other published works. Design/methodology/approach The design is a literature review based on the articles in the current issue of IJHG. Other literature studies are referred to for expansion or clarification of the discussion. Findings Finding ways to provide efficient, equitable and compassionate care continues to occupy the minds of health managers and health professionals. Originality/value The originality value lies in the fact that IJHG is the only journal in the Emerald suite of health care–related publications that includes a regular review of this type. DA - 2020/01/01/ PY - 2020 DO - 10.1108/IJHG-12-2019-0080 DP - Emerald Insight VL - 25 IS - 1 SP - 12 EP - 18 SN - 2059-4631 UR - https://doi.org/10.1108/IJHG-12-2019-0080 Y2 - 2021/06/21/08:47:10 L2 - https://www.emerald.com/insight/content/doi/10.1108/IJHG-12-2019-0080/full/html KW - Public health KW - Culture KW - Clinical governance KW - Effectiveness KW - Emerging healthcare delivery structures KW - Governance structures KW - Organizational development for effective clinical governance ER - TY - BOOK TI - Challenges in long-term care in Europe. A study of national policies AU - Spasova, Slavina AU - Baeten, Rita AU - Coster, Stephanie AU - Ghailani, Dalila AU - Peña-Casas, Ramón AU - Vanhercke, Bart AB - This Synthesis Report produced by the core team of the European Social Policy Network (ESPN) describes the national long-term care provisions in 35 European countries, with a focus on long-term care arrangements for the elderly (65 or over). It analyses the four main challenges which are common to all European countries: the access and adequacy of long-term care provision, the quality of formal home care as well as residential services, the employment of informal carers, and the financial sustainability of national long-term care systems. The report concludes that the 35 countries covered by the ESPN face and will continue to face significant long-term care system challenges and makes a series of recommendations to help overcome them. CY - Brussels DA - 2018/08/01/ PY - 2018 DP - ResearchGate PB - European Commission UR - https://ec.europa.eu/social/BlobServlet?docId=20225&langId=en Y2 - 2021/06/21/ L1 - https://www.researchgate.net/profile/Slavina-Spasova/publication/327573767_Challenges_in_long-term_care_in_Europe_A_study_of_national_policies/links/5be5a66c92851c6b27b26a2c/Challenges-in-long-term-care-in-Europe-A-study-of-national-policies.pdf L4 - https://www.researchgate.net/publication/327573767_Challenges_in_long-term_care_in_Europe_A_study_of_national_policies ER - TY - JOUR TI - Effectiveness of Nurse Practitioners in nursing homes: a systematic review AU - Christian, Robin AU - Baker, Kathy T2 - JBI library of systematic reviews AB - BACKGROUND: There are 1.5 million people living in nursing homes in the United States. The number of people admitted to nursing homes has increased since 1994, and it is expected that the number of people aged 65 and older living in nursing homes will double by the year 2020. Nursing home patients are sicker than they have been in the past 10 years, and the frail, sick patients are more likely to be hospitalized.Unnecessary hospitalization of nursing home patients is a costly and critical problem in our healthcare system. Hospitalization can cause irreversible decline in function for the elderly patient and can "expose residents to iatrogenic disease and delirium".It has been claimed that nurse practitioners (NPs) can play a valuable role in caring for the long term care patient, reducing unnecessary hospital admissions, and supporting the physician's practice. A NP on site in the nursing home can provide quick assessment and treatment when a patient has a change of condition. The NP can intervene and treat the patient as needed, instead of transferring the patient to the hospital for assessment. OBJECTIVES: The objective of this systematic review was to evaluate the effectiveness of having a NP in the nursing home and whether this lead to a decrease in the rate of patient hospitalizations. INCLUSION CRITERIA: Types of Participants This systematic review considered studies that include long term care nursing home residents.Types of Interventions The review considered studies that evaluate utilization of a NP (in collaboration with a physician) as a primary care provider for long term care nursing home patients.Types of Outcomes This review considered studies that include the following outcome measures: incidence of hospitalization, types of hospitalization and duration of hospitalization of nursing home patients.Types of Studies Randomized controlled trials (RCTs) were not identified in the search. Therefore, other research designs, such as non-randomized controlled trials and before and after studies, were included. SEARCH STRATEGY: Major databases were searched for English articles written from 1983 to December 2008. METHODOLOGICAL QUALITY: Seven papers were selected for retrieval, and were assessed by two independent reviewers for methodological validity prior to inclusion in the review using standardized critical appraisal instruments from the Joanna Briggs Institute Meta Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) (). DATA COLLECTION/EXTRACTION: Quantitative data was extracted from papers included in the review using the standardized data extraction tool from JBI-MAStARI (). DATA SYNTHESIS: Statistical pooling was not possible and the findings are presented in narrative form. RESULTS: The review consisted of 12,681 patients in 238 nursing homes. All of the seven included articles found a decrease in hospitalization rates when NPs were utilized as a part of the medical team. Five of the 7 studies found a decrease in ER transfers with the NP group. Garrard, Kane, et al did not measure ER transfers and Kane, Garrard et al found no difference in rate of ER use. Three studies also measured length of hospitalization, and all 3 found that the patients with NPs had shorter lengths of stay. CONCLUSIONS: This review has demonstrated that nurse practitioners can reduce hospitalization and ER transfers of nursing home patients. IMPLICATIONS FOR RESEARCH: It is recommended that more studies be initiated using only Master's prepared advanced practice nurses. IMPLICATIONS FOR PRACTICE: It is recommended that NPs be utilized as primary care providers in nursing homes. Physicians should be encouraged to employ NPs to improve patient outcomes and to assist with patient loads. DA - 2009/// PY - 2009 DO - 10.11124/01938924-200907300-00001 DP - PubMed VL - 7 IS - 30 SP - 1333 EP - 1352 J2 - JBI Libr Syst Rev LA - eng SN - 1838-2142 ST - Effectiveness of Nurse Practitioners in nursing homes L2 - http://www.ncbi.nlm.nih.gov/pubmed/27820158 ER - TY - JOUR TI - Exploring the relationship between governance mechanisms in healthcare and health workforce outcomes: a systematic review AU - Hastings, Stephanie E. AU - Armitage, Gail D. AU - Mallinson, Sara AU - Jackson, Karen AU - Suter, Esther T2 - BMC Health Services Research AB - The objective of this systematic review of diverse evidence was to examine the relationship between health system governance and workforce outcomes. Particular attention was paid to how governance mechanisms facilitate change in the workforce to ensure the effective use of all health providers. DA - 2014/// PY - 2014 DO - 10.1186/1472-6963-14-479 DP - BioMed Central VL - 14 IS - 1 SP - 479 J2 - BMC Health Services Research SN - 1472-6963 ST - Exploring the relationship between governance mechanisms in healthcare and health workforce outcomes UR - https://doi.org/10.1186/1472-6963-14-479 Y2 - 2021/06/21/09:20:43 L1 - https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/1472-6963-14-479 L2 - https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-14-479 KW - Governance KW - Healthcare delivery KW - Magnet accreditation KW - Quality improvement KW - Review KW - Shared governance KW - Work attitudes KW - Workforce outcomes ER - TY - ELEC TI - Cardiff University - Vancouver UR - https://editor.citationstyles.org/styleInfo/?styleId=http%3A%2F%2Fwww.zotero.org%2Fstyles%2Fcardiff-university-vancouver Y2 - 2021/06/21/09:27:15 L2 - https://editor.citationstyles.org/styleInfo/?styleId=http%3A%2F%2Fwww.zotero.org%2Fstyles%2Fcardiff-university-vancouver ER - TY - NEWS TI - Gardaí: There is ‘absolute confusion’ around outdoor alcohol rules AU - O'Brien, Tim T2 - The Irish Times AB - Hospitality industry calls on Government to immediately clarify situation DA - 2021/06/21/ PY - 2021 LA - en ST - Gardaí UR - https://www.irishtimes.com/news/ireland/irish-news/garda%C3%AD-there-is-absolute-confusion-around-outdoor-alcohol-rules-1.4599129 Y2 - 2021/07/21/09:27:56 L2 - https://www.irishtimes.com/news/ireland/irish-news/garda%C3%AD-there-is-absolute-confusion-around-outdoor-alcohol-rules-1.4599129?mode=sample&auth-failed=1&pw-origin=https%3A%2F%2Fwww.irishtimes.com%2Fnews%2Fireland%2Firish-news%2Fgarda%25C3%25AD-there-is-absolute-confusion-around-outdoor-alcohol-rules-1.4599129 ER - TY - BILL TI - Statutory Instruments S.I. No. 286 of 2021. Employment permits (amendment) A2 - Ireland T3 - Ireland DA - 2021/// PY - 2021 LA - en UR - http://www.irishstatutebook.ie/eli/2021/si/286/made/en/pdf Y2 - 2021/06/21/ L1 - http://www.irishstatutebook.ie/eli/2021/si/286/made/en/pdf ER - TY - JOUR TI - Clinical Governance in Italy: 'Made in England' for Import? AU - Garattini, Livio AU - Padula, Anna T2 - Applied Health Economics and Health Policy DA - 2017/10// PY - 2017 DO - 10.1007/s40258-017-0328-8 DP - PubMed VL - 15 IS - 5 SP - 541 EP - 544 J2 - Appl Health Econ Health Policy LA - eng SN - 1179-1896 ST - Clinical Governance in Italy L1 - https://link.springer.com/content/pdf/10.1007%2Fs40258-017-0328-8.pdf L2 - http://www.ncbi.nlm.nih.gov/pubmed/28432644 KW - Humans KW - United Kingdom KW - Health Policy KW - State Medicine KW - Italy KW - Clinical Governance ER - TY - JOUR TI - De-duplication of database search results for systematic reviews in EndNote AU - Bramer, Wichor M. AU - Giustini, Dean AU - de Jonge, Gerdien B. AU - Holland, Leslie AU - Bekhuis, Tanja T2 - Journal of the Medical Library Association : JMLA DA - 2016/07// PY - 2016 DO - 10.3163/1536-5050.104.3.014 DP - PubMed Central VL - 104 IS - 3 SP - 240 EP - 243 J2 - J Med Libr Assoc SN - 1536-5050 UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4915647/ Y2 - 2021/07/07/08:12:08 L1 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4915647/pdf/mlab-104-03-240.pdf L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4915647/ ER - TY - BOOK TI - Cochrane Handbook for Systematic Reviews of Interventions version 6.2 (updated February 2021) AU - Higgins, JPT AU - Thomas, James AU - Chandler, J AU - Cumpston, M AU - Li, T AU - Page, MJ AU - Welch, VA DA - 2021/// PY - 2021 UR - www.training.cochrane.org/handbook Y2 - 2021/07/08/ ER - TY - JOUR TI - Effectiveness of interventions to prevent pre-frailty and frailty progression in older adults: a systematic review AU - Apóstolo, J. AU - Cooke, R. AU - Bobrowicz-Campos, E. AU - Santana, S. AU - Marcucci, M. AU - Cano, A. AU - Vollenbroek-Hutten, M. AU - Germini, F. AU - D'Avanzo, B. AU - Gwyther, H. AU - Holland, C. T2 - JBI Database System Rev Implement Rep AB - OBJECTIVE: To summarize the best available evidence regarding the effectiveness of interventions for preventing frailty progression in older adults. INTRODUCTION: Frailty is an age-related state of decreased physiological reserves characterized by an increased risk of poor clinical outcomes. Evidence supporting the malleability of frailty, its prevention and treatment, has been presented. INCLUSION CRITERIA: The review considered studies on older adults aged 65 and over, explicitly identified as pre-frail or frail, who had been undergoing interventions focusing on the prevention of frailty progression. Participants selected on the basis of specific illness or with a terminal diagnosis were excluded. The comparator was usual care, alternative therapeutic interventions or no intervention. The primary outcome was frailty. Secondary outcomes included: (i) cognition, quality of life, activities of daily living, caregiver burden, functional capacity, depression and other mental health-related outcomes, self-perceived health and social engagement; (ii) drugs and prescriptions, analytical parameters, adverse outcomes and comorbidities; (iii) costs, and/or costs relative to benefits and/or savings associated with implementing the interventions for frailty. Experimental study designs, cost effectiveness, cost benefit, cost minimization and cost utility studies were considered for inclusion. METHODS: Databases for published and unpublished studies, available in English, Portuguese, Spanish, Italian and Dutch, from January 2001 to November 2015, were searched. Critical appraisal was conducted using standardized instruments from the Joanna Briggs Institute. Data was extracted using the standardized tools designed for quantitative and economic studies. Data was presented in a narrative form due to the heterogeneity of included studies. RESULTS: Twenty-one studies, all randomized controlled trials, with a total of 5275 older adults and describing 33 interventions, met the criteria for inclusion. Economic analyses were conducted in two studies. Physical exercise programs were shown to be generally effective for reducing or postponing frailty but only when conducted in groups. Favorable effects on frailty indicators were also observed after the interventions, based on physical exercise with supplementation, supplementation alone, cognitive training and combined treatment. Group meetings and home visits were not found to be universally effective. Lack of efficacy was evidenced for physical exercise performed individually or delivered one-to-one, hormone supplementation and problem solving therapy. Individually tailored management programs for clinical conditions had inconsistent effects on frailty prevalence. Economic studies demonstrated that this type of intervention, as compared to usual care, provided better value for money, particularly for very frail community-dwelling participants, and had favorable effects in some of the frailty-related outcomes in inpatient and outpatient management, without increasing costs. CONCLUSIONS: This review found mixed results regarding the effectiveness of frailty interventions. However, there is clear evidence on the usefulness of such interventions in carefully chosen evidence-based circumstances, both for frailty itself and for secondary outcomes, supporting clinical investment of resources in frailty intervention. Further research is required to reinforce current evidence and examine the impact of the initial level of frailty on the benefits of different interventions. There is also a need for economic evaluation of frailty interventions. DA - 2018/// PY - 2018 DO - 10.11124/jbisrir-2017-003382 DP - NLM VL - 16 IS - 1 SP - 140 EP - 232 LA - eng SN - 2202-4433 UR - https://dx.doi.org/10.11124/jbisrir-2017-003382 AN - 29324562 KW - Humans KW - Primary Health Care KW - Aged KW - Independent Living KW - *Adaptation, Psychological KW - *Frailty KW - *Disease Progression ER - TY - JOUR TI - Systematic review of occupation- and activity-based health management and maintenance interventions for community-dwelling older adults AU - Arbesman, M. AU - Mosley, L. J. T2 - Am J Occup Ther AB - We describe the results of a systematic review of the literature on occupation- and activity-based health management and maintenance interventions for productive aging. We found moderate to strong evidence that client-centered occupational therapy improved physical functioning and occupational performance related to health management in community-dwelling older adults, as well as in adults with osteoarthritis and macular degeneration. We found moderate evidence that health education programs reduce pain and increase physical activity and that individualized health action plans improve activities of daily living function and participation in physical activities. The evidence that self-management programs result in a decrease in pain and disability and that incorporating cognitive-behavioral principles into physical activity improves long-term participation in exercise was also moderate. Although the evidence for skill-specific training in isolation is limited, effectiveness increases when skill-specific training is combined with health management programs. The implications for practice, education, and research are discussed. DA - 2012/// PY - 2012 DO - 10.5014/ajot.2012.003327 DP - NLM VL - 66 IS - 3 SP - 277 EP - 283 LA - eng SN - 0272-9490 UR - https://dx.doi.org/10.5014/ajot.2012.003327 AN - 22549592 KW - Humans KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - *Aging KW - Self Efficacy KW - *Occupational Therapy KW - *Health Promotion KW - Residential Facilities KW - Health Behavior KW - *Health Education ER - TY - JOUR TI - Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach AU - Aromataris, E. AU - Fernandez, R. AU - Godfrey, C. M. AU - Holly, C. AU - Khalil, H. AU - Tungpunkom, P. T2 - Int J Evid Based Healthc AB - AIMS: With the increase in the number of systematic reviews available, a logical next step to provide decision makers in healthcare with the evidence they require has been the conduct of reviews of existing systematic reviews. Syntheses of existing systematic reviews are referred to by many different names, one of which is an umbrella review. An umbrella review allows the findings of reviews relevant to a review question to be compared and contrasted. An umbrella review's most characteristic feature is that this type of evidence synthesis only considers for inclusion the highest level of evidence, namely other systematic reviews and meta-analyses. A methodology working group was formed by the Joanna Briggs Institute to develop methodological guidance for the conduct of an umbrella review, including diverse types of evidence, both quantitative and qualitative. The aim of this study is to describe the development and guidance for the conduct of an umbrella review. METHODS: Discussion and testing of the elements of methods for the conduct of an umbrella review were held over a 6-month period by members of a methodology working group. The working group comprised six participants who corresponded via teleconference, e-mail and face-to-face meeting during this development period. In October 2013, the methodology was presented in a workshop at the Joanna Briggs Institute Convention. Workshop participants, review authors and methodologists provided further testing, critique and feedback on the proposed methodology. RESULTS: This study describes the methodology and methods developed for the conduct of an umbrella review that includes published systematic reviews and meta-analyses as the analytical unit of the review. Details are provided regarding the essential elements of an umbrella review, including presentation of the review question in a Population, Intervention, Comparator, Outcome format, nuances of the inclusion criteria and search strategy. A critical appraisal tool with 10 questions to help assess risk of bias in systematic reviews and meta-analyses was also developed and tested. Relevant details to extract from included reviews and how to best present the findings of both quantitative and qualitative systematic reviews in a reader friendly format are provided. CONCLUSIONS: Umbrella reviews provide a ready means for decision makers in healthcare to gain a clear understanding of a broad topic area. The umbrella review methodology described here is the first to consider reviews that report other than quantitative evidence derived from randomized controlled trials. The methodology includes an easy to use and informative summary of evidence table to readily provide decision makers with the available, highest level of evidence relevant to the question posed. DA - 2015/// PY - 2015 DO - 10.1097/xeb.0000000000000055 DP - NLM VL - 13 IS - 3 SP - 132 EP - 40 LA - eng SN - 1744-1595 UR - https://doi.org/10.1097/xeb.0000000000000055 AN - 26360830 KW - Humans KW - Bias KW - Empirical Research KW - Guidelines as Topic KW - *Meta-Analysis as Topic KW - *Systematic Reviews as Topic KW - Research Design/*standards KW - *Review Literature as Topic KW - Evidence-Based Medicine/*organization & administration/standards ER - TY - RPRT TI - Joanna Briggs Institute reviewer's manual AU - Aromataris, E. (ed.) AU - Munn, Z. (ed). CY - Adelaide, Australia DA - 2017/// PY - 2017 PB - Joanna Briggs Institute ER - TY - JOUR TI - New horizons: Reablement - supporting older people towards independence AU - Aspinal, F. AU - Glasby, J. O. N. AU - Rostgaard, T. AU - Tuntland, H. AU - Westendorp, R. G. J. T2 - Age Ageing AB - As the overwhelming majority of older people prefer to remain in their own homes and communities, innovative service provision aims to promote independence of older people despite incremental age associated frailty. Reablement is one such service intervention that is rapidly being adopted across high-income countries and projected to result in significant cost-savings in public health expenditure by decreasing premature admission to acute care settings and long-term institutionalisation. It is an intensive, time-limited intervention provided in people's homes or in community settings, often multi-disciplinary in nature, focussing on supporting people to regain skills around daily activities. It is goal-orientated, holistic and person-centred irrespective of diagnosis, age and individual capacities. Reablement is an inclusive approach that seeks to work with all kinds of frail people but requires skilled professionals who are willing to adapt their practise, as well as receptive older people, families and care staff. Although reablement may just seem the right thing to do, studies on the outcomes of this knowledge-based practice are inconsistent-yet there is an emerging evidence and practice base that suggests that reablement improves performance in daily activities. This innovative service however may lead to hidden side effects such as social isolation and a paradoxical increase in hospital admissions. Some of the necessary evaluative research is already underway, the results of which will help fill some of the evidence gaps outlined here. DA - 2016/// PY - 2016 DO - 10.1093/ageing/afw094 DP - EBSCOhost VL - 45 IS - 5 SP - 574 EP - 578 SN - 0002-0729 UR - https://doi.org/10.1093/ageing/afw094 AN - 118239206. Language: English. Entry Date: 20160927. Revision Date: 20190710. Publication Type: Article. Journal Subset: Biomedical DB - CINAHL Complete KW - Aged KW - Cost Control KW - Socioeconomic Factors KW - Hospitalization KW - Public Policy KW - Social Isolation KW - Aged, 80 and Over KW - Health Promotion -- In Old Age KW - Long Term Care -- Economics KW - Home Rehabilitation KW - Community Living -- Psychosocial Factors -- In Old Age KW - Health Care Delivery, Integrated ER - TY - ELEC TI - AAG fact sheet 2: Australian approaches to reablement in the home support and care program AU - Australian Association of Gerontology (AAG) DA - 2019/// PY - 2019 UR - https://www.aag.asn.au/documents/item/2903 ER - TY - JOUR TI - The design and implementation of a restorative care model for home care AU - Baker, D. I. AU - Gottschalk, M. AU - Eng, C. AU - Weber, S. AU - Tinetti, M. E. T2 - Gerontologist AB - PURPOSE: The increasing demand for geriatric home-based care makes it timely to examine how the existing system can become most effective and efficient in promoting the functional outcomes of older patients. DESIGN AND METHODS: A multidisciplinary work group identified home care agency policies, misconceptions of older adults and their caregivers, and practice patterns of nurses, therapists, and home health aides that can impede patients' progress toward functional independence. This article describes the process that one home care agency used to remove these obstacles. RESULTS AND IMPLICATIONS: The work group developed and implemented a restorative model of care that integrates the medical treatments for acute disease processes and the personal care and rehabilitative interventions directed toward chronic disabilities, to improve the functional outcomes of older adults receiving home care. DA - 2001/// PY - 2001 DO - 10.1093/geront/41.2.257 DP - NLM VL - 41 IS - 2 SP - 257 EP - 263 LA - eng SN - 0016-9013 (Print) 0016-9013 UR - https://doi.org/10.1093/geront/41.2.257 AN - 11327492 KW - Humans KW - Aged KW - Models, Organizational KW - *Activities of Daily Living KW - Pilot Projects KW - Connecticut KW - Patient Care Planning KW - Case Management/*organization & administration KW - Home Care Services/*organization & administration KW - Rehabilitation/*organization & administration ER - TY - JOUR TI - Reablement services for people at risk of needing social care: the MoRe mixed-methods evaluation AU - Beresford, B. AU - Mann, R. AU - Parker, G. AU - Kanaan, M. AU - Faria, R. AU - Rabiee, P. AU - Weatherly, H. AU - Clarke, S. AU - Mayhew, E. AU - Duarte, A. AU - Laver-Fawcett, A. AU - Aspinal, F. T2 - Health Services and Delivery Research AB - BACKGROUND: Reablement is an intensive, time-limited intervention for people at risk of needing social care or an increased intensity of care. Differing from home care, it seeks to restore functioning and self-care skills. In England, it is a core element of intermediate care. The existing evidence base is limited. OBJECTIVES: To describe reablement services in England and develop a service model typology; to conduct a mixed-methods comparative evaluation of service models investigating outcomes, factors that have an impact on outcomes, costs and cost-effectiveness, and user and practitioner experiences; and to investigate specialist reablement services/practices for people with dementia. METHODS: Work package (WP) 1, which took place in 2015, surveyed reablement services in England. Data were collected on organisational characteristics, service delivery and practice, and service costs and caseload. WP2 was an observational study of three reablement services, each representing a different service model. Data were collected on health (EuroQol-5 Dimensions, five-level version) and social care related (Adult Social Care Outcomes Toolkit – self-completed) quality of life, practitioner (Barthel Index of Activities of Daily Living) and self-reported (Nottingham Extended Activities of Daily Living scale) functioning, individual and service characteristics, and resource use. They were collected on entry into reablement (n = 186), at discharge (n = 128) and, for those reaching the point on the study timeline, at 6 months post discharge (n = 64). Interviews with staff and service users explored experiences of delivering or receiving reablement and its perceived impacts. In WP3, staff in eight reablement services were interviewed to investigate their experiences of reabling people with dementia. RESULTS: A total of 201 services in 139 local authorities took part in the survey. Services varied in their organisational base, their relationship with other intermediate care services, their use of outsourced providers, their skill mix and the scope of their reablement input. These characteristics influenced aspects of service delivery and practice. The average cost per case was £1728. Lower than expected sample sizes meant that a comparison of service models in WP2 was not possible. The findings are preliminary. At discharge (T1), significant improvements in mean score on outcome measures, except self-reported functioning, were observed. Further improvements were observed at 6 months post discharge (T2), but these were significant for self-reported functioning only. There was some evidence that individual (e.g. engagement, mental health) and service (e.g. service structure) characteristics were associated with outcomes and resource use at T1. Staff’s views on factors affecting outcomes typically aligned with, or offered possible explanations for, these associations. However, it was not possible to establish the significance of these findings in terms of practice or commissioning decisions. Service users expressed satisfaction with reablement and identified two core impacts: regained independence and, during reablement, companionship. Staff participating in WP3 believed that people with dementia can benefit from reablement, but objectives may differ and expectations for regained independence may be inappropriate. Furthermore, staff believed that flexibility in practice (e.g. duration of home visits) should be incorporated into delivery models and adequate provision made for specialist training of staff. CONCLUSIONS: The study contributes to our understanding of reablement, and what the impacts are on outcomes and costs. Staff believe that reablement can be appropriate for people with dementia. Findings will be of interest to commissioners and service managers. Future research should further investigate the factors that have an impact on outcomes, and reabling people with dementia. FUNDING: The National Institute for Health Research Health Services and Delivery Research programme. The study found differences in the ways localities are delivering reablement, improvements in outcomes were observed and findings indicate that individual and service characteristics impact on these outcomes. eng DA - 2019/// PY - 2019 DO - 10.3310/hsdr07160 VL - 7 IS - 16 SP - 1 EP - 254 LA - eng SN - 2050-4349 UR - https://doi.org/10.3310/hsdr07160 AN - 31017750 ER - TY - JOUR TI - Effectiveness of health promotion, management, and maintenance interventions within the scope of occupational therapy for community-dwelling older adults: A systematic review AU - Berger, S. AU - Escher, A. AU - Mengle, E. AU - Sullivan, N. T2 - Am J Occup Ther AB - OBJECTIVE. This systematic review examined the effectiveness of health promotion, management, and maintenance interventions within the scope of occupational therapy to improve occupational performance and quality of life (QOL) and decrease health care utilization for community-dwelling older adults.METHOD. Thirty-eight articles representing 36 studies were included in the review. Articles were published 2008–2015 and described studies of participants with a mean age of 65 or older who were living in the community.RESULTS. Strong evidence supports the use of group, individual, or a combination of group and individual interventions to improve occupational performance. Group interventions were also effective at improving QOL. The evidence was insufficient that any of these interventions decreased health care utilization.CONCLUSION. Addressing health promotion, management, and maintenance is within the scope of occupational therapy practice and has been shown to improve occupational performance and QOL for older adults. Implications for practice and future research are discussed. DA - 2018/// PY - 2018 DO - 10.5014/ajot.2018.030346 VL - 72 IS - 4 SP - 7204190010p1 EP - 7204190010p10 SN - 0272-9490 UR - https://doi.org/10.5014/ajot.2018.030346 ER - TY - RPRT TI - Evaluation of home-based reablement: A systematic review AU - Bersvendsen, T. AU - Jungeilges, J. AU - Abildsnes, E. CY - Kristiansand, Norway DA - 2018/// PY - 2018 PB - Universitetet i Agder UR - https://www.uia.no/en/content/download/104410/1609629/file/Evaluation%20of%20home-based%20reablement%20-%20A%20systematic%20review.pdf. ER - TY - JOUR TI - UK self-care support initiatives for older patients with long-term conditions: a review AU - Berzins, K. AU - Reilly, S. AU - Abell, J. AU - Hughes, J. AU - Challis, D. T2 - Chronic Illn AB - OBJECTIVES: Supporting self-care for people with long-term conditions is an aim of UK health policy. As many with long-term conditions are older it is of interest to explore which self-care support interventions have positive impacts for this group. This review explores what types of intervention have been reported in the UK and their impact upon older people. METHODS: Studies were identified using existing reviews, electronic databases and through hand searching journals. After inclusion and exclusion criteria were applied data were extracted from 18 studies. These were summarized in a narrative synthesis supported by summary tables. RESULTS: All studies described interventions to support self-care, many targeted at people with arthritis. All used patient education, usually delivered to groups by a range of professionals. The majority of studies reported some significant positive outcomes, most frequently changes in physical functioning, illness knowledge and increased self-efficacy. The average age of participants was 60. DISCUSSION: This review shows that self-care interventions have had positive effects for older participants but it remains unknown how best to support self-care in participants over 75, a group of people with long-term conditions who may have different needs. DA - 2009/// PY - 2009 DO - 10.1177/1742395309102886 DP - NLM VL - 5 IS - 1 SP - 56 EP - 72 LA - eng SN - 1742-3953 (Print) 1742-3953 UR - https://dx.doi.org/10.1177/1742395309102886 AN - 19276226 KW - Humans KW - Aged KW - United Kingdom KW - *Self Care KW - Patient Education as Topic KW - *Health Policy KW - Chronic Disease/*therapy ER - TY - JOUR TI - Maintaining independence in older people AU - Beswick, A. D. AU - Gooberman-Hill, R. AU - Smith, A. AU - Wylde, V. AU - Ebrahim, S. T2 - Rev Clin Gerontol AB - Appropriate social and medical interventions may help maintain independence in older people. Determinants of functional decline, disability and reduced independence are recognized and specific interventions target the treatment of clinical conditions, multiple health problems and geriatric conditions, prevention of falls and fractures, and maintenance of physical and cognitive function and social engagement.Preventive strategies to identify and treat diverse unmet needs of older people have been researched extensively. We reviewed systematically recent randomized controlled trials evaluating these ‘complex’ interventions and incorporated the findings of 21 studies into an established meta-analysis that included 108,838 people in 110 trials. There was an overall benefit of complex interventions in helping older people to live at home, explained by reduced nursing home admissions rather than death rates. Hospital admissions and falls were also reduced in intervention groups. Benefits were largely restricted to earlier studies, perhaps reflecting general improvements in health and social care for older people. The wealth of high-quality trial evidence endorses the value of preventive strategies to help maintain independence in older people. DA - 2010/// PY - 2010 DO - 10.1017/S0959259810000079 DP - Cambridge University Press VL - 20 IS - 2 SP - 128 EP - 153 SN - 0959-2598 UR - https://dx.doi.org/10.1017/S0959259810000079 DB - Cambridge Core KW - aged KW - systematic review KW - independence KW - geriatric assessment KW - complex intervention KW - randomized controlled trials (as topic) ER - TY - JOUR TI - Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis AU - Beswick, A. D. AU - Rees, K. AU - Dieppe, P. AU - Ayis, S. AU - Gooberman-Hill, R. AU - Horwood, J. AU - Ebrahim, S. T2 - Lancet AB - BACKGROUND: In old age, reduction in physical function leads to loss of independence, the need for hospital and long-term nursing-home care, and premature death. We did a systematic review to assess the effectiveness of community-based complex interventions in preservation of physical function and independence in elderly people. METHODS: We searched systematically for randomised controlled trials assessing community-based multifactorial interventions in elderly people (mean age at least 65 years) living at home with at least 6 months of follow-up. Outcomes studied were living at home, death, nursing-home and hospital admissions, falls, and physical function. We did a meta-analysis of the extracted data. FINDINGS: We identified 89 trials including 97 984 people. Interventions reduced the risk of not living at home (relative risk [RR] 0.95, 95% CI 0.93-0.97). Interventions reduced nursing-home admissions (0.87, 0.83-0.90), but not death (1.00, 0.97-1.02). Risk of hospital admissions (0.94, 0.91-0.97) and falls (0.90, 0.86-0.95) were reduced, and physical function (standardised mean difference -0.08, -0.11 to -0.06) was better in the intervention groups than in other groups. Benefit for any specific type or intensity of intervention was not noted. In populations with increased death rates, interventions were associated with reduced nursing-home admission. Benefit in trials was particularly evident in studies started before 1993. INTERPRETATION: Complex interventions can help elderly people to live safely and independently, and could be tailored to meet individuals' needs and preferences. DA - 2008/// PY - 2008 DO - 10.1016/s0140-6736(08)60342-6 DP - NLM VL - 371 IS - 9614 SP - 725 EP - 35 LA - eng SN - 0140-6736 (Print) 0140-6736 UR - https://dx.doi.org/10.1016/s0140-6736(08)60342-6 AN - 18313501 KW - Humans KW - Randomized Controlled Trials as Topic KW - Aged KW - Frail Elderly KW - *Health Status KW - Patient Discharge KW - Mortality KW - Risk KW - Activities of Daily Living/*classification KW - Housing for the Elderly/*statistics & numerical data KW - Community Networks/organization & administration/*statistics & numerical data KW - Geriatric Assessment/*methods/statistics & numerical data ER - TY - ELEC TI - New developments in adult social care AU - Bolton, J. DA - 2019/// PY - 2019 UR - https://ipc.brookes.ac.uk/publications/pdf/New_Developments_in_Adult_Social_Care.pdf ER - TY - JOUR TI - The effectiveness of local authority social services' occupational therapy for older people in Great Britain: A critical literature review AU - Boniface, G. AU - Mason, M. AU - MacIntyre, J. AU - Synan, C. AU - Riley, J. T2 - Br J Occup Ther AB - Introduction:Older people are the main users of adult social care services in Great Britain. Evidence suggests that occupational therapists employed by local authorities are providing interventions that promote and maintain older people's independence, and decrease dependency on other services. However, such evidence is disparate in nature and lacks synthesis.Method:This literature review systematically selected, critically appraised, and thematically synthesized the post 2000 published and unpublished evidence on the effectiveness and cost effectiveness of occupational therapy interventions for older people in social care services.Findings:Identified themes established: the localized nature of social care services for older people; organizational and policy impacts on services, and factors influencing effectiveness and cost effectiveness. Although occupational therapists are increasingly involved in rehabilitation and reablement, there is a continuing focus on equipment and adaptations provision. A high level of service user satisfaction was identified, once timely occupational therapy services were received.Conclusion:Overall, occupational therapy in social care is perceived as effective in improving quality of life for older people and their carers, and cost effective in making savings for other social and healthcare services. However, the complex nature of social care services makes it difficult to disaggregate the effectiveness of occupational therapy from other services. DA - 2013/// PY - 2013 DO - 10.4276/030802213x13861576675240 VL - 76 IS - 12 SP - 538 EP - 547 UR - https://doi.org/10.4276/030802213X13861576675240 KW - community KW - Social care KW - independence ER - TY - JOUR TI - Physical activity programs for older people in the community receiving home care services: systematic review and meta-analysis AU - Burton, E. AU - Farrier, K. AU - Galvin, R. AU - Johnson, S. AU - Horgan, N. F. AU - Warters, A. AU - Hill, K. D. T2 - Clin Interv Aging AB - The proportion of older adults is increasing around the world and most wish to live in their home until they die. To achieve this, many will require services in the home to remain living independently. To maintain function (ie, strength, balance, and endurance), physical activity needs to be undertaken on a regular basis, and is essential as a person ages. Unfortunately, as people age there is a tendency to reduce activity levels, which often leads to loss of function and frailty, and the need for home care services. This updated systematic review includes a mix of study methodologies and meta-analysis, and investigated the effectiveness of physical activity/exercise interventions for older adults receiving home care services. Eighteen studies including ten randomized controlled trials meeting the selection criteria were identified. Many of the studies were multi-factorial interventions with the majority reporting aims beyond solely trying to improve the physical function of home care clients. The meta-analysis showed limited evidence for effectiveness of physical activity for older adults receiving home care services. Future exercise/physical activity studies working with home care populations should consider focusing solely on physical improvements, and need to include a process evaluation of the intervention to gain a better understanding of the association between adherence to the exercise program and other factors influencing effectiveness. DA - 2019/// PY - 2019 DO - 10.2147/CIA.S205019 VL - 14 SP - 1045 EP - 1064 LA - eng SN - 1178-1998 1176-9092 UR - https://dx.doi.org/10.2147/CIA.S205019 AN - 31239654 DB - PubMed KW - Humans KW - seniors KW - exercise KW - Exercise/*physiology KW - community care KW - Home Care Services/*organization & administration KW - Community Health Services/*methods KW - Exercise Therapy/*methods KW - physical function KW - reablement ER - TY - JOUR TI - Do home-based exercise interventions improve outcomes for frail older people? Findings from a systematic review AU - Clegg, A. P. AU - Barber, S. E. AU - Young, J. B. AU - Forster, A. AU - Iliffe, S. J. T2 - Rev Clin Gerontol AB - BACKGROUND: Frailty is common in older age, and is associated with important adverse health outcomes including increased risk of disability and long-term care admission. OBJECTIVES: To evaluate whether home-based exercise interventions improve outcomes for frail older people. DATA SOURCES: We searched systematically for randomised controlled trials (RCTs) and cluster RCTs, with literature searching to February 2010. STUDY SELECTION: All trials that evaluated home-based exercise interventions for frail older people were eligible. Primary outcomes were mobility, quality of life and daily living activities. Secondary outcomes included long-term care admission and hospitalisation. RESULTS: Six RCTs involving 987 participants met the inclusion criteria. Four trials were considered of high quality. One high quality trial reported improved disability in those with moderate but not severe frailty. Meta-analysis of long-term care admission rates identified a trend towards reduced risk. Inconsistent effects on other primary and secondary outcomes were reported in the other studies. CONCLUSIONS: There is preliminary evidence that home-based exercise interventions may improve disability in older people with moderate, but not severe, frailty. There is considerable uncertainty regarding effects on important outcomes including quality of life and long-term care admission. Home-based exercises are a potentially simple, safe and widely applicable intervention to prevent dependency decline for frail older people. DA - 2012/// PY - 2012 DO - 10.1017/S0959259811000165 VL - 22 IS - 1 SP - 68 EP - 78 LA - eng SN - 0959-2598 1469-9036 UR - https://dx.doi.org/10.1017/S0959259811000165 AN - 27226701 DB - PubMed KW - Frailty KW - systematic review KW - community KW - exercise KW - home-based ER - TY - JOUR TI - Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised AU - Clotworthy, A. AU - Kusumastuti, S. AU - Westendorp, R. G. J. T2 - BMC Geriatrics DA - 2020/// PY - 2020 DO - 10.21203/rs.2.21256/v2 VL - [Preprint] UR - https://doi.org/10.21203/rs.2.21256/v2 AN - PPR155753 ER - TY - JOUR TI - Time-limited home-care reablement services for maintaining and improving the functional independence of older adults AU - Cochrane, A. AU - Furlong, M. AU - McGilloway, S. AU - Molloy, D. W. AU - Stevenson, M. AU - Donnelly, M. T2 - Cochrane Database Syst Rev AB - BACKGROUND: Reablement, also known as restorative care, is one possible approach to home-care services for older adults at risk of functional decline. Unlike traditional home-care services, reablement is frequently time-limited (usually six to 12 weeks) and aims to maximise independence by offering an intensive multidisciplinary, person-centred and goal-directed intervention. OBJECTIVES: To assess the effects of time-limited home-care reablement services (up to 12 weeks) for maintaining and improving the functional independence of older adults (aged 65 years or more) when compared to usual home-care or wait-list control group. SEARCH METHODS: We searched the following databases with no language restrictions during April to June 2015: the Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE (OvidSP); Embase (OvidSP); PsycINFO (OvidSP); ERIC; Sociological Abstracts; ProQuest Dissertations and Theses; CINAHL (EBSCOhost); SIGLE (OpenGrey); AgeLine and Social Care Online. We also searched the reference lists of relevant studies and reviews as well as contacting authors in the field. SELECTION CRITERIA: We included randomised controlled trials (RCTs), cluster randomised or quasi-randomised trials of time-limited reablement services for older adults (aged 65 years or more) delivered in their home; and incorporated a usual home-care or wait-list control group. DATA COLLECTION AND ANALYSIS: Two authors independently assessed studies for inclusion, extracted data, assessed the risk of bias of individual studies and considered quality of the evidence using GRADE. We contacted study authors for additional information where needed. MAIN RESULTS: Two studies, comparing reablement with usual home-care services with 811 participants, met our eligibility criteria for inclusion; we also identified three potentially eligible studies, but findings were not yet available. One included study was conducted in Western Australia with 750 participants (mean age 82.29 years). The second study was conducted in Norway (61 participants; mean age 79 years).We are very uncertain as to the effects of reablement compared with usual care as the evidence was of very low quality for all of the outcomes reported. The main findings were as follows.Functional status: very low quality evidence suggested that reablement may be slightly more effective than usual care in improving function at nine to 12 months (lower scores reflect greater independence; standardised mean difference (SMD) -0.30; 95% confidence interval (CI) -0.53 to -0.06; 2 studies with 249 participants).Adverse events: reablement may make little or no difference to mortality at 12 months' follow-up (RR 0.97; 95% CI 0.74 to 1.29; 2 studies with 811 participants) or rates of unplanned hospital admission at 24 months (RR 0.94; 95% CI 0.85 to 1.03; 1 study with 750 participants).The very low quality evidence also means we are uncertain whether reablement may influence quality of life (SMD -0.23; 95% CI -0.48 to 0.02; 2 trials with 249 participants) or living arrangements (RR 0.92, 95% CI 0.62 to 1.34; 1 study with 750 participants) at time points up to 12 months. People receiving reablement may be slightly less likely to have been approved for a higher level of personal care than people receiving usual care over the 24 months' follow-up (RR 0.87; 95% CI 0.77 to 0.98; 1 trial, 750 participants). Similarly, although there may be a small reduction in total aggregated home and healthcare costs over the 24-month follow-up (reablement: AUD 19,888; usual care: AUD 22,757; 1 trial with 750 participants), we are uncertain about the size and importance of these effects as the results were based on very low quality evidence.Neither study reported user satisfaction with the service. AUTHORS' CONCLUSIONS: There is considerable uncertainty regarding the effects of reablement as the evidence was of very low quality according to our GRADE ratings. Therefore, the effectiveness of reablement services cannot be supported or refuted until more robust evidence becomes available. There is an urgent need for high quality trials across different health and social care systems due to the increasingly high profile of reablement services in policy and practice in several countries. DA - 2016/// PY - 2016 DO - 10.1002/14651858.CD010825.pub2 DP - NLM VL - 10 IS - 10 SP - CD010825 LA - eng SN - 1361-6137 UR - https://dx.doi.org/10.1002/14651858.CD010825.pub2 AN - 27726122 KW - Humans KW - Randomized Controlled Trials as Topic KW - Aged KW - Aged, 80 and over KW - Frail Elderly KW - *Independent Living KW - Quality of Life KW - Recovery of Function KW - Time Factors KW - *Activities of Daily Living KW - Mortality KW - Uncertainty KW - Home Care Services/*organization & administration KW - Health Services Needs and Demand/statistics & numerical data KW - Patient-Centered Care/methods/*organization & administration KW - Self Care/*methods ER - TY - JOUR TI - Interventions to prevent disability in frail community-dwelling elderly: a systematic review AU - Daniels, R. AU - van Rossum, E. AU - de Witte, L. AU - Kempen, G. I. AU - van den Heuvel, W. T2 - BMC Health Serv Res AB - BACKGROUND: There is an interest for intervention studies aiming at the prevention of disability in community-dwelling physically frail older persons, though an overview on their content, methodological quality and effectiveness is lacking. METHODS: A search for clinical trials involved databases PubMed, CINAHL and Cochrane Central Register of Controlled Trials and manually hand searching. Trials that included community-dwelling frail older persons based on physical frailty indicators and used disability measures for outcome evaluation were included. The selection of papers and data-extraction was performed by two independent reviewers. Out of 4602 titles, 10 papers remained that met the inclusion criteria. Of these, 9 were of sufficient methodological quality and concerned 2 nutritional interventions and 8 physical exercise interventions. RESULTS: No evidence was found for the effect of nutritional interventions on disability measures. The physical exercise interventions involved 2 single-component programs focusing on lower extremity strength and 6 multi-component programs addressing a variety of physical parameters. Out of 8 physical exercise interventions, three reported positive outcomes for disability. There was no evidence for the effect of single lower extremity strength training on disability. Differences between the multi-component interventions in e.g. individualization, duration, intensity and setting hamper the interpretation of the elements that consistently produced successful outcomes. CONCLUSION: There is an indication that relatively long-lasting and high-intensive multicomponent exercise programs have a positive effect on ADL and IADL disability for community-living moderate physically frail older persons. Future research into disability prevention in physical frail older persons could be directed to more individualized and comprehensive programs. DA - 2008/// PY - 2008 DO - 10.1186/1472-6963-8-278 DP - NLM VL - 8 SP - 278 LA - eng SN - 1472-6963 UR - https://dx.doi.org/10.1186/1472-6963-8-278 AN - 19115992 KW - Humans KW - Randomized Controlled Trials as Topic KW - Aged KW - Mobility Limitation KW - *Activities of Daily Living KW - *Frail Elderly KW - *Exercise Therapy ER - TY - JOUR TI - Home- and community-based occupational therapy improves functioning in frail older people: A systematic review AU - De Coninck, L. AU - Bekkering, G. E. AU - Bouckaert, L. AU - Declercq, A. AU - Graff, M. J. L. AU - Aertgeerts, B. T2 - J Am Geriatr Soc AB - OBJECTIVES: The objective is to assess the effectiveness of occupational therapy to improve performance in daily living activities in community-dwelling physically frail older people. DESIGN: We conducted a systematic review and meta-analysis. We included randomized controlled trials reporting on occupational therapy as intervention, or as part of a multidisciplinary approach. This systematic review was carried out in accordance with the Cochrane methods of systematic reviews of interventions. MEASUREMENTS: Meta-analyses were performed to pool results across studies using the standardized mean difference. The primary outcome measures were mobility, functioning in daily living activities, and social participation. Secondary outcome measures were fear of falling, cognition, disability, and number of falling persons. RESULTS: Nine studies met the inclusion criteria. Overall, the studies were of reasonable quality with low risk of bias. There was a significant increase in all primary outcomes. The pooled result for functioning in daily living activities was a standardized mean difference of -0.30 (95% CI -0.50 to -0.11; P = .002), for social participation -0.44 (95% CI -0.69, -0.19; P = .0007) and for mobility -0.45 (95% CI -0.78 to -0.12; P = .007). All secondary outcomes showed positive trends, with fear of falling being significant. No adverse effects of occupational therapy were found. CONCLUSION: There is strong evidence that occupational therapy improves functioning in community-dwelling physically frail older people. DA - 2017/// PY - 2017 DO - 10.1111/jgs.14889 DP - NLM VL - 65 IS - 8 SP - 1863 EP - 1869 LA - eng SN - 0002-8614 UR - https://doi.org/10.1111/jgs.14889 AN - 28369719 KW - Humans KW - Primary Health Care KW - Aged KW - Independent Living KW - *Frail Elderly KW - *Home Care Services KW - social participation KW - primary care KW - *Activities of Daily Living/psychology KW - frail older people KW - functionality KW - occupational therapy KW - Occupational Therapy/*methods KW - Social Participation/psychology ER - TY - JOUR TI - The acceptability of physical activity interventions to older adults: A systematic review and meta-synthesis AU - Devereux-Fitzgerald, A. AU - Powell, R. AU - Dewhurst, A. AU - French, D. P. T2 - Soc Sci Med AB - RATIONALE: Physical activity can reduce the risk of chronic illnesses, frailty and deterioration of cognitive function in older adults yet few older adults meet recommended levels of physical activity. To increase engagement in physical activity, there is a need to better understand acceptability of physical activity interventions for this population. OBJECTIVE: This article presents a systematic review and meta-synthesis of qualitative studies of independently living older adults' (≥65 years old) experiences of physical activity interventions in non-clinical contexts. METHODS: A systematic search yielded 2612 papers, of which 14 met inclusion criteria, and were synthesised using Thematic Synthesis. Inductive line-by-line coding led to the derivation of descriptive themes. An overview of the coded text allowed cross-case and within-case comparisons where both patterns and anomalies became apparent, informing the generation of analytical themes. FINDINGS: Older adults emphasised fun and enjoyment of social interaction as a motivation to be physically active. Retaining these social bonds could be important for maintenance of physical activity beyond an intervention. Doubts about capabilities or the necessity of moderate physical activity in later life were dispelled through experience of valued short-term functional and psychosocial outcomes. Relating these positive outcomes to being more active increased the perceived value of physical activity. Increased awareness of own capabilities within physical activity interventions translated into older adults being more physically active in other areas of their lives. Focusing on the role of physical activity in improving long-term health is unlikely to encourage participation of many older adults. CONCLUSIONS: To increase engagement, interventions should focus on physical activity as a fun, sociable, achievable pastime for older adults with relevant short-term benefits. DA - 2016/// PY - 2016 DO - 10.1016/j.socscimed.2016.04.006 DP - NLM VL - 158 SP - 14 EP - 23 LA - eng SN - 0277-9536 UR - https://dx.doi.org/10.1016/j.socscimed.2016.04.006 AN - 27104307 KW - Humans KW - Aged KW - Aged, 80 and over KW - *Perception KW - Exercise/*psychology KW - *Physical activity KW - *Acceptability KW - *Enjoyment KW - *Meta-synthesis KW - *Older adults KW - *Value KW - Health Promotion/*methods/*standards KW - Quality of Health Care/standards ER - TY - JOUR TI - Health promotion of frail elderly individuals and at risk of frailty AU - Dias Torres Silva, C. R. AU - Mesquite de Carvalho, K. AU - do Livramento Fortes Figueiredo, M. AU - Lopes Silva-Júnior, F AU - Leite Rangel Andrade, E. M. AU - Tolstenko Nogueira, L. T2 - Rev Bras Enferm DA - 2019/// PY - 2019 DO - 10.1590/0034-7167-2018-0575 VL - 72 SP - 319 EP - 327 SN - 0034-7167 UR - https://dx.doi.org/10.1590/0034-7167-2018-0575. ER - TY - THES TI - A realist synthesis and evaluation of the role and impact of occupational therapists in reablement services AU - Dibsdall, L. AB - Reablement services aim to improve the ability of people experiencing poor health or disability to complete daily living tasks. Existing studies of reablement have identified the primary role of occupational therapists as providers of equipment. This study proposed that occupational therapists have a broader role working with both service users and carers, and reablement support workers. The study aimed to evaluate the role of occupational therapists in reablement from the perspective of occupational therapists in practice and managers and reablement support workers who work with them. A realist approach was taken, commencing with a realist synthesis review of the literature that identified four programme theories concerning occupational therapists in reablement services. These included: the recognition of occupational therapists by others; holistic approaches to assessment and goal setting; the provision of equipment; and working with support workers. The programme theories were tested, refined and expanded using a qualitative case study design. Each of the three case studies consisted of a reablement service that comprised two organisations. Methods of the study included observations and interviews with occupational therapists in practice, interviews with managers and focus groups with reablement support workers. This study contributes to knowledge of occupational therapists in reablement services with the presentation of a conceptual framework for practice, incorporating the original programme theories and two new theories identified in the case study phase, concerning a team approach to reablement. Findings conclude that occupational therapists make a positive contribution to reablement services. Advanced clinical reasoning skills support occupational therapists to undertake assessments, person centred goal setting and select from their toolbox of interventions to support service users. Occupational therapists’ informal and formal training with support workers encourages a reabling ethos. Effective policies, good communication and co-location were identified as factors supporting team working and a shared purpose of reablement. CY - Bristol, England DA - 2019/// PY - 2019 SP - 363 M3 - PhD Thesis PB - University of the West of England, Bristol UR - https://uwe-repository.worktribe.com/output/853755 KW - reablement KW - occupational therapy KW - realist research ER - TY - JOUR TI - Reviewing the reablement approach to caring for older people AU - Doh, D. AU - Smith, R. AU - Gevers, P. T2 - Ageing Soc AB - In this paper we tell of our critical review of reablement – an emerging global practice model in community- and home-based care for older people. Whereas the reablement approach is gaining global acceptance, there are questions and concerns among researchers and policy makers about what reablement means and how it is used in practice. We examined the literature on reablement between 2005 and 2017 using clearly defined inclusion criteria. We focused on identifying within authors’ accounts its essential features and how it is practised. In our examination of conceptualisation, we found nine essential features of reablement, the most predominant being the wish to improve the functionality of clients so they can continue to live in their own homes. Of course, we found variability in policy and geographic contexts, but we were not perturbed by this. Rather, we found the under-representation of social connectivity for clients to be regrettable. We constructed a typology of four theoretical types of reablement to help us reflect on the current state of research and practice, and we tentatively offer this for the consideration of the research, practice and policy communities. DA - 2020/// PY - 2020 DO - 10.1017/S0144686X18001770 DP - Cambridge University Press VL - 40 IS - 6 SP - 1371 EP - 1383 SN - 0144-686X UR - https://dx.doi.org/10.1017/S0144686X18001770 DB - Cambridge Core KW - older people KW - reablement KW - functionality KW - social connectivity ER - TY - JOUR TI - Economic evaluation of social care interventions: lessons drawn from a systematic review of the methods used to evaluate reablement AU - Faria, R. AU - Kiss, N. AU - Aspinal, F. AU - Harden, M. AU - Weatherly, H. T2 - Health Econ Outcome Res DA - 2016/// PY - 2016 DO - 10.4172/2471-268x/1000107 VL - 2 IS - 1 SP - 1000107 UR - https://dx.doi.org/10.4172/2471-268X/1000107 ER - TY - JOUR TI - Factors influencing older people's experiences of participation in autonomous decisions concerning their daily care in their own homes: a review of the literature AU - Fjordside, S. AU - Morville, A. T2 - Int J Older People Nurs AB - AIM: To review the literature on how older people perceive opportunities and limitations with regard to participation in autonomous decisions concerning their daily care in their own homes. BACKGROUND: The perception of personal control plays a critical role in an older person's health and well-being. Little is known about factors that facilitate or hinder older people's autonomous decision-making in their own homes. METHODS: The study has been carried out as a literature review. The following databases were used: CINAHL, PubMed, PsykInfo, Cochrane, SweMed, Embase. Research studies range from 2009 to 2014. RESULTS: The review includes 12 publications. Four core themes are generated: older person's autonomy in their own home; autonomy and relationship; the balance between autonomy and dependency; older people's autonomy and the organisation of home care. CONCLUSION: Older people have a strong inner drive to maintain autonomy in their own home. The autonomy is challenged when the person becomes increasingly dependent on help. The relationship with carers is of vital importance with regard to the person's ability to make autonomous decisions. The organisation of home care restricts older people' scope for autonomy. IMPLICATIONS FOR PRACTICE: Older people's own perspectives on autonomous decisions can contribute to the ongoing debate about how nursing care can be developed with respect to their autonomy. Nursing care demands attention to an older person's desire for autonomy despite dependency. A framework for systematic ethical discussions among carers may improve awareness about factors that facilitate or hinder good personalised care. The organisation of nursing care needs to be shaped in line with best practice for older people. DA - 2016/// PY - 2016 DO - 10.1111/opn.12116 DP - NLM VL - 11 IS - 4 SP - 284 EP - 297 LA - eng SN - 1748-3735 UR - https://dx.doi.org/10.1111/opn.12116 AN - 27019374 KW - Humans KW - older people KW - *Independent Living KW - *Decision Making KW - *Home Care Services KW - *Aged KW - *Personal Autonomy KW - review KW - autonomy KW - daily care KW - private home ER - TY - JOUR TI - Nursing interventions for patients with chronic conditions AU - Frich, L. M. T2 - J Adv Nurs AB - BACKGROUND: Maintaining independence in older people or restoring and encouraging self-management in those with chronic conditions are ways of increasing health-related quality of life and at the same time may achieve cost savings. Nurses often carry out these types of interventions in follow-up home visits. AIMS: To describe nursing interventions during home visits and their effects on people suffering from a range of chronic conditions. METHOD: A structured descriptive review was carried out using the Medline, Embase, PsycINFO, CINAHL and Cochrane databases and the terms chronic or diabetic or arthrit* or pain and randomi* and [(nurs* and care) or (nurs* and interventions)]. FINDINGS: In older people the best outcomes are reached if the target population is 'the younger-old', or if intervention is tailored to elders who have stated health problems. The effect depends on the duration of the follow-up period, number of follow-up visits and personality of the nurse. Follow-up nursing interventions for patients with diabetes can improve psychosocial and health outcomes. Education of health providers and amount of time spent with patients seem to be important for positive outcome. A rheumatology nurse specialist seems to provide equally good clinical results as a rheumatologist and produces better patient-related outcomes. Compared with a multidisciplinary team treating patients in day care or inpatient settings, a rheumatology nurse specialist provides less patient satisfaction, but equally good clinical outcomes. CONCLUSIONS: Patients with chronic conditions often benefited from follow-up visits by nurses. Visits should be multiple, extended over a long-term, and interventions should be individualized. The outcomes may be described as patient satisfaction, good clinical outcomes and cost savings. Future randomized controlled trials should describe nurses' interventions and educational background to enable replication. Randomized controlled trials using the Health Technology Assessment method would permit comparison between studies and be a good foundation for future decision-making. DA - 2003/// PY - 2003 DO - 10.1046/j.1365-2648.2003.02779.x DP - NLM VL - 44 IS - 2 SP - 137 EP - 53 LA - eng SN - 0309-2402 (Print) 0309-2402 UR - https://dx.doi.org/10.1046/j.1365-2648.2003.02779.x AN - 14521681 KW - Humans KW - Randomized Controlled Trials as Topic KW - Aged KW - Activities of Daily Living KW - Quality of Life KW - Patient Satisfaction KW - Cost of Illness KW - Quality of Health Care/*standards KW - Chronic Disease/economics/*nursing KW - Home Care Services/economics/*standards KW - Long-Term Care/*standards ER - TY - JOUR TI - Occupational therapy Intervention to improve outcomes among frail older adults: A scoping review AU - Fritz, H. AU - Seidarabi, S. AU - Barbour, R. AU - Vonbehren, A. T2 - Am J Occup Ther AB - IMPORTANCE: Frailty is common in later life and increases older adults' risk for early disability, institutionalization, and mortality. OBJECTIVE: To explore the research literature on occupational therapy interventions to improve outcomes among frail, community-dwelling older adults. DESIGN: Scoping review of the peer-reviewed literature about occupational therapy interventions and frailty published between January 1996 and January 2017. RESULTS: Ten studies met the inclusion criteria. The majority of the studies focused on adults age 65 yr or older, operationalized frailty as activities of daily living disability, and did not use validated frailty measures to identify frail older adults. Interventions were delivered both as a stand-alone intervention and as part of a multidisciplinary approach. Treatments focused on recommendations and training in use of adaptive devices or assistive technologies, performance of self-care, and recommendations for home modifications. CONCLUSION: Additional research is warranted to build the evidence base and better inform the design and selection of occupational therapy interventions to improve outcomes among frail older adults. DA - 2019/// PY - 2019 DO - 10.5014/ajot.2019.030585 DP - NLM VL - 73 IS - 3 SP - 7303205130p1 EP - 7303205130p12 LA - eng SN - 0272-9490 UR - https://doi.org/10.5014/ajot.2019.030585 AN - 31120843 KW - Humans KW - Aged KW - Independent Living KW - *Activities of Daily Living KW - *Frail Elderly KW - *Occupational Therapy ER - TY - JOUR TI - Health promotion interventions for community-dwelling older people with mild or pre-frailty: a systematic review and meta-analysis AU - Frost, R. AU - Belk, C. AU - Jovicic, A. AU - Ricciardi, F. AU - Kharicha, K. AU - Gardner, B. AU - Iliffe, S. AU - Goodman, C. AU - Manthorpe, J. AU - Drennan, V. M. AU - Walters, K. T2 - BMC Geriatrics AB - Mild or pre-frailty is common and associated with increased risks of hospitalisation, functional decline, moves to long-term care, and death. Little is known about the effectiveness of health promotion in reducing these risks. This systematic review aimed to synthesise randomised controlled trials (RCTs) evaluating home and community-based health promotion interventions for older people with mild/pre-frailty. DA - 2017/// PY - 2017 DO - 10.1186/s12877-017-0547-8 VL - 17 IS - 1 SP - 157 SN - 1471-2318 UR - https://doi.org/10.1186/s12877-017-0547-8 ER - TY - JOUR TI - Specifying the content of home-based health behaviour change interventions for older people with frailty or at risk of frailty: an exploratory systematic review AU - Gardner, B. AU - Jovicic, A. AU - Belk, C. AU - Kharicha, K. AU - Iliffe, S. AU - Manthorpe, J. AU - Goodman, C. AU - Drennan, V. M. AU - Walters, K. T2 - BMJ Open AB - Objectives To identify trials of home-based health behaviour change interventions for frail older people, describe intervention content and explore its potential contribution to intervention effects.Design 15 bibliographic databases, and reference lists and citations of key papers, were searched for randomised controlled trials of home-based behavioural interventions reporting behavioural or health outcomes.Setting Participants' homes.Participants Community-dwelling adults aged ≥65 years with frailty or at risk of frailty.Primary and secondary outcome measures Trials were coded for effects on thematically clustered behavioural, health and well-being outcomes. Intervention content was described using 96 behaviour change techniques, and 9 functions (eg, education, environmental restructuring).Results 19 eligible trials reported 22 interventions. Physical functioning was most commonly assessed (19 interventions). Behavioural outcomes were assessed for only 4 interventions. Effectiveness on most outcomes was limited, with at most 50% of interventions showing potential positive effects on behaviour, and 42% on physical functioning. 3 techniques (instruction on how to perform behaviour, adding objects to environment, restructuring physical environment) and 2 functions (education and enablement) were more commonly found in interventions showing potential than those showing no potential to improve physical function. Intervention content was not linked to effectiveness on other outcomes.Conclusions Interventions appeared to have greatest impact on physical function where they included behavioural instructions, environmental modification and practical social support. Yet, mechanisms of effects are unclear, because impact on behavioural outcomes has rarely been considered. Moreover, the robustness of our findings is also unclear, because interventions have been poorly reported. Greater engagement with behavioural science is needed when developing and evaluating home-based health interventions.PROSPERO registration number ID=CRD42014010370 DA - 2017/// PY - 2017 DO - 10.1136/bmjopen-2016-014127 VL - 7 IS - 2 SP - e014127 UR - https://dx.doi.org/10.1136/bmjopen-2016-014127 ER - TY - JOUR TI - Let's get real about person- and family-centred geriatric home care: A realist synthesis AU - Giosa, J. L. AU - Holyoke, P. AU - Stolee, P. T2 - Can J Aging AB - Cette étude a examiné les mécanismes complexes intervenant lors de la prestation de soins axés sur la personne et la famille (SAPF) par des équipes de soins gériatriques à domicile. Une approche par synthèse réaliste a été utilisée pour élaborer un cadre d'évaluation qui a inclus 159 références provenant de la littérature scientifique, des consultations d'experts canadiens en SAPF, des recherches ciblées dans les bases PubMed/MEDLINE® et CINAHL, et des recensions de la littérature grise canadienne. Les références ont été sélectionnées par deux personnes, selon une approche consensuelle avec évaluation de la qualité. Les données ont été extraites et synthétisées en tenant compte du contexte, des mécanismes et des configurations des résultats dans un cadre théorique de SAPF d'équipe pour les soins gériatriques à domicile. Le cadre présente les contributions spécifiques prédominantes des infirmières, des ergothérapeutes et des physiothérapeutes, leurs apports collectifs impliquant des communications pour des équipes virtuelles, ainsi que le soutien du système nécessité pour la prestation de SAPF d'équipe complets. Les résultats de cette étude pourraient contribuer à l'amélioration de l'éducation sur les SAPF et des lignes directrices sur les pratiques exemplaires, en vue d'assurer une prestation plus intégrée des SAPF dans les soins gériatriques offerts à domicile ou dans d'autres milieux comportant des équipes de soins. This study investigated the complex mechanisms underlying team-based delivery of person- and family-centred care (PFCC) in geriatric home care. Using a realist synthesis approach, an evaluative framework was developed and populated with 159 references from scoping the literature, consulting Canadian experts in PFCC, purposive searching in PubMed/MEDLINE® and Cumulative Index to Nursing and Allied Health Literature (CINAHL), and reviewing grey literature within Canada. References were selected using a two-person review and/or consensus approach and quality appraisal. Data were extracted and synthesized using context, mechanism, and outcome configurations into a theoretical framework of team-based PFCC in geriatric home care. The framework details the predominant discipline-specific contributions of nurses, occupational therapists, and physiotherapists, their collective contributions through communication in the context of a virtual team, and the system-level support required for comprehensive team-based PFCC delivery. Findings from this study could inform improvements to PFCC education, best practice guidelines, and more integrated delivery of PFCC in geriatric home care and other team-based care environments. DA - 2019/// PY - 2019 DO - 10.1017/s0714980819000023 DP - NLM VL - 38 IS - 4 SP - 449 EP - 467 LA - eng SN - 0714-9808 UR - https://doi.org/10.1017/S0714980819000023 AN - 31244451 KW - *aging KW - *équipes interdisciplinaires KW - *geriatrics KW - *gériatrie KW - *home care KW - *interdisciplinary teams KW - *person- and family-centred care KW - *realist synthesis KW - *soins à domicile KW - *soins axés sur la personne et la famille KW - *synthèse réaliste KW - *vieillissement ER - TY - JOUR TI - Home visits for prevention of impairment and death in older adults: A systematic review AU - Grant, S. AU - Parsons, A. AU - Burton, J. AU - Montgomery, P. AU - Underhill, K. AU - Wilson, E. M. T2 - Campbell Systematic Reviews AB - This Campbell systematic review assesses the effectiveness of home visits in preventing impairment, institutionalization, and death in older adults, as well as identifying factors that may moderate effects. The review summarises findings from 64 studies. Overall, home visits are not effective in maintaining the health and autonomy of community-dwelling older adults. Preventive home visits did not reduce absolute mortality, and did not have a significant overall effect on the number of people who were institutionalised. There is high-quality evidence of no effect on falls from interventions targeting fall prevention. There is low-quality evidence of small statistically significant positive effects for functioning and quality of life. It is possible that some programmes have modest effects on institutionalisation and hospitalisation. However, heterogeneity in target population and intervention design, as well as poor reporting of in studies of design, implementation and the control condition make this difficult to determine. Executive summary BACKGROUND Home visits by health and social care professionals aim to prevent cognitive and functional impairment, thus reducing institutionalisation and prolonging life. Visitors may provide health information, investigate untreated or sub-optimally treated problems, encourage compliance with medical care, and provide referrals to services. Previous reviews have reached varying conclusions about their effectiveness. This review sought to assess the effectiveness of preventive home visits for older adults (65+ years) and to identify factors that may moderate effects. OBJECTIVES To systematically review evidence on the effectiveness of preventive home visits for older adults, and to identify factors that may moderate effects. SEARCH STRATEGY We searched the following electronic databases through December 2012 without language restrictions: British Nursing Index and Archive, C2-SPECTR, CINAHL, CENTRAL, EMBASE, IBSS, Medline, Nursing Full Text Plus, PsycINFO, and Sociological Abstracts. Reference lists from previous reviews and from included studies were also examined. SELECTION CRITERIA We included randomised controlled trials enrolling persons without dementia aged over 65 years and living at home. Interventions included visits at home by a health or social care professional that were not directly related to recent hospital discharge. Interventions were compared to usual care, wait-list, or attention controls. DATA COLLECTION AND ANALYSIS Two authors independently extracted data from included studies in pre-specified domains, assessed risk of bias using the Cochrane Risk of Bias tool, and rated the quality of evidence using GRADE criteria. Outcomes were pooled using random effects models. We analyzed effects on mortality, institutionalization, hospitalization, falls, injuries, physical functioning, cognitive functioning, quality of life, and psychiatric illness. RESULTS Sixty-four studies with 28642 participants were included. There was high quality evidence that home visits did not reduce absolute mortality at longest follow-up (Risk ratio=0.93 [0.87 to 0.99]; Risk difference=0.00 [-0.01 to 0.00]). There was moderate quality evidence of no clinically or statistically significant overall effect on the number of people who were institutionalised (Risk ratio=1.02 [0.88, 1.18]) or hospitalised (Risk ratio=0.96 [0.91, 1.01]) during the studies. There was high quality evidence of no statistically significant effect on the number of people who fell (Odds ratio=0.86 [0.73, 1.01]). There was low quality evidence of statistically significant effects for quality of life (Standardised mean difference=-0.06 [-0.11, -0.01]) and very low quality evidence of statistically significant effects for functioning (SMD=-0.10 [-0.17, -0.03]), but these overall effects may not be clinically significant. However, there was heterogeneity in settings, types of visitor, focus of visits, and control groups. We cannot exclude the possibility that some programmes were associated with meaningful benefits. AUTHORS' CONCLUSIONS We were unable to identify reliable effects of home visits overall or in any subset of the studies in this review. It is possible that some home visiting programmes have beneficial effects for community-dwelling older adults, but poor reporting of how interventions and comparisons were implemented prevents more robust conclusions. While it is difficult to draw firm conclusions given these limitations, estimates of treatment effects are statistically precise, and further small studies of multi-component interventions compared with usual care would be unlikely to change the conclusions of this review. If researchers continue to evaluate these types of interventions, they should begin with a clear theory of change, clearly describe the programme theory of change and implementation, and report all outcomes measured. DA - 2014/// PY - 2014 DO - 10.4073/csr.2014.3 VL - 10 IS - 1 SP - 1 EP - 85 SN - 1891-1803 UR - https://doi.org/10.4073/csr.2014.3 ER - TY - JOUR TI - Experiences of health care for older people who need support to live at home: A systematic review of the qualitative literature AU - Gregory, A. AU - Mackintosh, S. AU - Kumar, S. AU - Grech, C. T2 - Geriatr Nurs AB - Perceived experiences of health care for older people who need support to live at home can illuminate areas needing improvement in quality of care, and guide towards better ways to support ageing populations to live at home. This systematic review synthesized findings from the qualitative literature about perceived experiences of health care for older people who need support to live at home, from the perceptions of older people, carers and health providers. Searches of electronic databases and eligibility screening produced 46 included studies for review. Thematic synthesis revealed how health care impacts on the older person's sense of autonomy, both in health care decisions and everyday life. Autonomy is empowered by the older person's own capacity and by respectful conduct of health providers. Engagement between older people, carers and health providers is a negotiated interaction, affected by multiple factors. DA - 2017/// PY - 2017 DO - 10.1016/j.gerinurse.2016.12.001 VL - 38 IS - 4 SP - 315 EP - 324 SN - 0197-4572 UR - https://doi.org/10.1016/j.gerinurse.2016.12.001 KW - Aged KW - Caregivers KW - Qualitative research KW - Home care services KW - Quality of health care ER - TY - RPRT TI - Quality assessment instrument for review articles AU - Health Evidence CY - Ontario, Canada DA - 2016/// PY - 2016 PB - Health Evidence UR - https://www.healthevidence.org/documents/our-appraisal-tools/QA_Tool&Dictionary_10Nov16.pdf. ER - TY - RPRT TI - Home support service for older people AU - Health Service Executive (HSE) CY - Dublin, Ireland DA - 2018/// PY - 2018 PB - Health Service Executive (HSE), UR - https://www.hse.ie/eng/home-support-services/ ER - TY - ELEC TI - Winter planning within the COVID-19 pandemic. October 2020 – April 2021 AU - Health Service Executive (HSE) DA - 2020/// PY - 2020 UR - www.hse.ie/eng/services/publications/winter-planning-within-the-covid19-pandemic-october-2020-april-2021.pdf ER - TY - JOUR TI - Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide AU - Hoffmann, T. C. AU - Glasziou, P. P. AU - Boutron, I. AU - Milne, R. AU - Perera, R. AU - Moher, D. AU - Altman, D. G. AU - Barbour, V. AU - Macdonald, H. AU - Johnston, M. AU - Lamb, S. E. AU - Dixon-Woods, M. AU - McCulloch, P. AU - Wyatt, J. C. AU - Chan, A. W. AU - Michie, S. T2 - BMJ AB - Without a complete published description of interventions, clinicians and patients cannot reliably implement interventions that are shown to be useful, and other researchers cannot replicate or build on research findings. The quality of description of interventions in publications, however, is remarkably poor. To improve the completeness of reporting, and ultimately the replicability, of interventions, an international group of experts and stakeholders developed the Template for Intervention Description and Replication (TIDieR) checklist and guide. The process involved a literature review for relevant checklists and research, a Delphi survey of an international panel of experts to guide item selection, and a face to face panel meeting. The resultant 12 item TIDieR checklist (brief name, why, what (materials), what (procedure), who provided, how, where, when and how much, tailoring, modifications, how well (planned), how well (actual)) is an extension of the CONSORT 2010 statement (item 5) and the SPIRIT 2013 statement (item 11). While the emphasis of the checklist is on trials, the guidance is intended to apply across all evaluative study designs. This paper presents the TIDieR checklist and guide, with an explanation and elaboration for each item, and examples of good reporting. The TIDieR checklist and guide should improve the reporting of interventions and make it easier for authors to structure accounts of their interventions, reviewers and editors to assess the descriptions, and readers to use the information. DA - 2014/// PY - 2014 DO - 10.1136/bmj.g1687 DP - NLM VL - 348 SP - g1687 LA - eng SN - 0959-8138 UR - https://doi.org/10.1136/bmj.g1687 AN - 24609605 KW - Humans KW - Reproducibility of Results KW - Delphi Technique KW - *Program Evaluation KW - Biomedical Research KW - Research Design/*standards KW - *Checklist KW - Clinical Trials as Topic/*standards KW - Research Report/*standards ER - TY - JOUR TI - Occupational therapy interventions to improve performance of instrumental activities of daily living for community-dwelling older adults: A systematic review AU - Hunter, E. G. AU - Kearney, P. J. T2 - Am J Occup Ther AB - OBJECTIVE: We examined the effectiveness of interventions within the scope of occupational therapy to improve the performance of instrumental activities of daily living (IADLs) for community-dwelling older adults. METHOD: We searched and examined the literature (2008 through 2016) using four electronic databases. Fourteen studies met the inclusion criteria and were critically appraised and synthesized. RESULTS: Analysis revealed four thematic areas: cognitive, self-management, prevention, and home-based multidisciplinary rehabilitation interventions. Strong evidence supports the use of tailored, multidisciplinary, home-based care programs to support older adults to maintain IADL improvements over time and the use of cognitive interventions to improve memory, executive function, functional status, and everyday problem solving. In addition, strong evidence indicates that tailored home-based preventive sessions were beneficial to mediate functional disability and satisfaction with performance. CONCLUSION: Evidence supports tailored interventions designed to enhance IADL performance. More studies are needed that focus on IADLs specifically and that use IADLs in their interventions. DA - 2018/// PY - 2018 DO - 10.5014/ajot.2018.031062 DP - NLM VL - 72 IS - 4 SP - 7204190050p1 EP - 7204190050p9 LA - eng SN - 0272-9490 (Print) 0272-9490 UR - https://dx.doi.org/10.5014/ajot.2018.031062 AN - 29953829 KW - Humans KW - Aged KW - *Activities of Daily Living KW - Executive Function KW - Memory KW - Cognition Disorders KW - Occupational Therapy/*methods KW - Aging/*psychology KW - Cognition/*physiology KW - Cognitive Behavioral Therapy/methods KW - Independent Living/*psychology ER - TY - JOUR TI - A pragmatic randomised controlled trial (RCT) and realist evaluation of the interdisciplinary home-bAsed Reablement program (I-HARP) for improving functional independence of community dwelling older people with dementia: an effectiveness-implementation hybrid design AU - Jeon, Y. H. AU - Simpson, J. M. AU - Low, L. F. AU - Woods, R. AU - Norman, R. AU - Mowszowski, L. AU - Clemson, L. AU - Naismith, S. L. AU - Brodaty, H. AU - Hilmer, S. AU - Amberber, A. M. AU - Gitlin, L. N. AU - Szanton, S. T2 - BMC Geriatr AB - BACKGROUND: A major gap exists internationally in providing support to maintain functional and social independence of older people with dementia living at home. This project evaluates a model of care that integrates evidence-based strategies into a person-centred interdisciplinary rehabilitation package: Interdisciplinary Home-bAsed Reablement Program (I-HARP). Two central aims are: 1) to determine the effectiveness of I-HARP on functional independence, mobility, quality of life and depression among people with dementia, their home environmental safety, carer burden and quality of life, and I-HARP cost-effectiveness; and 2) to evaluate the processes, outcomes and influencing factors of the I-HARP implementation. METHODS: I-HARP is a 4-month model of care, integrated in community aged care services and hospital-based community geriatric services, and consists of: 1) 8-12 home visits, tailored to the individual client's needs, by an occupational therapist, registered nurse, and other allied health staff; 2) minor home modifications/assistive devices to the value of  60 years with mild to moderate dementia and his/her carer). During Phase I, I-HARP advisory group is established and training of I-HARP interventionists is completed, and the effectiveness of I-HARP is examined using a pragmatic RCT. Phase II, conducted concurrently with Phase I, focuses on the process evaluation of the I-HARP implementation using a realist approach. Semi-structured interviews with participants and focus groups with I-HARP interventionists and participating site managers will provide insights into the contexts, mechanisms and outcomes of I-HARP. DISCUSSION: I-HARP is being evaluated within the real-world systems of hospital-based and community-based aged care services in Australia. Future directions and strategies for reablement approaches to care for community dwelling people living with dementia, will be developed. The study will provide evidence to inform key stakeholders in their decision making and the use/delivery of the program, as well as influence future systems-thinking and changes for dementia care. TRIAL REGISTRATION: Australian New Zealand Clinical Trial Registry ACTR N12618000600246 (approved 18/04/2018). DA - 2019/// PY - 2019 DO - 10.1186/s12877-019-1216-x DP - NLM VL - 19 IS - 1 SP - 199 LA - eng SN - 1471-2318 UR - https://doi.org/10.1186/s12877-019-1216-x AN - 31357949 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - *Dementia KW - Australia/epidemiology KW - *Cognitive rehabilitation KW - *Community care KW - *Implementation KW - *Interdisciplinary teamwork KW - *Pragmatic trial KW - *Reablement KW - Caregivers/psychology KW - Dementia/*epidemiology/*psychology/therapy KW - Depression/epidemiology/psychology/therapy KW - Home Care Services/*trends KW - Independent Living/*psychology/*trends KW - Quality of Life/psychology ER - TY - ELEC TI - Checklist for systematic reviews and research syntheses AU - Joanna Briggs Institute DA - 2017/// PY - 2017 UR - https://joannabriggs.org/sites/default/files/2019-06/JBI_Critical_Appraisal-Checklist_for_Systematic_Reviews2017.docx. ER - TY - JOUR TI - Use of video communication technology in the light of everyday and/or tele rehabilitation AU - Kirchhoff, R. AU - Berg, H. T2 - Sykepleien Forskning DA - 2016/// PY - 2016 DO - 10.4220/Sykepleienf.2016.57820 SP - 174 EP - 183 UR - https://dx.doi.org/10.4220/Sykepleienf.2016.57820 ER - TY - ELEC TI - Pubmed PubReminer. AU - Koster, J. DA - 2019/// PY - 2019 UR - https://hgserver2.amc.nl/cgi-bin/miner/miner2.cgi ER - TY - JOUR TI - A multicenter investigation of reablement in Norway: a clinical controlled trial AU - Langeland, E. AU - Tuntland, H. AU - Folkestad, B. AU - Førland, O. AU - Jacobsen, F. F. AU - Kjeken, I. T2 - BMC Geriatr AB - Reablement is an emerging approach in rehabilitation services, but evidence for its efficacy is rather weak and inconsistent. The purpose of the present study is therefore to investigate the health effects of reablement in home-dwelling adults. DA - 2019/// PY - 2019 DO - 10.1186/s12877-019-1038-x VL - 19 IS - 1 SP - 29 SN - 1471-2318 UR - https://doi.org/10.1186/s12877-019-1038-x ER - TY - CHAP TI - Chapter 4: Searching for and selecting studies AU - Lefebvre, C. AU - Glanville, J. AU - Briscoe, S. AU - Littlewood, A. AU - Marshall, C. AU - Metzendorf, M.-I. AU - Noel-Storr, A. AU - Rader, T. AU - Farhad Shokraneh, F. AU - Thomas, L. J. AU - S., Wieland AU - on behalf of the Cochrane Information Retrieval Methods Group T2 - Cochrane Handbook for Systematic Reviews of Interventions version 6.2 (updated February 2021) A2 - Higgins, J. P. T. A2 - Thomas, J. A2 - Chandler, J. A2 - Cumpston, M A2 - Li, T. A2 - Page, M. J. A2 - Welch, V. A. (editors). DA - 2021/// PY - 2021 PB - Cochrane UR - www.training.cochrane.org/handbook. ER - TY - JOUR TI - A systematic review of the evidence on home care reablement services AU - Legg, L. AU - Gladman, J. AU - Drummond, A. AU - Davidson, A. T2 - Clin Rehabil AB - OBJECTIVE: To determine whether publically funded 'reablement services' have any effect on patient health or use of services. DESIGN: Systematic review of randomized controlled trials and non-randomized studies in which reablement interventions were compared with no care or usual care in people referred to public-funded personal care services. Data sources included: Cochrane Central Register of Controlled Trials, EPOC register of studies, trials registers, Medline, EMBASE, and CINHAL. Searches were from 2000 up to end February 2015. SETTING: Not applicable. PARTICIPANTS: Investigators' definition of the target population for reablement interventions. MAIN OUTCOME MEASURES: Use of publically funded personal care services and dependence in personal activities of daily living. RESULTS: We found no studies fulfilling our inclusion criteria that assessed the effectiveness of reablement interventions. We did note the lack of an agreed understanding of the nature of reablement. CONCLUSIONS: Reablement is an ill-defined intervention targeted towards an ill-defined and potentially highly heterogeneous population/patient group. There is no evidence to suggest it is effective at either of its goals; increasing personal independence or reducing use of personal care services. DA - 2016/// PY - 2016 DO - 10.1177/0269215515603220 DP - NLM VL - 30 IS - 8 SP - 741 EP - 749 LA - eng SN - 0269-2155 UR - https://dx.doi.org/10.1177/0269215515603220 AN - 26374423 KW - Humans KW - *Activities of Daily Living KW - *Home Care Services KW - *Rehabilitation KW - *older people KW - *systematic review KW - *Reablement KW - *disability KW - *independence KW - *multimorbidity KW - *non-randomized controlled trial KW - *personal care services KW - *public policy KW - *randomized controlled trial ER - TY - JOUR TI - Occupational therapy interventions to improve performance of daily activities at home for older adults with low vision: A systematic review AU - Liu, C.-J. AU - Brost, M. A. AU - Horton, V. E. AU - Kenyon, S. B. AU - Mears, K. E. T2 - Am J Occup Ther AB - The impact of age-related vision loss on older adults’ independence at home is profound. The purpose of this systematic review was to identify the effectiveness of interventions within the scope of occupational therapy practice to maintain, restore, and improve performance in daily activities at home for older adults with low vision. We searched and screened abstracts from multiple electronic databases and identified 17 studies that fulfilled our inclusion and exclusion criteria. Three themes in intervention approaches emerged: multicomponent intervention, single-component intervention, and multidisciplinary intervention. Strong evidence of effectiveness was found in studies that applied a multicomponent approach; these interventions involved teaching knowledge and skills that older adults with low vision need to help overcome the disablement process. Evidence also suggests that multiple sessions of training with low vision devices and special viewing skills to compensate for vision loss are necessary to have a positive effect on daily activities. Finally, multidisciplinary intervention that focused on personal goals yielded greater positive outcomes than interventions that were not personalized. DA - 2013/// PY - 2013 DO - 10.5014/ajot.2013.005512 VL - 67 IS - 3 SP - 279 EP - 287 SN - 0272-9490 UR - https://doi.org/10.5014/ajot.2013.005512 ER - TY - JOUR TI - Occupational therapy interventions to Improve activities of daily living for community-dwelling older adults: A systematic review AU - Liu, C. J. AU - Chang, W. P. AU - Chang, M. C. T2 - Am J Occup Ther AB - OBJECTIVE: This systematic review aimed to synthesize the effects of interventions within the scope of occupational therapy to improve performance of activities of daily living (ADLs) in community-dwelling older adults. METHOD: Searches were conducted in CINAHL, the Cochrane Database of Systematic Reviews, MEDLINE, PsycINFO, and OTseeker. Empirical studies published between 1995 and 2015 were individually screened and appraised by two reviewers. RESULTS: Forty-three studies met the review inclusion and exclusion criteria. Physical exercise was the most common intervention approach. Physical exercise interventions for frail older adults showed a moderate benefit, but no benefits were found for older adults without noticeable difficulty in ADLs. For older adults with difficulty in ADLs, there was a high benefit of using home-based intervention. CONCLUSION: The findings of this systematic review highlight the importance of addressing older adults' living environment in intervention to promote independence in ADLs. DA - 2018/// PY - 2018 DO - 10.5014/ajot.2018.031252 DP - NLM VL - 72 IS - 4 SP - 7204190060p1 EP - 7204190060p11 LA - eng SN - 0272-9490 (Print) 0272-9490 UR - https://dx.doi.org/10.5014/ajot.2018.031252 AN - 29953830 KW - Humans KW - Aged KW - Independent Living KW - *Activities of Daily Living KW - Exercise KW - *Frail Elderly KW - *Occupational Therapy ER - TY - JOUR TI - The (cost-)effectiveness of preventive, integrated care for community-dwelling frail older people: A systematic review AU - Looman, W. M. AU - Huijsman, R. AU - Fabbricotti, I. N. T2 - Health Soc Care Community AB - Integrated care is increasingly promoted as an effective and cost-effective way to organise care for community-dwelling frail older people with complex problems but the question remains whether high expectations are justified. Our study aims to systematically review the empirical evidence for the effectiveness and cost-effectiveness of preventive, integrated care for community-dwelling frail older people and close attention is paid to the elements and levels of integration of the interventions. We searched nine databases for eligible studies until May 2016 with a comparison group and reporting at least one outcome regarding effectiveness or cost-effectiveness. We identified 2,998 unique records and, after exclusions, selected 46 studies on 29 interventions. We assessed the quality of the included studies with the Effective Practice and Organization of Care risk-of-bias tool. The interventions were described following Rainbow Model of Integrated Care framework by Valentijn. Our systematic review reveals that the majority of the reported outcomes in the studies on preventive, integrated care show no effects. In terms of health outcomes, effectiveness is demonstrated most often for seldom-reported outcomes such as well-being. Outcomes regarding informal caregivers and professionals are rarely considered and negligible. Most promising are the care process outcomes that did improve for preventive, integrated care interventions as compared to usual care. Healthcare utilisation was the most reported outcome but we found mixed results. Evidence for cost-effectiveness is limited. High expectations should be tempered given this limited and fragmented evidence for the effectiveness and cost-effectiveness of preventive, integrated care for frail older people. Future research should focus on unravelling the heterogeneity of frailty and on exploring what outcomes among frail older people may realistically be expected. DA - 2019/// PY - 2019 DO - 10.1111/hsc.12571 DP - NLM VL - 27 IS - 1 SP - 1 EP - 30 LA - eng SN - 0966-0410 UR - https://dx.doi.org/10.1111/hsc.12571 AN - 29667259 KW - Humans KW - Aged KW - Aged, 80 and over KW - *Independent Living KW - Cost-Benefit Analysis KW - *Frail Elderly KW - *prevention KW - *community-dwelling frail older people KW - *cost-effectiveness KW - *effectiveness KW - *integrated care KW - Caregivers/economics KW - Comprehensive Health Care/economics/*organization & administration KW - Health Services/economics/statistics & numerical data KW - Patient Acceptance of Health Care/statistics & numerical data KW - Preventive Medicine/economics/*organization & administration ER - TY - JOUR TI - The evidence for services to avoid or delay residential aged care admission: a systematic review AU - Luker, J. A. AU - Worley, A. AU - Stanley, M. AU - Uy, J. AU - Watt, A. M. AU - Hillier, S. L. T2 - BMC Geriatrics AB - Interventions that enable people to remain in their own home as they age are of interest to stakeholders, yet detailed information on effective interventions is scarce. Our objective was to systematically search and synthesise evidence for the effectiveness of community-based, aged care interventions in delaying or avoiding admission to residential aged care. DA - 2019/// PY - 2019 DO - 10.1186/s12877-019-1210-3 VL - 19 IS - 1 SP - 217 SN - 1471-2318 UR - https://doi.org/10.1186/s12877-019-1210-3 ER - TY - JOUR TI - Preventive home visits for mortality, morbidity, and institutionalization in older adults: a systematic review and meta-analysis AU - Mayo-Wilson, E. AU - Grant, S. AU - Burton, J. AU - Parsons, A. AU - Underhill, K. AU - Montgomery, P. T2 - PLoS One AB - BACKGROUND: Home visits for older adults aim to prevent cognitive and functional impairment, thus reducing institutionalization and mortality. Visitors may provide information, investigate untreated problems, encourage medication compliance, and provide referrals to services. DATA SOURCES: Ten databases including CENTRAL and Medline searched through December 2012. STUDY SELECTION: Randomized controlled trials enrolling community-dwelling persons without dementia aged over 65 years. Interventions included visits at home by a health or social care professional that were not related to hospital discharge. DATA EXTRACTION AND SYNTHESIS: Two authors independently extracted data. Outcomes were pooled using random effects. MAIN OUTCOMES AND MEASURES: Mortality, institutionalization, hospitalization, falls, injuries, physical functioning, cognitive functioning, quality of life, and psychiatric illness. RESULTS: Sixty-four studies with 28642 participants were included. Home visits were not associated with absolute reductions in mortality at longest follow-up, but some programs may have small relative effects (relative risk = 0.93 [0.87 to 0.99]; absolute risk = 0.00 [-0.01 to 0.00]). There was moderate quality evidence of no overall effect on the number of people institutionalized (RR = 1.02 [0.88 to 1.18]) or hospitalized (RR = 0.96 [0.91 to 1.01]). There was high quality evidence for number of people who fell, which is consistent with no effect or a small effect (odds ratio = 0.86 [0.73 to 1.01]), but there was no evidence that these interventions increased independent living. There was low and very low quality evidence of effects for quality of life (standardised mean difference = -0.06 [-0.11 to -0.01]) and physical functioning (SMD = -0.10 [-0.17 to -0.03]) respectively, but these may not be clinically important. CONCLUSIONS: Home visiting is not consistently associated with differences in mortality or independent living, and investigations of heterogeneity did not identify any programs that are associated with consistent benefits. Due to poor reporting of intervention components and delivery, we cannot exclude the possibility that some programs may be effective. DA - 2014/// PY - 2014 DO - 10.1371/journal.pone.0089257 DP - NLM VL - 9 IS - 3 SP - e89257 LA - eng SN - 1932-6203 UR - https://dx.doi.org/10.1371/journal.pone.0089257 AN - 24622676 KW - Humans KW - Aged KW - *Mortality KW - *Morbidity KW - House Calls/*statistics & numerical data KW - Institutionalization/*statistics & numerical data ER - TY - JOUR TI - PRESS peer review of electronic search strategies: 2015 guideline statement AU - McGowan, J. AU - Sampson, M. AU - Salzwedel, D. M. AU - Cogo, E. AU - Foerster, V. AU - Lefebvre, C. T2 - J Clin Epidemiol AB - OBJECTIVE: To develop an evidence-based guideline for Peer Review of Electronic Search Strategies (PRESS) for systematic reviews (SRs), health technology assessments, and other evidence syntheses. STUDY DESIGN AND SETTING: An SR, Web-based survey of experts, and consensus development forum were undertaken to identify checklists that evaluated or validated electronic literature search strategies and to determine which of their elements related to search quality or errors. RESULTS: Systematic review: No new search elements were identified for addition to the existing (2008-2010) PRESS 2015 Evidence-Based Checklist, and there was no evidence refuting any of its elements. Results suggested that structured PRESS could identify search errors and improve the selection of search terms. Web-based survey of experts: Most respondents felt that peer review should be undertaken after the MEDLINE search had been prepared but before it had been translated to other databases. Consensus development forum: Of the seven original PRESS elements, six were retained: translation of the research question; Boolean and proximity operators; subject headings; text word search; spelling, syntax and line numbers; and limits and filters. The seventh (skilled translation of the search strategy to additional databases) was removed, as there was consensus that this should be left to the discretion of searchers. An updated PRESS 2015 Guideline Statement was developed, which includes the following four documents: PRESS 2015 Evidence-Based Checklist, PRESS 2015 Recommendations for Librarian Practice, PRESS 2015 Implementation Strategies, and PRESS 2015 Guideline Assessment Form. CONCLUSION: The PRESS 2015 Guideline Statement should help to guide and improve the peer review of electronic literature search strategies. DA - 2016/// PY - 2016 DO - 10.1016/j.jclinepi.2016.01.021 DP - NLM VL - 75 SP - 40 EP - 46 LA - eng SN - 0895-4356 UR - https://dx.doi.org/10.1016/j.jclinepi.2016.01.021 AN - 27005575 KW - Humans KW - Evidence-Based Medicine KW - Databases, Factual KW - Medline KW - *Guidelines as Topic KW - *Review Literature as Topic KW - Information Storage and Retrieval/*methods KW - *Evidence synthesis KW - *Guideline KW - *Information retrieval KW - *Literature search KW - *Peer review KW - *Systematic review KW - Peer Review/*methods KW - Technology Assessment, Biomedical/*methods ER - TY - JOUR TI - What are the contents of patient engagement interventions for older adults? A systematic review of randomized controlled trials AU - Menichetti, J. AU - Graffigna, G. AU - Steinsbekk, A. T2 - Patient Educ Couns AB - OBJECTIVE: To describe the contents of interventions reported in RCTs focusing on patient engagement of older adults. METHODS: A systematic literature review based on a search for "patient engagement/activation/empowerment/involvement/participation". Interventions were classified according to: (i) specific components (micro level), (ii) single/multiple dimensions (educational, behavioral, affective) (meso level), and (iii) the studies' main educational, behavioral or affective dimension (macro level). RESULTS: After screening 2749 articles, 35 were included. 20 unique components were identified, mostly behavioral or educational (45.5% each) (e.g., goal setting or written informational materials). Most interventions with a single-focus were classified as educational (31%), one was solely affective (3%). Half of the interventions covered more than one dimension, with four (11%) combining all three dimensions. Studies mainly focusing on the affective dimension included older participants (72 vs. 67 years), had a higher proportion of females (71% vs. 44%), and included other dimensions more frequently (67% vs. 31%) than did studies with a main focus on the educational dimension. CONCLUSION: The contents of the interventions that focused on patient engagement of older adults tend to focus more on behavioral and educational dimensions than the affective dimension. PRACTICE IMPLICATIONS: The possibility of adding the affective dimension into behavioral and/or educational interventions should be explored. DA - 2018/// PY - 2018 DO - 10.1016/j.pec.2017.12.009 DP - NLM VL - 101 IS - 6 SP - 995 EP - 1005 LA - eng SN - 0738-3991 UR - https://dx.doi.org/10.1016/j.pec.2017.12.009 AN - 29246493 KW - Humans KW - Aged KW - Aged, 80 and over KW - Decision Making KW - *Patient Participation KW - *Physician-Patient Relations KW - *Randomized Controlled Trials as Topic KW - *Older adults KW - *Systematic review KW - *Intervention classification KW - *Patient activation KW - *Patient engagement KW - Patient-Centered Care/*methods ER - TY - JOUR TI - Development of an internationally accepted definition of reablement: a Delphi study AU - Metzelthin, S. F. AU - Rostgaard, T. AU - Parsons, M. AU - Burton, E. T2 - Ageing Soc AB - With an ageing society, the demand for health and social care is increasing. Traditionally, staff provide care for their clients rather than with them. In contrast, reablement aims to support people to maximise their competences to manage their everyday life as independently as possible. There is considerable variation between and within countries regarding the conceptual understanding of the approach. This variation affects the ability to evaluate reablement approaches systematically, compare and aggregate findings from different studies, and hinders the development of a robust evidence. Therefore, a Delphi study was conducted in 2018/9 with the aim of reaching agreement on the characteristics, components, aims and target groups of reablement, leading towards an internationally accepted definition of reablement. The study consisted of four Web-based survey rounds. In total, 82 reablement experts from 11 countries participated, reaching agreement on five characteristics (e.g. person-centred), seven components (e.g. goal-oriented treatment plan) and five aims (e.g. increase clients’ independency). Furthermore, most experts agreed that reablement is an inclusive approach irrespective of the person's age, capacity, diagnosis or setting. Based on these features, a definition of reablement was developed, which was accepted by 79 per cent of participating experts. This study is a significant step towards providing conceptual clarity about reablement. Future research should focus on evaluating the implementation of agreed reablement components to inform practice, education and policy. DA - 2020/// PY - 2020 DO - 10.1017/S0144686X20000999 DP - Cambridge University Press SP - 1 EP - 16 SN - 0144-686X UR - https://doi.org/10.1017/S0144686X20000999 DB - Cambridge Core KW - activities of daily living KW - independence KW - reablement KW - aged people KW - daily functioning KW - health and social care KW - inter-disciplinary KW - person-centred ER - TY - JOUR TI - Integration of physical activity in reablement for community-dwelling older adults: a scoping review protocol AU - Mjøsund, H. L. AU - Burton, E. AU - Moe, C. F. AU - Uhrenfeldt, L. T2 - JBI Database System Rev Implement Rep AB - OBJECTIVE: The objectives of this scoping review are to map existing evidence of how physical activity strategies are integrated and explored in studies of reablement for community-dwelling older adults and to identify knowledge gaps. INTRODUCTION: Reablement is a home-based interdisciplinary practice that aims to improve function and independence among persons receiving home care services. There is insufficient knowledge of what constitutes reablement and how it affects older adults' function and independence. Physical activity is known to influence older adults' function, but it is unclear how physical activity is integrated into reablement interventions. INCLUSION CRITERIA: This review will consider studies that investigate or explore multidisciplinary and time-limited (less than six months) reablement for community-dwelling older adults. There will be no restrictions regarding study design. Studies focusing on professionals working with reablement and carers of reablement participants will also be included. Studies focusing on persons who need end-of-life care or on reablement provided in long-term care facilities or housing arrangements with 24-hour care will be excluded. METHODS: PubMed, Cochrane Central Register of Controlled Trials, Embase, PsycINFO, AMED, PEDro, CINAHL, ProQuest Dissertations and Theses, and Google Scholar will be searched for studies published from 1996. Studies published in English, Norwegian, Danish, Swedish and German will be considered for inclusion. Study selection will be performed independently by two reviewers, and data will be extracted by two reviewers using predefined data charting forms. Data will be presented in a narrative summary. DA - 2019/// PY - 2019 DO - 10.11124/jbisrir-2017-003938 DP - NLM VL - 17 IS - 9 SP - 1924 EP - 1932 LA - eng SN - 2202-4433 UR - https://dx.doi.org/10.11124/jbisrir-2017-003938 AN - 31513550 ER - TY - JOUR TI - Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement AU - Moher, D. AU - Liberati, A. AU - Tetzlaff, J. AU - Altman, D. G. T2 - PLoS Med DA - 2009/// PY - 2009 DO - 10.1371/journal.pmed.1000097 DP - NLM VL - 6 IS - 7 SP - e1000097 LA - eng SN - 1549-1277 (Print) 1549-1277 AN - 19621072 KW - Humans KW - Publication Bias KW - *Meta-Analysis as Topic KW - *Terminology as Topic KW - Quality Control KW - *Review Literature as Topic KW - Evidence-Based Practice/standards KW - Periodicals as Topic/standards KW - Publishing/*standards ER - TY - JOUR TI - What are the short-term and long-term effects of occupation-focused and occupation-based occupational therapy in the home on older adults' occupational performance? A systematic review AU - Nielsen, T. L. AU - Petersen, K. S. AU - Nielsen, C. V. AU - Strøm, J. AU - Ehlers, M. M. AU - Bjerrum, M. T2 - Scand J Occup Ther AB - BACKGROUND: There is a lack of evidence-based knowledge about the effectiveness of home-based OT for older adults aimed at improving occupational performance by practicing activities and tasks. AIM: This review synthesizes and discusses evidence for the effectiveness of occupation-focused and occupation-based OT for older adults at home. MATERIAL AND METHODS: Peer-reviewed quantitative papers were included. PARTICIPANTS:  ≥ 60-year-old adults with functional limitations. INTERVENTION: OT aiming at improving occupational performance, primarily through the practice of activities and tasks. OUTCOME: Occupational performance. CONTEXT: Home. Three reviewers critically appraised 13 of 995 detected papers. Extracted data were presented and summarized descriptively. RESULTS: Eight high-quality papers showed that occupation-focused and occupation-based OT using cognitive, behavioral and environmental strategies may significantly improve occupational performance in older, home-dwelling adults with physical health problems. Maintaining achieved improvements was a consistent challenge. CONCLUSIONS AND SIGNIFICANCE: Evidence suggests that older adults' occupational performance can be significantly improved through low-intensity occupation-focused and occupation-based intervention. It is recommended to develop and test high-intensity OT programs and maintenance programs. DA - 2017/// PY - 2017 DO - 10.1080/11038128.2016.1245357 DP - NLM VL - 24 IS - 4 SP - 235 EP - 248 LA - eng SN - 1103-8128 UR - https://dx/doi.org/10.1080/11038128.2016.1245357 AN - 27769123 KW - Adult KW - Humans KW - Randomized Controlled Trials as Topic KW - Task Performance and Analysis KW - *Independent Living KW - *Activities of Daily Living KW - Activities of daily living KW - Outcome Assessment, Health Care KW - effectiveness KW - occupation KW - home-based KW - Occupational Therapy/*methods KW - home-dwelling KW - instrumental activities of daily living KW - rehabilitation ER - TY - JOUR TI - High prevalence of dementia among community dwelling older adults in receipt of state funded home care packages: implication for healthcare planning. doi: AU - O’Brien, I. AU - Smuts, K. AU - Fan, CW. AU - O’Sullivan, M. AU - Warters, A. T2 - Ir J Psychol Med DA - 2019/// PY - 2019 DO - 10.1017/ipm.2017.80 VL - 36 IS - 2 SP - 139 EP - 144 UR - https://doi.org/10.1017/ipm.2017.80 ER - TY - JOUR TI - Effect of occupation- and activity-based interventions on instrumental activities of daily living performance among community-dwelling older adults: a systematic review AU - Orellano, E. AU - Colón, W. I. AU - Arbesman, M. T2 - Am J Occup Ther AB - This systematic review examines the effectiveness of occupation- and activity-based interventions on community-dwelling older adults' performance of instrumental activities of daily living (IADLs). It was conducted as part of the American Occupational Therapy Association's Evidence-Based Practice Project. Forty studies met the inclusion criteria and were critically appraised and synthesized. Within occupation-based and client-centered interventions, the evidence that multicomponent interventions improve and maintain IADL performance in community-dwelling older adults is strong. The results also indicate that client-centered, occupation-based interventions can be effective in improving and maintaining IADL performance. The evidence is moderate for functional task exercise programs and limited for simulated IADL interventions to improve IADL performance. In the area of performance skills, the evidence related to physical activity and cognitive skills training is mixed, and the evidence that vision rehabilitation interventions improve IADL performance in older adults with low vision is moderate. Implications for practice, education, and research are also discussed. DA - 2012/// PY - 2012 DO - 10.5014/ajot.2012.003053 DP - NLM VL - 66 IS - 3 SP - 292 EP - 300 LA - eng SN - 0272-9490 (Print) 0272-9490 UR - https://dx/doi.org/10.5014/ajot.2012.003053 AN - 22549594 KW - Humans KW - Program Evaluation KW - Aged KW - Aged, 80 and over KW - *Activities of Daily Living KW - *Occupational Therapy KW - Residential Facilities KW - *Task Performance and Analysis ER - TY - JOUR TI - Occupational therapy and occupational participation in community dwelling older adults: A review of the evidence AU - Papageorgiou, N. AU - Marquis, R. AU - Dare, J. AU - Batten, R. T2 - Phys Occup Ther Geriatr AB - AbstractAims: To review recent occupational therapy literature to establish the current level of evidence on how occupation may influence participation and may prevent or reduce social isolation in community dwelling older adults aged 60 years and over. Methods: Pertinent electronic databases were comprehensively searched using a guiding search strategy and inclusion criteria. Data extraction and quality assessment was conducted on included studies. Results: 14 studies were included in the review. The occupational domains within the studies that contributed to social participation or social isolation included instrumental activities of daily living, education, leisure, work and social participation. Conclusions: Evidence is emerging within recent literature to support a positive relationship between occupations, social participation and the prevention of social isolation in community dwelling older adults aged 60 years and over. Evidence supports the highly relevant and valuable role of occupational therapy in facilitating healthy aging through supporting social participation and addressing social isolation for the increasingly aging global population. DA - 2016/// PY - 2016 DO - 10.3109/02703181.2015.1109014 VL - 34 IS - 1 SP - 21 EP - 42 SN - 0270-3181 UR - https://doi.org/10.3109/02703181.2015.1109014 ER - TY - JOUR TI - Randomised trial of restorative home care for frail older people in New Zealand AU - Parsons, M. AU - Senior, H. AU - Kerse, N. AU - Chen, M. H. AU - Jacobs, S. AU - Anderson, C. T2 - Nurs Older People AB - Aim To establish the effectiveness of a restorative home support service on institutional-free survival in frail older people referred for needs assessment. Method A randomised controlled trial of Community Flexible Integrated Responsive Support Team versus usual care in 113 older people at risk of institutionalisation in New Zealand. Primary outcome was death or permanent institutional care evaluated in a Cox proportional hazards model adjusted for baseline prognostic variables. A variety of secondary outcomes including the health of informal caregivers were also evaluated. Results The primary outcome was lower, but not statistically significant, in the intervention group (adjusted hazard ratio 0.69, 95% confidence interval 0.4 to 1.16). Informal caregivers of interventional participants had significantly better physical and mental component scores on the 36-item Short-Form questionnaire. Conclusion Restorative home support may reduce the risk of death and institutionalisation in frail older people without affecting the health of informal caregivers. DA - 2017/// PY - 2017 DO - 10.7748/nop.2017.e897 DP - NLM VL - 29 IS - 7 SP - 27 EP - 33 LA - eng SN - 1472-0795 (Print) 1472-0795 UR - https://doi.org/10.7748/nop.2017.e897 AN - 28857007 KW - Humans KW - Aged KW - Surveys and Questionnaires KW - Needs Assessment KW - *Home Care Services KW - New Zealand KW - Health Services Research KW - Referral and Consultation KW - *Survival Analysis KW - *older people KW - *home care KW - Institutionalization/*statistics & numerical data KW - *frailty KW - *informal caregivers KW - *institutional care KW - *restorative home support KW - Caregivers/psychology/statistics & numerical data KW - Frail Elderly/*statistics & numerical data ER - TY - JOUR TI - Providing effective and preferred care closer to home: a realist review of intermediate care AU - Pearson, M. AU - Hunt, H. AU - Cooper, C. AU - Shepperd, S. AU - Pawson, R. AU - Anderson, R. T2 - Health Soc Care Community AB - Intermediate care is one of the number of service delivery models intended to integrate care and provide enhanced health and social care services closer to home, especially to reduce reliance on acute care hospital beds. In order for health and social care practitioners, service managers and commissioners to make informed decisions, it is vital to understand how to implement the admission avoidance and early supported discharge components of intermediate care within the context of local care systems. This paper reports the findings of a theory-driven (realist) review conducted in 2011-2012. A broad range of evidence contained in 193 sources was used to construct a conceptual framework for intermediate care. This framework forms the basis for exploring factors at service user, professional and organisational levels that should be considered when designing and delivering intermediate care services within a particular local context. Our synthesis found that involving service users and their carers in collaborative decision-making about the objectives of care and the place of care is central to achieving the aims of intermediate care. This pivotal involvement of the service user relies on practitioners, service managers and commissioners being aware of the impact that organisational structures at the local level can have on enabling or inhibiting collaborative decision-making and care co-ordination. Through all interactions with service users and their care networks, health and social care professionals should establish the meaning which alternative care environments have for different service users. Doing so means decisions about the best place of care will be better informed and gives service users choice. This in turn is likely to support psychological and social stability, and the attainment of functional goals. At an organisational level, integrated working can facilitate the delivery of intermediate care, but there is not a straightforward relationship between integrated organisational processes and integrated professional practice. DA - 2015/// PY - 2015 DO - 10.1111/hsc.12183 DP - NLM VL - 23 IS - 6 SP - 577 EP - 93 LA - eng SN - 0966-0410 UR - https://dx.doi.org/10.1111/hsc.12183 AN - 25684035 KW - Humans KW - Chronic Disease KW - systematic review KW - Environment KW - Patient Discharge KW - Geriatrics KW - integrated care KW - Cognition Disorders/therapy KW - Community Health Services/*organization & administration KW - community healthcare KW - Continuity of Patient Care/*organization & administration KW - Health Personnel/psychology KW - Heart Failure/therapy KW - Patients/psychology KW - Pulmonary Disease, Chronic Obstructive/therapy KW - re-enablement KW - service delivery and organisation KW - Social Work/*organization & administration KW - Stroke/therapy KW - Transitional Care/*organization & administration ER - TY - JOUR TI - Evidence-based interventions involving occupational therapists are needed in re-ablement for older community-living people: A systematic review AU - Pettersson, C. AU - Iwarsson, S. T2 - Br J Occup Ther AB - IntroductionRe-ablement services are in a period of strong development, but the terms and definitions used remain unclear, and the scientific evidence is still weak. The aim of this systematic review was to obtain an overview of the scientific literature in this evolving research area, and investigate whether there is scientific evidence for positive effects of re-ablement services for older community-living people.MethodThe systematic literature search was conducted in the databases CINAHL, PubMed and Svemed+(Swemed) and covered the years 2000–2014. Owing to the heterogeneity in the included studies, a narrative synthesis was performed.ResultsEight original publications were found eligible and included in the systematic review. When addressed, terms and definitions varied among the papers. Effects such as less use of home care, higher likelihood to live at home, improved activities of daily living (ADL) skills, quality of life and physical health, increased physical activity and lower costs compared to conventional home care were reported.ConclusionMore high-quality research is needed to strengthen the evidence-base regarding re-ablement services. The specific roles of various professional and staff groups are often insufficiently described, as are the interventions as such, and there is a lack of attention to person-centered aspects such as the meaningfulness of the specific activities. DA - 2017/// PY - 2017 DO - 10.1177/0308022617691537 VL - 80 IS - 5 SP - 273 EP - 285 UR - https://dx/doi.org/10.1177/0308022617691537 KW - home care KW - occupational therapy KW - Activity KW - everyday rehabilitation KW - restorative care ER - TY - JOUR TI - Systematic review finds overlapping reviews were not mentioned in every other overview AU - Pieper, D. AU - Antoine, S. L. AU - Mathes, T. AU - Neugebauer, E. A. AU - Eikermann, M. T2 - J Clin Epidemiol AB - OBJECTIVES: The objective of this study was to determine if the authors mention overlapping reviews in overviews (reviews of reviews). In addition, we aimed to calculate the actual overlap in published overviews using newly introduced, validated measures. STUDY DESIGN AND SETTINGS: We systematically searched for overviews from 2009 to 2011. Reviews included in the overviews were obtained. Tables (review×primary publication) were generated for each overview. The first occurrence of a primary publication is defined as the index publication. We calculated the "corrected covered area" (CCA) as a measure of overlap by dividing the frequency of repeated occurrences of the index publication in other reviews by the product of index publications and reviews, reduced by the number of index publications. Subgroup analyses were performed to investigate further differences in the overviews. RESULTS: Only 32 of 60 overviews mentioned overlaps. The median CCA was 4.0. Validation of the CCA and other overlap measures was in accordance with our predefined hypotheses. The degree of overlap tended to be higher in health technology assessment reports than in journal publications and was higher with increasing numbers of publications. CONCLUSIONS: Overlaps must be reported in well-conducted overviews, and this can comprehensively be accomplished using the CCA method. DA - 2014/// PY - 2014 DO - 10.1016/j.jclinepi.2013.11.007 DP - NLM VL - 67 IS - 4 SP - 368 EP - 75 LA - eng SN - 0895-4356 UR - https://doi.org/10.1016/j.jclinepi.2013.11.007 AN - 24581293 KW - Humans KW - Randomized Controlled Trials as Topic KW - Systematic review KW - Research Design KW - Evidence-based medicine KW - Methods KW - *Evidence-Based Medicine KW - Meta-analysis KW - *Review Literature as Topic KW - Information science ER - TY - ELEC TI - Caring for older Australians, report no. 53, final inquiry report, AU - Productivity Commission DA - 2011/// PY - 2011 UR - https://www.pc.gov.au/inquiries/completed/aged-care/report/aged-care-volume2.pdf ER - TY - JOUR TI - Economic evaluations of occupational therapy approaches for people with cognitive and/or functional decline: A systematic review AU - Rahja, M. AU - Comans, T. AU - Clemson, L. AU - Crotty, M. AU - Laver, K. T2 - Health Soc Care Community AB - With the ageing of the world's population comes significant implications for nearly all sectors of society, including health and aged care spending. Health and aged care systems need to respond to the increasing need for services for older people. Occupational therapy is concerned with maintaining a person's functional independence and well-being from preventative and treatment perspectives. The aim of this systematic review was to identify the costs and outcomes of occupational therapy for people with cognitive and/or functional decline. The searches for this review were conducted on 23 September 2016 and updated on 20 April 2017. Full economic evaluation studies, partial economic evaluations, randomised trials reporting estimates of resource use or costs associated with intervention(s) and comparator(s) and studies with pre- and post-intervention cost comparators were included. Thirteen studies met the inclusion criteria. The type and duration of occupational therapy intervention in the included studies varied, ranging from one-off assessments through to systematic multicomponent programmes. Results suggested that structured occupational therapy interventions which comprised of multiple consultations and engaged caregivers delivered better functional and economic outcomes. DA - 2018/// PY - 2018 DO - 10.1111/hsc.12553 DP - NLM LA - eng SN - 0966-0410 UR - https://dx/doiorg/10.1111/hsc.12553 AN - 29532555 KW - systematic review KW - occupational therapy KW - cognitive decline KW - economic evaluation KW - functional decline ER - TY - JOUR TI - Interventions to maintain mobility: What works? AU - Ross, L. A. AU - Schmidt, E. L. AU - Ball, K. T2 - Accid Anal Prev AB - Mobility, in broad terms, includes everything from the ability to move within your immediate environment (e.g., get out of bed) to the ability to drive across the country. Mobility is essential to maintaining independence and wellbeing, particularly for older adults. This is highlighted by the large number of interventions developed for older adults with the goal of maintaining such mobility. The current paper reviews the state of the science with respect to mobility interventions. Inclusion criteria for the review were: (1) articles must have been peer-reviewed; (2) interventions were evaluated in a randomized controlled trial (RCT); (3) studies included a mobility outcome such as lifespace, driving, or walking ability; (4) studies included a sample of healthy community-dwelling older adults (e.g., not investigations of disease conditions); and (5) studies must have reported enough empirical data and detail such that results could potentially be replicated. Three main types of interventions were identified: cognitive training, educational interventions, and exercise interventions. A detailed summary and evaluation of each type of intervention, and the current evidence regarding its effectiveness in maintaining mobility, are discussed. Several interventions show clear evidence of effectiveness, and thus are prime areas for translation of results to the older population. Needs and issues for future intervention research are also detailed. DA - 2013/// PY - 2013 DO - 10.1016/j.aap.2012.09.027 DP - NLM VL - 61 SP - 167 EP - 96 LA - eng SN - 0001-4575 (Print) 0001-4575 UR - https://dx.doi.org/10.1016/j.aap.2012.09.027 AN - 23083492 KW - Humans KW - Aged KW - Middle Aged KW - Training KW - *Independent Living KW - *Activities of Daily Living KW - Cognition KW - *Aging KW - *Automobile Driving KW - Exercise Therapy KW - Patient Education as Topic KW - Older adults KW - Intervention KW - Driving KW - Lifespace KW - Mobility ER - TY - RPRT TI - Reablement - A review of evidence and example models of delivery. AU - Rutt, J. CY - Bradford DA - 2014/// PY - 2014 SP - 38 PB - N. H. S. Doncaster Clinical Commissioning Group, UR - www.doncasterccg.nhs.uk/wp-content/uploads/2016/01/Reablement-review-FINAL.pdf. ER - TY - JOUR TI - Enabling independence: restorative approaches to home care provision for frail older adults AU - Ryburn, B. AU - Wells, Y. AU - Foreman, P. T2 - Health Soc Care Community AB - This study reviews the 'real world' potential (i.e. efficacy and effectiveness) of restorative approaches towards home care for frail older adults. Such approaches aim to go beyond traditional home care goals of 'maintenance' and 'support' towards improvements in functional status and quality of life. Our review of the literature included searches of health and gerontology databases as well as 'grey literature' across Australia, the UK and the USA. We provide an initial overview of the efficacy of a range of single component restorative interventions, including occupational therapy, physical therapy, health education and social rehabilitation. In order to answer questions about the overall efficacy and cost-effectiveness of restorative home care provision, we also review the nature of in-house programmes across the three nations as well as the evidence base for such programmes, particularly when they have been compared to home care 'as usual'. A range of positive outcomes has emerged, including improved quality of life and functional status and reduced costs associated with a reduction in the ongoing use of home care services postintervention. Questions remain about which components are most beneficial, which clients are likely to receive the greatest benefit, and the appropriate intensity and duration of such interventions. DA - 2009/// PY - 2009 DO - 10.1111/j.1365-2524.2008.00809.x DP - NLM VL - 17 IS - 3 SP - 225 EP - 34 LA - eng SN - 0966-0410 UR - https://dx.doi.org/10.1111/j.1365-2524.2008.00809.x AN - 19175428 KW - Humans KW - Aged KW - Aged, 80 and over KW - Frail Elderly KW - Quality of Life KW - *Activities of Daily Living KW - Occupational Therapy KW - Physical Therapy Specialty KW - Outcome Assessment, Health Care KW - Home Care Services/economics/*organization & administration ER - TY - JOUR TI - A review on healthy ageing interventions addressing physical, mental and social health of independent community-dwelling older adults AU - Seah, B. AU - Kowitlawakul, Y. AU - Jiang, Y. AU - Ang, E. AU - Chokkanathan, S. AU - Wang, W. T2 - Geriatr Nurs AB - Healthy ageing is a multi-dimensional concept which appertains to all older adults. This study reviewed the intervention characteristics, intervention content and effectiveness of multi-dimensional healthy ageing interventions (MHAIs) addressing physical, mental and social health among independent community-dwelling older adults. A search was conducted in PubMed, CINAHL, Embase, Scopus, and PsycINFO for studies published from Jan 2007 to October 2016. 18 publications were included, accounting for 15 studies. The review reflected the complexity, variations and methodological considerations of developing a comprehensive MHAI. It demonstrated the possibility of integrating person-focused to environment-focused content topics in future MHAIs, beyond the physical, mental and social health dimensions. Among the reviewed studies, health education programs reported improvements in quality of life and life satisfaction while health assessment and education programs promoted positive health behaviors. Future MHAIs studies need to employ more robust research methods and greater contextual information reports to build stronger evidence base. DA - 2019/// PY - 2019 DO - 10.1016/j.gerinurse.2018.06.002 DP - NLM VL - 40 IS - 1 SP - 37 EP - 50 LA - eng SN - 0197-4572 UR - https://dx/oi.org/10.1016/j.gerinurse.2018.06.002 AN - 29909022 KW - Humans KW - Male KW - Aged KW - *Independent Living KW - Quality of Life KW - *Mental Health KW - *Health KW - *Healthy ageing KW - *Home and community based care KW - *Quality of life KW - Healthy Aging/*psychology ER - TY - JOUR TI - Reablement, reactivation, rehabilitation and restorative interventions with older adults in receipt of home care: A systematic review AU - Sims-Gould, J. AU - Tong, C. E. AU - Wallis-Mayer, L. AU - Ashe, M. C. T2 - J Am Med Dir Assoc AB - OBJECTIVE: To systematically review the impact of reablement, reactivation, rehabilitation, and restorative (4R) programs for older adults in receipt of home care services. DESIGN: Systematic review. DATA SOURCES: We searched the following electronic bibliographic databases: MEDLINE, EMBASE, PsycINFO, CINAHL (Cumulative Index to Nursing and Allied Health), SPORTDiscus and The Cochrane Library and reference lists. STUDY SELECTION: Randomized controlled trials that describe original data on the impact of home-based rehabilitative care and were written in English. DATA EXTRACTION AND SYNTHESIS: Fifteen studies were identified. Study details were recorded using a predefined data abstraction form. Methodological quality was assessed by 2 independent reviewers. If there were discrepancies, a third author resolved these. MAIN OUTCOMES AND MEASURES: Given the tailored and personalized approach of the 4R interventions, a range of primary outcomes were assessed, including functional abilities, strength, gait speed, social support, loneliness, and the execution of activities of daily living (ADL) and instrumental ADL (IADL). 4R interventions are intended to reduce the long-term use of home care services. As such, health care resource utilization will be assessed as a secondary outcome. RESULTS: There are 2 distinct clusters of interventions located in this systematic review (defined by hospitalizations): (1) "hospital to home" programs, in which participants are discharged from hospital wards with a 4R home care, and (2) those that focus on clients receiving home care without a hospital stay immediately preceding. Reflecting the highly tailored and personalized nature of 4R interventions, the studies included in this review assessed a wide range of outcomes, including survival, place of residence, health care service usage, functional abilities, strength, walking impairments, balance, falls efficacy and rates of falls, pain, quality of life, loneliness, mental state, and depression. The most commonly reported and statistically significant outcomes were those pertaining to the service usage and functional abilities of participants. CONCLUSIONS: From cost savings to improvements in clinical outcomes, 4R interventions show some promise in the home care context. However, there are several key issues across studies, including questions surrounding the generalizability of the results, in particular with respect to the ineligibility criteria for most interventions; the lack of information provided on the interventions; and lack of information on staff training. DA - 2017/// PY - 2017 DO - 10.1016/j.jamda.2016.12.070 DP - NLM VL - 18 IS - 8 SP - 653 EP - 663 LA - eng SN - 1525-8610 UR - https://dx.doi.org/10.1016/j.jamda.2016.12.070 AN - 28214234 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - older adults KW - Home care KW - *Rehabilitation KW - rehabilitation KW - restorative care KW - Recovery of Function/*physiology ER - TY - ELEC TI - Maximising the potential of reablement. SCIE Guide 49 AU - Social Care Institute for Excellence AB - Reablement should not be limited to a focus on regaining physical independence but should also address people’s broader social and psychological needs to build their overall confidence and maximise their quality of life. DA - 2013/// PY - 2013 UR - https://www.scie.org.uk/publications/guides/guide49/ ER - TY - JOUR TI - Occupational therapy for community dwelling elderly people: a systematic review AU - Steultjens, E. M. AU - Dekker, J. AU - Bouter, L. M. AU - Jellema, S. AU - Bakker, E. B. AU - van den Ende, C. H. T2 - Age Ageing AB - OBJECTIVE: Occupational therapy might play an important role in maintaining independent living for community dwelling elderly people. The aim of this systematic review is to determine whether occupational therapy improves outcome for people who are >/=60 years and are living independently. METHODS: An extensive search in MEDLINE, CINAHL, EMBASE, AMED and SCISEARCH until July 2002 was performed. Studies with controlled and uncontrolled designs were included. Six intervention categories were distinguished and individually analysed using a best-evidence synthesis, based on the type of design, the methodological quality, type of outcome measures and statistical significance of findings. RESULTS: 17 studies were included, ten of which were randomised clinical trials. Six randomised clinical trials had a high methodological quality. Strong evidence is present for the efficacy of advising on assistive devices as part of a home hazards assessment on functional ability. There is some evidence for the efficacy of training of skills combined with a home hazard assessment in decreasing the incidence of falls in elderly people at high risk of falling. Some evidence is available for the efficacy of comprehensive occupational therapy on functional ability, social participation and quality of life. Insufficient evidence is present for the efficacy of counselling the primary caregiver of dementia patients about maintaining the patient's functional abilities. CONCLUSION: This review shows that occupational therapy interventions for community dwelling elderly people results in positive outcomes. Future research in the efficacy of occupational therapy in elderly patient groups such as people with dementia is recommended. Furthermore, research into tailoring interventions to the needs of elderly patients is recommended. DA - 2004/// PY - 2004 DO - 10.1093/ageing/afh174 DP - NLM VL - 33 IS - 5 SP - 453 EP - 60 LA - eng SN - 0002-0729 (Print) 0002-0729 UR - https://dx.doi.org/10.1093/ageing/afh174 AN - 15315918 KW - Humans KW - Randomized Controlled Trials as Topic KW - Aged KW - Middle Aged KW - *Activities of Daily Living KW - *Occupational Therapy KW - Outcome Assessment, Health Care KW - Chronic Disease/*rehabilitation ER - TY - JOUR TI - Effectiveness of reablement: A systematic review AU - Tessier, A. AU - Beaulieu, M. D. AU - McGinn, C. A. AU - Latulippe, R. T2 - Healthc Policy AB - The ageing of the population and the increasing need for long-term care services are global issues. Some countries have adapted homecare programs by introducing an intervention called reablement, which is aimed at optimizing independence. The effectiveness of reablement, as well as its different service models, was examined. A systematic literature review was conducted using MEDLINE, CINAHL, PsycINFO and EBM Reviews to search from 2001 to 2014. Core characteristics and facilitators of reablement implementation were identified from international experiences. Ten studies comprising a total of 14,742 participants (including four randomized trials, most of excellent or good quality) showed a positive impact of reablement, especially on health-related quality of life and service utilization. The implementation of reablement was studied in three regions, and all observed a reduction in healthcare service utilization. Considering its effectiveness and positive impact observed in several countries, the implementation of reablement is a promising avenue to be pursued by policy makers. Publisher: Abstract available from the publisher. fre DA - 2016/// PY - 2016 DO - 10.12927/hcpol.2016.24594 DP - NLM VL - 11 IS - 4 SP - 49 EP - 59 LA - eng SN - 1715-6572 (Print) 1715-6572 UR - https://dx.doi.org/10.12927/hcpol.2016.24594 AN - 27232236 KW - Humans KW - Aged KW - *Independent Living KW - Long-Term Care KW - *Health Services for the Aged ER - TY - COMP TI - EPPI-Reviewer 4.0: software for research synthesis. EPPI-Centre Software. AU - Thomas, J. AU - Brunton, J. AU - Graziosi, S. CY - London DA - 2010/// PY - 2010 PB - Social Science Research Unit, Institute of Education, University of London. UR - https://eppi.ioe.ac.uk/cms/Default.aspx?tabid=2914 Y2 - 2020/06/04/ ER - TY - CONF TI - 1094 Reabling Ireland’s oldest old: an evaluation of a pilot re-ablement programme in Dublin north city AU - Timmins, M. AU - Rafferty, R. AU - O'Brien, I. AU - Mullally, B. AU - McManus, E. AU - McKevitt, M. AU - Warters, A. T2 - The International Association of Gerontology and Geriatrics European Region Congress (IAGG-ER) 8th Conference AB - Background: Re-ablement or ‘restorative care’ offers an alternative to traditional social supports, such as home help. It provides a short term intervention of intensive social care support aimed at regaining independence, reduce ongoing support needs and costs. Re-ablement has yet to be adopted widely in Ireland as a way of meeting care needs of the aging population. Aim: to establish if re-ablement services improve outcomes for older people in Ireland.Methods: A pilot re-ablement project was established in Dublin North City in 2013 and consisted of a team of 3 clinical assessors; an occupational therapist, a physiotherapist and a community nurse, with the intensive intervention programme delivered by re-ablers (skilled homecare workers). Care outcomes were assessed using the validated Functional Assessment of Care Environments (FACE) tool pre- and post re-ablement.Results: During the period evaluated 29/38 participants completed the re-ablement programme. The majority (80%) were over 80 yrs (range 70-99) and referrals were from both acute care (n=21) and community settings (n=8). Among completers, post intervention, 21% needed no ongoing homecare and 59% required decreased homecare. A further 10% required the same level, and 10% a higher level of home support post intervention. Overall improvements were noted primarily for self-care (87%), daily activities (66%) and mobility (68%) domains.Conclusions: This pilot evaluation demonstrated that re-ablement appears to improve outcomes and reduce care needs for older old adults. This could provide greater efficiencies in the way social care systems support older people to remain living independently. C1 - Dublin, Ireland DA - 2015/// PY - 2015 UR - https://www.irishgerontology.com/sites/default/files/basic_page_pdf/IAGG-ER%208th%20Congress%20-%20Abstracts%20Book%20%28Irish%20Ageing%20Studies%20Review%29.pdf Y2 - 2020/10/19/ ER - TY - JOUR TI - Reablement in community-dwelling older adults: a randomised controlled trial AU - Tuntland, H. AU - Aaslund, M. K. AU - Espehaug, B. AU - Førland, O. AU - Kjeken, I. T2 - BMC Geriatr AB - There has been an increasing interest in reablement in Norway recently and many municipalities have implemented this form of rehabilitation despite a lack of robust evidence of its effectiveness. The aim of this study was to investigate the effectiveness of reablement in home-dwelling older adults compared with usual care in relation to daily activities, physical functioning, and health-related quality of life. DA - 2015/// PY - 2015 DO - 10.1186/s12877-015-0142-9 VL - 15 IS - 1 SP - 145 SN - 1471-2318 UR - 10.1186/s12877-015-0142-9 ER - TY - JOUR TI - Effects of self-management support programmes on activities of daily living of older adults: A systematic review AU - van Het Bolscher-Niehuis, M. J. AU - den Ouden, M. E. AU - de Vocht, H. M. AU - Francke, A. L. T2 - Int J Nurs Stud AB - BACKGROUND: The ability of older adults to carry out activities of daily living and to adapt and to manage their own life decreases due to deterioration of their physical and cognitive condition. Nurses and other health care professionals should support the self-management ability of older adults to prevent activities of daily living dependence and increase the ability to adapt and to self-manage the consequences of living with a chronic condition. OBJECTIVE: To gain insight into the evidence of the effects of self-management support programmes on the activities of daily living of older adults living at home. DESIGN: A systematic literature review of original research publications. DATA SOURCES: Searches were performed in PubMed, CINAHL, PsychInfo, EMBASE and the Cochrane Central Register of Controlled Trials (in February 2016). No limitations were applied regarding date of publication, language or country. REVIEW METHODS: Publications were eligible for this review on condition that they described a self-management support programme directed at adults of on average 65 years or older, and living in the community; used a randomized control group design; and presented information about the effects on activities of daily living. The methodological quality of the included studies was independently assessed by the authors using the quality criteria for reviews of the Cochrane Effective Practice and Organisation of Care Review Group. A best evidence synthesis was performed using guidelines provided by the Cochrane Collaboration Back Review Group. RESULTS: A total of 6246 potentially relevant references were found. After screening the references, 12 studies with a randomized controlled trial design were included. The methodological assessment of the 12 studies indicated variations in the risk of bias from low (n=1) to unclear (n=3) and high (n=8). Although there was considerable variation in study population, intervention characteristics and measurement instruments used, most studies (n=11) showed effects of self-management support programmes on the activities of daily living of older adults. CONCLUSIONS: There is a moderate level of evidence that self-management support programmes with a multi-component structure, containing disease-specific information, education of knowledge and skills and, in particular, individually tailored coaching, improve the activities of daily living of older adults. Further research is required to gain insight into the most appropriate context and approach of self-management support interventions targeting activities of daily living of older adults living in the community. DA - 2016/// PY - 2016 DO - 10.1016/j.ijnurstu.2016.06.014 DP - NLM VL - 61 SP - 230 EP - 47 LA - eng SN - 0020-7489 UR - https://dx.doi.org/10.1016/j.ijnurstu.2016.06.014 AN - 27400029 KW - Humans KW - Systematic review KW - Aged KW - *Activities of Daily Living KW - *Self Care KW - Activities of daily living KW - Older adults KW - Community care KW - Self-management ER - TY - JOUR TI - What does quality of life mean to older adults? A thematic synthesis AU - van Leeuwen, K. M. AU - van Loon, M. S. AU - van Nes, F. A. AU - Bosmans, J. E. AU - de Vet, H. C. W. AU - Ket, J. C. F. AU - Widdershoven, G. A. M. AU - Ostelo, R. W. J. G. T2 - PLOS One AB - Background Consideration of older adults’ quality of life (QoL) is becoming increasingly important in the evaluation, quality improvement and allocation of health and social care services. While numerous definitions and theories of QoL have been proposed, an overall synthesis of the perspective of older adults themselves is lacking. Methods Qualitative studies were identified in PubMed, Ebsco/Psycinfo and Ebsco/CINAHL, through a search on 28 November 2018. Articles needed to meet all of the following criteria: (i) focus on perceptions of QoL, (ii) older adults living at home as main participants, (iii) use of qualitative methodology, (iv) conducted in a Western country and (v) published in English (vi) not focused on specific patient groups. A thematic synthesis was conducted of the selected studies, using the complete ‘findings/results’ sections from the papers. Results We included 48 qualitative studies representing the views of more than 3,400 older adults living at home in 11 Western countries. The QoL aspects identified in the synthesis were categorized into nine QoL domains: autonomy, role and activity, health perception, relationships, attitude and adaptation, emotional comfort, spirituality, home and neighbourhood, and financial security. The results showed that although different domains can be distinguished, these are also strongly connected. Conclusion QoL can be expressed in a number of domains and related subthemes that are important for older adults living at home. The findings further support that the concept of QoL should be seen as a dynamic web of intertwined domains. DA - 2019/// PY - 2019 DO - 10.1371/journal.pone.0213263 VL - 14 IS - 3 SP - e0213263 UR - https://doi.org/10.1371/journal.pone.0213263 ER - TY - JOUR TI - Effects of postacute multidisciplinary rehabilitation Including exercise in out-of-hospital settings in the aged: systematic review and meta-analysis AU - Verweij, L. AU - van de Korput, E. AU - Daams, J. G. AU - Ter Riet, G. AU - Peters, R. J. G. AU - Engelbert, R. H. H. AU - Scholte Op Reimer, W. J. M. AU - Buurman, B. M. T2 - Arch Phys Med Rehabil AB - OBJECTIVE: Many older individuals receive rehabilitation in an out-of-hospital setting (OOHS) after acute hospitalization; however, its effect on mobility and unplanned hospital readmission is unclear. Therefore, a systematic review and meta-analysis were conducted on this topic. DATA SOURCES: Medline OVID, Embase OVID, and CINAHL were searched from their inception until February 22, 2018. STUDY SELECTION: OOHS (ie, skilled nursing facilities, outpatient clinics, or community-based at home) randomized trials studying the effect of multidisciplinary rehabilitation were selected, including those assessing exercise in older patients (mean age ≥65y) after discharge from hospital after an acute illness. DATA EXTRACTION: Two reviewers independently selected the studies, performed independent data extraction, and assessed the risk of bias. Outcomes were pooled using fixed- or random-effect models as appropriate. The main outcomes were mobility at and unplanned hospital readmission within 3 months of discharge. DATA SYNTHESIS: A total of 15 studies (1255 patients) were included in the systematic review and 12 were included in the meta-analysis (7 assessing mobility using the 6-minute walk distance [6MWD] test and 7 assessing unplanned hospital readmission). Based on the 6MWD, patients receiving rehabilitation walked an average of 23 m more than controls (95% confidence interval [CI]=: -1.34 to 48.32; I(2): 51%). Rehabilitation did not lower the 3-month risk of unplanned hospital readmission (risk ratio: 0.93; 95% CI: 0.73-1.19; I(2): 34%). The risk of bias was present, mainly due to the nonblinded outcome assessment in 3 studies, and 7 studies scored this unclearly. CONCLUSION: OOHS-based multidisciplinary rehabilitation leads to improved mobility in older patients 3 months after they are discharged from hospital following an acute illness and is not associated with a lower risk of unplanned hospital readmission within 3 months of discharge. However, the wide 95% CIs indicate that the evidence is not robust. DA - 2019/// PY - 2019 DO - 10.1016/j.apmr.2018.05.010 DP - NLM VL - 100 IS - 3 SP - 530 EP - 550 LA - eng SN - 0003-9993 UR - https://dx.doi.org/10.1016/j.apmr.2018.05.010 AN - 29902471 KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - *Aged KW - *Patient Care Team KW - *Rehabilitation KW - *Continuity of patient care KW - *Interdisiplinary research KW - *Meta-analysis KW - Exercise Therapy/methods/*statistics & numerical data KW - Outcome Assessment, Health Care/*statistics & numerical data KW - Patient Discharge/statistics & numerical data KW - Patient Readmission/statistics & numerical data KW - Rehabilitation/methods/*statistics & numerical data KW - Subacute Care/*methods ER - TY - JOUR TI - Interventions to reduce dependency in personal activities of daily living in community dwelling adults who use homecare services: a systematic review AU - Whitehead, P. J. AU - Worthington, E. J. AU - Parry, R. H. AU - Walker, M. F. AU - Drummond, A. E. T2 - Clin Rehabil AB - OBJECTIVES: To identify interventions that aim to reduce dependency in activities of daily living (ADL) in homecare service users. To determine: content; effectiveness in improving ability to perform ADL; and whether delivery by qualified occupational therapists influences effectiveness. DATA SOURCES: The Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, AMED, CINAHL, PsycINFO, OTseeker, PEDro, Web of Science, CIRRIE, and ASSIA. REVIEW METHODS: We included: randomised controlled trials, non-randomised controlled trials and controlled before and after studies. Two reviewers independently screened studies for inclusion, assessed risk of bias and extracted data. A narrative synthesis of the findings was conducted. RESULTS: Thirteen studies were included, totalling 4975 participants. Ten (77%) were judged to have risk of bias. Interventions were categorised as those termed 're-ablement' or 'restorative homecare' (n=5/13); and those involving separate components which were not described using this terminology (n=8/13). Content of the intervention and level of health professional input varied within and between studies. Effectiveness on ADL: eight studies included an ADL outcome, five favoured the intervention group, only two with statistical significance, both these were controlled before and after studies judged at high risk of bias. ADL outcome was reported using seven different measures. Occupational therapy: there was insufficient evidence to determine whether involvement of qualified occupational therapists influenced effectiveness. CONCLUSION: There is limited evidence that interventions targeted at personal ADL can reduce homecare service users' dependency with activities, the content of evaluated interventions varies greatly. DA - 2015/// PY - 2015 DO - 10.1177/0269215514564894 DP - NLM VL - 29 IS - 11 SP - 1064 EP - 76 LA - eng SN - 0269-2155 (Print) 0269-2155 UR - https://dx.doi.org/10.1177/0269215514564894 AN - 25587088 KW - Adult KW - Female KW - Humans KW - Male KW - Treatment Outcome KW - Randomized Controlled Trials as Topic KW - Aged KW - Middle Aged KW - Risk Assessment KW - Independent Living KW - Recovery of Function KW - *Activities of Daily Living KW - Age Factors KW - Prognosis KW - Case-Control Studies KW - Home Care Services/*organization & administration KW - Exercise Therapy/*methods KW - occupational therapy KW - Occupational Therapy/*methods KW - *Dependency, Psychological KW - Homecare services KW - Patient Care Team/organization & administration KW - personal activities of daily living KW - re-ablement KW - restorative homecare ER - TY - JOUR TI - Person-centredness in the community care of older people: A literature-based concept synthesis AU - Wilberforce, M. AU - Challis, D. AU - Davies, L. AU - Kelly, M. P. AU - Roberts, C. AU - Clarkson, P. T2 - Int J Soc Welf AB - ‘Person-centredness’ is a ubiquitous term, employed in modern care services to signify policies and practices that attend to the uniqueness of each individual user. Despite being highly regarded in older adult community care services, there is much ambiguity over its precise meaning. Existing reviews of person-centredness and its attributes have tended to focus on the medico-nursing literature, neglecting other interpretations, such as those relevant to community social care. A new literature-based concept synthesis reported here identified 12 common attributes within the broad themes of ‘understanding the person’, ‘engagement in decision-making’ and ‘promoting the care relationship’. The review also contrasts how these attributes are applied across different interpretations of person-centredness. The article argues that not all attributes necessarily pull in the same direction, and that older adults may require them to be delivered in different ways than they are to younger people. Thus, a ‘one-size-fits-all’ approach should be discouraged in community care. Key Practitioner Message: • ‘Person-centredness’ is open to multiple interpretations, causing difficulties for services trying to gauge performance and quality; • Three themes are central to person-centred services: ‘understanding the person’, ‘engagement in decision-making’ and ‘promoting the care relationship’; • A ‘one-size-fits-all’ approach to applying person-centredness is to be discouraged. DA - 2017/// PY - 2017 DO - 10.1111/ijsw.12221 VL - 26 IS - 1 SP - 86 EP - 98 SN - 1369-6866 UR - https://dx.doi.org/10.1111/ijsw.12221 ER - TY - JOUR TI - The effectiveness of community-based occupational therapy education and functional training programs for older adults: A critical literature review AU - Wilkins, S. AU - Jung, B. AU - Wishart, L. AU - Edwards, M. AU - Norton, S. G. T2 - Can J Occup Ther AB - Background. This paper examines the results of a critical literature review describing the provision of education and functional training programs by occupational therapists with older adults to maximize their occupational performance. Purpose. The critical review addressed the following question: What is the effectiveness of education and functional training programs in improving occupational performance and quality of life for older adults? Review methods are described and the outcomes of the critical review discussed. Results. The results indicate that there is evidence that programs are effective in three areas: prevention of functional decline and falls, stroke and rheumatoid arthritis. Methodological limitations exist in some studies. There are several randomized controlled studies in this area, though the description of specific occupational therapy interventions is often vague and the programs could not be easily duplicated by occupational therapists. Practice implications. Occupational therapists are provided with information through this critical review to facilitate evidence-based practice when working with older adults. DA - 2003/// PY - 2003 DO - 10.1177/000841740307000405 VL - 70 IS - 4 SP - 214 EP - 225 UR - https://dx.doi.org/10.1177/000841740307000405 AN - 14619761 KW - Rehabilitation KW - community-based KW - evidence based KW - Gerontologic care KW - Occupational therapy practice ER - TY - JOUR TI - The effect of complex interventions on supporting self-care among community-dwelling older adults: a systematic review and meta-analysis AU - Wong, K. C. AU - Wong, F. K. Y. AU - Yeung, W. F. AU - Chang, K. T2 - Age Ageing AB - BACKGROUND: self-care is critical to enable community-dwelling older adults to live independently. Complex interventions have emerged as a strategy to support self-care, but their effectiveness is unknown. Our objective was to review systematically their effectiveness on both positive (increased scores in self-rated health, Activities of Daily Living, Instrumental Activities of Daily Living, quality of life) and negative aspects (increased incidence of falls, fear of falling, hospital and nursing home admission, increased depression score), and to determine which intervention components explain the observed effects. METHODS: CINAHL, MEDLINE, British Nursing Index, PsycInfo and Cochrane CENTRAL were searched from January 2006 to October 2016. Randomised controlled trials providing at least two of these components: individual assessment, care planning or provision of information were reviewed. Outcomes were pooled by random-effects meta-analysis. RESULTS: twenty-two trials with 14,364 participants were included with a low risk of bias. Pooled effects showed significant benefits on positive aspects including self-rated health [standardised mean difference (SMD) 0.09, 95% confidence interval (CI) 0.01-0.17] and the mental subscale of quality of life (SMD 0.44, 95% CI 0.09-0.80) as well as on the negative aspect of incidence of falls [odds ratio (OR) 0.60, 95% CI 0.46-0.79]. There was no significant improvement in ADL, IADL, overall quality of life, fear of falling, reduction in health service utilisation or depression levels. Meta-regression and subgroup analysis did not identify any specific component or characteristic in complex interventions which explained these effects. CONCLUSION: based on current evidence, supporting self-care in community-dwelling older adults using complex interventions effectively increases self-rated health, reduces the occurrence of falls and improves the mental subscale of quality of life. DA - 2018/// PY - 2018 DO - 10.1093/ageing/afx151 DP - NLM VL - 47 IS - 2 SP - 185 EP - 193 LA - eng SN - 0002-0729 UR - https://dx.doi.org/10.1093/ageing/afx151 AN - 28927235 KW - Female KW - Humans KW - Male KW - Risk Factors KW - Health Knowledge, Attitudes, Practice KW - Treatment Outcome KW - Aged KW - Aged, 80 and over KW - Activities of Daily Living KW - *Independent Living KW - *Quality of Life KW - Age Factors KW - Geriatric Assessment KW - Hospitalization KW - Fear KW - *Aging/psychology KW - Accidental Falls/prevention & control KW - Self Care/*methods/psychology ER - TY - JOUR TI - The Patients’ Complaints System In New Zealand AU - Paterson, Ron T2 - Health Affairs AB - Since 1996 New Zealand has had a Code of Patients’ Rights enforceable by complaints to an independent ombudsman. Patients are entitled to receive health care of an appropriate standard, to give informed consent, and to complain to a health commissioner about perceived malpractice. The commissioner investigates and reports on complaints, recommends practice changes by providers, is a gatekeeper to discipline by professional boards, and acts as a public advocate for patient safety. In this paper the current commissioner describes New Zealand’s experience with the patients’ complaints system and discusses the implications for the quality of health care. DA - 2002/05// PY - 2002 DO - 10.1377/hlthaff.21.3.70 DP - DOI.org (Crossref) VL - 21 IS - 3 SP - 70 EP - 79 J2 - Health Affairs LA - en SN - 0278-2715, 1544-5208 UR - http://www.healthaffairs.org/doi/10.1377/hlthaff.21.3.70 Y2 - 2021/07/28/09:26:56 ER - TY - JOUR ER - TY - BLOG TI - A complaint handling framework for the NHS AU - Gournay, Sam T2 - Nursing Times AB - Since the lockdown began in March, the work of nurses and other frontline staff has never been more critical. As a nurse, I know that what you do is DA - 2020/09/09/T13:44:35+00:00 PY - 2020 LA - en UR - https://www.nursingtimes.net/opinion/a-complaint-handling-framework-for-the-nhs-09-09-2020/ Y2 - 2021/04/19/09:50:01 L2 - https://www.nursingtimes.net/opinion/a-complaint-handling-framework-for-the-nhs-09-09-2020/ KW - UK KW - NHS KW - Framework ER - TY - RPRT TI - Best practice for complaints management processes and evaluation: scoping review AU - Garrubba, M AU - Melder, A AB - Garrubba M & Melder A. 2019. Best practice for complaints management processes and evaluation: scoping review. Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. CY - Melbourne, Australia DA - 2019/// PY - 2019 DP - Zotero SP - 10 LA - en PB - Monash Health L1 - https://monashhealth.org/wp-content/uploads/2019/06/Complaints-Mgt-Evaluation_2019_Final.pdf ER - TY - ELEC TI - Administration on Aging AU - Administration for Community Living DA - 2017/10/06/ PY - 2017 UR - https://acl.gov/about-acl/administration-aging Y2 - 2019/10/14/ ER - TY - JOUR TI - Patient Safety Learning Systems: A Systematic Review and Qualitative Synthesis AU - Health Quality Ontario T2 - Ontario Health Technology Assessment Series AB - BACKGROUND: A patient safety learning system (sometimes called a critical incident reporting system) refers to structured reporting, collation, and analysis of critical incidents. To inform a provincial working group's recommendations for an Ontario Patient Safety Event Learning System, a systematic review was undertaken to determine design features that would optimize its adoption into the health care system and would inform implementation strategies. METHODS: The objective of this review was to address two research questions: (a) what are the barriers to and facilitators of successful adoption of a patient safety learning system reported by health professionals and (b) what design components maximize successful adoption and implementation? To answer the first question, we used a published systematic review. To answer the second question, we used scoping study methodology. RESULTS: Common barriers reported in the literature by health care professionals included fear of blame, legal penalties, the perception that incident reporting does not improve patient safety, lack of organizational support, inadequate feedback, lack of knowledge about incident reporting systems, and lack of understanding about what constitutes an error. Common facilitators included a non-accusatory environment, the perception that incident reporting improves safety, clarification of the route of reporting and of how the system uses reports, enhanced feedback, role models (such as managers) using and promoting reporting, legislated protection of those who report, ability to report anonymously, education and training opportunities, and clear guidelines on what to report. Components of a patient safety learning system that increased successful adoption and implementation were emphasis on a blame-free culture that encourages reporting and learning, clear guidelines on how and what to report, making sure the system is user-friendly, organizational development support for data analysis to generate meaningful learning outcomes, and multiple mechanisms to provide feedback through routes to reporters and the wider community (local meetings, email alerts, bulletins, paper contributions, etc.). CONCLUSIONS: The design of a patient safety learning system can be optimized by an awareness of the barriers to and facilitators of successful adoption and implementation identified by health care professionals. Evaluation of the effectiveness of a patient safety learning system is needed to refine its design. DA - 2017/// PY - 2017 DP - PubMed VL - 17 IS - 3 SP - 1 EP - 23 J2 - Ont Health Technol Assess Ser LA - eng SN - 1915-7398 ST - Patient Safety Learning Systems L2 - http://www.ncbi.nlm.nih.gov/pubmed/28326148 KW - Attitude of Health Personnel KW - Humans KW - Medical Errors KW - Patient Safety KW - Quality Assurance, Health Care KW - Risk Management ER - TY - JOUR TI - Examining the new NHS National Patient Safety Syllabus AU - Tingle, John T2 - British Journal of Nursing AB - John Tingle, Lecturer in Law, Birmingham Law School, University of Birmingham, introduces the recently published NHS National Patient Safety Syllabus and some recent patient safety reports DA - 2021/06/10/ PY - 2021 DO - 10.12968/bjon.2021.30.11.682 DP - DOI.org (Crossref) VL - 30 IS - 11 SP - 682 EP - 683 J2 - Br J Nurs LA - en SN - 0966-0461, 2052-2819 UR - http://www.magonlinelibrary.com/doi/10.12968/bjon.2021.30.11.682 Y2 - 2021/07/28/12:18:47 ER - TY - JOUR ER - TY - JOUR TI - Characteristics of Quality Improvement Champions in Nursing Homes: A Systematic Review With Implications for Evidence-Based Practice AU - Woo, Kyungmi AU - Milworm, Gvira AU - Dowding, Dawn T2 - Worldviews on Evidence-Based Nursing AB - BACKGROUND: Improving care quality while reducing cost has always been a focus of nursing homes. Certified nursing assistants comprise the largest proportion of the workforce in nursing homes and have the potential to contribute to the quality of care provided. Quality improvement (QI) initiatives using certified nursing assistants as champions have the potential to improve job satisfaction, which has been associated with care quality. AIMS: To identify the role, use and preparation of champions in a nursing home setting as a way of informing future QI strategies in nursing homes. METHODS: A systematic literature review. Medical Subject Headings and text words for "quality improvement" were combined with those for "champion*" to search Medline, CINAHL, Joanna Briggs Institute, MedLine In-Process, and other Nonindexed Citations. After duplicates were removed, a total of 337 potential articles were identified for further review. After full text review, seven articles from five original studies met inclusion criteria and were included in the synthesis. RESULTS: Various types of QI initiatives and implementation strategies were used together with champions. Champions were identified by study authors as one of the single most effective strategies employed in all studies. The majority of studies described the champion role as that of a leader, who fosters and reinforces changes for improvement. Although all the included studies suggested that implementing nurse or aid champions in their QI initiatives were important facilitators of success, how the champions were selected and trained in their role is either missing or not described in any detail in the studies included in the review. LINKING EVIDENCE TO ACTION: Utilizing certified nursing assistants as QI champions can increase participation in QI projects and has the potential to improve job satisfaction and contribute to improve quality of care and improved patient outcomes in nursing homes. DA - 2017/12// PY - 2017 DO - 10.1111/wvn.12262 DP - PubMed VL - 14 IS - 6 SP - 440 EP - 446 J2 - Worldviews Evid Based Nurs LA - eng SN - 1741-6787 ST - Characteristics of Quality Improvement Champions in Nursing Homes L1 - https://europepmc.org/articles/pmc5720908?pdf=render L2 - http://www.ncbi.nlm.nih.gov/pubmed/29028282 KW - champion KW - Evidence-Based Practice KW - Humans KW - nurses KW - Nurses KW - nurses’ aids KW - nursing homes KW - Nursing Homes KW - Patient Advocacy KW - quality improvement KW - Quality Improvement KW - Workforce ER - TY - JOUR TI - The Patients’ Complaints System In New Zealand AU - Paterson, Ron T2 - Health Affairs AB - Since 1996 New Zealand has had a Code of Patients’ Rights enforceable by complaints to an independent ombudsman. Patients are entitled to receive health care of an appropriate standard, to give informed consent, and to complain to a health commissioner about perceived malpractice. The commissioner investigates and reports on complaints, recommends practice changes by providers, is a gatekeeper to discipline by professional boards, and acts as a public advocate for patient safety. In this paper the current commissioner describes New Zealand’s experience with the patients’ complaints system and discusses the implications for the quality of health care. DA - 2002/05// PY - 2002 DO - 10.1377/hlthaff.21.3.70 DP - DOI.org (Crossref) VL - 21 IS - 3 SP - 70 EP - 79 J2 - Health Affairs LA - en SN - 0278-2715, 1544-5208 UR - http://www.healthaffairs.org/doi/10.1377/hlthaff.21.3.70 Y2 - 2021/07/29/11:02:49 ER - TY - ELEC TI - Skilled nursing facilities patient-driven payment model technical report. AU - Acumen DA - 2018/// PY - 2018 UR - https://www.cms.gov/medicare/medicare-fee-for-service-payment/snfpps/downloads/pdpm_technical_report_508.pdf ER - TY - ELEC TI - Implementation report by the Advisory Board to review the definition of the need for long-term care AU - Advisory Board for the Review of the Definition of the Need for Long-term Care DA - 2009/// PY - 2009 UR - https://www.bundesgesundheitsministerium.de/fileadmin/Dateien/3_Downloads/E/Englische_Dateien/Implementation_Report_by_the_Advisory_Board_to_Review_the_Definition_of_the_Need_for_Long-term_Care.pdf ER - TY - RPRT TI - Continuing care health service standards AU - Alberta Health DA - 2018/// PY - 2018 PB - Alberta Health UR - https://open.alberta.ca/dataset/c3e8d212-d348-42e0-b29c-5a264c8cb568/resource/8c9af77e-ca21-4f73-b3ee-a63c6b980073/download/continuing-care-health-service-standards-2018.pdf Y2 - 2020/11/23/ ER - TY - ELEC TI - Senior living options assessment AU - Alberta Health Services DA - 0000///no PY - 0000 UR - https://www.albertahealthservices.ca/assets/info/pf/if-pf-cc-living-options-assessment.pdf ER - TY - RPRT TI - interRAI Resident Assessment Instrument - Home Care (RAI-HC) AU - Alberta Health Services DA - 2016/// PY - 2016 PB - Alberta Health Services UR - https://extranet.ahsnet.ca/teams/policydocuments/1/clp-prov-continuing-care-rai-interrai-homecare-protocol-hcs-179-01.pdf Y2 - 2020/11/23/ ER - TY - JOUR TI - Nursing home case-mix reimbursement in Mississippi and South Dakota AU - Arling, G. AU - Daneman, B. T2 - Health Serv Res AB - Objective To evaluate the effects of nursing home case-mix reimbursement on facility case mix and costs in Mississippi and South Dakota. Data Sources Secondary data from resident assessments and Medicaid cost reports from 154 Mississippi and 107 South Dakota nursing facilities in 1992 and 1994, before and after implementation of new case-mix reimbursement systems. Study Design The study relied on a two-wave panel design to examine case mix (resident acuity) and direct care costs in 1-year periods before and after implementation of a nursing home case-mix reimbursement system. Cross-lagged regression models were used to assess change in case mix and costs between periods while taking into account facility characteristics. Data Collection Facility-level measures were constructed from Medicaid cost reports and Minimum Data Set-Plus assessment records supplied by each state. Resident case mix was based on the RUG-III classification system. Principal Findings Facility case-mix scores and direct care costs increased significantly between periods in both states. Changes in facility costs and case mix were significantly related in a positive direction. Medicare utilization and the rate of hospitalizations from the nursing facility also increased significantly between periods, particularly in Mississippi. Principal Findings The case-mix reimbursement systems appeared to achieve their intended goals: improved access for heavy-care residents and increased direct care expenditures in facilities with higher acuity residents. However, increases in Medicare utilization may have influenced facility case mix or costs, and some facilities may have been unprepared to care for higher acuity residents, as indicated by increased rates of hospitalization. DA - 2002/// PY - 2002 DO - 10.1111/1475-6773.028 VL - 37 IS - 2 SP - 377 EP - 95 SN - 0017-9124 UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1430373/ ER - TY - JOUR TI - Explaining direct care resource use of nursing home residents: findings from time studies in four states AU - Arling, G. AU - Kane, R. L. AU - Mueller, C. AU - Lewis, T. T2 - Health Serv Res AB - Objective: To explain variation in direct care resource use (RU) of nursing home residents based on the Resource Utilization Groups III (RUG-III) classification system and other resident- and unit-level explanatory variables. Data sources/study setting: Primary data were collected on 5,314 nursing home residents in 156 nursing units in 105 facilities from four states (CO, IN, MN, MS) from 1998 to 2004. Study Design. Nurses and other direct care staff recorded resident-specific and other time caring for all residents on sampled nursing units. Care time was linked to resident data from the Minimum Data Set assessment instrument. Major variables were: RUG-III group (34-group), other health and functional conditions, licensed and other professional minutes per day, unlicensed minutes per day, and direct care RU (wage-weighted minutes). Resident- and unit-level relationships were examined through hierarchical linear modeling. Data collection/extraction methods: Time study data were recorded with hand-held computers, verified for accuracy by project staff at the data collection sites and then merged into resident and unit-level data sets. Principal findings: Resident care time and RU varied between and within nursing units. RUG-III group was related to RU; variables such as length of stay and unit percentage of high acuity residents also were significantly related. Case-mix indices (CMIs) constructed from study data displayed much less variation across RUG-III groups than CMIs from earlier time studies. Conclusions: Results from earlier time studies may not be representative of care patterns of Medicaid and private pay residents. New RUG-III CMIs should be developed to better reflect the relative costs of caring for these residents. DA - 2007/// PY - 2007 VL - 42 IS - 2 SP - 827 EP - 46 ST - Explaining direct care resource use of nursing home residents UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1955363/pdf/hesr0042-0827.pdf ER - TY - ELEC TI - Aged Care Funding Instrument (ACFI) user guide AU - Australian Government, Department of Health DA - 2017/// PY - 2017 UR - https://www.health.gov.au/resources/publications/aged-care-funding-instrument-acfi-user-guide ER - TY - ELEC TI - ACAT guidance framework for home care package level AU - Australian Government, Department of Health DA - 2018/// PY - 2018 UR - https://www.health.gov.au/resources/publications/acat-guidance-framework-for-home-care-package-level ER - TY - JOUR TI - Gone with the windfall – Germany's Second LTC Strengthening Act and its intergenerational implications AU - Bahnsen, L. AU - Fetzer, S. AU - Franke, F. AU - Hagist, C. T2 - J Econom Ageing DA - 2020/// PY - 2020 DO - 10.1016/j.jeoa.2020.100254 VL - 17 SP - 100254 SN - 2212-828X UR - http://www.sciencedirect.com/science/article/pii/S2212828X20300190 KW - Generational accounting KW - Intergenerational distribution KW - Long-term care insurance ER - TY - JOUR TI - Resource utilization groups (RUGs): defining chronic care, rehabilitation and nursing home case mix in Canada AU - Botz, C. K. AU - Bestard, S. AU - Demaray, M. AU - Molloy, G. T2 - Healthc Manage Forum AB - The two major purposes of this study were: (1) to evaluate Resource Utilization Groups (RUGs III) as a unified method for classifying all residential, chronic care and rehabilitation patients at the St. Joseph's Health Centre, London, and (2) to compare the potential funding implications of RUGs and other patient/resident classification systems. RUGs were used to classify a total of 336 patients/residents in residential, extended care, chronic care and rehabilitation beds at the Health Centre. Patients were also concurrently classified according to the Alberta Long Term Care Classification System and the Medicus Long Term Care System. Results show that RUGs provide relatively more credit for higher acuity patients than do the Alberta or Medicus systems. If used as a basis for funding, chronic care and rehabilitation hospitals would be entitled to more funding (relative to residential/nursing homes) under RUGs than under the other two patient classification mechanisms. DA - 1993/// PY - 1993 DO - 10.1016/S0840-4704(10)61129-5 VL - 6 IS - 4 SP - 5 EP - 19 SN - 0840-4704 UR - http://www.ncbi.nlm.nih.gov/pubmed/10131063 KW - Humans KW - Evaluation Studies as Topic KW - Chronic Disease KW - Nursing Homes KW - Long-Term Care KW - Data Collection KW - Health Resources KW - Health Services Research KW - Rehabilitation KW - Ontario KW - Diagnosis-Related Groups KW - Cost Allocation KW - Forms and Records Control ER - TY - ELEC TI - How does Medicaid reimbursement impact the quality of Ohio nursing homes? AU - Bowblis, J. AU - Applebaum, R. DA - 2015/// PY - 2015 UR - http://www.miamioh.edu/cas/_files/documents/scripps/publications/2015/05/medicaid_reimbursement_quality_impact.pdf ER - TY - JOUR TI - How does Medicaid reimbursement impact nursing home quality? The effects of small anticipatory changes AU - Bowblis, J. R. AU - Applebaum, R. T2 - Health Serv Res AB - Objective In 2006, Ohio changed its Medicaid reimbursement methodology for nursing homes (NHs) to promote more efficient staffing levels. This study examines the impacts of this policy change on quality. Research Design and Subjects Ohio NHs were categorized based on their anticipated change in reimbursement under a new reimbursement system initiated in 2006. Linear regressions were utilized to determine how quality changed from 2006 to 2010 relative to a group of NHs that were not anticipated to experience any significant change in reimbursement. We examine resident outcomes constructed from the Minimum Data Set, deficiency citations, staffing levels, and satisfaction scores for residents and families as measures of quality. Principal Findings Nursing homes in the group receiving increased reimbursement showed an increase in nursing and nursing aide staffing levels. NHs in the group receiving a reduction in reimbursement did lower staffing levels. None of the nonstaffing quality outcomes were impacted by changes in Medicaid reimbursement. Conclusion Increased Medicaid reimbursement was found to increase staffing levels, but it had a limited effect, at least in the short run, on an array of nonstaffing quality outcomes. DA - 2017/// PY - 2017 DO - 10.1111/1475-6773.12553 VL - 52 IS - 5 SP - 1729 EP - 1748 SN - 0017-9124 UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5583301/ ER - TY - JOUR TI - Twenty-year trends in dependency in residential aged care in Auckland, New Zealand: a descriptive study AU - Boyd, M. AU - Broad, J. B. AU - Kerse, N. AU - Foster, S. AU - von Randow, M. AU - Lay-Yee, R. AU - Chelimo, C. AU - Whitehead, N. AU - Connolly, M. J. T2 - J Am Med Dir Assoc AB - OBJECTIVE: To describe changes in aged care residents' dependency over a 20-year period. DESIGN: All residents in 1988, 1993, 1998, and 2008 were assessed using the same 23-item functional ability survey. SETTING: Residential aged care facilities in Auckland, New Zealand. PARTICIPANTS: In 1988 there were 7516 participants (99% response rate), 6972 in 1993 (85% response rate), 5056 in 1998 (65% response rate), and 6828 in 2008 (89% response rate). Data were weighted to accommodate variation in response. MEASUREMENTS: A composite dependency score with 5 ordinal levels was derived from a census-type survey reporting mobility, activities of daily living ability, continence, and cognitive function. RESULTS: The proportion of "apparently independent" residents decreased from 18% in 1988 to 9% in 1993, 5% in 1998, and 4% in 2008, whereas those "highly dependent" increased from 16% in 1988, to 18% in 1993, 19% in 1998, to 21% in 2008. All functional indicators demonstrated increased dependency over the 20-year period (P < .0001). However, between 1998 and 2008 there were significant increases in dependency for continence, mobility, self-care, and orientation, but no significant changes in memory and behavior. CONCLUSION: The increased dependency over 20 years directly affects care requirements for this population. DA - 2011/// PY - 2011 DO - 10.1016/j.jamda.2011.01.014 VL - 12 IS - 7 SP - 535 EP - 40 SN - 1538-9375 UR - http://www.ncbi.nlm.nih.gov/pubmed/21450250 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Middle Aged KW - Health Care Surveys KW - Activities of Daily Living KW - Health Services Needs and Demand KW - Health Status KW - Needs Assessment KW - Nursing Homes KW - Retrospective Studies KW - Time Factors KW - Geriatric Assessment KW - New Zealand KW - Home Care Services KW - Residential Facilities KW - Homes for the Aged ER - TY - ELEC TI - Sozialgesetzbuch (SGB) - Elftes Buch (XI) - Soziale Pflegeversicherung (Artikel 1 des Gesetzes vom 26. Mai 1994, BGBl. I S. 1014) AU - Bundesministerium der Justiz und für Verbraucherschutz AB - Sozialgesetzbuch (SGB) - Elftes Buch (XI) - Soziale Pflegeversicherung (Artikel 1 des Gesetzes vom 26. Mai 1994, BGBl. I S. 1014) Nichtamtliches Inhaltsverzeichnis SGB 11 Ausfertigungsdatum: 26.05.1994 Vollzitat: "Das Elfte Buch Sozialgesetzbuch – Soziale Pflegeversicherung – (Artikel 1 des Gesetzes vom 26. Mai 1994, BGBl. I S. 1014, 1015), das zuletzt durch Artikel 5 des Gesetzes vom 19. Mai 2020 (BGBl. I S. 1018) geändert worden ist" Stand: Zuletzt geändert durch Art. 5 G v. 19.5.2020 I 1018 Änderungsanweisung zu § 17 SGB 11 durch Art. 10 Nr. 4 Buchst. c G v. 14.12.2019 I 2789 mWv 1.1.2020 aufgrund textlicher Unstimmigkeit nicht ausführbar Näheres zur Standangabe finden Sie im Menü unter Hinweise Fußnote Social Code (SGB) - Eleventh Book (XI) - Social long-term care insurance (Article 1 of the law of May 26, 1994, Federal Law Gazette I p. 1014) DA - 2020/// PY - 2020 UR - https://www.gesetze-im-internet.de/sgb_11/BJNR101500994.html#BJNR101500994BJNG000200307 ER - TY - ELEC TI - How RUG-III (44 Group) case mix index values are calculated, 2011—CCRS technical document AU - Canadian Institute for Health Information DA - 2011/// PY - 2011 UR - https://www.cihi.ca/sites/default/files/document/ccrs_tech_rugiii_44_en.pdf ER - TY - RPRT TI - RUG-III grouping methodology AU - Canadian Institute for Health Information DA - 2016/// PY - 2016 PB - Canadian Institute for Health Information, UR - https://www.cihi.ca/sites/default/files/document/rug-iii_infosheet2016_2017_en.pdf Y2 - 2020/11/23/ ER - TY - JOUR TI - CY 2019 Home health Prospective Payment System rate update and CY 2020 case-mix adjustment methodology refinements; home health value-based purchasing model; home health quality reporting requirements; home infusion therapy requirements; and training requirements for surveyors of national accrediting organizations AU - Centers for Medicare & Medicaid Services, Department of Health and Human Services T2 - Fed Regist AB - “In total, there are 432 different payment groups in the PDGM. These 432 Home Health Resource Groups (HHRGs) represent the different payment groups based on five main case-mix variables under the PDGM, as shown in Figure B1, and subsequently described in more detail throughout this section. Under this new case-mix methodology, case-mix weights are generated for each of the different PDGM payment groups by regressing resource use for each of the five categories listed in this section of this final rule with comment period (timing, admission source, clinical grouping, functional impairment level, and comorbidity adjustment) using a fixed effects model. Annually recalibrating the PDGM case-mix weights ensures that the case-mix weights reflect the most recent utilization data at the time of annual rulemaking DA - 2019/// PY - 2019 DP - HSR VL - 83 IS - 219 SP - 56406 EP - 638 LA - eng SN - 0097-6326 (Print) 0097-6326 UR - https://www.govinfo.gov/content/pkg/FR-2018-11-13/pdf/2018-24145.pdf AN - 30457255 KW - Humans KW - United States KW - Accreditation/legislation & jurisprudence KW - Home Care Services/*legislation & jurisprudence KW - Home Infusion Therapy KW - Medicaid/*legislation & jurisprudence KW - Medicare/*legislation & jurisprudence KW - Prospective Payment System/*legislation & jurisprudence KW - Quality of Health Care/legislation & jurisprudence KW - Risk Adjustment/*legislation & jurisprudence ER - TY - ELEC TI - Age-related residential care services agreement AU - Central Region Technical Advisory Services (TAS) DA - 2020/// PY - 2020 UR - https://tas.health.nz/assets/Uploads/ARRC-Agreement-2020-21-effective-1-November-2020.pdf ER - TY - ELEC TI - Beleidsregels indicatiestelling Wlz 2020 AU - Centrum Indicatiestelling Zorg (CIZ) DA - 2020/// PY - 2020 UR - https://www.ciz.nl/images/pdf/beleidsregels/Beleidsregels_indicatiestelling_Wlz_2020.pdf ER - TY - JOUR TI - The effects of Medicaid reimbursement method and ownership on nursing home costs, casemix, and staffing AU - Cohen, J. W. AU - Dubay, L. C. T2 - Inquiry AB - In this study we analyze the effects of ownership and Medicaid cost containment initiatives on nursing home costs, payer mix, case mix, and staffing, using 1981 Medicare cost reports and Medicare/Medicaid Automated Certification files. As Medicaid cost containment incentives become stronger, nursing homes respond by decreasing case mix and commensurately decreasing staffing. When these incentives are especially strong, staffing is reduced beyond the apparently appropriate level, given the case mix. In addition, while chain facilities have lower costs than other types of facilities, these lower costs do not appear to come from either increased cream-skimming or reduced staffing levels. DA - 1990/// PY - 1990 VL - 27 IS - 2 SP - 183 EP - 200 LA - en UR - https://www.jstor.org/stable/29772122?seq=1 ER - TY - JOUR TI - The therapy threshold within the Medicare prospective payment system: associated ethical dilemmas and influence of therapy practice patterns and quality of patient care AU - Collins, T. L. T2 - Home Healthc Nurse DA - 2006/// PY - 2006 DO - 10.1097/00004045-200610000-00009 DP - PubMed VL - 24 IS - 9 SP - 581 EP - 9 LA - eng SN - 0884-741X UR - http://www.ncbi.nlm.nih.gov/pubmed/17252965 KW - Humans KW - United States KW - Aged KW - Quality of Health Care KW - Health Care Surveys KW - Occupational Therapy KW - Home Care Services KW - Rehabilitation KW - Medicare KW - Pennsylvania KW - Prospective Payment System KW - Speech Therapy KW - Physical Therapy Specialty KW - Health Services Misuse ER - TY - RPRT TI - Housing with support for older people. An evidence review AU - Coyle, C. AU - Buggy, S. AU - Cagney, O. AU - Farragher, L. AU - Lee, C. AU - Patje, D. AU - Long, J. CY - Dublin, Ireland DA - 2021/// PY - 2021 SP - 201pp PB - Health Research Board UR - https://www.hrb.ie/publications/publication/housing-with-support-for-older-people/returnPage/1/ ER - TY - JOUR TI - Reforming long-term care funding in Alberta AU - Crump, R. T. AU - Repin, N. AU - Sutherland, J. M. T2 - Healthc Q DA - 2015/// PY - 2015 DO - 10.12927/hcq.2015.24247 VL - 18 IS - 1 SP - 26 EP - 31 UR - https://doi.org/10.12927/hcq.2015.24247 ER - TY - JOUR TI - Nursing home performance under case-mix reimbursement: responding to heavy-care incentives and market changes AU - Davis, M. A. AU - Freeman, J. W. AU - Kirby, E. C. T2 - Health Serv Res AB - OBJECTIVE: To examine the effect of case mix-adjusted reimbursement policy and market factors on nursing home performance. DATA SOURCES AND STUDY SETTING: Data from Medicaid certification inspection surveys, Medicaid cost reports, and the Kentucky State Center for Health Statistics for the years 1989 and 1991, to examine changes in nursing home performance stemming from the adoption of case mix-adjusted reimbursement in 1990. STUDY DESIGN: In addition to cross-sectional regressions, a first-difference approach to fixed-effects regression analyses was employed to control for facility differences that were essentially fixed during the survey years and to estimate the effects of time-varying predictors on changes in facility expenditures, efficiency, and profitability. PRINCIPAL FINDINGS: Facilities that increased the proportion of Medicaid residents and eliminated excess capacity experienced higher profitability gains during the beginning phase of case-mix reimbursement. Having a heavy-care resident population was positively related to expenditures prior to reimbursement reform, and it was negatively related to expenditures after the case-mix reimbursement policy was introduced. While facility-level changes in case mix had no reliable influence on costs or profits, nursing homes showing an increased prevalence of poor-quality nursing practices exhibited increases in efficiency and profitability. At the market level, reductions in excess or empty nursing home beds were accompanied by a significant growth in home health services. Moreover, nursing homes located in markets with expanding home health services exhibited higher increases in costs per case-mix unit. CONCLUSIONS: Characteristics of the reimbursement system appear to reward a cost minimization orientation with potentially detrimental effects on quality of care. These effects, exacerbated by a supply-constrained market, may be mitigated by policies that encourage the expansion of home health service availability. DA - 1998/// PY - 1998 VL - 33 IS - 4 Pt 1 SP - 815 EP - 34 SN - 0017-9124 UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1070289/ ER - TY - JOUR TI - Erstes Gesetz zur Stärkung der pflegerischen Versorgung und zur Änderung weiterer Vorschriften (Erstes Pflegestärkungsgesetz - PSG I) AU - Der Bundestag T2 - Bundesgesetzblatt DA - 2014/// PY - 2014 VL - 61 SP - 2222 EP - 2230 UR - https://www.bgbl.de/xaver/bgbl/start.xav#__bgbl__%2F%2F*%5B%40attr_id%3D%27bgbl114s2222.pdf%27%5D__1603393987597 ER - TY - JOUR TI - Zweites Gesetz zur Stärkung der pflegerischen Versorgung und zur Änderung weiterer Vorschriften (Zweites Pflegestärkungsgesetz - PSG II) AU - Der Bundestag T2 - Bundesgesetzblatt DA - 2015/// PY - 2015 VL - 54 SP - 2424 EP - 2463 UR - https://www.bgbl.de/xaver/bgbl/start.xav#__bgbl__%2F%2F*%5B%40attr_id%3D%27bgbl115s2424.pdf%27%5D__1603394812095 ER - TY - JOUR TI - Drittes Gesetz zur Stärkung der pflegerischen Versorgung und zur Änderung weiterer Vorschriften (Drittes Pflegestärkungsgesetz - PSG III) AU - Der Bundestag T2 - Bundesgesetzblatt DA - 2016/// PY - 2016 VL - 65 SP - 3191 EP - 3220 UR - https://www.bgbl.de/xaver/bgbl/start.xav#__bgbl__%2F%2F*%5B%40attr_id%3D%27bgbl116s3191.pdf%27%5D__1603395162670 ER - TY - RPRT TI - Quality and cost-effectiveness in long-term care and dependency prevention. Country report. The German LTC policy landscape AU - Doetter, L. F. AU - Rothgang, H. CY - Bremen DA - 2017/// PY - 2017 PB - Cequa UR - https://www.cequa.org/copy-of-all-publications ER - TY - JOUR TI - Shared housing arrangements in Germany-an equitable alternative to long term care Services beyond homes and institutions? AU - Doetter, L. F. AU - Schmid, A. T2 - Int J Environ Res Public Health AB - Given the saliency of socio-demographic pressures, the highly restrictive definition of "need for care" characterizing the German long-term care system at its foundations in 1994 has since been subject to various expansionary reforms. This has translated into greater interest in innovative care models that provide more choice and flexibility to beneficiaries. One such model is 'shared housing arrangements' ("ambulant betreute Wohngemeinschaften"), where a small group of people rent private rooms, while sharing a common space, domestic support, and nursing care. Using interview and secondary data, this study examines the potential for such arrangements to provide an equitable alternative to care that is accessible to a larger population of beneficiaries than presently seen in Germany. DA - 2018/// PY - 2018 DO - 10.3390/ijerph15020342 DP - NLM VL - 15 IS - 2 LA - eng SN - 1661-7827 (Print) 1660-4601 UR - https://doi.org/10.3390/ijerph15020342 AN - 29443948 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Germany KW - Interviews as Topic KW - Healthcare Disparities KW - Homes for the Aged/*organization & administration KW - Nursing Homes/*organization & administration KW - *equity KW - *Germany KW - *long term care KW - *shared housing arrangements KW - Health Services Accessibility/organization & administration KW - Housing/*organization & administration KW - Long-Term Care/organization & administration ER - TY - JOUR TI - Meeting the home-care needs of disabled older persons living in the community: does integrated services delivery make a difference? AU - Dubuc, N. AU - Dubois, M. F. AU - Raîche, M. AU - Hebert, R. T2 - BMC Geriatr AB - The PRISMA Model is an innovative coordination-type integrated-service-delivery (ISD) network designed to manage and better match resources to the complex and evolving needs of elders. The goal of this study was to examine the impact of this ISD network on unmet needs among disabled older persons living in the community. Methods Using data from the PRISMA study, we compared unmet needs of elders living in the community in areas with or without an ISD network. Disabilities and unmet needs were assessed with the Functional Autonomy Measurement System (SMAF). We used growth-curve analysis to examine changes in unmet needs over time and the variables associated with initial status and change. Sociodemographic characteristics, level of disability, self-perceived health status, cognitive functioning, level of empowerment, and the hours of care received were investigated as covariates. Lastly, we report the prevalence of needs and unmet needs for 29 activities in both areas at the end of the study. Results On average, participants were 83 years old; 62% were women. They had a moderate level of disability and mild cognitive problems. On average, they received 2.07 hours/day (SD = 1.08) of disability-related care, mostly provided by family. The findings from growth-curve analysis suggest that elders living in the area where ISD was implemented and those with higher levels of disability experience better fulfillment of their needs over time. Besides the area, being a woman, living alone, having a higher level of disability, more cognitive impairments, and a lower level of empowerment were linked to initial unmet needs (r2 = 0.25; p < 0.001). At the end of the study, 35% (95% CI: 31% to 40%) of elders with needs living in the ISD area had at least one unmet need, compared to 67% (95% CI: 62% to 71%) in the other area. In general, unmet needs were highest for bathing, grooming, urinary incontinence, walking outside, seeing, hearing, preparing meals, and taking medications. Conclusions In spite of more than 30 years of home-care services in the province of Quebec, disabled older adults living in the community still have unmet needs. ISD networks such as the PRISMA Model, however, appear to offer an effective response to the long-term-care needs of the elderly. DA - 2011/// PY - 2011 DO - 10.1186/1471-2318-11-67 VL - 11 SP - 67 UR - https://link.springer.com/article/10.1186/1471-2318-11-67 ER - TY - JOUR TI - Practice variation in the Dutch long-term care and the role of supply-sensitive care: Is access to the Dutch long-term care equitable? AU - Duell, D. AU - Koolman, X. AU - Portrait, F. T2 - Health Econ AB - Universal access and generous coverage are important goals of the Dutch long-term care (LTC) system. It is a legal requirement that everyone eligible for LTC should be able to receive it. Institutional care (IC) made up for 90% of Dutch LTC spending. To investigate whether access to IC is as equitable as the Dutch government aspires, we explored practice variation in entitlements to IC across Dutch regions. We used a unique dataset that included all individual applications for Dutch LTC in January 2010-December 2013 (N = 3,373,358). This dataset enabled an accurate identification of the need for care. We examined the local variation in the probability of being granted long-term IC and in the intensity of the care granted given that individuals have applied for LTC. We also investigated whether the variation observed was related to differences in the local availability of care facilities. Although our analyses indicated the presence of some practice variation, its magnitude was very small by national and international standards (up to 3%). Only a minor part of the practice variation could be accounted for by local supply differences in care facilities. Overall, we conclude that, unlike many other developed countries, the Dutch system ensured equitable access to long-term IC. DA - 2017/// PY - 2017 DO - 10.1002/hec.3494 VL - 26 IS - 12 SP - 1728 EP - 42 SN - 1099-1050 UR - http://www.ncbi.nlm.nih.gov/pubmed/28251712 KW - Female KW - Humans KW - Male KW - Aged KW - Databases, Factual KW - Netherlands KW - Residential Facilities KW - Health Services Accessibility KW - long-term care KW - Eligibility Determination KW - equity in access KW - needs assessment KW - practice variation KW - supply ER - TY - JOUR TI - The Australian National Aged Care Classification (AN‐ACC): a new casemix classification for residential aged care AU - Eagar, K. AU - Gordon, R. AU - Snoek, M. F. AU - Loggie, C. AU - Westera, A. AU - Samsa, P. D. AU - Kobel, C. T2 - Med J Austral DA - 2020/// PY - 2020 DO - 10.5694/mja2.50703 VL - 213 IS - 8 SP - 359 EP - 63 UR - https://www.mja.com.au/journal/2020/213/8/australian-national-aged-care-classification-acc-new-casemix-classification ER - TY - ELEC TI - AN-ACC: A national classification and funding model for residential aged care: synthesis and consolidated recommendations: The Resource Utilisation and Classification Study. Report 6 AU - Eagar, K. AU - McNamee, J. AU - Gordon, R. AU - Snoek, M. AU - Kobel, C. AU - Westera, A. AU - Duncan, C. AU - Samsa, P. AU - Loggie, C. AU - Rankin, N. AU - Quinsey, K. DA - 2019/// PY - 2019 UR - https://www.health.gov.au/resources/publications/resource-utilisation-and-classification-study-rucs-reports ER - TY - ELEC TI - Quality assessment tool for quantitative Studies AU - Effective Public Healthcare Panacea Project DA - 2021/// PY - 2021 UR - https://www.ephpp.ca/quality-assessment-tool-for-quantitative-studies/ ER - TY - ELEC TI - Aged residential care funding model review AU - Ernst & Young DA - 2019/// PY - 2019 UR - https://tas.health.nz/assets/Health-of-Older-People/ARC-Funding-Model-Review-Final-Report.pdf ER - TY - ELEC TI - Eurocarers country profiles. The Netherlands AU - Eurocarers DA - 0000///no PY - 0000 UR - https://eurocarers.org/country-profiles/netherlands/ Y2 - 2020/09/25/ ER - TY - ELEC TI - Netherlands - Long-term care AU - European Commission DA - 0000///no PY - 0000 UR - https://ec.europa.eu/social/main.jsp?catId=1122&langId=en&intPageId=4989 ER - TY - ELEC TI - The Netherlands. Health care and long-term care systems. An excerpt from the Joint report on Health care and long-term care systems fiscal sustainability, published in October 2016 as Institutional paper 37 volume 2 - country documents AU - European Commission DA - 2016/// PY - 2016 UR - https://ec.europa.eu/info/sites/info/files/file_import/joint-report_nl_en_2.pdf ER - TY - ELEC TI - Joint Report on Health Care and Long-Term Care Systems and Fiscal Sustainability, AU - European Commission DA - 2019/// PY - 2019 UR - https://ec.europa.eu/info/publications/joint-report-health-care-and-long-term-care-systems-and-fiscal-sustainability-country-documents-2019-update_en ER - TY - RPRT TI - Peer review on “Germany’s latest reforms of the long-term care system”. Berlin, Germany, 11-12 January 2018. Synthesis report AU - European Union DA - 2018/// PY - 2018 PB - European Union, UR - https://ec.europa.eu/social/main.jsp?catId=89&langId=en&newsId=9008&moreDocuments=yes&tableName=news ER - TY - JOUR TI - Can social insurance for long-term care work? The experience of Germany AU - Evans Cuellar, A. AU - Wiener, J. M. T2 - Health Aff (Millwood) AB - PROLOGUE: Americans have often looked with envy at the German health care system, where citizens enjoy universal access to a comprehensive set of health benefits, all for about half of what Americans pay, per capita. As if that weren't enough, outcomes and satisfaction in Germany are at least as good as (if not better than) those in the United States. Until recently, however, Germans held no apparent advantage in the long-term care arena. Before 1994 Germany's system of public support for long-term care bore a resemblance to the U.S. system in that both were means-tested and state-administered. Growing financial pressure on states and discomfort with the disparity between policy and the German ideal of “social solidarity” led to reforms that have now put long-term care financing on a par with acute care in Germany. In this paper Alison Evans Cuellar and Joshua Wiener review Germany's experience with these reforms and draw lessons for other nations. Cuellar has worked extensively on Medicaid and Medicare policy issues for a decade, much of it at the Urban Institute. She holds a master of business administration degree from the University of Texas and is a doctoral student in health services and policy analysis at the University of California, Berkeley. Wiener, a renowned expert in long-term care, is a principal research associate at the Urban Institute. He holds a doctorate in sociology from Harvard University. ABSTRACT: In 1994 Germany enacted a universal-coverage social insurance program for long-term care to largely replace its means-tested system. The program has achieved many of its stated policy goals: shifting the financial burden of long-term care off the states and municipalities; expanding home and community-based services; lessening dependence on means-tested welfare; and increasing support of informal caregivers. Many of these goals were reached without exploding caseloads or uncontrolled expenditures. We examine the German long-term insurance program, focusing on issues of financing, eligibility and assessment, benefits, availability of services, and quality assurance. DA - 2000/// PY - 2000 DO - 10.1377/hlthaff.19.3.8 VL - 19 IS - 3 SP - 8 EP - 25 UR - https://doi.org/10.1377/hlthaff.19.3.8 ER - TY - ELEC TI - Germany's Long Term Care Strengthening Acts AU - Federal Ministry of Health DA - 2016/// PY - 2016 UR - https://www.bundesgesundheitsministerium.de/english-version/topics/long-term-care/germanys-long-term-care-strengthening-acts.html ER - TY - JOUR TI - The effect of state Medicaid case mix payment on nursing home resident acuity AU - Feng, Z. AU - Grabowski, D. C. AU - Intrator, O. AU - Mor, V. T2 - Health Serv Res AB - Objective To examine the relationship between Medicaid case-mix payment and nursing home resident acuity. Data Sources Longitudinal Minimum Data Set (MDS) resident assessments from 1999 to 2002 and Online Survey Certification and Reporting (OSCAR) data from 1996 to 2002, for all freestanding nursing homes in the 48 contiguous U.S. states. Study Design We used a facility fixed-effects model to examine the effect of introducing state case-mix payment on changes in nursing home case-mix acuity. Facility acuity was measured by aggregating the nursing case-mix index (NCMI) from the MDS using the Resource Utilization Group (Version III) resident classification system, separately for new admits and long-stay residents, and by an OSCAR-derived index combining a range of activity of daily living dependencies and special treatment measures. Data Collection/Extraction Methods We followed facilities over the study period to create a longitudinal data file based on the MDS and OSCAR, respectively, and linked facilities with longitudinal data on state case-mix payment policies for the same period. Principal Findings Across three acuity measures and two data sources, we found that states shifting to case-mix payment increased nursing home acuity levels over the study period. Specifically, we observed a 2.5 percent increase in the average acuity of new admits and a 1.3 to 1.4 percent increase in the acuity of long-stay residents, following the introduction of case-mix payment. Conclusions The adoption of case-mix payment increased access to care for higher acuity Medicaid residents. Keywords: Case-mix payment, acuity, access to care, nursing home DA - 2006/// PY - 2006 DO - 10.1111/j.1475-6773.2006.00545.x VL - 41 IS - 4 Pt 1 SP - 1317 EP - 36 SN - 0017-9124 (Print) 0017-9124 (Linking) UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1797088/pdf/hesr0041-1317.pdf KW - Humans KW - United States KW - Health Care Surveys KW - *Nursing Homes KW - Longitudinal Studies KW - Health Services Accessibility KW - Geriatric Nursing KW - *Diagnosis-Related Groups KW - *Medicaid KW - *Reimbursement Mechanisms ER - TY - JOUR TI - Refining a case-mix measure for nursing homes: Resource Utilization Groups (RUG-III) AU - Fries, B. E. AU - Schneider, D. P. AU - Foley, W. J. AU - Gavazzi, M. AU - Burke, R. AU - Cornelius, E. T2 - Med Care AB - A case-mix classification system for nursing home residents is developed, based on a sample of 7,658 residents in seven states. Data included a broad assessment of resident characteristics, corresponding to items of the Minimum Data Set, and detailed measurement of nursing staff care time over a 24-hour period and therapy staff time over a 1-week period. The Resource Utilization Groups, Version III (RUG-III) system, with 44 distinct groups, achieves 55.5% variance explanation of total (nursing and therapy) per diem cost and meets goals of clinical validity and payment incentives. The mean resource use (case-mix index) of groups spans a nine-fold range. The RUG-III system improves on an earlier version not only by increasing the variance explanation (from 43%), but, more importantly, by identifying residents with "high tech" procedures (e.g., ventilators, respirators, and parenteral feeding) and those with cognitive impairments; by using better multiple activities of daily living; and by providing explicit qualifications for the Medicare nursing home benefit. RUG-III is being implemented for nursing home payment in 11 states (six as part of a federal multistate demonstration) and can be used in management, staffing level determination, and quality assurance. DA - 1994/// PY - 1994 DO - 10.1097/00005650-199407000-00002 DP - NLM VL - 32 IS - 7 SP - 668 EP - 85 LA - eng SN - 0025-7079 (Print) 0025-7079 UR - https://doi.org/10.1097/00005650-199407000-00002 KW - Humans KW - United States KW - Task Performance and Analysis KW - Costs and Cost Analysis KW - Random Allocation KW - Diagnosis-Related Groups/*classification/economics/statistics & numerical data KW - Health Resources/economics/*statistics & numerical data KW - Long-Term Care/*classification KW - Nursing Homes/economics/*statistics & numerical data KW - Rehabilitation Centers/economics/statistics & numerical data ER - TY - JOUR TI - Public policy and the dependency of nursing home residents in Australia: 1968–69 to 2006–07 AU - Gargett, S. T2 - Health Policy AB - Objective The purpose of this paper is to derive annual estimates of the aggregate dependency of the nursing home population in Australia, and to use these data to consider the impact of Government policies to target nursing home services to those with high care-needs/dependency. Two related tools, the ‘Aggregate Dependency Value’ and ‘Aggregate Dependency Index’, have been constructed using the principles of case-mixed based systems, to quantify the aggregate dependency of residents. Data on all residents 1968–1969 to 2006–2007, and on newly admitted residents 1992–1993 to 2006–2007 have been derived and analysed. Methods To construct the tools, the percent of residents classified into various dependency categories were weighted by proxy measures of their dependency. These were summed, and converted into index numbers to estimate rates of change in the aggregate dependency of residents. The derived data were used to consider possible impacts of the policies. Results The data indicate that the dependency of residents has, for the most part, increased over recent decades but that the rate of the increase has varied. An increase in the dependency of residents corresponds with the policies’ objectives. Conclusions The tools extend the ways the dependency of nursing home residents in Australia can be assessed. The estimates support the effectiveness of the Government's targeting policies but causal relationships have not been estimated. DA - 2010/// PY - 2010 DO - 10.1016/j.healthpol.2009.12.013 VL - 96 IS - 2 SP - 143 EP - 53 SN - 0168-8510 UR - http://www.sciencedirect.com/science/article/pii/S0168851010000023 https://www.sciencedirect.com/science/article/abs/pii/S0168851010000023 KW - Health status indicators KW - Health policy KW - Frail elderly KW - Nursing homes. Disability evaluation ER - TY - ELEC TI - Alberta Seniors benefit AU - Government of Alberta DA - 2020/// PY - 2020 UR - https://www.alberta.ca/alberta-seniors-benefit.aspx#toc-4 Y2 - 2020/11/23/ ER - TY - ELEC TI - Sláintecare Implementation Strategy AU - Government of Ireland DA - 2018/// PY - 2018 UR - https://www.gov.ie/en/publication/0d2d60-slaintecare-publications/#slaintecare-implementation-strategy ER - TY - JOUR TI - The economic implications of case-mix Medicaid reimbursement for nursing home care AU - Grabowski, D. C. T2 - Inquiry AB - In recent years, there has been large growth in the nursing home industry in the use of case-mix adjusted Medicaid payment systems that employ resident characteristics to predict the relative use of resources in setting payment levels. Little attention has been paid to the access and quality incentives that these systems provide in the presence of excess demand conditions due to certificate-of-need (CON) and construction moratoria. Using 1991 to 1998 panel data for all certified U.S. nursing homes, a fixed-effects model indicates that adoption of a case-mix payment system led to increased access for more dependent residents, but the effect was modified in excess demand markets. Quality remained relatively stable with the introduction of case-mix reimbursement, regardless of the presence of excess demand conditions. These results suggest that CON and construction moratoria are still important barriers within the nursing home market, and recent quality assurance activities related to the introduction of case-mix payment systems may have been effective. DA - 2002/// PY - 2002 DO - 10.5034/inquiryjrnl_39.3.258 VL - 39 IS - 3 SP - 258 EP - 78 SN - 0046-9580 UR - http://www.ncbi.nlm.nih.gov/pubmed/12479538 KW - Humans KW - United States KW - Aged KW - Quality of Health Care KW - Health Services Needs and Demand KW - Nursing Homes KW - Long-Term Care KW - Facility Design and Construction KW - Health Services Research KW - Health Services Accessibility KW - Medicaid KW - Nursing Staff KW - Models, Econometric KW - Diagnosis-Related Groups KW - Reimbursement, Incentive KW - Certificate of Need KW - State Health Plans ER - TY - JOUR TI - Medicaid payment and risk-adjusted nursing home quality measures AU - Grabowski, D. C. AU - Angelelli, J. J. AU - Mor, V. T2 - Health Aff (Millwood) AB - Various studies have observed low quality in the nursing home industry. Al-though Medicaid is the dominant payer of U.S. nursing home services, the association ofMedicaid payment rates and quality is not entirely clear, in part because resident-level,risk-adjusted information on quality is lacking. This study examined the relationship between Medicaid payment rates and three risk-adjusted quality measures, controlling formarket and facility characteristics. Higher payment was associated with lower incidence ofpressure ulcers and physical restraints but not daily pain. Quality of nursing home care may suffer if budget shortfalls force state legislatures to freeze or reduce Medicaid rates DA - 2004/// PY - 2004 DO - 10.1377/hlthaff.23.5.243 VL - 23 SP - 243 EP - 52 UR - https://doi.org/10.1377/hlthaff.23.5.243 ER - TY - JOUR TI - Development of a case-mix funding system for adults with combined vision and hearing loss AU - Guthrie, D. M. AU - Poss, J. W. T2 - BMC Health Serv Res AB - BACKGROUND: Adults with vision and hearing loss, or dual sensory loss (DSL), present with a wide range of needs and abilities. This creates many challenges when attempting to set the most appropriate and equitable funding levels. Case-mix (CM) funding models represent one method for understanding client characteristics that correlate with resource intensity. METHODS: A CM model was developed based on a derivation sample (n = 182) and tested with a replication sample (n = 135) of adults aged 18+ with known DSL who were living in the community. All items within the CM model came from a standardized, multidimensional assessment, the interRAI Community Health Assessment and the Deafblind Supplement. The main outcome was a summary of formal and informal service costs which included intervenor and interpreter support, in-home nursing, personal support and rehabilitation services. Informal costs were estimated based on a wage rate of half that for a professional service provider ($10/hour). Decision-tree analysis was used to create groups with homogeneous resource utilization. RESULTS: The resulting CM model had 9 terminal nodes. The CM index (CMI) showed a 35-fold range for total costs. In both the derivation and replication sample, 4 groups (out of a total of 18 or 22.2%) had a coefficient of variation value that exceeded the overall level of variation. Explained variance in the derivation sample was 67.7% for total costs versus 28.2% in the replication sample. A strong correlation was observed between the CMI values in the two samples (r = 0.82; p = 0.006). CONCLUSIONS: The derived CM funding model for adults with DSL differentiates resource intensity across 9 main groups and in both datasets there is evidence that these CM groups appropriately identify clients based on need for formal and informal support. DA - 2013/// PY - 2013 DO - 10.1186/1472-6963-13-137 DP - NLM VL - 13 SP - 137 LA - eng SN - 1472-6963 UR - https://doi.org/10.1186/1472-6963-13-137 AN - 23587314 KW - Adult KW - Humans KW - *Delivery of Health Care, Integrated KW - Diagnosis-Related Groups/*economics KW - Hearing Loss/*therapy KW - Vision Disorders/*therapy ER - TY - JOUR TI - The effectiveness of the PRISMA integrated service delivery network: Preliminary report on methods and baseline data AU - Hébert, R. AU - Dubois, M. F. AU - Raîche, M. AU - Dubuc, N. AU - The PRISMA Group T2 - Int J Integr Care AB - Purpose: The PRISMA study analyzes an innovative coordination-type integrated service delivery (ISD) system developed to improve continuity and increase the effectiveness and efficiency of services, especially for older and disabled populations. The objective of the PRISMA study is to evaluate the effectiveness of this system to improve health, empowerment and satisfaction of frail older people, modify their health and social services utilization, without increasing the burden of informal caregivers. The objective of this paper is to present the methodology and give baseline data on the study participants. Methods: A quasi-experimental study with pre-test, multiple post-tests, and a comparison group was used to evaluate the impact of PRISMA ISD. Elders at risk of functional decline (501 experimental, 419 control) participated in the study. Results: At entry, the two groups were comparable for most variables. Over the first year, when the implementation rate was low (32%), participants from the control group used fewer services than those from the experimental group. After the first year, no significant statistical difference was observed for functional decline and changes in the other outcome variables. Conclusion: This first year must be considered a baseline year, showing the situation without significant implementation of PRISMA ISD systems. Results for the following years will have to be examined with consideration of these baseline results. DA - 2008/// PY - 2008 DO - 10.5334/ijic.229 VL - 8 SP - 1 EP - 15 LA - en UR - http://www.ijic.org/publish/articles/000326/article.pdf ER - TY - JOUR TI - Impact of PRISMA, a coordination-type integrated service delivery system for frail older people in Quebec (Canada): A quasi-experimental study AU - Hébert, R. AU - Raîche, M. AU - Dubois, M.-F. AU - Gueye, N.R. AU - Dubuc, N. AU - Tousignant, M. AU - Prisma Group T2 - J Gerontol B Psychol Sci Soc Sci AB - OBJECTIVES: To evaluate the impact of a coordination-type integrated service delivery (ISD) model on health, satisfaction, empowerment, and services utilization of frail older people. METHODS: Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA) is a population-based, quasi-experimental study with three experimental and three comparison areas. From a random selection of people 75 years or older, 1,501 persons identified at risk of functional decline were recruited (728 experimental and 773 comparison). Participants were measured over 4 years for disabilities (Functional Autonomy Measurement System), unmet needs, satisfaction with services, and empowerment. Information on utilization of health and social services was collected by bimonthly telephone questionnaires. RESULTS: Over the last 2 years (when the implementation rate was over 70%), there were 62 fewer cases of functional decline per 1,000 individuals in the experimental group. In the fourth year of the study, the annual incidence of functional decline was lower by 137 cases per 1,000 in the experimental group, whereas the prevalence of unmet needs in the comparison region was nearly double the prevalence observed in the experimental region. Satisfaction and empowerment were significantly higher in the experimental group. For health services utilization, a lower number of visits to emergency rooms and hospitalizations than expected was observed in the experimental cohort. CONCLUSION: The PRISMA model improves the efficacy of the health care system for frail older people. DA - 2010/// PY - 2010 DO - 10.1093/geronb/gbp027 VL - 65B IS - 1 SP - 107 EP - 118 SN - 1758-5368 ST - Impact of PRISMA, a coordination-type integrated service delivery system for frail older people in Quebec (Canada) UR - http://www.ncbi.nlm.nih.gov/pubmed/19414866 KW - Female KW - Humans KW - Male KW - Program Evaluation KW - Health Promotion KW - Aged KW - Aged, 80 and over KW - Models, Organizational KW - Community Health Services KW - Frail Elderly KW - Prevalence KW - Longitudinal Studies KW - Geriatric Assessment KW - Health Services for the Aged KW - Quebec KW - Health Services Accessibility KW - Integrative Medicine ER - TY - JOUR TI - Monitoring the degree of implementation of an integrated delivery system AU - Hébert, R. AU - Veil, A. T2 - Int J Integr Care AB - INTRODUCTION: The aim of the study was to develop a method to measure the implementation of specific components of an Integrated Service Delivery system for the frail elderly. The system includes six mechanisms and tools: (1) coordination of all organizations involved in delivering health and social services, (2) a single entry point, (3) case management, (4) a single assessment tool with a case-mix classification system, (5) an individualized service plan, and (6) a computerized clinical chart. METHOD: Focus groups of researchers, clinicians, managers and policy-makers identified quantitative indicators for each component. The six components were weighted according to their relative importance in order to generate a total score. Data were collected every six months over 30 months to establish the implementation degree in the three experimental areas: Sherbrooke, Granit and Coaticook in the Province of Quebec, Canada. RESULTS: After 30 months, coordination is the most developed component in the three experimental areas. Overall, in July 2003, the Integrated Service Delivery system was implemented at the rate of 73%, 71% and 70% in Sherbrooke, Granit and Coaticook, respectively. DISCUSSION: This type of quantitative assessment provides data for managers and researchers to monitor the implementation. Moreover, when there is an outcome study, the results of the outcome study can be correlated with the degree of implementation, thus allowing for dose-response analyzes and helping to decrease the "black box" effect. DA - 2004/// PY - 2004 DO - 10.5334/ijic.106 DP - NLM VL - 4 SP - e05 LA - eng AN - 16773147 ER - TY - ELEC TI - interRAI Contact Assessment (CA) form and user’s manual: a screening level assessment for emergency department and intake from community/hospital. Version 9.2. AU - Hirdes, J AU - Curtin-Telegdi, N AU - Poss, JW AU - Gray, L AU - Berg, K AU - Stolee, P AU - Costa, A AU - Morris, J AU - Björgren, M AU - Declercq, A AU - Finne-Soveri, H DA - 2010/// PY - 2010 UR - https://catalog.interrai.org/content/interrai-contact-assessment-ca-form-and-user%E2%80%99s-manual-screening-level-assessment-emergency ER - TY - JOUR TI - A comparative analysis of costs to government for home care and long-term residential care services, standardized for client care needs AU - Hollander, M. J. AU - Chappell, N. L. T2 - Can J Aging AB - This paper reports on the results of analyses using administrative data from British Columbia for 10 years from fiscal 1987/1988 to 1996/1997, inclusive, to examine the comparative costs to government of long-term home care and residential care services. The analyses used administrative data for hospital care, physician care, drugs, and home care and residential long-term care. Direct comparisons for cost and utilization data were possible, as the same care-level classification system is used in BC for home care and residential care clients. Given significant changes in the type and/or level of care of clients over time, a full-time equivalent client strategy was used to maximize the accuracy of comparisons. The findings suggest that, in general, home care can be a lower-cost alternative to residential care for clients with similar care needs. The difference in costs between home care and residential care services narrows considerably for those who change their type and/or level of care, and home care was found to be more costly than long-term institutional care for home care clients who died. The findings from this study indicate that with the appropriate substitution for residential care services, in a planned and targeted manner, home care services can be a lower-cost alternative to residential long-term care in integrated systems of care delivery that include both sets of services. DA - 2007/// PY - 2007 DO - 10.3138/cja.26.suppl_1.149 VL - 26 SP - 149 EP - 161 J2 - Can J Aging SN - 1710-1107 UR - http://www.ncbi.nlm.nih.gov/pubmed/18089532 KW - Female KW - Humans KW - Male KW - Aged KW - Aged, 80 and over KW - Frail Elderly KW - Home Nursing KW - Nursing Homes KW - Retrospective Studies KW - Cohort Studies KW - Algorithms KW - Long-Term Care KW - British Columbia KW - Hospitalization KW - Survival Analysis KW - Homes for the Aged KW - Health Care Costs KW - Medical Records ER - TY - JOUR TI - The British Columbia Continuing Care system: service delivery and resource planning AU - Hollander, M. J. AU - Pallan, P. T2 - Aging (Milano) AB - The Ministry of Health and Ministry Responsible for Seniors in British Columbia, Canada, has developed a comprehensive and integrated service delivery system for the care of the elderly and the disabled. This system has a single point of entry, and contains all of the major components of Long-Term Care and Home Care services under one administrative umbrella, the Continuing Care Division. This paper presents on overview of the Division's service delivery system and its planning framework. The latter provides a vehicle for decision makers to pro-actively re-allocate resources from residential services to community and home-based services within Continuing Care. DA - 1995/// PY - 1995 DO - 10.1007/bf03324298 DP - NLM VL - 7 IS - 2 SP - 94 EP - 109 LA - eng SN - 0394-9532 (Print) 0394-9532 UR - https://doi.org/10.1007/bf03324298 AN - 7548269 KW - Humans KW - Aged KW - Disabled Persons KW - British Columbia KW - Social Welfare KW - Physician's Role KW - Waiting Lists KW - Respite Care KW - Delivery of Health Care/*organization & administration KW - Continuity of Patient Care/*organization & administration KW - Health Facility Planning/trends KW - Health Resources/organization & administration/statistics & numerical data KW - Long-Term Care/*organization & administration/standards/statistics & numerical data KW - Residential Facilities/organization & administration ER - TY - ELEC TI - InterRAI: Long-term care facilities (LTCF) AU - InterRAI AB - The interRAI Long-Term Care Facilities Assessment System (interRAI LTCF) enables comprehensive, standardized evaluation of the needs, strengths, and preferences of persons receiving short-term post-acute care in skilled nursing facilities as well as persons living in chronic care and nursing home institutional settings. The current interRAI LTCF assessment has deep roots. The 1987 U.S. Nursing Home Reform Act mandated the development of a standardized “minimum data set,” or MDS. The Health Care Financing Administration (now Centers for Medicare and Medicaid Services) contracted with a consortium of researchers from Research Triangle Institute, Hebrew Rehabilitation Center for the Aged, Brown University, and the University of Michigan to develop the MDS. Many of these researchers later became founders of interRAI. The MDS was originally implemented in approximately 17,000 U.S. nursing homes in 1990–91, was revised (Version 2.0) in 1994–95, and was implemented in all U.S. nursing homes in 1996. The MDS 3.0 is not an interRAI product, although interRAI still holds the copyright outside the U.S. for many assessment items in that instrument. The interRAI LTCF (or previous versions) is currently used in Canada, Europe (Belgium, England, Finland, France, Germany, Iceland, Italy, Netherlands, Norway, Spain, Sweden, Switzerland), Asia (Hong Kong, Korea, and Japan), and Pacific Rim (Australia, New Zealand). For further information, please contact info@interRAI.org DA - 2020/// PY - 2020 UR - https://www.interrai.org/long-term-care-facilities.html ER - TY - ELEC TI - Case-mix classification AU - interRAI DA - 2021/// PY - 2021 UR - https://www.interrai.org/classification.html Y2 - 2021/01/06/ ER - TY - JOUR TI - The nursing home market and hospital discharge delays AU - Kenney, G. M. AU - Holahan, J. T2 - Inquiry AB - One way for hospitals to respond to the incentives in Medicare's PPS is to reduce the patients' length of stay by discharging to nursing home care those patients who no longer require hospital care but are not well enough to go home to informal care. In this study, we find that patients experience more discharge delays at hospitals located in areas with few nursing home beds and in states with prospective Medicaid nursing home reimbursement policies. Hospitals with their own nursing home units or swing beds experience earlier discharges, other things being equal. Our findings suggest that some hospitals are at a disadvantage compared with others and that a policy response may be warranted. DA - 1990/// PY - 1990 VL - 27 IS - 1 SP - 73 EP - 85 SN - 0046-9580 (Print) 0046-9580 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/2139009 KW - Humans KW - United States KW - Health Policy KW - Length of Stay KW - Time Factors KW - *Nursing Homes KW - Long-Term Care KW - Costs and Cost Analysis KW - Models, Statistical KW - *Patient Discharge KW - Diagnosis-Related Groups KW - Prospective Payment System KW - Hospital Bed Capacity KW - Medicaid/*economics KW - Medicare/*economics ER - TY - ELEC TI - PubMed PubReMiner [Internet] AU - Koster, J. DA - 2014/// PY - 2014 UR - https://hgserver2.amc.nl/cgi-bin/miner/miner2.cgi ER - TY - ELEC TI - Health Systems in Transition. The Netherlands: health system review AU - Kroneman, M AU - Boerma, W AU - van den Berg, M AU - Groenewegen, P AU - de Jong, J AU - van Ginneken, E DA - 2016/// PY - 2016 UR - https://www.euro.who.int/__data/assets/pdf_file/0016/314404/HIT_Netherlands.pdf? ER - TY - JOUR TI - Did the 1997 Balanced Budget Act reduce use of physical and occupational therapy services? AU - Latham, N. K. AU - Jette, A. M. AU - Ngo, L. H. AU - Soukup, J. AU - Iezzoni, L. I. T2 - Arch Phys Med Rehabil AB - Objective: To investigate whether use of physical therapy (PT) and occupational therapy (OT) services decreased after the passage of the 1997 Balanced Budget Act (BBA). Design Data from the nationally representative Medicare Current Beneficiary Survey (MCBS) were merged with Medicare claims data. We conducted cross-sectional analyses of data from 1995 (n=7978), 1999 (n=7863), and 2001 (n=7973). All analyses used MCBS sampling weights to provide estimates that can be generalized to the Medicare population with 5 common conditions. Settings Skilled nursing facilities (SNFs), home health agencies, inpatient rehabilitation facilities (IRFs), and outpatient rehabilitation settings. Participants Medicare beneficiaries who participated in the MCBS survey in each of the study years and had 1 or more of the following conditions: acute stroke, acute myocardial infarction, chronic obstructive pulmonary disease, arthritis or degenerative joint disease, or mobility problems. Interventions Not applicable. Main Outcome Measures Percentage of persons meeting our inclusion criteria who received PT or OT in each setting, and total units of PT and OT received in each setting. Results Multivariable logistic regression revealed no statistically significantly differences in the proportion of people who met our inclusion criteria who used PT or OT from home health agencies across the 3 time points. For SNFs, an increase in the odds of receiving PT was statistically significant from 1995 to 1999 (odds ratio [OR]=1.42; 95% confidence interval [CI], 1.19–1.69) and 1995 to 2001 (OR=1.69; 95% CI, 1.39–2.05). For IRF and outpatient settings, a significant increase was observed between 1995 and 2001 (OR=1.71, OR=1.27, respectively). For OT, a statistically significant increase was observed for IRF and outpatient rehabilitation settings from 1995 to 2001. For SNF, the increase was statistically significant from 1995 to 1999 and 1995 to 2001. Mean total PT and OT units received also increased across all settings from 1995 to 2001 except for IRFs. Conclusions Despite BBA mandates restricting postacute care expenditures, this nationally representative study showed no decreases in the percentage of Medicare beneficiaries with 5 common diagnoses receiving PT and/or OT across all settings and no decreases in units of PT and/or OT services received between 1995 and 2001 except for those in IRFs. This study suggests that the delivery of PT and OT services did not decline among persons with conditions where rehabilitation services are often clinically indicated. DA - 2008/// PY - 2008 DO - 10.1016/j.apmr.2008.02.010 VL - 89 IS - 5 SP - 807 EP - 14 UR - https://doi.org/10.1016/j.apmr.2008.02.010 ER - TY - RPRT TI - Long term care reform in Germany – At long last AU - Link, S. CY - London, UK DA - 2018/// PY - 2018 PB - Institute and Faculty of Actuaries, UR - https://www.actuaries.org.uk/system/files/field/document/Long%20term%20care%20reform%20in%20Germany%20%E2%80%93%20At%20long%20last.pdf ER - TY - RPRT TI - AN-ACC Technical appendices. The Resource Utilisation and Classification Study: Report 7 AU - Loggie, C. L. AU - McNamee, J. P. AU - Gordon, R. AU - Snoek, M. AU - Kobel, C. AU - Duncan, Cathy AU - Samsa, P. D. AU - Quinsey, K. CY - Australia DA - 2019/// PY - 2019 PB - Australian Health Services Research Institute, University of Wollongong UR - https://ro.uow.edu.au/cgi/viewcontent.cgi?article=1979&context=ahsri Y2 - 2020/11/18/ ER - TY - JOUR TI - PRISMA: Program of Research to Integrate the Services for the Maintenance of Autonomy. A system-level integration model in Quebec AU - MacAdam, M. T2 - Int J Integr Care DA - 2015/// PY - 2015 DO - 10.5334/ijic.2246 VL - 15 IS - 6 UR - http://doi.org/10.5334/ijic.2246 ER - TY - RPRT TI - Alternative Aged Care Assessment, Classification System and Funding Models Report AU - McNamee, J. AU - Poulos, C. AU - Seraji, H. AU - Kobel, C. AU - Duncan, C. AU - Westera, A. AU - Samsa, P. AU - Eagar, K. DA - 2017/// PY - 2017 PB - Centre for Health Service Development, Australian Health Services Research Institute, University of Wollongong UR - https://www.health.gov.au/resources/publications/alternative-aged-care-assessment-classification-system-and-funding-models-report ER - TY - RPRT TI - A funding model for the residential aged care sector. The Resource Utilisation and Classification Study: Report 5 AU - McNamee, J. P. AU - Snoek, M. AU - Kobel, C. AU - Loggie, C. L. AU - Rankin, N. M. AU - Eagar, K. CY - Australia DA - 2019/// PY - 2019 PB - Australian Health Services Research Institute, University of Wollongong UR - https://ro.uow.edu.au/cgi/viewcontent.cgi?article=1977&context=ahsri Y2 - 2020/11/18/ ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2000/// PY - 2000 UR - http://www.medpac.gov/docs/default-source/reports/Mar00_Entire_report.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2001/// PY - 2001 LA - en UR - www.medpac.gov/docs/default-source/reports/Mar01_Entire_report.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2002/// PY - 2002 UR - www.medpac.gov/docs/default-source/reports/Mar02_Entire_report.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2003/// PY - 2003 UR - www.medpac.gov/docs/default-source/reports/Mar03_Entire_report.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2004/// PY - 2004 LA - en UR - http://www.medpac.gov/docs/default-source/reports/Mar04_Entire_reportv3.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2005/// PY - 2005 UR - http://www.medpac.gov/docs/default-source/reports/Mar05_EntireReport.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2006/// PY - 2006 UR - http://www.medpac.gov/docs/default-source/reports/Mar06_EntireReport.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2007/// PY - 2007 LA - en UR - http://www.medpac.gov/docs/default-source/reports/Mar07_EntireReport.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2008/// PY - 2008 UR - http://www.medpac.gov/docs/default-source/reports/Mar08_EntireReport.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2009/// PY - 2009 UR - http://www.medpac.gov/docs/default-source/reports/march-2009-report-to-congress-medicare-payment-policy.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2010/// PY - 2010 UR - http://www.medpac.gov/docs/default-source/reports/Mar10_EntireReport.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2011/// PY - 2011 UR - http://www.medpac.gov/docs/default-source/reports/Mar11_EntireReport.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2012/// PY - 2012 UR - http://www.medpac.gov/docs/default-source/reports/march-2012-report-to-the-congress-medicare-payment-policy.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2013/// PY - 2013 UR - http://www.medpac.gov/docs/default-source/reports/mar13_entirereport.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2014/// PY - 2014 UR - http://www.medpac.gov/docs/default-source/reports/mar14_entirereport.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2016/// PY - 2016 UR - www.medpac.gov/docs/default-source/reports/march-2016-report-to-the-congress-medicare-payment-policy.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2017/// PY - 2017 UR - http://www.medpac.gov/docs/default-source/reports/mar17_entirereport224610adfa9c665e80adff00009edf9c.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2018/// PY - 2018 UR - www.medpac.gov/docs/default-source/reports/mar18_medpac_entirereport_sec_rev_0518.pdf?sfvrsn=0 ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2019/// PY - 2019 UR - http://www.medpac.gov/docs/default-source/reports/mar19_medpac_entirereport_sec_rev.pdf?sfvrsn=0 ER - TY - ELEC TI - Information on care needs assessments AU - Medizinischer Dienst der Krankenversicherung (MDK) DA - 2020/// PY - 2020 UR - https://www.mdk.de/versicherte/pflegebegutachtung/ ER - TY - ELEC TI - Richtlinien des GKV-Spitzenverbandeszur Feststellung der Pflegebedürftigkeitnach dem XI. Buch des Sozialgesetzbuches AU - Medizinischer dienst des spitzenverbandes bund der krankenkassen (MDS) AU - GKV-Spitzenverband AB - translated: GUIDELINES FOR THE PROCEDURE FOR DETERMINING THE NEED FOR CARE AND FOR DETERMINING THE CONTENT OF THE EVALUATION INSTRUMENT ACCORDING TO THE ELEVENTH BOOK OF THE SOCIAL CODE (EVALUATION GUIDELINES - BRi) FROM 15.04.2016 AMENDED BY RESOLUTION OF 03/31/2017 DA - 2019/// PY - 2019 UR - https://www.mds-ev.de/fileadmin/dokumente/Publikationen/SPV/Begutachtungsgrundlagen/19-11-12_BRi_Pflege.pdf ER - TY - ELEC TI - Wijkverpleging (verpleging en verzorging thuis) AU - Ministerie van Volksgezondheid, Welzijn en Sport DA - 0000///no PY - 0000 UR - https://www.informatielangdurigezorg.nl/onderwerpen/w/wijkverpleging ER - TY - ELEC TI - Funding of aged residential services consultation document AU - Ministry of Health DA - 2001/// PY - 2001 UR - https://www.moh.govt.nz/notebook/nbbooks.nsf/0/2e83a6627e89fb92cc2577c7006e686a/$FILE/ConsultationDocument.pdf ER - TY - RPRT TI - Needs assessment and support services for older people. What you need to know AU - Ministry of Health CY - Wellington, New Zealand DA - 2011/// PY - 2011 SP - 24pp PB - Ministry of Health UR - https://www.health.govt.nz/system/files/documents/publications/support-services-older-plev2.pdf AN - 948-0-478-37444-5 ER - TY - ELEC TI - Health of older people. Needs assessment AU - Ministry of Health DA - 2016/// PY - 2016 UR - https://www.health.govt.nz/our-work/life-stages/health-older-people/needs-assessment Y2 - 2020/11/16/ ER - TY - ELEC TI - Am I eligible for Ministry-funded support services? AU - Ministry of Health DA - 2019/// PY - 2019 UR - https://www.health.govt.nz/your-health/services-and-support/disability-services/getting-support-disability/am-i-eligible-ministry-funded-support-services ER - TY - RPRT TI - National Framework for Home and Community Support Services (HCSS) AU - Ministry of Health CY - Wellington, New Zealand DA - 2020/// PY - 2020 PB - Ministry of Health UR - https://www.health.govt.nz/publication/national-framework-home-and-community-support-services-hcss ER - TY - ELEC TI - AC, BI, CADI, EW case mix classification worksheet AU - Minnesota Department of Human Services DA - 0000///no PY - 0000 UR - https://edocs.dhs.state.mn.us/lfserver/Public/DHS-3428B-ENG ER - TY - ELEC TI - MnCHOICES reassessment rollout. Frequently asked questions AU - Minnesota Department of Human Services DA - 2015/// PY - 2015 UR - https://www.dhs.state.mn.us/main/groups/county_access/documents/pub/dhs16_195862.pdf ER - TY - ELEC TI - The future of Elderly Waiver AU - Minnesota Department of Human Services DA - 2019/// PY - 2019 UR - https://mn.gov/dhs/assets/Future-elderly-waiver_tcm1053-350979.pdf ER - TY - JOUR TI - Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement AU - Moher, D. AU - Liberati, A. AU - Tetzlaff, J. AU - Altman, D. G. T2 - PLoS Med DA - 2009/// PY - 2009 DO - 10.1371/journal.pmed.1000097 DP - NLM VL - 6 IS - 7 SP - e1000097 LA - eng SN - 1549-1277 (Print) 1549-1277 UR - https://doi.org/10.1371/journal.pmed.1000097 KW - Humans KW - Publication Bias KW - *Meta-Analysis as Topic KW - *Terminology as Topic KW - Quality Control KW - *Review Literature as Topic KW - Evidence-Based Practice/standards KW - Periodicals as Topic/standards KW - Publishing/*standards ER - TY - JOUR TI - The effect of state policies on nursing home resident outcomes AU - Mor, V. AU - Gruneir, A. AU - Feng, Z. AU - Grabowski, D. C. AU - Intrator, O. AU - Zinn, J. T2 - J Am Geriatr Soc AB - OBJECTIVES: To test the effect of changes in Medicaid reimbursement on clinical outcomes of long-stay nursing home (NH) residents. DESIGN: Longitudinal, retrospective study of NHs, merging aggregated resident-level quality measures with facility characteristics and state policy survey data. SETTING: All free-standing NHs in urban counties with at least 20 long-stay residents per quarter (length of stay > 90 days) in the continental United States between 1999 and 2005. PARTICIPANTS: Long-stay NH residents INTERVENTIONS: Annual state Medicaid average per diem reimbursement and the presence of case-mix reimbursement in each year. MEASUREMENTS: Quarterly facility-aggregated, risk-adjusted quality-of-care measures surpassing a threshold for functional (activity of daily living) decline, physical restraint use, pressure ulcer incidence or worsening, and persistent pain. RESULTS: All outcomes showed an improvement trend over the study period, particularly physical restraint use. Facility fixed-effect regressions revealed that a $10 increase in Medicaid payment increased the likelihood of a NH meeting quality thresholds by 9% for functional decline, 5% for pain control, and 2% for pressure ulcers but not reduced use of physical restraints. Facilities in states that increased Medicaid payment most showed the greatest improvement in outcomes. The introduction of case-mix reimbursement was unrelated to quality improvement. CONCLUSION: Improvements in the clinical quality of NH care have been achieved, particularly where Medicaid payment has increased, generally from a lower baseline. Although this is a positive finding, challenges to implementing efficient reimbursement policies remain. DA - 2011/// PY - 2011 DO - 10.1111/j.1532-5415.2010.03230.x VL - 59 IS - 1 SP - 3 EP - 9 SN - 1532-5415 UR - http://www.ncbi.nlm.nih.gov/pubmed/21198463 KW - Humans KW - United States KW - Nursing Homes KW - Retrospective Studies KW - Longitudinal Studies KW - Long-Term Care KW - Risk Adjustment KW - Medicaid KW - Public Policy KW - Insurance, Health, Reimbursement KW - Reimbursement Mechanisms KW - Outcome Assessment, Health Care ER - TY - JOUR TI - Comprehensive clinical assessment in community setting: applicability of the MDS‐HC AU - Morris, J.N. AU - Fries, B.E. AU - Steel, K. AU - Ikegami, N. AU - Bernabei, R. AU - Carpenter, G.I. AU - Gilgen, R. AU - Hirdes, J.P. AU - Topinková, E. T2 - J Am Geriatr Soc DA - 1997/// PY - 1997 DO - 10.1111/j.1532-5415.1997.tb02975.x VL - 45 IS - 8 SP - 1017 EP - 1024 UR - https://doi.org/10.1111/j.1532-5415.1997.tb02975.x ER - TY - JOUR TI - The German long-term care insurance program: evolution and recent developments AU - Nadash, P. AU - Doty, P. AU - von Schwanenflügel, M. T2 - Gerontologist AB - Since 1995, Germany has operated one of the longest-running public programs providing universal support for the cost of long term services and supports (LTSS). Its self-funding, social insurance approach provides basic supports to nearly all Germans. We discuss its design and development, including recent reforms expanding the program and ensuring its ongoing sustainability.The study reviews legislative and programmatic changes, using program data, as well as legislative documents and program reports.The program is widely accepted among citizens and has achieved many of its original goals: ensuring access to LTSS and reducing reliance on the locally-funded safety-net social assistance program, which can be used to cover nursing home costs. It also strengthened the LTSS provider infrastructure and expanded access to home care. Recent reforms have addressed some of the program’s key issues: the benefit’s decreasing value, the eligibility and benefit structure that largely excluded cognitive impairment, and the program’s longer-term financial sustainability—particularly its ability to sustain newly expanded benefits, which provide stronger protections to caregivers, index-link benefits, and more systematically incorporate cognitive impairment via a new assessment system. It has addressed financing issues by increasing premiums, introducing subsidies for the purchase of private insurance, and creating a “demographic reserve fund.”The reforms constitute a significant strengthening of the program, remarkable in an era of retrenchment. Overall, the program provides evidence for the financial viability of a social insurance model, although longer-term challenges may yet arise. DA - 2018/// PY - 2018 DO - 10.1093/geront/gnx018 VL - 58 IS - 3 SP - 588 EP - 597 SN - 0016-9013 UR - https://doi.org/10.1093/geront/gnx018 Y2 - 2020/09/25/ ER - TY - ELEC TI - SEER-Medicare: Minimum Data Set (MDS) - Nursing Home Assessment AU - National Cancer Institute, Division of Cancer Control & Population Sciences AB - The Minimum Data Set (MDS) is part of a federally mandated process for clinical assessment of all residents in Medicare or Medicaid certified nursing homes. This process entails a comprehensive, standardized assessment of each resident's functional capabilities and health needs. Assessments are conducted by trained nursing home clinicians on all patients at admission and discharge, in addition to other time intervals (e.g., quarterly, annually, and when residents experience a significant change in status). In October 2010, the Centers for Medicare & Medicaid Services implemented MDS 3.0, a significant change in the type of data collected from prior versions of the MDS. The MDS 3.0 captures information about patients’ comorbidities, physical, psychological and psychosocial functioning in addition to any treatments (e.g., hospice care, oxygen therapy, chemotherapy, dialysis) or therapies (e.g., physical, occupational, speech, restorative nursing) received. Patients in the SEER-Medicare data diagnosed in 1999 and later have been linked with MDS data from 1999 and later. Cancer patients with fee-for-service and HMO coverage are included. MDS data is also available from 1999 and later for persons included in the SEER-Medicare 5% sample. More details about the initial incorporation of MDS data with SEER-Medicare is provided in: Thomas KS, Boyd E, Mariotto AB, Penn DC, Barrett MJ, Warren JL. New Opportunities for Cancer Health Services Research: Linking the SEER-Medicare Data to the Nursing Home Minimum Data Set. Med Care. 2018 Feb 2. DA - 2020/// PY - 2020 UR - https://healthcaredelivery.cancer.gov/seermedicare/medicare/mds.html#:~:text=The%20Minimum%20Data%20Set%20(MDS,functional%20capabilities%20and%20health%20needs. ER - TY - ELEC TI - Plan budget and rules AU - National Disability Insurance Agency DA - 2021/// PY - 2021 UR - https://www.ndis.gov.au/participants/creating-your-plan/plan-budget-and-rules ER - TY - RPRT TI - Beleidsregel prestatiebeschrijvingen en tarieven zorgzwaartepakketten en volledig pakket thuis 2020 - BR/REG-20124c [Policy rule for performance descriptions and rates for care intensity packages and full package at home 2020 - BR/REG-20124c] AU - Nederlandse Zorgautoriteit A2 - Nederlandse Zorgautoriteit DA - 2020/// PY - 2020 SP - BR/REG EP - 20124c PB - Nederlandse Zorgautoriteit, UR - https://puc.overheid.nl/nza/doc/PUC_277076_22/4/ ER - TY - ELEC TI - Older peoples NASC services AU - Needs Assessment Services Co-ordination Association DA - 0000///no PY - 0000 UR - https://www.nznasca.co.nz/services/older-peoples-nasc-services/ ER - TY - JOUR TI - Do case-mix adjusted nursing home reimbursements actually reflect costs? Minnesota's experience AU - Nyman, J. S. AU - Connor, R. A. T2 - J Health Econ AB - Some states have adopted Medicaid reimbursement systems that pay nursing homes according to patient type. These case-mix adjusted reimbursements are intended in part to eliminate the incentive in prospective systems to exclude less profitable patients. This study estimates the marginal costs of different patient types under Minnesota's case-mix system and compares them to their corresponding reimbursements. We find that estimated costs do not match reimbursement rates, again making some patient types less profitable than others. Further, in confirmation of our estimates, we find that the percentage change in patient days between 1986 and 1990 is explained by our profitability estimates. DA - 1994/// PY - 1994 DO - 10.1016/0167-6296(94)90021-3 VL - 13 IS - 2 SP - 145 EP - 62 UR - https://doi.org/10.1016/0167-6296(94)90021-3 ER - TY - ELEC TI - Review of Medicare home health services in California, Illinois, New York, and Texas. A–04–99–01994. AU - Office of Inspector General, Department of Health and Human Services AB - During the period of our current review, January 1998 through September 1998, HHAs were reimbursed under the interim payment system (IPS). Under IPS, HHAs are paid the lesser of (1) actual costs, (2) per-visit limits, or (3) per-beneficiary limits. The IPS will be used to pay HHAs until the implementation of the PPS which is tentatively scheduled to begin October 2000. The first report, “Review of Medicare Home Health Services in California, Illinois, New York, and Texas” (A-04-99-01 194), is a repeat of our earlier examination of the home health care error rate. The prior review, released in 1997, showed a 40 percent improper payment rate in four States with large Medicare expenditures--California, Illinois, Texas, and New York. The current review, using Fiscal Year 1998 data for the same four States, reveals a drop in the rate of improper or highly questionable services to 19 percent. The errors represent services not reasonable and necessary, services to beneficiaries who were not homebound, services without a valid physician order, services not documented, and services at terminated home health agencies for which medical records could not be found. In response to our draft report, the Health Care Financing Administration (HCFA) noted it was pleased with the progress made to reduce the payment errors in home health care. The HCFA raised concerns about the errors we identified relating to terminated home health agencies and agreed to do further work with us to obtain more information on the terminated agencies. The HCFA generally concurred with our concerns about inadequate physician involvement in assessing patient needs and homebound status and agreed to collect the identified overpayments. The HCFA did not agree with our recommendations to consider our findings when determining the prospective payment rates for home health agencies. DA - 1997/// PY - 1997 UR - https://oig.hhs.gov/oas/reports/region4/49901194.pdf ER - TY - ELEC TI - The Medicare payment system for skilled nursing facilities needs to be reevaluated. Report no. OEI–02–13–00610 AU - Office of Inspector General, Department of Health and Human Services AB - HOW WE DID THIS STUDY This study was based on several data sources, including Medicare Part A SNF claims, Medicare cost reports, and beneficiary assessments. We used Medicare cost reports to compare Medicare payments to SNFs’ costs for therapy over a 10-year period. We used claims to determine the extent to which SNF billing and beneficiary characteristics changed from fiscal years (FYs) 2011 to 2013. Finally, we determined the extent to which changes in SNF billing affected Medicare payments. WHAT WE FOUND We found that Medicare payments for therapy greatly exceeded SNFs’ costs for therapy. We also found that under the current payment system, SNFs increasingly billed for the highest level of therapy even though key beneficiary characteristics remained largely the same. Increases in SNF billing—particularly for the highest level of therapy—resulted in $1.1 billion in Medicare payments in FYs 2012 and 2013. WHAT WE RECOMMEND The findings of this and prior OIG reports demonstrate the need for the Centers for Medicare & Medicaid Services (CMS) to reevaluate the Medicare SNF payment system. Payment reform could save Medicare billions of dollars and encourage SNFs to provide services that are better aligned with beneficiaries’ care needs. We recommend that CMS: (1) evaluate the extent to which Medicare payment rates for therapy should be reduced, (2) change the method for paying for therapy, (3) adjust Medicare payments to eliminate any increases that are unrelated to beneficiary characteristics, and (4) strengthen oversight of SNF billing. CMS concurred with all four of our recommendations. DA - 2015/// PY - 2015 UR - https://oig.hhs.gov/oei/reports/oei-02-13-00610.pdf ER - TY - ELEC TI - Aged care: a quick guide AU - Parliament of Australia AB - Aged care consumers As at 30 June 2018, there were around 783,000 people receiving home support through the CHSP, 91,800 people receiving home care through an HCP and 180,900 people in permanent residential aged care. DA - 2019/// PY - 2019 UR - https://www.aph.gov.au/About_Parliament/Parliamentary_Departments/Parliamentary_Library/pubs/rp/rp1819/Quick_Guides/AgedCare2019 ER - TY - JOUR TI - Developing and utilising a new funding model for home‐care services in New Zealand AU - Parsons, M. AU - Rouse, P. AU - Sajtos, L. AU - Harrison, J. AU - Parsons, J. AU - Gestro, L. T2 - Health Soc Care Community DA - 2018/// PY - 2018 DO - 10.1111/hsc.12525 VL - 26 IS - 3 SP - 345 EP - 355 SN - 0966-0410 UR - https://doi.org/10.1111/hsc.12525 ER - TY - ELEC TI - Long-term care services for the elderly AU - Punelli, D. DA - 2017/// PY - 2017 UR - https://www.house.leg.state.mn.us/hrd/pubs/ltcelderly.pdf ER - TY - RPRT TI - Health Funding Authority aged residential care pricing implementation final report. AU - PWC DA - 2000/// PY - 2000 PB - PWC, UR - https://www.moh.govt.nz/notebook/nbbooks.nsf/7086510ecd1c88e1cc2573b70071599b/69703600b76f281bcc257fed0072836c?OpenDocument ER - TY - ELEC TI - Long-term services and supports State scorecard 2020 edition. Advancing action AU - Reinhard, S. AU - Houser, A. AU - Ujvari, K. AU - Gualtieri, C. AU - Harrell, R. AU - Lingamfelter, P. AU - Alexis, J. AB - Minnesota is the top ranked state in the Long-Term Services and Supports State Scorecard 2020 Edition. DA - 2020/// PY - 2020 UR - http://www.longtermscorecard.org/~/media/Microsite/Files/2020/LTSS%202020%20Short%20Report%20PDF%20923.pdf ER - TY - JOUR TI - Australian approaches to resident classification and quality assurance in residential care AU - Rosewarne, R. C. T2 - J Aging Soc Policy AB - This paper begins with an account of the structure of Australia's residential long-term care program, which was divided into two distinct levels of hostel and nursing home care until 1997. In response to changed policy objectives, a number of measures were then taken to create an integrated residential care system. The main measures were the development of a single scale for classification of resident care need and associated funding to replace two previous separate scales, and the implementation of a new quality assurance system, which included new standards for buildings as well as revised standards for care. I give accounts of these measures and the extent to which they have achieved their intended outcomes before proposing some further developments that could see closer links among pre-admission assessment, resident classification, and quality assurance. DA - 2002/// PY - 2002 DO - 10.1300/j031v13n02_09 VL - 13 IS - 2-3 SP - 117 EP - 35 SN - 0895-9420 (Print) 0895-9420 UR - https://doi.org/10.1300/j031v13n02_09 KW - Humans KW - Aged KW - Australia KW - Accreditation KW - Long-Term Care/*standards KW - *Quality Assurance, Health Care KW - Health Services for the Aged/classification/organization & administration/*standards KW - National Health Programs/organization & administration/standards KW - Outcome Assessment, Health Care/trends KW - Patient Admission/standards KW - Residential Facilities/classification/organization & administration/*standards ER - TY - JOUR TI - Case-mix system as a boundary object: the case of home care services AU - Sajtos, L. AU - Rouse, P. AU - Harrison, J. AU - Parsons, M. T2 - Australas Mark J DA - 2014/// PY - 2014 DO - 10.1016/j.ausmj.2014.08.003 VL - 22 IS - 3 SP - 189 EP - 196 SN - 1441-3582 UR - https://doi.org/10.1016/j.ausmj.2014.08.003 ER - TY - JOUR TI - Nursing home costs, Medicaid rates, and profits under alternative Medicaid payment systems AU - Schlenker, R. E. T2 - Health Serv Res AB - This analysis compares nursing home costs, Medicaid payment rates, and profits under three Medicaid nursing home payment systems: case-mix, facility-specific, and class-rate systems. Data used were collected from 135 nursing homes in seven states. The association of case mix with costs, rates, and profits under the three payment systems was of particular interest. Case mix was more strongly associated (positively) with patient care cost and the Medicaid rate for the case-mix systems than for the other systems, particularly the class-rate systems. In contrast, case mix and profits were not associated in the case-mix or facility-specific systems, but were negatively associated in the class rate systems. Overall, the results suggest that case-mix systems have some important advantages over other payment systems, but further research is needed on larger samples and involving the newer case-mix systems. DA - 1991/// PY - 1991 VL - 26 IS - 5 SP - 623 EP - 49 SN - 0017-9124 UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1069846/ ER - TY - JOUR TI - Initial home health outcomes under prospective payment AU - Schlenker, R. E. AU - Powell, M. C. AU - Goodrich, G. K. T2 - Health Serv Res AB - Objective To assess initial changes in home health patient outcomes under Medicare's home health Prospective Payment System (PPS), implemented by the Centers for Medicare and Medicaid Services (CMS) in October 2000. Data Sources/Study Setting Pre-PPS and early PPS data were obtained from CMS Outcome and Assessment Information Set (OASIS) and Medicare claims files. Study Design Regression analysis was applied to national random samples (n=164,810) to estimate pre-PPS/PPS outcome and visit-per-episode changes. Data Collection/Extraction Methods Outcome episodes were constructed from OASIS data and linked with Medicare claims data on visits. Principal Findings Outcome changes (risk adjusted) were mixed and generally modest. Favorable changes included higher improvement rates under PPS for functioning and dyspnea, higher community discharge rates, and lower hospitalization and emergent care rates. Most stabilization (nonworsening) outcome rates also increased. However, improvement rates were lower under PPS for wounds, incontinence, and cognitive and emotional/behavioral outcomes. Total visits per episode (case-mix adjusted) declined 16.6 percent although therapy visits increased by 8.4 percent. Conclusions The outcome and visit results suggest improved system efficiency under PPS (fewer visits, similar outcomes). However, declines in several improvement rates merit ongoing monitoring, as do subsequent (posthome health) hospitalization and emergent care use. Since only the early PPS period was examined, longer-term analyses are needed. DA - 2005/// PY - 2005 DO - 10.1111/j.1475-6773.2005.00348.x VL - 40 IS - 1 SP - 177 EP - 93 SN - 0017-9124 UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1361132/ ER - TY - JOUR TI - RUG-II impacts on long-term care facilities in New York AU - Schultz, B. M. AU - Ward, D. AU - Knickman, J. R. T2 - Health Care Financ Rev AB - This article observes changes during the first 5 years of Resource Utilization Group, Version II (RUG-II) system utilization by the New York State Department of Health (NYDOH) for Medicaid program reimbursement. Findings include a dramatic increase in the number of residents scoring in the highest intensity resident-care categories, a substantial increase in staffing and expenditures for rehabilitation therapies, and a possible negative impact on the financial performance of New York long-term care (LTC) facilities. RUG-II appears to have been successful in improving access to nursing homes for individuals with heavy-care needs and in encouraging the appropriate utilization of institutionalized skilled nursing care. DA - 1994/// PY - 1994 DP - PubMed Central VL - 16 IS - 2 SP - 85 EP - 99 SN - 0195-8631 UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193496/ Y2 - 2020/11/26/ ER - TY - CHAP TI - Chapter 14: Completing ‘Summary of findings’ tables and grading the certainty of the evidence AU - Schünemann, H. J. AU - Higgins, J. P. T. AU - Vist, G. E. AU - Glasziou, P. AU - Akl, E. A. AU - Skoetz, N. AU - Guyatt, G. H. AU - on behalf of the Cochrane GRADEing Methods Group (formerly Applicability and Recommendations Methods Group) and the Cochrane Statistical Methods Group T2 - Cochrane Handbook for Systematic Reviews of Interventions Version 6.1 (updated September 2020) DA - 2020/// PY - 2020 PB - Cochrane UR - https://training.cochrane.org/handbook/current/chapter-14 ER - TY - ELEC TI - The Alberta Health Services patient/care-based funding model for long term care. A review and analysis AU - Sutherland, J. M. AU - Repin, N. AU - Crump, R. T. DA - 2013/// PY - 2013 UR - https://www.albertahealthservices.ca/publications/ahs-pub-ltc-pcbf.pdf ER - TY - JOUR TI - Trends in Medicaid nursing home reimbursement: 1978-89 AU - Swan, J. H. AU - Harrington, C. AU - Grant, L. AU - Luehrs, J. AU - Preston, S. T2 - Health Care Financ Rev AB - Medicaid nursing home reimbursement is of concern because of implications for nursing home expenditures. This article presents data on State Medicaid nursing home reimbursement methods, ratesetting methods, and average per diem rates, refining earlier data and updating through 1989. A trend in the early 1980s toward adopting prospective systems played out by the end of the decade. There were trends, however, toward case-mix methods, which may increase access for high-need patients, and toward cost-center limits on nursing, which may provide incentives to lower quality care. Analysis supports previous findings that prospective systems allow greater control over increases in rates. DA - 1993/// PY - 1993 VL - 14 IS - 4 SP - 111 EP - 32 SN - 0195-8631 UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193357/ ER - TY - JOUR TI - Medicaid case-mix nursing home reimbursement in three states AU - Swan, J. H. AU - Pickard, R. B. T2 - J Health Soc Policy AB - Case-mix nursing facility payment raises issues of access, quality, equity, and cost. Case-mix should better match payment to costs, improve access, and provide incentives to increased staffing and quality of care; but it may also increase costs. This paper reports analysis of Medicaid cost-report data from three case-mix states. Case-mix did not discourage capacity building and was more equitable for providers. Medicaid access declined in one state but increased in another. There were shifts toward greater skilled care in two states, with evidence of greater focus of resources on patient care. Case-mix showed no evidence of cost-constraint and some signs of increased costs. Whether such mixed outcomes are viable in the current era remains to be seen. DA - 2003/// PY - 2003 DO - 10.1300/J045v16n04_02 VL - 16 IS - 4 SP - 27 EP - 53 SN - 0897-7186 UR - http://www.ncbi.nlm.nih.gov/pubmed/12943331 KW - United States KW - Health Policy KW - Nursing Homes KW - Minnesota KW - Medicaid KW - Texas KW - Diagnosis-Related Groups KW - South Carolina KW - Prospective Payment System ER - TY - JOUR TI - Do financial incentives of introducing case mix reimbursement increase feeding tube use in nursing home residents? AU - Teno, J. M. AU - Feng, Z. AU - Mitchell, S. L. AU - Kuo, S. AU - Intrator, O. AU - Mor, V. T2 - J Am Geriatr Soc AB - OBJECTIVES: To determine whether adoption of Medicaid case mix reimbursement is associated with greater prevalence of feeding tube use in nursing home (NH) residents. DESIGN: Secondary analysis of longitudinal administrative data about the prevalence of feeding tube insertion and surveys of states' adoption of case mix reimbursement. SETTING: NHs in the United States. PARTICIPANTS: NH residents at the time of NH inspection between 1993 and 2004. MEASUREMENTS: Facility prevalence of feeding tubes reported at the state inspection of NHs reported in the Online Survey, Certification and Reporting database and interviews with state policy makers regarding the adoption of case mix reimbursement. RESULTS: Between 1993 and 2004, 16 states adopted Resource Utilization Group case mix reimbursement. States varied in the prevalence of feeding tubes in their NHs. Although the use of feeding tube increased substantially over the years of the study, once temporal trends and facility fixed effects were accounted for, case mix reimbursement was not associated with greater prevalence of feeding tube use. CONCLUSION: The adoption of Medicaid case mix reimbursement was not associated with an increase in the prevalence of feeding tube use. DA - 2008/// PY - 2008 DO - 10.1111/j.1532-5415.2008.01647.x VL - 56 IS - 5 SP - 887 EP - 90 UR - https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1532-5415.2008.01647.x ER - TY - ELEC TI - New Zealand AU - The Commonwealth Fund DA - 2020/// PY - 2020 UR - https://www.commonwealthfund.org/international-health-policy-center/countries/new-zealand Y2 - 2020/10/15/ ER - TY - ELEC TI - The development of a case-mix system for aged residential care. Public report. AU - The University of Auckland DA - 2018/// PY - 2018 UR - https://media.bupa.com.au/download/544969/casemixpublicreportmay2018.pdf ER - TY - JOUR TI - The Resource Utilization Group system: its effect on nursing home case mix and costs AU - Thorpe, K. E. AU - Gertler, P. J. AU - Goldman, P. T2 - Inquiry AB - Using data from 1985 and 1986, we examine how New York state's prospective payment system affected nursing homes. The system, called Resource Utilization Group (RUG-II), aimed to limit nursing home cost growth and improve access to nursing homes by "heavy-care" patients. As in Medicare's prospective hospital reimbursement system, payments to nursing homes were based on a "price," rather than facility-specific rates. With respect to cost growth, we observed considerable diversity among homes. Specifically, those nursing homes most financially constrained by the RUG-II methodology exhibited the slowest rates of cost growth; we observed higher cost growth among the homes least constrained. This higher rate of cost growth raises a question about the desirability of using a pricing methodology to determine nursing home payment rates. In addition to moderating cost growth, we also observed a significant change in the mix of patients admitted to nursing homes. During the first year of the RUG-II program, nursing homes admitted more heavy-care patients and reduced days of care to lighter-care patients. Thus, through 1986, the RUG-II program appeared to satisfy at least one of its major policy objectives. DA - 1991/// PY - 1991 VL - 28 IS - 1 SP - 357 EP - 65 LA - en SN - 0046-9580 (Print) 0046-9580 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/1761308 KW - Humans KW - United States KW - Aged KW - Costs and Cost Analysis KW - Multivariate Analysis KW - New York KW - Long-Term Care/*classification KW - Diagnosis-Related Groups/economics/*statistics & numerical data KW - Health Services Accessibility/statistics & numerical data KW - Nursing Homes/*economics KW - Prospective Payment System/*organization & administration KW - State Health Plans/economics ER - TY - ELEC TI - International health care system profiles. Australia AU - Tikkanen, R. AU - Osborn, R. AU - Mossialos, E. AU - Djordjevic, A. AU - Wharton, G. A. DA - 2020/// PY - 2020 UR - https://www.commonwealthfund.org/international-health-policy-center/countries/australia Y2 - 2020/12/01/ ER - TY - JOUR TI - International casemix and funding models: lessons for rehabilitation AU - Turner-Stokes, L. AU - Sutch, S. AU - Dredge, R. AU - Eagar, K. T2 - Clin Rehabil AB - UNLABELLED: This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is 'An understanding of the different international models for funding of health care services and casemix systems, as exemplified by those in the US, Australia and the UK.' BACKGROUND: Payment for treatment in healthcare systems around the world is increasingly based on fixed tariff models to drive up efficiency and contain costs. Casemix classifications, however, must account adequately for the resource implications of varying case complexity. Rehabilitation poses some particular challenges for casemix development. OBJECTIVE: The objectives of this educational narrative review are (a) to provide an overview of the development of casemix in rehabilitation, (b) to describe key characteristics of some well-established casemix and payment models in operation around the world and (c) to explore opportunities for future development arising from the lessons learned. RESULTS: Diagnosis alone does not adequately describe cost variation in rehabilitation. Functional dependency is considered a better cost indicator, and casemix classifications for inpatient rehabilitation in the United States and Australia rely on the Functional Independence Measure (FIM). Fixed episode-based prospective payment systems are shown to contain costs, but at the expense of poorer functional outcomes. More sophisticated models incorporating a mixture of episode and weighted per diem rates may offer greater flexibility to optimize outcome, while still providing incentive for throughput. CONCLUSION: The development of casemix in rehabilitation poses similar challenges for healthcare systems all around the world. Well-established casemix systems in the United States and Australia have afforded valuable lessons for other countries to learn from, but have not provided all the answers. A range of casemix and payment models is required to cater for different healthcare cultures, and casemix tools must capture all the key cost-determinants of treatment for patients with complex needs. DA - 2012/// PY - 2012 DO - 10.1177/0269215511417468 VL - 26 IS - 3 SP - 195 EP - 208 SN - 1477-0873 (Electronic) 0269-2155 (Linking) UR - http://www.ncbi.nlm.nih.gov/pubmed/22070989 KW - Female KW - Humans KW - Male KW - United States KW - United Kingdom KW - Australia KW - *Health Care Costs KW - Models, Economic KW - International Cooperation KW - Rehabilitation/*organization & administration KW - Diagnosis-Related Groups/*economics KW - Ambulatory Care/organization & administration KW - Health Resources/*economics KW - Prospective Payment System/*economics KW - Rehabilitation Centers/organization & administration ER - TY - ELEC TI - Overview of the Patient-Driven Groupings Model (article SE19027) AU - U. S. Centers for Medicare & Medicaid Services (CMS), Medicare Learning Network (MLN) DA - 2019/// PY - 2019 UR - https://www.cms.gov/files/document/se19027.pdf ER - TY - ELEC TI - State Medicaid programs AU - U. S. Department of Health and Human Services DA - 2020/// PY - 2020 UR - https://longtermcare.acl.gov/medicare-medicaid-more/medicaid/index.html ER - TY - ELEC TI - Skilled nursing facilities: Providers have responded to Medicare payment system by changing practices. GAO–02–841 AU - U. S. Government Accountability Office (GAO) DA - 2002/// PY - 2002 LA - en UR - https://www.gao.gov/products/GAO-02-841 ER - TY - JOUR TI - The effects of case-mix reimbursement on Ohio Medicaid nursing home costs AU - Ubokudom, S. AU - Woods, J. A. AU - Schalk, Lorinda S. T2 - Policy Stud J DA - 2002/// PY - 2002 DO - 10.1111/j.1541-0072.2002.tb02150.x VL - 30 SP - 321 EP - 42 UR - https://doi.org/10.1111/j.1541-0072.2002.tb02150.x ER - TY - ELEC TI - Nursing homes: admission problems for Medicaid recipients and attempts to solve them. Pub. no. HRD-90-135 AU - United States General Accounting Office (GAO) AB - Pursuant to a congressional request, GAO assessed problems Medicaid recipients faced when trying to gain admission into nursing homes, focusing on: (1) the types of reforms that various states implemented to improve Medicaid recipients' access; and (2) factors that influenced states' willingness to improve access for Medicaid recipients. GAO found that: (1) in nine states, some Medicaid recipients had more problems getting into nursing homes than comparable private payers; (2) there were no generally accepted measures of access, but some states described nursing home access problems by the length of time it took to gain admission to a nursing home; (3) accessibility problems resulted in increased health care costs, and in one state, waiting time for an available bed increased 55 percent in 1 year, raising the cost of care for those days from $5.7 million to $10.5 million; (4) one state required that Medicaid and private-pay rates be equal, which improved Medicaid recipients' access by removing the financial incentive nursing homes had to select private payers; (5) in a number of states, increasing Medicaid rates or changing the payment systems improved access for Medicaid recipients; (6) one state reported that implementation of a payment system based on care needs improved accessibility for Medicaid recipients requiring extensive care; (7) for financial reasons, states may not be willing to voluntarily improve Medicaid recipients' access to nursing homes through payment reforms or other measures; and (8) regulatory reforms that remove the source of payment as a criterion for admission could improve Medicaid recipients' access, but some officials considered such regulatory reforms inappropriate and ineffective and there was little data available to evaluate the effectiveness of such reforms. DA - 1990/// PY - 1990 LA - en UR - https://www.gao.gov/products/HRD-90-135 ER - TY - JOUR TI - The impact of Medicare reimbursement changes on staffing and the quality of care in nursing homes AU - Unruh, L. AU - Zhang, N. J. AU - Wan, T. T. H. T2 - Int J Public Pol DA - 2006/// PY - 2006 DO - 10.1504/IJPP.2006.010847 VL - 1 IS - 4 SP - 421 EP - 34 UR - https://doi.org/10.1504/IJPP.2006.010847 ER - TY - JOUR TI - A systematic review of case-mix models for home health care payment: Making sense of variation AU - van den Bulck, A. O. E. AU - de Korte, M. H. AU - Elissen, A. M. J. AU - Metzelthin, S. F. AU - Mikkers, M. C. AU - Ruwaard, D. T2 - Health Policy AB - BACKGROUND: Case-mix based payment of health care services offers potential to contain expenditure growth and simultaneously support needs-based care provision. However, limited evidence exists on its application in home health care (HHC). Therefore, this study aimed to synthesize available international literature on existing case-mix models for HHC payment. METHODS: We performed a systematic review of scientific literature, supplemented with grey literature. We searched for literature using six scientific databases, reference lists, expert consultation, and targeted websites. Data on study design, case-mix model attributes, and conclusions were extracted narratively. RESULTS: Of 3303 references found, 22 scientific studies and 27 grey documents met eligibility criteria. Eight case-mix models for HHC were identified, from the US, Canada, New Zealand, Australia, and Germany. Three countries have implemented a case-mix model as part of a HHC payment system. Different combinations of in total 127 unique case-mix predictors are included across models to predict HHC use. Case-mix models also differ in targeted services, operationalization, and outcome measures and predictive power. CONCLUSIONS: Case-mix based payment is not yet widely used within HHC. Multiple varieties were found between HHC case-mix models, and no one best form of a model seems to exist. Even though varieties are partly inevitable due to country-specific contexts, developing a shared vision in case-mix model attributes would be key to achieving efficient, needs-based HHC. DA - 2020/// PY - 2020 DO - 10.1016/j.healthpol.2019.12.012 VL - 124 IS - 2 SP - 121 EP - 32 SN - 0168-8510 UR - https://doi.org/10.1016/j.healthpol.2019.12.012 KW - *Systematic review KW - *Casemix KW - *Classification KW - *Home care services KW - *Prospective payment system KW - interest. ER - TY - JOUR TI - A probabilistic projection of beneficiaries of long-term care insurance in Germany by severity of disability AU - Vanella, P. AU - Heß, M. AU - Wilke, C. B. T2 - Qual & Quant AB - Demographic GPV. DA - 2020/// PY - 2020 DO - 10.1007/s11135-020-00968-w VL - 54 IS - 3 SP - 943 EP - 74 SN - 1573-7845 UR - https://doi.org/10.1007/s11135-020-00968-w ER - TY - JOUR TI - ASHA members report their PDPM experiences AU - Warren, S. AU - Sampson, M. T2 - ASHA Leader AB - In a survey on responses to the Patient-Driven Payment Model, SLPs in skilled nursing facilities report reduced hours, a push for concurrent and group treatment, and pressure from administrative mandates. DA - 2020/// PY - 2020 DO - 10.1044/leader.OTP.25042020.40 VL - 25 IS - 3 SP - 40 EP - 2 UR - https://leader.pubs.asha.org/doi/full/10.1044/leader.OTP.25042020.40 ER - TY - JOUR TI - The relationship between quality of care and costs in nursing homes AU - Weech-Maldonado, R. AU - Shea, D. AU - Mor, V. T2 - Am J Med Qual AB - The purpose of this study was to evaluate the impact of quality of care on costs in nursing homes. The sample consisted of 749 nursing homes in 5 states in 1996. Nursing home cost functions were estimated using weighted 2-stage least-squares regression analysis. Costs are measured as the facility's total patient care costs. Two outcome measures are used as quality indicators: pressure ulcers worsening and mood decline. Nonmonotonic relationships are observed between quality and costs for nursing homes in the sample. However, the pattern of the relationship is different depending on the quality indicator. For pressure ulcers, the authors observe an inverted U-shaped curve with increasing costs at the lower range of quality but decreasing costs associated with higher quality after a threshold. The opposite pattern is observed for mood decline, with a relatively flat curve at the lower range of quality but increasing costs after a threshold. DA - 2006/// PY - 2006 DO - 10.1177/1062860605280643 VL - 21 IS - 1 SP - 40 EP - 8 SN - 1062-8606 (Print) 1062-8606 AN - 16401704 KW - Humans KW - United States KW - Costs and Cost Analysis KW - Regression Analysis KW - *Quality of Health Care KW - Quality Indicators, Health Care KW - Nursing Homes/*economics ER - TY - RPRT TI - The AN-ACC assessment model. The Resource Utilisation and Classification Study: Report 2 AU - Westera, A. AU - Snoek, M. AU - Duncan, C. AU - Quinsey, K. AU - Samsa, P. D. AU - McNamee, J. P. AU - Eagar, K. DA - 2019/// PY - 2019 PB - Australian Health Services Research Institute, University of Wollongong UR - https://ro.uow.edu.au/cgi/viewcontent.cgi?article=1974&context=ahsri ER - TY - ELEC TI - Analysis of 2006-2007 home health case-mix change AU - White, A. AU - Goldberg, H. AU - Deitz, D. AU - Robinson, C. DA - 2009/// PY - 2009 UR - https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HomeHealthPPS/Downloads/Home_Health_Case_Mix_Changes_2006-07.pdf ER - TY - JOUR TI - Rehabilitation therapy in skilled nursing facilities: Effects of Medicare’s new prospective payment system AU - White, C. T2 - Health Aff (Millwood) AB - In 1998 the Centers for Medicare and Medicaid Services (CMS) began phasing in a new prospective payment system (PPS) for Medicare payments to skilled nursing facilities (SNFs). I examine the effects of the new PPS on the level of rehabilitation therapy provided in SNFs. The percentage of residents of freestanding SNFs receiving extremely high levels of rehabilitation therapy dropped significantly, and the percentage receiving moderate levels increased. Freestanding SNFs, particularly for-profits, dramatically altered the services they provided in response to new financial incentives. This responsiveness underscores the importance of efforts now under way to refine the SNF PPS. DA - 2003/// PY - 2003 DO - 10.1377/hlthaff.22.3.214 VL - 22 IS - 3 SP - 214 EP - 23 SN - 0278-2715 (Print) 0278-2715 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/12757287 KW - Humans KW - United States KW - Aged KW - Diagnosis-Related Groups KW - Prospective Payment System/*legislation & jurisprudence KW - Budgets/legislation & jurisprudence KW - Centers for Medicare and Medicaid Services, U.S. KW - Medicare/*economics/legislation & jurisprudence KW - Rehabilitation/*economics KW - Skilled Nursing Facilities/*economics KW - Subacute Care/classification/economics ER - TY - JOUR TI - Medicare’s Prospective Payment System for skilled nursing facilities: Effects on staffing and quality of care AU - White, C. F. T2 - Inquiry AB - In 1998, Medicare began phasing in a new prospective payment system (PPS) for skilled nursing facilities (SNFs). This paper measures facility-level changes in nurse staffing and quality at freestanding SNFs from 1997 (pre-PPS) to 2001 (post-PPS). Findings show a positive but small association between changes in payment levels and changes in nurse staffing. Among for-profits, the elimination of cost reimbursement is associated with a large drop in nurse staffing. Additionally, the elimination of cost reimbursement is associated with worsening in one of four measures of quality of care; however, the quality results are not statistically robust. DA - 2005/// PY - 2005 DO - 10.5034/inquiryjrnl_42.4.351 VL - 42 IS - 4 SP - 351 EP - 63 LA - en SN - 0046-9580 (Print) 0046-9580 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/16568928 AN - 16568928 KW - Humans KW - United States KW - Workforce KW - *Quality of Health Care KW - Models, Statistical KW - *Prospective Payment System KW - *Skilled Nursing Facilities/economics KW - Medicare/*organization & administration KW - Personnel Staffing and Scheduling/*economics ER - TY - JOUR TI - Physical rehabilitation following Medicare prospective payment for skilled nursing facilities AU - Wodchis, W. P. T2 - Health Serv Res AB - Objective.To examine the effect of the Medicare prospective payment system (PPS)for skilled nursing facilities (SNF) on the delivery of rehabilitation therapy to residents.Data Sources.Resident-level data are based on the Resident Assessment InstrumentMinimum Data Set for nursing facilities. All elderly residents admitted to SNFs inMichigan and Ohio in 1998 and 1999 form the study population (n599,952).Study Design.A differences-in-differences identification strategy is used to comparerehabilitation therapy for SNF residents before and after a change in Medicare SNFpayment. Logistic and linear regression analyses are used to examine the effect of PPSon receipt of physical, occupational, or speech therapy and total therapy time.Data Extraction.Data for the present study were extracted from the University ofMichigan Assessment Archive Project (UMAAP). One assessment was obtained foreach resident admitted to nursing facilities during the study period.Principal Findings.The introduction of PPS for all U.S. Medicare residents in July of1998 was associated with specific targeting of rehabilitation treatment time to the mostprofitable levels of therapy. The PPS was also associated with increased likelihood oftherapy but less rehabilitation therapy time for Medicare residents.Conclusions.The present results indicate that rehabilitation therapy is sensitive to thespecific payment incentives associated with PPS DA - 2004/// PY - 2004 DO - 10.1111/j.1475-6773.2004.00291.x VL - 39 SP - 1299 EP - 318 LA - en UR - https://doi.org/10.1111/j.1475-6773.2004.00291.x ER - TY - JOUR TI - Effect of Medicaid payment on rehabilitation care for nursing home residents AU - Wodchis, W. P. AU - Hirth, R. A. AU - Fries, B. E. T2 - Health Care Financ Rev AB - There is considerable interest in examining how Medicaid payment affects nursing home care. This study examines the effect of Medicaid payment methods and reimbursement rates on the delivery of rehabilitation therapy to Medicaid nursing home residents in six States from 1992-1995. In States that changed payment from prospective facility-specific to prospective case-mix adjusted payment methods, Medicaid residents received more rehabilitation therapy after the change. While residents in States using case-mix adjusted payment rates for Medicaid payment were more likely to receive rehabilitation than residents in States using prospective facility-specific Medicaid payment, the differences were general and not specific to Medicaid residents. Retrospective payment for Medicaid resident care was associated with greater use of therapy for Medicaid residents. DA - 2007/// PY - 2007 VL - 28 IS - 3 SP - 117 EP - 29 UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194988/ ER - TY - ELEC TI - Toegang tot Wlz-zorg AU - Zorginstituut Nederland AB - De Wet langdurige zorg (Wlz) is er voor mensen die blijvend permanent toezicht nodig hebben of 24 uur per dag zorg in de nabijheid nodig hebben. Het gaat vooral om ouderen met vergevorderde dementie of mensen met een ernstige verstandelijke, lichamelijke of zintuiglijke beperking. Om zorg vanuit de Wlz te krijgen, is een Wlz-indicatie nodig. DA - 2016/// PY - 2016 UR - https://www.zorginstituutnederland.nl/Verzekerde+zorg/toegang-tot-wlz-zorg ER - TY - JOUR TI - Medicare prospective payment and quality of care for long stay nursing facility residents AU - Konetzka, R. T. AU - Norton, E. C. AU - Sloane, P. D. AU - Kilpatrick, K. E. AU - Stearns, S. C. T2 - Med Care AB - BACKGROUND: The Balanced Budget Act of 1997 dramatically changed the way that Medicare pays skilled nursing facilities and also cut per-diem rates. Previous studies have found effects on facility-wide staffing but not on quality for short-stay residents. Because facilities may combine revenue streams to be used where needed, spillover effects on quality of care for long-stay residents are possible. OBJECTIVE: We sought to investigate effects of financial pressures from Medicare payment changes on quality of care for long-stay residents. METHODS: We investigated the effect of Medicare's Prospective Payment System for skilled nursing facilities on incidence of urinary tract infections and pressure sores among long-stay residents while controlling for resident severity. We conducted panel data analysis of nursing home residents in Ohio, Kansas, Maine, Mississippi, and South Dakota using Minimum Data Set data from 1995 to 2000. Each facility's Medicare dependence was used to separate effects of the policy from underlying industry trends. RESULTS: The probability of developing a urinary tract infection or pressure sore increased significantly among long-stay residents after Medicare's prospective payment system was implemented. Effects were roughly proportional to the percent of residents in a facility covered by Medicare. CONCLUSIONS: Although Medicare prospective payment and rate cuts were directly applicable only to Medicare (largely short-stay) residents in skilled nursing facilities, the resulting financial pressures lowered the quality of care experienced by long-stay residents, as measured by the likelihood of adverse outcomes. The observed quality decreases were likely due to decreases in nurse staffing prompted by the payment reductions. DA - 2006/// PY - 2006 DO - 10.1097/01.mlr.0000199693.82572.19 VL - 44 IS - 3 SP - 270 EP - 276 LA - en SN - 0025-7079 (Print) 0025-7079 (Linking) UR - https://www.ncbi.nlm.nih.gov/pubmed/16501399 KW - Humans KW - *Quality of Health Care KW - Medical Audit KW - *Length of Stay KW - United States/epidemiology KW - *Prospective Payment System KW - *Medicare KW - *Skilled Nursing Facilities KW - Pressure Ulcer/epidemiology KW - Reimbursement Mechanisms/legislation & jurisprudence KW - Urinary Tract Infections/epidemiology ER - TY - ELEC TI - Report to the Congress: Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2015/// PY - 2015 UR - www.medpac.gov/docs/default-source/reports/mar2015_entirereport_revised.pdf?sfvrsn=0 ER - TY - ELEC TI - Prepare for your assessment AU - Australian Government, My Aged Care DA - 0000///no PY - 0000 UR - https://www.myagedcare.gov.au/assessment/prepare-your-assessment ER - TY - ELEC TI - Wat doet het CIZ? AU - Centrum Indicatiestelling Zorg (CIZ) AB - Zorgvuldig onderzoeken wie recht heeft op zorg uit de Wlz. Volgens de regels, maar vooral met aandacht voor de mens. Daar staat het CIZ voor. DA - 0000///no PY - 0000 LA - en UR - https://www.ciz.nl/over-ciz/over-het-ciz ER - TY - ELEC TI - What happens after assessment AU - Australian Government, My Aged Care DA - 0000///no PY - 0000 UR - https://www.myagedcare.gov.au/assessment/what-happens-after-assessment Y2 - 2020/11/18/ ER - TY - ELEC TI - Huishoudelijke hulp: welke wet? AU - Ministerie van Volksgezondheid, Welzijn en Sport DA - 0000///no PY - 0000 UR - https://www.informatielangdurigezorg.nl/onderwerpen/h/hulp-bij-het-huishouden ER - TY - ELEC TI - Home Care Package costs and fees AU - Australian Government, My Aged Care DA - 0000///no PY - 0000 UR - https://www.myagedcare.gov.au/home-care-package-costs-and-fees Y2 - 2020/11/18/ ER - TY - ELEC TI - Aged care home costs and fees AU - Australian Government, My Aged Care DA - 0000///no PY - 0000 UR - https://www.myagedcare.gov.au/aged-care-home-costs-and-fees Y2 - 2020/11/18/ ER - TY - JOUR TI - Development of a casemix classification to predict costs of home care in the Netherlands: a study protocol AU - Elissen, A. M. J. AU - Verhoeven, G. S. AU - de Korte, M. H. AU - van den Bulck, A. O. E. AU - Metzelthin, S. F. AU - van der Weij, L. C. AU - Stam, J. AU - Ruwaard, D. AU - Mikkers, M. C. T2 - BMJ Open AB - INTRODUCTION: Compared with fee-for-service systems, prospective payment based on casemix classification is thought to promote more efficient, needs-based care provision. We aim to develop a casemix classification to predict the costs of home care in the Netherlands. METHODS AND ANALYSIS: The research is designed as a multicentre, cross-sectional cohort study using quantitative methods to identify the relative cost predictors of home care and combine these into a casemix classification, based on individual episodes of care. The dependent variable in the analyses is the cost of home care utilisation, which is operationalised through various measures of formal and informal care, weighted by the relative wage rates of staff categories. As independent variables, we will use data from a recently developed Casemix Short-Form questionnaire, combined with client information from participating home care providers' (nursing) classification systems and data on demographics and care category (ie, a classification mandated by health insurers). Cost predictors are identified using random forest variable importance measures, and then used to build regression tree models. The casemix classification will consist of the leaves of the (pruned) regression tree. Internal validation is addressed by using cross-validation at various stages of the modelling pathways. The Transparent Reporting of a multivariable prediction model for Individual Prognosis or Diagnosis statement was used to prepare this study protocol. ETHICS AND DISSEMINATION: The study was classified by an accredited Medical Research Ethics Committee as not subject to the Dutch Medical Research Involving Human Subjects Act. Findings are expected in 2020 and will serve as input for the development of a new payment system for home care in the Netherlands, to be implemented at the discretion of the Dutch Ministry of Health, Welfare and Sports. The results will also be published in peer-reviewed publications and policy briefs, and presented at (inter)national conferences. DA - 2020/// PY - 2020 DO - 10.1136/bmjopen-2019-035683 DP - NLM VL - 10 IS - 2 SP - e035683 LA - eng SN - 2044-6055 UR - https://doi.org/10.1136/bmjopen-2019-035683 AN - 32071192 KW - *health policy KW - *health economics KW - *organisation of health services KW - *statistics & research methods ER - TY - ELEC TI - Resource Utilization Groups III Home Care (RUG-III-HC) Job Aid AU - Canadian Institute for Health Information DA - 2017/// PY - 2017 UR - https://www.cihi.ca/sites/default/files/document/rug-iii-hc-jobaid-en.pdf ER - TY - ELEC TI - My Aged Care assessment manual for regional assessment services and aged care assessment teams AU - Australian Government, My Aged Care DA - 2018/// PY - 2018 UR - https://www.health.gov.au/sites/default/files/documents/2020/01/my-aged-care-assessment-manual.pdf ER - TY - ELEC TI - Commonwealth home support programme. Program manual 2018–2020 AU - Australian Government, Department of Health DA - 2019/// PY - 2019 UR - https://www.health.gov.au/sites/default/files/documents/2019/12/commonwealth-home-support-programme-chsp-manual-2018-2020.pdf ER - TY - RPRT TI - Demographic report for clients allocated the Ministry of Health’s disability support services. 2018 update. AU - Ministry of Health CY - Wellington DA - 2019/// PY - 2019 PB - Ministry of Health UR - https://www.health.govt.nz/system/files/documents/publications/demographic-report-for-client-allocated-ministry-of-health-disability-support_services-2018-update14nov2019.pdf AN - 978-1-98-859752-2 ER - TY - RPRT TI - Information response h201901811: Response to your request for official information AU - Ministry of Health CY - Wellington, New Zealand DA - 2019/// PY - 2019 SP - 39pp PB - Ministry of Health UR - https://www.health.govt.nz/system/files/documents/information-release/h201901811.pdf ER - TY - ELEC TI - Getting a case manager AU - Alberta Health Services DA - 2020/// PY - 2020 UR - https://www.albertahealthservices.ca/cc/Page15484.aspx Y2 - 2020/11/23/ ER - TY - ELEC TI - Home Care Packages Program reforms AU - Australian Government, Department of Health DA - 2020/// PY - 2020 UR - https://www.health.gov.au/health-topics/aged-care/aged-care-reforms-and-reviews/home-care-packages-program-reforms ER - TY - ELEC TI - Pflegeversicherung AU - Bundesministerium für Gesundheit DA - 2020/// PY - 2020 UR - https://www.bundesgesundheitsministerium.de/themen/pflege/pflegeversicherung-zahlen-und-fakten.html#c3236 ER - TY - JOUR TI - Financial assistance, costs & payment options for eldercare in Minnesota AU - Caring, LLC. DA - 2020/// PY - 2020 UR - https://www.payingforseniorcare.com/Minnesota ER - TY - ELEC TI - Report to the Congress. Medicare payment policy AU - Medicare Payment Advisory Commission (MedPAC) DA - 2020/// PY - 2020 UR - http://www.medpac.gov/docs/default-source/reports/mar20_entirereport_sec.pdf?sfvrsn=0 ER - TY - ELEC TI - Besluit langdurige zorg. Artikel 3.1.1 AU - Ministerie van Volksgezondheid, Welzijn en Sport DA - 2020/// PY - 2020 UR - https://wetten.overheid.nl/BWBR0035948/2020-01-01/#Hoofdstuk3_Paragraaf1_Artikel3.1.1 ER - TY - ELEC TI - Community-Based Services Manual (CBSM). MnCHOICES, AU - Minnesota Department of Human Services DA - 2020/// PY - 2020 UR - https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_176044 ER - TY - ELEC TI - Financing aged care consultation paper 2 AU - Royal Commission into Aged Care Quality and Safety DA - 2020/// PY - 2020 UR - https://agedcare.royalcommission.gov.au/sites/default/files/2020-06/consultation_paper_2_-_financing_aged_care_0.pdf ER - TY - JOUR TI - Equal long-term care for equal needs with universal and comprehensive coverage? An assessment using Dutch administrative data AU - Tenand, M. AU - Bakx, P. AU - van Doorslaer, E. T2 - Health Econ AB - The Netherlands is one of the few countries that offer generous universal public coverage of long-term care (LTC). Does this ensure that the Dutch elderly with similar care needs receive similar LTC, irrespective of their income? In contrast with previous studies of inequity in care use that relied on a statistically derived variable of needs, our paper exploits a readily available, administrative measure of LTC needs stemming from the eligibility assessment organized by the Dutch LTC assessment agency. Using exhaustive administrative register data on 616,934 individuals aged 60 and older eligible for public LTC, we find a substantial pro-poor concentration of LTC use that is only partially explained by poorer individuals' greater needs. Among those eligible for institutional care, higher-income individuals are more likely to use—less costly—home care. This pattern may be explained by differences in preferences, but also by their higher copayments for nursing homes and by greater feasibility of home-based LTC arrangements for richer elderly. At face value, our findings suggest that the Dutch LTC insurance “overshoots” its target to ensure that LTC is accessible to poorer elderly. Yet, the implications depend on the origins of the difference and one's normative stance. DA - 2020/// PY - 2020 DO - 10.1002/hec.3994 VL - 29 IS - 4 SP - 435 EP - 51 SN - 1099-1050 UR - https://onlinelibrary.wiley.com/doi/abs/10.1002/hec.3994 KW - long-term care KW - equity in care use KW - horizontal equity KW - socioeconomic inequality ER - TY - ELEC TI - The role of therapy under the Home Health Patient-Driven Groupings Model (PDGM) AU - U. S. Centers for Medicare & Medicaid Services (CMS), Medicare Learning Network (MLN) DA - 2020/// PY - 2020 UR - https://www.cms.gov/files/document/se20005.pdf ER - TY - ELEC TI - What's Medicare? AU - U.S. Centers for Medicare & Medicaid Services (CMS) DA - 2020/// PY - 2020 UR - https://www.medicare.gov/what-medicare-covers/your-medicare-coverage-choices/whats-medicare ER - TY - ELEC TI - Wijkverpleging (18 jaar en ouder) AU - Zorginstituut Nederland DA - 2020/// PY - 2020 UR - https://www.zorginstituutnederland.nl/Verzekerde+zorg/wijkverpleging-zvw Y2 - 2020/11/10/ ER - TY - ELEC TI - Frequently asked questions AU - Alberta Health Services DA - 2020/// PY - 2020 UR - https://www.albertahealthservices.ca/cc/Page15536.aspx Y2 - 2020/11/23/ ER - TY - ELEC TI - Residential aged care funding reform AU - Australian Government, Department of Health DA - 2020/// PY - 2020 UR - https://www.health.gov.au/health-topics/aged-care/aged-care-reforms-and-reviews/residential-aged-care-funding-reform ER - TY - ELEC TI - Pflegeberichte AU - Bundesministerium für Gesundheit DA - 2020/// PY - 2020 UR - https://www.bundesgesundheitsministerium.de/themen/pflege/pflegeversicherung-zahlen-und-fakten/pflegeberichte.html ER - TY - ELEC TI - Minnesota Medicaid Elderly Waiver (EW) program: qualifications and services AU - Caring, LLC DA - 2020/// PY - 2020 UR - https://www.payingforseniorcare.com/minnesota/medicaid-waivers/elderly-waiver ER - TY - ELEC TI - Home health care services payment system AU - Medicare Payment Advisory Commission (MedPAC) AB - “Payments to home health agencies are determined by adjusting a base payment amount (the amount that would be paid for a typical home health patient residing in an average market area) to reflect differences in patient characteristics (case mix) and in the the level of market input prices in the geographical area where services are delivered. The base payment amount for 2020 is $ 1,864.”{ DA - 2020/// PY - 2020 UR - http://www.medpac.gov/docs/default-source/payment-basics/medpac_payment_basics_20_hha_final_sec.pdf?sfvrsn=0 ER - TY - ELEC TI - Bijlage A. bij artikel 2.1 van de Regeling langdurige zorg AU - Ministerie van Volksgezondheid, Welzijn en Sport DA - 2020/// PY - 2020 UR - https://wetten.overheid.nl/BWBR0036014/2020-07-14#BijlageA ER - TY - ELEC TI - Home and community support services AU - Ministry of Health DA - 2020/// PY - 2020 UR - https://www.health.govt.nz/your-health/services-and-support/disability-services/types-disability-support/home-and-community-support-services ER - TY - ELEC TI - Community-Based Services Manual (CBSM). MnCHOICES certified assessors AU - Minnesota Department of Human Services DA - 2020/// PY - 2020 UR - https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_176043 ER - TY - JOUR TI - Eligibility or use? Disentangling the sources of horizontal inequity in home care receipt in the Netherlands AU - Tenand, M. AU - Bakx, P. AU - van Doorslaer, E. T2 - Health Econ AB - We study horizontal inequity in home care use in the Netherlands, where a social insurance scheme aims to allocate long-term care according to care needs. Whether the system reaches its goal depends not only on whether eligible individuals have equal access to care but also on whether entitlements for care reflect needs, irrespective of socioeconomic status and other characteristics. We assess and decompose total inequity into inequity in (i) entitlements for home care and (ii) the conversion of these entitlements into actual use. This distinction is original and important, because inequity calls for different policy responses depending on the stage at which it arises. Linking survey and administrative data on the 65 and older, we find higher income elderly to receive less home care than poorer elderly with similar needs. Although lower income elderly tend to make greater use of their entitlements, need-standardized entitlements are similar across income, education, and wealth levels. However, both use and entitlements vary by origin and place of residence. The Dutch need assessment seems effective at restricting socioeconomic inequity in home care use but may not fully prevent inequity along other dimensions. Low financial barriers and universal eligibility rules may help achieve equity in access but are not sufficient conditions. DA - 2020/// PY - 2020 DO - 10.1002/hec.4126 VL - 29 IS - 10 SP - 1161 EP - 79 SN - 1099-1050 UR - https://onlinelibrary.wiley.com/doi/abs/10.1002/hec.4126 KW - home care KW - needs assessment KW - equity in care use KW - horizontal equity KW - socioeconomic inequality KW - eligibility ER - TY - ELEC TI - Long-term care hospital prospective payment system AU - U. S. Centers for Medicare & Medicaid Services (CMS), Medicare Learning Network (MLN) DA - 2020/// PY - 2020 UR - https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Long-Term-Care-Hospital-PPS-Fact-Sheet-ICN006956.pdf ER - TY - ELEC TI - Skilled nursing facility (SNF) care AU - U.S. Centers for Medicare & Medicaid Services (CMS) DA - 2020/// PY - 2020 UR - https://edit.medicare.gov/coverage/skilled-nursing-facility-snf-care ER - TY - ELEC TI - Persoonlijke verzorging, begeleiding en verpleging (Wlz) AU - Zorginstituut Nederland DA - 2020/// PY - 2020 UR - https://www.zorginstituutnederland.nl/Verzekerde+zorg/persoonlijke-verzorging-begeleiding-en-verpleging-wlz Y2 - 2020/11/10/ ER - TY - ELEC TI - Publicly funded and private for purchase care services AU - Alberta Health Services DA - 2020/// PY - 2020 UR - https://www.albertahealthservices.ca/cc/Page15485.aspx Y2 - 2020/11/23/ ER - TY - ELEC TI - Home Care Packages Program operation manual: A guide for home care providers AU - Australian Government, Department of Health DA - 2020/// PY - 2020 UR - https://www.health.gov.au/sites/default/files/documents/2020/03/home-care-packages-program-operational-manual-a-guide-for-home-care-providers.pdf ER - TY - ELEC TI - Long term care guide: everything you need to know about long-term care AU - Bundesministerium für Gesundheit AB - Brochure, 208 pages As at: 31 March 2019 Languages: English productnumber: BMG-P-07055e DA - 2020/// PY - 2020 UR - https://www.bundesgesundheitsministerium.de/fileadmin/Dateien/5_Publikationen/Pflege/Broschueren/200320_BMG_Ratgeber-Pflege_DINA5_ENG_bf.pdf ER - TY - ELEC TI - Skilled nursing facility services payment system AU - Medicare Payment Advisory Commission (MedPAC) DA - 2020/// PY - 2020 UR - http://www.medpac.gov/docs/default-source/payment-basics/medpac_payment_basics_20_snf_final_sec.pdf?sfvrsn=0 ER - TY - ELEC TI - Wet langdurige zorg AU - Ministerie van Volksgezondheid, Welzijn en Sport DA - 2020/// PY - 2020 UR - https://wetten.overheid.nl/BWBR0035917/2020-03-19 ER - TY - ELEC TI - Community-Based Services Manual (CBSM). Assessment applicability and timelines AU - Minnesota Department of Human Services DA - 2020/// PY - 2020 UR - https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs-291132# ER - TY - ELEC TI - Home health services AU - U.S. Centers for Medicare & Medicaid Services (CMS) DA - 2020/// PY - 2020 UR - https://edit.medicare.gov/coverage/home-health-services# ER - TY - ELEC TI - Leveringsvormen (instelling, vpt, mpt en pgb) (Wlz) AU - Zorginstituut Nederland DA - 2020/// PY - 2020 UR - https://www.zorginstituutnederland.nl/Verzekerde+zorg/leveringsvormen-instelling-vpt-mpt-en-pgb-wlz Y2 - 2020/11/10/ ER - TY - ELEC TI - Accessing continuing care AU - Alberta Health Services DA - 2020/// PY - 2020 UR - https://www.albertahealthservices.ca/cc/Page15487.aspx Y2 - 2020/11/23/ ER - TY - ELEC TI - Aged care subsidies and supplements: new rates of daily payments from 20 September 2020 AU - Australian Government, Department of Health DA - 2020/// PY - 2020 UR - https://www.health.gov.au/sites/default/files/documents/2020/09/schedule-of-subsidies-and-supplements-for-aged-care-schedule-from-20-september-2020_0.pdf ER - TY - ELEC TI - Long-term care hospitals payment system AU - Medicare Payment Advisory Commission (MedPAC) AB - "Coverage of LTCH stays is subject to Medicare’s limits on inpatient hospital care; thus, beneficiaries treated in LTCHs are covered for 90 days of hospital care per illness, with a 60-day lifetime reserve" DA - 2020/// PY - 2020 UR - http://www.medpac.gov/docs/default-source/payment-basics/medpac_payment_basics_20_ltch_final_sec.pdf?sfvrsn=0 ER - TY - ELEC TI - Community-Based Services Manual (CBSM). Appeals process AU - Minnesota Department of Human Services DA - 2020/// PY - 2020 UR - https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs-295972# ER - TY - ELEC TI - Long term care AU - Alberta Health Services DA - 2020/// PY - 2020 UR - https://www.albertahealthservices.ca/cc/Page15491.aspx Y2 - 2020/11/23/ ER - TY - ELEC TI - Subsidy reductions for residential aged care AU - Australian Government, Department of Health DA - 2020/// PY - 2020 UR - https://www.health.gov.au/initiatives-and-programs/residential-aged-care/funding-for-residential-aged-care/subsidy-reductions-for-residential-aged-care Y2 - 2020/11/18/ ER - TY - ELEC TI - Provider manual. Elderly Waiver (EW) and Alternative Care (AC) program AU - Minnesota Department of Human Services DA - 2020/// PY - 2020 UR - https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_056766 ER - TY - ELEC TI - Continuing care accommodation charges AU - Alberta Health Services DA - 2020/// PY - 2020 UR - https://www.alberta.ca/continuing-care-accommodation-charges.aspx ER - TY - ELEC TI - The aged care funding instrument AU - Australian Government, Department of Health DA - 2020/// PY - 2020 UR - https://www.health.gov.au/initiatives-and-programs/residential-aged-care/funding-for-residential-aged-care/the-aged-care-funding-instrument-acfi ER - TY - ELEC TI - Long-term services and supports service rate limits effective January 1, 2021 AU - Minnesota Department of Human Services DA - 2020/// PY - 2020 UR - https://edocs.dhs.state.mn.us/lfserver/Public/DHS-3945-ENG ER - TY - ELEC TI - Patient care-based funding AU - Alberta Health Services DA - 2020/// PY - 2020 UR - https://www.albertahealthservices.ca/cc/Page15503.aspx Y2 - 2020/11/23/ ER - TY - ELEC TI - Minnesota case mix review manual AU - Minnesota Department of Human Services DA - 2020/// PY - 2020 UR - https://www.health.state.mn.us/facilities/regulation/casemix/docs/cmrmanual.pdf ER - TY - RPRT TI - Report on the trial of the Australian National Aged Care Classification (AN-ACC) AU - Australian Government, Department of Health DA - 2020/// PY - 2020 PB - Australian Government, Department of Health UR - https://www.health.gov.au/resources/publications/report-on-the-trial-of-the-australian-national-aged-care-classification-an-acc ER -